Articles

A cross-sectional analysis of persistent low back pain, using correlations between lumbar stiffness, pressure pain threshold, and heat pain threshold

Little is known about the underlying biomechanical cause of low back pain (LBP). Recently, technological advances have made it possible to quantify biomechanical and neurophysiological measurements, potential...

Authors: Casper Glissmann Nim, Søren O’Neill, Anne Gellert Geltoft, Line Korsholm Jensen, Berit Schiøttz-Christensen and Gregory Neil Kawchuk

Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review

Static or motion manual palpation of the low back is commonly used to assess pain location and reproduction in low back pain (LBP) patients. The purpose of this study is to review the reliability and validity ...

Authors: Paul S. Nolet, Hainan Yu, Pierre Côté, Anne-Laure Meyer, Vicki L. Kristman, Deborah Sutton, Kent Murnaghan and Nadège Lemeunier

A process evaluation of the Mind Your Back trial examining psychologically informed physical treatments for chronic low back pain

In chronic conditions, such as back pain, the use of interventions that address physical, social and psychological aspects within a biopsychosocial framework are encouraged, however, applying this holistic mul...

Authors: M. John Petrozzi, Grace Spencer and Martin G. Mackey

Sonographic evaluation of the degree of medial meniscal extrusion during Thessaly test in healthy knees

The Thessaly test is a commonly used orthopedic test for meniscus tear evaluation. The study’s objective is to evaluate the degree of medial meniscal extrusion during different loading phases of the Thessaly t...

Authors: John C. Cho, Lauren Tollefson and Kenneth Reckelhoff

Letter to the Editor: “The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial” and “Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial”

Authors: Braden Keil and Christian Fludder

Response to Letter to the Editor: “The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial” and “Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial”

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

The nordic maintenance care program: patient experience of maintenance care—a qualitative study

Low back pain is one of the major causes of disability world-wide. Most back pain sufferers experience pain that is recurrent or persistent, making management of this condition a priority. In a series of previ...

Authors: Jesper Hjertstrand, Per J. Palmgren, Iben Axén and Andreas Eklund

Perceptions and experiences of a manual therapy trial: a qualitative study of people with moderate to severe COPD

Chronic obstructive pulmonary disease (COPD) presents with physical, emotional and social difficulties that affect quality of life. Multimodal management includes both pharmacological and non-pharmacological s...

Authors: Danielle A. Baxter, Johannah L. Shergis, Catherine J. Hill, Christopher Worsnop and Meaghan E. Coyle

Response to Lawrence DJ: the global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Letter to the editor: the global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

Authors: Dana J. Lawrence

Comparison of walking variations during treadmill walking test between neurogenic and vascular claudication: a crossover study

Lumbar spinal stenosis (LSS) and peripheral arterial disease (PAD) are two distinct conditions characterized by similar symptoms including leg pain and walking limitations due to claudication. Differentiation ...

Authors: Mariève Houle, Julie O’Shaughnessy, Charles Tétreau, Claude-Édouard Châtillon, Andrée-Anne Marchand and Martin Descarreaux

Effectiveness of non-pharmacological interventions on sleep characteristics among adults with musculoskeletal pain and a comorbid sleep problem: a systematic review

Sleep problems are common and may be associated with persistent pain. It is unclear whether non-pharmacological interventions improve sleep and pain in adults with comorbid sleep problems and musculoskeletal (...

Authors: Efrosini Papaconstantinou, Carol Cancelliere, Leslie Verville, Jessica J. Wong, Gaelan Connell, Hainan Yu, Heather Shearer, Charlotte Timperley, Chadwick Chung, Bryan J. Porter, Danny Myrtos, Matthew Barrigar and Anne Taylor-Vaisey

The Danish sports chiropractic landscape: an exploration of practice characteristics and salient developmental issues

As is the case around the globe, the Danish chiropractic community appears to be an active service provider for the athletic sub-population. However, a paucity of evidence elucidating the experiences, percepti...

Authors: Corrie Myburgh, Julie Andersen, Nicklas Bakkely, Jakob Hermannsen, Marcus Zuschlag, Philip Damgaard and Eleanor Boyle

It’s not my fault although it might be: chiropractic practice and vicarious liability

While chiropractic care is most commonly provided within a private practice context, the ‘traditional’ solo practice is now uncommon. Chiropractors, manual therapists and related health professionals commonly ...

Authors: J. Keith Simpson and Stanley Innes

Inter-examinerreliability study of physical examination procedures to assess the cervical spine

The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to assess the cervical spine.

Authors: Karthik V. Hariharan, Michael G. Timko, Christopher G. Bise, Meenakshi Sundaram and Michael J. Schneider

European guidelines on radiographic image quality in chiropractic practice – proposal of a cross-sectional graded classification reporting principle

The Commission of the European Communities (CEC) has published: European Guidelines on Quality Criteria for Diagnostic Radiographic Images. These guidelines are considered a gold standard, recommended for use ...

Authors: Klaus Doktor, Maria Lind Vilholm, Aldis Hardardóttir, Henrik Wulff Christensen and Jens Lauritsen

The global end-ranges of neck flexion and extension do not represent the maximum rotational ranges of the cervical intervertebral joints in healthy adults - an observational study

In clinical diagnosis, the maximum motion of a cervical joint is thought to be found at the joint’s end-range and it is this perception that forms the basis for the interpretation of flexion/extension imaging ...

Authors: Victoria Andersen, Xu Wang, Mark de Zee, Lasse Riis Østergaard, Maciej Plocharski and René Lindstroem

Chiropractic case reports: a review and bibliometric analysis

To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs).

Authors: Robert J. Trager and Jeffery A. Dusek

Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial

A recent trial identified large variation in effect of chiropractic care for infantile colic. Thus, identification of possible effect modifiers could potentially enhance the clinical reasoning to select infant...

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

The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial

Chiropractic care is commonly used to treat infantile colic. However large trials with parental blinding are missing. Therefore, the purpose of this study is to evaluate the effect of chiropractic care on infa...

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

Suicide prevention, public health, and the chiropractic profession: a call to action

Suicide is a major public health concern that has wide-reaching implications on individuals, families, and society. Efforts to respond to a public health concern as a portal-of-entry provider can reduce morbid...

Authors: Zachary A. Cupler, Clinton J. Daniels, Derek R. Anderson, Michael T. Anderson, Jason G. Napuli and Megan E. Tritt

Correction to: Leadership and capacity building in chiropractic research: report from the first CARL cohort

An amendment to this paper has been published and can be accessed via the original article.

Authors: Jan Hartvigsen, 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 Jon Adams

Categorisation of lumbar spine MRI referrals in Denmark as compliant or non-compliant to international imaging guidelines: an inter-rater reliability study

Managing low back pain (LBP) often involves MRI despite the fact that international guidelines do not recommend routine imaging. To allow us to explore the topic and use this knowledge in further research, a r...

Authors: Susanne Brogaard Krogh, Tue Secher Jensen, Nanna Rolving, Malene Laursen, Janus Nikolaj Laust Thomsen, Casper Brink Hansen, Christoffer Høj Werenberg, Erik Rasmussen, Rune Carlson and Rikke Krüger Jensen

Correction to: The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

An amendment to this paper has been published and can be accessed via the original article.

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Spinal manipulation and modulation of pain sensitivity in persistent low back pain: a secondary cluster analysis of a randomized trial

Pain hypersensitivity can be assessed using Quantitative Sensory Testing (QST) and is associated with persistent low back pain. Spinal manipulation appears to modify pain hypersensitivity, and this could funct...

Authors: Casper Glissmann Nim, Kenneth Arnold Weber, Gregory Neill Kawchuk and Søren O’Neill

Leadership and capacity building in chiropractic research: report from the first CARL cohort

The Chiropractic Academy for Research Leadership (CARL) was formed in 2016 in response to a need for a global network of early career researchers and leaders in the chiropractic profession. Thirteen fellows we...

Authors: Jan Hartvigsen, 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 Jon Adams

The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature

A small proportion of chiropractors, osteopaths, and other manual medicine providers use spinal manipulative therapy (SMT) to manage non-musculoskeletal disorders. However, the efficacy and effectiveness of th...

Authors: Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J. David Cassidy, Simon French, Gregory N. Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette…

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

Previous research demonstrated that manipulation of the extremities was associated with changes in multisegmental postural sway as well as improvement in a lower extremity balancing task. We were interested if...

Authors: Christopher A. Malaya, Joshua Haworth, Katherine A. Pohlman and Dean L. Smith

Chiropractic students’ cognitive dissonance to statements about professional identity, role, setting and future: international perspectives from a secondary analysis of pooled data

Chiropractic students demonstrate philosophically opposing views about the chiropractic profession. The primary aim was to describe chiropractic students’ responses to statements about chiropractic identity, r...

Authors: Michael S. Swain, Jordan A. Gliedt, Katie de Luca, Dave Newell and Michelle Holmes

COVID-19: how has a global pandemic changed manual therapy technique education in chiropractic programs around the world?

Manual therapy is a cornerstone of chiropractic education, whereby students work towards a level of skill and expertise that is regarded as competent to work within the field of chiropractic. Due to the COVID-...

Authors: Katie de Luca, Marcus McDonald, Laura Montgomery, Stephen Sharp, Anika Young, Simon Vella, Michelle M. Holmes, Sasha Aspinall, Danica Brousseau, Chris Burrell, David Byfield, Dawn Dane, Philip Dewhurst, Aron Downie, Roger Engel, Brian Gleberzon…

Knowledge of and adherence to radiographic guidelines for low back pain: a survey of chiropractors in Newfoundland and Labrador, Canada

Low back pain (LBP) rarely requires routine imaging of the lumbar spine in the primary care setting, as serious spinal pathology is rare. Despite evidence-based clinical practice guidelines recommending delayi...

Authors: Diana De Carvalho, André Bussières, Simon D. French, Darrell Wade, Debbie Brake-Patten, Lino O’Keefe, Barbara Elliott, Ken Budgell, Sara O’Reilly, Daphne To and Amanda Hall

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

Evidence-based practice (EBP) is integral to the delivery of high-quality health care. Chiropractic has been a licensed health profession in Sweden since 1989, but little is known of the uptake of EBP in this ...

Authors: Matthew J. Leach, Per J. Palmgren, Oliver P. Thomson, Gary Fryer, Andreas Eklund, Stina Lilje, Jon Adams, Eva Skillgate and Tobias Sundberg

Effects of spinal manipulative therapy on inflammatory mediators in patients with non-specific low back pain: a non-randomized controlled clinical trial

The inflammatory profiles of patients with acute and chronic nonspecific low back pain (LBP) patients are distinct. Spinal manipulative therapy (SMT) has been shown to modulate the production of nociceptive ch...

Authors: Julita A. Teodorczyk-Injeyan, John J. Triano, Robert Gringmuth, Christopher DeGraauw, Adrian Chow and H. Stephen Injeyan

Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7–14 years - a randomised clinical trial

To investigate the effectiveness of chiropractic spinal manipulation versus sham manipulation in children aged 7–14 with recurrent headaches.

Authors: Susanne Lynge, Kristina Boe Dissing, Werner Vach, Henrik Wulff Christensen and Lise Hestbaek

The professional contribution of chiropractors to Danish elite football clubs: a qualitative exploration of role and perceived value in an interprofessional service provision context

Interprofessional team-based care has been widely adopted in elite level athletic health and performance practice. Chiropractors can claim some penetration as health care service providers in high level sport....

Authors: Joachim Hostrup, Anders Koza and Corrie Myburgh

Cost comparison of two approaches to chiropractic care for patients with acute and sub-acute low Back pain care episodes: a cohort study

Low back pain (LBP) imposes a costly burden upon patients, healthcare insurers, and society overall. Spinal manipulation as practiced by chiropractors has been found be cost-effective for treatment of LBP, but...

Authors: James M. Whedon, Serena Bezdjian, Patricia Dennis, Vivi-Ann Fischer and Robb Russell

Differences in force-time parameters and electromyographic characteristics of two high-velocity, low-amplitude spinal manipulations following one another in quick succession

Spinal manipulative therapy is an effective treatment for neck pain. However, the mechanisms underlying its clinical efficacy are not fully understood. Previous studies have not systematically compared force-t...

Authors: Lindsay M. Gorrell, Philip J. Conway and Walter Herzog

Chiropractic conservatism among chiropractic students in Denmark: prevalence and consequences

The chiropractic profession is split between those practicing evidence-based and those whose practice is honed by vitalism. The latter has been coined ‘chiropractic conservatism’. In Denmark, the chiropractic ...

Authors: Casper Glissmann Nim, Henrik Hein Lauridsen, Søren O’Neill, Guillaume Goncalves, Rikke K. Jensen and Charlotte Leboeuf-Yde

Factors influencing Australian chiropractors who choose not to join national professional associations: a qualitative study

Professional associations (PAs) are perceived to promote their professions and support their members. Despite these advantages, about 1 in 3 Australian chiropractors choose not to belong to either of the two P...

Authors: Stanley I. Innes, Vicki Cope and Kenneth J. Young

Investigator analytic repeatability of two new intervertebral motion biomarkers for chronic, nonspecific low back pain in a cohort of healthy controls

Understanding the mechanisms underlying chronic, nonspecific low back pain (CNSLBP) is essential to advance personalized care and identify the most appropriate intervention. Recently, two intervertebral motion...

Authors: Daphne To, Alexander Breen, Alan Breen, Silvano Mior and Samuel J. Howarth

Short-term effect of kinesiology taping on pain, functional disability and lumbar proprioception in individuals with nonspecific chronic low back pain: a double-blinded, randomized trial

This study aimed to evaluate the effect of kinesiology taping (KT) on lumbar proprioception, pain, and functional disability in individuals with nonspecific chronic low back pain (CLBP).

Authors: Soheila Abbasi, Mohammad-Reza Hadian Rasanani, Nastaran Ghotbi, Gholam Reza Olyaei, Ali Bozorgmehr and Omid Rasouli

Correction to: Feasibility study: one year fortnightly follow-up of the evolution of supra-spinatus degeneration via text-messages

An amendment to this paper has been published and can be accessed via the original article.

Authors: Karl Vincent, Olivier Gagey and Charlotte Leboeuf-Yde

Misinformation, chiropractic, and the COVID-19 pandemic

In March 2020, the World Health Organization elevated the coronavirus disease (COVID-19) epidemic to a pandemic and called for urgent and aggressive action worldwide. Public health experts have communicated cl...

Authors: Iben Axén, Cecilia Bergström, Marc Bronson, Pierre Côté, Casper Glissmann Nim, Guillaume Goncalves, Jeffrey J. Hébert, Joakim Axel Hertel, Stanley Innes, Ole Kristoffer Larsen, Anne-Laure Meyer, Søren O’Neill, Stephen M. Perle, Kenneth A. Weber II, Kenneth J. Young and Charlotte Leboeuf-Yde

Approaches to cervical spine mobilization for neck pain: a pilot randomized controlled trial

Pilot randomized controlled trial.

Authors: Claire Lagoutaris, Justin Sullivan, Michelle Hancock and Andrew M. Leaver

An unusual postural headache: a case report

This paper presents a case of an evolving unusual thunderclap headache that presented to a chiropractor.

Authors: Henry Pollard and Rachel Pollard

Assessing forces during spinal manipulation and mobilization: factors influencing the difference between forces at the patient-table and clinician-patient interfaces

Spinal manipulative therapy (SMT) and mobilization (MOB) effects are believed to be related to their force characteristics. Most previous studies have either measured the force at the patient-table interface o...

Authors: Jérémie Mikhail, Martha Funabashi, Martin Descarreaux and Isabelle Pagé

Informed consent, duty of disclosure and chiropractic: where are we?

The COVID-19 pandemic has seen the emergence of unsubstantiated claims by vertebral subluxation-based chiropractors that spinal manipulative therapy has a role to play in prevention by enhancing the body’s imm...

Authors: J. Keith Simpson and Stanley Innes

Feasibility study: one year fortnightly follow-up of the evolution of supra-spinatus degeneration via text-messages

The clinical follow-up of patients for degeneration of the supraspinatus tendon is limited by the lack of objective assessment of pain evolution over time. We therefore tested a new method to collect follow-up...

Authors: Karl Vincent, Olivier Gagey and Charlotte Leboeuf-Yde

Reported 1-year prevalence of occupational musculoskeletal disorders in Ontario chiropractors

Chiropractors are a particular subset of health care professionals that reportedly suffer occupational musculoskeletal disorders (MSDs), yet they have received minimal attention to date regarding mitigating ri...

Authors: Samuel J. Howarth, Anser Abbas, Sheilah Hogg-Johnson and Silvano Mior

Attitudes, beliefs, and practices among Swiss chiropractors regarding medication prescribing for musculoskeletal conditions: a national Q-methodology study

Swiss chiropractors have been licensed since 1995 to prescribe from a limited formulary of medications for treating musculoskeletal (MSK) conditions. In January 2018, this formulary was expanded to include add...

Authors: Peter C. Emary, Mark Oremus, Taco A. W. Houweling, Martin Wangler and Noori Akhtar-Danesh