Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In ad...
Authors: Fay Karpouzis, Rod Bonello and Henry Pollard
The aims of the current study were: a) to quantitatively compare data obtained by Short Message Service (SMS) with data from a telephone interview, b) to investigate whether the respondents had found it accept...
The number needed to treat (NNT) for one participant to benefit is considered a useful, clinically meaningful way of reporting binary outcomes from randomized trials. Analysis of continuous data from our rando...
Authors: Mitchell Haas, Michael Schneider and Darcy Vavrek
It is widely believed that non-specific low back pain (LBP) consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient character...
When conservative therapies for low back pain (LBP) are not effective, elective surgery may be proposed to these patients. Over the last 20 years, a new technology, disc replacement, has become increasingly po...
Authors: Julie O'Shaughnessy, Marc Drolet, Jean-François Roy and Martin Descarreaux
Chronic pain and psychosocial distress are generally thought to be associated in chronic musculoskeletal disorders such as non-specific neck pain. However, it is unclear whether a raised level of anxiety is ne...
Authors: Corrie Myburgh, Kirsten K Roessler, Anders H Larsen and Jan Hartvigsen
The management of chiropractic patients with acute and chronic/persistent conditions probably differs. However, little is known on this subject. There is, for example, a dearth of information on maintenance ca...
Authors: Kjerstin F Sandnes, Charlotte Bjørnstad, Charlotte Leboeuf-Yde and Lise Hestbaek
This is an accompanying commentary on the article by Gert Bronfort and colleagues about the effectiveness of manual therapy. The two commentaries were provided independently and combined into this single artic...
The purpose of this report is to provide a succinct but comprehensive summary of the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and n...
Authors: Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano
Low back pain (LBP) is known to have a fluctuating course. In clinical studies, when deciding on duration of treatment and time for follow-up, it is important to know at what point in time a definite pattern o...
Shortening of the iliotibial band (ITB) has been considered to be associated with low back pain (LBP). It is theorized that ITB tightness in individuals with LBP is a compensatory mechanism following hip abduc...
It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what d...
Authors: Charlotte Leboeuf-Yde, Annika Rosenbaum, Iben Axén, Peter W Lövgren, Kristian Jørgensen, Laszlo Halasz, Andreas Eklund and Niels Wedderkopp
Chiropractors claim to locate, analyze and diagnose a putative spinal lesion known as subluxation and apply the mode of spinal manipulation (adjustment) for the correction of this lesion.
Authors: Timothy A Mirtz, Lon Morgan, Lawrence H Wyatt and Leon Greene
In New South Wales, Australia, an injured worker enters the workers compensation system with the case often managed by a pre-determined insurer. The goal of the treating practitioner is to facilitate the claim...
Non-specific low back pain (LBP) is known to be a fluctuating condition and there is a growing realisation that it consists of different subgroups of patients. The detailed course of pain is not known since tr...
After any therapy, when symptoms improve, healthcare providers (and patients) are tempted to award credit to treatment. Over time, a particular treatment can seem so undeniably helpful that scientific verifica...
It is commonly stated that nerve root pain should be expected to follow a specific dermatome and that this information is useful to make the diagnosis of radiculopathy. There is little evidence in the literatu...
Authors: Donald R Murphy, Eric L Hurwitz, Jonathan K Gerrard and Ronald Clary
It has been stated that individuals who have spondylotic encroachment on the cervical spinal cord without myelopathy are at increased risk of spinal cord injury if they experience minor trauma. Preventive deco...
Authors: Donald R Murphy, Christopher M Coulis and Jonathan K Gerrard
Maintenance care is a well known concept among chiropractors, although there is little knowledge about its exact definition, its indications and usefulness. As an initial step in a research program on this phe...
Authors: Stefan Malmqvist and Charlotte Leboeuf-Yde
Although cervical pain is widespread, most victims are only mildly and occasionally affected. A minority, however, suffer chronic pain and/or functional impairments. Although there is abundant literature regar...
Authors: Per J Palmgren, Daniel Andreasson, Magnus Eriksson and Andreas Hägglund
Although maintenance care appears to be relatively commonly used among chiropractors, the indications for its use are incompletely understood. A questionnaire survey was recently carried out among Swedish chir...
Authors: Lars Top Møller, Michael Hansen and Charlotte Leboeuf-Yde
Descriptive studies of chiropractic patients are not new, several have been performed in the U.S., Australia, Canada, and Europe. None have been performed in a Latin American country. The purpose of this study...
Authors: Daniel A Martinez, Ronald L Rupert and Harrison T Ndetan
Chiropractors are an integral part of the management of musculoskeletal injuries. A considerable communication gap between the chiropractic and medical professions exists. Subsequently referring allopathic pra...
Authors: Wayne Hoskins, Henry Pollard and Peter Garbutt
The term 'acute facet syndrome' is widely used and accepted amongst chiropractors, but poorly described in the literature, as most of the present literature relates to chronic facet joint pain. Therefore, rese...
Authors: Lise Hestbaek, Alice Kongsted, Tue Secher Jensen and Charlotte Leboeuf-Yde
Among chiropractors the use of long-term treatment is common, often referred to as "maintenance care". Although no generally accepted definition exists, the term has a self-explanatory meaning to chiropractic ...
Authors: Iben Axén, Irene B Jensen, Andreas Eklund, Laszlo Halasz, Kristian Jørgensen, Fredrik Lange, Peter W Lövgren, Annika Rosenbaum and Charlotte Leboeuf-Yde
The manual muscle test (MMT) has been offered as a chiropractic assessment tool that may help diagnose neuromusculoskeletal dysfunction. We contend that due to the number of manipulative practitioners using th...
Neck problems are often recurring or chronic. After pain, unsteadiness and balance problems are among the most frequent symptoms reported by chronic neck pain (CNP) patients. Altered sensorimotor control of th...
Authors: Danik Lafond, Annick Champagne, Rosalie Cadieux and Martin Descarreaux
In a previous Swedish study it was shown that it is possible to predict which chiropractic patients with persistent LBP will not report definite improvement early in the course of treatment, namely those with LBP...
Authors: Stefan Malmqvist, Charlotte Leboeuf-Yde, Tuomo Ahola, Olli Andersson, Kristian Ekström, Harri Pekkarinen, Markku Turpeinen and Niels Wedderkopp
The one year prevalence of thoracic back pain has been estimated as 17% compared to 64% for neck pain and 67% for low back pain. At present only one randomised controlled trial has been performed assessing the...
Authors: Amy Crothers, Bruce Walker and Simon D French
Our purpose was to review the biomedical literature from January 2004 to June 2007 inclusive to determine the extent of new evidence related to the therapeutic application of manipulation for pediatric health ...
The chiropractic profession has succeeded to remain in existence for over 110 years despite the fact that many other professions which had their start at around the same time as chiropractic have disappeared. ...
Authors: Donald R Murphy, Michael J Schneider, David R Seaman, Stephen M Perle and Craig F Nelson
The Finnish chiropractic profession is young and not fully accepted by Finnish healthcare authorities. The demographic profile and style of practice has not been described to date. However, as the profession s...
Authors: Stefan Malmqvist and Charlotte Leboeuf-Yde
The objective of this case report is to describe the clinical presentation of a patient who complained of shoulder pain and was diagnosed with carcinoma of the scapula and spine that metastasized from the lung.
Authors: James Demetrious and Gregory J Demetrious
Spinal pain is a common and often disabling problem. The research on various treatments for spinal pain has, for the most part, suggested that while several interventions have demonstrated mild to moderate sho...
Authors: Donald R Murphy, Eric L Hurwitz and Craig F Nelson
Chiropractic treatment for low back pain (LBP) can often be divided into two phases: Initial treatment of the problem to attempt to remove pain and bring it back into its pre-clinical or maximum improvement st...
Authors: Iben Axén, Annika Rosenbaum, Andreas Eklund, Laszlo Halasz, Kristian Jørgensen, Peter W Lövgren, Fredrik Lange and Charlotte Leboeuf-Yde
Increasing evidence supports somato-visceral effects of manual therapies. We have previously demonstrated that a single spinal manipulative treatment (SMT) accompanied by audible release has an inhibitory effe...
Authors: Julita A Teodorczyk-Injeyan, H Stephen Injeyan, Marion McGregor, Glen M Harris and Richard Ruegg
Trigger points have been shown to be active in many myofascial pain syndromes. Treatment of trigger point pain and dysfunction may be explained through the mechanisms of central and peripheral paradigms. This ...
Authors: Peter Bablis, Henry Pollard and Rod Bonello
Back problems are often recurring or chronic. It is therefore not surprising that chiropractors wish to prevent their return or reduce their impact. This is often attempted with a long-term treatment strategy,...
Upton and McComas claimed that most patients with carpal tunnel syndrome not only have compressive lesions at the wrist, but also show evidence of damage to cervical nerve roots. This "double crush" hypothesis...
A single sample study was undertaken to determine the strength and direction of correlations between: a) breast size and thoracic spine or posterior chest wall pain; b) bra fit and thoracic spine or posterior ...
Authors: Katherine Wood, Melainie Cameron and Kylie Fitzgerald
This paper describes MRI findings of upper cervical subluxation due to alar ligament disruption following a vehicular collision. Incidental findings included the presence of a myodural bridge and a spinal cord...
Analysis of rhythmic patterns embedded within beat-to-beat variations in heart rate (heart rate variability) is a tool used to assess the balance of cardiac autonomic nervous activity and may be predictive for...
Authors: Nobuhiro Watanabe, John Reece and Barbara I Polus
Synovial chondromatosis is a rare, generally benign condition which affects synovial membranes. It most commonly involves large joints such as the knee, hip, and elbow, but its presence in smaller joints has a...
Authors: Heather Shearer, Paula Stern, Andrew Brubacher and Tania Pringle
This case features an 18-year-old female with glenohumeral dysrhythmia and subluxation-relocation patterns. This unusual case highlights the need for careful examination and consideration to the anatomical str...
Authors: Timothy W Stark, Jessica Seebauer, Bruce Walker, Neal McGurk and Jeff Cooley
Gouty arthritis of the wrist is uncommon although gout itself is the most common inflammatory arthritis in older patients. Some known risk factors for the development of gout include trauma, alcohol use, obesi...
Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual ...
Authors: Henry Pollard, Wayne Hoskins, Andrew McHardy, Rod Bonello, Peter Garbutt, Mike Swain, George Dragasevic, Mario Pribicevic and Andrew Vitiello
This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid, as well as the incidence, aetiology...
In a nationally representative sample of United States Medicare beneficiaries, we examined the extent of chiropractic use, factors associated with seeing a chiropractor, and predictors of the volume of chiropr...
Authors: Fredric D Wolinsky, Li Liu, Thomas R Miller, John F Geweke, Elizabeth A Cook, Barry R Greene, Kara B Wright, Elizabeth A Chrischilles, Claire E Pavlik, Hyonggin An, Robert L Ohsfeldt, Kelly K Richardson, Gary E Rosenthal and Robert B Wallace
