The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Edzard Ernst - One of the best experts on this subject based on the ideXlab platform.
-
Chiropractic spinal Manipulation what does the best evidence show
Focus on Alternative and Complementary Therapies, 2012Co-Authors: Edzard ErnstAbstract:Background The evidence of effectiveness of Chiropractic is controversial. Objectives To summarise all Cochrane reviews of Chiropractic spinal Manipulation. Methods The Cochrane database was searched for all Cochrane reviews of Chiropractic Manipulation. Cochrane reviews with the terms ‘Chiropractic’, ‘Manipulation’ or ‘manual therapy’ in the title, abstract or keywords were considered. Protocols of reviews were excluded, as were studies that did not focus specifically on Chiropractic spinal Manipulation. Data extraction was performed by the author according to predefined criteria. Results Five Cochrane reviews were eligible for inclusion. Due to clinical and statistical heterogeneity, a meta-analysis was not possible and the findings of the reviews were discussed narratively. The five reviews related to the following conditions: low back pain, asthma, dysmenorrhoea and neck pain. Each review included between three and 39 primary studies. Cautiously positive conclusions emerged for low back pain and neck pain. For the two non-spinal conditions, the conclusions were negative. Conclusions Cochrane reviews, generally considered to be the most reliable evidence, provide limited evidence that Chiropractic may be effective for low back and neck pain, but failed to support the use of Chiropractic for non-spinal conditions.
-
Chiropractic Manipulation for carpal tunnel syndrome a systematic review
Hand Therapy, 2009Co-Authors: Kate Hunt, Shao Kang Hung, Kate Boddy, Edzard ErnstAbstract:BackgroundAlthough Chiropractic is most commonly used for spinal problems, many chiropractors use Manipulations for the treatment of non-spinal conditions. Carpal tunnel syndrome (CTS) has been identified as one such condition. This systematic review evaluates the evidence for or against the effectiveness of Chiropractic as a treatment for CTS.MethodsEight electronic databases were searched from inception until November 2008. Reference lists of retrieved articles were hand-searched. Chiropractic associations were contacted in order to identify further non-published studies. No language restrictions were applied.ResultsOf 26 potentially relevant studies, only one trial of Chiropractic for CTS met all the inclusion criteria. The trial was of poor quality and reported no significant differences between the groups on any outcome measure. However, our re-analyses indicated a significant difference in favour of the control treatment (non-steroidal anti-inflammatory drugs [NSAIDs] use). Adverse effects were note...
-
Chiropractic Manipulation with a deliberate double entendre
Archives of Disease in Childhood, 2009Co-Authors: Edzard ErnstAbstract:D D Palmer, the founding father of Chiropractic, once stated that “95% of all diseases are caused by displaced vertebrae, the remainder by luxation of other joints”.1 This conviction is still shared, at least to some degree, by chiropractors today. It is thus understandable that chiropractors would treat children and adolescents for a range of conditions. A recent survey of UK chiropractors, for instance, suggested that 10–58% of the respondents considered conditions like infantile colic, childhood asthma, enuresis, otitis, epilepsy, attention deficit hyperactivity disorder (ADHD) or cerebral palsy to be “effectively treatable by Chiropractic methods”.2 Similarly, a survey conducted in 2004 by the General Chiropractic Council showed that a sizable proportion of UK chiropractors’ …
-
Chiropractic Manipulation for non spinal pain a systematic review
The New Zealand Medical Journal, 2003Co-Authors: Edzard ErnstAbstract:Aims Chiropractic Manipulation is mostly used for spinal problems but, in an increasing number of cases, also for non-spinal conditions. This systematic review is aimed at critically evaluating the evidence for or against the effectiveness of this approach. Methods Five electronic databases were searched for all randomised clinical trials of Chiropractic Manipulation as a treatment of non-spinal pain. They were evaluated according to standardised criteria. Results Eight such studies were identified. They related to the following conditions: fibromyalgia, carpal tunnel syndrome, infantile colic, otitis media, dysmenorrhoea and chronic pelvic pain. Their methodological quality ranged from mostly poor to excellent. Their findings do not demonstrate that Chiropractic Manipulation is an effective therapy for any of these conditions. Conclusions Only very few randomised clinical trials of Chiropractic Manipulation as a treatment of non-spinal conditions exist. The claim that this approach is effective for such conditions is not based on data from rigorous clinical trials.
Huy M Do - One of the best experts on this subject based on the ideXlab platform.
-
brown sequard syndrome of the cervical spinal cord after Chiropractic Manipulation
American Journal of Neuroradiology, 1998Co-Authors: Maurice H Lipper, Jonas H Goldstein, Huy M DoAbstract:We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after Chiropractic Manipulation, consistent with contusion. The patient displayed clinical features of Brown-Sequard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.
Lowe, James Douglas - One of the best experts on this subject based on the ideXlab platform.
-
The effectiveness of Chiropractic Manipulation and ischaemic compression versus Chiropractic Manipulation and shockwave therapy on trapezius trigger points
2018Co-Authors: Lowe, James DouglasAbstract:Abstract: Purpose: The aim of the study was to compare the effectiveness of a treatment protocol that included Chiropractic Manipulation and ischaemic compression against an alternative treatment protocol that involved Chiropractic Manipulation and Shockwave therapy. Both protocols were carried out on a target group that presented with an active myofascial trigger point of the upper trapezius muscles. Method: A selection of 30 participants between the ages of 18 and 50 years were recruited for this study, all of which presented with mechanical neck pain that was caused by the presence of an active myofascial trapezius trigger point. Participants were randomly allocated into two groups, with each group containing 15 participants. Group 1 received Chiropractic manipulative therapy to their cervical spine and upper thoracic spine as well as ischaemic compression to the active myofascial trapezius trigger point. Group 2 received Chiropractic manipulative therapy to their cervical spine and upper thoracic spine as well as Shockwave therapy to the active myofascial trigger point present in the trapezius muscle. Each participant received a total of 6 treatments with the seventh and final treatment being a data collection consult only, this was the same for both groups. Results: Both treatment protocols had positive clinical effects on the participants. Subjectively the participants, on average, experienced a decrease in perceived pain. Objectively both the CROM measurements and the Pressure Algometer readings decreased throughout the trial period, this was noted in both groups. Conclusion: In conclusion both treatment protocols had positive effects on participants over the trial, neither treatment protocol had definitive statistical improvements compared to the other in the treatment of mechanical neck pain with associated trapezius myofascial trigger point involvement and thus to conclude, both ischaemic compression therapy and Shockwave therapy in conjunction with cervical and upper thoracic spinal Manipulations can be used to effectively treat mechanical neck pain with associated trapezius myofascial trigger point involvement
-
The effectiveness of Chiropractic Manipulation and ischaemic compression versus Chiropractic Manipulation and shockwave therapy on trapezius trigger points
2017Co-Authors: Lowe, James DouglasAbstract:M.Tech. (Chiropractic)Abstract: Background: Active myofascial trigger points in the upper trapezius muscle often cause neck pain, which is commonly experienced by the general public. These trigger points can cause mild to intense discomfort resulting in a loss of man-hours and the use of pain medication. According to Hanten, Olsen, Butts & Nowicki (2002) a trigger point is described as a hyperirritable point within a taut band of voluntary skeletal muscle. It is also suggested that a trigger point may be located within muscular tissue or in associated fascia and that the point is tender on palpation. If the trigger point is active it could elicit characteristic referred pain and autonomic symptoms. Shockwave therapy being a relatively new technological development is said to be effective in the treatment of trigger points and therefore neck pain (Gleitz & Horning, 2012). Chiropractic techniques such as Manipulation and soft tissue therapy are often used by chiropractors in the treatment of these trigger points to relieve muscle spasm and to decrease pain. However, soft tissue therapies are time consuming, whereas Shockwave therapy is a relatively simple procedure that can be administered for a short period of time. Aim: The aim of the study was to compare the effectiveness of a treatment protocol that included Chiropractic Manipulation and ischaemic compression against an alternative treatment protocol that involved Chiropractic Manipulation and Shockwave therapy. Both protocols were carried out on a target group that had active myofascial trigger points of the upper trapezius muscles. Method: A selection of 30 participants between the ages of 18 and 50 were recruited for this study, all of which presented with myofascial neck pain caused by active myofascial trapezius trigger points. Participants were randomly allocated into two groups, with each group containing 15 participants. Group 1 received Chiropractic manipulative therapy to their cervical spine and upper thoracic spine as well as ischaemic compression to the active myofascial trapezius trigger points. Group 2 received Chiropractic manipulative therapy to their cervical spine and..
Maurice H Lipper - One of the best experts on this subject based on the ideXlab platform.
-
brown sequard syndrome of the cervical spinal cord after Chiropractic Manipulation
American Journal of Neuroradiology, 1998Co-Authors: Maurice H Lipper, Jonas H Goldstein, Huy M DoAbstract:We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after Chiropractic Manipulation, consistent with contusion. The patient displayed clinical features of Brown-Sequard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.
Martin B Camins - One of the best experts on this subject based on the ideXlab platform.
-
lumbar epidural hematoma after Chiropractic Manipulation for lower back pain case report commentary
Neurosurgery, 2007Co-Authors: Ole Solheim, Jan V Jorgensen, Oystein P Nygaard, Volker K H Sonntag, Martin B Camins, Paul Khoueir, Michael WangAbstract:OBJECTIVE: Spinal Manipulation therapy is widely used for the treatment of lower-back pain. Serious complications to spinal Manipulation are most often seen in the cervical region. We report the first case of a lumbar epidural hematoma after Chiropractic Manipulation. CLINICAL PRESENTATION: A 77-year-old man with a long history of lower-back pain underwent Chiropractic Manipulation of the lower spine. He was receiving anticoagulation therapy as a result of chronic atrial fibrillation. After a Manipulation session, he developed partial cauda equina syndrome with lower extremity paresis and urinary retention. Computed tomographic and magnetic resonance imaging scans showed an epidural hematoma at the L3 level. INTERVENTION AND TECHNIQUE: We performed surgical evacuation of the hematoma through laminectomy of L3 and L4. During the follow-up period, his motor deficits improved, but the bladder dysfunction remained. CONCLUSION: This is the first case report of a lumbar epidural hematoma after Chiropractic Manipulation. Even rare complications after Chiropractic Manipulation of the spine should be weighed against potential benefits of such treatment. Caution should be shown in patients receiving antithrombotic therapy.
-
cervical epidural hematoma after Chiropractic Manipulation in a healthy young woman case report
Neurosurgery, 1996Co-Authors: David H Segal, Mika Lidov, Martin B CaminsAbstract:OBJECTIVE AND IMPORTANCE : Posttraumatic spinal epidural hematoma is an uncommon entity. We present the first report of spinal epidural hematoma occurring after Chiropractic Manipulation in a healthy young adult without preexisting cervical disease or any obvious predisposing factors. CLINICAL PRESENTATION : The patient presented with radicular and myelopathic symptoms that developed 15 minutes after Chiropractic Manipulation. Computed tomography and magnetic resonance imaging were performed. They revealed a cervical epidural hematoma. INTERVENTION : The hematoma was evacuated, and all of the patient's neurological symptoms improved over the course of the next 3 days. CONCLUSION : Although cervical spinal epidural hematoma is a rare clinical entity, it must be considered in patients with pain or neurological deficit after cervical trauma.