There is a growing desire within the chiropractic profession to expand the scope of practice to include limited medication prescription rights for the treatment of spine-related and other musculoskeletal condi...
Authors: Peter C. Emary, Taco A. W. Houweling, Martin Wangler, Stephen J. Burnie, Katherine J. Hood and W. Mark Erwin
Online education programs are becoming a popular means to disseminate knowledge about evidence-based practice (EBP) among healthcare practitioners. This mode of delivery also offers a viable and potentially su...
Authors: Michael Schneider, Roni Evans, Mitchell Haas, Matthew Leach, Louise Delagran, Cheryl Hawk, Cynthia Long, Gregory D. Cramer, Oakland Walters, Corrie Vihstadt and Lauren Terhorst
The idea of chiropractors treating children is controversial, yet many parents seek chiropractic care for their children. The reasons for this are not well documented. Part one of this study aimed to document ...
Authors: Anna Allen-Unhammer, Francis J. H. Wilson and Lise Hestbaek
There is a high demand for robust research into understanding the scope and consequences of musculoskeletal pain in children. An important part of this involves clarifying issues surrounding its measurement, n...
Authors: Steven J. Kamper, Kristina Boe Dissing and Lise Hestbaek
Lumbar spinal stenosis (LSS) causing neurogenic claudication is a leading cause of pain, disability and loss of independence in older adults. The prevalence of lumbar spinal stenosis is growing rapidly due to ...
Authors: Carlo Ammendolia, Pierre Côté, Y. Raja Rampersaud, Danielle Southerst, Brian Budgell, Claire Bombardier and Gillian Hawker
Perceived value is the key ingredient to carving and maintaining a competitive business niche. The opportunities to interact with consumers to understand and enhance perceived value are termed ‘touch points’. ...
Authors: Corrie Myburgh, Eleanor Boyle, Johanne Brinch Larsen and Henrik Wulff Christensen
Peer physical examination (PPE) is an efficient and practical educational approach whereby students can practise their examination skills on each other before commencing clinical practice with actual patients....
Myofascial pain is a common syndrome, which has not been studied extensively in the low back. Despite a variety of manual and instrument assisted interventions available, little work has targeted the possible ...
Physical manipulation and manual therapies are thousands of years old. The most popular western world iteration of these therapies is delivered by chiropractors. It can be argued that the collective public hea...
Reviews indicate that the quality of reporting of randomised controlled trials (RCTs) in the medical literature is less than optimal, poor to moderate, and require improving. However, the reporting quality of ...
Authors: Fay Karpouzis, Rod Bonello, Mario Pribicevic, Allan Kalamir and Benjamin T. Brown
Cervicogenic headache is a prevalent and costly pain condition commonly treated by chiropractors. There is evidence to support the effectiveness for spinal manipulation, but the dose of treatment required to a...
Authors: Linda Hanson, Mitchell Haas, Gert Bronfort, Darcy Vavrek, Craig Schulz, Brent Leininger, Roni Evans, Leslie Takaki and Moni Neradilek
Research in various medical fields demonstrates a consistent and positive association between clinical outcomes and the quality of the therapeutic alliance between the patient and clinician. The aim of this st...
Authors: Nicoline M. Lambers and Jennifer E. Bolton
The majority of Rugby Union (rugby) players participate at the amateur level. Knowledge of player characteristics and injury risks is predominantly ascertained from studies on professional or junior athletes i...
Authors: Michael S. Swain, Reidar P. Lystad, Nicholas Henschke, Christopher G. Maher and Steven J. Kamper
Few controlled trials have assessed the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. No high quality trials have been performed to test the efficacy and effectiveness of Graston Techn...
Authors: Amy L. Crothers, Simon D. French, Jeff J. Hebert and Bruce F. Walker
The management of chronic health conditions increasingly requires an organized, coordinated, and patient-centered approach to care. The Chronic Care Model (CCM) has been adopted in primary care to improve care...
Authors: Kent Jason Stuber, Mark Langweiler, Silvano Mior and Peter William McCarthy
A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnosti...
Authors: Clinton J. Daniels, Pamela J. Wakefield and Glenn A. Bub
Spinal intramedullary ependymomas are very rare and occur more commonly in the cervical and upper thoracic regions. These neoplasms tend to manifest in young adulthood, and patients typically present with mild...
Nonfunctioning pituitary macroadenoma (NFPA) is a tumour of the endocrine system that is virtually always benign and can be difficult to detect. This case report is presented from the patient’s perspective to ...
Authors: Craig A. Bauman, James D. Milligan, Tammy Labreche and John J. Riva
In order for measurements to be clinically useful, data on psychometric conditions such as reliability should be available in the population for which the measurements are intended to be used. This study compr...
Authors: Steen Harsted, Rune M. Mieritz, Gert Bronfort and Jan Hartvigsen
The influence of psychological factors on acute neck pain is sparsely studied. In a secondary analysis of prospectively collected data, this study investigated how several psychological factors develop in the ...
Authors: Brigitte Wirth, B. Kim Humphreys and Cynthia Peterson
Clinical reasoning has been described as a process that draws heavily on the knowledge, skills and attributes that are particular to each health profession. However, the clinical reasoning processes of practit...
Authors: Sandra Grace, Paul Orrock, Brett Vaughan, Raymond Blaich and Rosanne Coutts
Musculoskeletal disorders of the elbow, forearm, wrist and hand are associated with pain, functional impairment and decreased productivity in the general population. Combining several interventions in a multim...
Authors: Deborah Sutton, Douglas P. Gross, Pierre Côté, Kristi Randhawa, Hainan Yu, Jessica J. Wong, Paula Stern, Sharanya Varatharajan, Danielle Southerst, Heather M. Shearer, Maja Stupar, Rachel Goldgrub, Gabrielle van der Velde, Margareta Nordin, Linda J. Carroll and Anne Taylor-Vaisey
Job stress and emotional exhaustion have been shown to have a negative impact on the helping professional. The development and causal relations of job stress and emotional exhaustion are rather unclear in the ...
It has been proposed that an episode of low back pain (LBP) be defined as: “a period of pain in the lower back lasting for more than 24 h preceded and followed by a period of at least 1 month without LBP”. Pre...
Authors: Andreas Eklund, Irene Jensen, Malin Lohela-Karlsson, Charlotte Leboeuf-Yde and Iben Axén
Pregnancy related low back pain (PLBP) and pelvic girdle pain (PGP) are considered common complications of pregnancy. The long-term consequences for women with persistent PLBP/PGP postpartum are under-investig...
Authors: Cecilia Bergström, Margareta Persson and Ingrid Mogren
Complaints in the musculoskeletal system often start early in life and back and neck pain in children are well-established predictors for similar problems in adulthood. Despite lack of evidence of effectivenes...
Authors: Kristina Boe Dissing, Jan Hartvigsen, Niels Wedderkopp and Lise Hestbæk
The objective of this paper is to describe the relationship of the vertebral artery (VA) to the Atlas (C1) in the sub-occipital region in the presence of arcuate foramen; and discuss the clinical implications ...
Authors: Salman Afsharpour, Kathryn T. Hoiriis, R. Bruce Fox and Samuel Demons
Councils of Chiropractic Education (CCE) indirectly influence patient care and safety through their role of ensuring the standards of training delivered by chiropractic educational institutions. This is achiev...
Authors: Stanley I. Innes, Charlotte Leboeuf-Yde and Bruce F. Walker
Various interventions are available for the treatment of chronic low back pain (LBP), including Manual Therapy and Cognitive Behavioural Therapy (CBT). The purpose of this study is to evaluate whether the addi...
Authors: M. John Petrozzi, Andrew Leaver, Mairwen K. Jones, Paulo H. Ferreira, Sidney M. Rubinstein and Martin G. Mackey
The association between cervical lordosis (sagittal alignment) and neck pain is controversial. Further, it is unclear whether spinal manipulative therapy can change cervical lordosis. This study aimed to deter...
Authors: Michael Shilton, Jonathan Branney, Bas Penning de Vries and Alan C. Breen
While there have been investigations into the reduced neck injury rate of wearing protective helmets, there is little information on its effects on normal kinaesthetic neck function. This study aims to quantif...
Authors: Peter W. McCarthy, Phillip J. Hume, Andrew I. Heusch and Sally D. Lark
Musculoskeletal diagnostic ultrasound imaging (MSK-DUSI) has been growing outside the traditional radiology speciality. Increased use of this technology has been reported in several healthcare settings, howeve...
Authors: Rogan E A Henderson, Bruce F. Walker and Kenneth J. Young
Musculoskeletal disorders (MSDs) of the upper and lower extremities are common in the general population and place a significant burden on the health care system. Manual therapy is recommended by clinical prac...
Authors: Danielle Southerst, Hainan Yu, Kristi Randhawa, Pierre Côté, Kevin D’Angelo, Heather M. Shearer, Jessica J. Wong, Deborah Sutton, Sharanya Varatharajan, Rachel Goldgrub, Sarah Dion, Jocelyn Cox, Roger Menta, Courtney K. Brown, Paula J. Stern, Maja Stupar…
Lumbar segmental instability is often considered to be a cause of chronic low back pain. However, defining its measurement has been largely limited to laboratory studies. These have characterised segmental sta...
Authors: Alexander C Breen, Mihai Dupac and Neil Osborne
The chiropractic profession has been well established in Denmark for several decades with state authorization, partial reimbursement by the state and a formal academic education. Biennial systematic data colle...
Authors: Orla Lund Nielsen, Alice Kongsted and Henrik Wulff Christensen
No previous clinical trials have investigated MRI findings as effect modifiers for conservative treatment of low back pain. This hypothesis-setting study investigated if MRI findings modified response to rest ...
Authors: Rikke K. Jensen, Peter Kent and Mark Hancock
High-velocity low-amplitude (HVLA) spinal manipulation is commonly used in the treatment of spinal pain syndromes. The mechanisms by which HVLA-manipulation might reduce spinal pain are not well understood, bu...
Authors: Søren O’Neill, Øystein Ødegaard-Olsen and Beate Søvde
Hypothyroidism is a common endocrine condition. There is evidence to suggest that, for a proportion of sufferers, the standard medical treatment does not completely reverse the constitutional and neuropsychiat...
Authors: Benjamin T. Brown, Petra L. Graham, Rod Bonello and Henry Pollard
Trivial pain or minor soreness commonly follows neck manipulation and has been estimated at one in three treatments. In addition, rare catastrophic events can occur. Some of these incidents have been ascribed ...
Authors: Peter D Chapman, Norman J Stomski, Barrett Losco and Bruce F Walker
Back pain is a common condition during childhood and adolescence. The causes of back pain are largely unknown but it seems plausible that some physical factors such as back muscle strength, back muscle enduran...
Authors: Arnaud Lardon, Charlotte Leboeuf-Yde and Christine Le Scanff
Several published surveys have shown that chiropractors are generally split in their opinions regarding the right to prescribe drugs in chiropractic practice. Many of these studies have been limited by low res...
Authors: Peter Charles Emary and Kent Jason Stuber
Recognition of homogeneous subgroups of patients can usefully improve prediction of their outcomes and the targeting of treatment. There are a number of research approaches that have been used to recognise hom...
Authors: Peter Kent, Mette Jensen Stochkendahl, Henrik Wulff Christensen and Alice Kongsted
There is controversy surrounding the risk of manipulation, which is often used by chiropractors, with respect to its association with vertebrobasilar artery system (VBA) stroke. The objective of this study was...
Authors: Thomas M Kosloff, David Elton, Jiang Tao and Wade M Bannister
Prone lying knee flexion (PLKF) is one of the clinical tests used for assessment of the lumbo-pelvic movement pattern. Considerable increase in lumbar lordosis during this test has been considered as impairmen...
Authors: Amir M Arab, Ailin Talimkhani, Noureddin Karimi and Fetemeh Ehsani
Chiropractors are frequent providers of care for patients with lower back pain. Biopsychosocial approaches to managing patients are regarded as best practice and are gaining wider acceptance. Recent evidence s...
Authors: Stanley I Innes, Peter D Werth, Peter J Tuchin and Petra L Graham
