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1.  THE DESIGN AND PRESENTATION OF A CASE STUDY 
PMCID: PMC2051088  PMID: 17987187
Case study; design
2.  CLASSIC MIGRAINE OR NOT CLASSIC MIGRAINE 
Objective: To identify the main characteristics of classic migraine, with specific regard to diagnostic criteria for manual therapy practitioners, including chiropractors and osteopaths.
Method: Ten case studies on migraine were reviewed for the symptoms and clinical features.
Results: The majority of cases reviewed as classic migraines were in reality not correct diagnoses in accordance with standard classification systems. Some cases had classic signs which may have been missinterpreted, whilst other cases had possible inconsistent symptoms making diagnosis difficult.
Discussion: The various classification systems are presented with guidelines for diagnosis to assist practitioners making the accurate diagnosis.
PMCID: PMC2050617  PMID: 17987141
Migraine; diagnosis; manual therapy.
3.  INTEREXAMINER RELIABILITY OF CHIROPRACTIC EVALUATION FOR CERVICAL SPINE PROBLEMS—A Pilot Study 
Objective: A pilot study was conducted to determine whether untrained examiners could agree on palpatory findings in the cervical spine.
Design: Fifty-three university students, (most of whom were chiropractic students), had their cervical spines examined by seven different chiropractors using their own clinical methods, of which motion palpation was a common, but not standard component.
Setting: Chiropractic Centre in Macquarie University.
Participants: Volunteer university students.
Main Outcome Measures: Individual clinical methods, which included static and/or motion palpation, vertebral springing, range of motion and applied kinesiology.
Results: Statistically, for the total group, there was poor interexaminer reliability. Of eight examiners, four did not disagree significantly, the next two examiners disagreed with each other but only at a single level and the remaining two examiners disagreed with most of the other examiners and each other.
Conclusion: In the cervical spine, it appears that C6 is the level of highest contention, followed by C1 and C5. Essentially the results suggest that combinations of examiners show reasonable consistency at identifying the same entity while using their own typical examination techniques. The nature of these palpable findings, leading to a diagnosis of subluxation or vertebral dysfunction is ill defined. Several issues were considered as important: expectations of examiners, research design, subject compliance, role of asymptomatic subjects and what the examiners were actually detecting.
PMCID: PMC2050612  PMID: 17987136
Chiropractic; cervical spine; reliability; neck pain; manual medicine; musculoskeletal diagnosis.

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