Manipulating the Patient a Comparison of the Effectiveness of Physician and Chiropractor Care

Kane, Robert L; Olsen, Donna M.; Leymaster, Craig E.; Woolley, F. Ross; Fisher, F. David

doi:10.1016/s0140-6736(74)90695-3

Cited by 84 publications

(16 citation statements)

References 9 publications

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“…Although chiropractors use an unsubstantiated pathogenetic concept (vertebral subluxation) and are proscribed from using many sophisticated diagnostic tests, they enjoy substantial success in the management of back pain. In a study of patients who received workers' compensation, Kane and colleagues (37) found that patients treated by chiro practors had equally good functional outcomes and greater satisfaction than those treated by medical physicians. We found that enrollees in a large Seattle health maintenance organization (HMO) who saw chiropractors for back pain reported better functional and satisfaction outcomes than enrollees seeing medical physicians (7).…”

Section: Variability In Care: a Lack Of Therapeutic Consensusmentioning

confidence: 99%

Cost, Controversy, Crisis: Low Back Pain and the Health of the Public

Deyo¹,

Cherkin²,

Conrad³

et al. 1991

Annu. Rev. Public Health

404

108

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Section: Variability In Care: a Lack Of Therapeutic Consensusmentioning

confidence: 99%

Cost, Controversy, Crisis: Low Back Pain and the Health of the Public

Deyo¹,

Cherkin²,

Conrad³

et al. 1991

Annu. Rev. Public Health

404

108

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“…À cette action purement psychologique s'ajoute l'évolution propre, spontanément favorable, de beaucoup de syndromes douloureux vertébraux. Enfin, les explications parfois fournies par certains manipulateurs semblent satisfaire davantage les patients [44].…”

Section: Effet Placebo Et Psychologiqueunclassified

Mode d’action des manipulations vertébrales

Maigne

2011

Lett Med Phys Readapt

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Les manipulations vertébrales agissent sur les différents composants de l'unité fonctionnelle vertébrale. Elles séparent les surfaces articulaires des articulations zygapophysaires, ce mouvement étant accéléré lors de la survenue du bruit de craquement. Elles semblent diminuer brièvement la pression intradiscale. Elles étirent en force les muscles paravertébraux, ce qui favorise leur relaxation par des méca-nismes encore mal explorés. Enfin, elles ont probablement un effet antalgique propre indépendant de la lésion en cause. Ces actions sont bénéfiques dans le cadre du traitement des douleurs vertébrales, mais elles sont toutes de courte durée. Un effet thérapeutique prolongé ne peut être expliqué que par une action réflexe telle que la rupture d'un cercle vicieux de type douleur-spasme-douleur ou par l'existence d'une lésion spécifique, dite lésion manipulable, non prouvée. Pour citer cette revue : Lett. Méd. Phys. Réadapt. 27 (2011). Mots clés Manipulation vertébrale · Lombalgie · Médecine manuelle · Chiropractie · OstéopathieAbstract Spinal thrust manipulations act on the different constituent elements of the vertebral motion segment. They separate the facet joint surfaces, with faster separation accompanied by a cracking noise. They appear to briefly lower the intradiscal pressure. They forcefully stretch the paraspinal muscles, thereby relaxing these muscles via an as yet poorly understood mechanism. They are also likely to have an inherent analgesic effect that is independent of the nature of the pain-causing lesion. While these actions are beneficial in the treatment of pain of vertebral origin, they are short-lived. A long-term therapeutic effect could be accounted for only in terms of a reflex phenomenon, such as the breaking of a vicious cycle of pain-spasmpain, or by the existence of a specific "manipulable" lesion, for which, however, no proof has been furnished to date. To cite this journal: Lett. Méd. Phys. Réadapt. 27 (2011).

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“…(Cohen 1969: 659) The report was transmitted to Congress on December 28, 1968. Despite the recommendations of the experts, and the unscientific nature of the body of knowledge on which chiropractic treatment is based, Congress in 1972 passed amendments to the Social Security Act that include chiropractic in the Medicare program. In addition, Congress directed the National Institutes of Health to plan a study of the fundamental concepts of chiropractic, and allocated two million dollars to support such research {.Omaha World Herald 1974;Kane et al 1974Kane et al : 1333. In a personal communication, Dr. Walter Wardwell (1970) which service a limited segment of the population does not assure inclusion in national health insurance schemes covering the whole of society, but it does lend a legitimacy which reinforces efforts toward further legal sanction.…”

Section: Government Fundingmentioning

confidence: 99%

Part one: Pluralistic legitimation of an alternative therapy system: The case of chiropractic

Cobb

1977

Medical Anthropology

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Manipulating the Patient a Comparison of the Effectiveness of Physician and Chiropractor Care

Cited by 84 publications

References 9 publications

Cost, Controversy, Crisis: Low Back Pain and the Health of the Public

Cost, Controversy, Crisis: Low Back Pain and the Health of the Public

Mode d’action des manipulations vertébrales

Part one: Pluralistic legitimation of an alternative therapy system: The case of chiropractic

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