"Compared with sham or no traction, lumbar traction exhibited significantly more pain reduction and functional improvements in the short term, but not in the long term. There is insufficient evidence to support the effect of lumbar traction on herniated disk size reduction."The effect of mechanical traction on low back pain in patients with herniated intervertebral […]
"Implementing a clinical management decision aid into the teaching curriculum helped to facilitate the ability of chiropractic students to develop patient management plans."The usefulness of a novel patient management decision aid to improve clinical decision-making skills in final year chiropractic students #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health […]
Read them here #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
""The purpose of this paper is to illustrate the normal anatomy of peripheral nerves in the upper and lower limbs and to review the MRI features of common disorders affecting the peripheral nerves, both compressive/entrapment and noncompressive, involving the suprascapular nerve, the axillary nerve, the radial nerve, the ulnar nerve, and the median verve in […]
Changes in cervical sagittal alignment with age are characterized by increased cervical lordosis and increased thoracic kyphosis.Age-related Changes in Cervical Sagittal Alignment #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
""Our study suggests that HVLA manipulation of the upper cervical spine with neck exercise can be effective for treatment of pain and dysfunction in patients with chronic TMD, it is not the TMD treatment itself. Therefore, it seems reasonable to add cervical manipulation to the rehabilitation program."Spinal high-velocity low-amplitude manipulation with exercise in women with […]
"Initial visits to chiropractors or physical therapists is associated with substantially decreased early and long-term use of opioids. Incentivising use of conservative therapists may be a strategy to reduce risks of early and long-term opioid use."Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid […]
Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study"Isometric and isotonic exercise programmes appear to be effective for individuals with GTPS and should be considered in the loading management of patients with this condition." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Evaluation of neurodynamic responses in women with frequent episodic tension type headache.Women with FETTH exhibit generalized lower mechanical pain thresholds during nerve tissue tests.Lower thresholds were manifested by decreased range of motion in all tests.•Higher reports of pain were bilaterally observed in 2 out of 3 tests.•Our results suggest that women with FETTH show heightened […]
Rowers with a recent history of low back pain engage different regions of the lumbar erector spinae during rowing"Both the magnitude of activation and distribution of ES activity were altered in rowers with a recent history of LBP. The lower complexity of signals together with the caudal displacements of the barycentre suggest an inefficient recruitment […]
Neck-specific strengthening exercises and cognitive therapy for chronic neck pain: a systematic review"The combination of cognitive therapy and neck-specific strengthening exercises was not found to be more effective at reducing pain and disability than neck-specific strengthening exercises alone (SMD 0.22, 95%CI −0.01 to 0.45, p = .06) or cognitive therapy alone (SMD 0.26, 95%CI −0.33 to 0.86, […]
Magnitude, response, and psychological determinants of placebo effects in chronic low-back pain "This study demonstrated very large response to placebo injections, both response rate (78%) and magnitude (effect size d = 1.85). Expectation and anxiety were important modulators of response to placebo in this setting, with support given to expectation as a dynamic modulator of […]
Systematic review of the diagnostic accuracy, reliability, and safety of the sharp-purser test."The Sharp Purser Test may be inappropriate to use due to inconsistent validity, poor inter-rater reliability, and potential to cause harm. Level of evidence: 1." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health […]
The effect of a single high velocity low amplitude hip mobilization on strength in subjects with knee injuries."A single hip distraction resulted in a significant increase in gluteus maximus strength but did not produce a change in gluteus medius or quadriceps strength in subjects with knee injuries." #science #chiropractor #chiropractic #research #education #evidence based #patient […]
The Effectiveness of Instrument-Assisted Soft Tissue Mobilization in Athletes, Participants Without Extremity or Spinal Conditions, and Individuals with Upper Extremity, Lower Extremity, and Spinal Conditions: A Systematic Review"The current evidence does not support the use of IASTM to improve pain, function, or range of motion in individuals without extremity or spinal conditions or those with […]
The association between headache and low back pain: a systematic review"We included 14 studies. The sizes of the studies ranged from 88 participants to a large international study with 404, 206 participants. Odds ratios for the association were between 1.55 (95% confidence interval (CI) 1.13–2.11) and 8.00 (95% CI 5.3–12.1). Study heterogeneity meant statistical pooling […]
"In short, imaging did not affect patient-reported outcomes nor the risk of complications compared with usual care, meaning that routine imaging is not necessary nor is it a good use of resources. Good clinical judgement was sufficient to warrant a x-ray. For more reading pleasure, see any of the following articles. The economic evaluations will […]
"Our findings suggest that optimal magnesium status may be important for optimizing 25(OH)D status."Magnesium status and supplementation influence vitamin D status and metabolism: results from a randomized trial #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
Clinical prevalence and population incidence of serious pathologies among patients undergoing magnetic resonance imaging for low back pain"The prevalence of serious pathologies was significantly higher in tertiary care (public health) than in private secondary care settings. One in every 6.5 patients referred for MRI in tertiary care demonstrated structural abnormalities associated with serious pathology, which […]
The public branding of chiropractors as musculoskeletal experts keeps paying dividends. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL
Mediation of the Acute Stress Response by the Skeleton"We hypothesized that bone evolved, in part, to enhance the ability of bony vertebrates to escape danger in the wild. In support of this notion, we show here that a bone-derived signal is necessary to develop an acute stress response (ASR). Indeed, exposure to various types of […]
"Renowned exercise physiologists Martin Gibala and Stuart Phillips of McMaster University teach the surprising new science of cardio fitness and strength-building—and then provide you with hacks to get fit and strong (and healthy!) in less time than you ever thought possible. What’s the right mix of exercise between cardio and strength? How do you know […]
Manual Therapy Reduces Pain Behavior and Oxidative Stress in a Murine Model of Complex Regional Pain Syndrome Type I "In summary, current results extended previous findings and demonstrated that daily sessions of MT (manual therapy) presented antihyperalgesic effects mediated, at least in part, through (1) prevention of TBARS and protein carbonyls increase in peripheral (hindpaw) […]
Mechanoadaptation: articular cartilage through thick and thin"The molecular mechanisms that underlie disuse atrophy are poorly understood despite the identification of multiple mechanosensing mechanisms in cartilage. Moreover, there has been a tendency to equate cartilage loss with osteoarthritic degeneration. Here, we review the historic literature and clarify the structural, metabolic and clinical features that clearly distinguish […]
The Global Summit on the Effectiveness of Spinal Manipulation for the Prevention and Management of Non-Musculoskeletal Disorders: A Focus on Patients and the Public is taking place September 14-15 at the Canadian Memorial Chiropractic College. The Global Summit has attracted scientists, academics and researchers from around the world. Organised by Professors Pierre Côté, Jan Hartvigsen, […]
Learn more about the CCGI here "Worldwide, a considerable number of surgeries are performed each year for the management of people with LBP with or without radiculopathy. Findings from this systematic review will advance our knowledge on the effectiveness and safety of a wide range of post-surgical rehabilitation interventions for people with LBP with or […]
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Research Posts
History is made as Scott Haldeman DC, MD, PhD receives United Arab Emorates Scientific Award
No consensus on causality of spine postures or physical exposure and low back pain: A systematic review of systematic reviews.
Unravelling functional neurology: does spinal manipulation have an effect on the brain? – a systematic literature review
Domains of chronic low back pain and assessing treatment effectiveness: A clinical perspective.