Articles

Chiropractors’ views on the use of patient-reported outcome measures in clinical practice: a qualitative study

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

Are frequent measurements in back pain research harmful? Two comparisons of back pain in groups with or without frequent follow-up

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

The interrater reliability of static palpation of the thoracic spine for eliciting tenderness and stiffness to test for a manipulable lesion

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

Systems change to improve tobacco use identification and referral in the chiropractic setting: a pilot study

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

Current evidence for spinal X-ray use in the chiropractic profession: a narrative review

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

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain using an individual participant data meta-analysis approach: a study protocol

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

Test-retest reliability of nerve and muscle morphometric characteristics utilizing ultrasound imaging in individuals with unilateral sciatica and controls

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

Post-infectious ankylosis of the cervical spine in an army veteran: a case report

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

Effectiveness of interventions for treating apophysitis in children and adolescents: protocol for a systematic review and network meta-analysis

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

Changes in pain knowledge, attitudes and beliefs of osteopathy students after completing a clinically focused pain education module

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

Degenerative findings on MRI of the cervical spine: an inter- and intra-rater reliability study

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

A preliminary investigation examining patient reported outcome measures for low back pain and utilisation amongst chiropractors in Australia: facilitators and barriers to clinical implementation

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...

Authors: Natalie Clohesy and Anthony Schneiders

Spinal epidural lipomatosis presenting to a U.S. Veterans Affairs pain and rehabilitation department: a report of two cases

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

ECU convention 2018 congress proceedings

Authors:

Physical risk factors for adolescent neck and mid back pain: a systematic review

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

Assessment of variability in traction interventions for patients with low back pain: a systematic review

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

Impact of the workforce distribution on the viability of the osteopathic profession in Australia: results from a national survey of registered osteopaths

Workforce distribution has an important influence on the quality of healthcare delivered in a region, primarily because it impacts access to health services in the community and overall health equity in the po...

Authors: Amie Steel, Nigel Jackson, Raymond Blaich, Mathew Kirk and Jon Wardle

Manual therapy applied by general practitioners for nonspecific low back pain: results of the ManRück pilot-study

Nonspecific acute low back pain (LBP) is a common reason for accessing primary care. German guidelines recommend non-steroidal anti-inflammatory drugs and physical activity as evidence-based treatments. Manual...

Authors: Heidrun Lingner, Lena Blase, Anika Großhennig and Guido Schmiemann

Feasibility of the consultation-based reassurance questionnaire in Danish chiropractic practice

Reassuring information is recommended in clinical guidelines for the treatment of low back pain (LBP), but has not been clearly defined. The Consultation-based Reassurance Questionnaire (CRQ) was developed as ...

Authors: Alice Kongsted, Magnus Rudbæk Christensen, Karl Kristian Ingersen and Tue Secher Jensen

Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with low back pain or sciatica is unknown; a systematic review

We aim to summarize the available evidence on the diagnostic accuracy of imaging (index test) compared to surgery (reference test) for identifying lumbar disc herniation (LDH) in adult patients.

Authors: Jung-Ha Kim, Rogier M. van Rijn, Maurits W. van Tulder, Bart W. Koes, Michiel R. de Boer, Abida Z. Ginai, Raymond W. G. J. Ostelo, Danielle A. M. W. van der Windt and Arianne P. Verhagen

Comparing the old to the new: A comparison of similarities and differences of the accreditation standards of the chiropractic council on education-international from 2010 to 2016

Chiropractic programs are accredited and monitored by regional Councils on Chiropractic Education (CCE). The CCE-International has historically been a federation of regional CCEs charged with harmonising world...

Authors: Stanley I. Innes, Charlotte Leboeuf-Yde and Bruce F. Walker

The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study

Falls are a major health issue in the elderly people and an important cause of bone fracture. The aim of this study was to determine the association between quadriceps muscle strength (QMS) and falls in the el...

Authors: Alijan Ahmadiahangar, Yahya Javadian, Mansour Babaei, Behzad Heidari, Seyedreza Hosseini and Mohammad Aminzadeh

Unravelling functional neurology: a critical review of clinical research articles on the effect or benefit of the functional neurology approach

Functional Neurology (FN), mainly practiced by chiropractors, proposes to have an effect or a benefit on varied clinical cases, from debilitating diseases to performance enhancement in asymptomatic people.

Authors: Anne-Laure Meyer and Charlotte Leboeuf-Yde

Chiropractic in Global Health and wellbeing: a white paper describing the public health agenda of the World Federation of Chiropractic

The World Federation of Chiropractic supports the involvement of chiropractors in public health initiatives, particularly as it relates to musculoskeletal health. Three topics within public health have been id...

Authors: Michele Maiers, Mustafa Agaoglu, Richard Brown, Christopher Cassirer, Kendrah DaSilva, Reidar P. Lystad, Sarkaw Mohammad and Jessica J. Wong

Correction to: Thoracic index in adults with asthma: a study of validity and reliability

The original article [1] had 2 paragraphs which contained erroneous information. In this correction article the correct and incorrect information is shown.

Authors: Yannely Serrano-villar and Eliana-isabel Rodríguez-grande

Spontaneous cervical artery dissection: a fluoroquinolone induced connective tissue disorder?

Spontaneous cervical artery dissections more often manifest in young people and have been associated with catastrophic consequences. Some indeterminate risk factors have been identified, making the diagnosis o...

Authors: James S. Demetrious

The prevalence of the term subluxation in chiropractic degree program curricula throughout the world

The subluxation construct generates debate within and outside the profession. The International Chiropractic Education Collaboration, comprised of 10 chiropractic programs outside of North America, stated they...

Authors: Matthew F. Funk, Aric J. Frisina-Deyo, Timothy A. Mirtz and Stephen M. Perle

Testing a strength and conditioning program to prevent common manipulative technique training injuries in chiropractic students: a study protocol for a randomised controlled trial

Spinal manipulation is the primary therapy utilised by chiropractors in the management of their patients. The skills required may feel foreign to chiropractic students as they need strength and endurance in mo...

Authors: Christopher J. Hodgetts and Bruce F. Walker

Low back pain: a major global problem for which the chiropractic profession needs to take more care

An important series of papers have been published in the Lancet. These papers provide a comprehensive update for the major global problem of low back pain, and the challenges that low back pain presents to health...

Authors: Simon D. French, Aron S. Downie and Bruce F. Walker

Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team

While chiropractors are integrating into multidisciplinary settings with increasing frequency, the perceptions of medical providers and patients toward adding chiropractors to existing healthcare teams is not ...

Authors: Stacie A. Salsbury, Robert D. Vining, Donna Gosselin and Christine M. Goertz

Biased online media coverage: chiropractic and stroke in google news

Chiropractic has professional tensions with other medical disciplines. This sets up a biased online media coverage of controversial issues, such as the unverified causal relation between chiropractic treatment...

Authors: Mohammed Al-Azdee, Stephen M. Perle and Bingjie He

Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries

There has been little study of the recognition of mild traumatic brain injury (MTBI) by the chiropractic practitioner, or of the inquiry by the clinician to assess those patients who may be suffering from the ...

Authors: David N. Taylor and Shari Wynd

The effect of chiropractic treatment on infantile colic: study protocol for a single-blind randomized controlled trial

Infantile colic is a common condition during early childhood affecting around one of six newborns. The condition is characterized by inconsolable crying and fussing in otherwise healthy and thriving infants. T...

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

Thoracic index in adults with asthma: a study of validity and reliability

The Thoracic Index (TI) is a useful tool for evaluating costal mobility as a component of respiritory mechanics in adults with asthma. In a review of the literature, however, few studies were found that report...

Authors: Yannely Serrano-villar and Eliana-isabel Rodríguez-grande

Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study

To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility.

Authors: Esmaeil Shokri, Fahimeh Kamali, Ehsan Sinaei and Farahnaz Ghafarinejad

Chiropractic treatment including instrument-assisted manipulation for non-specific dizziness and neck pain in community-dwelling older people: a feasibility randomised sham-controlled trial

Dizziness in older people is a risk factor for falls. Neck pain is associated with dizziness and responds favourably to neck manipulation. However, it is unknown if chiropractic intervention including instrume...

Authors: Julie C. Kendall, Simon D. French, Jan Hartvigsen and Michael F. Azari

Exploring the measurement properties of the osteopathy clinical teaching questionnaire using Rasch analysis

Clinical teaching evaluations are common in health profession education programs to ensure students are receiving a quality clinical education experience. Questionnaires students use to evaluate their clinical...

Authors: Brett Vaughan

Correction to: P-12 Assessment of Symmetrigraph and Global Postural System Results for the Posture Analysis of the Healthy Individuals

After publication of the below abstract in supplement [1] it was bought to our attention that in abstract P-12, author Kerem Alptekin’s surname name had been published incorrectly as Alptekim. The authors also...

Authors: Mehmet Toprak, Hasan Kerem Alptekin and Doruk Turhan

Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context

Despite extensive publication of clinical guidelines on how to manage musculoskeletal pain and back pain in particular, these efforts have not significantly translated into decreases in work disability due to ...

Authors: Mette Jensen Stochkendahl, Ole Kristoffer Larsen, Casper Glissmann Nim, Iben Axén, Julia Haraldsson, Ole Christian Kvammen and Corrie Myburgh

The regional effect of spinal manipulation on the pressure pain threshold in asymptomatic subjects: a systematic literature review

Spinal manipulation (SM) has been shown to have an effect on pain perception. More knowledge is needed on this phenomenon and it would be relevant to study its effect in asymptomatic subjects.

Authors: Margaux Honoré, Charlotte Leboeuf-Yde and Olivier Gagey

Complaints about chiropractors, osteopaths, and physiotherapists: a retrospective cohort study of health, performance, and conduct concerns

Recent media reports have highlighted the risks to patients that may occur when practitioners in the chiropractic, osteopathy and physiotherapy professions provide services in an unethical or unsafe manner. Ye...

Authors: Anna T. Ryan, Lay San Too and Marie M. Bismark

Effect of chiropractic treatment on primary or early secondary prevention: a systematic review with a pedagogic approach

The chiropractic vitalistic approach to the concept of ‘subluxation’ as a cause of disease lacks both biological plausibility and possibly proof of validity. Nonetheless, some chiropractors purport to prevent ...

Authors: Guillaume Goncalves, Christine Le Scanff and Charlotte Leboeuf-Yde

How frequent are non-evidence-based health care beliefs in chiropractic students and do they vary across the pre-professional educational years

Evidence suggests that a students’ beliefs already prior to entering a program may be important as a determinant in sustaining unsuitable health care beliefs. Our objectives were to investigate the proportion ...

Authors: Stanley I. Innes, Charlotte Leboeuf-Yde and Bruce F. Walker

Outcomes indicators and a risk classification system for spinal manipulation under anesthesia: a narrative review and proposal

Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. As an advanced form of manual therapy, SMUA is reserved for the patient who...

Authors: Dennis DiGiorgi, John L. Cerf and Daniel S. Bowerman

A Mokken scale analysis of the peer physical examination questionnaire

Peer physical examination (PPE) is a teaching and learning strategy utilised in most health profession education programs. Perceptions of participating in PPE have been described in the literature, focusing on...

Authors: Brett Vaughan and Sandra Grace

The use of nutritional guidance within chiropractic patient management: a survey of 333 chiropractors from the ACORN practice-based research network

Food consumption and nutritional status affect an individual’s health throughout their life-course and an unhealthy diet is a major risk factor for the current global burden of chronic disease. The promotion o...

Authors: Mi Kyung Lee, Lyndon Amorin-Woods, Vincenzo Cascioli and Jon Adams

Work-related acute physical injuries, chronic overuse complaints, and the psychosocial work environment in Danish primary care chiropractic practice – a cross-sectional study

Little is known about the physical and psychosocial work environment of chiropractors and their work-related health complaints, and this has never been described for Danish chiropractors. The aim of this study...

Authors: Mille Charlotte Hansen, Tine Aagaard, Henrik Wulff Christensen and Jan Hartvigsen

Leadership and capacity building in international chiropractic research: introducing the chiropractic academy for research leadership (CARL)

In an evidence-based health care environment, healthcare professions require a sustainable research culture to remain relevant. At present however, there is not a mature research culture across the chiropracti...

Authors: Jon Adams, 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 Jan Hartvigsen

Chiropractic student choices in relation to indications, non-indications and contra-indications of continued care

The quality of health care provider clinical decisions has long been recognized as variable. Research has focused on clinical decision making with the aim of improving patient outcomes. No studies have looked ...

Authors: Stanley I. Innes, Charlotte Leboeuf-Yde and Bruce F. Walker

The schism in chiropractic through the eyes of a 1st year chiropractic student

Since its inception, the chiropractic profession has been divided along ideological fault lines. These divisions have led to a profession wide schism, which has limited mainstream acceptance, utilisation, soci...

Authors: Bob Strahinjevich and J. Keith Simpson