STUDY DESIGN Randomized clinical trial. OBJECTIVE To assess the effectiveness of manual physical therapy and exercise (MTE) for mechanical neck pain with or without unilateral upper extremity (UE) symptoms, as compared to a minimal intervention (MIN) approach. SUMMARY OF BACKGROUND DATA Mounting evidence supports the use of manual therapy and exercise for mechanical neck pain, but no studie...

background a hospital should be an institution of understanding and respecting patients’ rights, their families, physicians and other caregivers. hospitals and all other healthcare centers must be cautious toward respecting ethical aspects of care and treatment. on the other hand, patients’ satisfaction reflects capabilities of physicians and medical staff as well as the extent patients’ rights...

abstract textbooks play an important role in english language teaching (elt), particularly in the english as a foreign language (efl) context where it provides the primary linguistic input. the present research was an attempt to comparatively evaluate the touchstone series in terms of compliment and complaint speech acts. four touchstone textbooks (book 1, book 2, book 3, and book 4) were selec...

BACKGROUND Observational studies have previously shown that adverse events following manipulation to the neck and/or back are relatively common, although these reactions tend to be mild in intensity and self-limiting. However, no prospective study has examined the incidence of adverse reactions following spinal adjustments using upper cervical techniques, and the impact of this care on clinical...

Introduction: A 6-year-old boy was referred to our hospital because of the stiffness both knees, which had commenced two years ago and gradually progressed hips, ankles, elbows, fingers, toes. He occasionally arthralgia with no complaint joint swelling. a long face, prominent forehead chin, short neck. There limitation in range motion all appendicular joints deformity. Case Presentation: Skelet...

A 58-year-old white woman with an 11-year history of type 1 diabetes mellitus presented in April 1995 with a complaint of flushing of the neck and the upper part of her trunk. She had had no antecedent febrile illness. The flushing resolved within a few days, but approximately 1 month later, the patient developed thickening and induration of the skin of the posterior section of her neck (Figure...