Research Posts

Implementing Exercise in Healthcare Settings: The Potential of Implementation Science
Implementing Exercise in Healthcare Settings: The Potential of Implementation Science Exercise is an efficacious therapy for many chronic diseases. Integrating efficacious evidence-based interventions (EBIs), such as exercise, into daily healthcare practice is a slow and complex pursuit. Implementation science seeks to understand and address this phenomenon by conducting studies about the methods used to promote […]
Sudden gait perturbations elicit sex-specific neuromuscular trunk responses in persons with low back pain
Sudden gait perturbations elicit sex-specific neuromuscular trunk responses in persons with low back pain In this LBP population, abdominal muscle activation discriminated females from males. Specifically, females had higher activity of the rectus abdominis muscles and lower activation of the externus oblique muscles. These different activation strategies might be relevant to the development of sex-specific […]
Mechanisms of exercise-induced preconditioning in skeletal muscles
Mechanisms of exercise-induced preconditioning in skeletal muscles Endurance exercise training promotes numerous biochemical adaptations within skeletal muscle fibers culminating into a phenotype that is safeguarded against numerous perils including doxorubicin-induced myopathy and inactivity-induced muscle atrophy. This exercise-induced protection of skeletal muscle fibers is commonly termed “exercise preconditioning”. This review will discuss the biochemical mechanisms responsible […]
Autonomic Effects of Spinal Manipulative Therapy: Systematic Review of Randomized Controlled Trials
Autonomic Effects of Spinal Manipulative Therapy: Systematic Review of Randomized Controlled TrialsEighteen trials were included in this systematic review. Passive accessory intervertebral mobilization produced sympathoexcitation independently of the treated region (cervical, thoracic, or lumbar spine); although sustained natural apophyseal glides did not influence the ANS, conflicting results were observed regarding manipulation techniques. The overall quality […]
Paradoxical relationship in sensorimotor system: Knee joint position sense absolute error and joint stiffness measures
Paradoxical relationship in sensorimotor system: Knee joint position sense absolute error and joint stiffness measures There was a paradoxical relationship between higher joint stiffness and worsened joint position sense. Potential reasons include sensory weighting within the sensorimotor system and thixotropic properties (after-effects of muscle eccentric contractions to increase stiffness and alter joint position sense). #science […]
A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults
A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults There is limited evidence supporting the use of long-term opioid use in older people for chronic non-cancer pain and a lack of trials in this age group. Age-specific guidelines are required addressing initial assessment, indications, monitoring […]
VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain
VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain In September 2017, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved the joint Clinical Practice Guideline (CPG) for Diagnosis and Management of Low Back Pain. This CPG was intended to provide healthcare providers a framework by which to […]
Individual recovery expectations and prognosis of outcomes in non‐specific low back pain: prognostic factor review
Congratulations to DC PhD, Jill Hayden, for this publication in Cochrane! "We found moderate‐quality evidence that positive recovery expectations are strongly associated with better work participation (narrative synthesis: 21 studies; meta‐analysis: 12 studies, 4777 participants: odds ratio (OR) 2.43, 95% confidence interval (CI) 1.64 to 3.62), and low‐quality evidence for clinically important recovery outcomes (narrative […]
Reasons why osteoarthritis predicts mortality: path analysis within a Cox proportional hazards model
Reasons why osteoarthritis predicts mortality: path analysis within a Cox proportional hazards model The analysis indicates that encouraging people to walk and ‘get out and about’ in addition to targeting OA could be protective against excessive mortality. The findings also suggest that depression, anxiety and unrefreshed sleep have a role in premature mortality for people […]
Relating the Diers formetric measurements with the subjective severity of acute and chronic low back pain
Relating the Diers formetric measurements with the subjective severity of acute and chronic low back pain"Different patterns between female and male subjects were found. Age, coronal and sagittal imbalance correlated with LBP in female subjects, whereas pelvic inclination, the trunk torsion and apical deviation correlated with LBP in male. Multivariate analyses allowed creating an algorithm […]
Trait Sensitivity, Anxiety, and Personality Are Predictive of Central Sensitization Symptoms in Patients with Chronic Low Back Pain
Trait Sensitivity, Anxiety, and Personality Are Predictive of Central Sensitization Symptoms in Patients with Chronic Low Back Pain"Positive correlations were found between central sensitization inventory (CSI) scores and sensory hypersensitivity profiles and trait anxiety. CSI score increases could be predicted by sensory‐sensitive, low‐registration profiles; trait anxiety scores; and extreme defensive high anxious personality type.Trait sensory […]
Major shakeup in regulation of health professionals proposed in B.C. to improve patient safety
" The boards of each college would include equal numbers of public members and college registrants, each appointed by the province rather than elected by registrants. Board members could only be recommended after an independent process to assess their competency. " #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health […]
An Overview of Systematic Reviews of Randomized Controlled Trials on Acupuncture Treating Migraine.
An Overview of Systematic Reviews of Randomized Controlled Trials on Acupuncture Treating Migraine." We found that acupuncture on treating migraine has the advantage for pain improvement and safety, but the quality of SR/MAs of acupuncture for migraine remains to be improved. " #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public […]
Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters
Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters Inter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable. #science […]
Effect of Normal Saline Injections on Lateral Epicondylitis Symptoms: A Systematic Review and Meta-analysis of Randomized Clinical Trials
Effect of Normal Saline Injections on Lateral Epicondylitis Symptoms: A Systematic Review and Meta-analysis of Randomized Clinical Trials NS injections yielded a statistically significant and clinically meaningful improvement in pain and functional outcomes in patients with lateral epicondylitis. New research should focus on better methods to diminish the potential confounders that could lead to this […]
Association between stages of medial compartment osteoarthritis and three-dimensional knee alignment in the supine position: A cross-sectional study
Association between stages of medial compartment osteoarthritis and three-dimensional knee alignment in the supine position: A cross-sectional study The severely osteoarthritic knee joint was flexed and the tibia was displaced posteriorly with respect to the femur. Preventing these changes in alignment would assist in the prevention and treatment of knee OA. #science #chiropractor #chiropractic #research […]
Neck Pain and Lower Back Pain
Neck Pain and Lower Back Pain The causes of neck pain vary broadly, with leading causes being inadequate ergo-nomics at work, sitting and maintaining neck posture in a nonphysiologic position forlong periods of time. Duration of symptoms may classify the neck pain as acute at lessthan 6 weeks, subacute at 3 months or less, or […]
Anterior Cervical Osteophytes and Sympathetic Hyperactivity in Patients with Tinnitus: Size Matters
Anterior Cervical Osteophytes and Sympathetic Hyperactivity in Patients with Tinnitus: Size Matters The size of anterior cervical osteophytes is associated with a higher success rate of radiofrequency lesions of the superior sympathetic ganglion for tinnitus. The current results imply a role for cervical sympathetic nervous system irritation in the development of tinnitus in a subgroup […]
The sensory and sympathetic nerve supply within the cervical spine: review of recent observations
The sensory and sympathetic nerve supply within the cervical spine: review of recent observations Additional to the sympathetic nerves accompanying the vertebral artery, the innervation patterns of dura and posterior longitudinal ligament in the upper cervical spine are distinctive features of cervical spine innervation. The possible clinical implications of cervical innervation patterns are considered with […]
Cervical Spondylosis and Hypertension A Clinical Study of 2 Cases
Cervical Spondylosis and Hypertension: A clinical study of 2 Cases We report here 2 patients of cervical spondylosis with concomitant cervical vertigo and hypertension that were treated successfully with anterior cervical discectomy and fusion. Stimulation of sympathetic nerve fibers in pathologically degenerative disc could produce sympathetic excitation, and induce a sympathetic reflex to cause cervical […]
Outcome measures for assessing the effectiveness of non-pharmacological interventions in frequent episodic or chronic migraine: a Delphi study
Outcome measures for assessing the effectiveness of non-pharmacological interventions in frequent episodic or chronic migraine: a Delphi study Recommendations are for the use of the MIDAS, the HIT-6 and headache frequency, in combination with an outcome measure for quality of life. Associated symptoms and fear of attacks should also be considered as secondary outcomes, if […]
The significance of cervical sagittal alignment for nonrecovery after whiplash injury
The significance of cervical sagittal alignment for nonrecovery after whiplash injury his study indicates the existence of an association between the constitutional sagittal alignment of the cervical spine and the outcome after whiplash injuries. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function […]
Functional Connectivity between Trigeminal and Occipital Nerves Revealed by Occipital Nerve Blockade and Nociceptive Blink Reflexes
Functional Connectivity between Trigeminal and Occipital Nerves Revealed by Occipital Nerve Blockade and Nociceptive Blink Reflexes Thresholds for sensory or pain perception did not differ significantly between the repeated measurements on both sides. Our findings extend previous results related to anatomical and functional convergence of trigeminal and cervical afferent pathways in animals and suggest that […]
Experiences and challenges to cross-sectoral care reported by patients with low back pain. A qualitative interview study
Experiences and challenges to cross-sectoral care reported by patients with low back pain. A qualitative interview study Patients’ experiences indicate a need for a stronger person-centred approach in cross-sectoral care, in which the individual’s experiences of living with low back pain are taken into account. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]
Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain, and disability
Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain, and disability This study showed that persistent, severe LBP, and disability is common in a secondary care population with LBP and is associated with a variety of psychological risk factors, in particular catastrophization and depression, highlighting the importance of considering […]
Sacroiliac joint variation associated with diffuse idiopathic skeletal hyperostosis
Sacroiliac joint variation associated with diffuse idiopathic skeletal hyperostosis Anterior paraarticular bridging was the most common type of SI joint change in patients with DISH who underwent lumbar spine surgery. The present results regarding variations of SI joint changes in DISH should help understand the etiology of DISH. #science #chiropractor #chiropractic #research #education #evidence based […]
A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data
A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data There is evidence to suggest that spinal brace/orthosis treatment may have a positive short – medium term influence on pain and function in adults with either progressive primary (de novo) degenerative scoliosis or progressive […]
What is rehabilitation? An empirical investigation leading to an evidence-based description
What is rehabilitation? An empirical investigation leading to an evidence-based description Effective rehabilitation is a person-centred process, with treatment tailored to the individual patient’s needs and, importantly, personalized monitoring of changes associated with intervention, with further changes in goals and actions if needed. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation […]
Implicit motor imagery performance is impaired in people with chronic, but not acute, neck pain
Implicit motor imagery performance is impaired in people with chronic, but not acute, neck pain There is evidence of impaired implicit motor imagery performance in people with chronic neck pain, which may suggest disruptions to proprioceptive representation of the neck. These disruptions seem specific to the neck (performance on hand images intact) but non-specific to […]
The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis
The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-AnalysisA total of 15 cross-sectional studies were eligible for inclusion for this systematic review and meta-analysis. Ten studies compared FHP between a group of asymptomatic participants and a group of participants with neck pain and an overall mean difference (MD) of 4.84 […]