Articles

A perspective on Chiropractic Councils on Education accreditation standards and processes from the inside: a narrative description of expert opinion, part 1: Themes

The aim of this study was to report on key informant opinions of Councils on Chiropractic Education (CCE) regarding recent research findings reporting on improving accreditation standards and processes for chi...

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

Assessing attitudes of patient-centred care among students in international chiropractic educational programs: a cross-sectional survey

Patient-centred care is internationally recognized as a foundation of quality patient care. Attitudes of students towards patient-centred care have been assessed in various health professions. However, little ...

Authors: Karin Hammerich, Kent Stuber, Sheilah Hogg-Johnson, Anser Abbas, Martin Harris, Henrik Hein Lauridsen, Nadège Lemeunier, Michele Maiers, Peter McCarthy, Vanessa Morales, Corrie Myburgh, Vanessa Petrini, Katherine Pohlman and Silvano Mior

Shared decision making by United Kingdom osteopathic students: an observational study using the OPTION-12 instrument

At the crux of patient centred care is Shared Decision Making (SDM), which benefits patient and practitioner. Despite external pressures, studies indicate that SDM remains poorly practised across a variety of ...

Authors: Dévan Rajendran, Jane Beazley and Philip Bright

The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review

Muscle energy techniques are applied to reduce pain and increase range of motion. These are applied to a variety of pathological conditions and on asymptomatic subjects. There is however limited knowledge on t...

Authors: Ewan Thomas, Antonio Rosario Cavallaro, Diba Mani, Antonino Bianco and Antonio Palma

Effectiveness of chiropractic manipulation versus sham manipulation on recurrent headaches in children aged 7–14 years, Protocol for a randomized clinical trial

Headache is one of the most common pain symptoms in childhood having a negative impact on many aspects of the lives of affected children, both short-term and long-term. Therefore, it is important to document s...

Authors: Susanne Lynge, Jan Hartvigsen, Henrik Wulff Christensen, Werner Vach and Lise Hestbaek

Letter to the editor, Odell 2019

Authors: Peter Tuchin

Muscle energy technique for chronic obstructive pulmonary disease: a systematic review

Chronic Obstructive Pulmonary Disease (COPD) is an increasingly prevalent respiratory disease that impacts on daily living. In addition to difficulty breathing, many people experience extrapulmonary comorbidit...

Authors: Danielle A. Baxter, Johannah L. Shergis, Azharuddin Fazalbhoy and Meaghan E. Coyle

Psychosocial and behavioural characteristics in women with pregnancy-related lumbopelvic pain 12 years postpartum

There is insufficient evidence regarding psychosocial factors and its long-term association with persistent pregnancy-related lumbopelvic pain. The overall aim of this study was to investigate women with persi...

Authors: Cecilia Bergström, Margareta Persson and Ingrid Mogren

Concurrent validity of lower extremity kinematics and jump characteristics captured in pre-school children by a markerless 3D motion capture system

Investigations into the possible associations between early in life motor function and later in life musculoskeletal health, will require easily obtainable, valid, and reliable measures of gross motor function...

Authors: Steen Harsted, Anders Holsgaard-Larsen, Lise Hestbæk, Eleanor Boyle and Henrik Hein Lauridsen

Chiropractic: a bigger family than we might think

Authors: Charles Blum

Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors

The diagnosis of primary headaches assists health care providers in their decision-making regarding patient treatment, co-management and further evaluation. Chiropractors are popular health care providers for ...

Authors: Craig Moore, Andrew Leaver, David Sibbritt and Jon Adams

The chiropractic workforce: a global review

The world is faced with a chronic shortage of health workers, and the World Health Organization (WHO) has estimated a global shortage of 7.2 million health workers resulting in large gaps in service provision ...

Authors: Mette Jensen Stochkendahl, Mana Rezai, Paola Torres, Deborah Sutton, Peter Tuchin, Richard Brown and Pierre Côté

Guideline implementation in the Canadian chiropractic setting: a pilot cluster randomized controlled trial and parallel study

Feasibility and pilot studies are recommended prior to embarking on large-scale costly confirmatory trials. The objectives were to determine the feasibility of conducting a cluster randomized controlled trial ...

Authors: Prakash Dhopte, Simon D. French, Jeffrey A. Quon, Heather Owens and André Bussières

Chiropractic services in the active duty military setting: a scoping review

Musculoskeletal injuries are one of the most prevalent battle and non-battle related injuries in the active duty military. In some countries, chiropractic services are accessed to manage such injuries within a...

Authors: Silvano Mior, Deborah Sutton, Carolina Cancelliere, Simon French, Anne Taylor-Vaisey and Pierre Côté

Simulation can offer a sustainable contribution to clinical education in osteopathy

Clinical education forms a substantial component of health professional education. Increased cohorts in Australian osteopathic education have led to consideration of alternatives to traditional placements to e...

Authors: Kylie M. Fitzgerald, Tracy Denning, Brett R. Vaughan, Michael J. Fleischmann and Brian C. Jolly

If I was more informed about what exactly they do: perceptions of Botswana district hospital healthcare providers about World Spine Care

In 2011, World Spine Care (WSC) opened their pilot clinic at the Botswana Mahalapye District Hospital (MDH) aiming to develop a low-cost model of evidence-based spine care for underserved communities. Providin...

Authors: Mufudzi Chihambakwe, Laura O’Connor, Penelope M. Orton and Maria A. Hondras

Effect of active TENS versus de-tuned TENS on walking capacity in patients with lumbar spinal stenosis: a randomized controlled trial

Lumbar spinal stenosis (LSS) leads to diminished blood flow to the spinal nerves causing neurogenic claudication and impaired walking ability. Animal studies have demonstrated increased blood flow to the spina...

Authors: Carlo Ammendolia, Pierre Côté, Y. Raja Rampersaud, Danielle Southerst, Michael Schneider, Aksa Ahmed, Claire Bombardier, Gillian Hawker and Brian Budgell

The research crisis in American institutions of complementary and integrative health: one proposed solution for chiropractic profession

A crisis confronts the Complementary and Integrative Health (CIH) teaching institutions in the US. Research infrastructure is needed to build and sustain productive research programs and retain their own resea...

Authors: Ian D. Coulter and Patricia M. Herman

At-risk advertising by Australian chiropractors and physiotherapists

Society expects professionals to promote their businesses in an ethical manner, refraining from misleading or deceptive marketing due to the potential to harm members of the community. In Australia this expect...

Authors: J. Keith Simpson

Do adverse events after manual therapy for back and/or neck pain have an impact on the chance to recover? A cohort study

Manual therapy is a commonly used treatment for patients with back and neck pain. Studies have shown that manual therapy-related adverse events are mainly short in duration and mild or moderate by their intens...

Authors: Vesa Tabell, Ina M. Tarkka, Lena W. Holm and Eva Skillgate

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

The effectiveness of spinal manipulative therapy (SMT) for improving athletic performance in healthy athletes is unclear. Assessing the effect of SMT on other performance outcomes in asymptomatic populations m...

Authors: Melissa Corso, Silvano A. Mior, Sarah Batley, Taylor Tuff, Sophia da Silva-Oolup, Scott Howitt and John Srbely

The development of a global chiropractic rehabilitation competency framework by the World Federation of Chiropractic

The World Health Organization (WHO), in its “Rehabilitation 2030 A Call for Action”, identified the need to strengthen rehabilitation in health systems to meet the growing demands of current and future populat...

Authors: Pierre Côté, Deborah Sutton, Richard Nicol, Richard Brown and Silvano Mior

Spinal manipulation frequency and dosage effects on clinical and physiological outcomes: a scoping review

The burden of musculoskeletal disorders increases every year, with low back and neck pain being the most frequently reported conditions for seeking manual therapy treatment. In recent years, manual therapy res...

Authors: Mégane Pasquier, Catherine Daneau, Andrée-Anne Marchand, Arnaud Lardon and Martin Descarreaux

Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial

Low back pain (LBP) is a common disabling condition in older adults which often limits physical function and diminishes quality of life. Two clinical trials in older adults have shown spinal manipulative thera...

Authors: Craig Schulz, Roni Evans, Michele Maiers, Karen Schulz, Brent Leininger and Gert Bronfort

Neurodynamic tests for patellofemoral pain syndrome: a pilot study

Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder. There is little consensus on the etiology, but one explanatory model suggests that PFPS can be caused by referred pain. Neurodynamic te...

Authors: Kristine Vegstein, Hilde Stendal Robinson and Roar Jensen

European guidelines on quality criteria for diagnostic radiographic images of the lumbar spine – an intra- and inter-observer reproducibility study

The Commission of the European Communities has published guidelines to be used as a gold standard for quality assessment of diagnostic radiographic images. Image quality and radiation dose must be monitored an...

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

How big is the effect of spinal manipulation on the pressure pain threshold and for how long does it last? – secondary analysis of data from a systematic review

Spinal manipulation (SM) has been shown in a systematic review to have a statistically significant effect on the pressure pain threshold (PPT) in asymptomatic subjects, when SM is compared to a sham interventi...

Authors: Margaux Honoré, Charlotte Leboeuf-Yde, Olivier Gagey and Niels Wedderkopp

The profile of chiropractors managing patients with low back-related leg pain: analyses of 1907 chiropractors from the ACORN practice-based research network

Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided ...

Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie de Luca, Katherine A. Pohlman, Michael Swain and Jon Adams

The shape of chiropractic in Europe: a cross sectional survey of chiropractor’s beliefs and practice

The chiropractic profession both in the past and presently has diverse opinions concerning different health care approaches and the science or otherwise that underpins them. Previous research has reported that...

Authors: Halldór Fannar Gíslason, Jari Kullervo Salminen, Linn Sandhaugen, Andreas Stenseth Storbråten, Renske Versloot, Inger Roug and Dave Newell

Attempting to explore chiropractors and their clinical choices: an examination of a failed study

Recent studies have shown that psychological factors, attitudes and beliefs impact on the quality of chiropractic student clinical decisions. This association has not been studied among qualified chiropractors...

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

Manual therapy for chronic migraine: a pragmatic randomised controlled trial study protocol

Chronic migraine is a largely refractory condition affecting between 1 and 2.2% of the overall population worldwide, with females more affected than males. There are also high health and socioeconomic costs as...

Authors: Jim Odell, Carol Clark, Adrian Hunnisett, Osman Hassan Ahmed and Jonathan Branney

The natural course of low back pain from childhood to young adulthood – a systematic review

Taking the natural course of recurrent and fluctuating low back pain (LBP) seen in longitudinal studies of adults into consideration, the aetiology and development of LBP in children and adolescents also needs...

Authors: Tina Junge, Niels Wedderkopp, Eleanor Boyle and Per Kjaer

The epidemiology of work-related musculoskeletal injuries among chiropractors in the eThekwini municipality

Chiropractors are a unique group of health care professionals who are at risk for developing work-related musculoskeletal injuries. Diversity of daily practice imposes different physical demands on the chiropr...

Authors: Almay Lamprecht and Keseri Padayachy

Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study

Intramuscular adipose tissue (IMAT) is a feature of degenerative muscle composition and is a common feature in populations with chronic low back pain (CLBP). Avoidance behavior is a possible cause of morpholog...

Authors: Eddo Wesselink, Edwin de Raaij, Philip Pevenage, Nick van der Kaay and Jan Pool

The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

The autonomic nervous system (ANS) interests many chiropractors and manual therapists, because joint manipulative techniques (JMT), e.g. high velocity low amplitude (HVLA) manipulations and mobilizations, appe...

Authors: Mathieu Picchiottino, Charlotte Leboeuf-Yde, Olivier Gagey and David M. Hallman

Prevalence of MRI findings in the cervical spine in patients with persistent neck pain based on quantification of narrative MRI reports

Previous studies of patients with neck pain have reported a high variability in prevalence of MRI findings of disc degeneration, disc herniation etc. This is most likely due to small and heterogenous study pop...

Authors: Rikke Krüger Jensen, Tue Secher Jensen, Søren Grøn, Erik Frafjord, Uffe Bundgaard, Anders Lynge Damsgaard, Jeppe Mølgaard Mathiasen and Per Kjaer

Contrasting real time quantitative measures (weekly SMS) to patients’ retrospective appraisal of their one-year’s course of low back pain; a probing mixed-methods study

Due to the recurrent nature of low back pain (LBP), the traditional concepts of cure and recovery are challenged, and investigating the course rather than status at fixed time-points may help us understand pro...

Authors: Lise Hestbaek, Cornelius Myburgh, Henrik Hein Lauridsen, Eleanor Boyle and Alice Kongsted

Chiropractic, one big unhappy family: better together or apart?

The chiropractic profession has a long history of internal conflict. Today, the division is between the ‘evidence-friendly’ faction that focuses on musculoskeletal problems based on a contemporary and evidence...

Authors: Charlotte Leboeuf-Yde, Stanley I. Innes, Kenneth J. Young, Gregory Neil Kawchuk and Jan Hartvigsen

Chiropractic conservatism and the ability to determine contra-indications, non-indications, and indications to chiropractic care: a cross-sectional survey of chiropractic students

While there is a broad spectrum of practice within chiropractic two sub-types can be identified, those who focus on musculoskeletal problems and those who treat also non-musculoskeletal problems. The latter gr...

Authors: Guillaume Goncalves, Marine Demortier, Charlotte Leboeuf-Yde and Niels Wedderkopp

Exploratory study for clinical signs of MODIC changes in patients with low-back pain in the Netherlands armed forces

Magnetic resonance imaging (MRI) is being used extensively in the search for pathoanatomical factors contributing to low back pain (LBP) such as Modic changes (MC). However, it remains unclear whether clinical...

Authors: Peter van der Wurff, Tom Vredeveld, Caroline van de Graaf, Rikke K. Jensen and Tue S. Jensen

Multisite joint pain in older Australian women is associated with poorer psychosocial health and greater medication use

Musculoskeletal pain frequently occurs in more than one body region, with up to 80% of adults reporting more than one joint pain site in the last 12 months. Older people and females are known to be more suscep...

Authors: Katie de Luca, Arnold Wong, Andreas Eklund, Matthew Fernandez, Julie Ellen Byles, Lynne Parkinson, Manuela Loureiro Ferreira and Jan Hartvigsen

An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment

A close collaboration between surgeons and non-surgical spine experts is crucial for optimal care of low back pain (LBP) patients. The affiliation of a chiropractic teaching clinic to a university hospital wit...

Authors: Brigitte Wirth, Fabienne Riner, Cynthia Peterson, Barry Kim Humphreys, Mazda Farshad, Susanne Becker and Petra Schweinhardt

Manipulation-induced hypoalgesia in musculoskeletal pain populations: a systematic critical review and meta-analysis

Manipulation-induced hypoalgesia (MIH) represents reduced pain sensitivity following joint manipulation, and has been documented in various populations. It is unknown, however, whether MIH following high-veloc...

Authors: Sasha L. Aspinall, Charlotte Leboeuf-Yde, Sarah J. Etherington and Bruce F. Walker

Experimental assessment of cervical ranges of motion and compensatory strategies

Literature is still limited regarding reports of non-invasive assessment of the cervical range of motion in normal subjects. Investigations into compensatory motions, defined as the contribution of an addition...

Authors: Céline Niewiadomski, Rohan-Jean Bianco, Sanae Afquir, Morgane Evin and Pierre-Jean Arnoux

Measuring biopsychosocial risk for back pain disability in chiropractic patients using the STarT back screening tool: a cross-sectional survey

The Keele STarT Back Screening Tool (SBT), a 9-item questionnaire, screens for pain, physical functioning, fear-avoidance beliefs, catastrophizing, anxious thoughts, low mood, and bothersomeness in persons wit...

Authors: Yasmeen Khan, Dana Lawrence, Robert Vining and Dustin Derby

Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors

Musculoskeletal pain is a major cause of work disability. Many patients with musculoskeletal pain seek care from health care providers other than their general practitioners, including a range of musculoskelet...

Authors: Mette Jensen Stochkendahl, Casper Glissmann Nim, Eleanor Boyle, Ole Kristoffer Larsen, Iben Axén, Ole Christian Kvammen and Corrie Myburgh

Chiropractors’ views on the use of patient-reported outcome measures in clinical practice: a qualitative study

Patient-reported outcome measures (PROMs) are widely available for use in musculoskeletal care. However, there is little research exploring the implementation of PROMs in clinical practice. This qualitative st...

Authors: Michelle M. Holmes, Felicity L. Bishop, David Newell, Jonathan Field and George Lewith

Are frequent measurements in back pain research harmful? Two comparisons of back pain in groups with or without frequent follow-up

Frequent measures are becoming increasingly used to evaluate the course of spinal pain. However, it is not known whether this type of continuous follow-up in itself has implications for people’s experience of ...

Authors: Lise Hestbaek, Annette Christina Saxtorph, Carl-Emil Krogsgaard-Jensen and Alice Kongsted

The interrater reliability of static palpation of the thoracic spine for eliciting tenderness and stiffness to test for a manipulable lesion

Despite widespread use by manual therapists, there is little evidence regarding the reliability of thoracic spine static palpation to test for a manipulable lesion using stiffness or tenderness as diagnostic m...

Authors: Amber M. Beynon, Jeffrey J. Hebert and Bruce F. Walker

Systems change to improve tobacco use identification and referral in the chiropractic setting: a pilot study

Tobacco use remains a leading cause of death and disability in the United States. Health professionals need to address the use of tobacco products by their patients, but chiropractic clinical systems often rem...

Authors: Kelly Buettner-Schmidt, Brody Maack, Mary Larson, Megan Orr, Donald R. Miller and Katelyn Mills