Articles

Managing patients with acute and chronic non-specific neck pain: are Danish chiropractors compliant with guidelines?

Non-specific neck pain represents a quarter of all chiropractic patient visits in Denmark. Evidence informed practice can help ensure providers use best available treatment, speed up patient recovery rate and ...

Authors: Simon Sidenius Brockhusen, André Bussières, Simon David French, Henrik Wulff Christensen and Tue Secher Jensen

The biopsychosocial model and chiropractic: a commentary with recommendations for the chiropractic profession

There is an increasing awareness, interest and acceptance of the biopsychosocial (BPS) model by all health care professionals involved with patient care. The areas of spine care and pain medicine are no except...

Authors: Jordan A. Gliedt, Michael J. Schneider, Marion W. Evans, Jeff King and James E. Eubanks Jr

Historical influence on the practice of chiropractic radiology: part II - thematic analysis on the opinions of diplomates of the American Chiropractic College of Radiology about the future

Over the past 20 years, various authors have addressed the question of the future of chiropractic. Most were positive about the future, with some advocating evidence-based practice and integration with mainstr...

Authors: Kenneth J. Young

Historical influence on the practice of chiropractic radiology: Part I - a survey of Diplomates of the American Chiropractic College of Radiology

It is known that not all chiropractors follow mainstream guidelines on the use of diagnostic ionising radiation. Various reasons have been discussed in the literature, including using radiography to screen for...

Authors: Kenneth J. Young

Chiropractors` experience and readiness to work in Indigenous Australian Communities: a preliminary cross-sectional survey to explore preparedness, perceived barriers and facilitators for chiropractors practising cross-culturally

Indigenous people make up approximately 3% of the total Australian population and score poorer on all health indices, including back pain. Chiropractors are well placed to alleviate back pain, yet there is no ...

Authors: Dein Vindigni, Barbara I. Polus, Sonja Cleary and Aunty Kerrie Doyle

Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial

Manual therapy according to the School of Manual Therapy Utrecht (MTU) is a specific type of passive manual joint mobilization. MTU has not yet been systematically compared to other manual therapies and physic...

Authors: Ruud Groeneweg, Luite van Assen, Hans Kropman, Huco Leopold, Jan Mulder, Bouwien C. M. Smits-Engelsman, Raymond W J. G. Ostelo, Rob A. B. Oostendorp and Maurits W. van Tulder

The STarT back tool in chiropractic practice: a narrative review

The Keele STarT Back Tool was designed for primary care medical physicians in the UK to determine the risk for persistent disabling pain in patients with musculoskeletal pain and to tailor treatments according...

Authors: Yasmeen Khan

Prevalence of low back pain in adolescents with idiopathic scoliosis: a systematic review

Adolescent idiopathic scoliosis is the most common spinal deformity occurring in adolescents and its established prevalence varies from 2 to 3%. Adolescent idiopathic scoliosis has been identified as a potenti...

Authors: Jean Théroux, Norman Stomski, Christopher J. Hodgetts, Ariane Ballard, Christelle Khadra, Sylvie Le May and Hubert Labelle

Primary prevention in chiropractic practice: a systematic review

Chiropractors are primarily concerned with musculoskeletal disorders but have the responsibility to deal also with prevention in other areas.

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

Lumbar lordosis in prone position and prone hip extension test: comparison between subjects with and without low back pain

Prone hip extension (PHE) is a common and widely accepted test used for assessment of the lumbo-pelvic movement pattern. Considerable increased in lumbar lordosis during this test has been considered as impair...

Authors: Amir Massoud Arab, Arash Haghighat, Zahra Amiri and Fariba Khosravi

A treatise for a new philosophy of chiropractic medicine

The philosophy of chiropractic has been a much debated entity throughout the existence of the chiropractic profession. Much criticism has been passed upon the historical philosophy of chiropractic and propagat...

Authors: Timothy A. Mirtz

Contextually Aided Recovery (CARe): a scientific theory for innate healing

The chiropractic profession emerged when scientific explanations for causes of health and disease were still in infancy and the co-existence of notions such as innate healing and vitalism were perhaps admissib...

Authors: Dave Newell, Lise R. Lothe and Timothy J. L. Raven

Chiropractic management of post spinal cord stimulator spine pain: a case report

A brief overview of failed back surgery syndrome, with emphasis on low back pain status post spinal cord stimulation, and post-surgical spinal manipulation is presented.

Authors: Rachel M. Perrucci and Christopher M. Coulis

The relationship between chiropractor required and current level of business knowledge

Chiropractors frequently practice within health care systems requiring the business acumen of an entrepreneur. However, some chiropractors do not know the relationship between the level of business knowledge r...

Authors: Michael Anthony Ciolfi and Patsy Anne Kasen

Association between sports type and overuse injuries of extremities in adults: a systematic review

Sports injuries are often described as overuse or traumatic. Little is known about the frequency of overuse injuries and, in particular, if they vary between different types of sporting activities.

Authors: Charlène Chéron, Christine Le Scanff and Charlotte Leboeuf-Yde

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study

The reliability of musculoskeletal diagnostic ultrasound imaging (MSK-DUSI) for the evaluation of neck musculature has been sparsely documented in the research literature. Until now, research has featured a li...

Authors: Cecilie Krage Øverås, Birgitte Lawaetz Myhrvold, Gro Røsok and Eli Magnesen

A systematic review of thrust manipulation for non-surgical shoulder conditions

Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy appr...

Authors: Amy L. Minkalis, Robert D. Vining, Cynthia R. Long, Cheryl Hawk and Katie de Luca

The reliability of spinal motion palpation determination of the location of the stiffest spinal site is influenced by confidence ratings: a secondary analysis of three studies

This is a secondary analysis of three previous studies on the cervical, thoracic, and lumbar spines. It uses continuous analysis of the stiffest spinal site rather than more typical level-by-level analysis to ...

Authors: Robert Cooperstein and Morgan Young

‘PICO-D Management’; a decision-aid for evidence-based chiropractic education and clinical practice

Various models and decision-making aids exist for chiropractic clinical practice.

Authors: Lyndon G. Amorin-Woods and Barrett E. Losco

The effect of obesity on treatment outcomes for low back pain

The objective of this study was to estimate the effect of obesity, as measured by body mass index (BMI), on treatment outcomes for low back pain (LBP).

Authors: Stanley C. Ewald, Eric L. Hurwitz and Anupama Kizhakkeveettil

Effectiveness of manual therapy for cervical radiculopathy, a review

Manual therapy is often used for patients with neck pain with or without radicular symptoms. There is sparse evidence on the effectiveness in cervical radiculopathy. The aim of this study was to assess current...

Authors: E. J. Thoomes

Similarities and differences of a selection of key accreditation standards between chiropractic councils on education: a systematic review

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

Effect of lumbar spinal manipulation on local and remote pressure pain threshold and pinprick sensitivity in asymptomatic individuals: a randomised trial

The mechanisms of clinical pain relief associated with spinal manipulative therapy (SMT) are poorly understood. Our objective was to determine whether lumbar high-velocity low-amplitude SMT altered pressure pa...

Authors: Sasha L. Dorron, Barrett E. Losco, Peter D. Drummond and Bruce F. Walker

The influence of anatomy app use on chiropractic students’ learning outcomes: a randomised controlled trial

Anatomy apps supplement traditional learning; however, it is unknown if their use can improve students’ outcome. The present study examined whether the use of anatomy apps improved student performance on a neu...

Authors: Amanda J. Meyer, Norman J. Stomski, C. Dominique Losco and Anthony J. Armson

Association between sports type and overuse injuries of extremities in children and adolescents: a systematic review

Sporting activities can cause injuries and overuse injuries of the extremities (OIE) in children have been shown to be more common than injuries caused by trauma. The lower extremity is more frequently affecte...

Authors: Charlène Chéron, Christine Le Scanff and Charlotte Leboeuf-Yde

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No

The purported relationship between cervical manipulative therapy (CMT) and stroke related to vertebral artery dissection (VAD) has been debated for several decades. A large number of publications, from case re...

Authors: Donald R. Murphy, Michael J. Schneider, Stephen M. Perle, Christopher G. Bise, Michael Timko and Mitchell Haas

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? Yes

For patients and health care providers who are considering spinal manipulative therapy of the neck, it is crucial to establish if it is a trigger for cervical artery dissection and/or stroke, and if it is, the...

Authors: Jessica K. Paulus and David E. Thaler

Serious bicycle crash injury in chiropractic practice – a case report of delayed diagnosis

Bicyclists are vulnerable road users and are at risk of serious spinal injury if involved in traffic crashes. In Denmark approximately 25 bicyclists are killed each year and some 20.000 bicycle related casualt...

Authors: Lars Uhrenholt

An indication of current views of Australian general practitioners towards chiropractic and osteopathy: a cross-sectional study

While the role of complementary medicine therapies such as chiropractic and osteopathy is yet to be clearly delineated in the Australian context, demand for these services remains high. The attitudes of genera...

Authors: Roger M. Engel, Robyn Beirman and Sandra Grace

Outcomes of a pilot study in chiropractic practices in Western Australia

This paper reports the quantitative outcomes of a mixed-methods pilot study of the characteristics and demographics of chiropractic practices and patients in Western Australia.

Authors: Lyndon G Amorin-Woods, Gregory F. Parkin-Smith, Lee Nedkoff and Colleen Fisher

Awareness of radiographic guidelines for low back pain: a survey of Australian chiropractors

Chiropractors have been shown to refer for lumbar radiography in clinical scenarios inconsistent with the current clinical guidelines for low back pain. It is unknown whether this is due to lack of adherence w...

Authors: Hazel J. Jenkins

Critique of a practice-based pilot study in chiropractic practices in Western Australia

Practice-based data collection can offer insight into the nature of chiropractic practice and contribute to resolving the conundrum of the chiropractic profession’s role in contemporary healthcare, subsequentl...

Authors: Lyndon G. Amorin-Woods, Gregory F. Parkin-Smith, Lee Nedkoff and Colleen Fisher

The factors and motivations behind United Kingdom chiropractic professional association membership: a survey of the Welsh Institute of Chiropractic Alumni

There are many professional associations representing chiropractors and chiropractic in the United Kingdom (UK). Each has its unique selling points (USPs) and chiropractors can choose to join as many as they l...

Authors: Sheena E. Wotherspoon and Peter W. McCarthy

Factors affecting return to work after injury or illness: best evidence synthesis of systematic reviews

Work disability is a major personal, financial and public health burden. Predicting future work success is a major focus of research.

Authors: Carol Cancelliere, James Donovan, Mette Jensen Stochkendahl, Melissa Biscardi, Carlo Ammendolia, Corrie Myburgh and J. David Cassidy

How comprehensively is evidence-based practice represented in councils on chiropractic education (CCE) educational standards: a systematic audit

The incorporation of evidence-based practice (EBP) is widely recognised as a necessary process for entry-level health professional training. Accreditation documents reflect the practice standards of health pro...

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

Who consults chiropractors in Victoria, Australia?: Reasons for attending, general health and lifestyle habits of chiropractic patients

COAST (Chiropractic Observational and Analysis STudy) reported the clinical practices of chiropractors. The aims of this study were to: 1) describe the chiropractic patient demographic and health characteristi...

Authors: Melanie J. Charity, Helena C. Britt, Bruce F. Walker, Jane M. Gunn, Kirsty Forsdike-Young, Barbara I. Polus and Simon D. French

A commentary on the implications of medication prescription rights for the chiropractic profession

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

Erratum to: Quality of reporting of randomised controlled trials in chiropractic using the CONSORT checklist

Authors: Fay Karpouzis, Rod Bonello, Mario Pribicevic, Allan Kalamir and Benjamin T. Brown

The effectiveness and feasibility of an online educational program for improving evidence-based practice literacy: an exploratory randomized study of US chiropractors

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

Children and adolescents presenting to chiropractors in Norway: National Health Insurance data and a detailed survey

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

Whose pain is it anyway? Comparability of pain reports from children and their parents

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

The boot camp program for lumbar spinal stenosis: a protocol for a randomized controlled trial

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

Health care encounters in Danish chiropractic practice from a consumer perspectives - a mixed methods investigation

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

Erratum to: Spinal manipulative therapy, Graston technique® and placebo for non-specific thoracic spine pain: a randomised controlled trial

Authors: Amy L. Crothers, Simon D. French, Jeff J. Hebert and Bruce F. Walker

Perception of peer physical examination in two Australian osteopathy programs

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....

Authors: Brett Vaughan and Sandra Grace

The immediate effect of multiple mechanical impulses on electromyography and pressure pain threshold of lumbar latent trigger points: an experimental study

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 ...

Authors: Bert Ameloot and Jeff Bagust

The new chiropractic

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...

Authors: Bruce F. Walker

Quality of reporting of randomised controlled trials in chiropractic using the CONSORT checklist

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

Dose–response of spinal manipulation for cervicogenic headache: study protocol for a randomized controlled trial

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

Perceptions of the quality of the therapeutic alliance in chiropractic care in The Netherlands: a cross-sectional survey

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