Are Councils on Chiropractic Education expectations of chiropractic graduates changing for the better: a comparison of similarities and differences of the graduate competencies of the Chiropractic Council on Education-Australasia from 2009 to 2017
ConclusionThere have been positive changes which reflect contemporary mainstream health care standards between CCE-A graduate competency revisions. The absence of a clear definition of chiropractic and its attendant scope of practice as well as continued silence on vitalism reflect known issues within the chiropractic profession. Recommendations are made for future accreditation standards to inform the required competencies and aid the integration of chiropractic into the broader health care community. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 24, 2020 Category: Complementary Medicine Source Type: research

Attitudes to functional neurology and some other ‘prescriptive’ chiropractic techniques and their associations with chiropractic conservatism: a cross-sectional survey of chiropractic students
ConclusionAlthough not taught in the curriculum, these students were attracted to ‘prescriptive’ techniques including FN, particularly in the higher grades. Curiously, despite this interest they do not generally agree with some key concepts within FN. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 19, 2020 Category: Complementary Medicine Source Type: research

Neck-specific strengthening exercise compared with sham ultrasound when added to home-stretching exercise in patients with migraine: study protocol of a two-armed, parallel-groups randomized controlled trial
ConclusionThis study will aim to determine the efficacy of a neck-specific exercise program in reducing the frequency and intensity of migraine attacks. If the results show that a neck-specific exercise program is effective in reducing the frequency and intensity of migraine attacks, therapists will have a low cost and easily applicable tool to treat migraine. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 19, 2020 Category: Complementary Medicine Source Type: research

Chiropractic students call for action against unsubstantiated claims
ConclusionIt is our hope that all regulatory bodies will protect the public by taking appropriate action against chiropractors making unfounded claims contradicting public health policy. We believe it is the responsibility of all stakeholders in the chiropractic profession to ensure this is carried out and the standard of care is raised. We call on current chiropractors to ensure a viable profession exists moving forward. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 13, 2020 Category: Complementary Medicine Source Type: research

The Manchurian candidate: chiropractors as propagators of neoliberalism in health care
AbstractThe rise of neoliberalism has influenced the health care sector, including the chiropractic profession. The neoliberal infiltration of market justice behavior is in direct conflict with the fiduciary agreement to serve the public good before self-interests and has compromised the chiropractor, who now may act as an agent of neoliberalism in health care. The purpose of this paper is to present an overview of the impact of neoliberalism on the chiropractic profession and provide recommendations for a professional philosophical shift from a market justice model to a communal and social justice model. (Source: Chiropra...
Source: Chiropractic and Manual Therapies - May 12, 2020 Category: Complementary Medicine Source Type: research

The use of internet analytics by a Canadian provincial chiropractic regulator to monitor, evaluate and remediate misleading claims regarding specific health conditions, pregnancy, and COVID-19
ConclusionInternet analytics are an effective way for regulators to monitor internet activity to protect the public from misleading statements. The processes described were effective at bringing about rapid practitioner compliance. Given the increasing volume of internet activity by healthcare professionals, internet analytics are an important addition for health care regulators to protect the public they serve. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 11, 2020 Category: Complementary Medicine Source Type: research

Dry needling for spine related disorders: a scoping review
ConclusionFor SRD, DN was primarily applied to myofascial structures for pain or TrP diagnoses. Many outcomes were improved regardless of diagnosis or treatment parameters. Most studies applied just one treatment which may not reflect common clinical practice. Further research is warranted to determine optimal treatment duration and frequency. Most studies looked at DN as the sole intervention. It is unclear whether DN alone or in addition to other treatment procedures would provide superior outcomes. Functional outcome tools best suited to tracking the outcomes of DN for SRD should be explored. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 11, 2020 Category: Complementary Medicine Source Type: research

A united statement of the global chiropractic research community against the pseudoscientific claim that chiropractic care boosts immunity
ConclusionIn their reports, the ICA provided no valid clinical scientific evidence that chiropractic care can impact the immune system. We call on regulatory authorities and professional leaders to take robust political and regulatory action against those claiming that chiropractic adjustments have a clinical impact on the immune system. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 4, 2020 Category: Complementary Medicine Source Type: research

The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain - a secondary analysis of a pragmatic randomized controlled trial
ConclusionData support the use of MC in a stratified care model targeting dysfunctional patients for MC. For a carefully selected group of patients with recurrent and persistent LBP the clinical course becomes more stable and the number of pain-free weeks between episodes increases when receiving MC. Understanding how subgroups of patients are likely to be affected by MC may help align patients ’ and clinicians’ expectations based on realistic outcomes.Trial registrationClinical trials.gov;NCT01539863; February 22, 2012. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 21, 2020 Category: Complementary Medicine Source Type: research

Words matter: the prevalence of chiropractic-specific terminology on Australian chiropractors ’ websites
ConclusionA majority of the Australian chiropractors sampled used one or more chiropractic-specific terms on their websites. Future research should explore the effects of chiropractic language on the public, policy-makers, and other health care professionals. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 7, 2020 Category: Complementary Medicine Source Type: research

BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care
This study, to our knowledge, is the first large-scale, prospective, multicenter, international cohort study to be conducted in a chiropractic setting to focus on older adults with low back pain consulting a chiropractor. By understanding the clinical course, satisfaction and safety of chiropractic treatment of this common debilitating condition in the aged population, this study will provide input for informing future clinical trials.Trial registrationNederlandse Trial RegistrarNL7507. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 1, 2020 Category: Complementary Medicine Source Type: research

A cross-sectional study of website claims related to diagnoses and treatment of non-musculoskeletal conditions
ConclusionsA total of 36 (26%) of the sampled chiropractic websites in Denmark mentioned diagnoses or symptoms of non-musculoskeletal origin on their websites without presenting an adequate clarifying explanation in agreement with the chiropractic scope of practice as defined by the Danish Authorisation Act. This could be misleading for patients seeking care for non-musculoskeletal conditions and consequently lead to inappropriate treatment. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 30, 2020 Category: Complementary Medicine Source Type: research

Potential mechanisms for lumbar spinal stiffness change following spinal manipulative therapy: a scoping review
ConclusionsThis scoping review identified 7 themes put forward by authors to explain changes in spinal stiffness following SMT. Unfortunately, none of the studies provided data which would support the promotion of one theme over another. As a result, this review suggests a need to develop a theoretical framework to explain rapid biomechanical changes following SMT to guide and prioritize future investigations in this important clinical area. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 23, 2020 Category: Complementary Medicine Source Type: research

Life satisfaction and musculoskeletal complaints in a population seeking osteopathy care: consecutive sample of 611 patients
ConclusionsLife satisfaction did not appear to be related to a range of health and demographic variables in the current musculoskeletal pain cohort. The PROMIS ® General Life Satisfaction scale could prove useful to explore the relationship between life satisfaction and treatment outcomes for musculoskeletal complaints. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 11, 2020 Category: Complementary Medicine Source Type: research

The safety of spinal manipulative therapy in children under 10  years: a rapid review
AbstractIntroductionThe safety of spinal manipulative therapy (SMT) in children is controversial. We were mandated by the College of Chiropractors of British Columbia to review the evidence on this issue.ObjectivesWe conducted a rapid review of the safety of SMT in children (
Source: Chiropractic and Manual Therapies - February 25, 2020 Category: Complementary Medicine Source Type: research

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review
ConclusionImprovement in stability measures were reported in studies comparing manual therapy in the short term, but not long-term follow-up. There was no clear association between significant pain reduction and measures of stability. Further prospective studies are recommended to investigate whether manual therapies should be part of an integrative healthcare plan for risk of falls management and when a transition from manual therapy to more active interventions should occur for long term management. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 18, 2020 Category: Complementary Medicine Source Type: research

Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters
ConclusionInter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 11, 2020 Category: Complementary Medicine Source Type: research

What is the effect of spinal manipulation on the pressure pain threshold in young, asymptomatic subjects? A randomized placebo-controlled trial, with a cross-over design
AbstractBackgroundSpinal manipulation (SM) has been shown to have an effect on the pressure pain threshold (PPT) in asymptomatic subjects, but SM has never been compared in studies on this topic to a validated sham procedure. We investigated the effect of SM on the PPT when measured i) in the area of intervention and ii) in an area remote from the intervention. In addition, we measured the size and duration of the effect.MethodIn a randomized cross-over trial, 50 asymptomatic chiropractic students had their PPT measured at baseline, immediately after and every 12  min after intervention, over a period of 45 min, ...
Source: Chiropractic and Manual Therapies - February 7, 2020 Category: Complementary Medicine Source Type: research

A case-series of patients with musculoskeletal conditions in an underserved community in Moca, Dominican Republic
ConclusionsThis study is the first to describe characteristics of patients seeking care at the WSC clinic in Moca, Dominican Republic. Most patients attending the clinic suffer from persistent spine complaints that interfere with their ability to function and engage in daily activities. Nevertheless, the patients have positive expectations of recovery. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 4, 2020 Category: Complementary Medicine Source Type: research

So, what is chiropractic? Summary and reflections on a series of papers in Chiropractic and Manual Therapies
AbstractThis commentary brings the 2017 –2019 thematic seriesWhat is Chiropractic? to a close. The 18 papers published in the series contribute to a better understanding of what chiropractic is, where chiropractors practice and function, who seeks their care, what chiropractors do, and how they interact with other healthcare professionals. Several papers in the series highlighted deeply rooted disagreements within chiropractic about fundamental issues pertaining to ideology, acceptance of scientific evidence as the basis for clinical practice and the future of chiropractic. If the chiropractic profession is to remain...
Source: Chiropractic and Manual Therapies - January 30, 2020 Category: Complementary Medicine Source Type: research

Correction to: Chiropractic maintenance care - what ’s new? A systematic review of the literature
After publication of our article [1] the authors have notified us that their names have been incorrectly tagged (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 28, 2020 Category: Complementary Medicine Source Type: research

Unravelling Functional Neurology: an overview of all published documents by FR Carrick, including a critical review of research articles on its effect or benefit
ConclusionWe found no acceptable evidence in favour of effect/benefit of the FN approach. We therefore do not recommend its promotion as an evidence-based method. Further research on this topic should be conducted in collaboration with independent scientific institutions using commonly accepted research methods.Trial registrationPROSPERO This review was registered in PROSPERO (application date 23.02.2019; noCRD42019126345). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 28, 2020 Category: Complementary Medicine Source Type: research

Response to the paper “unraveling functional Neurology: an overview of all published documents by FR Carrick, including a critical review of research articles on its effect or benefit.” by marine Demortier and Charlotte Leboeuf-Yde
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 28, 2020 Category: Complementary Medicine Source Type: research

Does manual therapy affect functional and biomechanical outcomes of a sit-to-stand task in a population with low back pain? A preliminary analysis
AbstractIntroductionManual therapy (MT) hypothetically affects discrepant neuromuscular control and movement observed in populations with low back pain (LBP). Previous studies have demonstrated the limited influence of MT on movement, predominately during range of motion (ROM) testing. It remains unclear if MT affects neuromuscular control in mobility-based activities of daily living (ADLs). The sit-to-stand (STS) task represents a commonly-performed ADL that is used in a variety of clinical settings to assess functional and biomechanical performance.ObjectiveTo determine whether MT affects functional performance and biome...
Source: Chiropractic and Manual Therapies - January 24, 2020 Category: Complementary Medicine Source Type: research

Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic
ConclusionsThe demographic profile and presenting complaints of patients presenting to a student-led osteopathy clinic are largely consistent with other Australian private practice profiles. The current work also identified co-morbid presentations, and positive and negative health behaviours. Osteopaths may play a role in the management of, or referral for, these presentations where health behaviours require change, or management of co-morbid conditions is beyond the scope of practice. The increasing volume of patient profile literature globally suggests that osteopaths can play a substantial role in the management of musc...
Source: Chiropractic and Manual Therapies - January 21, 2020 Category: Complementary Medicine Source Type: research

The effect of a single spinal manipulation on cardiovascular autonomic activity and the relationship to pressure pain threshold: a randomized, cross-over, sham-controlled trial
ConclusionOur results suggest that a single SM of the thoracic spine has no specific effect on cardiovascular autonomic activity. Also, we found no relationship between cardiovascular autonomic activity and pressure pain threshold after the SM. Further experimental research should consider the use of several markers of autonomic activity and a more comprehensive pain assessment.Trial registrationN °NCT03273868. Registered September 6, 2017. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 20, 2020 Category: Complementary Medicine Source Type: research

The prognostic merit of self-reported triggers of recurrent low back pain: study protocol
This study aims to identify self-reported triggers and trajectories of episodes of recurrent LBP and to examine the prognostic association between different triggers and LBP trajectories.MethodsThis is a longitudinal, multicentre, Australia-wide observational study of patients with recurrent non-specific LBP. Two hundred adults with at least a one-year history of LBP will be recruited from primary care clinics or private practices and followed for a year. Each will receive an SMS every fortnight (26 time-points in total) enquiring the occurrence of a new episode of pain in the past 2 weeks and its intensity. Upon report of...
Source: Chiropractic and Manual Therapies - January 16, 2020 Category: Complementary Medicine Source Type: research

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors ’ self-reported views
ConclusionThis is the first known study to investigate chiropractic care of older adults living with neck pain. Chiropractors report using well-established conservative techniques to manage neck pain in older adults. Our findings also indicate that this target group of patients may frequently integrate chiropractic care with other health services in order to manage their neck pain. Further research should provide in-depth investigation of older patients ’ experience and other patient-reported outcomes of chiropractic treatment. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 18, 2019 Category: Complementary Medicine Source Type: research

Professional barriers and facilitators to using stratified care approaches for managing non-specific low back pain: a qualitative study with Canadian physiotherapists and chiropractors
ConclusionsSeveral shared and unique barriers and facilitators to using the stratified care approaches for non-specific LBP among Canadian physiotherapists and chiropractors were identified. Findings may help inform the design of tailored theory-based knowledge translation interventions to increase the uptake of stratified care approaches in clinical practice. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 13, 2019 Category: Complementary Medicine Source Type: research

Potential treatment effect modifiers for manipulative therapy for children complaining of spinal pain.Secondary analyses of a randomised controlled trial
ConclusionsThis secondary analysis indicates that children more effected by certain baseline characteristics, but not pain intensity, have a greater chance to benefit from treatment that include manipulative therapy. However, these analyses were both secondary and underpowered, and therefore merely exploratory. The results underline the need for a careful choice of inclusion criteria in future investigations of manipulative therapy in children.Trial registrationNCT01504698; results   (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 10, 2019 Category: Complementary Medicine Source Type: research

Chiropractic students ’ perceptions of barriers and facilitators to joining a professional association”
ConclusionChiropractic organisations can probably most effectively increase membership numbers through raising awareness of their contribution to the development of the profession. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 27, 2019 Category: Complementary Medicine Source Type: research

Correction to: Knowledge of psychosocial factors associated with low back pain amongst health science students: a scoping review
Following publication of the original article [1], we have been notified that one of the author names was incorrect. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 26, 2019 Category: Complementary Medicine Source Type: research

Chiropractic maintenance care - what ’s new? A systematic review of the literature
ConclusionKnowledge of chiropractic Maintenance Care has advanced. There is reasonable consensus among chiropractors on what Maintenance Care is, how it should be used, and its indications. Presently, Maintenance Care can be considered an evidence-based method to perform secondary or tertiary prevention in patients with previous episodes of low back pain, who report a good outcome from the initial treatments. However, these results should not be interpreted as an indication for Maintenance Care on all patients, who receive chiropractic treatment. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 21, 2019 Category: Complementary Medicine Source Type: research

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part II: unclear or mixed types of back pain
ConclusionMany of the included studies approached risk factors in similar ways and found factors that were associated with back pain but were not obvious risk factors as causality was uncertain. Future research should be more rigorous and innovative in the way that risk factors are considered. This could be through statistical approaches including cumulative exposures, or longitudinal approaches including multi-trajectory methods. Additionally, data on proposed risk factors should be collected before the onset of back pain. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 19, 2019 Category: Complementary Medicine Source Type: research

Potential risk factors and triggers for back pain in children and young adults. A scoping review, part I: incident and episodic back pain
ConclusionDue to inconsistent ways of reporting on the type of back pain, no definitive risk factor for back pain has been identified. In general, females often report more symptoms, also for other diseases, and older age is not a useful risk factor as it merely indicates that the onset may not be in childhood. Clearly, the time has come to study the causes of back pain from different angles. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 19, 2019 Category: Complementary Medicine Source Type: research

Knowledge of psychosocial factors associated with low back pain amongst health science students: a scoping review
ConclusionsHealth science students in these studies had substandard understanding of psychosocial factors associated with low back pain. Dedicated pain education has the potential to improve low back pain understanding, resulting in more guideline appropriate care recommendation. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 15, 2019 Category: Complementary Medicine Source Type: research

Outcomes and outcomes measurements used in intervention studies of pelvic girdle pain and lumbopelvic pain: a systematic review
ConclusionsA wide variety of outcomes and outcome measurements are used in studies on pelvic girdle pain and lumbopelvic pain. The findings of this review will be included in a Delphi survey to reach consensus on a pelvic girdle pain - core outcome set. This core outcome set will allow for more effective comparison between future studies on pelvic girdle pain, allowing for more effective translation of findings to clinical practice. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 5, 2019 Category: Complementary Medicine Source Type: research

A failed review of CCE site inspection standards and processes
Conclusion and recommendationsThree CCEs did not cooperate with this educational research. The possible reasons for the non-engagement is discussed. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 30, 2019 Category: Complementary Medicine Source Type: research

Addition of MoodGYM to physical treatments for chronic low back pain: A randomized controlled trial
ConclusionThere was no additional benefit of an internet-delivered CBT program (MoodGYM) to physical treatments in those with chronic non-specific LBP at medium risk of ongoing disability measured at post-treatment, or at 6 and 12  months.Trial registrationThis trial was prospectively registered with Australian New Zealand Clinical Trials Registry Number (ACTRN)12615000269538. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 25, 2019 Category: Complementary Medicine Source Type: research

The impact on anatomical landmark identification after an ultrasound-guided palpation intervention: a pilot study
ConclusionThis pilot study demonstrated palpatory discrepancy at identifying all three landmarks. Our data suggests that US-guided palpation intervention seems to improve an intern ’s ability to palpate two landmarks (medial meniscus and lateral malleolus) post-intervention. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 23, 2019 Category: Complementary Medicine Source Type: research

Promoting the use of self-management in patients with spine pain managed by chiropractors and chiropractic interns: barriers and design of a theory-based knowledge translation intervention
ConclusionsAlmost one quarter of study participants were not actively engaged in their spine care. Key barriers likely to influence uptake of SMS among patients were identified and used to inform the design of a theory-based KT intervention to increase their participation level. The proposed multi-component KT intervention may be an effective strategy to optimize the quality of spine pain care and improve patients ’ health-outcomes. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 16, 2019 Category: Complementary Medicine Source Type: research

Is there any benefit to adding students to the European council on chiropractic education evaluation teams and general council? An audit of stakeholders
ConclusionsThis study demonstrates the unique and positive contributions chiropractic students make to accreditation evaluation teams. The results were less positive concerning students on ECCE General Council due to the lack of specific training for their roles and the short time-frame of their membership. Therefore, the ECCE has created training workshops and expanded the time period for students on Council in order to address these issues. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 13, 2019 Category: Complementary Medicine Source Type: research

Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review
ConclusionOur review has highlighted the multilevel factors affecting the uptake of workplace-based PA and underpins the complexities in implementation of such initiatives. The published literature predominantly provides details from the employees ’ perspectives on factors that need to be addressed and a lack of attention to these factors will cause them to hamper uptake of PA. The analysis of barriers and facilitators provides a theoretical foundation to guide future intervention design. However, further research is needed to fully underst and the success or failure of implementation processes. (Source: Chiropractic...
Source: Chiropractic and Manual Therapies - October 9, 2019 Category: Complementary Medicine Source Type: research

Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? A cross-sectional diagnostic accuracy study
ConclusionsWhile pain distribution may be an indication of radiculopathy, pain patterns from L5 or S1 nerve root compression only approximated those of sensory dermatomes, and level-specific knowledge about radicular pain patterns did not assist clinicians ’ diagnostic accuracy of the nerve root impinged. These results indicate that, on their own, pain patterns provide very limited additional diagnostic information about which individual nerve root is affected. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 7, 2019 Category: Complementary Medicine Source Type: research

Unravelling functional neurology: does spinal manipulation have an effect on the brain? - a systematic literature review
ConclusionThe available evidence suggests that changes occur in ‘brain function’ in response to spinal manipulation but are inconsistent across and - sometimes - within studies. The clinical relevance of these changes is unknown. It is therefore premature to promote the use of spinal manipulation as a treatment to improve ‘brain function’. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 2, 2019 Category: Complementary Medicine Source Type: research

Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review
DiscussionAll analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine.Trial registrationPROSPERO registration number:CRD42019124125. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 26, 2019 Category: Complementary Medicine Source Type: research

The usefulness of a novel patient management decision aid to improve clinical decision-making skills in final year chiropractic students
AbstractBackgroundThe process of developing patient management plans requires a series of clinical decision-making skills that can take years in practice to develop. For the inexperienced practitioner, providing a logical, systematic patient management framework may assist in clinical scenarios and accelerate their decision-making skill development. The purpose of this study was to assess whether a novel clinical management decision aid would improve the management decision-making of chiropractic students.MethodsA prospective before and after study tracked chiropractic master degree students in their final year of study ac...
Source: Chiropractic and Manual Therapies - September 19, 2019 Category: Complementary Medicine Source Type: research

Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report
ConclusionsPartial C7, complete T1 and T2, and partial T3 bilateral laminectomy was performed for evacuation of the spinal epidural hematoma. Following a 2-week course of acute inpatient rehabilitation, the patient returned to his baseline functional status. This case highlights the risks of self-manipulation of the neck and potentially other activities that significantly stretch or apply torque to the cervical spine. It also presents a clinical scenario in which practitioners of spinal manipulation therapy should be aware of patients undergoing anticoagulation therapy. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 19, 2019 Category: Complementary Medicine Source Type: research

A perspective on Chiropractic Councils on Education accreditation standards and processes from the inside: a narrative description of expert opinion
ConclusionsAn overarching confounder for positive changes in CCE accreditation standards and processes is the inability to clearly define basic and fundamental terms such as ‘chiropractic’ and its resultant scope of practice. This is said to be because of vocal, diverse and disparate interest groups within the chiropractic profession. Silence or nebulous definitions negotiated in order to allow a diversity of chiropractic practice to co-exist, appears to have compli cated and hindered the activities of CCEs. Recommendations are made including an adoption of an evidence-based approach to accreditation standards ...
Source: Chiropractic and Manual Therapies - September 12, 2019 Category: Complementary Medicine Source Type: research

Assessing attitudes of patient-centred care among students in international chiropractic educational programs: a cross-sectional survey
ConclusionThis is the first international study assessing students ’ attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower than those reported among medical students. Observed differences may be related to curricular content, extent of patient exposure and/or regional cultural realities. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 12, 2019 Category: Complementary Medicine Source Type: research