Research Posts

WFC is #EPIC

Professor Pierre Côté, Dr Richard Brown and Professor Margareta Nordin, all members of the WFC Disability and Rehabilitation Committee, have been at WHO Headquarters in Geneva, Switzerland today meeting with senior WHO officers about the management of spine pain and disability, primary care and universal health coverage. Also great to check in with WHO senior […]

Scientists named as new professors at University of Southern Demark.

CHIROPRACTORS NAMED AS NEW PROFESSORS AT UNIVERSITY OF SOUTHERN DENMARK. Two new full professorships have been conferred on chiropractors who are renowned scientists at leading universities in Denmark.Lise Hestbaek has been a senior researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics (NIKKB) since 2007 and an Associate Professor in the Department of Sports […]

Efficacy and harms of orally, intramuscularly or intravenously administered glucocorticoids for sciatica: A systematic review and meta-analysis.

Efficacy and harms of orally, intramuscularly or intravenously administered glucocorticoids for sciatica: A systematic review and meta-analysis.There is insufficient evidence to strongly support or dismiss the use of glucocorticoids via the oral, IM or IV routes in people with sciatica as the evidence ranged from very low to moderate quality. One small trial (n=78) reported […]

Get comfortable with clinical uncertainty.

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

That which fires together wires together.

What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review

What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review " We identified 11 recommendations for MSK pain care: ensure care is patient centred, screen for red flag conditions, assess psychosocial factors, use imaging selectively, undertake a physical examination, monitor patient progress, provide education/information, address […]

CCGI Guideline Summary

"The CCGI has released a new guideline summary thanks to contributions from CMCC student Richard Seto. This guideline provides recommendations regarding the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease. The target users are individuals with various lipid disorders including individuals with diabetes, familial hypercholesterolemia, women and youth with dyslipidemia. Some of the […]

iCare Chiro Cast with Drs. Coulter and Ammendolia

Physical Rehabilitation Needs Per Condition Type: Results From the Global Burden of Disease Study 2017

New research in-press shows that "musculoskeletal and pain conditions account for [over half] of the need for physical rehabilitation needs worldwide."Physical Rehabilitation Needs Per Condition Type: Results From the Global Burden of Disease Study 2017 #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain […]

Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses

Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses "Organizational changes in health care are more likely to succeed when health care professionals have the opportunity to influence the change, feel prepared for the change and recognize the value of the change, including perceiving the benefit […]

The Association of Pain Phenotype with Neuromuscular Impairments and Mobility Limitations Among Older Primary Care Patients: A Secondary Analysis of the Boston Rehabilitative Impairment Study of the Elderly.

The Association of Pain Phenotype with Neuromuscular Impairments and Mobility Limitations Among Older Primary Care Patients: A Secondary Analysis of the Boston Rehabilitative Impairment Study of the Elderly. Among ambulatory, older primary care patients, more severe pain phenotypes are associated with neuromuscular impairments identified on physical testing and mobility limitations on validated measures. #science #chiropractor […]

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part I: incident and episodic back pain

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part I: incident and episodic back pain Due to inconsistent ways of reporting on the type of back pain, no definitive risk factor for back pain has been identified. In general, females often report more symptoms, also for other […]

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.

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 […]

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part II: unclear or mixed types of back pain

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part II: unclear or mixed types of back pain Many of the included studies approached risk factors in similar ways and found factors that were associated with back pain but were not obvious risk factors as causality was uncertain. […]

PhD position available at the Department of Chiropractic Medicine at the University of Zurich.

Non-medical factors significantly influence the length of hospital stay after surgery for degenerative spine disorders

Patients of advanced age and female gender are at increased risk of longer hospital stay after surgery for degenerative spinal disorders. Further studies should seek to understand the reasoning behind the gender disparity, in order to minimise potentially unnecessary costs of prolonged LOS. Targeted preoperative discharge planning may improve the utilisation of hospital resources. Non-medical […]

Dietary saturated fat intake and risk of stroke: Systematic review and dose–response meta-analysis of prospective cohort studies

Dietary saturated fat intake and risk of stroke: Systematic review and dose–response meta-analysis of prospective cohort studies This meta-analysis further demonstrated that a higher consumption of dietary SFA is associated with a lower risk of stroke, and every 10 g/day increase in SFA intake is associated with a 6% relative risk reduction in the rate […]

VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain

The VA/DOD LBP CPG provides evidence-based recommendations for the diagnostic approach, education and self-care, non-pharmacologic and non-invasive therapy, pharmacologic therapy, dietary supplements, non-surgical invasive therapy, and team approach to treatment of low back pain. VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]

Does Integrative Medicine Reduce Prescribed Opioid Use for Chronic Pain? A Systematic Literature Review

Does Integrative Medicine Reduce Prescribed Opioid Use for Chronic Pain? A Systematic Literature Review There is a small but defined body of literature demonstrating positive preliminary evidence that the IM approach including CAM therapies can help in reducing opioid use. As the opioid crisis continues to grow, it is vital that clinicians and patients be […]

Should we abandon positional testing for vertebrobasilar insufficiency?

Should we abandon positional testing for vertebrobasilar insufficiency?•Positional testing has an important role for screening and differential diagnosis.•Positive tests via symptom reproduction determine inadequate collateral flow.•Correct use and interpretation is vital as tests do not assess arterial integrity.•Tests should not be abandoned but further research is needed. #science #chiropractor #chiropractic #research #education #evidence based #patient […]

The Influence of a Positive Empathetic Interaction on Conditioned Pain Modulation and Manipulation Induced Analgesia in People with Lateral Epicondylalgia

The Influence of a Positive Empathetic Interaction on Conditioned Pain Modulation and Manipulation Induced Analgesia in People with Lateral Epicondylalgia There was a significant difference in CARE scores between the groups (P<0.001), indicating that the intervention group experienced a more empathic interaction. Both groups showed a significant increase in PPT measures, indicative of a CPM […]

Rehabilitation Is a Global Health Priority

Rehabilitation Is a Global Health Priority The World Health Organization (WHO) launched an initiative in 2017 to promote universal access to rehabilitation when it hosted “Rehabilitation 2030: A Call for Action” [1] (Fig. 1). Attended by more than 200 rehabilitation experts from 46 countries, this meeting highlighted the unmet need for rehabilitation services and called for […]

Recognizing and Effectively Managing Hypermobility-Related Conditions.

Recognizing and Effectively Managing Hypermobility-Related Conditions. Hypermobility spectrum disorder (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS) can cause widespread or chronic pain, fatigue, and proprioceptive and coordination deficits resulting in functional restrictions. These conditions are common and often unrecognized, and patients are likely to present in physical therapy for musculoskeletal injuries, pain, or coordination deficits. Although […]

An exploratory investigation into the longevity of pain reduction following multisensory illusions designed to alter body perception

An exploratory investigation into the longevity of pain reduction following multisensory illusions designed to alter body perception llusory stretching of the joints in osteoarthritis may have significant clinical potential in development of future pain treatments. The results are also compatible with theories of cortical involvement of pain in osteoarthritis. #science #chiropractor #chiropractic #research #education #evidence […]

Lower-Limb Factors Associated with Balance and Falls in Older Adults: A Systematic Review and Clinical Synthesis.

Lower-Limb Factors Associated with Balance and Falls in Older Adults: A Systematic Review and Clinical Synthesis. "The systematic review consisted of 81 articles that met the inclusion criteria. Our results reflect a narrative review of the appraised literature for 8 pathways of lower-limb related influences on fall-risk in older adults. Six out of the eight […]

Completeness of the description of manipulation and mobilisation techniques in randomized controlled trials in neck pain; A review using the TiDieR checklist.

Completeness of the description of manipulation and mobilisation techniques in randomized controlled trials in neck pain; A review using the TiDieR checklist. Manipulation or a mobilization interventions are poorly reported in RCTs, which jeopardize the external validity of RCTs, making it difficult for clinicians and researchers to replicate these interventions. #science #chiropractor #chiropractic #research #education […]

Twelve Tips for Making the Best Use of Feedback

Twelve Tips for Making the Best Use of Feedback " When utilizing feedback for performance improvement, medical students, interns, residents, clinical teachers and practicing physicians could make use of the twelve tips to put feedback into practice. The twelve tips provide strategies to reflect, interact and respond to feedback one receives through (validated) feedback instruments. […]

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis With a typical clinical presentation, patients with BPPV can be diagnosed when the characteristic nystagmus on positional test-ing is seen. Patients with vestibular neuritis can be differentiated from those with cerebellar stroke with the HINTS plus examina-tion. By reliably diagnosing patients with vertigo using history, […]

Is the immediate effect of marathon running on novice runners’ knee joints sustained within 6 months after the run? A follow-up 3.0 T MRI study

Is the immediate effect of marathon running on novice runners’ knee joints sustained within 6 months after the run? A follow-up 3.0 T MRI study The knees of novice runners achieved sustained improvement, for at least 6 months post-marathon, in the condition of their bone marrow and articular cartilage. #science #chiropractor #chiropractic #research #education #evidence based #patient […]

Brain Drain: Psychosocial Factors Influence Recovery Following Mild Traumatic Brain Injury—3 Recommendations for Clinicians Assessing Psychosocial Factors

Brain Drain: Psychosocial Factors Influence Recovery Following Mild Traumatic Brain Injury—3 Recommendations for Clinicians Assessing Psychosocial Factors "Congratulations to Carol Cancelliere and Riaz Mohammedfor their recent publication in JOSPT. Their clinical commentary on psychosocial factors in concussion is available now (open-access)! The three clinical recommendations are: Address psychosocial factors earlyAsk all patient about their recovery […]