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Research Posts
A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults There is limited evidence supporting the use of long-term opioid use in older people for chronic non-cancer pain and a lack of trials in this age group. Age-specific guidelines are required addressing initial assessment, indications, monitoring […]
VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain In September 2017, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved the joint Clinical Practice Guideline (CPG) for Diagnosis and Management of Low Back Pain. This CPG was intended to provide healthcare providers a framework by which to […]
Congratulations to DC PhD, Jill Hayden, for this publication in Cochrane! "We found moderate‐quality evidence that positive recovery expectations are strongly associated with better work participation (narrative synthesis: 21 studies; meta‐analysis: 12 studies, 4777 participants: odds ratio (OR) 2.43, 95% confidence interval (CI) 1.64 to 3.62), and low‐quality evidence for clinically important recovery outcomes (narrative […]
Reasons why osteoarthritis predicts mortality: path analysis within a Cox proportional hazards model The analysis indicates that encouraging people to walk and ‘get out and about’ in addition to targeting OA could be protective against excessive mortality. The findings also suggest that depression, anxiety and unrefreshed sleep have a role in premature mortality for people […]
Relating the Diers formetric measurements with the subjective severity of acute and chronic low back pain"Different patterns between female and male subjects were found. Age, coronal and sagittal imbalance correlated with LBP in female subjects, whereas pelvic inclination, the trunk torsion and apical deviation correlated with LBP in male. Multivariate analyses allowed creating an algorithm […]
Trait Sensitivity, Anxiety, and Personality Are Predictive of Central Sensitization Symptoms in Patients with Chronic Low Back Pain"Positive correlations were found between central sensitization inventory (CSI) scores and sensory hypersensitivity profiles and trait anxiety. CSI score increases could be predicted by sensory‐sensitive, low‐registration profiles; trait anxiety scores; and extreme defensive high anxious personality type.Trait sensory […]
" The boards of each college would include equal numbers of public members and college registrants, each appointed by the province rather than elected by registrants. Board members could only be recommended after an independent process to assess their competency. " #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health […]
An Overview of Systematic Reviews of Randomized Controlled Trials on Acupuncture Treating Migraine." We found that acupuncture on treating migraine has the advantage for pain improvement and safety, but the quality of SR/MAs of acupuncture for migraine remains to be improved. " #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public […]
Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters Inter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable. #science […]
Effect of Normal Saline Injections on Lateral Epicondylitis Symptoms: A Systematic Review and Meta-analysis of Randomized Clinical Trials NS injections yielded a statistically significant and clinically meaningful improvement in pain and functional outcomes in patients with lateral epicondylitis. New research should focus on better methods to diminish the potential confounders that could lead to this […]
Association between stages of medial compartment osteoarthritis and three-dimensional knee alignment in the supine position: A cross-sectional study The severely osteoarthritic knee joint was flexed and the tibia was displaced posteriorly with respect to the femur. Preventing these changes in alignment would assist in the prevention and treatment of knee OA. #science #chiropractor #chiropractic #research […]
Neck Pain and Lower Back Pain The causes of neck pain vary broadly, with leading causes being inadequate ergo-nomics at work, sitting and maintaining neck posture in a nonphysiologic position forlong periods of time. Duration of symptoms may classify the neck pain as acute at lessthan 6 weeks, subacute at 3 months or less, or […]
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