Low Back Pain: The Potential Contribution of Supraspinal Motor Control and Proprioception We conclude that back pain-induced disrupted or reduced proprioceptive signaling likely plays a pivotal role in driving long-term changes in the top-down control of the motor system via motor and sensory cortical reorganization. In the outlook of this review, we explore whether motor […]
Sleep Disorders Among People With Migraine: Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study Compared with respondents with EM, a larger proportion of those with CM were at "high risk" for sleep apnea and reported poor sleep quality. This reflects an association between CM vs EM and sleep apnea and poor sleep quality; […]
NTG-101: A Novel Molecular Therapy That Halts the Progression of Degenerative Disc Disease In conclusion, we demonstrated that a single intra-discal injection of the novel formulation, NTG-101 confers a robust anti-inflammatory, anti-catabolic and pro-anabolic effects in pre-clinical models of DDD thereby restoring homeostasis. These findings suggest the therapeutic potential of NTG-101 for clinical use. #science […]
Strengthening the Quadriceps Femoris Muscle Versus Other Knee Training Programs for the Treatment of Knee Osteoarthritis This review indicated that the strengthening of QFM training compared with other knee exercises provided muscle strengthening, pain reduction, and improved function while combination with other electrotherapy modalities or combination with Russian electrical stimulation had superiority to alone strengthening […]
Walking More Than 90minutes/week Was Associated With a Lower Risk of Self-Reported Low Back Pain in Persons Over 50years of Age: A Cross-Sectional Study Using the Korean National Health and Nutrition Examination Surveys Our study showed that longer walking duration was associated with a lower risk of LBP using a cross-sectional health survey in the […]
Multiscale Modelling of the Human Lumbar Facet Capsular Ligament: Analysing Spinal Motion From the Joint to the Neurons Our results show that extension and ipsilateral bending result in largest strains of the lumbar FCL, while contralateral bending and flexion experience lowest strain values. Similar to strain trends, we calculated that the stretch of the microtubules […]
Seven Cervical Sensorimotor Control Tests Measure Different Skills in Individuals With Chronic Idiopathic Neck Pain Postural balance and head steadiness were the major underlying factors explaining cervical sensorimotor control in the current sample. However, our results imply that all seven tests are independent and measure different skills. It is not possible to recommend a test […]
Altered Trunk Head Co-Ordination in Those With Persistent Neck Pain The results of the study suggest that neck pain subjects have difficulty moving their trunk independently of their head. They are less able to keep the head still while moving the trunk and perform the tasks more slowly. These findings might be related to altered […]
Comparison of High-Intensity Laser Therapy and Combination of Ultrasound Treatment and Transcutaneous Nerve Stimulation in Patients With Cervical Spondylosis: A Randomized Controlled Trial HILT plus exercise was more effective than US/TENS plus exercise. HILT can be promoted and used in this pathology with positive outcomes. However, further studies are needed to optimize the dose and […]
The Enduring Impact of What Clinicians Say to People With Low Back Pain Health care professionals have a considerable and enduring influence upon the attitudes and beliefs of people with low back pain. It is important that this opportunity is used to positively influence attitudes and beliefs. #science #chiropractor #chiropractic #research #education #evidence based #patient […]
Cervical Spine Disability in Correlation With Subjective Voice Handicap in Patients With Voice Disorders: A Retrospective Analysis Specifically patients with organic voice disorders showed increased voice symptoms with the presence of neck dysfunction. This indicates a risk for a functional imbalance of the muscles surrounding the larynx, which in extreme cases may hinder functional voice […]
Comparing Anxiety and Depression to Obesity and Smoking as Predictors of Major Medical Illnesses and Somatic Symptoms Findings suggest that anxiety and depression are as strongly predictive of poor future physical health as obesity and smoking and that anxiety is independently linked to poor physical health. Greater attention should be paid towards these conditions in […]
Lumbar spine fusion: what is the evidence? Despite the high costs, risks and common nature of lumbar spine fusion surgery, the evidence base does not include high quality systematic reviews. Furthermore, the risk of bias of the RCT in the reviews is generally high. The available evidence does not support the hypothesis that spine fusion […]
Causes of Chronic Hip Pain Undiagnosed or Misdiagnosed by Primary Physicians in Young Adult Patients: A Retrospective Descriptive Study Most (> 80%) young patients with hip pain, a difficult issue to diagnosis for many primary physicians, had FAI syndrome, HD, spine lesions, and SpA. This study could give a chance to feedback information about cases […]
Origin of Neck Pain and Direction of Movement Influence Dynamic Cervical Joint Motion and Pressure Pain Sensitivity The direction of motion influenced the effects of experimental muscle pain on dynamic cervical joint kinematics, and deep muscle pain showed local effects on individual joints while superficial muscle pain showed global effects spread to all joints. #science […]
Curcumin Suppression of Cytokine Release and Cytokine Storm. A Potential Therapy for Patients With Ebola and Other Severe Viral Infections The use of curcumin should be investigated in patients with Ebola and cytokine storm. Intravenous formulations may allow achievement of therapeutic blood levels of curcumin. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]
Surgery for Chronic Sciatica Bests Conservative Care Nonsurgical treatment was standardized to include education of patients regarding day-to-day functioning, activity and exercise, use of oral analgesics, and use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial.8,9 In addition, patients could receive an epidural glucocorticoid injection administered by a fellowship-trained […]
Effect of Manual Therapy and Therapeutic Exercise Applied to the Cervical Region on Pain and Pressure Pain Sensitivity in Patients with Temporomandibular Disorders: A Systematic Review and Meta-analysis Cervical MT treatment is more effective in decreasing pain intensity than placebo MT or minimal intervention, with moderate evidence. Cervico-craniomandibular interventions achieved greater short-term reductions in pain […]
Influenza Vaccination and Respiratory Virus Interference Among Department of Defense Personnel During the 2017-2018 Influenza Season Receipt of influenza vaccination was not associated with virus interference among our population. Examining virus interference by specific respiratory viruses showed mixed results. Vaccine derived virus interference was significantly associated with coronavirus and human metapneumovirus; however, significant protection with […]
The Regulation of Complementary and Alternative Medicine Professions in Ontario, Canada Unregulated CAM professions may increase their likelihood of becoming regulated if they: (1) gain popularity/strong support from patients or the general public, (2) organize themselves sufficiently that they pose a direct threat to one or more scopes of practice desirable by the DSIs and/or […]
Use of Complementary Health Approaches for Chronic Low-Back Pain: A Pain Research Registry-Based Study The use of CHAs relative to opioids for low-back pain was inconsistent with recommendations from recent clinical practice guidelines despite clinical benefits with CHA use in this study. More research is needed on ways to improve the uptake of CHAs recommended […]
Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management Stress injuries and fractures to the lumbar pars interarticularis are common sports-related injuries among young athletes. After diagnosis, an individualized PT rehabilitation program including education, activity modification, and a progressive course of specific exercise will lead to symptom resolution and return to athletic participation in the […]
Potential mechanisms for lumbar spinal stiffness change following spinal manipulative therapy: a scoping review This scoping review identified 7 themes put forward by authors to explain changes in spinal stiffness following SMT. Unfortunately, none of the studies provided data which would support the promotion of one theme over another. As a result, this review suggests […]
Changes in pressure pain threshold and temporal summation in rapid responders and non-rapid responders after lumbar spinal manipulation and sham: A secondary analysis in adults with low back pain Hypoalgesia in shoulder PPT occurred transiently in the rapid responders compared to the non-rapid responders. This may or may not contribute to symptomatic improvement after SMT […]
Stiffness After Total Knee Arthroplasty: Is It a Result of Spinal Deformity? Compensatory knee flexion because of sagittal spinal deformity may predispose to poor ROM after TKA. Patients with clinical suspicion should be worked up preoperatively and counseled accordingly. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain The results of this review found that the strongest treatment effects to date are those associated with exercise. Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term. The evidence was of moderate quality at best, indicating […]
How Does Ossification of Posterior Longitudinal Ligament Progress in Conservatively Managed Patients? The incidence of OPLL progression in conservatively managed patients was 26.8% in vertical growth and 22.7% in thickness growth.Young age, mixed type, and C2-C3 involvement are risk factors of OPLL progression.Segments with morphology of crossing the segment, but not fusing (type 3), segmental […]
Association of Daily Step Count and Step Intensity With Mortality Among US Adults Based on a representative sample of US adults, a greater number of daily steps was significantly associated with lower all-cause mortality. There was no significant association between step intensity and mortality after adjusting for total steps per day. #science #chiropractor #chiropractic #research […]
Cognitive Functional Therapy for People with Nonspecific Persistent Low Back Pain in a Secondary Care Setting—A Propensity Matched, Case–Control Feasibility Study These findings support that CFT is beneficial for patients with NS-PLBP who are unresponsive to primary care interventions. Subsequent randomized controlled trials could incorporate booster sessions, which may result in larger effects at 12-month […]
Low Back Pain in 2020: New Frontiers and Old Limits of Our Understanding. An Overview of the State of the Art From a Rehabilitation Perspective While we recognize the potential of basic science advances, there is an immediate need for more translational rehabilitation research, as well as studies focused on the effectiveness of rehabilitation approaches. […]
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Research Posts
The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis
The usefulness of a novel patient management decision aid to improve clinical decision-making skills in final year chiropractic students
2019 WFC Principles
Entrapment Neuropathies in the Upper and Lower Limbs: Anatomy and MRI Features