Spinal Manipulative Therapy (SMT) and Active Exercise Therapy (AET) have both demonstrated efficacy in the treatment of Chronic Lower Back Pain (CLBP). A Clinical Prediction Rule (CPR) for responsiveness to SM...
Authors: Paul E Dougherty, Jurgis Karuza, Dorian Savino and Paul Katz
Adverse events are commonly observed in all parts of health care and have been reported extensively following manual therapy, including chiropractic. The majority of reported adverse events following chiroprac...
Authors: Jørgen Jevne, Jan Hartvigsen and Henrik Wulff Christensen
In 2004, the WHO Collaborating Centre for Neurotrauma, Prevention, Management and Rehabilitation Task Force published the first large systematic review and best evidence synthesis on the clinical course and pr...
Authors: James Donovan, Carol Cancelliere and J David Cassidy
Chiropractic technique systems have been historically documented to advocate overutilization of radiography. Various rationales for this have been explored in the literature. However, little consideration has ...
There are several chiropractic spinal manipulative technique systems. However, there is limited research differentiating the efficacy of these techniques. Additionally, chiropractors may also use ancillary pro...
Authors: Mattijs Clijsters, Francesco Fronzoni and Hazel Jenkins
The use of patient-reported questionnaires to collect information on costs associated with routine healthcare services, such as chiropractic, represents a less labour intensive alternative to retrieving these ...
Authors: Taco Houweling, Jennifer Bolton and David Newell
The right to prescribe drugs remains a contentious issue within the chiropractic profession. Nevertheless, drug prescription by manual therapy providers is currently an important topic. Notably, physiotherapis...
Authors: Peter Charles Emary and Kent Jason Stuber
Postural control problems effect between 28% and 35% of individuals over the age 65 and increases with age. Musculoskeletal pain in the elderly impacts 20% to 49% of people between the ages of 65 and 75, is a ...
Authors: Dennis E Enix, Kasey L Sudkamp, Theodore K Malmstrom and Joseph H Flaherty
Patients with low back pain often seek chiropractic care and more than ninety percent of Chiropractors use lumbar side posture manipulation for the treatment of low back pain. During this procedure chiropracto...
Generalized hyperalgesia, a widespread increased sensitivity to painful stimuli, has been demonstrated in a range of chronic pain conditions including low-back pain. The evidence suggests, that generalized hyp...
Authors: Søren O’Neill, Thomas Graven-Nielsen, Claus Manniche and Lars Arendt-Nielsen
Numerous clinical tests are used in the diagnosis of anterior cruciate ligament (ACL) injury but their accuracy is unclear. The purpose of this study is to evaluate the diagnostic accuracy of clinical tests fo...
Authors: Michael S Swain, Nicholas Henschke, Steven J Kamper, Aron S Downie, Bart W Koes and Chris G Maher
Arthritis is a significant contributor to illness, pain and disability and imposes a considerable burden upon the community. Pain is a cardinal symptom of arthritis and has significant implications on biopsych...
Authors: Katie de Luca, Lynne Parkinson and Julie Byles
Back and neck disability are frequent in older adults resulting in loss of function and independence. Exercise therapy and manual therapy, like spinal manipulative therapy (SMT), have evidence of short and int...
Authors: Corrie Vihstadt, Michele Maiers, Kristine Westrom, Gert Bronfort, Roni Evans, Jan Hartvigsen and Craig Schulz
Spinal manipulation for nonspecific neck pain is thought to work in part by improving inter-vertebral range of motion (IV-RoM), but it is difficult to measure this or determine whether it is related to clinica...
Manual spinal joint mobilisations and manipulations are widely used treatments in patients with neck and low-back pain. Inter-examiner reliability of passive intervertebral motion assessment of the cervical an...
Authors: Emiel van Trijffel, Robert Lindeboom, Patrick MM Bossuyt, Maarten A Schmitt, Cees Lucas, Bart W Koes and Rob AB Oostendorp
Two clinical tests used to assess for neuromuscular control deficits in low back pain (LBP) patients are the prone hip extension (PHE) test and active straight leg raise (ASLR) test. For these tests, it has be...
Authors: Paul A Bruno, David P Millar and Dale A Goertzen
Low back pain is among the most common and costly chronic health care conditions. Recent research has highlighted the common occurrence of non-specific low back pain in adolescents, with prevalence estimates s...
Authors: Craig Schulz, Brent Leininger, Roni Evans, Darcy Vavrek, Dave Peterson, Mitchell Haas and Gert Bronfort
Upright examination procedures like radiology, thermography, manual muscle testing, and spinal motion palpation may lead to spinal interventions with the patient prone. The reliability and accuracy of mapping ...
Lumbar spinal stenosis is the most common reason for spinal surgery in older adults. Previous studies have shown that surgery is effective for severe cases of stenosis, but many patients with mild to moderate ...
Authors: Michael Schneider, Carlo Ammendolia, Donald Murphy, Ronald Glick, Sara Piva, Elizabeth Hile, Dana Tudorascu and Sally C Morton
Several studies showed the effect of osteopathic manipulative treatment on neonatal care in reducing length of stay in hospital, gastrointestinal problems, clubfoot complications and improving cranial asymmetr...
Authors: Francesco Cerritelli, Marta Martelli, Cinzia Renzetti, Gianfranco Pizzolorusso, Vincenzo Cozzolino and Gina Barlafante
It is not uncommon for chiropractors to be associated with sports teams for injury prevention, treatment, or performance enhancement. There is increasing acceptance of the importance of sports psychology in th...
Health consumers have moved away from a reliance on medical practitioner advice to more independent decision processes and so their information search processes have subsequently widened. This study examined h...
Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study are 1) to report outcomes in pregnant patients receiving chiropractic...
Authors: Cynthia K Peterson, Daniel Mühlemann and Barry Kim Humphreys
The purpose of this case report is to describe a patient that presented with a Mason type II radial neck fracture approximately three weeks following a traumatic injury.
Authors: Clinton J Daniels, Jordan A Gliedt and Dennis E Enix
Little is known about the level of consensus within the French chiropractic profession regarding management of clinical issues. A previous Swedish study showed that chiropractors agreed relatively well on the ...
Authors: Michel Debarle, Rémi Aigron, Laure Depernet, Amandine Guillemard, Thomas Véron and Charlotte Leboeuf-Yde
This systematic review updated and extended the "UK evidence report" by Bronfort et al. (Chiropr Osteopath 18:3, 2010) with respect to conditions/interventions that received an 'inconclusive’ or 'negative’ evi...
Authors: Christine Clar, Alexander Tsertsvadze, Rachel Court, Gillian Lewando Hundt, Aileen Clarke and Paul Sutcliffe
Clinical practice guidelines on the management of neck pain make recommendations to help practitioners optimize patient care. By examining the practice patterns of practitioners, adherence to CPGs or lack ther...
Authors: Lisa C Carlesso, Joy C MacDermid, Anita R Gross, David M Walton and P Lina Santaguida
Several tests have been suggested to assess the isometric endurance of the cervical flexor (NFME) and extensors (NEE) muscles. This study proposes to determine whether neck flexors endurance is related to exte...
Authors: Sergio Parazza, Carla Vanti, Caroline O’Reilly, Jorge Hugo Villafañe, José Miguel Tricás Moreno and Elena Estébanez De Miguel
Research involving chiropractors is evolving and expanding in Europe while resources are limited. Therefore, we considered it timely to initiate a research agenda for the chiropractic profession in Europe. The...
Authors: Sidney M Rubinstein, Jenni Bolton, Alexandra L Webb and Jan Hartvigsen
Meningiomas are the most common brain tumor in the adult population. This case report describes the epidemiology, the clinical presentation as well as the current treatment options for this condition.
Authors: Andrée-Anne Marchand and Julie O'Shaughnessy
There are currently no widely accepted guidelines on standards for the practice of chiropractic or manual therapy manipulation under anesthesia, and the evidence base for this practice is composed primarily of...
Authors: Robert Gordon, Edward Cremata and Cheryl Hawk
Over the decades, research into placebo responses has shed light onto several endogenous (i.e. produced from within) mechanisms underlying modulation of pain perception initiated after the administration of in...
The development of clinical practice guidelines for managing spinal pain have been informed by a biopsychosocial framework which acknowledges that pain arises from a combination of psychosocial and biomechanic...
Authors: Bruce F Walker, Christine D Losco, Anthony Armson, Amanda Meyer and Norman J Stomski
Depression is an important prognostic factor in low back pain (LBP) that appears to be infrequent in chiropractic populations. Identification of depression in few patients would consequently implicate screenin...
Authors: Alice Kongsted, Benedicte Aambakk, Sanne Bossen and Lise Hestbaek
Chiropractors, physiotherapists, and osteopaths receive training in the diagnosis and management of musculoskeletal conditions. As a result there is considerable overlap in the types of conditions that are enc...
Authors: Roger M Engel, Benjamin T Brown, Michael S Swain and Reidar P Lystad
Breast implant displacement or rupture can cause aesthetic problems and serious medical complications. Activities with prone positioning and loading of the anterior chest wall, such as massage, chiropractic or...
Authors: Karin Ried, Simon Armstrong, Avni Sali and Patrick McLaughlin
Over one year, the majority of patients with low back pain (LBP) from the secondary care sector could not report a single week without LBP and few could report a non-episode, defined as at least one month with...
Authors: Charlotte Leboeuf-Yde, Nadège Lemeunier, Niels Wedderkopp and Per Kjaer
Research into chiropractors’ use of evidence in clinical practice appears limited to a single small qualitative study. The paucity of research in this area suggests that it is timely to undertake a more extens...
Authors: Bruce F Walker, Norman J Stomski, Jeff J Hebert and Simon D French
Evidence-based clinical practice (EBCP) is a practice model gaining prominence within healthcare, including the chiropractic profession. The status of EBCP has been evaluated in a variety of healthcare discipl...
Authors: Christopher B Roecker, Cynthia R Long, Robert D Vining and Dana J Lawrence
Chronicity amongst musculoskeletal patients remains a considerable burden and predicting outcomes in these patients has proven difficult. Although a large number of studies have investigated a range of predict...
Authors: Dave Newell, Jonathan Field and Nita Visnes
Musculoskeletal pain and low back pain (LBP) in particular is one of the more costly health challenges to society. The STarT Back Tool (SBT) has been developed in the UK with a view to identifying subgroups of...
Authors: Pernille Irgens, Lise R Lothe, Ole Christian Kvammen, Jonathan Field and David Newell
Lumbar disc herniation (LDH) surgery is usually recommended when conservative treatments fail to manage patients’ symptoms. However, many patients undergoing LDH surgery continue to report pain and disability....
Authors: Faris A Alodaibi, Kate I Minick and Julie M Fritz
Transient synovitis of the hip (TS) is considered to be a self-limiting disease in childhood. However, because the etiology is unclear and some cases precede Legg-Perthes’ disease, data on follow-up are import...
Authors: Sylvana S Asche, Rogier M van Rijn, Johannes HJM Bessems, Marjolein Krul and Sita MA Bierma-Zeinstra
To determine whether osteopathic medical students, fellows, residents, and practicing physicians differ in their ability to identify inanimate objects and if these skills relate to palpatory experience.
Authors: Rosanna C Sabini, Chadwick S Leo and Alton E Moore II
Ultrasound (US) imaging has been considered as a non-invasive technique to measure thickness and estimate relative abdominal muscle activity. Although some studies have assessed the reliability of US imaging, ...
Authors: Amir Massoud Arab, Omid Rasouli, Mohsen Amiri and Nahid Tahan
With the development of increasing evidence for the use of manipulation in the management of musculoskeletal conditions, there is growing interest in identifying the appropriate indications for care. Recently,...
Authors: John J Triano, Brian Budgell, Angela Bagnulo, Benjamin Roffey, Thomas Bergmann, Robert Cooperstein, Brian Gleberzon, Christopher Good, Jacquelyn Perron and Rodger Tepe
The shared decision making process has become increasingly important in the management of spinal disorders where there remains a variety of treatment options. Spinal manipulative therapy (SMT) is often recomme...
Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared ...
Authors: Gwendolijne GM Scholten-Peeters, Erik Thoomes, Sophie Konings, Michelle Beijer, Karin Verkerk, Bart W Koes and Arianne P Verhagen
Evidence-based clinical practice (EBCP) is an accepted practice for informed clinical decision making in mainstream health care professions. EBCP augments clinical experience and can have far reaching effects ...
Authors: Barbara A Mansholt, John S Stites, Dustin C Derby, Ron J Boesch and Stacie A Salsbury
The use of chiropractic services is widespread, however, little is known about the characteristics of people who seek chiropractic care in Australia. This study compared the characteristics of users and non-us...
Authors: Simon D French, Konstancja Densley, Melanie J Charity and Jane Gunn
