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Chiropractic Research Review

Adjustment Strategies for Cervical Facet Syndrome

Pain in the upper spinal column accompanied by limitation in movement can interfere with activities and reduce occupational effectiveness. This study of 30 patients with cervical facet syndrome questioned whether adjusting the top segment of primary fixation in the direction of the restriction, and the bottom segment in the opposite direction (group 1) would cause significantly greater improvement than only adjusting the top segment of primary fixation in the direction of restriction (group 2).

Results: Both strategies were equally effective with regard to subjective symptomatology, except that the second group showed significantly greater improvement compared with the first group in forward flexion range of motion at the one-month follow-up. These findings may allow for improved chiropractic care and greater relief for patients suffering pain and dysfunction associated with facet syndrome in the cervical spine.

The study design and report of findings revealed significant errors, and several factors lacked definition. No conclusions should be made at this time.

Cilliers KI, Penter CS. Relative effectiveness of two different approaches to adjust a fixated segment in the treatment of facet syndrome in the cervical spine. Journal of the Neuromusculoskeletal System, Spring 1998;6(1), pp1-5. Reprints: Tel: (800) 342-0454; Fax: (410) 494-0515

Chiropractic Research Review

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