Research Posts

Investigating the Causal Mechanisms of Symptom Recovery in Chronic Whiplash-associated Disorders Using Bayesian Networks

Investigating the Causal Mechanisms of Symptom Recovery in Chronic Whiplash-associated Disorders Using Bayesian Networks"Neck pain reduction rate was greater after NSE compared with physical activity prescription (β=0.59 points per month [P<0.001]) only in the presence of 2 mediators: global neck muscle endurance and perceived work ability. We also found the following pathway of variables that […]

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

Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review "Our results suggest that in most people, healthy as well as patients with vascular pathologies, cranio-cervical positions do not alter cervical blood flow. This includes vascular test positions, pre-manipulative positions and manipulations." #science #chiropractor #chiropractic […]

Increased Fibrogenic Gene Expression in Multifidus Muscles of Patients with Chronic Versus Acute Lumbar Spine Pathology

Increased Fibrogenic Gene Expression in Multifidus Muscles of Patients with Chronic Versus Acute Lumbar Spine Pathology"There is increased fibrogenic gene expression in individuals with chronic disease when compared to acute disease, without significant differences in atrophic, myogenic, adipogenic, or inflammatory pathways, suggesting increased efforts should be made to prevent or reverse fibrogenesis in order to […]

Science questions, gurus preach certainty.

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

Corticostriatal functional connectivity predicts transition to chronic back pain

Corticostriatal functional connectivity predicts transition to chronic back pain"The mechanism of brain reorganization in pain chronification is unknown. In a longitudinal brain imaging study, subacute back pain (SBP) patients were followed over the course of 1 year. When pain persisted (SBPp, in contrast to recovering SBP and healthy controls), brain gray matter density decreased. Initially […]

Examining the Motivation of Health Profession Students to Study Human Anatomy

Examining the Motivation of Health Profession Students to Study Human Anatomy"The majority of students viewed anatomy as an important subject; they realized its “Task Value”. Second-year chiropractic students attached more value to anatomy education than the second-year medical students because results demonstrated that chiropractic students were fully aware that anatomy is an extremely relevant subject […]

Detecting patients’ pain levels via their brain signals

"Researchers from MIT and elsewhere have developed a system that measures a patient's pain level by analyzing brain activity from a portable neuroimaging device. The system could help doctors diagnose and treat pain in unconscious and noncommunicative patients, which could reduce the risk of chronic pain that can occur after surgery. " Read more here. […]

Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar

Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar"Although embryonic origin and anatomy suggest substantial differences between the two types of joint, some features of cell physiology and extracellular matrix in the nucleus pulposus and articular cartilage share numerous parallels. Moreover, there are great similarities in the response to mechanical loading and the matrix‐degrading factors […]

A perspective on Chiropractic Councils on Education accreditation standards and processes from the inside: a narrative description of expert opinion, part 1: Themes

A perspective on Chiropractic Councils on Education accreditation standards and processes from the inside: a narrative description of expert opinion, part 1: Themes"An overarching confounder for positive changes in CCE accreditation standards and processes is the inability to clearly define basic and fundamental terms such as ‘chiropractic’ and its resultant scope of practice. This is […]

Let’s talk about dementia

Let's talk about dementia"As modelled in the Commission, modifiable risk factors for dementia over a lifetime include early-life education, hypertension, hearing impairment, obesity, smoking, depression, physical inactivity, diabetes, and social isolation. Individualising dementia care, providing support for family members, protecting people with dementia, and planning for the future, including end of life care, are all […]

Assessing attitudes of patient-centred care among students in international chiropractic educational programs: a cross-sectional survey

Assessing attitudes of patient-centred care among students in international chiropractic educational programs: a cross-sectional survey"This is the first international study assessing students’ attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower […]

What decreases low back pain? A qualitative study of patient perspectives

What decreases low back pain? A qualitative study of patient perspectives"Current literature points to the inefficacy of many of the factors participants reported as helping to reduce the effects of their condition, including the treatments that were most commonly listed by the participants in this study, namely: heat/cold, medication and rest. A possible cause of […]

Edward Cambridge, DC, PhD successfully defends PhD at the University of Waterloo

Scientists have made a meaningful impact in spine and musculoskeletal health research.

Walking the Talk on Non Communicable Diseases

Jeff King, DC, MS et al. publish in Archives of Physical Medicine and Rehabilitation

Frequency of Primary Neck Pain in Mild Traumatic Brain Injury/Concussion Patients"A sizable percentage of patients who present to level I trauma center EDs with mTBI report neck pain, which is commonly rated as similar to or worse than other mTBI-related symptoms. Primary neck pain is more common after motor vehicle collisions than with other mechanisms […]

CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION

CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION"High prevalence of cervical spine impairments was observed in the subjects included in this study with muscle tension, joint mobility, and muscle strength being most commonly affected. The categories of impairments examined in this cohort were consistent with the recommendations of the most recent clinical practice […]

Chiropractors treating patients with acute lower back pain in a spine treatment pathway model: a five-year prospective cohort study

Chiropractors treating patients with acute lower back pain in a spine treatment pathway model: a five-year prospective cohort study"A standardized protocol of CSMT and flexibility exercise instruction administered by community-based chiropractors to a specific cohort of patients with ALBP is a feasible component of a primary care spine treatment pathway." #science #chiropractor #chiropractic #research #education […]

Dissociating effects of error size, training duration, and amount of adaptation on the ability to retain motor memories

Dissociating effects of error size, training duration, and amount of adaptation on the ability to retain motor memoriesAfter controlling for both training duration and the amount of learning, we found essentially identical retention when comparing gradual and abrupt training for two different types of force-field dynamics. By contrast, we found that retention was markedly higher […]

Effect of Resistance Training and Fish Protein Intake on Motor Unit Firing Pattern and Motor Function of Elderly

Effect of Resistance Training and Fish Protein Intake on Motor Unit Firing Pattern and Motor Function of Elderly“These findings suggest that, in the elderly, the effect of resistance training on the motor unit firing rate is observed in motor units with a low-recruitment threshold, and additional fish protein intake modifies these adaptations in motor unit […]

Education is not something you can finish.

Paracetamol (Tylenol) is ineffective for acute low back pain even for patients who comply with treatment – says new study published in Pain (2019)

"Paracetamol is ineffective for acute low back pain even for patients who comply with treatment. This reinforces the notion that management of acute low back pain should focus on providing patients advice and reassurance without the addition of paracetamol." http://ow.ly/tQNs50vWS7h #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal […]

Chiropractors can help with 3 of the 4 most common types of chronic pain.

Jonathan Field, DC, PhD appointed Research Fellow at the University of Southhampton

Opioid usage patterns, patient characteristics, and the role of chiropractic services in a publicly funded inner city health care facility

Congratulations to Stephen Passmore, DC, PhD, et al! Opioid usage patterns, patient characteristics, and the role of chiropractic services in a publicly funded inner city health care facility"Financially disadvantaged patients with an opioid relationship who underwent chiropractic management for spine and extremity conditions in a publicly funded health care facility responded to treatment evidenced through […]

Is physical capacity associated with the occurrence of musculoskeletal symptoms among office workers? A cross-sectional study

Is physical capacity associated with the occurrence of musculoskeletal symptoms among office workers? A cross-sectional study"Physical capacity is associated with the presence of neck and low back symptoms in office workers. Furthermore, individual and occupational characteristics affect the relationship between physical capacity and musculoskeletal symptoms and should be considered for understanding and managing musculoskeletal symptoms […]

Christine Goertz, DC, PhD joins Duke University as Professor and Director of System Development and Coordination for Spine Health

"Christine Goertz, DC, PhD will be joining the Department of Orthopaedic Surgery in October of 2019 as a Professor and the Director of System Development and Coordination for Spine Health at Duke Health. She will help build clinical research programs and improving non-operative spine care pathways respectively." Read more here. #science #chiropractor #chiropractic #research #education #evidence based […]

The Efficacy and Safety of Lower-Limb Plyometric Training in Older Adults: A Systematic Review

The Efficacy and Safety of Lower-Limb Plyometric Training in Older Adults: A Systematic Review"Plyometric training is a feasible and safe training option with potential for improving various performance, functional, and health-related outcomes in older persons." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain […]

A systematic review and meta-analysis of isolated abdominal aortic dissection

A systematic review and meta-analysis of isolated abdominal aortic dissection"Abdominal pain was the most common symptom (50.8%), followed by back pain (30.5%), and chest pain (21.7%). Up to 41.0% of the patients with IAAD did not present with any clinical symptoms, and up to 71.0% of these patients had negative findings on physical examination. The […]

Effectiveness of Pacing as a Learned Strategy for People With Chronic Pain: A Systematic Review

Effectiveness of Pacing as a Learned Strategy for People With Chronic Pain: A Systematic Review * The current evidence supports the use of pacing as a tailored intervention for adults with chronic pain to reduce the interference of fatigue, reduce joint stiffness, and decrease variability in physical activity.* The current evidence does not support the […]