Research Posts

Seattle Seahawks chiropractor, Dr. Jim Kurtz with his game face on!
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #public health #spinal health #musculoskeletal health #ethics
Discharged and dismissed: A qualitative study with back pain patients discharged without treatment from orthopaedic consultations
"This study describes narratives from patients discharged without surgery following consultations with orthopaedic professionals for persistent and debilitating lower back pain. Findings suggest that these interactions are distressful to patients, and that patients require comprehensive and specific reassurance to promote self‐management. The findings contribute a unique insight into the special needs of people with complex […]
Prognostic factors in the progression of intervertebral disc degeneration: Which patient should be targeted with regenerative therapies?
"Disc herniation is strongly associated with the progression of DD. Surprisingly, there was strong evidence that smoking, occupation, and several other factors were not associated with the progression of DD. Only one genetic variant may have a protective effect on progression, otherwise there was conflicting or only limited evidence for most prognostic factors. Future research […]
The effect of spinal manipulative therapy on heart rate variability and pain in patients with chronic neck pain: a randomized controlled trial
"The study will utilize normal clinical procedures, which should aid the transferability and external validity of the results. The study will provide knowledge regarding the underlying mechanisms of the effects of SMT. Furthermore, the study will examine whether a CPM test is predictive of treatment outcome in a population of patients with recurrent and persistent […]
Is there any benefit to adding students to the European council on chiropractic education evaluation teams and general council? An audit of stakeholders
"This study demonstrates the unique and positive contributions chiropractic students make to accreditation evaluation teams. The results were less positive concerning students on ECCE General Council due to the lack of specific training for their roles and the short time-frame of their membership. Therefore, the ECCE has created training workshops and expanded the time period […]
Domains of chronic low back pain and assessing treatment effectiveness: A clinical perspective
"The aim of this paper is to discuss our current scientific understanding of pain and present why additional factors should be considered in conservative CLBP management. In addition to pain intensity, we recommend that clinicians should consider assessing the multidimensional nature of CLBP by including physical (disability, muscular strength and endurance, performance in activities of […]
Dallas’ Parker University in Damaged in Tornado
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #public health #spinal health #musculoskeletal health #ethics
Pain that does not interfere with daily life—a new focus for population epidemiology and public health?
Pain that does not interfere with daily life—a new focus for population epidemiology and public health? #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #public health #spinal health #musculoskeletal health #ethics
Wanted: Lecturer at University of South Wales
The Faculty of Life, Sciences and Education at the University of South Wales is currently seeking applications for a Lecturer/Senior Lecturer in Chiropractic. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #public health #spinal health #musculoskeletal health #ethics
Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT)
"CFT reduced disability, but not pain, at 6 and 12 months compared with the group-based exercise and education intervention. Future research should examine whether the greater reduction in disability achieved by CFT renders worthwhile differences for health systems and patients."Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: […]
Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis
"Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated… This study demonstrated that cervical proprioceptive errors (JPEs) are significantly larger in the CS group than in the healthy control group indicating that cervical proprioception is impaired in subjects with CS. Cervical proprioceptive errors in the CS group significantly and […]
Early-life programming of pain sensation? Spinal pain in pre-adolescents with pain experience in early life
Congratulations to senior scientist, Lise Hestbaek DC, PhD, for this publication. Experience of early-life pain is seemingly associated with spinal pain in pre-adolescence. The study highlights that early-life painful experiences can influence programming future pain responses.Early-life programming of pain sensation? Spinal pain in pre-adolescents with pain experience in early life What is Known: • Spinal […]
Analysis of “old” proteins unmasks dynamic gradient of cartilage turnover in human limbs
Analyzing molecular clocks in the form of nonenzymatically deamidated proteins, we unmasked a position-dependent gradient (distal high, proximal low) of protein turnover, indicative of a gradient of tissue anabolism reflecting innate tissue repair capacity in human lower limb cartilages that is associated with expression of limb-regenerative microRNAs. This association shows a potential link to a […]
Changing the Narrative in Diagnosis and Management of Pain in the Sacroiliac Joint Area.
This article reviews the evidence regarding the clinical detection and diagnosis of SIJ movement dysfunction. In particular, it questions the continued use of assessing movement dysfunction despite mounting evidence undermining the biological plausibility and subsequent treatment paradigms based on such diagnoses. Clinicians are encouraged to align their assessment methods and explanatory models to contemporary science […]
Efficacy of antibiotic treatment in patients with chronic low back pain and Modic changes (the AIM study): double blind, randomised, placebo controlled, multicentre trial
In this study on patients with chronic low back pain and Modic changes at the level of a previous disc herniation, three months of treatment with amoxicillin did not provide a clinically important benefit compared with placebo. Secondary analyses and sensitivity analyses supported this finding. Therefore, our results do not support the use of antibiotic […]
Research Week in Review: Dec 2-8 2018
Lumbar spine fusion: what is the evidence? The effect of cervical spine subtypes on center of pressure parameters in a large asymptomatic young adult population. Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial. Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic Low Back Pain: […]
January 28 – February 3, 2019.
Week in Review 28th January – 3rd February from Evidence Based Chiropractors private Facebook group. Effects of active versus passive upper extremity neural mobilization combined with mechanical traction and mobilization in females with cervical radiculopathy: A randomized controlled trial.The Head Down Generation: Musculoskeletal Symptoms and the Use of Smartphones Among Relationship between pulmonary function and degree […]
February 11 – 16, 2019
A Quality Analysis of Disc Herniation Videos on YouTube. Enhancing the success of functional restoration using complementary and integrative therapies: Protocol and challenges of a comparative effectiveness study in active duty service members with chronic pain. Musculoskeletal Disorders a Universal Source of Pain and Disability Misunderstood and Mismanaged: A Critical Analysis Based on the U.S. […]
March 25 – 30, 2019
2019 Canadian guideline for physical activity throughout pregnancy. The course of back pain in the Canadian population: trajectories, predictors, and outcomes. Compressing the lumbar nerve root changes the frequency-associated cerebral amplitude of fluctuations in patients with low back/leg pain. Tolerating Uncertainty — The Next Medical Revolution? Embracing complexity and uncertainty to create impact: exploring the […]
March 4 – 9, 2019
What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. [Temporomandibular disorder and cervicalgia: pathophysiology underlying the comorbidity with chronic migraine]. Validity and reliability of clinical prediction rules used to screen for cervical spine injury in alert low-risk patients with blunt trauma to the neck: […]
February 4 – 9, 2019
Back Complaints in Elders (BACE): A prospective, longitudinal analysis of older people with low-back pain in chiropractic care. ARTICLE. Back Complaints in the Elders (BACE); design of cohort studies in primary care: an international consortium. The Brazilian Back Complaints in the Elders (Brazilian BACE) study: characteristics of Brazilian older adults with a new episode of […]
March 18 – 23, 2019
[Temporomandibular disorder and cervicalgia: pathophysiology underlying the comorbidity with chronic migraine]. Validity and reliability of clinical prediction rules used to screen for cervical spine injury in alert low-risk patients with blunt trauma to the neck: part 2. A systematic review from the Cervical Assessment and Diagnosis Research Evaluation (CADRE) Collaboration. Is There Support for the […]
Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis
"Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated… This study demonstrated that cervical proprioceptive errors (JPEs) are significantly larger in the CS group than in the healthy control group indicating that cervical proprioception is impaired in subjects with CS. Cervical proprioceptive errors in the CS group significantly and […]
Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?
Four main adverse joint findings have been structurally observed in patients after IACS injections: accelerated OA progression, subchondral insufficiency fracture, complications of osteonecrosis, and rapid joint destruction, including bone loss. Physicians, including radiologists, should be familiar with imaging findings and patient characteristics that may help them identify potential joints at risk for such events. The […]
Work a day for World Spine Care
EBC believes in the work of World Spine Care; an international charitable organization with a mission is to create a world in which everyone has access to the highest quality spine are possible. HERE's HOW YOU CAN SUPPORT THIS IMPORTANT CAUSE: World Spine Care will be launching their annual ‘Work-a-Day for World Spine Care’ campaign. […]
Smoking Is Associated with Pain in All Body Regions, with Greatest Influence on Spinal Pain.
Smoking is most strongly associated with spine pain (odds ratio [OR] = 2.89, 95% confidence interval [CI] = 2.21-3.77), followed by headache (OR = 2.47, 95% CI = 1.73-3.53), trunk pain (OR = 2.17, 95% CI = 1.45-2.74), and limb pain (OR = 1.99, 95% CI = 1.45-2.73). Current smoking is associated with pain in […]
Does Size Matter? An Analysis of the Effect of Lumbar Disc Herniation Size on the Success of Nonoperative Treatment
The percentage of the spinal canal occupied by a herniated disc does not predict which patients will fail nonoperative treatment and require surgery within 2 years after undergoing a lumbar spine MRI scan.Effect of Lumbar Disc Herniation Size on the Success of Nonoperative Treatment #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative […]
Characterization of neuroinflammation and periphery-to-CNS inflammatory cross-talk in patients with disc herniation and degenerative disc disease
Concentrations of IL-8 in CSF were significantly higher in LDH patients compared to DDD patients and controls.•In LDH patients there was a positive correlation of IL-8 concentrations between CSF and serum.•Elevated IL-8 in CSF was associated with increased pain intensity and spinal pressure pain sensitivity in LDH.•IL-6, IL-8 and TSPO expression in IVD was higher […]
Pelvic Incidence: Computed Tomography Study Evaluating Correlation with Sagittal Sacropelvic Parameters.
Measures that represent the sacral morphology, particularly SK, and the position of the sacrum in space correlated strongly with the PI and contributed strongly to a predictive equation. These findings may direct further efforts to explore how the PI is determined and therefore how it may be modified.Pelvic Incidence: Computed Tomography Study Evaluating Correlation with […]
Brainstem neuroimaging of nociception and pain circuitries
In fact, our review will highlight many pain neuroimaging studies that have reported some brainstem involvement in nociceptive processing and chronic pain pathology. However, we note that with recent advances in neuroimaging leading to improved spatial and temporal resolution, more studies are needed that take advantage of data collection and analysis methods focused on the […]