Research Posts

Evidence based treatment options for common knee injuries in runners

"Patellofemoral pain, ITBFS, and PT are the leading causes of knee pain in active adults, especially runners. Understanding the mechanism of these overuse injuries and how to best treat them allows for improved outcomes. These outcomes may result in decreased healthcare costs, avoidance of invasive procedures, and improved quality of life. With improved understanding and […]

Are respiratory disorders risk factors for troublesome low-back pain? A study of a general population cohort in Sweden

Our findings indicate that suffering from asthma and/or COPD increases the risk of developing troublesome LBP, which highlights the importance to consider the overall health of people at risk of troublesome LBP and to take the multi-morbidity perspective into consideration. Future longitudinal studies are needed to confirm our findings.Are respiratory disorders risk factors for troublesome […]

Association between thigh muscle strength four years after partial meniscectomy and radiographic features of osteoarthritis 11 years later

The finding that stronger thigh muscles 4 years after meniscectomy were associated with less severe osteoarthritic changes in the medial tibiofemoral compartment of both the operated and contralateral knee 11 years later, may suggest that strong thigh muscles can help to preserve joint integrity in middle-aged subjects at risk of knee OA.Association between thigh muscle strength four […]

Botulinum Toxin Type A for Painful Temporomandibular Disorders: Systematic Review and Meta-Analysis

•Botulinum toxin type A is slightly more effective than placebo for pain reduction at 1 month.•Botulinum toxin type A does not increase the risk of adverse events.•Low certainty evidence limits our confidence in effect estimates. BTX-A was similar to no treatment for pain reduction at 3 and 6 months. BTX-A was more effective than conventional […]

2019 Best Practices Guideline for Chiropractors

Read the document here #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation

Effects of Hip Abductor Muscles Exercises on Pain and Function in Patients With Patellofemoral Pain A Systematic Review and Meta-Analysis

"When comparing a combined hip and knee muscle strengthening with knee muscle strengthening alone, pain was reduced in the combined hip and knee–strengthening group (SMD −0.99; 95% CI, −1.99 to 0.02; p = 0.05), whereas function showed a SMD of 0.70 (95% CI, 0.25–1.14; p = 0.002) again favoring the combined hip and knee–strengthening group. […]

Yoga for Treating Headaches: a Systematic Review and Meta-analysis.

"Meta-analysis revealed a statistically significant overall effect in favor of yoga for headache frequency (5 RCTs; standardized mean difference (SMD) = - 1.97; 95% confidence interval (CI) - 2.75 to - 1.20; I2 = 63.0%, τ2 = 0.25, P = 0.03), headache duration (4 RCTs; SMD = - 1.45; 95% CI - 2.54 to - […]

Evaluation of a novel intervention to improve physical activity for adults with whiplash associated disorders: Protocol for a multiple-baseline, single case experimental study

This paper describes a protocol for evaluating the efficacy of a physical activity promotion intervention in adults with whiplash associated disorders. A multiple-baseline, single case experimental design will be used to evaluate the effects of a physical activity (PA) intervention that includes evidence-based behaviour change activities and relapse prevention strategies for six adults with chronic […]

Sex differences in the relationship between individual systemic markers of inflammation and pain in knee osteoarthritis

"These findings provide some evidence of sex-specific relationships between individual inflammatory markers and knee OA pain. They expose a need for further exploration of sex-differences in this context, with potential future implications for treatment or drug development in OA."Sex differences in the relationship between individual systemic markers of inflammation and pain in knee osteoarthritis #science […]

Recurrent neck pain patients exhibit altered joint motion pattern during cervical flexion and extension movements

"Altered cervical joint motion patterns were found in patients with neck pain.•Neck pain redistributed anti-directional joint motion during extension.•Neck pain increased overall anti-directional joint motion during flexion.•Anti-directional motion was most sensitive to neck pain in this study.•Recurrent neck pain showed no localized and widespread hyperalgesia in this study.Recurrent neck pain patients exhibit altered joint motion […]

Is running associated with a lower risk of all-cause, cardiovascular and cancer mortality, and is the more the better? A systematic review and meta-analysis

"Increased rates of participation in running, regardless of its dose, would probably lead to substantial improvements in population health and longevity. Any amount of running, even just once a week, is better than no running, but higher doses of running may not necessarily be associated with greater mortality benefits."Is running associated with a lower risk […]

Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain

Forty RCTs were included. Exercise combined with education (OR: 0.59, CrI: 0.41 to 0.82) and exercise alone (OR: 0.59, CrI: 0.36 to 0.92) both prevented LBP episodes; exercise combined with education and education alone both had large areas under the curve (SUCRA: 81.3 and 79.4, respectively). Additionally, exercise (OR: 0.04, CrI: 0.00 to 0.34) prevented […]

BAck Complaints in the Elders – Chiropractic (BACE-C): Design of a cohort study in chiropractic care

"Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course […]

The effect of chronic, non-specific low back pain on superficial lumbar muscle activity: a protocol for a systematic review and meta-analysis

"Chronic, non-specific low back pain is a major global cause of disability. One factor which might potentially contribute to ongoing pain is maladaptive variation in the level of activity in the lumbar musculature. Several studies have investigated this activity using surface electromyography, in varied muscles and during a number of functional activities. Due to differences […]

From fear of movement-related pain and avoidance to chronic pain disability: a state-of-the-art review

"This review addresses recent developments in fear of movement-related pain and avoidance research, adopting a contemporary learning approach focusing on cognitive, emotional, and behavioral factors, and emphasizing the role of the motivational context including pain-avoidance goals but also other valued life goals. We particularly demonstrated the role of classical conditioning in the acquisition, generalization, and […]

Adjustments(manipulation) helps free locked-up joints

#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation

Interaction Between Thoracic Movement and Lumbar Spine Muscle Activation Patterns in Young Adults Asymptomatic for Low Back Pain: A Cross-Sectional Study

"Tasks with thoracic movement and a neutral lumbar spine posture resulted in increases in co-contraction within the lumbar musculature compared with quiet standing and maximum trunk range-of-motion tasks. Findings indicated an interaction between the 2 spine regions, suggesting that thoracic posture should be accounted for during the investigation of lumbar spine mechanics. "Interaction Between Thoracic […]

Enabling recovery from common traffic injuries: a focus on the injured person

This document was produced by the OTU-CMCC Centre for the Study of Disability Prevention and Rehabilitation. Review the document here #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation

Chiropractic is a profession, not a treatment.

The Dunning Kruger Effect At Work

Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain

Read the abstract here Patients with spinal pain who saw a chiropractor had half the risk of filling an opioid prescription. Among those who saw a chiropractor within 30 days of diagnosis, the reduction in risk was greater as compared with those with their first visit after the acute phase. Congratulations Jim Whedon and Jay […]

Do chiropractic adjustments (manipulation) boost the immune system (by 200%)?

ChiroSnopes Vol 1. March 2020 InvestigatorsThe ChiroSnopes Team © 2019-2020 Evidence Based Chiropractors. CLAIM Rating: FALSE Much like the mythical unicorn, the original Pero study on cancer patients could not be found ORIGINThe claim that spinal adjustment/manipulation boosts immune function by 200-400% has been used by unorthodox (traditional) chiropractors to suggest that being adjusted by […]

Lumbar spinal stenosis treatment: Delphi, Round 2 (professional survey as part of PhD)

Please see below for information on a delphi study for creating a treatment pathway for lumbar spinal stenosis that we're hoping that members will consider participating in. This is a large international, multidisciplinary study where team members include me, Andre André Bussières, Mike Schneider, Steve Passmore, Carlo Ammendolia, Carol Cancelliere, and Greg Stewart. Thanks for […]

Factors associated with persistently high-cost health care utilization for musculoskeletal pain

Musculoskeletal pain conditions incur high costs and produce significant personal and public health consequences, including disability and opioid-related mortality. Persistence of high-cost health care utilization for musculoskeletal pain may help identify system inefficiencies that could limit value of care. The objective of this study was to identify factors associated with persistent high-cost utilization among individuals […]

The best treatment option(s) for adult and elderly patients with chronic primary musculoskeletal pain: a protocol for a systematic review and network meta-analysis

" CPMP is a disabling condition for which several interventions exist. To our knowledge, this is the first network meta-analysis to systematically compare all available evidence. This is required by national health institutions to inform their decisions about the best available treatment option(s) with regard to efficacy and safety outcomes. "The best treatment option(s) for […]

Short Sleep Is Associated With Low Bone Mineral Density and Osteoporosis in the Women’s Health Initiative

"In covariate-adjusted linear regression models for total hip, femoral neck, spine and whole body BMD, women sleeping 5 hours or less per night had BMD values that were approximately 0.015, 0.012, 0.018, and 0.018 g/cm2 lower compared with women who slept 7 hours per night (reference group; Table 2). {TBL 2} The spine and whole […]

Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review

The findings of this systematic review suggest that craniocervical positioning may not alter blood flow as much as previously expected. Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal […]

Lumbar muscle stiffness is different in individuals with low back pain than asymptomatic controls and is associated with pain and disability, but not common physical examination findings

Stiffness of the erector spinae and lumbar multifidus at rest (but not during contraction) was greater in participants with LBP than in asymptomatic controls (p < 0.05). Many of the self-report measures, but none of the physical examination findings were associated with muscle stiffness. Conclusion: Resting lumbar muscle stiffness is greater in individuals with LBP […]

Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials

There is low-quality evidence that KT has a beneficial role in pain reduction and disability improvement for patients with CNLBP. More high-quality studies are required to confirm the effects of KT on CNLBP. Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials #science #chiropractor #chiropractic #research […]

Mind-Body Therapies for Opioid-Treated PainA Systematic Review and Meta-analysis

The findings suggest that MBTs are associated with moderate improvements in pain and small reductions in opioid dose and may be associated with therapeutic benefits for opioid-related problems, such as opioid craving and misuse. Future studies should carefully quantify opioid dosing variables to determine the association of mind-body therapies with opioid-related outcomes. Mind-Body Therapies for […]