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| | Annals of Internal Medicine: Article |
 | | Chiropractic is the largest, most regulated, and best recognized of the professions that have traditionally functioned outside of mainstream medical institutions and, in the new lexicon, have fallen into the category of "complementary and alternative medicine." It is unique in the United States as the most widely disseminated indigenous U.S. system of healing. |
 | | One indicator of chiropractic mainstreaming is the steadily increasing use by patients in the United States, which has tripled in the past two decades from about 3.6% according to a 1980 survey (19) to an estimated 11% according to a 1997 national random telephone survey (2). |
 | | Chiropractic theory has held that subluxation and manipulation can have important physiologic effects: increased range of joint motion (147, 148), changes in facet joint kinematics (149), increased pain tolerance (150), increased muscle strength (151), attenuation of motoneuron activity (152), enhanced proprioceptive behavior (153), and changes in -endorphins (154) and substance P (155). |
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