Articles

Intervention usage for the management of low back pain in a chiropractic teaching clinic

Despite numerous low back pain (LBP) clinical practice guidelines, published studies suggest guideline nonconcordant care is still offered. However, there is limited literature evaluating the degree to which c...

Authors: Ben Csiernik, Ali Smith, Joshua Plener, Anthony Tibbles and James J. Young

Advanced magnetic resonance imaging of chronic whiplash patients: a clinical practice-based feasibility study

Whiplash injury is common following road traffic crashes affecting millions worldwide, with up to 50% of the injured developing chronic symptoms and 15% having a reduced working capability due to ongoing disab...

Authors: Lars Uhrenholt, Lau Brix, Thea Overgaard Wichmann, Michael Pedersen, Steffen Ringgaard and Tue Secher Jensen

Efficiency of primary spine care as compared to conventional primary care: a retrospective observational study at an Academic Medical Center

Primary Spine Care (PSC) is an innovative model for the primary management of patients with spine-related disorders (SRDs), with a focus on the use of non-pharmacological therapies which now constitute the rec...

Authors: Serena Bezdjian, James M. Whedon, Robb Russell, Justin M. Goehl and Louis A. Kazal Jr.

Risk factors for low back pain in active military personnel: a systematic review

Low back pain (LBP) is prevalent in military personnel. We aimed to systematically review the literature regarding risk factors for first-time LBP during military service among active duty military personnel.

Authors: Daphne To, Mana Rezai, Kent Murnaghan and Carol Cancelliere

A descriptive study of sports chiropractors with an International Chiropractic Sport Science Practitioner qualification: a cross-sectional survey

This paper describes the education and case management profile of sports chiropractors with the Federation of International Sports Chiropractors (FICS) postgraduate qualification: International Chiropractic Sp...

Authors: Luke Nelson, Henry Pollard, Rick Ames, Brett Jarosz, Pete Garbutt and Cliff Da Costa

Digging deeper: exploring chiropractors online claims about non-musculoskeletal disorders

Some chiropractors suggest that chiropractic treatment is appropriate for health issues other than musculoskeletal problems. The prevalence of such claims on individual clinic websites has previously been repo...

Authors: Søren O’Neill, Anneline Bugge Wahlqvist, Natasja Kragh Simonsen, Cornelius Myburgh and Rikke Krüger Jensen

Corticosteroid injection or dry needling for musculoskeletal pain and disability? A systematic review and GRADE evidence synthesis

Corticosteroid injection and dry needling have been used in the treatment of musculoskeletal conditions, but it is unclear which intervention is the most effective. The purpose of this study was to compare the...

Authors: Luis Fernando Sousa Filho, Marta Maria Barbosa Santos, Gabriel Henrique Freire dos Santos and Walderi Monteiro da Silva Júnior

The effect of spinal manipulative therapy and home stretching exercises on heart rate variability in patients with persistent or recurrent neck pain: a randomized controlled trial

Persistent or recurrent neck pain is, together with other chronic conditions, suggested to be associated with disturbances of the Autonomic Nervous System. Acute effects on the Autonomic Nervous System, common...

Authors: Anders Galaasen Bakken, Andreas Eklund, David M. Hallman and Iben Axén

“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pr...

Authors: Shane Derbyshire, Jonathan Field, Jane Vennik, Marc Sanders and Dave Newell

What are the effects of diagnostic imaging on clinical outcomes in patients with low back pain presenting for chiropractic care: a matched observational study

Evidence suggests that diagnostic imaging for low back pain does not improve care in the absence of suspicion of serious pathology. However, the effect of imaging use on clinical outcomes has not been investig...

Authors: Hazel J. Jenkins, Alice Kongsted, Simon D. French, Tue Secher Jensen, Klaus Doktor, Jan Hartvigsen and Mark Hancock

Correction to: Reframing a debate in chiropractic

Authors: Henry Pollard

Reframing a debate in chiropractic

The chiropractic profession is 125 years old and has evolved a culture beset with internal conflict. The internal ructions have been particularly noticeable during the last 20 years. These polarising viewpoint...

Authors: Henry Pollard

Naprapathy versus orthopaedic standard care for common musculoskeletal disorders: an 8-year follow-up of a pragmatic randomized controlled trial in Sweden

Musculoskeletal pain is among the most common reasons for seeking care, specialist competence for its treatment in primary care limited and waiting lists for orthopaedics often amongst the longest. Many referr...

Authors: Stina Lilje, Andreas Eklund, Anders Wykman, Tobias Sundberg and Eva Skillgate

Clinicians’ perceived value and demographic factors that predict the utilisation of patient reported outcome measures for low back pain amongst chiropractors in Australia

Factors that influence utilisation rates of patient reported outcome measures (PROMs) for low back pain (LBP) within the chiropractic profession of Australia are currently unknown. This study aimed to examine ...

Authors: Natalie Clohesy, Anthony Schneiders, Gaery Barbery and Steven Obst

The association between chiropractors’ view of practice and patient encounter-level characteristics in Ontario, Canada: a cross-sectional study

Chiropractors have diverse views of practice, but the impact on their patient profiles and treatment approaches remains unclear. We assessed the association between chiropractors’ view of practice (unorthodox ...

Authors: Jessica J. Wong, Sheilah Hogg-Johnson, André E. Bussières, Simon D. French and Silvano A. Mior

The efficacy of intramuscular electrical stimulation in the management of patients with myofascial pain syndrome: a systematic review

Myofascial pain syndrome (MPS) is one of the most common disorders causing chronic muscle pain. Almost one-third of patients with musculoskeletal complaints meet the MPS criteria. The aim of this study is to e...

Authors: Monavar Hadizadeh, Abbas Rahimi, Mohammad Javaherian, Meysam Velayati and Jan Dommerholt

Chiropractic website claims related to non-musculoskeletal conditions: a cross-sectional study

Chiropractors frequently use spinal manipulation therapy as a treatment modality in the management of musculoskeletal (MSK) conditions such as spinal pain and sometimes in the treatment of non-MSK disorders. T...

Authors: Guillaume Goncalves, Philippe Fleuriau, Charlène Cheron, Mathieu Picchiottino, Sylvain Pigeon and Rikke Krüger Jensen

Pain trajectories and possible predictors of a favourable course of low back pain in patients consulting musculoskeletal physicians in The Netherlands

In The Netherlands, low back pain patients can consult physicians specialized in musculoskeletal (MSK) medicine. Previous studies have reported on the characteristics of patients consulting MSK physicians, and...

Authors: Wouter Schuller, Raymond W. Ostelo, Daphne C. Rohrich, Martijn W. Heymans and Henrica C. W. de Vet

Effects of weekly pain monitoring on back pain outcomes: a non-randomised controlled study

Disease monitoring is an important element of self-management of several chronic diseases. Pain monitoring has become very easily available, but the role in musculoskeletal pain conditions is not clear. Awaren...

Authors: Alice Kongsted, Tue Secher Jensen, Klaus Doktor and Lise Hestbæk

Understanding Australian female chiropractors’ experiences of inappropriate patient sexual behaviour: a study using Interpretive Phenomenological Analysis

Female practitioners are often subjected to inappropriate patient sexual behaviour (IPSB). Adverse consequences of such sexual harassment include for the practitioner psychological stress effects and negative ...

Authors: Stanley Innes, Laura Maurice, Michele Lastella and Catherine O’Mullan

Quality of reporting in chiropractic mixed methods research: a methodological review protocol

Mixed methods designs are increasingly used in health care research to enrich findings. However, little is known about the frequency of use of this methodology in chiropractic research, or the quality of repor...

Authors: Peter C. Emary, Kent J. Stuber, Lawrence Mbuagbaw, Mark Oremus, Paul S. Nolet, Jennifer V. Nash, Craig A. Bauman, Carla Ciraco, Rachel J. Couban and Jason W. Busse

A cross-sectional analysis of persistent low back pain, using correlations between lumbar stiffness, pressure pain threshold, and heat pain threshold

Little is known about the underlying biomechanical cause of low back pain (LBP). Recently, technological advances have made it possible to quantify biomechanical and neurophysiological measurements, potential...

Authors: Casper Glissmann Nim, Søren O’Neill, Anne Gellert Geltoft, Line Korsholm Jensen, Berit Schiøttz-Christensen and Gregory Neil Kawchuk

Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review

Static or motion manual palpation of the low back is commonly used to assess pain location and reproduction in low back pain (LBP) patients. The purpose of this study is to review the reliability and validity ...

Authors: Paul S. Nolet, Hainan Yu, Pierre Côté, Anne-Laure Meyer, Vicki L. Kristman, Deborah Sutton, Kent Murnaghan and Nadège Lemeunier

A process evaluation of the Mind Your Back trial examining psychologically informed physical treatments for chronic low back pain

In chronic conditions, such as back pain, the use of interventions that address physical, social and psychological aspects within a biopsychosocial framework are encouraged, however, applying this holistic mul...

Authors: M. John Petrozzi, Grace Spencer and Martin G. Mackey

Sonographic evaluation of the degree of medial meniscal extrusion during Thessaly test in healthy knees

The Thessaly test is a commonly used orthopedic test for meniscus tear evaluation. The study’s objective is to evaluate the degree of medial meniscal extrusion during different loading phases of the Thessaly t...

Authors: John C. Cho, Lauren Tollefson and Kenneth Reckelhoff

Letter to the Editor: “The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial” and “Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial”

Authors: Braden Keil and Christian Fludder

Response to Letter to the Editor: “The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial” and “Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial”

Authors: Lise Hestbæk, Lise Vilstrup Holm, Dorte Ejg Jarbøl, Henrik Wulff Christensen and Jens Søndergaard

The nordic maintenance care program: patient experience of maintenance care—a qualitative study

Low back pain is one of the major causes of disability world-wide. Most back pain sufferers experience pain that is recurrent or persistent, making management of this condition a priority. In a series of previ...

Authors: Jesper Hjertstrand, Per J. Palmgren, Iben Axén and Andreas Eklund

Perceptions and experiences of a manual therapy trial: a qualitative study of people with moderate to severe COPD

Chronic obstructive pulmonary disease (COPD) presents with physical, emotional and social difficulties that affect quality of life. Multimodal management includes both pharmacological and non-pharmacological s...

Authors: Danielle A. Baxter, Johannah L. Shergis, Catherine J. Hill, Christopher Worsnop and Meaghan E. Coyle

Response to Lawrence DJ: the global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Letter to the editor: the global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

Authors: Dana J. Lawrence

Comparison of walking variations during treadmill walking test between neurogenic and vascular claudication: a crossover study

Lumbar spinal stenosis (LSS) and peripheral arterial disease (PAD) are two distinct conditions characterized by similar symptoms including leg pain and walking limitations due to claudication. Differentiation ...

Authors: Mariève Houle, Julie O’Shaughnessy, Charles Tétreau, Claude-Édouard Châtillon, Andrée-Anne Marchand and Martin Descarreaux

Effectiveness of non-pharmacological interventions on sleep characteristics among adults with musculoskeletal pain and a comorbid sleep problem: a systematic review

Sleep problems are common and may be associated with persistent pain. It is unclear whether non-pharmacological interventions improve sleep and pain in adults with comorbid sleep problems and musculoskeletal (...

Authors: Efrosini Papaconstantinou, Carol Cancelliere, Leslie Verville, Jessica J. Wong, Gaelan Connell, Hainan Yu, Heather Shearer, Charlotte Timperley, Chadwick Chung, Bryan J. Porter, Danny Myrtos, Matthew Barrigar and Anne Taylor-Vaisey

The Danish sports chiropractic landscape: an exploration of practice characteristics and salient developmental issues

As is the case around the globe, the Danish chiropractic community appears to be an active service provider for the athletic sub-population. However, a paucity of evidence elucidating the experiences, percepti...

Authors: Corrie Myburgh, Julie Andersen, Nicklas Bakkely, Jakob Hermannsen, Marcus Zuschlag, Philip Damgaard and Eleanor Boyle

It’s not my fault although it might be: chiropractic practice and vicarious liability

While chiropractic care is most commonly provided within a private practice context, the ‘traditional’ solo practice is now uncommon. Chiropractors, manual therapists and related health professionals commonly ...

Authors: J. Keith Simpson and Stanley Innes

Inter-examinerreliability study of physical examination procedures to assess the cervical spine

The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to assess the cervical spine.

Authors: Karthik V. Hariharan, Michael G. Timko, Christopher G. Bise, Meenakshi Sundaram and Michael J. Schneider

European guidelines on radiographic image quality in chiropractic practice – proposal of a cross-sectional graded classification reporting principle

The Commission of the European Communities (CEC) has published: European Guidelines on Quality Criteria for Diagnostic Radiographic Images. These guidelines are considered a gold standard, recommended for use ...

Authors: Klaus Doktor, Maria Lind Vilholm, Aldis Hardardóttir, Henrik Wulff Christensen and Jens Lauritsen

The global end-ranges of neck flexion and extension do not represent the maximum rotational ranges of the cervical intervertebral joints in healthy adults - an observational study

In clinical diagnosis, the maximum motion of a cervical joint is thought to be found at the joint’s end-range and it is this perception that forms the basis for the interpretation of flexion/extension imaging ...

Authors: Victoria Andersen, Xu Wang, Mark de Zee, Lasse Riis Østergaard, Maciej Plocharski and René Lindstroem

Chiropractic case reports: a review and bibliometric analysis

To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs).

Authors: Robert J. Trager and Jeffery A. Dusek

Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial

A recent trial identified large variation in effect of chiropractic care for infantile colic. Thus, identification of possible effect modifiers could potentially enhance the clinical reasoning to select infant...

Authors: Lise Vilstrup Holm, Werner Vach, Dorte Ejg Jarbøl, Henrik Wulff Christensen, Jens Søndergaard and Lise Hestbæk

The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial

Chiropractic care is commonly used to treat infantile colic. However large trials with parental blinding are missing. Therefore, the purpose of this study is to evaluate the effect of chiropractic care on infa...

Authors: Lise Vilstrup Holm, Dorte Ejg Jarbøl, Henrik Wulff Christensen, Jens Søndergaard and Lise Hestbæk

Suicide prevention, public health, and the chiropractic profession: a call to action

Suicide is a major public health concern that has wide-reaching implications on individuals, families, and society. Efforts to respond to a public health concern as a portal-of-entry provider can reduce morbid...

Authors: Zachary A. Cupler, Clinton J. Daniels, Derek R. Anderson, Michael T. Anderson, Jason G. Napuli and Megan E. Tritt

Correction to: Leadership and capacity building in chiropractic research: report from the first CARL cohort

An amendment to this paper has been published and can be accessed via the original article.

Authors: Jan Hartvigsen, Greg Kawchuk, Alexander Breen, Diana De Carvalho, Andreas Eklund, Matthew Fernandez, Martha Funabashi, Michelle M. Holmes, Melker S. Johansson, Katie de Luca, Craig Moore, Isabelle Pagé, Katherine A. Pohlman, Michael S. Swain, Arnold Y. L. Wong and Jon Adams

Categorisation of lumbar spine MRI referrals in Denmark as compliant or non-compliant to international imaging guidelines: an inter-rater reliability study

Managing low back pain (LBP) often involves MRI despite the fact that international guidelines do not recommend routine imaging. To allow us to explore the topic and use this knowledge in further research, a r...

Authors: Susanne Brogaard Krogh, Tue Secher Jensen, Nanna Rolving, Malene Laursen, Janus Nikolaj Laust Thomsen, Casper Brink Hansen, Christoffer Høj Werenberg, Erik Rasmussen, Rune Carlson and Rikke Krüger Jensen

Correction to: The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

An amendment to this paper has been published and can be accessed via the original article.

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Spinal manipulation and modulation of pain sensitivity in persistent low back pain: a secondary cluster analysis of a randomized trial

Pain hypersensitivity can be assessed using Quantitative Sensory Testing (QST) and is associated with persistent low back pain. Spinal manipulation appears to modify pain hypersensitivity, and this could funct...

Authors: Casper Glissmann Nim, Kenneth Arnold Weber, Gregory Neill Kawchuk and Søren O’Neill

Leadership and capacity building in chiropractic research: report from the first CARL cohort

The Chiropractic Academy for Research Leadership (CARL) was formed in 2016 in response to a need for a global network of early career researchers and leaders in the chiropractic profession. Thirteen fellows we...

Authors: Jan Hartvigsen, Greg Kawchuk, Alexander Breen, Diana De Carvalho, Andreas Eklund, Matthew Fernandez, Martha Funabashi, Michelle M. Holmes, Melker S. Johansson, Katie de Luca, Craig Moore, Isabelle Pagé, Katherine A. Pohlman, Michael S. Swain, Arnold Y. L. Wong and Jon Adams

The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

A small proportion of chiropractors, osteopaths, and other manual medicine providers use spinal manipulative therapy (SMT) to manage non-musculoskeletal disorders. However, the efficacy and effectiveness of th...

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

Previous research demonstrated that manipulation of the extremities was associated with changes in multisegmental postural sway as well as improvement in a lower extremity balancing task. We were interested if...

Authors: Christopher A. Malaya, Joshua Haworth, Katherine A. Pohlman and Dean L. Smith

Chiropractic students’ cognitive dissonance to statements about professional identity, role, setting and future: international perspectives from a secondary analysis of pooled data

Chiropractic students demonstrate philosophically opposing views about the chiropractic profession. The primary aim was to describe chiropractic students’ responses to statements about chiropractic identity, r...

Authors: Michael S. Swain, Jordan A. Gliedt, Katie de Luca, Dave Newell and Michelle Holmes