Muscle Coordination and the Development of Musculoskeletal Disorders. The present article examines the hypothesis that each individual has unique muscle coordination strategies (or signatures) that will have specific mechanical effects on their musculoskeletal system. As such, some strategies would make some people more at risk of developing musculoskeletal disorders than others. Identification of individual coordination […]
Understanding Adolescent Low Back Pain From a Multidimensional Perspective: Implications for Management. In most cases, we recommend a cognitive functional approach that challenges negative LBP beliefs, educates adolescents regarding factors associated with their LBP, restores functional capacity where it is impaired, and encourages healthy lifestyle habits #science #chiropractor #chiropractic #research #education #evidence based #patient centered […]
3D Gait Analysis With and Without an Orthopedic Walking Boot The walking boot alters the gait in the same way as those with existing LLD, putting them at risk for development of secondary knee, hip, and low back pain during treatment protocol. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public […]
The cognitive impact of chronic low back pain: Positive effect of multidisciplinary pain therapy. These findings show that patients with cLBP have slowed speeds of information processing and working memory, but no alteration in attention and recognition memory. There are clearly interactions of cognitive function with pain, depression, anxiety, and medication. MDPT may improve the […]
Hypoalgesic effects of three different manual therapy techniques on cervical spine and psychological interaction: A randomized clinical trial. All the MT techniques studied produced local and segmental hypoalgesic effects, supporting the results of previous studies studying the individual interventions. Interaction between catastrophizing and HVLA technique suggest that whether catastrophizing level is low or medium, the […]
Accelerometer-Determined Physical Activity and Clinical Low Back Pain Measures in Adolescents With Chronic or Subacute Recurrent Low Back Pain. We found no important relationship between objectively measured physical activity and self-reported LBP intensity, disability, or quality of life in adolescents with recurrent or chronic LBP. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]
A Comparison of Back Pain Functional Scale With Roland Morris Disability Questionnaire, Oswestry Disability Index, and Short Form 36-Health Survey #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
In the spine or in the brain? Recent advances in pain neuroscience applied in the intervention for low back pain. Applying contemporary pain neuroscience to improve care for people with CLBP includes identifying relevant pain mechanisms to steer intervention, addressing sleep problems and optimising exercise and activity interventions. This approach includes cognitively preparing patients for […]
Mechanisms of placebo analgesia: A dual-process model informed by insights from cross-species comparisons. We identify substantial overlap between the circuits involved in human placebo analgesia and those that mediate multiple forms of context-based modulation of pain behavior in rodents, including forebrain-brainstem pathways and opioid and cannabinoid systems in particular. This overlap suggests that placebo effects […]
The influence of cervical movement on eye stabilization reflexes: a randomized trial. Diminished neck movements influences both the COR and VOR, although on a different time scale. However, increased neck movements do not affect the reflexes. These findings suggest that diminished neck movements could cause the increased COR in patients with neck complaints. #science #chiropractor […]
Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction. The main findings of this review were that similar impairments (decreased ROM, strength, postural control, and functional activities) are observed in patients with acute LAS, sub-acute LAS, and CAI, suggesting that the impairments associated with CAI are a continuation from the original impairments […]
Histological Osteoarthritic Changes in the Human Cervical Spine Facet Joints Related to Age and Sex. Using semiquantitative histological methods, degenerative findings were observed at all spinal levels involving the articular cartilage and the osseous structures of the cervical spine facet joints similar to those observed in larger weight-bearing joints. In particular, the thickening of the […]
Physical activity and autoimmune diseases: Get moving and manage the disease Both fibromyalgia and systemic sclerosis patients report decreased disease severity, pain, as well as better quality of life with more physical activity. Further, SSc patients improve their grip strength, finger stretching and mouth opening with increased level of exercise. The purpose of this paper […]
Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial Combining PNE with TE resulted in significantly better results for participants with CLBP, with a large effect size, compared with TE alone. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal […]
Not merely a protective packing organ? A review of fascia and its force transmission capacity. Initial in vivo trials appear to underpin these findings, demonstrating the existence of nonlocal exercise effects. However, the factors influencing the amount of transmitted force (e.g., age and physical activity) remain controversial, as well as the role of the central […]
Cytokines in tendon disease: A Systematic Review. This review highlights the roles of IL-1β, IL-6, IL-10, and TNF-α in the development of tendon disease, during tendon healing, and in response to exercise. However, there is evidence accumulating that suggests that other cytokines are also contributing to tendon inflammatory processes. Further work with hypothesis-free methods is […]
Cardiovascular Responses to Skeletal Muscle Stretching: "Stretching" the Truth or a New Exercise Paradigm for Cardiovascular Medicine? Collectively, the evidence provided in this review suggests that stretching acutely or long term may serve as a novel and alternative low intensity therapeutic intervention capable of improving several parameters of vascular function. #science #chiropractor #chiropractic #research #education […]
Functional Limitations in Adults Who Utilize Chiropractic or Osteopathic Manipulation in the United States: Analysis of the 2012 National Health Interview Survey. Notable differences exist in functional limitations and comorbidities between older and younger chiropractic and osteopathic manipulation users. This information could inform clinical practice, education, and policy. #science #chiropractor #chiropractic #research #education #evidence based […]
Using Integrative Medicine in Pain Management: An Evaluation of Current Evidence. Overall, weak positive evidence was found for yoga, relaxation, tai chi, massage, and manipulation. Strong evidence for acupuncture as a complementary treatment for chronic pain that has been shown to decrease the usage of opioids was found. Few studies were found in which integrative […]
Altered erector spinae activity and trunk motion occurs with moderate and severe unilateral hip OA. With increasing OA severity, bilateral ES activity increased during the swing phase of gait (p < 0.001), whereas during stance, the SOA ipsilateral ES activity was higher than other groups (p < 0.001). Statement of clinical significance: with moderate and severe OA, sagittal, and […]
Observations on the Inconsistency of Dermatome Maps and Its Effect on Knowledge and Confidence in Clinical Students Based on our pre-set assessment criteria, upper limb, lower limb, nipple, umbilicus, and perineum dermatomes were labeled correctly by 57.1%, 43.5%, 52.6%, 60%, and 75.7% students, respectively. In light of our results, we propose a map of autonomous […]
Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. There were no significant changes in blood flow or velocity in the vertebral arteries of healthy young male adults after various head positions and cervical spine manipulations. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health […]
The effect of a novel core stabilization technique on managing patients with chronic low back pain: a randomized, controlled, experimenter-blinded study. This study provides the clinical evidence that adding ankle dorsiflexion to drawing in the abdominal wall gave increased benefit in terms of physical disability, pain and core stability in patients with chronic low back […]
Chiropractic Observation and Analysis Study (COAST): providing an understanding of current chiropractic practice. A range of conditions are managed by chiropractors in Victoria, Australia, but most commonly these conditions are musculoskeletal-related. These results can be used by stakeholders of the chiropractic profession in workforce development, education and health care policy. #science #chiropractor #chiropractic #research #education […]
The Influence of Load and Speed on Individuals' Movement Behavior. The data obtained here imply that individuals may not be physically prepared to perform safely or effectively when a task's demands are elevated simply because they exhibit the ability to perform a low-demand activity with competence. Therefore, movement screens comprising only low-demand activities may not […]
Brief review: piriformis syndrome: etiology, diagnosis, and management. Piriformis syndrome continues to be a controversial diagnosis for sciatic pain. Electrophysiological testing and nerve blocks play important roles when the diagnosis is uncertain. Injection of local anesthetics, steroids, and botulinum toxin into the piriformis muscle can serve both diagnostic and therapeutic purposes. An ultrasound-guided injection technique […]
Can passive mobilization provide clinically-relevant brain stimulation? A pilot EEG and NIRS study on healthy subjects. This result, albeit based on very few observations, might suggest that passive motion provides somatosensory afferences that are processed in a similar manner as for voluntary control. Should this evidence be confirmed by further trials on healthy individuals and […]
Subconscious manipulation of pain expectation can modulate cortical nociceptive processing. As perceived pain inhibition was enhanced but flexion reflex size unchanged following the intervention, we suggest that the intervention gave rise to an inhibition of ascending nociceptive information at a supraspinal level resulting in reduced pain perception without influencing spinal level processing of nociceptive input. […]
Neural responses of posterior to anterior movement on lumbar vertebrae: a functional magnetic resonance imaging study. The current study demonstrates the feasibility of the application of PA pressure on lumbar spinous processes in an MRI environment. This approach may serve as a promising tool for further investigations regarding neuroplastic changes in chronic low back pain […]
Strobe glasses improve hockey players' performance Professional hockey players who trained with special eyewear that only allowed them to see action intermittently showed significant improvement in practice drills, according to a study with the NHL's Carolina Hurricanes. The eyewear features lenses that switch between transparent and opaque, producing stroboscopic visual conditions, much like a strobe […]
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Research Posts
The Surprising Dramatic Role of Nutrition in Mental Health
The importance of stupidity in scientific research
Conservative Interventions Reduce Fear in Individuals With Chronic Low Back Pain: A Systematic Review
The treatment of children with SMT does not present a significant risk to the public