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Biomedical subjects

J M Cox

Publications and source records attributed to J M Cox.

At least 55 records · Page 3Linked to original sources
PubMed1989

Detection of stress fractures in athletes and nonathletes.

Stress fractures are considered a relatively common athletic injury. Some authors also feel this disorder may be overlooked in many nonathletic patients. Three cases of stress fractures are presented. All had classical clinical pictures; however, two were athletes and one was not. The athletes' stress fractures were suspected early in the disease evolution, confirmed with a bone scan and proper care instituted to prevent extended morbidity. The nonathlete's case was misdiagnosed by another practitioner and allowed to progress to the level of a true fracture. Extended morbidity followed this case. The infrequent report of nonathlete stress fractures in the literature may have played a major role in this oversight. Stress fractures do occur in athletes and nonathletes. The history is the key to making an early diagnosis. Scintigraphy (bone scan) or plain films may be used to confirm the diagnosis and rule out other disorders.

Adolescent↗
PubMed1988

Growth of psychrotrophic bacteria in raw and UHT-treated goats' milk.

The growth of six strains of Pseudomonas fluorescens, two of Ps. fragi, and one of Serratia liquefaciens was followed in raw and UHT-treated goats' milk, held at 4 degrees C. Generation times for Ps. fluorescens in UHT milk ranged from 5.19 to 5.81 h, increasing markedly in raw milk (8.34-21.49 h). Growth of Ps. fragi did not differ significantly between raw (4.56, 4.65 h) and UHT (5.04, 7.24 h) milk. Generation times for S. liquefaciens were 6.63 and 14.07 h, for UHT and raw milk respectively.

Animals↗
PubMed1988

Degenerative spondylolisthesis of C7 and L4 in same patient.

The incidence of a C7 spondylolisthesis has never been reported, and this paper shows the presence of C7 and L4 degenerative spondylolisthesis in a 66-yr-old female. No report of this combined problem has been reported. The clinical findings of the patient are given as well as treatment protocol.

Aged↗
PubMed1987

Exercise and smoking habits in patients with and without low back and leg pain.

The exercise and smoking habits of low back or leg pain sufferers vs. persons not having low back or leg pain are compared. The type, frequency and length of exercise is determined from a study of 576 low back or leg pain sufferers compared to 50 persons who state they are symptomatic. The same was done for smoking habits. Thirty-three percent of low back or leg pain sufferers smoked as compared to 14% of those without pain. Forty-seven percent of low back or leg pain sufferers as compared to 86% of non-sufferers exercised regularly. The level of physical activity and general exercise have been found to improve strength, mobility and endurance; this might prevent future back injury. Our study is to determine differences in the exercise habits of persons with low back and/or leg pain vs. those who do not have pain, with the intention being to see if pain sufferers exercise less.

Back Pain↗
PubMed1987

A hypothesis introducing a new calculation for discal reduction: emphasis on stenotic factors and manipulative treatment.

A literature review of the incidence and effects of manipulation on intervertebral disc protrusion is given. A case presented had a 14% reduction of the disc bulge following manipulative care with complete relief of sciatic and low back pain. A system to evaluate the size of disc herniation in computed tomography scans performed before and after manipulative treatment of disc protrusions is offered. Stenosis, with the critical compounded factors of vertebral canal size, dural sac cross-sectional area and soft tissue stenosis in protrusion of the ligamentum flavum and disc, as well as degenerative facet joint changes, is discussed to illustrate the complexity surrounding nerve root compression etiology. Understanding this integration of causative factors can help to explain low back symptoms and outline effective treatment plans.

Chiropractic↗
PubMed1987

Correction of progressive idiopathic scoliosis utilizing neuromuscular stimulation and manipulation: a case report.

Presented is a case report of chiropractic manipulative therapy and transcutaneous neuromuscular stimulation utilized in the treatment of progressive adolescent idiopathic scoliosis. The curvature was shown to be progressing at the rate of 1.0 degrees/month for the 9 previous months. The patient's curvature was successfully stopped at 27 degrees and reversed to 17 degrees in the first 3 months of care. After 9 months of nighttime stimulation, the curvature was recorded at 23 degrees. Also included is a review of conservative scoliotic care and the effects of physical forces on glycoprotein structures.

Adolescent↗
PubMed1987

Short leg correction: a clinical trial of radiographic vs. non-radiographic procedures.

Visual leg length insufficiency detection and correction is compared with established radiographic procedures on 41 consecutive patients presenting to a chiropractic clinic with low back pain. It is commonly accepted that the most accurate procedure of short leg demonstration is the standing X ray. Visual correction, as described by Rene Cailliet, uses three anatomical points of reference: a) iliac crest levelness, b) vertical appraisal of the spine from the sacral base (the spine should be perpendicular to the sacral base) and c) levelness of the posterosuperior iliac spine (PSIS) dimples. Lifts of varying thickness were placed under the foot of the short leg in both leg length corrective procedures. This study found that the visual method of measurement did not differ significantly from the X-ray method of measurement for leg length insufficiency. Further, it was found that when comparing those in which the visual measure was less than the X-ray measure and those in which the visual measure was greater, there was a significant relationship between visual and X-ray measures. Eta (eta 2) demonstrates that there is a very strong relationship between visual and X-ray methods of measurement. A review of the literature is presented regarding the correlation of leg length insufficiency and musculoskeletal disorders, as well as the discrepancy required to alter biomechanical properties of the trunk and lower extremity.

Analysis of Variance↗
PubMed1986

Justice, compassion needed in treating AIDS patients.

Caring for patients with AIDS presents an emotional and ethical challenge for care givers. Not only do AIDS patients have great medical needs but they also must cope with the attitudes of a society that has stigmatized them. Stigma complicates the health care decisions that must be made, since many patients with AIDS may not have a supportive family or friends to assist with care. In these situations the health care facility becomes the patient's home and health care workers become the patient's family. Care givers therefore have a unique opportunity to affirm the dignity and goodness of AIDS patients by assuring them confidentiality and treating them with compassion. When decisions about life-sustaining treatments must be made, the care giver's duty is to respect the patient's choice of treatment. Prolonging a patient's dying should not be considered an option if it is done only as a means of healing the family's grief; if patients cannot trust providers to honor their requests to discontinue treatments that become useless or inhumane, they may hesitate to seek helpful treatment. Although a voluntary approach to caring for patients with AIDS may be preferable, employees' resistance to caring for patients usually can be dispelled through education. If a mandatory approach to care is taken, the standards of participation should apply to all--including physicians, administrators, and managers.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Lumbosacral disc protrusion: a case report.

A negative myelogram but a positive CT for an L5 disc protrusion is presented. Five months of medical care preceded chiropractic care; the insurance company involvement in a case where treatment mode is changed from usual orthodox medical procedures of epidural steroid injection and physical therapy to chiropractic distraction manipulation is detailed. Finally the clinical outcome of the case is provided.

Adult↗
PubMed1984

Chiropractic manipulation in low back pain and sciatica: statistical data on the diagnosis, treatment and response of 576 consecutive cases.

A chiropractic multicenter observational pilot study to compile statistics on the examination procedures, diagnosis, types of treatments rendered, results of treatment, number of days of care, and number of treatments required to arrive at a 50% and a maximum clinical improvement was collected on 576 patients with low back and/or leg pain. The purpose was to determine the congenital and developmental changes in patients with low back and/or leg pain, the combinations of such anomalies, the accuracy of orthodox diagnostic tests in assessing low back pain, ergonomic factors affecting onset and, ultimately, the specific difficulty factors encountered in treating the various conditions seen in the average chiropractor's office. For all conditions treated, the average number of days to attain maximum improvement was 43 and the number of visits 19. It was concluded that this study provided useful data for assessment of routine chiropractic office based diagnosis and treatment of related conditions; however, further controlled studies are necessary for validation of specific parameters.

Adolescent↗
PubMed1983

Chiropractic statistical survey of 100 consecutive low back pain patients.

One hundred consecutive patients with low back and/or lower extremity pain had the clinical data; including history, diagnosis, treatment and results of conservative manipulative therapy collected and tabulated on an IBM 370/138 computer at Indiana-Purdue University in Fort Wayne, Indiana utilizing the Statistical Package for the Social Sciences (SPSS) based on a standardized examination form. Various congenital, developmental and ergonomic factors in low back pain patients were collected and correlated for combinations of factors leading to back pain. Treatment methods and response to treatment as to time and patient visit numbers were determined. The frequency of congenital anomalies were found and those effecting or not effecting low back pain onset determined. Overall, 50% relief of low back and leg pain was obtained in 15.95 days and 10.8 visits average; maximum relief was found in 41.2 days, or 16.1 treatments.

Adolescent↗