Research Posts

Volunteer Clinicians Needed for World Spine Care
VOLUNTEER CLINICIANS NEEDED - WORLD SPINE CAREWorld Spine Care is a non-profit organization bringing evidence-based, inter-professional, sustainable spine care to underserved regions around the world. Please visit www.worldspinecare.org for more information.Due to the generosity and support from volunteers and donors, WSC is currently expanding its operations to new countries. To support this expansion, WSC is […]
Best Practices for Chiropractic Care of Children: A Consensus Update
Best Practices for Chiropractic Care of Children: A Consensus UpdatePlease share with other chiropractors and primary care health care professionals as to what constitutes evidence informed clinical chiropractic practice for kids < 18 years old. "Chiropractic care is the most common complementary and integrative medicine practice used by children in the United States, and it […]
The comparison of the immediate effects of application of the suboccipital muscle inhibition and self-myofascial release techniques in the suboccipital region on short hamstring
J Phys Ther Sci. 2015 Jan;27(1):195-7."Application of the SMI and SMFR to persons with short hamstrings resulted in immediate increases in flexibility of the hamstring. However, we could see that the SMI technique was more effective." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics […]
Dr. Scott Haldeman -2015 McAndrews Leadership Lecture
Thought the members of this group would be interested in this video. Scott Haldeman's McAndrew's Lecture in Washington in February 2015. https://www.youtube.com/watch?v=6HxTCdx44C8... it's an hour long. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Childhood maltreatment and manual therapy considerations
Sadly, I've recently seen a few patients with a history of childhood abuse. Each patient has chronic low back pain and widespread hyperalgesia. I wondered whether childhood abuse is a predictor for reduced pain thresholds and chronic pain. I found this article:The rates of childhood maltreatment, defined as 'emotional abuse, physical abuse, sexual abuse, emotional […]
Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015 "Lower back and neck pain was the leading global cause of disability in 2015 in most countries." #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional […]
Chronic Pain and Obesity: Exercise recommendations for Active Living
Chronic Pain and Obesity: Exercise recommendations for Active Living Obese persons, general and specific musculoskeletal pain is common. Emerging evidence suggests that obesity modulates pain via several mechanisms such as mechanical loading, inflammation, and psychological status. Pain in obesity contributes to deterioration of physical ability, health-related quality of life, and functional dependence. We present the […]
Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Study
Awhile back we had a good discussion of the relevance of regional interdependence and posture. +1 for both according to this study "The addition of forward head posture correction to a functional restoration program seemed to positively affect disability, 3-dimensional spinal posture parameters, back and leg pain, and S1 nerve root function of patients with […]
Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis.
More (moderate) evidence for the use of c-SMT for cervical radiculopathy. "There was moderate level evidence to support the immediate effectiveness of cervical spine manipulation in treating people with cervical radiculopathy. The safety of cervical manipulation cannot be taken as an exact conclusion so far." Does cervical spine manipulation reduce pain in people with degenerative […]
The use of diagnostic coding in chiropractic practice.
The use of diagnostic coding in chiropractic practice "It appears that implementation of diagnostic coding would be possible in the majority of the chiropractic practices that participated in this study. However for those chiropractors who do not focus on symptoms in their approach to clinical care, it could be challenging to use the ICPC-2 PLUS […]
Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?
Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders? "Recent findings suggest that a change in model and approach is required in the rehabilitation of chronic MSD that integrate the findings of neuroplastic changes across the CNS and are targeted by rehabilitative interventions. Effects of current interventions […]
Beyond the Spine: A new clinical research priority.
Beyond the Spine: a new clinical research priority.Over the past two decades, clinical research within the chiropractic profession has focused on the spine and spinal conditions, specifically neck and low back pain. However, there is now a small group of chiropractors with clinical research training that are shifting their focus away from traditional research pursuits […]
Donald Murphy, DC, Stephen Perle, DC, MS discuss the importance of chiropractic residency training.
Dr. Donald Murphy, Stephen Perle and William Defoyd on the importance of chiropractic residency training. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
EBC Polls: Science Officer/Oversight at regulatory boards.
As a means of evidence based leadership, do you support the creation of a Science Officer (DC PhD) to ensure that guidelines, policies and standards of chiropractic regulatory boards are based on the best available scientific evidence in fulfilling the boards mandate of protecting the public's interest? #science #chiropractor #chiropractic #research #education #evidence based #patient […]
Tylenol ineffective for low back pain and minimal short term benefit for osteoarthritis
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
Evidence Based Chiropractors P2P mentorship, associateship 2017
I've been asked a few times this past week via PM about young, early career graduates wanting to practice in evidence based chiropractic offices. If you're an intern or a recent grad and you're looking for opportunities to be mentored by or work with high quality chiropractors, add your name, city and State/province in the […]
Historical influence on the practice of chiropractic radiology: Part I – a survey of Diplomates of the American Chiropractic College of Radiology
Historical influence on the practice of chiropractic radiology: Part I - a survey of Diplomates of the American Chiropractic College of Radiology`Within the chiropractic profession, there is a continuing belief in radiographically visible subluxations as a cause of suboptimal health. This situation is sustained in part due to the reticence of other chiropractors to report […]
No Benefit for Intra-Articular Corticost­eroids Before Physical Therapy in Patien­ts with Knee Osteoarthritis
No Benefit for Intra-Articular Corticost­eroids Before Physical Therapy in Patien­ts with Knee OsteoarthritisPhysical therapy (PT), either before or ­instead of arthroplasty, effectively red­uces pain and enhances function in patie­nts with knee osteoarthritis (OA).­ Although some clinicians give intra-art­icular corticosteroid injections to redu­ce pain and inflammation before PT­, this approach has never been assessed ­in a […]
The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea
The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea This randomized pilot study suggests that SMT may be an effective and safe nonpharmacological alternative for relieving the pain and distress of primary dysmenorrhea. However, the large change in KDPGF2a observed in both treatment groups clearly indicates that further studies […]
Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis
Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis There is moderate-quality evidence that manipulation (ie, thrust) interventions may produce small-moderate reduction in pain intensity compared with other active comparators such as exercise. Thrust interventions are also likely to reduce disability for patients compared with these active comparator interventions. The […]
Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation.
Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation. Family medicine residents and doctors of chiropractic viewed collaborative care as a useful practice model for older adults with back pain. Health care organizations adopting medical and chiropractic collaboration can tailor this general model to their specific setting to support implementation. #science #chiropractor […]
Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises.
Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises. Neck pain improvement was significantly associated with changes in postural awareness in subject with chronic nonspecific neck pain independent of treatment characteristics. Training of postural awareness might be an important […]
Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial.
Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. Our findings suggest that a prescriptive treatment of the hips may be of clinical value to individuals presenting with the primary complaint of mechanical LBP. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public […]
Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review.
Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review. Patient characteristics were described poorly. No clear patient profile, related to the risk of AE after CSM, could be extracted. However, women seem more at risk for CAD. There seems to be under-reporting of cases. Further research […]
Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder Pain: A Randomized Clinical Trial.
Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder Pain: A Randomized Clinical Trial. Both treatment techniques lead to short-term and long-term treatment effects. Dry needling was found to be no more effective than MP in the treatment of myofascial neck/shoulder pain. #science #chiropractor #chiropractic #research #education #evidence based […]
Chiropractic spinal manipulative therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled trial.
Chiropractic spinal manipulative therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled trial. It is possible to conduct a manual-therapy RCT with concealed placebo. The effect of CSMT observed in our study is probably due to a placebo response. #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health […]
Aspirin for acute treatment of episodic tension-type headache in adults.
Aspirin for acute treatment of episodic tension-type headache in adults. A single dose of aspirin between 500 mg and 1000 mg provided some benefit in terms of less frequent use of rescue medication and more participants satisfied with treatment compared with placebo in adults with frequent episodic TTH who have an acute headache of moderate […]
Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans.
Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans. Our results revealed that aging induces trunk stooping, but the global alignment is compensated for by an increase in the CL, PT and knee flexion, with the main function of CL and PT to maintain a horizontal gaze in a […]
Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review.
Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review. n conclusion, for patients with nonchronic, nonradicular LBP, available evidence does not support the use of spinal manipulation or exercise therapy in addition to standard medical therapy. There is insufficient evidence to determine if yoga or massage is […]
Issues with vertebral artery dissections
Issues with vertebral artery dissections #science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation