Effectiveness of interventions for treating apophysitis in children and adolescents: protocol for a systematic review and network meta-analysis
The objective of this systematic review and network meta-analysis is to compare the effectiveness and safety of all available treatments for any type of apophysitis in children and adolescents.Methods/DesignWe will conduct a systematic review to retrieve all relevant studies applying a comparative design. Searches will be made in the Cochrane CENTRAL, MEDLINE, EMBASE, CINAHL and SportDiscus databases and via reference searching. The efficacy of treatments will be compared with respect to the outcomes 1) time to pain-free activity and 2) risk of subsequent injury. Risk of bias assessment will be made usingrevised tool for a...
Source: Chiropractic and Manual Therapies - October 23, 2018 Category: Complementary Medicine Source Type: research

Changes in pain knowledge, attitudes and beliefs of osteopathy students after completing a clinically focused pain education module
AbstractBackgroundChronic pain is a substantial burden on the Australian healthcare system with an estimated 19.2% of Australians experiencing chronic pain. Knowledge of the neurophysiology and multidimensional aspects of pain is imperative to ensure health professionals apply a biopsychosocial approach to pain. Questionnaires may be used to assess learner changes in neurophysiology knowledge and beliefs and attitudes towards pain after education interventions.The aim of this study was to evaluate changes in pain neurophysiology knowledge, beliefs and attitudes following a 12  week clinically-focused pain module in ye...
Source: Chiropractic and Manual Therapies - October 18, 2018 Category: Complementary Medicine Source Type: research

Degenerative findings on MRI of the cervical spine: an inter- and intra-rater reliability study
ConclusionsThe present classifications for some of the most common cervical degenerative findings yielded mainly substantial inter-rater reliability estimates and substantial to almost perfect intra-rater reliability estimates. .Trial registrationRegional Data Protection Agency (J.no.1 –16–02-86-16). The letter of exemption from the Regional Ethical Committee is available from the author on request (case no. 86 / 2017). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 16, 2018 Category: Complementary Medicine Source Type: research

A preliminary investigation examining patient reported outcome measures for low back pain and utilisation amongst chiropractors in Australia: facilitators and barriers to clinical implementation
ConclusionMost of the survey respondents use PROMs in clinical practice. The most common barrier chiropractors identified that prevent LBP PROM utilisation was the lack of operational definition surrounding PROMs, as well as how to use them and the perception that they are time consuming. Facilitatory factors to implement PROMs included using simple administration systems, utilising electronic forms and consistent implementation. This research indicates that there is a potential need to further educate the Chiropractic profession regarding PROMs. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 8, 2018 Category: Complementary Medicine Source Type: research

Spinal epidural lipomatosis presenting to a U.S. Veterans Affairs pain and rehabilitation department: a report of two cases
ConclusionsThe first case illustrates a limitation of ruling out central canal stenosis with computed tomography for patients unable to undergo an MRI. The second case demonstrates a possible association between steroid injections and spinal epidural lipomatosis. An association of this kind has not been established; further research is needed to determine the significance. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 2, 2018 Category: Complementary Medicine Source Type: research

ECU convention 2018 congress proceedings
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 25, 2018 Category: Complementary Medicine Source Type: research

Physical risk factors for adolescent neck and mid back pain: a systematic review
ConclusionsThis systematic review indicates that prospective studies using a consistent definition of NP and MBP are needed. Such studies might further investigate sagittal alignment in sitting and standing as possible risk factors for NP and MBP in adolescence using a consistent terminology for the outcomes and longitudinal research designs. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 24, 2018 Category: Complementary Medicine Source Type: research

Assessment of variability in traction interventions for patients with low back pain: a systematic review
ConclusionThere is wide variability in the type of traction, traction parameters and patient characteristics found among the RCTs of lumbar traction. The variability may call into question the conclusion that lumbar traction has little no or value on clinical outcomes. Also, this variability emphasizes the need for targeted delivery methods of traction that match appropriate dosages with specific subgroups of patients with LBP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 17, 2018 Category: Complementary Medicine Source Type: research

Impact of the workforce distribution on the viability of the osteopathic profession in Australia: results from a national survey of registered osteopaths
ConclusionsThe Australian osteopathic profession should examine the issue of imbalanced workforce distribution as a priority. The results of this study are worth considering for all stakeholders as part of a coordinated approach to ensure the ongoing health of the Australian osteopathic workforce. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 11, 2018 Category: Complementary Medicine Source Type: research

Manual therapy applied by general practitioners for nonspecific low back pain: results of the ManR ück pilot-study
ConclusionsBefore verifying the encouraging findings that additional MT may lead to faster pain reduction and reduced analgesic use via an RCT, the setting, patients ’ structure, and inclusion criteria should be considered more closely.Trial registrationNumber: DRKS00003240 Registry: German Clinical Trials Registry (DRKS) URL:https://www.drks.de/drks_web/. Registration date: 14.11.2011. First patient: March 2012. Funding: the Rut and Klaus Bahlsen Stiftung, Hannover. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 3, 2018 Category: Complementary Medicine Source Type: research

Feasibility of the consultation-based reassurance questionnaire in Danish chiropractic practice
ConclusionsThe CRQ was feasible for use in a Danish chiropractic setting and scores on all four reassurance subscales related positively to patients ’ satisfaction. Patients who had visited a chiropractor previously reported slightly lower levels of reassuring information, and it should be explored if this is in accordance with the patients’ needs. The potential impact on patient outcomes needs investigation. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 30, 2018 Category: Complementary Medicine Source Type: research

Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with low back pain or sciatica is unknown; a systematic review
ConclusionsThe diagnostic accuracy of CT, myelography and MRI of today is unknown, as we found no studies evaluating today ’s more advanced imaging techniques. Concerning the older techniques we found moderate diagnostic accuracy for all CT, myelography and MRI, indicating a large proportion of false positives and negatives. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 21, 2018 Category: Complementary Medicine Source Type: research

Comparing the old to the new: A comparison of similarities and differences of the accreditation standards of the chiropractic council on education-international from 2010 to 2016
ConclusionsSome positive changes have taken place, such as having bravely moved towards the musculoskeletal model, but on the negative side, the requirement to produce graduates skilled at dealing with scientific texts has been removed.  A more robust development approach including better transparency is needed before implementation of CCE standards and evidence-based concepts should be integrated in the programs. The CCE-International should consider the creation of a recognition of excellence in educational programs and not mer ely propose minimal standards. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 15, 2018 Category: Complementary Medicine Source Type: research

The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study
ConclusionThese findings indicate that older subjects with lower QMS are at greater risk of falls. These findings provide a rational for muscle strengthening exercise in older people. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 6, 2018 Category: Complementary Medicine Source Type: research

Unravelling functional neurology: a critical review of clinical research articles on the effect or benefit of the functional neurology approach
ConclusionsThis journal contains no acceptable evidence on the effect or benefit of FN in relation to various conditions and purported indications for intervention. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 25, 2018 Category: Complementary Medicine Source Type: research

Chiropractic in Global Health and wellbeing: a white paper describing the public health agenda of the World Federation of Chiropractic
AbstractThe World Federation of Chiropractic supports the involvement of chiropractors in public health initiatives, particularly as it relates to musculoskeletal health. Three topics within public health have been identified that call for a renewed professional focus. These include healthy ageing; opioid misuse; and women ’s, children’s, and adolescents’ health. The World Federation of Chiropractic aims to enable chiropractors to proactively participate in health promotion and prevention activities in these areas, through information dissemination and coordinated partnerships. Importantly, this work will...
Source: Chiropractic and Manual Therapies - July 17, 2018 Category: Complementary Medicine Source Type: research

Spontaneous cervical artery dissection: a fluoroquinolone induced connective tissue disorder?
ConclusionA causal relationship of fluoroquinolone antibiotics to cervical artery dissection is plausible. The suppositions developed in this paper are insufficient to suggest that fluoroquinolones currently represent an established risk factor in the development of cervical artery dissections. Fluoroquinolones may indeed be a novel and previously unrecognized cause of cervical artery dissections. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 9, 2018 Category: Complementary Medicine Source Type: research

Correction to: Thoracic index in adults with asthma: a study of validity and reliability
The original article [1] had 2 paragraphs which contained erroneous information. In this correction article the correct and incorrect information is shown. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 9, 2018 Category: Complementary Medicine Source Type: research

Spontaneous cervical artery dissection: a fluoroquinolone induced connective tissue disorder?
ConclusionA causal relationship of fluoroquinolone antibiotics to cervical artery dissection is plausible. The suppositions developed in this paper are insufficient to suggest that fluoroquinolones currently represent an established risk factor in the development of cervical artery dissections. Fluoroquinolones may indeed be a novel and previously unrecognized cause of cervical artery dissections. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 9, 2018 Category: Complementary Medicine Source Type: research

The prevalence of the term subluxation in chiropractic degree program curricula throughout the world
ConclusionsThe term subluxation was found in all but two US course catalogues. The use of subluxation in US courses rose from a mean of 5.53 in 2011 to 6.50 in 2017. US institutions use the term significantly more frequently than non-US. Possible reasons for this were discussed. Unscientific terms and concepts should have no place in modern education, except perhaps in historical context. Unless these outdated concepts are rejected, the chiropractic profession and individual chiropractors will likely continue to face difficulties integrating with established health care systems and attaining cultural authority as experts i...
Source: Chiropractic and Manual Therapies - July 2, 2018 Category: Complementary Medicine Source Type: research

Testing a strength and conditioning program to prevent common manipulative technique training injuries in chiropractic students: a study protocol for a randomised controlled trial
ConclusionThis research protocol will be the first large-scale study to investigate the effectiveness of a strength and conditioning program to reduce injuries within chiropractic students learning manual therapy.Trial registrationAustralia New Zealand Clinical Trials Registry (ACTRN12617001638325p). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 28, 2018 Category: Complementary Medicine Source Type: research

Low back pain: a major global problem for which the chiropractic profession needs to take more care
AbstractAn important series of papers have been published in theLancet. These papers provide a comprehensive update for the major global problem of low back pain, and the challenges that low back pain presents to healthcare practitioners and policy makers. Chiropractors are well placed to reduce the burden of low back pain, but not all that chiropractors do is supported by robust, contemporary evidence. This commentary summarises theLancet articles. We also make suggestions for how the chiropractic profession should most effectively help people with low back pain by implementing practices supported by high quality evidence...
Source: Chiropractic and Manual Therapies - June 25, 2018 Category: Complementary Medicine Source Type: research

Be good, communicate, and collaborate : a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team
ConclusionsOur findings provide an expanded view of the qualities that chiropractors might bring to multidisciplinary healthcare settings. Rather than labeling stakeholder perceptions as good, bad or indifferent as in previous studies, these results highlight specific attributes chiropractors might cultivate to enhance the patient outcomes and the experience of healthcare, influence clinical decision-making and interprofessional teamwork, and impact healthcare organizations. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 22, 2018 Category: Complementary Medicine Source Type: research

Biased online media coverage: chiropractic and stroke in google news
ConclusionsThe chiropractic profession is concerned about the biased media coverage of the unverified causal relation between chiropractic treatment and stroke. However, our data show that there are very few relevant media texts online within the timeframe of this study, and the majority of them appear after the first page ofGoogle News SERP. But, most texts present a negative tone or connotation, and a lot of links to online and social media embedded in these texts extend their traffic and reach. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 21, 2018 Category: Complementary Medicine Source Type: research

Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries
ConclusionsThere is an overconfidence of the chiropractic practitioner in recognition of MTBI which is incongruent with the low knowledge scores. Further education of the chiropractic clinician is warranted.Trial registrationUniversity Hospital Medical Information Network Clinical Trials Registry. Retrospectively registered (UMIN-CTR), trial number:UMIN#000029744 (Receipt# R000033980) data: October 27, 2017. ​Date of enrollment 7/14/2016. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 14, 2018 Category: Complementary Medicine Source Type: research

The effect of chiropractic treatment on infantile colic: study protocol for a single-blind randomized controlled trial
DiscussionIn a single-blind randomized controlled design we will evaluate the effectiveness of chiropractic treatment on infantile colic. The study will contribute to determine the effect of chiropractic treatment on infantile colic in an area where limited evidence exists. Furthermore, the study aims to explore if subgroups of children with suspected musculoskeletal problems will benefit more from the intervention than others. If they obtain better results, this could imply the need for stratified care.Trial registrationClinicaltrials.gov and Identifier:NCT02595515 (registered 2 November 2015). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 7, 2018 Category: Complementary Medicine Source Type: research

Thoracic index in adults with asthma: a study of validity and reliability
AbstractBackgroundThe Thoracic Index (TI) is a useful tool for evaluating costal mobility as a component of respiritory mechanics in adults with asthma. In a review of the literature, however, few studies were found that reported the psychometrics of this test. The goal of this study is to evaluate the reproducibility and validity of the TI in adults with asthma.MethodsA cross-sectional study was conducted to evaluate the diagnostic tests. Measurements were done randomly by two independent evaluators. The variables measured included thoracic mobility (TI and photogrammetric analysis), sociodemographic and anthropometric va...
Source: Chiropractic and Manual Therapies - May 24, 2018 Category: Complementary Medicine Source Type: research

Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study
ConclusionFive sessions of lumbar and SIJ manipulation can potentially improve pain and functional disability in patients with MRI-confirmed LDH and concomitant SIJ hypomobility.Trial registrationIrct.ir (Identifier:IRCT2017011924149N33), registered 19 February 2017 (retrospectively registered). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 17, 2018 Category: Complementary Medicine Source Type: research

Chiropractic treatment including instrument-assisted manipulation for non-specific dizziness and neck pain in community-dwelling older people: a feasibility randomised sham-controlled trial
ConclusionsRecruitment of participants in this setting was difficult and expensive. However, a larger trial may be feasible at a specialised dizziness clinic within a rehabilitation setting. Compliance was acceptable and the outcome measures used were well accepted and responsive.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR)ACTRN12613000653763. Registered 13 June 2013.Trial funding: Foundation for Chiropractic Research and Postgraduate Education (Denmark). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 10, 2018 Category: Complementary Medicine Source Type: research

Exploring the measurement properties of the osteopathy clinical teaching questionnaire using Rasch analysis
ConclusionThe evidence for unidimensionality and the presence of a general factor support the calculation of a total score for the questionnaire as a sufficient statistic. Further work is now required to investigate the reliability of the 12-item Osteopathy Clinical Teaching Questionnaire to provide evidence for the validity argument. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 3, 2018 Category: Complementary Medicine Source Type: research

Correction to: P-12 Assessment of Symmetrigraph and Global Postural System Results for the Posture Analysis of the Healthy Individuals
After publication of the below abstract in supplement [1] it was bought to our attention that in abstract P-12, author Kerem Alptekin ’s surname name had been published incorrectly as Alptekim. The authors also wished to add the below information to the abstract (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 27, 2018 Category: Complementary Medicine Source Type: research