{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:10:25Z","timestamp":1784797825832,"version":"3.55.0"},"reference-count":39,"publisher":"National University of Health Sciences","issue":"6","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","jmptonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Manipulative and Physiological Therapeutics"],"published-print":{"date-parts":[[2014,7]]},"DOI":"10.1016\/j.jmpt.2014.05.005","type":"journal-article","created":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T08:31:41Z","timestamp":1407313901000},"page":"396-406","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["A Pilot Randomized Controlled Trial of Flexion-Distraction Dosage for Chiropractic Treatment of Lumbar Spinal Stenosis"],"prefix":"10.67400","volume":"37","author":[{"given":"Jerrilyn A.","family":"Cambron","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Dexheimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant","family":"Iannelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mabel","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Terhorst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Cramer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"issue":"16","key":"10.1016\/j.jmpt.2014.05.005_bb0005","first-page":"421","article-title":"Prevalence and most common causes of disability among adults\u2014United States","volume":"58","author":"Centers for Disease Control and Prevention","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0010","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00003086-200103000-00009","article-title":"Degenerative lumbar stenosis: the neurosurgical prospective","volume":"384","author":"Sheehan","year":"2001","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"10.1016\/j.jmpt.2014.05.005_bb0015","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1097\/00007632-200006150-00009","article-title":"The impact of spinal problems on the health status of patients","volume":"25","author":"Fanuele","year":"2000","journal-title":"Spine"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0020","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.spinee.2009.03.005","article-title":"Spinal stenosis prevalence and association with symptoms: the Framingham Study","volume":"9","author":"Kalichman","year":"2009","journal-title":"Spine J"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0025","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1186\/1471-2474-11-233","article-title":"Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study","volume":"11","author":"Winter","year":"2010","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0030","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1053\/apmr.2001.20828","article-title":"Functional mobility performance in an elderly population with lumbar spinal stenosis","volume":"82","author":"Whitehurst","year":"2001","journal-title":"Arch Phys Med Rehabil"},{"issue":"9","key":"10.1016\/j.jmpt.2014.05.005_bb0035","doi-asserted-by":"crossref","first-page":"E588","DOI":"10.1097\/BRS.0b013e3181f92d8e","article-title":"The risk assessment of a fall in patients with lumbar spinal stenosis","volume":"36","author":"Kim","year":"2011","journal-title":"Spine"},{"issue":"10","key":"10.1016\/j.jmpt.2014.05.005_bb0040","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1002\/acr.20562","article-title":"Prevalence of falls and the association with knee osteoarthritis and lumbar spondylosis as well as knee and lower back pain in Japanese men and women","volume":"63","author":"Muraki","year":"2011","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0045","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1097\/00003086-200103000-00017","article-title":"Therapeutic exercise in the treatment of patients with lumbar spinal stenosis","volume":"384","author":"Bodack","year":"2001","journal-title":"Clin Orthop Relat Res"},{"issue":"13","key":"10.1016\/j.jmpt.2014.05.005_bb0050","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1001\/jama.2010.338","article-title":"Trends, major medical complications, and charges associate with surgery for lumbar spinal stenosis in older adults","volume":"303","author":"Deyo","year":"2010","journal-title":"JAMA"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0055","first-page":"1825","article-title":"Lumbar spine stenosis: a common cause of back and leg pain","volume":"57","author":"Alvarez","year":"1998","journal-title":"Am Fam Physician"},{"issue":"8","key":"10.1016\/j.jmpt.2014.05.005_bb0060","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1056\/NEJMoa0707136","article-title":"Surgical versus nonsurgical therapy for lumbar spinal stenosis","volume":"358","author":"Weinstein","year":"2008","journal-title":"N Engl J Med"},{"issue":"14","key":"10.1016\/j.jmpt.2014.05.005_bb0065","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1097\/BRS.0b013e3181e0f04d","article-title":"Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial","volume":"35","author":"Weinstein","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0070","first-page":"153","article-title":"Lumbar spinal stenosis: treatment options","volume":"50","author":"Truumees","year":"2001","journal-title":"Instr Course Lect"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0075","series-title":"Principles and practice of chiropractic","first-page":"821","article-title":"Traction and distraction techniques","author":"Cox","year":"2005"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0080","series-title":"Job analysis of chiropractic","author":"Christensen","year":"1993"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0085","series-title":"Job analysis of chiropractic","author":"Christensen","year":"2000"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0090","series-title":"Job analysis of chiropractic","author":"Christensen","year":"2005"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0095","series-title":"Job analysis of chiropractic","author":"Christensen","year":"2010"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0100","series-title":"Guidelines for chiropractic quality assurance and practice parameters","author":"Haldeman","year":"1993"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0105","series-title":"Low back pain: mechanism, diagnosis, and treatment","author":"Cox","year":"2011"},{"issue":"1","key":"10.1016\/j.jmpt.2014.05.005_bb0110","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.jmpt.2009.11.002","article-title":"Recruitment methods and costs for a randomized, placebo-controlled trial of chiropractic care for lumbar spinal stenosis: a single-site pilot study","volume":"33","author":"Cambron","year":"2010","journal-title":"J Manipulative Physiol Ther"},{"issue":"7","key":"10.1016\/j.jmpt.2014.05.005_bb0115","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1097\/00007632-199604010-00004","article-title":"Measurement properties of a self-administered outcome measure in lumbar spinal stenosis","volume":"21","author":"Stucki","year":"1996","journal-title":"Spine"},{"issue":"S11","key":"10.1016\/j.jmpt.2014.05.005_bb0120","doi-asserted-by":"crossref","first-page":"S240","DOI":"10.1002\/acr.20543","volume":"63","author":"Hawker","year":"2011","journal-title":"Arthritis Care Res"},{"issue":"8","key":"10.1016\/j.jmpt.2014.05.005_bb0125","first-page":"271","article-title":"The Oswestry low back pain disability questionnaire","volume":"66","author":"Fairbank","year":"1980","journal-title":"Physiotherapy"},{"issue":"11","key":"10.1016\/j.jmpt.2014.05.005_bb0130","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1097\/00007632-200206010-00017","article-title":"Three-question depression screener used for lumbar disc herniations and spinal stenosis","volume":"27","author":"Levy","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"10.1016\/j.jmpt.2014.05.005_bb0135","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1007\/s00586-008-0593-1","article-title":"The diagnostic value of a treadmill test in predicting lumbar spinal stenosis","volume":"17","author":"Barz","year":"2008","journal-title":"Eur Spine J"},{"issue":"10","key":"10.1016\/j.jmpt.2014.05.005_bb0145","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.4065\/75.10.1002","article-title":"Test-retest reproducibility of the exercise treadmill examination in lumbar spinal stenosis","volume":"75","author":"Deen","year":"2000","journal-title":"Mayo Clin Proc"},{"issue":"2","key":"10.1016\/j.jmpt.2014.05.005_bb0155","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jcm.2009.02.001","article-title":"Chiropractic treatment of lumbar spinal stenosis: a review of the literature","volume":"8","author":"Stuber","year":"2009","journal-title":"J Chiropr Med"},{"key":"10.1016\/j.jmpt.2014.05.005_bb0160","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1471-2474-7-16","article-title":"A non-surgical approach to the management of lumbar spinal stenosis: a prospective observational cohort study","volume":"7","author":"Murphy","year":"2006","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"10.1016\/j.jmpt.2014.05.005_bb0165","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S1047-9651(02)00076-1","article-title":"Nonsurgical management of patients with lumbar spinal stenosis: a literature review and a case series of three patients managed with physical therapy","volume":"14","author":"Whitman","year":"2003","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"22","key":"10.1016\/j.jmpt.2014.05.005_bb0170","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1097\/01.brs.0000241136.98159.8c","article-title":"A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis","volume":"31","author":"Whitman","year":"2006","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.jmpt.2014.05.005_bb0175","doi-asserted-by":"crossref","first-page":"109","DOI":"10.36076\/ppj.2009\/12\/109","article-title":"Systematic review of caudal epidural injections in the management of chronic low back pain","volume":"12","author":"Conn","year":"2009","journal-title":"Pain Physician"},{"issue":"10","key":"10.1016\/j.jmpt.2014.05.005_bb0180","doi-asserted-by":"crossref","first-page":"E609","DOI":"10.1097\/BRS.0b013e318240d57d","article-title":"Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: a systematic review","volume":"37","author":"Ammendolia","year":"2012","journal-title":"Spine"},{"issue":"7","key":"10.1016\/j.jmpt.2014.05.005_bb0185","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1007\/s00586-005-0021-8","article-title":"A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain","volume":"15","author":"Gudavalli","year":"2006","journal-title":"Eur Spine J"},{"issue":"7","key":"10.1016\/j.jmpt.2014.05.005_bb0190","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1089\/acm.2006.12.659","article-title":"Furner SE: one-year follow-up of a randomized clinical trial comparing flexion distraction with an exercise program for chronic low-back pain","volume":"12","author":"Cambron","year":"2006","journal-title":"J Altern Complement Med"},{"issue":"2","key":"10.1016\/j.jmpt.2014.05.005_bb0195","article-title":"Patients' perception of care: comparing placebo and manual therapy within a pilot study","volume":"2","author":"Cambron","year":"2011","journal-title":"Top Integr Health Care"},{"issue":"1","key":"10.1016\/j.jmpt.2014.05.005_bb0200","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/00007632-200201010-00020","article-title":"The reliability of the Shuttle Walking Test, the Swiss Spinal Stenosis Questionnaire, the Oxford Spinal Stenosis Score, and the Oswestry Disability Index in the assessment of patients with lumbar spinal stenosis","volume":"27","author":"Pratt","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"issue":"7","key":"10.1016\/j.jmpt.2014.05.005_bb0205","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/S0003-9993(99)90236-8","article-title":"Mobility-related function in older adults: assessment with a 6-minute walk test","volume":"80","author":"Harada","year":"1999","journal-title":"Arch Phys Med Rehabil"}],"container-title":["Journal of Manipulative and Physiological Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475414001158?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475414001158?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:55:41Z","timestamp":1784796941000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmpt.kglmeridian.com\/doi\/10.1016\/j.jmpt.2014.05.005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["S0161475414001158"],"URL":"https:\/\/doi.org\/10.1016\/j.jmpt.2014.05.005","relation":{},"ISSN":["0161-4754"],"issn-type":[{"value":"0161-4754","type":"print"}],"subject":[],"published":{"date-parts":[[2014,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Pilot Randomized Controlled Trial of Flexion-Distraction Dosage for Chiropractic Treatment of Lumbar Spinal Stenosis","name":"articletitle","label":"Article Title"},{"value":"Journal of Manipulative and Physiological Therapeutics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmpt.2014.05.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}