Research Posts
Joint Position Sense Error in People With Neck Pain: A Systematic Review Current literature shows the JPSE to be a relevant measure when it is used correctly. All studies which calculated the JPSE over at least six trials showed a significantly increased JPSE in the neck pain group. This strongly suggests that 'number of repetitions' […]
Similar Effects of Thrust and Nonthrust Spinal Manipulation Found in Adults With Subacute and Chronic Low Back Pain: A Controlled Trial With Adaptive Allocation Thrust and nonthrust SM procedures with distinctly different joint loading characteristics demonstrated similar effects in short-term LBP improvement and both were superior to a wait list control. #science #chiropractor #chiropractic #research […]
The Effect of Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Study The addition of forward head posture correction to a functional restoration program seemed to positively affect disability, 3-dimensional spinal posture parameters, back and leg pain, and S1 nerve root function of patients with chronic discogenic lumbosacral […]
Importance of the Type of Provider Seen to Begin Health Care for a New Episode Low Back Pain: Associations With Future Utilization and Costs Entry setting for LBP was associated with future health care utilization and costs. Consideration of where patients chose to enter care may be a strategy to improve outcomes and reduce costs. […]
The Addition of Upper Cervical Manipulative Therapy in the Treatment of Patients With Fibromyalgia: A Randomized Controlled Trial The general linear model with repeated measures indicated a significant group × time effect in favor of the experimental group on the measures of 3D postural parameters (P < .0005), FIQ (P < .0005), PCS (P < […]
Clinical examination findings as prognostic factors in low back pain: a systematic review of the literature For most clinical tests in LBP there is not consistent evidence for an association with outcome. Centralization and non-organic signs are exceptions from that. None of the other clinical tests have been investigated in confirmatory studies and study quality […]
Pain Characteristics of Adolescent Spinal Pain Studies on adolescent spinal pain should report data on pain frequency, intensity and localization. Adolescents who present with pain in more than one spinal area or report frequent pain should be followed carefully. Reduced balance with visual deprivation might be a physical indicator of a serious back problem. #science […]
Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain Greater availability of chiropractic care in some areas may be offsetting PCP services for back and/or neck pain among older adults. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health […]
Strong Opioids for Noncancer Pain Due to Musculoskeletal Diseases: Not More Effective Than Acetaminophen or NSAIDs Healthcare providers often overestimate the efficacy of step III analgesics, despite pain score decreases of only 0.8 to 1.2 points. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics […]
Researchers Find Missing Link Between the Brain and Immune System "Kevin Lee, PhD, chairman of the UVA Department of Neuroscience, described his reaction to the discovery by Kipnis’ lab: “The first time these guys showed me the basic result, I just said one sentence: ‘They’ll have to change the textbooks.’ There has never been a […]
Explainer: what is pain and what is happening when we feel it? It may be old news (24h) but I would be remiss not to share with the group a new understanding and conversation about pain and its management in the 21st century. If you don't know who Professor Lorimer Moseley and have no clue about […]
Does It Matter Which Exercise? A Randomized Control Trial of Exercise for Low Back Pain Consistent with prior evidence, a standardized mechanical assessment identified a large subgroup of LBP patients with a DP. Regardless of subjects' direction of preference, the response to contrasting exercise prescriptions was significantly different: exercises matching subjects' DP significantly and rapidly […]
The Quality of Placebos Used in Randomized, Controlled Trials of Lumbar and Pelvic Joint Thrust Manipulation-A Systematic Review Imperfect placebos are ubiquitous in clinical trials of LP-SMT, and few trials have assessed for successful subject blinding or balanced expectations of treatment success between active and control group subjects. There is thus a strong potential for […]
Joint Mobilization and Manipulation for the Equine Athlete Joint mobilization and manipulation provide important diagnostic and therapeutic approaches for addressing musculoskeletal issues in veterinary medicine. Soft tissue and joint mobilization are used to assess the quality and quantity of joint range of motion and as a primary means of treating musculoskeletal disorders. Spinal manipulation was […]
The Impact of Patient-Reported Outcome Measures in Clinical Practice for Pain: A Systematic Review Due to the poor quality, lack of generalisability and heterogeneity of these studies, it is not possible to provide a comprehensive understanding of how PROMs may impact clinical treatment of non-malignant pain. The literature suggests that PROMs enable pain assessment, decision-making, […]
Corticomotor Control of Lumbar Multifidus Muscles Is Impaired in Chronic Low Back Pain: Concurrent Evidence From Ultrasound Imaging and Double-Pulse Transcranial Magnetic Stimulation These original findings support a plasticity of cortical maps controlling paravertebral muscles and likely including a different motor strategy for the control of MF. Changes of M1 function may thus underlie impaired […]
The Accuracy of Locating Lumbar Vertebrae When Using Palpation Versus Ultrasonography This study found that ultrasonography provided more accurate identification of a lumbar spinal landmark when compared with palpation. In addition, our data suggest that ultrasonic imaging to identify spinal landmarks can be learned easily and can improve accuracy of landmark detection. Although the time […]
Innovative Treatments for Back Pain "Innovation involves asking new questions, or taking new approaches to old questions. For a problem as old as back pain, one might expect innovations to be rare. That back pain has been the most burdensome non-fatal health condition for over 25 years, and that the treatments that are available are […]
Mechanical stimulation shown to repair muscle “This work clearly demonstrates that mechanical forces are as important biological regulators as chemicals and genes, and it shows the immense potential of developing mechanotherapies to treat injury and disease,” said Wyss Institute Director Donald Ingber, who is a pioneer in the field of mechanobiology. “The challenge now is […]
The Clinical Value of Assessing Lumbar Posteroanterior Segmental Stiffness: A Narrative Review of Manual and Instrumented Methods Importantly, although posteroanterior segmental spinal stiffness is hypothesized to be related closely to low back pain or clinical outcomes after treatments, no review has been conducted to summarize evidence related to these premises and to discuss factors that […]
Serum Vitamin C and Spinal Pain: A Nationwide Study Our study shows associations between vitamin C and spinal pain that warrant further investigation to determine the possible importance of vitamin C in the treatment of back pain patients. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal […]
T4 Syndrome: A Scoping Review of the Literature T4 syndrome is a diagnosis of exclusion that appears to be rare. It has been treated conservatively in the literature using mobilization and exercise. There is no high-quality evidence published about T4 syndrome, and we caution clinicians when considering it as a primary means to determine patient […]
Differential Displacement of Soft Tissue Layers From Manual Therapy Loading Surface loading of the torso in combined posteroanterior and caudocephalic directions result in both displacement of tissues anteriorly and in shearing between tissue layers in the plane of the tissues strata to depths that could plausibly affect spinal tissues. Displacements of tissues more likely arise […]
Chiropractic Spinal Manipulative Therapy for Migraine: A Three-Armed, Single-Blinded, Placebo, Randomized Controlled Trial It is possible to conduct a manual-therapy RCT with concealed placebo. The effect of CSMT observed in our study is probably due to a placebo response. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Variability in Diagnostic Error Rates of 10 MRI Centers Performing Lumbar Spine MRI Examinations on the Same Patient Within a 3-week Period This study found marked variability in the reported interpretive findings and a high prevalence of interpretive errors in radiologists' reports of an MRI examination of the lumbar spine performed on the same patient […]
Current Practices in Lumbar Surgery Perioperative Rehabilitation: A Scoping Review A wide range of objective and subjective outcomes is used to document changes after active rehabilitation. Program components include both active and assisted interventions combined with various means of education and discussion. Multimodal rehabilitation protocols after lumbar surgery may be used to improve patient-reported and […]
Changes in Manipulative Peak Force Modulation and Time to Peak Thrust Among First-Year Chiropractic Students Following a 12-Week Detraining Period The results indicate no drop-off in the ability to modulate force for either thrust intensity, but did indicate a statistically significant change in time-to-peak thrust for the 400 N total peak force thrust intensity in […]
Treatment Effectiveness and Fidelity of Manual Therapy to the Knee: A Systematic Review and Meta-Analysis The findings in the present meta-analytical review support the use of MT versus a number of different comparators for improvement in self-reported knee function. Lesser support is present for pain reduction, and no endorsement of functional performance can be made […]
Cost-Effectiveness of Non-Invasive and Non-Pharmacological Interventions for Low Back Pain: A Systematic Literature Review The identified evidence suggests that combined physical and psychological treatments, medical yoga, information and education programmes, spinal manipulation and acupuncture are likely to be cost-effective options for LBP. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public […]
Effect of Adding McKenzie Syndrome, Centralization, Directional Preference, and Psychosocial Classification Variables to a Risk-Adjusted Model Predicting Functional Status Outcomes for Patients With Lumbar Impairments The small added prognostic capabilities identified when combining McKenzie or pain-pattern classifications with the SCL BPPM classification did not significantly improve prediction of FS outcomes in this study. Additional research […]
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