Feasibility and pilot studies are recommended prior to embarking on large-scale costly confirmatory trials. The objectives were to determine the feasibility of conducting a cluster randomized controlled trial ...
Authors: Prakash Dhopte, Simon D. French, Jeffrey A. Quon, Heather Owens and André Bussières
Musculoskeletal injuries are one of the most prevalent battle and non-battle related injuries in the active duty military. In some countries, chiropractic services are accessed to manage such injuries within a...
Authors: Silvano Mior, Deborah Sutton, Carolina Cancelliere, Simon French, Anne Taylor-Vaisey and Pierre Côté
Clinical education forms a substantial component of health professional education. Increased cohorts in Australian osteopathic education have led to consideration of alternatives to traditional placements to e...
Authors: Kylie M. Fitzgerald, Tracy Denning, Brett R. Vaughan, Michael J. Fleischmann and Brian C. Jolly
In 2011, World Spine Care (WSC) opened their pilot clinic at the Botswana Mahalapye District Hospital (MDH) aiming to develop a low-cost model of evidence-based spine care for underserved communities. Providin...
Authors: Mufudzi Chihambakwe, Laura O’Connor, Penelope M. Orton and Maria A. Hondras
Lumbar spinal stenosis (LSS) leads to diminished blood flow to the spinal nerves causing neurogenic claudication and impaired walking ability. Animal studies have demonstrated increased blood flow to the spina...
Authors: Carlo Ammendolia, Pierre Côté, Y. Raja Rampersaud, Danielle Southerst, Michael Schneider, Aksa Ahmed, Claire Bombardier, Gillian Hawker and Brian Budgell
A crisis confronts the Complementary and Integrative Health (CIH) teaching institutions in the US. Research infrastructure is needed to build and sustain productive research programs and retain their own resea...
Society expects professionals to promote their businesses in an ethical manner, refraining from misleading or deceptive marketing due to the potential to harm members of the community. In Australia this expect...
Manual therapy is a commonly used treatment for patients with back and neck pain. Studies have shown that manual therapy-related adverse events are mainly short in duration and mild or moderate by their intens...
Authors: Vesa Tabell, Ina M. Tarkka, Lena W. Holm and Eva Skillgate
The effectiveness of spinal manipulative therapy (SMT) for improving athletic performance in healthy athletes is unclear. Assessing the effect of SMT on other performance outcomes in asymptomatic populations m...
Authors: Melissa Corso, Silvano A. Mior, Sarah Batley, Taylor Tuff, Sophia da Silva-Oolup, Scott Howitt and John Srbely
The World Health Organization (WHO), in its “Rehabilitation 2030 A Call for Action”, identified the need to strengthen rehabilitation in health systems to meet the growing demands of current and future populat...
Authors: Pierre Côté, Deborah Sutton, Richard Nicol, Richard Brown and Silvano Mior
The burden of musculoskeletal disorders increases every year, with low back and neck pain being the most frequently reported conditions for seeking manual therapy treatment. In recent years, manual therapy res...
Authors: Mégane Pasquier, Catherine Daneau, Andrée-Anne Marchand, Arnaud Lardon and Martin Descarreaux
Low back pain (LBP) is a common disabling condition in older adults which often limits physical function and diminishes quality of life. Two clinical trials in older adults have shown spinal manipulative thera...
Authors: Craig Schulz, Roni Evans, Michele Maiers, Karen Schulz, Brent Leininger and Gert Bronfort
Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder. There is little consensus on the etiology, but one explanatory model suggests that PFPS can be caused by referred pain. Neurodynamic te...
Authors: Kristine Vegstein, Hilde Stendal Robinson and Roar Jensen
The Commission of the European Communities has published guidelines to be used as a gold standard for quality assessment of diagnostic radiographic images. Image quality and radiation dose must be monitored an...
Authors: Klaus Doktor, Maria Lind Vilholm, Aldis Hardardóttir, Henrik Wulff Christensen and Jens Lauritsen
Spinal manipulation (SM) has been shown in a systematic review to have a statistically significant effect on the pressure pain threshold (PPT) in asymptomatic subjects, when SM is compared to a sham interventi...
Authors: Margaux Honoré, Charlotte Leboeuf-Yde, Olivier Gagey and Niels Wedderkopp
Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided ...
Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie de Luca, Katherine A. Pohlman, Michael Swain and Jon Adams
The chiropractic profession both in the past and presently has diverse opinions concerning different health care approaches and the science or otherwise that underpins them. Previous research has reported that...
Authors: Halldór Fannar Gíslason, Jari Kullervo Salminen, Linn Sandhaugen, Andreas Stenseth Storbråten, Renske Versloot, Inger Roug and Dave Newell
Recent studies have shown that psychological factors, attitudes and beliefs impact on the quality of chiropractic student clinical decisions. This association has not been studied among qualified chiropractors...
Authors: Stanley I. Innes, Charlotte Leboeuf-Yde and Bruce F. Walker
Chronic migraine is a largely refractory condition affecting between 1 and 2.2% of the overall population worldwide, with females more affected than males. There are also high health and socioeconomic costs as...
Authors: Jim Odell, Carol Clark, Adrian Hunnisett, Osman Hassan Ahmed and Jonathan Branney
Taking the natural course of recurrent and fluctuating low back pain (LBP) seen in longitudinal studies of adults into consideration, the aetiology and development of LBP in children and adolescents also needs...
Authors: Tina Junge, Niels Wedderkopp, Eleanor Boyle and Per Kjaer
Chiropractors are a unique group of health care professionals who are at risk for developing work-related musculoskeletal injuries. Diversity of daily practice imposes different physical demands on the chiropr...
Intramuscular adipose tissue (IMAT) is a feature of degenerative muscle composition and is a common feature in populations with chronic low back pain (CLBP). Avoidance behavior is a possible cause of morpholog...
Authors: Eddo Wesselink, Edwin de Raaij, Philip Pevenage, Nick van der Kaay and Jan Pool
The autonomic nervous system (ANS) interests many chiropractors and manual therapists, because joint manipulative techniques (JMT), e.g. high velocity low amplitude (HVLA) manipulations and mobilizations, appe...
Authors: Mathieu Picchiottino, Charlotte Leboeuf-Yde, Olivier Gagey and David M. Hallman
Previous studies of patients with neck pain have reported a high variability in prevalence of MRI findings of disc degeneration, disc herniation etc. This is most likely due to small and heterogenous study pop...
Authors: Rikke Krüger Jensen, Tue Secher Jensen, Søren Grøn, Erik Frafjord, Uffe Bundgaard, Anders Lynge Damsgaard, Jeppe Mølgaard Mathiasen and Per Kjaer
Due to the recurrent nature of low back pain (LBP), the traditional concepts of cure and recovery are challenged, and investigating the course rather than status at fixed time-points may help us understand pro...
Authors: Lise Hestbaek, Cornelius Myburgh, Henrik Hein Lauridsen, Eleanor Boyle and Alice Kongsted
The chiropractic profession has a long history of internal conflict. Today, the division is between the ‘evidence-friendly’ faction that focuses on musculoskeletal problems based on a contemporary and evidence...
Authors: Charlotte Leboeuf-Yde, Stanley I. Innes, Kenneth J. Young, Gregory Neil Kawchuk and Jan Hartvigsen
While there is a broad spectrum of practice within chiropractic two sub-types can be identified, those who focus on musculoskeletal problems and those who treat also non-musculoskeletal problems. The latter gr...
Authors: Guillaume Goncalves, Marine Demortier, Charlotte Leboeuf-Yde and Niels Wedderkopp
Magnetic resonance imaging (MRI) is being used extensively in the search for pathoanatomical factors contributing to low back pain (LBP) such as Modic changes (MC). However, it remains unclear whether clinical...
Authors: Peter van der Wurff, Tom Vredeveld, Caroline van de Graaf, Rikke K. Jensen and Tue S. Jensen
Musculoskeletal pain frequently occurs in more than one body region, with up to 80% of adults reporting more than one joint pain site in the last 12 months. Older people and females are known to be more suscep...
Authors: Katie de Luca, Arnold Wong, Andreas Eklund, Matthew Fernandez, Julie Ellen Byles, Lynne Parkinson, Manuela Loureiro Ferreira and Jan Hartvigsen
A close collaboration between surgeons and non-surgical spine experts is crucial for optimal care of low back pain (LBP) patients. The affiliation of a chiropractic teaching clinic to a university hospital wit...
Authors: Brigitte Wirth, Fabienne Riner, Cynthia Peterson, Barry Kim Humphreys, Mazda Farshad, Susanne Becker and Petra Schweinhardt
Manipulation-induced hypoalgesia (MIH) represents reduced pain sensitivity following joint manipulation, and has been documented in various populations. It is unknown, however, whether MIH following high-veloc...
Authors: Sasha L. Aspinall, Charlotte Leboeuf-Yde, Sarah J. Etherington and Bruce F. Walker
Literature is still limited regarding reports of non-invasive assessment of the cervical range of motion in normal subjects. Investigations into compensatory motions, defined as the contribution of an addition...
Authors: Céline Niewiadomski, Rohan-Jean Bianco, Sanae Afquir, Morgane Evin and Pierre-Jean Arnoux
The Keele STarT Back Screening Tool (SBT), a 9-item questionnaire, screens for pain, physical functioning, fear-avoidance beliefs, catastrophizing, anxious thoughts, low mood, and bothersomeness in persons wit...
Authors: Yasmeen Khan, Dana Lawrence, Robert Vining and Dustin Derby
Musculoskeletal pain is a major cause of work disability. Many patients with musculoskeletal pain seek care from health care providers other than their general practitioners, including a range of musculoskelet...
Authors: Mette Jensen Stochkendahl, Casper Glissmann Nim, Eleanor Boyle, Ole Kristoffer Larsen, Iben Axén, Ole Christian Kvammen and Corrie Myburgh
Patient-reported outcome measures (PROMs) are widely available for use in musculoskeletal care. However, there is little research exploring the implementation of PROMs in clinical practice. This qualitative st...
Authors: Michelle M. Holmes, Felicity L. Bishop, David Newell, Jonathan Field and George Lewith
Frequent measures are becoming increasingly used to evaluate the course of spinal pain. However, it is not known whether this type of continuous follow-up in itself has implications for people’s experience of ...
Authors: Lise Hestbaek, Annette Christina Saxtorph, Carl-Emil Krogsgaard-Jensen and Alice Kongsted
Despite widespread use by manual therapists, there is little evidence regarding the reliability of thoracic spine static palpation to test for a manipulable lesion using stiffness or tenderness as diagnostic m...
Authors: Amber M. Beynon, Jeffrey J. Hebert and Bruce F. Walker
Tobacco use remains a leading cause of death and disability in the United States. Health professionals need to address the use of tobacco products by their patients, but chiropractic clinical systems often rem...
Authors: Kelly Buettner-Schmidt, Brody Maack, Mary Larson, Megan Orr, Donald R. Miller and Katelyn Mills
The use of routine spinal X-rays within chiropractic has a contentious history. Elements of the profession advocate for the need for routine spinal X-rays to improve patient management, whereas other chiroprac...
Authors: Hazel J Jenkins, Aron S Downie, Craig S Moore and Simon D French
Spinal pain is a common and disabling condition with considerable socioeconomic burden. Spine pain management in the United States has gathered increased scrutiny amidst concerns of overutilization of costly a...
Authors: Brent Leininger, Gert Bronfort, Roni Evans, James Hodges, Karen Kuntz and John A. Nyman
Ultrasound imaging has been suggested for studying the structure and function of nerves and muscles; however, reliability studies are limited to support the usage. The main aim of this study was to explore the...
Authors: Hadi Sarafraz, Mohammad Reza Hadian, Niloofar Ayoobi Yazdi, Gholamreza Olyaei, Hossein Bagheri, Shohreh Jalaie and Omid Rasouli
Vertebral osteomyelitis is a rare, life-threatening condition. Successful management is dependent on prompt diagnosis and management with intravenous antibiotic therapy or surgery in addition to antibiotics. R...
Authors: Zachary A. Cupler, Michael T. Anderson, Eric T. Stefanowicz and Chad D. Warshel
Overuse injuries are reported to be more common than acute trauma in children and adolescents, causing pain and reduced function. The most common is apophysitis - a traction injury to the apophysis in growing ...
Authors: Stig L. Midtiby, Niels Wedderkopp, Rasmus T. Larsen, Anne-Marie Fiala Carlsen, Dimitris Mavridis and Ian Shrier
Chronic pain is a substantial burden on the Australian healthcare system with an estimated 19.2% of Australians experiencing chronic pain. Knowledge of the neurophysiology and multidimensional aspects of pain ...
Authors: Kylie Fitzgerald, Michael Fleischmann, Brett Vaughan, Kevin de Waal, Sarah Slater and John Harbis
Knowledge about the assessment reliability of common cervical spine changes is a prerequisite for precise and consistent communication about Magnetic Resonance Imaging (MRI) findings. The purpose of this study...
Authors: Line Thorndal Moll, Morten Wasmod Kindt, Christina Malmose Stapelfeldt and Tue Secher Jensen
The current utilisation of patient reported outcome measures (PROMs) for low back pain (LBP) within the Australian Chiropractic profession is unknown. The aims of this study were to determine the current utili...
Spinal epidural lipomatosis is an uncommon source of neurogenic claudication. We present two cases of spinal epidural lipomatosis as it relates to diagnosis, management, and a possible association with common ...
Authors: Keith M. Silcox, Clinton J. Daniels, Glenn A. Bub, Pamela J. Wakefield and James D. Toombs
Besides low back pain (LBP), also neck pain (NP) and mid back pain (MBP) are common health issues in adolescence. Psychological factors are regarded as main risk factors for spinal pain in adolescence, but rec...
Authors: Brigitte Wirth, Tobias Potthoff, Sandra Rosser, Barry Kim Humphreys and Eling D. de Bruin
Previous systematic reviews have concluded that lumbar traction is not effective for patients with low back pain (LBP), yet many clinicians continue to assert its clinical effectiveness.
Authors: Muhammad Alrwaily, Mohammed Almutiri and Michael Schneider
