Low back pain (LBP) is a prevalent condition and has been found to be recurrent and persistent in a majority of cases. Chiropractors have a preventive strategy, maintenance care (MC), aimed towards minimizing ...
Practice-based research is a challenge as clinicians are busy with their patients and any participation in research activities will be secondary to the needs of the patients and the clinic. As a result, it is ...
The number of households in the United States that are not proficient in the English language is growing and presenting a challenge to the health care system. Over nineteen percent of the US population speak a...
Tracking how clinicians treat patients provides an opportunity to explore how the clinical management of common musculoskeletal disorders evolves over time. We present an uncontrolled before-after study of a p...
Authors: Silvano Mior, Brian Gamble, Jan Barnsley, Pierre Côté and Elie Côté
Chiropractic and osteopathy form a significant part of the healthcare setting in rural and regional Australia, with national registration of practitioners, public subsidies for services and high utilisation by...
Authors: Jon L Wardle, Davi W Sibbritt and Jon Adams
Typically a large amount of information is collected during healthcare research and this information needs to be organised in a way that will make it manageable and to facilitate clear reporting. The Chiroprac...
Authors: Melanie J Charity, Simon D French, Kirsty Forsdike, Helena Britt, Barbara Polus and Jane Gunn
The symptom ‘dizziness’ is common in patients with chronic whiplash related disorders. However, little is known about dizziness in neck pain patients who have not suffered whiplash. Therefore, the purposes of ...
Registered Massage Therapists (RMTs) are valuable members of the healthcare team who assist in health promotion, disease prevention, treatment, rehabilitation and palliation. RMT visits have increased across C...
From January 2013, The UK College of Chiropractors joins the partnership between the Chiropractic and Osteopathic College of Australasia (COCA) and the European Academy of Chiropractic (EAC) to publish Chiropract...
Authors: Bruce F Walker, Robert P Finch and Timothy C Jay
A case of internal carotid artery dissection in a pregnant woman with Systemic Lupus Erythematosus (SLE) immediately following chiropractic treatment is presented. The literature regarding complications of nec...
There are a number of factors that have conspired to create a crisis in healthcare. In part, the successes of medical science and technologies have been to blame, for they have led to survival where lives woul...
In relation to Myofascial Triggerpoints (MFTrPs) of the upper Trapezius, this study explored muscle contractility characteristics, the occurrence of post-intervention muscle soreness and the effect of dry need...
Authors: Corrie Myburgh, Jan Hartvigsen, Per Aagaard and Anders Holsgaard-Larsen
In the United States (US) a shortage of primary care physicians has become evident. Other health care providers such as chiropractors might help address some of the nation’s primary care needs simply by being ...
Authors: Matthew A Davis, Todd A Mackenzie, Ian D Coulter, James M Whedon and William B Weeks
Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care sector rep...
Authors: Nadège Lemeunier, Charlotte Leboeuf-Yde and Olivier Gagey
Chiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; however the experience of the pregnan...
Authors: Shabnam Sadr, Neda Pourkiani-Allah-Abad and Kent Jason Stuber
The proportion of older people will be tripled by the year 2050. In addition, the incidence of chronic musculoskeletal (MSK) conditions will also increase among the elderly people. Thus, in order to prepare fo...
To assess the significance of adverse events after spinal manipulation therapy (SMT) by replicating and critically reviewing a paper commonly cited when reviewing adverse events of SMT as reported by Ernst (J ...
The Jendrassik maneuver (JM) is a remote facilitation muscular contraction shown to affect amplitude and temporal components of the human stretch reflex. Conflicting theoretical models exist regarding the neur...
Older patients often present with a long, complex history and a clinical picture that frequently includes co-morbidities. It is essential that health professionals caring for older patients become familiar wit...
Neck pain is a common complaint in patients presenting for chiropractic treatment. The few studies on predictors for improvement in patients while undergoing treatment identify duration of symptoms, neck stiff...
Authors: Cynthia Peterson, Jennifer Bolton and B Kim Humphreys
Although there is evidence that spinal manipulative therapy (SMT) can reduce pain, the mechanisms involved are not well established. There is a need to review the scientific literature to establish the evidenc...
Authors: Mario Millan, Charlotte Leboeuf-Yde, Brian Budgell and Michel-Ange Amorim
Because maintenance care (MC) is frequently used by chiropractors in the management of patients with back pain, it is necessary to define the rationale, frequency and indications for MC consultations, and the ...
Authors: Marita Bringsli, Aurora Berntzen, Dorthe Brandborg Olsen, Lise Hestbæk and Charlotte Leboeuf-Yde
It is generally believed that the prevalence of back pain increases with age and as the proportion of elderly will keep rising we may be facing serious public health concerns in the future.
Spinal manipulative therapy (SMT) has been shown to have an effect on spine-related pain, both clinically and in experimentally induced pain. However, it is unclear if it has an immediate noticeable biomechani...
Authors: Mario Millan, Charlotte Leboeuf-Yde, Brian Budgell, Martin Descarreaux and Michel-Ange Amorim
The mechanisms subserving deep spinal pain have not been studied as well as those related to the skin and to deep pain in peripheral limb structures. The clinical phenomenology of deep spinal pain presents uni...
The purpose of this study was to identify the type and frequency of previously undiagnosed life threatening conditions (LTC), based on self-reports of chiropractic physicians, which were first recognized by th...
Authors: Dwain M Daniel, Harrison Ndetan, Ronald L Rupert and Daniel Martinez
Recently, there has been interest in using the short message service (SMS or text messaging), to gather frequent information on the clinical course of individual patients. One possible role for identifying cli...
Clinical decision rules are an increasingly common presence in the biomedical literature and represent one strategy of enhancing clinical-decision making with the goal of improving the efficiency and effective...
This pilot randomized controlled trial evaluated the feasibility of conducting a full scale study and compared the efficacy of exercise, spinal manipulation, and a mind-body therapy called Neuro Emotional Tech...
Authors: Caroline D Peterson, Mitchell Haas and W Thomas Gregory
Low back pain (LBP) is common and costly and few treatments have been shown to be markedly superior to any other. Effort has been focused on stratifying patients to better target treatment. Recently the STarT ...
The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common cau...
The broad use of force plates in clinical settings for postural control assessment suggests the need for instruments that are easy to use, affordable and readily available. In addition, these instruments of me...
Authors: Samira Golriz, Jeffrey J Hebert, K Bo Foreman and Bruce F Walker
Force plates are frequently used for postural control assessments but they are expensive and not widely available in most clinical settings. Increasingly, clinicians are using this technology to assess patient...
Authors: Samira Golriz, Jeffrey J Hebert, K Bo Foreman and Bruce F Walker
Hypotheses on somatovisceral dysfunction often assume interference by stretch or compression of the nerve supply to visceral structures. The purpose of this study is to examine the potential of pelvic visceral...
Side bridge endurance protocols have been suggested to evaluate lateral trunk flexor and/or spine stabilizer muscles. To date, no study has investigated muscle recruitment and fatigability during these protoco...
Studies of back pain are typically based on the assumption that symptoms from different parts of the spine are distinctive entities. Recently, however, the assumption that back pain is a site-specific disorder...
Authors: Charlotte Leboeuf-Yde, René Fejer, Jan Nielsen, Kirsten O Kyvik and Jan Hartvigsen
Although the sale of non-prescription health products is ubiquitous, the views of health professionals, such as chiropractors, regarding the sale of such products are not well known. Practitioner opinion is im...
Authors: Stacey A Page, Jaroslaw P Grod and D Gordon McMorland
In order to define the onset of a new episode of low back pain (LBP), the definition of a "non-episode" must be clear. De Vet et al reviewed the scientific literature but found no evidence-based definitions of...
Authors: Charlotte Leboeuf-Yde, Rikke K Jensen and Iben Axén
The safety of spinal manipulation during pregnancy and the postpartum periods has been a matter of debate among manual therapists. Spinal manipulative therapy during these periods is a commonly performed inter...
Authors: Kent Jason Stuber, Shari Wynd and Carol Ann Weis
A definitive diagnosis in chiropractic clinical practice is frequently elusive, yet decisions around management are still necessary. Often, a clinical impression is made after the exclusion of serious illness ...
Authors: Lyndon G Amorin-Woods and Gregory F Parkin-Smith
Burnout is a psychological syndrome of emotional exhaustion, depersonalization and reduced personal accomplishment that has been found to exist in a significant number of healthcare and helping professionals. ...
There are a rising number of older adults; in the US alone nearly 20% of the population will be 65 or older by 2030. Chiropractic is one of the most frequently utilized types of complementary and alternative c...
Authors: Paul E Dougherty, Cheryl Hawk, Debra K Weiner, Brian Gleberzon, Kari Andrew and Lisa Killinger
Clinical outcome measures are important tools to monitor patient improvement during treatment as well as to document changes for research purposes. The short-form Bournemouth questionnaire for neck pain patien...
Authors: Marina Soklic, Cynthia Peterson and B Kim Humphreys
Chiropractic has endured a turbulent history, marked by tremendous advances in areas such as education and licensing while marred by interprofessional conflict and a poor public image. The prolonged interprofe...
Chiropractors commonly provide care to people with acute low-back pain (LBP). The aim of this survey was to determine how chiropractors intend to support and manage people with acute LBP and if this management...
Authors: Bruce F Walker, Simon D French, Matthew J Page, Denise A O'Connor, Joanne E McKenzie, Katherine Beringer, Kerry Murphy, Jenny L Keating, Susan Michie, Jill J Francis and Sally E Green
The use of automated text messages has made it possible to identify different courses of low back pain (LBP), and it has been observed that pain often fluctuates and that absolute recovery is rather rare. The ...
Authors: Nadège Lemeunier, Alice Kongsted and Iben Axén
