Research Posts
Does Case Misclassification Threaten the Validity of Studies Investigating the Relationship Between Neck Manipulation and Vertebral Artery Dissection Stroke? No Current evidence does not support the notion that misclassification threatens the validity of recent case-control studies investigating the relationship between CMT and VAD. Hence, the recent re-analysis cannot refute the conclusion from previous studies that […]
Attitudes and Opinions of Doctors of Chiropractic Specializing in Pediatric Care Toward Patient Safety: A Cross-sectional Survey Compared with 2014 Agency for Healthcare Research and Quality physician referent data from medical offices, pediatric DCs appear to have more positive patient safety attitudes and opinions. Future patient safety studies need to prospectively evaluate safety performance with […]
Establishing an Integrative Medicine Program Within an Academic Health Center: Essential Considerations The authors conclude that there is currently no consensus as to how integrative care models should be optimally organized, implemented, replicated, assessed, and funded. The time may be right for prospective research in "best practices" across emerging models of IM care nationally in […]
The treatment of neck pain-associated disorders and whiplash-associated disorders: a clinical practice guideline A multimodal approach including manual therapy, self-management advice, and exercise, is an effective treatment strategy for recent-onset and persistent neck pain. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function […]
Physical Exercise as Non-Pharmacological Treatment of Chronic Pain: Why and When For chronic pain, strict guidelines for physical activity are lacking, but frequent movement is preferable to sedentary behavior. This gives considerable freedom in prescribing physical activity treatments, which are most successful when tailored individually, progressed slowly, and account for physical limitations, psychosocial needs, and […]
The Reporting of Adverse Events Following Spinal Manipulation in Randomized Clinical Trials-A Systematic Review Although there has been an increase in reporting adverse events since the introduction of the 2010 CONSORT guidelines, the current level should be seen as inadequate and unacceptable. We recommend that authors adhere to the CONSORT statement when reporting adverse events […]
Exploring the Definition of Acute Low Back Pain: A Prospective Observational Cohort Study Comparing Outcomes of Chiropractic Patients With 0-2, 2-4, and 4-12 Weeks of Symptoms The time period 0-4 weeks as the definition of "acute" should be challenged. Patients with 2-4 weeks of symptoms had outcomes similar to patients with subacute (4-12 weeks) symptoms […]
The Influence of Home Exercise Programs for Patients With Non-Specific or Specific Neck Pain: A Systematic Review of the Literature Home exercise programs that utilize either self-mobilizations within an augmented HEP to address specific spinal levels, or strengthening, and/or endurance exercise are effective at reducing neck pain, function, and disability and improving QOL. The benefit […]
Role of Acupuncture in the Treatment or Prevention of Migraine, Tension-Type Headache, or Chronic Headache Disorders This brief review of the current, published evidence does not include a discussion of potential risks or adverse events associated with acupuncture. There is also the question of the extent to which placebo effects might contribute to acupuncture's clinical […]
Perceptions of the Quality of the Therapeutic Alliance in Chiropractic Care in The Netherlands: A Cross-Sectional Survey Both patients and chiropractors perceived the quality of the therapeutic alliance as being very positive. Despite these positive results, patient and chiropractor pairs perceived the level of collaboration in order to reach agreement on treatment goals and strategies […]
An Indication of Current Views of Australian General Practitioners Towards Chiropractic and Osteopathy: A Cross-Sectional Study This study provides an indication of the current views of Australian general practitioners towards chiropractors and osteopaths. The findings suggest that attitudes may have become less favourable with a growing intolerance towards both professions. If confirmed, this has the […]
Thoughts and impressions midway through the FIFA Sports Medicine Diploma Chiropractor Nashton Lane in the British Medical Journal Blog: Thoughts and impressions midway through the FIFA Sports Medicine Diploma. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Neural Correlates of Fear of Movement in Patients With Chronic Low Back Pain vs. Pain-Free Individuals Current findings support the FOM component of the FA model in cLBP. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Effectiveness of Chiropractic Care to Improve Sensorimotor Function Associated With Falls Risk in Older People: A Randomized Controlled Trial Sensorimotor function and multisensory integration associated with fall risk and the physical component of quality of life improved in older adults receiving chiropractic care compared with control. Future research is needed to investigate the mechanisms of […]
The Most Physically Active Danish Adolescents Are at Increased Risk for Developing Spinal Pain: A Two-Year Prospective Cohort Study In general, physical activity did not affect the risk of spinal pain during follow-up, but the 10% most active adolescents were at increased risk of developing spinal pain. Thus, vigorous physical activity appears to be a […]
Establishing the ACORN National Practitioner Database: Strategies to Recruit Practitioners to a National Practice-Based Research Network It does appear that a number of key promotional and recruitment features of the ACORN project may have helped establish the high response rate for the PBRN, which constitutes an important sustainable resource for future national and international efforts […]
Subluxation and semantics: a corpus linguistics study In summary, this analysis of discourse in the CMCC curriculum suggests that three distinct but related concepts are all referred to as subluxation. Only one model is presented for the subluxation event, and this is a coherent model based on conventional anatomical and biomechanical concepts, and validated through […]
Is Thoracic Spine Posture Associated With Shoulder Pain, Range of Motion and Function? A Systematic Review Thoracic kyphosis may not be an important contributor to the development of shoulder pain. While there is evidence that reducing thoracic kyphosis facilitates greater shoulder ROM, this is based on single-session studies whose long-term clinical relevance is unclear. Higher […]
Similarities and Differences of Graduate Entry-Level Competencies of Chiropractic Councils on Education: A Systematic Review A series of recommendations are proposed to create uniform and high quality international standards of care. Future research should compare the levels of CCEs enforcement of standards to see if similarities and differences exist. #science #chiropractor #chiropractic #research #education #evidence […]
How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury There is evidence from some sports that if load is applied in a moderate and progressive manner, and rapid increases in load—relative to what the athlete is prepared for—are avoided, high loads and physically hard […]
Does Experimental Low Back Pain Change Posteroanterior Lumbar Spinal Stiffness and Trunk Muscle Activity? A Randomized Crossover Study While previous clinical research reported inconsistent findings regarding the association between spinal stiffness and low back pain, our study revealed that experimental pain caused temporary increases in spinal stiffness and concurrent trunk muscle co-contraction during indentation, which […]
Management of Neck Pain and Associated Disorders: A Clinical Practice Guideline From the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration UOIT-CMCC Researchers with a comprehensive study on the management of neck pain and associated disorders #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics […]
Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the […]
Psychosocial Risk Factors, Interventions, and Comorbidity in Patients with Non-Specific Low Back Pain in Primary Care: Need for Comprehensive and Patient-Centered Care Rather than specifically screening for psychosocial conditions, this suggests taking into account any potential comorbidity in patients with chronic LBP, as in other patients. All these results support the adoption of a more […]
To what extent are surgery and invasive procedures effective beyond a placebo response? A systematic review with meta-analysis of randomised, sham controlled trials The non-specific effects of surgery and other invasive procedures are generally large. Particularly in the field of pain-related conditions, more evidence from randomised placebo-controlled trials is needed to avoid continuation of ineffective […]
How Effective Is Physical Therapy for Common Low Back Pain Diagnoses? We observed that a substantial percentage of the population did not meet MCID for pain and function following treatment of low back pain with physical therapy. Common risk factors for treatment failure included smoking and presence of night symptoms. #science #chiropractor #chiropractic #research #education […]
Electroacupuncture inhibits NLRP3 inflammasome activation through CB2 receptors in inflammatory pain These results suggest that EA reduces the inflammatory pain by inhibiting the activation of NLRP3 inflammasome through CB2 receptors. Our findings provide novel information about the mechanisms through which EA and CB2 receptor activation reduce inflammatory pain. #science #chiropractor #chiropractic #research #education #evidence based […]
Chronic Low Back Pain and the Risk of Depression or Anxiety Symptoms: Insights From a Longitudinal Twin Study The relationship between chronic LBP and the future development of depression or anxiety symptoms is not causal. The relationship is likely to be explained by confounding from shared familial factors, given the non-statistically significant associations in the […]
Vertebral Artery Dissection Vertebral artery dissection (VAD) is a rare cause of stroke in the general population; however, represents one of the more common causes of stroke in patients younger than 45 years of age. Its signs and symptoms can be vague, and diagnosis can be elusive. Spontaneous dissections have been reported. However, incidental minor […]
When Chronic Pain Is Not “Chronic Pain”: Lessons From 3 Decades of Pain This suggests that we should never be entirely convinced of our favored assessment or management technique, and that we should never stop considering why a patient is either not making progress or perhaps getting worse. The role of the clinical-reasoning detective has […]
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