Research Posts

The Spine Functional Index: development and clinimetric validation of a new whole-spine functional outcome measure
The Spine Functional Index: development and clinimetric validation of a new whole-spine functional outcome measure The SFI demonstrated sound clinimetric properties with lower response errors, efficient completion and scoring, and improved responsiveness and overall clinimetric performance compared with the FRI. These results indicated that the SFI was suitable for functional outcome measurement of the whole spine in […]
Eighty years of Medication-Overuse Headache: what about Medication-Overuse Backpain
Eighty years of Medication-Overuse Headache: what about Medication-Overuse Backpain" Considering our results, the described withdrawal method seems to be a simple and safe method to achieve pain reduction while simultaneously preventing organ damage. Despite the preliminary character of our results, our hypothesis might stimulate a new understanding of CLBP’s pathophysiology. " #science #chiropractor #chiropractic #research […]
Examination of the neck when a patient complains of shoulder pain: a global survey of current practice (2019)
Examination of the neck when a patient complains of shoulder pain: a global survey of current practice (2019) This survey provides some insight as to how healthcare practitioners examine the neck when a patient complains of shoulder pain. Most would examine based on anterolateral shoulder pain, using variable combinations of movement, resistance, neurological and palpation/other […]
The Evolving Role of Gut Microbiota in the Management of Irritable Bowel Syndrome: An Overview of the Current Knowledge
The Evolving Role of Gut Microbiota in the Management of Irritable Bowel Syndrome: An Overview of the Current Knowledge In conclusion, in the current review we have provided a focused summary of the latest literature on the potential role of gut dysbiosis in the pathogenesis of IBS and discussed the translation of microbiota-modifying strategies as […]
The Pathogenesis of Ankylosing Spondylitis: an Update
The Pathogenesis of Ankylosing Spondylitis: an Update" Genotypes of endoplasmic reticulum aminopeptidases (ERAP) 1 and 2 have been associated with alterations in the antigenic pool expressed by HLA-B*27 molecules. In the gut, innate immune cells type 3 (ILC3) influence T cell expression of IL-17 and IL-22. Gamma-delta (γ/δ) T cells are induced by IL-23 to […]
Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study
Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study To provide cross-sectoral care, we must ensure that professionals work together towards transparent and informed transitions from one sector to the next. This study contributes to the existing literature by presenting challenges to cross-sectoral care that […]
Establishing the Basis for Mechanobiology-Based Physical Therapy Protocols to Potentiate Cellular Healing and Tissue Regeneration
Establishing the Basis for Mechanobiology-Based Physical Therapy Protocols to Potentiate Cellular Healing and Tissue Regeneration" Life is mechanobiological: mechanical stimuli play a pivotal role in the formation of structurally and functionally appropriate body templates through mechanobiologically-driven cellular and tissue re/modeling. The body responds to mechanical stimuli engendered through physical movement in an integrated fashion, internalizing […]
Effects of Nonpharmaceutical Treatments on Symptom Management in Adults With Mild or Moderate Multiple Sclerosis: A Meta-analysis
Effects of Nonpharmaceutical Treatments on Symptom Management in Adults With Mild or Moderate Multiple Sclerosis: A Meta-analysis"The combined effect of interventions produced a large overall effect size for the outcome fatigue; medium effect sizes for functionality, balance, and quality of life; and no effect on pain or spasticity. Physical activity had the greatest effect, improving fatigue, […]
The role of bone SPECT/CT in patients with persistent or recurrent lumbar pain following lumbar spine stabilization surgery
The role of bone SPECT/CT in patients with persistent or recurrent lumbar pain following lumbar spine stabilization surgeryThe proportion of patients with abnormal activity in the adjacent segments increased to 67.3% at >6 years after LSSS (p < 0.05). Positive SPECT/CT findings in the stabilized segments were more frequent in patients with three or more stabilized segments (p < 0.05), […]
Fatty infiltration of paraspinal muscles is associated with bone mineral density of the lumbar spine
Fatty infiltration of paraspinal muscles is associated with bone mineral density of the lumbar spinePDFF of the erector spinae, multifidus, and psoas of subjects with normal bone density were all significantly less than those with osteopenia and those with osteoporosis (all p < 0.001). There was an inverse correlation between paraspinal muscle PDFF and BMD after controlling […]
The Ultimate Cheat Sheet for Critical Thinking
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain
A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain" The most prevalent primary headaches tension-type headache and migraine are frequently associated with neck pain. A wide variety of treatment options is available for people with headache and neck pain. Some of these interventions are recommended in guidelines on headache: self-management strategies, pharmacological and […]
Transcutaneous Electrical Nerve Stimulation Reduces Movement‐Evoked Pain and Fatigue: A Randomized, Controlled Trial
Transcutaneous Electrical Nerve Stimulation Reduces Movement‐Evoked Pain and Fatigue: A Randomized, Controlled TrialAmong women who had FM and were on a stable medication regimen, 4 weeks of active TENS use compared to placebo TENS or no TENS resulted in a significant improvement in movement‐evoked pain and other clinical outcomes. Further research is needed to examine […]
U.S. Physician Recommendations to Their Patients About the Use of Complementary Health Approaches.
U.S. Physician Recommendations to Their Patients About the Use of Complementary Health Approaches." Massage therapy was the most commonly recommended CHA (30.4%), followed by chiropractic/osteopathic manipulation (27.1%), herbs/nonvitamin supplements (26.5%), yoga (25.6%), and acupuncture (22.4%). The most commonly recommended CHAs by general/family practice physicians were chiropractic/osteopathic manipulation (54.0%) and massage therapy (52.6%). " #science #chiropractor […]
Stress and the brain-gut axis in functional and chronic-inflammatory gastrointestinal diseases: A transdisciplinary challenge
Stress and the brain-gut axis in functional and chronic-inflammatory gastrointestinal diseases: A transdisciplinary challenge•Psychological stress plays a broad role in the brain-gut axis and modulates visceral sensorimotor functions.•Psychological stress contributes to the pathophysiology of functional and chronic-inflammatory gastrointestinal conditions.•Stress plays a role in several non-pharmacological treatment approaches.•New evidence on gut microbiota and memory mechanisms support […]
Does Diabetes Mellitus Affect Lumbar Paraspinal Muscle Morphometry?
This study shows that type II DM is associated with decreased paraspinal muscle CSA, but this finding was specific to the longissimus muscle. Our findings suggest that metabolic factors may play an important role in the maintenance of paraspinal muscle balance. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health […]
I Want to Hold Your Hand (to Ease the Pain)
I Want to Hold Your Hand (to Ease the Pain)"López-Solà believes there is a strong central component to the phenomenon of handholding analgesia.“It’s hard to say conclusively whether or not the results are driven in part by peripheral input. However, the strong involvement of multiple limbic and neocortical regions that we see should be less […]
A 2-yr, School-Based Resistance Exercise Pilot Program Increases Bone Accrual in Adolescent Girls
A 2-yr, School-Based Resistance Exercise Pilot Program Increases Bone Accrual in Adolescent Girls
Convergent neural representations of experimentally-induced acute pain in healthy volunteers: A large-scale fMRI meta-analysis
Convergent neural representations of experimentally-induced acute pain in healthy volunteers: A large-scale fMRI meta-analysis We analyzed these experiments using Activation Likelihood Estimation with rigorous type I error control (voxel height p < 0.001, cluster p < 0.05 FWE-corrected) and found a convergent, largely bilateral pattern of pain-related activation in the secondary somatosensory cortex, insula, midcingulate […]
Long term effects of cervical thrust versus thoracic thrust manipulation in patients with chronic mechanical neck pain: Double blinded randomized clinical trial.
Long term effects of cervical thrust versus thoracic thrust manipulation in patients with chronic mechanical neck pain: Double blinded randomized clinical trial. Numeric pain rating scale (NPRS), and Neck Disability Index (NDI) were (P<0.05) improved in the both MCM and MTM groups. But significant improvement seen in cervical manipulation group. Participants in the cervical manipulation […]
Manual Therapy: Art or Science?
Manual Therapy: Art or Science? While the current main limitation of Manual Therapy is the production of predominantly short-term responses, these observations are primarily based on studies that have investigated the effectiveness of individual techniques. However, we know that the therapeutic relationship in clinical practice is also made up of other things, such as the […]
Relationships Between Psychological, Social, Physical Activity, and Sleep Measures and Somatosensory Function in Individuals With Spinal Pain : A Systematic Review and Meta-analysis
Relationships Between Psychological, Social, Physical Activity, and Sleep Measures and Somatosensory Function in Individuals With Spinal Pain : A Systematic Review and Meta-analysis Psychological factors are associated negatively with pain thresholds and they need to be adjusted when establishing predictive relationships between somatosensory function and pain outcomes in individuals with spinal pain. #science #chiropractor #chiropractic […]
To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis
To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis There was low-quality evidence that greater lumbar spine flexion during lifting was not a risk factor for LBP onset/persistence or a differentiator of people with and without LBP. J Orthop […]
Cannabinoids for adult cancer-related pain: systematic review and meta-analysis
Cannabinoids for adult cancer-related pain: systematic review and meta-analysis Studies with a low risk of bias showed that for adults with advanced cancer, the addition of cannabinoids to opioids did not reduce cancer pain. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function […]
Temporomandibular dysfunction in patients with a history of stroke.
Temporomandibular dysfunction in patients with a history of stroke. There was an increase in the muscle tone and the pressure pain threshold, and a decrease in cervical spine ROM, related to the affected side and diagnosed with this disorder, observing that the muscle alterations caused by stroke may be predisposing factors to patients, to the […]
Association Between the Severity of Dysphagia and Various Parameters of the Cervical Spine; Videofluoroscopic Analysis in Neutral and Retraction Position of the Normal Volunteers
Association Between the Severity of Dysphagia and Various Parameters of the Cervical Spine; Videofluoroscopic Analysis in Neutral and Retraction Position of the Normal Volunteers #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Effects of Lumbosacral Arthrodesis on the Biomechanics of the Sacroiliac Joint
Effects of Lumbosacral Arthrodesis on the Biomechanics of the Sacroiliac Joint Following 360°, 1 or 2-level lumbosacral spine arthrodesis, the sacroiliac joint experienced an increase in motion during flexion-extension loading, but not in axial loading, in this laboratory model. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Association between lumbar disc herniationand facet joint osteoarthritis
Association between lumbar disc herniationand facet joint osteoarthritis Both the degree of LDH and MSU-B LDH are associated with the severity of FJOA. The associationbetween LDH and FJOA highlights the complexity of the etiology of FJOA. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics […]
Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy
Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy Multiple logistic regression analysis in this study suggests that multiple clinical factors are associated with favorable outcomes in patients with Bell palsy. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function […]
Functional Anatomy of the Human Spine
Functional Anatomy of the Human Spine The objective of this chapter is to cover the anatomy and signaling pathways that contribute to our understanding of signal transduction from the peripheral to the central nervous system. This chapter provides the basis for understanding pain pharmacology and various interventions undertaken by pain practitioners. #science #chiropractor #chiropractic #research #education […]