By John K. Paterson MB. BS, MRCGP, Loic Burn BA, MRCS, LRCP, DPhysMed (auth.)
to clinical Manipulation John ok. Paterson, MB. BS. MRCGP presently Vice-President and Han. Secretary of the British organization of Manipulative medication and member of the clinical Advisory Committee of the foreign Federation of handbook medication and Loic Burn, BA. MRCS. LRCP. DPhysMed at the moment President of the British organization of Manipulative drugs. Han. Secretary of the medical element of the British League opposed to Rheumatism and member of Council of the again ache organization ~~ M.TP PRESS LIM.ITED ~ a member of the KLUWER educational PUBLISHERS workforce los angeles CASTER I BOSTON I THE HAG E / DORDRECHT released within the united kingdom and Europe by way of MTP Press constrained Falcon residence Lancaster, England British Library Cataloguing in ebook info Paterson, John okay. An advent to clinical manipulation. 1. Manipulation (Therapeutics) I. identify II. Burn, Loic 615.8'2 RM724 released within the united states via MTPPress A department of Kluwer Boston Inc a hundred ninety outdated Derby highway Hingham, MA 02043, united states Library of Congress Cataloging in booklet information Paterson, John K., 1921- An advent to scientific manipulation. Bibliography: p. contains index.
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In a study on the value of traction, Matthews demonstrated separation of vertebral bodies and increased centripetal forces exerted by the tension applied to the surrounding soft tissues 137 . He found, however, that it produced no detectable advantage over other treatments. A typical trial was one by Weber in Oslo, on patients described as having disc prolapse 139 . The criteria for this were sciatica, neurological deficit and positive myelographic signs. Thirty-seven patients with these symptoms and signs were compared with a control group of 35 treated by simulated traction, and there was no significant difference in treatment results between the two groups.
The whole of previous therapy is entered by ticks, providing a tabulated review of both treatments given and results obtained, together with the category of therapist. The initial history of the present episode is dealt with by a few ticks and a few words. Regarding pain and altered sensation, provision is made for assessment prior to therapy and after, and also for assessment at up to four follow-up consultations. Current therapy to the time of initial consultation is entered largely by ticking the appropriate boxes, only side-effects requiring the use of words, apart from identification of the drug.
If a collar is prescribed, this will distort the cervical mechanoceptors and, therefore, the patient will rely almost entirely on vision. Such patients must be warned not to enter a dark room suddenly, as otherwise they risk accident. Furthermore, because of this distortion of the mechanoceptors in the neck, such patients wearing collars should be warned not to drive, as serious road traffic accidents have been recorded as a consequence4. 49 AN INTRODUCTION TO MEDICAL MANIPULATION With regard to corsets, the degree of confusion that exists may be indicated by the fact that in 1970, Perry described more than 30 different designs129.