MANTIS™ is a primary health care database which emphasizes health promotion, prevention and conservative care. Its name stands for "Manual, Alternative, and Natural Therapy Index System." Periodicals have been included from medical, osteopathic, physical therapy, chiropractic, and other disciplines. Particular emphasis is placed on research relating to the etiology, physiopathology and treatment of neuromusculoskeletal conditions (backache, headache, scoliosis, nerve compression syndromes, sports injuries, etc.). Methods of conservative management such as acupuncture, biofeedback, exercise therapy, joint manipulation and physical therapy are extensively reviewed.
MANTIS™ contains references from over 700 biomedical publications, and includes comprehensive citations and abstracts from all peer-reviewed osteopathic and chiropractic journals. There is also selective inclusion of state and national organizational journals, popular literature and conference proceedings. Approximately 70% of the references include abstracts. Searchable subject headings include standard Medical Subject Headings (MeSH) in addition to a specialized supplemental controlled vocabulary in the areas of alternative medicine.
The following alphabetical list provides the two-letter label, the relevant alias, and an example for each MANTIS database field.
===== ============ Label Name/Example ===== ============ ab Abstract [Word Indexed] example: lateral epicondylitis.ab. an Accession Number [Phrase Index] example: 013788.an. au Author(s) [Phrase and Word Indexed] example 1: herrick r.au. example 2: herrick.au. de Descriptors [Phrase and Word Indexed] example 1: tennis elbow.de. example 2: tennis elbow therapy.de. example 3: manipulation.de. example 4: tennis elbow.de. adj2 th.de. so Source [Word Indexed] example 1: chiropractic sports.so. example 2: chiro sports med.so. example 3: 1996 may.so. example 4: 250 52.so. ti Title [Word Indexed] example: radial tunnel.ti. up Update Code [Phrase Indexed] example: 9607.up. yr Year [Phrase Indexed] example: 1996.yr.
The following limits are available from the Limit menu on the Main Search Screen:
Popular Command and Sentence Syntax Limits:
Update Code Sentence Syntax: limit 1 to up=9607 Command Syntax: ..l/1 up=9607 Year Sentence Syntax: limit 1 to yr=1996 Command Syntax: ..l/1 yr=1996
Command Syntax: ..c/chir Sentence Syntax: use chir
<1> Accession Number 031982 Update Code 9607 Author ASSENDELFT W; HAY E; ADSHEAD R; BOUTER L. Title Corticosteroid Injections for Lateral Epicondylitis: A Systematic Overview . Source BRITISH JOURNAL OF GENERAL PRACTICE. 1996 APR. 46:405. pp 209-16. Publication Year 1996 Descriptors TENNIS ELBOW. ADRENAL CORTEX HORMONES. INJECTIONS. TENNIS ELBOW: therapy (th). THERAPY. META: analysis (an)ALYSIS. DATA COLLECTION. NETHERLANDS. HUMAN Abstract Background: Lateral epiconydlitis (tennis elbow) is a common which corticosteriod injections are a frequently applied therapy. However, there were no up-to date reviews available that systematically addressed the effectiveness and adverse effects, including questions concerning optimal timing of injections and composition of the injection fluid. Aim: The aim of this study was to assess the effectiveness of corticosteroid injections in the treatment of lateral epicondylitis (tennis elbow) by systematic rev- iew of the available randomized clinical trials. Data Sources: The data sources used were randomized clinical trials indentified by literature searches of the MedLine (1966-1994) and Embase (Experta Medica) (1980-1994) databases for the keywords epicondylitis, tendinitis and elbow, injection. References given in relevant publications were further examined. Study selection: The criteria for selectingf studies were as follows: randomized clinical trials (treatment allocation in random or alternate order); one of the treatments to include one or more corticosteroid injections (additional interventions were allowed); participants suffering from lateral epicondylitis; and publication in English, German or Dutch. Abstracts and unpublished studies were not included. Data Synthesis: Methodological quality was assessed by means of a standardized criteria list (range 1-100 points). The extracted outcomes were the general conclusion drawn by the authors of the reports on the trials, and the success rates at the various follow-up points as (re)calculated by us. The success rates were subsequently graphically displayed and statistically pooled. Separate stratified analyses were conducted according to a predetermined analysis plan. Conclusion: The existing evidence on corticosteroid injections for the treatment of tennis elbow is not conclusive. Many trials were conducted in a secondary care setting and clearly had serious methodological flaws, and there was statistical hetreogeneity among the trials. Corticosteroid injections appear to be relativley safe and seem to be effective in the short term (2-6 weeks). Although the treatment seems to be suitable for application in general practice, further trials in this setting are needed. As yet, questions regarding the optimal timing, dosage, injection technique and injection volume remain unanswered. <2> Accession Number 030500 Update Code 9607 Author HANNAFIN J; SCHELKUN P. Title How I Manage Tennis and Golfer's Elbow . Source PHYSICIAN AND SPORTSMEDICINE (PHYSICIAN SPORTSMED). 1996 FEB. 24(2). pp 63-8. Publication Year 1996 Descriptors SURGERY. TENNIS. ELBOW. TENNIS ELBOW. ATHLETIC INJURIES. INJURIES. THERAPY. TENNIS ELBOW: therapy (th). GOLF. TENNIS ELBOW: surgery (su) Abstract Lateral and medial epicondylitis are common in sports and work that require repetitive gripping or exert acute forces on the forearm. Left untreated, epicondylitis may interfere with daily activities. Most patients respond to early conservative treatment consisting of activity modification, ice, anti-inflammatory medications, and rehabilitation exercises. Approximately 5% of patients will fail conservative treatment and require surgery. The outcome for most patients following surgery is excellent.
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Revised August 9, 2000