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What are the risks of manual treatment of the spine? A scoping review for clinicians
ConclusionExisting literature indicates that benign adverse events following manual treatments to the spine are common, while serious adverse events are rare. The incidence and causal relationships with serious adverse events are challenging to establish, with gaps in the literature and inherent methodological limitations of studies. Clinicians should ensure that patients are informed of risks during the consent process. Since serious adverse events could result from pre-existing pathologies, assessment for signs or symptoms of these is important. Clinicians may also contribute to furthering understanding by utilising pati...
Source: Chiropractic and Manual Therapies - December 7, 2017 Category: Complementary Medicine Source Type: research

ECU convention 2017 research presentations
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 6, 2017 Category: Complementary Medicine Source Type: research

Effect of spinal manipulative treatment on cardiovascular autonomic control in patients with acute low back pain
This study aimed to quantify the effect of spinal manipulative treatment (SMT) from an analysis of baroreflex, systolic blood pressure and heart rate variability (HRV) on patients with acute back pain. It was hypothesized that SMT would increase the parasympathetic cardiovascular autonomic control.MethodsTwenty-two patients with acute back pain were randomly divided into two groups: one receiving sham treatment (Sham) and the other receiving SMT. Recordings were completed during the first day and the seventh day, immediately before and after treatment on both days. ECG and systolic blood pressure were continuously recorded...
Source: Chiropractic and Manual Therapies - December 4, 2017 Category: Complementary Medicine Source Type: research

Influence of perceived difficulty of cases on student osteopaths ’ diagnostic reasoning: a cross sectional study
ConclusionsAlthough speculative and preliminary, our findings suggest the perception of complexity led to an increased reliance on analytical reasoning at the detriment of non-analytical reasoning. To reduce the associated cognitive load, osteopathic educational institutions could consider developing the intuitive diagnostic capabilities of pre-registration students. Postgraduate mentorship opportunities could be considered to enhance the diagnostic reasoning of professional osteopaths, particularly recent graduates. Further research exploring the influence of expertise is required to enhance the validity of this study. (S...
Source: Chiropractic and Manual Therapies - December 1, 2017 Category: Complementary Medicine Source Type: research

The chiropractic profession: a scoping review of utilization rates, reasons for seeking care, patient profiles, and care provided
ConclusionsThis comprehensive overview on the world-wide state of the chiropractic profession documented trends in the literature over the last four decades. The findings support the diverse nature of chiropractic practice, although common trends emerged. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 22, 2017 Category: Complementary Medicine Source Type: research

A protocol for clinical trial study of the effect of core stabilization exercises on spine kinematics during gait with and without load in patients with non-specific chronic low back pain
DiscussionsWe will quantify the effectiveness of CSTP on the kinematic of trunk, lumbar and pelvis during gait. Comparing the kinematic pattern and movement variability using CVo and CVp can contribute to better understand the motor control strategy and movement pattern of the spine during an anterior load carriage task between patients with NCLBP and healthy.Trial registrationIRCT number:IRCT2016080829264N1; pre-result. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 16, 2017 Category: Complementary Medicine Source Type: research

Correction to: Comparison of treatment outcomes in neck pain patients depending on the sex of the chiropractor: a prospective outcome study
AbstractAfter publication of the original article [1] the authors noted that the presentation of the name B. Kim Humphreys was incorrect. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 13, 2017 Category: Complementary Medicine Source Type: research

What is chiropractic?
AbstractWhile in some jurisdictions chiropractic is fully integrated in public and insurance funded health care systems, in others it is outside and considered as complementary or alternative health care. There is a paucity of data and rigorous scientific studies regarding most aspects of chiropractic practice although research activity has been increasing in recent years. We call for papers for a thematic series inChiropractic and Manual Therapies that can help define chiropractic better to stakeholders inside and outside the profession under the themeWhat is Chiropractic? (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 2, 2017 Category: Complementary Medicine Source Type: research

Knowledge, attitude, influences and use of complementary and alternative medicine (CAM) among chiropractic and nursing students
ConclusionsNursing and chiropractic students demonstrate relatively positive attitudes and beliefs towards CAM despite, their limited knowledge concerning CAM modalities generally. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 17, 2017 Category: Complementary Medicine Source Type: research

Using 4+ to grade near-normal muscle strength does not improve agreement
AbstractBackgroundManual assessment of muscle strength is often graded using the ordinal Medical Research Council (MRC) scale. The scale has a number of inherent weaknesses, including poorly defined limits between grades ‘4’ and ‘5’ and very large differences in the span of muscle strength encompassed by each of the six grades. It is not necessarily obvious how toconvert a manual muscle test finding into an MRC grade. Several modifications which include intermediate grades have been suggested to improve the MRC scale and the current study examines whether agreement improves and variation in ratings ...
Source: Chiropractic and Manual Therapies - October 10, 2017 Category: Complementary Medicine Source Type: research

Work related musculoskeletal injuries sustained by Australian osteopaths: qualitative analysis of effects on practitioner health, clinical practice, and patient care
ConclusionThis is the first research that explores the experiences of osteopaths who have sustained a WRMI. We anticipate that this research will encourage a broad and constructive discussion within the profession of the issues associated with WRMIs, including risk minimisation and injury prevention. Further research is warranted to understand the relationship between osteopaths training in ergonomics and injury prevention. This would lead to the development of guidelines and educational curricula addressing safe work for osteopaths. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 3, 2017 Category: Complementary Medicine Source Type: research

Appeal to fear in health care: appropriate or inappropriate?
ConclusionIn spite of the evidence against its use, it seems likely that appeal to fear will continue to be used in conjunction with other public awareness initiatives to modify recognized detrimental behaviours such as smoking and drunk driving as well as silent killers such as hypertension. However, when used to promote a treatment that has no evidentiary basis such as subluxation based practice in chiropractic the appeal to fear is a fallacy and must be stopped. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 20, 2017 Category: Complementary Medicine Source Type: research

Friction massage versus kinesiotaping for short-term management of latent trigger points in the upper trapezius: a randomized controlled trial
ConclusionsFriction massage and kinesiotaping had identical short-term effects on latent trigger points in the upper trapezius. Three sessions of either of these two interventions did not improve latent trigger points.Trial registrationRegistration ID in IRCT:IRCT2016080126674N3. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 12, 2017 Category: Complementary Medicine Source Type: research

Tracking low back pain in adolescent idiopathic scoliosis: a prospective cohort study protocol
ConclusionThis research protocol will be the first study to determine the proportion of adolescents with idiopathic scoliosis who experience acute, recurrent, and chronic low back pain, and establish the level of the burden associated with these subgroups of low back pain. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 5, 2017 Category: Complementary Medicine Source Type: research

Exploring the definition of «acute» neck pain: a prospective cohort observational study comparing the outcomes of chiropractic patients with 0–2 weeks, 2–4 weeks and 4–12 weeks of symptoms
ConclusionsThe time period of 0 –4 weeks of symptoms as the definition of “acute” neck pain should be maintained. Independent of the exact duration of symptoms, medium-term and long-term outcome is favourable for acute as well as subacute neck pain patients.Trial registrationNot applicable for prospective cohort studies. Ethics approval prior to study EK 19/2009. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 16, 2017 Category: Complementary Medicine Source Type: research

“Typical” chiropractic patients– can they be described in terms of recovery patterns?
ConclusionsThe results from this study can be used to introduce a realistic approach to chiropractic care in LBP, which should reduce disappointments among both chiropractors and patients. There was no “typical” recovery pattern. Trajectories were, in fact, spread over several subgroups with somewhat more than half reporting a favorable course but only one fifth enjoyed early and sustained recovery. Further, from a research perspective, the end-of -study status does not well depict the outcome experienced by patients. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 9, 2017 Category: Complementary Medicine Source Type: research

The comfort and safety of a novel rolling mechanical indentation device for the measurement of lumbar trunk stiffness in young adults
AbstractBackgroundThe measurement of Posterior-Anterior (P-A) spinal stiffness is a common component of the physical examination of patients presenting with spinal disorders. The aim of this assessment is to provoke pain and/or to determine the degree of resistance or compliance of these structures and the associated soft-tissues to loading. This information, combined with other patient-specific history and examination findings, is integrated into the clinical reasoning process and is used to guide treatment decisions. Unfortunately, there are inter-rater reliability and standardisation issues associated with the manual pe...
Source: Chiropractic and Manual Therapies - August 3, 2017 Category: Complementary Medicine Source Type: research

The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices
ConclusionsPsychological factors, such as IU, may have an impact on chiropractic students ’ clinical decisions. However, it does not impact on all aspects of practice. This finding has implications for chiropractic educators, especially when dealing with neck pain. However, it may be relevant to continue the search for specific personality profiles in relation to various favourable and unfavourable practice patterns, as it is unknown whether these dynamics are important for other aspects of chiropractic education. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 19, 2017 Category: Complementary Medicine Source Type: research

Unravelling functional neurology: a scoping review of theories and clinical applications in a context of chiropractic manual therapy
ConclusionFN gives the impression to be a complex alternative to the old variant of the chiropractic subluxation model, in which the vertebral subluxation is replaced by “physiological lesions” of the brain, and the treatment, spinal adjustments, are complemented by various neurological stimuli. Both models purport to treat not the symptoms but the cause. We conclude there is a need for more scientific documentation on the validity of FN. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 18, 2017 Category: Complementary Medicine Source Type: research

Comparison of treatment outcomes in neck pain patients depending on the sex of the chiropractor: a prospective outcome study
ConclusionsFemale chiropractors achieve at least equally satisfying treatment results for neck pain patients compared to male chiropractors. Female chiropractors also have a higher proportion of female patients compared to male chiropractors and patients presenting with radiculopathy and using pain medications.Trial registrationNot applicable for this type of study. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 17, 2017 Category: Complementary Medicine Source Type: research

Managing patients with acute and chronic non-specific neck pain: are Danish chiropractors compliant with guidelines?
ConclusionsDanish chiropractors use a wide range of treatment options for managing adult patients with acute and chronic non-specific neck-pain. However, there were important differences in treatments chiropractors offered for acute and chronic patients, particularly for the use of exercise therapy, which was mainly reserved for chronic patients. Danish chiropractors ’ compliance with guidelines for neck-pain patients was low, but is neither worse nor better than what is seen for other complaints or health disciplines. Our findings suggest a need for active knowledge translation strategies and robust implementation r...
Source: Chiropractic and Manual Therapies - June 30, 2017 Category: Complementary Medicine Source Type: research

The biopsychosocial model and chiropractic: a commentary with recommendations for the chiropractic profession
AbstractThere is an increasing awareness, interest and acceptance of the biopsychosocial (BPS) model by all health care professionals involved with patient care. The areas of spine care and pain medicine are no exception, and in fact, these areas of health care are a major centerpiece of the movement from the traditional biomedical model to a BPS model of patient assessment and delivery of care. The chiropractic approach to health care has a history that is grounded in key aspects of the BPS model. The profession has inherently implemented certain features of the BPS model throughout its history, perhaps without a full und...
Source: Chiropractic and Manual Therapies - June 7, 2017 Category: Complementary Medicine Source Type: research

Historical influence on the practice of chiropractic radiology: part II - thematic analysis on the opinions of diplomates of the American Chiropractic College of Radiology about the future
ConclusionsThe increasing necessity of demonstrating evidence for diagnostic and therapeutic procedures in healthcare makes it likely that chiropractic radiologists and the wider chiropractic profession will need to take a more active position on evidence-based practice. Re-evaluation of guidelines and legislation as well as enforcement policies and practices will be necessary. The consequences of failing to do so may include increased marginalisation and reduced viability as a profession. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 8, 2017 Category: Complementary Medicine Source Type: research

Historical influence on the practice of chiropractic radiology: Part I - a survey of Diplomates of the American Chiropractic College of Radiology
ConclusionsWithin the chiropractic profession, there is a continuing belief in radiographically visible subluxations as a cause of suboptimal health. This situation is sustained in part due to the reticence of other chiropractors to report these practices to licensing and registration boards. Investigation into other structures supporting a vitalistic belief system over science in chiropractic is recommended. In addition, it may be useful to explore remunerative systems that move beyond the inherently conflicted fee-for-service model. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 8, 2017 Category: Complementary Medicine Source Type: research

Chiropractors` experience and readiness to work in Indigenous Australian Communities: a preliminary cross-sectional survey to explore preparedness, perceived barriers and facilitators for chiropractors practising cross-culturally
ConclusionsThe study points to a need for chiropractors to have access to cultural proficiency training in order to develop the capability and confidence to engage respectfully with their Indigenous patients. This preliminary study has provided the researchers with valuable insights aiding the development and implementation of an Indigenous cultural proficiency program for chiropractors. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 2, 2017 Category: Complementary Medicine Source Type: research

Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial
ConclusionsPatients with neck pain improved in both groups without statistical significantly or clinically relevant differences between the MTU and PT groups during one-year follow-up.Trial registrationClinicalTrials.gov Identifier:NCT00713843. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 28, 2017 Category: Complementary Medicine Source Type: research

The STarT back tool in chiropractic practice: a narrative review
AbstractBackgroundThe Keele STarT Back Tool was designed for primary care medical physicians in the UK to determine the risk for persistent disabling pain in patients with musculoskeletal pain and to tailor treatments accordingly. In medical and physical therapy settings, STarT Back Tool ’s tailored care plans improved patients’ low back pain outcomes and lowered costs.ObjectiveReview studies using the STarT Back Tool in chiropractic patient populations.MethodsPubMed, The Cochrane Library, Index to Chiropractic Literature, and Science Direct databases were searched. Articles written in English, published in pee...
Source: Chiropractic and Manual Therapies - April 21, 2017 Category: Complementary Medicine Source Type: research

Prevalence of low back pain in adolescents with idiopathic scoliosis: a systematic review
ConclusionThe results of this systematic review indicate that adolescents with idiopathic scoliosis frequently experience low back pain. However, there was insufficient evidence to confidently estimate low back pain prevalence in adolescents with idiopathic scoliosis and further studies are needed in this area. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 20, 2017 Category: Complementary Medicine Source Type: research

Primary prevention in chiropractic practice: a systematic review
ConclusionMore research efforts have been put into wellness than into prevention of musculoskeletal disorders or public health-related disorders. It therefore seems that parts of the chiropractic profession are in search of an understanding of various aspects of clinical practice over and above its traditional musculoskeletal role. Interestingly, only a small proportion of chiropractic patients consult for PP, despite the readiness of the profession to offer such services. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 19, 2017 Category: Complementary Medicine Source Type: research

Lumbar lordosis in prone position and prone hip extension test: comparison between subjects with and without low back pain
AbstractBackgroundProne hip extension (PHE) is a common and widely accepted test used for assessment of the lumbo-pelvic movement pattern. Considerable increased in lumbar lordosis during this test has been considered as impairment of movement patterns in lumbo-pelvic region. The purpose of this study was to investigate the change of lumbar lordosis in PHE test in subjects with and without low back pain (LBP).MethodA two-way mixed design with repeated measurements was used to investigate the lumbar lordosis changes during PHE in two groups of subjects with and without LBP. An equal number of subjects (N = 30)...
Source: Chiropractic and Manual Therapies - March 15, 2017 Category: Complementary Medicine Source Type: research

A treatise for a new philosophy of chiropractic medicine
ConclusionThis paper provides the initial steps in formulating a PCM using principles from a sociological, political and economic standpoint which may impact on how chiropractic medicine approaches the patient and society in totality. In addition, these principles provide the necessary first steps in the arena of the social, political and economic aspects and how chiropractic medicine can advance. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 5, 2017 Category: Complementary Medicine Source Type: research

Contextually Aided Recovery (CARe): a scientific theory for innate healing
AbstractBackgroundThe chiropractic profession emerged when scientific explanations for causes of health and disease were still in infancy and the co-existence of notions such as innate healing and vitalism were perhaps admissible within such a historical context. Notwithstanding, within the scientific culture of the 21st Century all healthcare paradigms require evidential support which in regard these early concepts are in large part, absent. Nevertheless, a large body of emerging scientific evidence supports the existence of innate healing phenomena that may explain a plethora of clinical outcomes observed during chiropra...
Source: Chiropractic and Manual Therapies - February 12, 2017 Category: Complementary Medicine Source Type: research

Chiropractic management of post spinal cord stimulator spine pain: a case report
ConclusionAll four patients denied adverse effects to spinal manipulation/mobilization and onset of new symptoms after treatment; two patients reported durable reduction in low back pain with increased tolerance to walking, standing, or lying down, one reported temporary relief of low back pain, and one reported no change in symptoms. Further investigation is needed to determine the benefit of spinal manipulation in patients with implanted spinal cord stimulators, but this study has shown the absence of adverse effects from manipulation or mobilization treatment, in regards to SCS. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 5, 2017 Category: Complementary Medicine Source Type: research

The relationship between chiropractor required and current level of business knowledge
AbstractBackgroundChiropractors frequently practice within health care systems requiring the business acumen of an entrepreneur. However, some chiropractors do not know the relationship between the level of business knowledge required for practice success and their current level of business knowledge. The purpose of this quantitative study was to examine the relationship between chiropractors ’ perceived level of business knowledge required and their perceived level of current business knowledge.MethodsTwo hundred and seventy-four participants completed an online survey (Health Care Training and Education Needs Surve...
Source: Chiropractic and Manual Therapies - February 5, 2017 Category: Complementary Medicine Source Type: research

Association between sports type and overuse injuries of extremities in adults: a systematic review
ConclusionThe literature does not permit to identify clearly the difference in the incidence of OIE for different sports showing that more but well-designed surveillance studies are needed. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 12, 2017 Category: Complementary Medicine Source Type: research

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study
ConclusionsThis study found that MSK-DUSI had variable reliability in assessing the thickness of the Lcol, Rcpm, Dce, and Sscap muscles. No bias was demonstrated, but agreement intervals were wide. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 3, 2017 Category: Complementary Medicine Source Type: research

A systematic review of thrust manipulation for non-surgical shoulder conditions
ConclusionsNo clinical trials of thrust manipulation for non-surgical shoulder conditions other than subacromial impingement syndrome were found. There is limited evidence to support or refute thrust manipulation as a solitary treatment for this condition. Studies consistently reported pain reduction, but active treatments were comparable to shams. High-quality studies of thrust manipulation with safety data, longer treatment periods and follow-up outcomes are needed. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 3, 2017 Category: Complementary Medicine Source Type: research

The reliability of spinal motion palpation determination of the location of the stiffest spinal site is influenced by confidence ratings: a secondary analysis of three studies
ConclusionsExaminer decisions regarding the location of the stiffest spinal site were deemed adequately reliable, especially when the examiners were confident. Researchers and clinicians alike might best design their study protocols and practice methods using the stiffest segment protocol as an alternative to level-by-level spinal analysis. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 19, 2016 Category: Complementary Medicine Source Type: research

‘PICO-D Management’; a decision-aid for evidence-based chiropractic education and clinical practice
ConclusionsFor people consulting chiropractors this decision-aid usually requires the practitioner to consider a comparison of usual chiropractic care, (clinical management including a combination of active care and passive manual interventions), to usual medical care usually including medications, or other allied healthmanagement options while being mindful of the natural history of the persons ’ condition. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 11, 2016 Category: Complementary Medicine Source Type: research

The effect of obesity on treatment outcomes for low back pain
ConclusionThe results of this study support an association between obesity and less effective treatment outcomes whether measured by disability (Roland-Morris scale) or pain (most severe pain NRS). Overweight and underweight populations do not appear to have significantly different outcomes than normal weight populations.Trial registrationThis trial was designed and conducted prior to the advent of registries. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 11, 2016 Category: Complementary Medicine Source Type: research

Effectiveness of manual therapy for cervical radiculopathy, a review
AbstractManual therapy is often used for patients with neck pain with or without radicular symptoms. There is sparse evidence on the effectiveness in cervical radiculopathy. The aim of this study was to assess current levels of evidence on the effectiveness of manual therapy interventions for patients with cervical radiculopathy.Electronic data bases were systematically searched for clinical guidelines, reviews and randomised clinical trials (RCTs) reporting on the effectiveness of manual therapy for patients with cervical radiculopathy. Eight relevant reviews, two guidelines and two recent RCTs, that had not yet been incl...
Source: Chiropractic and Manual Therapies - December 8, 2016 Category: Complementary Medicine Source Type: research

Similarities and differences of a selection of key accreditation standards between chiropractic councils on education: a systematic review
ConclusionsA series of recommendations were made. These included the need for an increased clarity of the required basic and clinical science subjects, teaching clinic student requirements, and faculty staff qualifications. These are proposed with the intention of creating uniform and high quality international accreditation standards for chiropractic education. Future research should compare the levels of CCEs inspection standards and processes to see if similarities and differences exist also there.Trial registrationNot applicable. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 6, 2016 Category: Complementary Medicine Source Type: research

Effect of lumbar spinal manipulation on local and remote pressure pain threshold and pinprick sensitivity in asymptomatic individuals: a randomised trial
ConclusionsLumbar SMT reduced deep pressure sensitivity locally and in the lower limbs for at least 30  min, whereas sensitivity to pinprick was reduced systemically. These findings suggest that SMT specifically inhibits deep pressure sensitivity distally. These findings are novel compared to other lumbar SMT studies, and may reflect a local spinal or complex supraspinal analgesic mechanism.Trial registrationRegistered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000682640). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 4, 2016 Category: Complementary Medicine Source Type: research

The influence of anatomy app use on chiropractic students ’ learning outcomes: a randomised controlled trial
AbstractBackgroundAnatomy apps supplement traditional learning; however, it is unknown if their use can improve students ’ outcome. The present study examined whether the use of anatomy apps improved student performance on a neuroanatomy assessment.MethodsSecond-year anatomy students, enrolled in a Bachelor of Science with Chiropractic Major program, were randomly allocated to experimental and control groups in July 2015. Students completed the Self-Directed Learning Readiness Scale (SDLRS). The experimental group had access to iPads with four anatomy apps for three weekly classes (1.5  h each). One week after t...
Source: Chiropractic and Manual Therapies - November 30, 2016 Category: Complementary Medicine Source Type: research

Association between sports type and overuse injuries of extremities in children and adolescents: a systematic review
ConclusionOur work contributes new information, namely that the site of OIE in children and adolescents appears to vary only somewhat between different types of sports. Further well-designed surveillance studies are needed to improve knowledge that can help prevent injuries in children and adolescents participating in sports activities. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 14, 2016 Category: Complementary Medicine Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? Yes
ConclusionThere are several methodological challenges to understanding the association between neck manipulation and vertebral artery dissection. Addressing these issues is critical because even a modest association between neck manipulation and cervical artery dissection could translate into a significant number of avoidable dissections given the widespread use of neck manipulation by providers from various backgrounds. We believe that valid case classification, accurate measurement of manipulative procedures, and addressing reverse causation bias should be top priorities for future research. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 4, 2016 Category: Complementary Medicine Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No
ConclusionCurrent evidence does not support the notion that misclassification threatens the validity of recent case –control studies investigating the relationship between CMT and VAD. Hence, the recent re-analysis cannot refute the conclusion from previous studies that CMT is not a cause of VAD. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 4, 2016 Category: Complementary Medicine Source Type: research

An indication of current views of Australian general practitioners towards chiropractic and osteopathy: a cross-sectional study
ConclusionsThis study provides an indication of the current views of Australian general practitioners towards chiropractors and osteopaths. The findings suggest that attitudes may have become less favourable with a growing intolerance towards both professions. If confirmed, this has the potential to impact health service provision. The results from this cross-sectional study suggest that obtaining representative general practitioner views using online surveys is difficult and another approach is needed to supplement or replace the current recruitment strategy.' (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 31, 2016 Category: Complementary Medicine Source Type: research

Serious bicycle crash injury in chiropractic practice – a case report of delayed diagnosis
ConclusionsThe presented case is an example of the serious spinal injuries bicyclists may suffer when involved in high-energy traffic crashes despite wearing a bicycle helmet. The case report highlights the need for relevant clinical (including radiological) decision strategies when dealing with trauma patients in chiropractic practice. This involves the direct access to radiological procedures with no unnecessary delay when indicated as in most trauma cases. Furthermore, clearly defined and easy accessible referral schemes from primary care settings to emergency departments must be available to the chiropractic physician....
Source: Chiropractic and Manual Therapies - October 31, 2016 Category: Complementary Medicine Source Type: research

Outcomes of a pilot study in chiropractic practices in Western Australia
ConclusionsPatients presented to chiropractors in Western Australia with a fairly wide range of conditions, but primarily spinal and musculoskeletal-related problems. A significant proportion of patients had associated, or found to be at risk of, depression. Consequently, there are responsibilities and opportunities for chiropractors with respect to providing care services that include health promotion and well-being education related to musculoskeletal/spinal and mental health. This pilot study supports the feasibility of a future confirmatory study where the potential role of chiropractors in spinal/musculoskeletal healt...
Source: Chiropractic and Manual Therapies - October 9, 2016 Category: Complementary Medicine Source Type: research