Research Posts

Novel Approach to Characterising Individuals With Low Back-Related Leg Pain: Cluster Identification With Latent Class Analysis and 12-month Follow-Up
Novel Approach to Characterising Individuals With Low Back-Related Leg Pain: Cluster Identification With Latent Class Analysis and 12-month Follow-Up This is the first study that empirically shows the variability in profile and clinical course of patients with LBLP including sciatica. More homogenous groups were identified, which could be considered in future clinical and research settings. […]
The Effects of a Single Session of Spinal Manipulation on Strength and Cortical Drive in Athletes
The Effects of a Single Session of Spinal Manipulation on Strength and Cortical Drive in Athletes A single session of SM increased muscle strength and corticospinal excitability to ankle plantar flexor muscles in elite Taekwondo athletes. The increased MVC force lasted for 30 min and the corticospinal excitability increase persisted for at least 60 min. […]
The Global Spine Care Initiative: Applying Evidence-Based Guidelines on the Non-Invasive Management of Back and Neck Pain to Low- And Middle-Income Communities
The Global Spine Care Initiative: Applying Evidence-Based Guidelines on the Non-Invasive Management of Back and Neck Pain to Low- And Middle-Income Communities Guidelines developed for high-income settings were adapted to inform a care pathway and model of care for medically underserved areas and low- and middle-income countries by considering factors such as costs and feasibility, […]
Spinal Manipulative Therapy Reduces Peripheral Neuropathic Pain in the Rat
Spinal Manipulative Therapy Reduces Peripheral Neuropathic Pain in the Rat The analgesic effect of LVVA-SM in chronic low back pain patients with neuropathic leg pain can be reverse-translated to a rat model. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL […]
Dose-response and Efficacy of Spinal Manipulation for Care of Cervicogenic Headache: A Dual-Center Randomized Controlled Trial
Dose-response and Efficacy of Spinal Manipulation for Care of Cervicogenic Headache: A Dual-Center Randomized Controlled Trial There was a linear dose-response relationship between SMT visits and days with CGH. For the highest and most effective dose of 18 SMT visits, CGH days were reduced by half and about 3 more days per month than for […]
Use of Pocket-Sized Ultrasound Device in the Diagnosis of Shoulder Pathology
Use of Pocket-Sized Ultrasound Device in the Diagnosis of Shoulder Pathology Nine of the studies were diagnosed with a pathologic entity during the standard diagnostic ultrasound and 1 was found to be normal. Diagnoses ranged from biceps tendinopathy, calcific tendonitis, and partial-articular-sided rotator cuff tear. Evaluator 1 correctly identified 7/10 diagnoses and evaluator 2 correctly […]
High-resolution Ultrasonography in Assessing Temporomandibular Joint Disc Position
High-resolution Ultrasonography in Assessing Temporomandibular Joint Disc Position Based on our results, high-resolution ultrasonography showed high sensitivity, specificity and accuracy in the diagnosis of TMJ disc displacement. It could be a valuable imaging technique in assessing TMJ disc position. The diagnostic value of high-resolution ultrasonography depends strictly on the examiner's skills and on the equipment […]
Orientation and Property of Fibers of the Myodural Bridge in Humans
Orientation and Property of Fibers of the Myodural Bridge in Humans Myodural bridge is mainly formed by parallel running type I collagen fibers; thus, it can transmit the strong pull from the diverse suboccipital muscles or ligaments during head movement. The results of the present study will serve as a basis for further biomechanical and […]
Footwear-Generated Dynamic Biomechanical Manipulation and Perturbation Training for Chronic Nonspecific Low Back Pain
Footwear-Generated Dynamic Biomechanical Manipulation and Perturbation Training for Chronic Nonspecific Low Back Pain At 6 months, patients with CNSLBP undergoing home-based therapy with footwear-generated biomechanical manipulation and perturbation training demonstrated significant improvement of objective gait parameters, pain, and function. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Global Postural Reeducation in Patients With Chronic Nonspecific Neck Pain: Cross-Over Analysis of a Randomized Controlled Trial
Global Postural Reeducation in Patients With Chronic Nonspecific Neck Pain: Cross-Over Analysis of a Randomized Controlled Trial These results within the crossed-over group confirm previous findings from an RCT with the same sample. Sequence of treatment (GPR-to-MT vs MT-to-GPR) does not seem to weaken the greater effects of GPR compared to MT approach for chronic […]
Does Duration of Pain at Baseline Influence Clinical Outcomes of Low Back Pain Patients Managed on an Evidence-based Pathway?
Does Duration of Pain at Baseline Influence Clinical Outcomes of Low Back Pain Patients Managed on an Evidence-based Pathway? Patients with different durations of LBP at baseline improved on the NERBPP, supporting the recent modification to NICE guidelines. However, those with shorter durations of pain may have superior outcomes in the short term, suggesting added […]
Assessment of Cervical Stiffness in Axial Rotation Among Chronic Neck Pain Patients: A Trial in the Framework of a Non-Manipulative Osteopathic Management
Assessment of Cervical Stiffness in Axial Rotation Among Chronic Neck Pain Patients: A Trial in the Framework of a Non-Manipulative Osteopathic Management Stiffness characteristics of the cervical spine in axial rotation are prone to be altered in patients with neck pain, but seem to be relieved after a session of non-manipulative manual therapeutic techniques. Further […]
Sex Differences in the Presentation and Perception of Symptoms Among Young Patients With Myocardial Infarction: Evidence From the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients)
Sex Differences in the Presentation and Perception of Symptoms Among Young Patients With Myocardial Infarction: Evidence From the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients) The presentation of AMI symptoms was similar for young women and men, with chest pain as the predominant symptom for both sexes. Women […]
Respiratory characteristics of individuals with non‐specific low back pain: A cross‐sectional study
Respiratory characteristics of individuals with non‐specific low back pain: A cross‐sectional study This study has direct implications among health‐care professionals, including physiotherapists, nurses, and physicians, who provide mental, social, and vocational measures to individuals with NS‐LBP. These professionals play a significant role in reducing the impact of pain and other related issues among NS‐LBP patients. […]
Diagnosis of Compressed Nerve Root in Lumbar Disc Herniation Patients by Surface Electromyography
Diagnosis of Compressed Nerve Root in Lumbar Disc Herniation Patients by Surface Electromyography he logistic regression model developed in this study showed high diagnostic accuracy in detecting the compressed nerve root (L5 and S1) in these patients with LDH. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Effects of Age and Weight on the Metabolic Activities of the Cervical, Thoracic and Lumbar Spines as Measured by fluorine-18 Fluorodeoxyglucose-Positron Emission Tomography in Healthy Males
Effects of Age and Weight on the Metabolic Activities of the Cervical, Thoracic and Lumbar Spines as Measured by fluorine-18 Fluorodeoxyglucose-Positron Emission Tomography in Healthy Males This study illustrated the ability of 18F-FDG PET to assess metabolic processes in the spine. The data provided evidence of weight dependent metabolic activity, likely related to inflammation. This […]
Failure to Expand the Motor Unit Size to Compensate for Declining Motor Unit Numbers Distinguishes Sarcopenic From Non-Sarcopenic Older Men
Failure to Expand the Motor Unit Size to Compensate for Declining Motor Unit Numbers Distinguishes Sarcopenic From Non-Sarcopenic Older Men The results suggest that extensive motor unit remodelling occurs relatively early during ageing, exceeds the loss of muscle mass and precedes sarcopenia. Reinnervation of denervated muscle fibres probably expands the motor unit size in the […]
Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain
Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain While a positive response to a red flag question may indicate the presence of serious disease, a negative response to 1 or 2 red flag questions does not […]
Patient’s Subjective Impression of Cervical Range of Motion: A Mixed-methods Approach
Patient's Subjective Impression of Cervical Range of Motion: A Mixed-methods Approach There was a significant correlation between patient and therapist ratings of cervical spine mobility. Although patients experience restriction while moving and are impaired in specific activities, they adjust their lifestyle to accommodate their limitations. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]
Sagittal Radiographic Parameters Demonstrate Weak Correlations With Pretreatment Patient-Reported Health-Related Quality of Life Measures in Symptomatic De Novo Degenerative Lumbar Scoliosis: A European Multicenter Analysis
Sagittal Radiographic Parameters Demonstrate Weak Correlations With Pretreatment Patient-Reported Health-Related Quality of Life Measures in Symptomatic De Novo Degenerative Lumbar Scoliosis: A European Multicenter Analysis While DNDLS is a severe disabling condition, no noteworthy association between clinical and sagittal radiographic parameters was found through this study, demonstrating that sagittal radiographic parameters should not be considered […]
How Can the Intractable Problem of Chronic Musculoskeletal Pain (CMP) Be Effectively Managed? The Need for a Well-Integrated Systems Approach
How Can the Intractable Problem of Chronic Musculoskeletal Pain (CMP) Be Effectively Managed? The Need for a Well-Integrated Systems Approach Using what we already know, there is a tremendous opportunity for greatly improving care for persons with CMP. This will require coordinated engagement by all parts of the complex “system” of care, including patients, clinicians, […]
Effect of physical exercise on musculoskeletal pain in multiple body regions among healthcare workers: Secondary analysis of a cluster randomized controlled trial
Effect of physical exercise on musculoskeletal pain in multiple body regions among healthcare workers: Secondary analysis of a cluster randomized controlled trial Physical exercise recommendations for healthcare workers should consider the setting, i.e. performing supervised group-based exercise at work and motivational coaching sessions is more effective than exercising alone at home. #science #chiropractor #chiropractic #research […]
Spinal kinematics during smartphone texting – A comparison between young adults with and without chronic neck-shoulder pain
Spinal kinematics during smartphone texting – A comparison between young adults with and without chronic neck-shoulder pain This study suggests that altered kinematics may be associated with pain since significantly increased angles of cervical right side flexion during smartphone texting and greater postural changes in cervical rotation were found during all text-entry tasks in the […]
Does a Diagnostic Classification Algorithm Help to Predict the Course of Low Back Pain? A Study of Danish Chiropractic Patients With 1-Year Follow-up
Does a Diagnostic Classification Algorithm Help to Predict the Course of Low Back Pain? A Study of Danish Chiropractic Patients With 1-Year Follow-up The Petersen classification was not helpful in determining individual prognosis in patients with LBP receiving usual care in chiropractic practice. However, patients should be examined for potential nerve root involvement to improve […]
Corrigendum to “Adverse Events Associated With the Use of Cervical Spine Manipulation or Mobilization and Patient Characteristics: A Systematic Review”
Corrigendum to "Adverse Events Associated With the Use of Cervical Spine Manipulation or Mobilization and Patient Characteristics: A Systematic Review" <[Musculoskelet. Sci. Pract. 28C (2017) 32-38]> Interesting error that has been corrected: "The authors regret that during a recent review of this work, an erroneous calculation was uncovered. In our discussion we estimated the number […]
Current Concept in Upright Spinal MRI
Current Concept in Upright Spinal MRI Magnetic resonance imaging (MRI) is the established technique for evaluating the spine. Unfortunately, the supine position of the patient during conventional MRI scanning does not truly reflect the physiological forces experienced by the discoligamentous structures during normal upright posture and ambulation. Upright MRI is a relatively new technique that […]
Induced Lumbosacral Radicular Symptom Referral Patterns: A Descriptive Study
Induced Lumbosacral Radicular Symptom Referral Patterns: A Descriptive Study The level-specific provoked symptom distribution during lumbosacral transforaminal epidural injections is frequently different from that predicted by classic lumbosacral dermatomal maps. Referred pain to the buttock, the posterior thigh, or the posterior calf may come from L3, L4, L5, or S1 nerve root segmental irritation. #science […]
Prevalence and outcomes of incidental imaging findings: umbrella review
Prevalence and outcomes of incidental imaging findings: umbrella review There is large variability across different imaging techniques both in the prevalence of incidentalomas and in the prevalence of malignancy for specific organs. This umbrella review will aid clinicians and patients weigh up the pros and cons of requesting imaging scans and will help with management […]
Changes in Measures of Cervical Spine Function, Vestibulo-ocular Reflex, Dynamic Balance, and Divided Attention Following Sport-Related Concussion in Elite Youth Ice Hockey Players
Changes in Measures of Cervical Spine Function, Vestibulo-ocular Reflex, Dynamic Balance, and Divided Attention Following Sport-Related Concussion in Elite Youth Ice Hockey Players Measures of cervical spine function and divided attention were altered following concussion. However, tests of VOR and dynamic balance were not significantly different from baseline. Future research to evaluate the mechanism underlying […]
Spontaneous cervical artery dissection: a fluoroquinolone induced connective tissue disorder?
Spontaneous cervical artery dissection: a fluoroquinolone induced connective tissue disorder? A causal relationship of fluoroquinolone antibiotics to cervical artery dissection is plausible. The suppositions developed in this paper are insufficient to suggest that fluoroquinolones currently represent an established risk factor in the development of cervical artery dissections. Fluoroquinolones may indeed be a novel and previously […]