Research Posts

Size Does Matter, But It Isn’t Everything: The Challenge of Modest Treatment Effects in Chronic Pain Clinical Trials
This article examines continuous pain intensity data obtained from analgesic treatment trials for chronic low back pain, fibromyalgia, osteoarthritis pain, painful diabetic peripheral neuropathy, and postherpetic neuralgia. Numerical declines in SESs were observed, with SESs being approximately .30 in the most recent trials.Size Does Matter, But It Isn't Everything: The Challenge of Modest Treatment Effects […]
Re-energising the way we manage change in healthcare: the case for soft systems methodology and its application to evidence-based practice
"Although SSM has been widely used in other sectors, it has not been extensively used in healthcare. We make the case for applying SSM to implementation and improvement endeavours in healthcare using the example of getting clinicians at the hospital level to use evidence-based guidelines."Re-energising the way we manage change in healthcare: the case for […]
Exercise as a prescription for patients with various diseases
"This review summarizes the latest exercise prescription treatments for 26 different diseases: musculoskeletal system diseases (low back pain, tendon injury, osteoporosis, osteoarthritis, and hip fracture), metabolic system diseases (obesity, type 2 diabetes, type 1 diabetes, and nonalcoholic fatty liver disease), cardio-cerebral vascular system diseases (coronary artery disease, stroke, and chronic heart failure), nervous system diseases […]
Improving the quality of myofascial release research – A critical appraisal of systematic reviews.
"This review concludes that the SRs analysed were completed with moderate methodological quality, but with procedural weaknesses and interpretation biases. The most recent review was qualitatively superior due to the inclusion of risk of bias analysis and effect size calculation. This critical appraisal and the derived recommendations can act as 'stepping stones' on which high […]
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 improving function. Further trials that are of low risk of […]
Association of Exposure to Diagnostic Low-Dose Ionizing Radiation With Risk of Cancer Among Youths in South Korea
"The association of increased cancer risk with exposure to diagnostic low-dose ionizing radiation may be important to inform decisions about diagnostic use of low-dose ionizing radiation in Asian youth populations worldwide."Association of Exposure to Diagnostic Low-Dose Ionizing Radiation With Risk of Cancer Among Youths in South Korea #science #chiropractor #chiropractic #research #education #evidence based #patient […]
Persistent headache or back pain ‘twice as likely’ in the presence of the other
Professor Martin Underwood, from Warwick Medical School, said: “In most of the studies we found that the odds were about double — either way, you’re about twice as likely to have headaches or chronic low back pain in the presence of the other. Which is very interesting because typically these have been looked as separate […]
What are the risks of manual treatment of the spine? A scoping review for clinicians
"Existing literature indicates that benign adverse events following manual treatments to the spine are common, while serious adverse events are rare. The incidence and causal relationships with serious adverse events are challenging to establish, with gaps in the literature and inherent methodological limitations of studies. Clinicians should ensure that patients are informed of risks during […]
Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis
"The proportion of patients receiving an opioid prescription was lower for chiropractic users (range = 12.3-57.6%) than nonusers (range = 31.2-65.9%). In a random-effects analysis, chiropractic users had a 64% lower odds of receiving an opioid prescription than nonusers (odds ratio = 0.36, 95% confidence interval = 0.30-0.43, P < 0.001, I2 = 92.8%). This […]
Strength and Power Training in Rehabilitation: Underpinning Principles and Practical Strategies to Return Athletes to High Performance
"Injuries have a detrimental impact on team and individual athletic performance. Deficits in maximal strength, rate of force development (RFD), and reactive strength are commonly reported following several musculoskeletal injuries. This article first examines the available literature to identify common deficits in fundamental physical qualities following injury, specifically strength, rate of force development and reactive […]
Is a combined programme of manual therapy and exercise more effective than usual care in patients with non-specific chronic neck pain? A randomized controlled trial
"This study’s findings suggest that a combination of manual therapy and exercise is more effective than usual care on disability, pain intensity and global perceived recovery."Is a combined programme of manual therapy and exercise more effective than usual care in patients with non-specific chronic neck pain? A randomized controlled trial #science #chiropractor #chiropractic #research #education […]
Diagnostic utility of the Active Compression Test for the superior labrum anterior posterior tear: A systematic review.
"The Active Compression Test has both limited screening and confirmation ability; therefore, we do not advocate for its use in clinical decision making."Diagnostic utility of the Active Compression Test for the superior labrum anterior posterior tear: A systematic review. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
The need for humility and critical thinking when applying research into clinical practice.
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
A failed review of CCE site inspection standards and processes
"The question for us as bona fide educational researchers, is why did one of the four CCEs trust the authors and agree to fully participate while the other 3 did not? We suspect that cultural differences may be one factor as the positively responding CCE already transparently publishes inspection team reports on their website. It […]
Jim Eubanks, DC, MS, MD accepted into prestigious Rehabilitation Medicine Scientist Training Program for the AAP.
Learn more about the RMSTP here #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
Washington Nationals win 2019 World Series, Game 7 pitcher Max Scherzer credits team chiropractor to help him get back in the game and win it all.
"The cortisone shot worked," Scherzer added. "That relieved the pressure on the nerve, and then keep applying heat. Our chiropractor, he does amazing work, he was able to go in there and make adjustment. We did two treatments of it and really freed up the neck, the C5-C6 area, along with the trap, spasm, really […]
Congratulations to Martin Descarreaux, DC, PhD and his team
Does the brain shrink as the waist expands?
"Across all ages, higher adiposity was consistently associated with frontal GM atrophy, particularly in prefrontal cortex. In children and adults <40 years of age, most studies found no relationship between adiposity and occipital or parietal GM volumes, whereas findings for temporal lobe were mixed. In middle-aged and aged adults, a majority of studies found that […]
Cartilage derived stem cells: a novel cellular replacement therapy to treat degenerative disc disease
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
Pain regulation by gut microbiota: molecular mechanisms and therapeutic potential
"The relationship between gut microbiota and neurological diseases, including chronic pain, has received increasing attention. The gut microbiome is a crucial modulator of visceral pain, whereas recent evidence suggests that gut microbiota may also play a critical role in many other types of chronic pain, including inflammatory pain, headache, neuropathic pain, and opioid tolerance. We […]
Tricare Moves Towards Chiropractic Coverage
"The proposal comes on the heels of a new Defense Department report mandated by Congress that shows chiropractic care reduces lower back pain and may increase fitness among troops. The report was submitted to Capitol Hill this month, almost 10 years after it was first ordered."Tricare Moves Toward Chiropractic Coverage #science #chiropractor #chiropractic #research #education […]
Hazel Jenkins successfully defends her PhD thesis.
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
Effects of Interrupting Prolonged Sitting with Physical Activity Breaks on Blood Glucose, Insulin and Triacylglycerol Measures: A Systematic Review and Meta-analysis
"Breaking up sitting with physical activity (PA) moder- ately attenuated post-prandial glucose and insulin, with a small effect size attenuation for TAG. There was greater glycaemic attenuation in people with higher body mass index (BMI). PA breaks were slightly more effective for glycaemic attenuation compared to one continuous bout of PA when experimental conditions were […]
"The intervention strategies to avoid the loss of mass and/or muscle strength with age are three: nutritional, pharmacological, and physiological (training). It is important to note that these three strategies are related to each other, in fact, physical inactivity or a sedentary lifestyle lead to a rapid onset of anabolic resistance or a low protein […]
Changes in Pain-Related Fear and Pain When Avoidance Behavior is no Longer Effective
"Results indicate participants become more afraid of and sensitive to pain, when previously acquired avoidance is no longer effective. Also, participants continue to show avoidance behavior despite it being not adaptive anymore. These findings suggest that ineffective avoidance may play role in the maintenance and development of chronic pain."Changes in Pain-Related Fear and Pain When […]
Spine Week: April 27, May 1, 2020.
Read more about it 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 longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients.
"Pain and disability were longitudinally related to health-related quality of life, societal costs, and healthcare costs. Disability had a stronger association with all outcomes compared to pain.The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. #science #chiropractor #chiropractic #research #education #evidence based #patient […]
Cervical and thoracic intervertebral disc hydration increases with recumbency: a study in 101 healthy volunteers.
"We established that cervical and thoracic IVD volumes increase with recumbency. We expect diurnal variation in cervical and thoracic IVD hydration will occur in the general population, with greater cervical and thoracic IVD hydration and size upon rising in the morning."Cervical and thoracic intervertebral disc hydration increases with recumbency: a study in 101 healthy volunteers. […]
Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study
"The abstracts were incomplete, with evidence of spin and inconsistent with the full text. We advise health care professionals to avoid making clinical decisions based solely upon abstracts. Journal editors, reviewers, and authors are jointly responsible for improving abstracts, which could be guided by amended editorial policies."Abstracts of Low Back Pain Trials Are Poorly Reported, […]