Research Posts

Understanding sciatica: illness and treatment beliefs in a lumbar radicular pain population. A qualitative interview study

Understanding sciatica: illness and treatment beliefs in a lumbar radicular pain population. A qualitative interview study"Clinicians should to consider providing broader explanations for LRP pathology that include inflammatory and neuropathic pain mechanisms (which appeared to be lacking). Clinicians should take care to include these mechanisms when explaining a diagnosis using plastic models of the spine. […]

Fear of Falling Predicts Incidence of Functional Disability 2 Years Later: A Perspective From an International Cohort Stud

Fear of Falling Predicts Incidence of Functional Disability 2 Years Later: A Perspective From an International Cohort StudyFOF is associated with a higher risk of incident mobility disability and poor physical performance in a cohort of older adults. It is increasingly important to study FOF’s effect on functional disability and to take necessary measures to […]

Injury prevention strategies specific to pre-elite athletes competing in Olympic and professional sports — A systematic review

Injury prevention strategies specific to pre-elite athletes competing in Olympic and professional sports — A systematic review"There is limited evidence from level 2 and 3 studies suggesting exercise and psychology interventions may prevent injury in pre-elite athletes. There is an absence of evidence to support the use of equipment and nutrition interventions in pre-elite athletes. […]

Prognostic factors for progression of osteoarthritis of the hip: a systematic review

Prognostic factors for progression of osteoarthritis of the hip: a systematic review"Strong evidence was found for a higher K-L grade at baseline, superior or (supero) lateral femoral head migration, and subchondral sclerosis to be predictive of faster progression to THR or more patients progressing to THR. Body mass index was found not to be predictive […]

Common trace metals in rheumatoid arthritis: A systematic review and meta-analysis.

Common trace metals in rheumatoid arthritis: A systematic review and meta-analysis."Patients with RA have significant decreased serum Se and Zn and increased serum Cu than health controls, suggesting potential roles of Se, Zn and Cu in the pathogenesis of RA. Patients and rheumatologist should give enough attention to the monitor of these elements during follow […]

People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review

People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review"Available data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain […]

Effect of curcumin on the inflammatory reaction and functional recovery after spinal cord injury in a hyperglycemic rat model

Effect of curcumin on the inflammatory reaction and functional recovery after spinal cord injury in a hyperglycemic rat model" Curcumin may have a potential neuroprotective effect in SCI with hyperglycemia. Curcumin decreased the inflammatory response and decreased astrogliosis and improved the functional recovery and histologic outcomes in SCI with hyperglycemia." #science #chiropractor #chiropractic #research #education […]

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis"Based on the findings of this review, corticosteroid injection is more effective than some comparators for the reduction of pain and the improvement of function in people with plantar heel pain. However, corticosteroid injection is not more effective than placebo injection for reducing pain or […]

Relationship between X-ray findings of lumbar spondylosis and knee pain

Relationship between X-ray findings of lumbar spondylosis and knee pain"Correlation was recognized between the T12/L1% disc height and both buttock pain and previous vertebral fractures, and the L1/L2, L2/L3, and L3/L4% disc height showed a correlation with knee pain. Especially the L2/L3% disc height and knee pain had a strong correlation. It was suggested that […]

Effect of active TENS versus de-tuned TENS on walking capacity in patients with lumbar spinal stenosis: a randomized controlled trial

Effect of active TENS versus de-tuned TENS on walking capacity in patients with lumbar spinal stenosis: a randomized controlled trial"Active TENS applied while walking is no better than de-tuned TENS for improving walking ability in patients with degenerative LSS and therefore should not be a recommended treatment in clinical practice." #science #chiropractor #chiropractic #research #education […]

Implementation interventions for musculoskeletal programs of care in the active military and barriers, facilitators, and outcomes of implementation: a scoping review

Implementation interventions for musculoskeletal programs of care in the active military and barriers, facilitators, and outcomes of implementation: a scoping review"Identification of evidence-based approaches for the management of musculoskeletal disorders is a priority for active-duty military. Our findings can be used by military health services to inform implementation strategies for musculoskeletal programs of care. Further […]

Are Signs of Central Sensitization in Acute Low Back Pain a Precursor to Poor Outcome?

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

Low back pain and its relationship with sitting behaviour among sedentary office workers

Low back pain and its relationship with sitting behaviour among sedentary office workers"Seventy-five percent of the participants reported some level of either chronic or acute back pain. Individuals with chronic LBP demonstrated a possible trend (t-test not significant) towards more static sitting behaviour compared to their pain-free counterparts. Furthermore, a greater association was found between […]

Triple Aim

The Triple Aim is an effort to bring attention to improving the patient experience,improving population health and reducing healthcare costs. Chronic pain, particularly chronic low back pain, is a common disabling condition with high costs and burdens to society. The biopsychosocial model may provide a framework in which chronic low back pain may be viewed […]

Clinical Course of Motor Deficits from Lumbosacral Radiculopathy Due to Disk Herniation

Clinical Course of Motor Deficits from Lumbosacral Radiculopathy Due to Disk HerniationIndividuals with motor deficits due to lumbosacral radiculopathy improve over time regardless of treatment choice. Most did not choose surgery, and almost all of these patients regained full strength at 1 year. Strength recovery typically occurred in the first 3 months, but there was […]

Canadians with chronic pain to test app to manage symptoms

Read more about this trial here #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL

The immediate effects of cervical spine manipulation on pain and biochemical markers in females with acute non-specific mechanical neck pain: a randomized clinical trial

The immediate effects of cervical spine manipulation on pain and biochemical markers in females with acute non-specific mechanical neck pain: a randomized clinical trial"The results of the current study suggest that the mechanical stimuli provided through a CSM may modify neuropeptide expression by immediately increasing the serum concentration of nociception-related biomarkers (oxytocin, neurotensin, orexin A, […]

Specialized Cutaneous Schwann Cells Initiate Pain Sensation

"An essential prerequisite for the survival of an organism is the ability to detect and respond to aversive stimuli. Current belief is that noxious stimuli directly activate nociceptive sensory nerve endings in the skin. We discovered a specialized cutaneous glial cell type with extensive processes forming a mesh-like network in the subepidermal border of the […]

Steve Passmore, DC, PhD, Geoff Gelley, DC PhD et al. win award for study on Spinal Manipulation Thrust Dose

Tactile Perception of Pressure and Volitional Thrust Intensity Modulate Spinal Manipulation Dose Characteristics"Spinal manipulation thrust dosage was modulated by the chiropractors’ tactile perception of pressure and volitional intensity." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL

Less than 20% of patients with low back pain received evidence based information and advice from their family practitioner.

"Less than 20% of patients with low back pain received evidence-based information and advice from their family practitioner. Around 1 in 4 patients with low back pain received referral for imaging in family practice and 1 in 3 in emergency departments. Up to 30% of patients with low back pain were prescribed opioids in family […]

Diagnosis and treatment of sciatica

Sciatica is a clinical diagnosis based on symptoms of radiating pain in one leg with or without associated neurological deficits on examinationMost patients improve over time with conservative treatment including exercise, manual therapy, and pain managementImaging is not required to confirm the diagnosis and is only requested if pain persists for more than 12 weeks […]

Yoga, Physical Therapy, and Back Pain Education for Sleep Quality in Low-Income Racially Diverse Adults with Chronic Low Back Pain: a Secondary Analysis of a Randomized Controlled Trial

In a sample of adults with cLBP, virtually all with poor sleep quality prior to intervention, modest but statistically significant improvements in sleep quality were observed with both yoga and PT. Irrespective of treatment, clinically important sleep improvements at the end of the intervention were associated with mid-intervention pain and physical function improvements.Education for Sleep […]

Chiropractic Care for Children: Safer Care Victoria Review (2019)

Passive Strategies for the Prevention of Muscle Wasting During Recovery from Sports Injuries

The concomitant application of BFR and low-intensity exercise has shown promising results in the prevention of disuse-induced muscle atrophy. Some benefits might also be obtained with BFR alone (i.e., with no exercise), but evidence is still inconclusive. NMES, which can be applied both passively and synchronously with exercise, can also attenuate most of the negative […]

Motor Strategies Learned during Pain Are Sustained upon Pain-free Reexposure to Task

"Although reduced muscle activation may be interpreted as metabolically efficient, it reduces joint stability and can have negative consequences for joint integrity. These results demonstrate that alternative motor strategies developed in the presence of pain can be maintained when training is resumed after resolution of pain. This effect could have deleterious consequences if it applies […]

The effectiveness of manipulation and mobilization on pain and disability in individuals with cervicogenic and tension-type headaches: a systematic review and meta-analysis

Nine total studies were included in the systematic review. The majority of studies scored lower than a 69% on the Cochrane risk of bias tool indicating a moderate to high risk of bias. MM were found to be equally as effective as conservative treatment in reducing pain, disability, and frequency of headache in individuals with […]

Prof. Alice Kongsted wins 1st prize in poster presentation for study on reassurance, chiropractic and patient outcomes.

[Courtesy of WFC]Professor Alice Kongsted, a chiropractor and researcher at the University of Southern Denmark and Nordic Institute of Chiropractic and Clinical Biomechanics (NIKKB) has been awarded First Prize in the poster competition at the 10th Interdisciplinary Congress on Low Back Pain and Pelvic Girdle, held October 28-31 in Antwerp, Belgium. "Are patients reassured in […]

Chronic Pain: Pain Without Purpose (Stanford)

"Chronic pain is physiologically distinct from long-lasting acute pain. In some cases, however, poorly managed acute pain can develop into a chronic pain condition. In addition to the direct physical suffering that patients experience, the biopsychosocial nature of chronic pain affects their social lives, ability to work, and psychological well-being. The resulting economic burden of […]

Jim Eubanks, DC, MS, MD accepted into prestigious Rehabilitation Medicine Scientist Training Program

Nonpharmacological Treatment of Army Service Members with Chronic Pain Is Associated with Fewer Adverse Outcomes After Transition to the Veterans Health Administration

"Non Pharmacological Treatment provided in the Military Health Systems to service members with chronic pain may reduce risk of long-term adverse outcomes." Nonpharmacological Treatment of Army Service Members with Chronic Pain Is Associated with Fewer Adverse Outcomes After Transition to the Veterans Health Administration #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative […]