Research Posts
A systematic review of the role of inflammatory biomarkers in acute, subacute and chronic non-specific low back pain This review found evidence of elevated CRP in individuals with acute NSLBP and elevated TNF-Α in individuals with chronic NSLBP. There are a limited number of high-quality studies evaluating similar patient groups and similar biomarkers, which limits […]
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Kinesiophobia is not required to predict chronic low back pain in workers: a decision curve analysis In our study ‘kinesiophobia’ (measured by the TS) seemed not required to improve the prediction of chronic occupational LBP and that it was not needed to adapt the treatment strategy. The performance measures NRI and DCA were not used […]
The addition of blood flow restriction to resistance exercise in individuals with knee pain: a systematic review and meta-analysis In the short term, there is low quality of evidence that resistance exercise with BFR does not provide significant differences in pain relief and knee function compared to resistance exercises in patients with knee pain. #science […]
Treatment of migraine attacks by transcutaneous electrical nerve stimulation in emergency department: A randomize controlled trial. TENS therapy is a fast-acting, effective therapy for the treatment of acute migraine in the emergency department. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability […]
No consensus on causality of spine postures or physical exposure and low back pain: A systematic review of systematic reviews. Two independent reviewers screened 4285 publications with 41 reviews included in the final review. Both positive and null associations between spine posture, prolonged standing, sitting, bending and twisting, awkward postures, whole body vibration, and components […]
The Canadian Chiropractic Guideline Initiative (CCGI) has just released another guideline summary. The topic of this summary is pediatric concussion/mTBI. This summary is based on a 2018 publication in JAMA. It includes 19 sets of recommendations on diagnosis, prognosis, and management/treatment of pediatric mTBI. Thank you to Drs. Brynne Stainsby and Sophia da Silva-Oolup for […]
The compelling link between physical activity and the body's defense system This review summarized research discoveries within 4 areas of exercise immunology: acute and chronic effects of exercise on the immune system, clinical benefits of the exercise–immune relationship, nutritional influences on the immune response to exercise, and the exercise effect on immunosenescence. The immune system […]
Health Care Utilization and Pain Outcomes Following Early Imaging for Low Back Pain in Older Adults"Among the 57,293 patients meeting inclusion criteria, the mean age was 71.2, and 26,606 (46.4%) received early imaging. Early imaging was associated with increased adjusted odds of short-term (odds ratio [OR], 1.21; 95% CI, 1.15 to 1.28), nonchronic (OR, 1.78; […]
A proposed protocol for hand and table sanitizing in chiropractic clinics and education institutions This article offers a protocol for hand and table sanitizing in chiropractic clinics and education institutions. The chiropractic profession should consider adoption of these or similar measures and disseminate them to teaching clinics, institutions, and private practitioners. #science #chiropractor #chiropractic #research […]
Physical Activity and Diet Shape the Immune System during Aging Taken together, there is insufficient evidence to draw clear conclusions for specific dietary preferences based on gut and systemic immune functioning. Gut microbiota could represent a fundamental transducer of pro-anabolic stimuli from dietary intake to skeletal muscle [124]. On the other hand, exercise is an […]
Painful clicking jaw: a pictorial review of internal derangement of the temporomandibular joint We conclude that imaging has an important role to play in the diagnosis of internal derangement-degenerative joint disease spectrum affecting the TMJ. MR is an excellent imaging modality for the same. With its exquisite soft tissue contrast resolution, non-invasive nature, and multiplanar […]
Chiropractic maintenance care - what’s new? A systematic review of the literatureGratulerer (Congrats) to Iben Axén, Lise Hestbæk and Charlotte Leboeuf-Yde for this new systematic review on Maintenance Care. "Knowledge of chiropractic Maintenance Care has advanced. There is reasonable consensus among chiropractors on what Maintenance Care is, how it should be used, and its indications. […]
Chronic physical illnesses, mental health disorders, and psychological features as potential risk factors for back pain from childhood to young adulthood: a systematic review with meta-analysis Psychological features are the most likely risk factors for back pain in young people. Several other factors were associated with back pain, but their potential as risk factors was […]
Interleukin 2-regulated in vitro antibody production following a single spinal manipulative treatment in normal subjects Spinal manipulative treatment does not increase interleukin-2 -dependent polyclonal immunoglobulin synthesis by mitogen-activated B cells. However, antibody synthesis induced by interleukin-2 alone can be, at least temporarily, augmented following spinal manipulation. Thus, under certain physiological conditions spinal manipulative treatment might […]
Diagnosis and treatment of sciaticaSciatica is a clinical diagnosis based on symptoms of radiating pain in one leg with or without associated neurological deficits on examination Most 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 […]
Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma ntervertebral instability is a relatively common finding among patients with chronic neck pain after whiplash trauma. Videofluoroscopy (VF) of the cervical spine is a potentially sensitive diagnostic tool for evaluating instability, as it offers the ability to examine relative intervertebral movement over time, […]
What is usual care for low back pain? A systematic review of health care provided to patients with low back pain in family practice and emergency departments." "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 […]
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 […]
The ‘Nocebo Effect’ May Be Even Stronger Than Placebo" This presents doctors with a thorny ethical dilemma: Do they have an obligation to disclose all available information to their patients, or does their oath to “first, do no harm” obligate them to withhold information that might cause their patients pain or other negative experiences? “It’s […]
Cost-effectiveness of pain management services for chronic low back pain: a systematic review of published studies Pain management services may be cost effective for the management of low back pain. However, this systematic review highlights the variability of evidence supporting pain management services for patients with back pain. This is due to the quality of […]
Cervical Artery Dissection: A Review of the Epidemiology, Pathophysiology, Treatment, and Outcome Given the relatively rare incidence of this disease, multicenter studies with collaborative effort among stroke centers worldwide should be considered to enroll patients with cervical artery dissection in a randomized trial comparing the two treatments. #science #chiropractor #chiropractic #research #education #evidence based #patient […]
Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants The majority of adolescents do not meet current physical activity guidelines. Urgent scaling up of implementation of known effective policies and programmes is needed to increase activity in adolescents. Investment and leadership at all levels to […]
Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage The variability of timelines and symptoms of DOMS, after initiation, will depend on how pervasive the injury is to the surrounding tissues and what tissues are affected. The individual differences […]
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Combined nucleus pulposus augmentation and annulus fibrosus repair prevents acute intervertebral disc degeneration after discectomy #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
What is the best way to collect maximum forward lumbar spine flexion values for normalizing posture to range of motion? Spine angles are an important measure in biomechanics research and are commonly normalized to a percentage of range of motion. However, standardized methods to collect the reference posture trials for this normalization do not exist. […]
The Nordic Maintenance Care Program:Does psychological profile modify the treatment effect of a preventive manual therapy intervention?A secondary analysis of a pragmatic randomized controlled trial Psychological and behavioral characteristics modify the effect of MC and should be considered when recommending long-term preventive management of patients withr ecurrent and persistent LBP. #science #chiropractor #chiropractic #research #education […]
Medicine As A Moral Practice: Reconsidering The Role Of Moral Agency In The Patient-physician Relationship These internal goods and standards of excellence are the constitutive framework of medical practice. 24 They cannot, however, be separated from the element essential to the relationship between the physician and the patient, that is, from the role of the […]
Omega-3 Fatty Acids and Cardiovascular Disease: Are There Benefits? Based on the available evidence, physicians should advise patients to consume a healthy dietary pattern that includes at least two servings of fatty fish per week. This is an important adjunct to the standard of care for CVD treatment. For individuals who do not consume omega-3 […]
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