Spinal manipulation and modulation of pain sensitivity in persistent low back pain: a secondary cluster analysis of a randomized trial
ConclusionsWe report that the baseline QST profile was not associated with clinical improvements following spinal manipulation. We did observe a substantial change for regional pressure pain threshold, which suggests that any effect of spinal manipulation on pain sensitivity is most likely to be observed as changes in regional, mechanical pain threshold. However, the mechanism that invokes clinical improvement and pain sensitivity changes appear distinct. Due to methodological caveats, we advise caution when interpreting the results.Trial registrationClinical.Trial.gov identifier:NCT04086667, registered 11 September 2019 &...
Source: Chiropractic and Manual Therapies - February 24, 2021 Category: Complementary Medicine Source Type: research

Leadership and capacity building in chiropractic research: report from the first CARL cohort
AbstractThe 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 were accepted competitively and have since worked together at residentials and virtually on many research and leadership projects. In 2020, the CARL program ended for this first cohort, and it is now timely to take stock and reflect on the achievements and benefits of the program. In this paper we present the structure of CARL, the scientific and leadership outputs as well as the personal value of CARL for the p...
Source: Chiropractic and Manual Therapies - February 22, 2021 Category: Complementary Medicine Source Type: research

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
ConclusionOur systematic review included six randomized clinical trials (534 participants) of acceptable or high quality investigating the efficacy or effectiveness of SMT for the treatment of non-musculoskeletal disorders. We found no evidence of an effect of SMT for the management of non-musculoskeletal disorders including infantile colic, childhood asthma, hypertension, primary dysmenorrhea, and migraine. This finding challenges the validity of the theory that treating spinal dysfunctions with SMT has a physiological effect on organs and their function. Governments, payers, regulators, educators, and clinicians should c...
Source: Chiropractic and Manual Therapies - February 17, 2021 Category: Complementary Medicine Source Type: research

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial
ConclusionOur findings show that manipulation of the extremities enhanced stability (e.g. tube stabilization and standing balance) on performance of a dual task. This furthers the argument that site-specific manipulations influence context specific motor behavior/coordination. However, as this study focused only on the immediate effects of extremity manipulation, caution is urged in generalizing these results to longer time frames until more work has been done examining the length of time these effects last.Trial registrationClinicaltrials.gov,NCT03877367, Registered 15 March 2019. Data collection took place July 2019. (So...
Source: Chiropractic and Manual Therapies - February 5, 2021 Category: Complementary Medicine Source Type: research

Chiropractic students ’ cognitive dissonance to statements about professional identity, role, setting and future: international perspectives from a secondary analysis of pooled data
ConclusionsChiropractic students in this analysis show traditional and progressive attitudes towards the chiropractic profession. Individual student responses frequently contradict in terms of professional ideology, but most (approximately half) students demonstrate concordant progressive and mainstream attitudes. Ideological conflict may raise concerns about some students ’ ability to learn and make clinical judgements, and potential for disharmony in the chiropractic fraternity. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 2, 2021 Category: Complementary Medicine Source Type: research

COVID-19: how has a global pandemic changed manual therapy technique education in chiropractic programs around the world?
ConclusionThis study used a qualitative descriptive approach to describe how some chiropractic programs immediately responded to the initial outbreak of the COVID-19 pandemic in their teaching of manual therapy techniques. Chiropractic programs around the world provided their students with rapid, innovative learning strategies, in an attempt to maintain high standards of chiropractic education; however, challenges included maintaining student engagement in an online teaching environment, psychomotor skills acquisition and staff workload. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 1, 2021 Category: Complementary Medicine Source Type: research

Knowledge of and adherence to radiographic guidelines for low back pain: a survey of chiropractors in Newfoundland and Labrador, Canada
ConclusionsWhile many chiropractors in this sample reported being unsure of specific radiographic guidelines, the majority of respondents adhered to guideline recommendations measured using clinical vignettes. Nonetheless, a small proportion still hold beliefs about radiographs for LBP that are discordant with current radiographic guidelines. Future research should aim to determine barriers to guideline uptake in this population in order to design and evaluate tailored knowledge translation strategies to reduce unnecessary LBP imaging. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 18, 2021 Category: Complementary Medicine Source Type: research

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
ConclusionsParticipating chiropractors of the Swedish Chiropractic Association were generally favourable of EBP, though only reported modest levels of EBP-related skills and engagement in EBP activities. Our findings suggest future studies investigating interventions focussed on improving chiropractors ’ skills and uptake of EBP are warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 11, 2021 Category: Complementary Medicine Source Type: research

Effects of spinal manipulative therapy on inflammatory mediators in patients with non-specific low back pain: a non-randomized controlled clinical trial
AbstractBackgroundThe 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 chemokines differently in these patient cohorts. The present study further investigates the effect(s) of SMT on other inflammatory mediators in the same LBP patient cohorts.MethodsAcute (n = 22) and chronic (n = 25) LBP patients with minimum pain scores of 3 on a 10-point numeric scale, and asymptomatic controls (n = 24) were recruited according to stringent exclusio...
Source: Chiropractic and Manual Therapies - January 8, 2021 Category: Complementary Medicine Source Type: research

Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7 –14 years - a randomised clinical trial
ConclusionsChiropractic spinal manipulation resulted in fewer headaches and higher global perceived effect, with only minor side effects. It did not lower the intensity of the headaches.Since the treatment is easily applicable, of low cost and minor side effects, chiropractic spinal manipulation might be considered as a valuable treatment option for children with recurrent headaches.Trial registrationClinicalTrials.gov, identifierNCT02684916, registered 02/18/2016 – retrospectively registered. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 7, 2021 Category: Complementary Medicine Source Type: research

The professional contribution of chiropractors to Danish elite football clubs: a qualitative exploration of role and perceived value in an interprofessional service provision context
ConclusionIn this practice context, chiropractors fill the role of musculoskeletal health care service providers. Their perceived value stems from additional expert disciplinary knowledge, improved diagnostic triage and increased treatment flexibility. However, where not utilized, the role of a spinal health expert is questioned and when acknowledged, is limited to that of a technician/therapist. It is unclear from this investigation whether chiropractors can claim core provider status. Further exploration of this interesting context of interprofessional practice is warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 18, 2020 Category: Complementary Medicine Source Type: research

Cost comparison of two approaches to chiropractic care for patients with acute and sub-acute low Back pain care episodes: a cohort study
AbstractBackgroundLow 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 there is wide variation among chiropractors in their approach to clinical care, and the most cost-effective approach to chiropractic care is uncertain. To date, little has been published regarding the cost effectiveness of different approaches to chiropractic care. Thus, the current study presents a cost comparison between chiropractic approaches for patients with acute or subacute care episodes for...
Source: Chiropractic and Manual Therapies - December 14, 2020 Category: Complementary Medicine Source Type: research

Differences in force-time parameters and electromyographic characteristics of two high-velocity, low-amplitude spinal manipulations following one another in quick succession
In this study, force-time parameters and electromyographic characteristics associated with multiple manual high-velocity, low-amplitude cervical and upper thoracic spinal manipulations were investigated. The purpose of this analysis was to compare the force-time parameters and electromyographic characteristics between two spinal manipulations delivered following one another in quick succession if the first thrust was not associated with an audible cavitation.MethodsNine asymptomatic and eighteen symptomatic participants received six Diversified-style spinal manipulations to the cervical and upper thoracic spines during dat...
Source: Chiropractic and Manual Therapies - December 8, 2020 Category: Complementary Medicine Source Type: research

Chiropractic conservatism among chiropractic students in Denmark: prevalence and consequences
ConclusionsChiropractic students enrolled at a university-based course closely integrated with a medical teaching environment are not immune to chiropractic conservatism. However, the course appears to attenuate it and limit its effect on clinical decision-making compared to other educational institutions. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 4, 2020 Category: Complementary Medicine Source Type: research

Factors influencing Australian chiropractors who choose not to join national professional associations: a qualitative study
ConclusionsNon-members are looking for PAs to enhance the respectability of the profession in a manner that ultimately results in increased patient volume and the provision of readily accessible day-to-day resources and information. These results can inform the construction of a survey for the broader chiropractic non-membership community to confirm and expand upon these findings and potentially improve PAs. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 1, 2020 Category: Complementary Medicine Source Type: research

Investigator analytic repeatability of two new intervertebral motion biomarkers for chronic, nonspecific low back pain in a cohort of healthy controls
ConclusionsMSI demonstrated substantial intra- and inter-investigator repeatability, suggesting that investigator input has a minimal influence on its measurement. MSV demonstrated moderate intra-investigator reliability and fair inter-investigator repeatability. Confirmation in patients with CNSLBP is now required. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 24, 2020 Category: Complementary Medicine Source Type: research

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).MethodsThirty individuals with nonspecific CLBP participated in this double-blinded, randomized clinical trial from July 2017 to September 2018. The participants were randomized into two groups: KT (n = 15) and placebo group (n = 15). KT was applied with 15–25% tension for 72 h, and placebo taping was used without tension. Lumbar repositioning error was measured by a bubble inclinometer at three diff...
Source: Chiropractic and Manual Therapies - November 20, 2020 Category: Complementary Medicine Source Type: research

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. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 19, 2020 Category: Complementary Medicine Source Type: research

Misinformation, chiropractic, and the COVID-19 pandemic
ConclusionsMembers of the chiropractic profession share a collective responsibility to act in the best interests of patients and public health. We hope that all chiropractic stakeholders will view the COVID-19 pandemic as a call to action to eliminate the unethical and potentially dangerous claims made by chiropractors who practise outside the boundaries of scientific evidence. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 18, 2020 Category: Complementary Medicine Source Type: research

Approaches to cervical spine mobilization for neck pain: a pilot randomized controlled trial
ConclusionsOur results provide supporting evidence for the feasibility of a future larger scale randomized clinical trial.Trial registrationTrial registration: Australian New Zealand Clinical Trials Registry (ACTRN12616000446460). Registered 6th April 2016.https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370448&isReview=true (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 18, 2020 Category: Complementary Medicine Source Type: research

An unusual postural headache: a case report
ConclusionsThe significance of key features in the history and examination and how if not recognised and subsequently treated with manual therapy, the dural tear could be attributed to the treatment of the chiropractor, a treatment that would typically involve cervical manipulation. Discussion is provided of the implications of a missed diagnosis and possible subsequent chiropractic management with the evolving SIH being attributed to the chiropractic intervention rather than its true “spontaneous” nature. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 13, 2020 Category: Complementary Medicine Source Type: research

Assessing forces during spinal manipulation and mobilization: factors influencing the difference between forces at the patient-table and clinician-patient interfaces
The objectives of this study were to determine 1) the difference between the force measured at the patient-table interface and the force applied at the clinician-patient interface during thoracic SMT and MOB, and 2) the influence of the SMT/MOB characteristics, participants ’ anthropometry and muscle activity (sEMG) on this difference.MethodsAn apparatus using a servo-linear motor executed 8 SMT/MOB at the T7 vertebrae in 34 healthy adults between May and June 2019. SMT and MOB were characterized by a 20  N preload, total peak forces of 100 N or 200 N, and thrust durations of 100 ms, 250&t...
Source: Chiropractic and Manual Therapies - November 10, 2020 Category: Complementary Medicine Source Type: research

Informed consent, duty of disclosure and chiropractic: where are we?
ConclusionUltimately such matters are informed by the deliberations of the courts. It is our opinion that the duty of a mature profession to critically self-evaluate and respond in the best interests of the patient before these matters arrive in court. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 4, 2020 Category: Complementary Medicine Source Type: research

Feasibility study: one year fortnightly follow-up of the evolution of supra-spinatus degeneration via text-messages
ConclusionThe most important difficulty of this study was the enrolment and compliance of clinicians. The collection of SMS data was less successful than in previous studies, but French people accepted well this new method which is much easier and specific than collecting data through clinical records. The quality of the SMS data was acceptable. However, because of the limited number of complete datasets, only a limited number of questions from the original study protocol can be answered. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 4, 2020 Category: Complementary Medicine Source Type: research

Reported 1-year prevalence of occupational musculoskeletal disorders in Ontario chiropractors
ConclusionsOne-year prevalence of occupational MSDs from this study are comparable to previously reported estimates in chiropractors. These data suggest that chiropractors continue with their regular workload despite their MSDs, thereby increasing their chances of presenteeism. Chiropractors changing technique or technique parameters due to their MSDs provides direction for future research to reduce exposure to occupational MSD risk factors. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 23, 2020 Category: Complementary Medicine Source Type: research

Attitudes, beliefs, and practices among Swiss chiropractors regarding medication prescribing for musculoskeletal conditions: a national Q-methodology study
ConclusionThis was the first national survey on attitudes toward prescribing medications among Swiss chiropractors since the year 2000, and the first using Q-methodology. With this approach, four unique groups of chiropractic prescribers were identified. Even with diversity among clinicians, the findings of this study showed general support for, along with conservative use of, prescribing privileges within the Swiss chiropractic profession. Studies in jurisdictions outside of Switzerland are needed to assess whether chiropractors are interested in expanding their scopes of practice to include similar prescribing privileges...
Source: Chiropractic and Manual Therapies - October 20, 2020 Category: Complementary Medicine Source Type: research

Determining Trendelenburg test validity and reliability using 3-dimensional motion analysis and muscle dynamometry
This study was performed between June 14th and October 16th 2019. Eighteen participants were recruited for this study. Peak normalised isometric and isokinetic hip abductor torque were measured bilaterally (n = 36) using the Biodex System 4 isokinetic dynamometer. Each participant performed the Trendelenburg test bilaterally (n = 36) while a graduate year chiropractic practitioner assessed for a “positive” or “negative” sign. The test was simultaneously recorded using Vicon 3-Dimensional motion capture to measure frontal plane pelvic motion and elevation. Correlation anal...
Source: Chiropractic and Manual Therapies - October 19, 2020 Category: Complementary Medicine Source Type: research

Controlled manual loading of body tissues: towards the next generation of pressure algometer
AbstractAssessing the responses of body tissue subjected to mechanical load is a fundamental component of the clinical examination, psychophysical assessments and bioengineering research. The forces applied during such assessments are usually generated manually, via the hands of the tester, and aimed at discreet tissue sites. It is therefore desirable to objectively quantify and optimise the control of manually applied force. However, current laboratory-grade manual devices and commercial software packages, in particular pressure algometer systems, are generally inflexible and expensive. This paper introduces and discusses...
Source: Chiropractic and Manual Therapies - October 4, 2020 Category: Complementary Medicine Source Type: research

Service utilisation trends in the manual therapy professions within the Australian private healthcare setting between 2008 and 2017
ConclusionService provision under private health insurance general treatment cover constitute a major source of revenue for manual therapy professions in Australia. Although manual therapy service utilisation increased throughout the ten-year period from 2008 to 2017, the annual growth declined. There were diverging trends across the three professions, including significantly greater decline in annual growth for chiropractic than for osteopathy and physiotherapy. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 20, 2020 Category: Complementary Medicine Source Type: research

Patient safety in chiropractic teaching programs: a mixed methods study
ConclusionAs the first report of patient safety attitudes from stakeholders in chiropractic teaching clinics, specific areas of improvement were identified. Chiropractic teaching programs might consider incorporating these and related patient safety concepts into their formal curricula. Mixed methods approach offers teaching clinics opportunities to assess stakeholders ’ insights and enhance safe delivery of chiropractic care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 17, 2020 Category: Complementary Medicine Source Type: research

Taping for conditions of the musculoskeletal system: an evidence map review
ConclusionsThere is mixed quality evidence of effectiveness for the different types of taping methods for different body regions and conditions. All of the SRs and RCTs found during our search of the taping literature have been organized into a series of appendices. A synthesis of the results have been placed in evidence tables that may serve as a useful guide to clinicians and researchers. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 14, 2020 Category: Complementary Medicine Source Type: research

Beliefs, perceptions and practices of chiropractors and patients about mitigation strategies for benign adverse events after spinal manipulation therapy
ConclusionsThis is the first study comparing beliefs, perceptions and practices from clinicians and patients regarding benign AEs post-SMT and strategies to mitigate them. This study provides an important step towards identifying the best strategies to improve patient safety and improve quality of care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 7, 2020 Category: Complementary Medicine Source Type: research

The prevalence of psychosocial related terminology in chiropractic program courses, chiropractic accreditation standards, and chiropractic examining board testing content in the United States
ConclusionsDespite evidence suggesting the influential role of psychosocial factors in determinants of health and healthcare delivery, these factors are poorly reflected in United States DCP curricula. This underappreciation is further evidenced by the lack of representation of psychosocial terminology in NBCE parts III and IV test plans. The reasons for this are theoretical; lack of clarity or enforcement of CCE meta-competencies may contribute. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 20, 2020 Category: Complementary Medicine Source Type: research

The bench-top accuracy of the VerteTrack spinal stiffness assessment device
AbstractBackgroundThe assessment of spinal stiffness by manual palpation in clinical settings has demonstrated both poor accuracy and reliability. More recently, mechanical methods for assessment of spinal stiffness have demonstrated superior accuracy and reliability. However, mechanical methods of spinal stiffness assessment can be expensive, time consuming and/or unsuited to clinical practice. While a new device has been designed to address these issues (VerteTrack), its benchtop performance remains unknown.AimTo measure the bench-top performance of VerteTrack.MethodsA series of laboratory-based experiments were conducte...
Source: Chiropractic and Manual Therapies - August 17, 2020 Category: Complementary Medicine Source Type: research

Predictors of low back disability in chiropractic and physical therapy settings
AbstractBackgroundPredicting ongoing disability for chronic non-specific low back pain (LBP) is important to avoid prolonged disability.ObjectiveDetermine predictors of disability at 6  month follow-up in patients with LBP at medium risk of ongoing disability.MethodsBaseline data was collected from 108 patients with medium-risk chronic non-specific LBP (mean age 50.4  years, SD 13.6) from six private chiropractic and physiotherapy clinics in Australia who took part in a randomised control trial. All patients received a pragmatic course of multimodal physical treatments [e.g., manual therapy (spinal manipulati...
Source: Chiropractic and Manual Therapies - August 11, 2020 Category: Complementary Medicine Source Type: research

Immediate effects of cervicothoracic junction mobilization versus thoracic manipulation on the range of motion and pain in mechanical neck pain with cervicothoracic junction dysfunction: a pilot randomized controlled trial
ConclusionThis preliminary study identified that CT junction mobilization is not superior to thoracic manipulation on the outcomes of cervical ROM and neck pain when level-specific CT junction mobilization was compared with remote mid-thoracic manipulation in individuals with mechanical neck pain and CT junction dysfunction.Trial registrationCTRI: 2018/04/013088, Registered 6 April 2018,http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=24418 (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 6, 2020 Category: Complementary Medicine Source Type: research

Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8 –16 years
ConclusionDanish schoolchildren often experienced pain at more than one pain site during a schoolyear, and a significantly larger proportion of girls than boys reported pain in all three regions. This could indicate that, at least in some instances, the musculoskeletal system should be regarded as one entity, both for clinical and research purposes. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 3, 2020 Category: Complementary Medicine Source Type: research

The accreditation role of Councils on Chiropractic Education as part of the profession's journey from craft to allied health profession: a commentary
ConclusionIf chiropractic care is to gain mainstream acceptance worldwide then it needs to adopt, through revitalised CCE accreditation standards and processes, those of other allied healthcare professions and wholeheartedly embrace science, evidence-based practice and patient centred care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 21, 2020 Category: Complementary Medicine Source Type: research

More published  full-time researchers, early career researchers, clinician-researchers and graduate students unite to call for actions against the pseudoscientific claim that chiropractic care boosts immunity
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 19, 2020 Category: Complementary Medicine Source Type: research

Exploring supervised machine learning approaches to predicting Veterans Health Administration chiropractic service utilization
ConclusionsUsing supervised machine learning to predict chiropractic service utilization remains challenging, with only a small shift in predictive probability over na ïve classification and limited clinical utility. Future work should examine mechanisms to improve model performance. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 16, 2020 Category: Complementary Medicine Source Type: research

Australian chiropractors ’ perception of the clinical relevance of anatomical sciences and adequacy of teaching in chiropractic curricula
ConclusionsThe majority of respondents perceived anatomy as highly relevant to their clinical practice and noted that it was adequately taught within a wide range of educational approaches. These results will assist educators to refine content and delivery of anatomy course offerings to maximize relevance in chiropractic clinical practice. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 15, 2020 Category: Complementary Medicine Source Type: research

The clinical utility of routine spinal radiographs by chiropractors: a rapid review of the literature
ConclusionWe found no evidence that the use of routine or repeat radiographs to assess the function or structure of the spine, in the absence of red flags, improves clinical outcomes and benefits patients. Given the inherent risks of ionizing radiation, we recommend that chiropractors do not use radiographs for the routine and repeat evaluation of the structure and function of the spine. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 8, 2020 Category: Complementary Medicine Source Type: research

Guidance concerning chiropractic practice in response to COVID-19 in the U.S.: a summary of state regulators ’ web-based information
ConclusionState guidance during the COVID-19 pandemic was heterogenous, widely variability in accessibility, and often no guidance was provided by state chiropractic licensing boards. Some state chiropractic licensing boards chose to assemble guidance for licensees into a single location, which we identified as a best practice for future situations where changes in chiropractic practice must be quickly communicated. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 5, 2020 Category: Complementary Medicine Source Type: research

Predictors of instantaneous relief from spinal manipulation for non-specific low back pain: a delphi study
Discussion/conclusionFive categories; patient factors, practitioner factors, signs and symptoms of NSLBP presentation, an instrument of measurement (FABQ), and the presence of cavitation following SMT best describe the overall characteristics of the factors. The 18 factors identified in this study can potentially be used to create an instrument of measurement for further study to predict those patients with NSLBP who will receive instantaneous relief post-SMT. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 1, 2020 Category: Complementary Medicine Source Type: research

Predictors of instanteous relief from spinal manipulation for non-specific low back pain: a delphi study
Discussion/conclusionFive categories; patient factors, practitioner factors, signs and symptoms of NSLBP presentation, an instrument of measurement (FABQ), and the presence of cavitation following SMT best describe the overall characteristics of the factors. The 18 factors identified in this study can potentially be used to create an instrument of measurement for further study to predict those patients with NSLBP who will receive instantaneous relief post-SMT. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 1, 2020 Category: Complementary Medicine Source Type: research

Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors ’ attitudes, beliefs, and practices
ConclusionThis survey provides preliminary data on VA chiropractic services in the management of patients with prior lumbar fusion. These patients are often seen by VA chiropractors, and our findings support the need for further study to advance understanding of interventions utilized by chiropractors in this patient population. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 18, 2020 Category: Complementary Medicine Source Type: research

PROMIS ® General Life Satisfaction scale: construct validity in musculoskeletal pain patients
ConclusionsThe PROMIS ® General Life Satisfaction scale demonstrated acceptable internal structure and structural validity in a musculoskeletal pain population. Additional research is required to explore concurrent validity and other measurement properties, however initial data suggests the measure could be a feasible s creen of life satisfaction for Australian osteopathic patients. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 15, 2020 Category: Complementary Medicine Source Type: research

Pressure pain threshold and temporal summation in adults with episodic and persistent low back pain trajectories: a secondary analysis at baseline and after lumbar manipulation or sham
DiscussionWe found no differences between people with no LBP, episodic LBP, or persistent LBP in baseline PPT or TS. Changes in PPT and TS following a lumbar manual therapy intervention do not appear to differ between LBP trajectories.Trial registrationThe trial was prospectively registered with ANZCTR (ACTRN12617001094369). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 11, 2020 Category: Complementary Medicine Source Type: research

Vitalism in contemporary chiropractic: a help or a hinderance?
ConclusionVitalism has had many meanings throughout the centuries of recorded history. Though only vaguely defined by chiropractors, vitalism, as a representation of supernatural force and therefore an untestable hypothesis, sits at the heart of the divisions within chiropractic and acts as an impediment to chiropractic legitimacy, cultural authority and integration into mainstream health care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 10, 2020 Category: Complementary Medicine Source Type: research

The effectiveness and safety of conservative interventions for positional plagiocephaly and congenital muscular torticollis: a synthesis of systematic reviews and guidance
ConclusionsDistinguishing between superiority of treatments was difficult due to the lack of standardised measurement systems, the variety of outcomes and limited high quality studies. More well powered effectiveness and efficacy studies are needed. However overall, advice and guidance on repositioning (including tummy-time) and practitioner-led stretching were low risk, potentially helpful and inexpensive interventions for parents to consider.Systematic review registration numberPROSPERO 2019CRD42019139074. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 10, 2020 Category: Complementary Medicine Source Type: research