Research Posts
[Trends in Google searches on complementary and alternative medicine]. The interest in CAM therapies shows temporal and geographic variations that must be studied in depth. These results can be used for the establishment of an international monitoring for the use of CAM therapies. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation […]
Sagittal radiographic parameters demonstrate weak correlations with pretreatment patient-reported health-related quality of life measures in symptomatic de novo degenerative lumbar scoliosis: a European multicenter analysis. While DNDLS is a severe disabling condition, no noteworthy association between clinical and sagittal radiographic parameters was found through this study, demonstrating that sagittal radiographic parameters should not be considered […]
Elevated Production of Nociceptive CC-chemokines and sE-selectin in Patients With Low Back Pain and the Effects of Spinal Manipulation: A Non-randomized Clinical Trial The production of chemotactic cytokines is significantly and protractedly elevated in LBP patients. Changes in chemokine production levels, which might be related to SMT, differ in the acute and chronic LBP patient […]
Pain Extent Is Associated with the Emotional and Physical Burdens of Chronic Tension-Type Headache, but Not with Depression or Anxiety. Pain extent weakly correlated with older age as well as with higher emotional and physical burden of the headache in CTTH. In this population, there was no relationship between pain extent and PPT, indicating that […]
Diagnostic triage for low back pain: a practical approach for primary care. A diagnosis of NSLBP presumes exclusion of specific pathologies and nerve root involvement. A biopsychosocial model of care underpins NSLBP; this includes managing pain intensity and considering risk for disability, which directs matched pathways of care. Back pain is a symptom and not […]
Changes in biochemical markers following spinal manipulation-a systematic review and meta-analysis The current review found that spinal manipulation can increase substance-p, neurotensin, oxytocin and interleukin levels and may influence cortisol levels post-intervention. However, future trials targeting symptomatic populations are required to understand the clinical importance of such changes. #science #chiropractor #chiropractic #research #education #evidence based […]
Impairments of balance, stepping reactions and gait in people with cervical dystonia. People with cervical dystonia displayed deficits in balance, gait and stepping reactions, and expressed higher fear of falling. Studies to further elucidate functional limitations and their impact on activity and participation in daily life are required. #science #chiropractor #chiropractic #research #education #evidence based […]
Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as first-line therapy, or tramadol or duloxetine as […]
The suboccipital ligament. The suboccipital ligament extends between the occipital condyle and the superior edge of the C-1 lamina, connecting the contralateral sides, and appears to function as a real ligament. It is ventral to the occipital bone, which covers approximately two-thirds of the height of the ligament and is loosely attached to the dura […]
Mechanoreceptors in Diseased Cervical Intervertebral Disc and Vertigo. The diseased cervical discs from patients with vertigo had more abundant distribution of Ruffini corpuscles than other discs. A positive association between the increased number and ingrowth of Ruffini corpuscles in the diseased cervical disc and the incidence of vertigo in the patients with cervical spondylosis was […]
Treatment of painful radiculopathies with capsaicin 8% cutaneous patch. Effective neuropathic pain relief was observed after patch application within the innervation territories of both dorsal and ventral branches of the spinal nerve. Further controlled randomized trials are indicated. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal […]
Digital Support Interventions for the Self-Management of Low Back Pain: A Systematic Review. The literature is extremely heterogeneous, making it difficult to understand what might work best, for whom, and in what circumstances. Participants were predominantly female, white, well educated, and middle aged, and thus the wider applicability of digital self-management interventions remains uncertain. No […]
Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. This is the first comprehensive systematic review of diagnostic accuracy studies that evaluate clinical examination findings for their ability to identify the most common patho-anatomical disorders in the lumbar spine. In some diagnostic categories we have sufficient evidence to recommend a CDR. […]
Discovery of 'mini-brains' could change understanding of pain medication The study now suggests the transmission of information to the central nervous system must go through another set of gates, or more accurately a process similar to a volume control, where the flow of information can be controlled by the peripheral nervous system. "Peripheral nerves have […]
Complementary and integrative medicine in the management of headache. Spinal manipulation, chiropractic care, some supplements and botanicals, diet alteration, and hydrotherapy may also be beneficial in migraine headache. CIM has not been studied or it is not effective for cluster headache. Further research is needed to determine the most effective role for CIM in patients […]
Beliefs in the population about cracking sounds produced during spinal manipulation. Certain beliefs have documented adverse effects. This study showed a high prevalence of unfounded beliefs regarding spinal manipulation. These beliefs deserve greater attention from healthcare providers, particularly those who practice spinal manipulation. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation […]
Low back pain and sciatica in over 16s "Statement 1 Primary care services have an approach to risk stratification for young people and adults presenting with a new episode of low back pain with or without sciatica. Statement 2 Young people and adults with low back pain with or without sciatica do not have imaging […]
The experiences and needs of people seeking primary care for low-back pain in Australia People seeking primary care for LBP in Australia do not report high satisfaction with care and are consulting multiple practitioners for treatment. Patients are using multiple treatment modalities and value many treatments that are not endorsed by current guidelines. The results […]
Worsening trends in analgesics recommended for spinal pain in primary care. GP's analgesic recommendations for spinal pain have become increasingly divergent from guideline recommendations over time. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Prospective Comparison of Changes in Lumbar Spine MRI Findings over Time between Individuals with Acute Low Back Pain and Controls: An Exploratory Study Changes in MR imaging findings were observed in a similar proportion of the low back pain and control groups, except for herniations, annular fissures, and nerve root compromise, which were twice as […]
Spinal Tissue Loading Created by Different Methods of Spinal Manipulative Therapy Application In conclusion, this is the first study to show that SMT application method influences loads created in spinal tissues. Given our previous work showing that SMT creates forces that are unique from passive movements, it is possible that different SMT application techniques could […]
Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica: Findings of Four Prospective Cohort Studies Smoking and obesity increase the risk of hospitalization for sciatica, whereas walking or cycling to work protects against hospitalization for sciatica. Walking and cycling can be recommended for the prevention of sciatica in the general population #science #chiropractor #chiropractic […]
Are the size and composition of the paraspinal muscles associated with low back pain? A systematic review. This review found evidence that multifidus CSA was negatively associated with and predictive of LBP up to 12 months but conflicting evidence for an association between erector spinae, psoas, and quadratus lumborum CSA and LBP. To further understand […]
Treatment of Low Back Pain This guideline provides a pragmatic approach to treating LBP stratified by symptom duration. Among the many noninvasive treatments considered, no option shows a large benefit for pain and back-specific function. Even less can be said of therapeutic effects on other clinical outcomes like reduction in disability and improvement in quality […]
The biopsychosocial model and chiropractic: a commentary with recommendations for the chiropractic profession The chiropractic profession has a history rooted in positive BPS model assessment and intervention strategies. However, there remains a component of chiropractic culture that may unintentionally be giving messages that cultivate negative psychosocial behavior in patients. The profession may benefit from increased […]
Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty A systematic approach to surveying educators in international chiropractic institutions was accomplished. The results of the survey provide a list of essential literature for the chiropractic profession. We recommend establishing a chiropractic faculty registry for improved communication and […]
Effectiveness of dry needling versus a classical physiotherapy program in patients with chronic low-back pain: a single-blind, randomized, controlled trial Although the total number of subject participated was small, the minimal statistical requirement was satisfied with significance between the study group and control group. Further studies are needed to find the long lasting effect and […]
Association between menopause and lumbar disc degeneration: an MRI study of 1,566 women and 1,382 men. Menopause is associated with lumbar disc degeneration. The association occurred in the first 15 YSM, suggesting estrogen deficiency might be a risk factor of disc degeneration of the lumbar spine. Further studies need to be carried out for deciding […]
Evidence for a Role of Nerve Injury in Painful Intervertebral Disc Degeneration: A Cross-Sectional Proteomic Analysis of Human Cerebrospinal Fluid. CSF was examined for differential protein expression in healthy control participants, pain-free adults with asymptomatic intervertebral DD, and LBP patients with painful intervertebral DD. While DD was related to inflammation regardless of pain status, painful […]
Healthy lifestyle behavior and risk of long duration troublesome neck pain or low back pain among men and women: results from the Stockholm Public Health Cohort. An HLB seems to be protective for long duration troublesome LBP in men, and for long duration troublesome NP in women. #science #chiropractor #chiropractic #research #education #evidence based #patient […]
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