Guideline implementation in the Canadian chiropractic setting: a pilot cluster randomized controlled trial and parallel study
ConclusionRecruitment of clinicians and patients for a trial of a complex intervention can be challenging, and retention of participants after enrolment may be low. Future trials of this nature likely require multiple recruitment strategies to achieve desired sample sizes. Moreover, time-constraint issues are perceived particularly by clinicians as a major barrier to both study enrolment before, and protocol adherence during, their actual participation in a trial.Trial registrationThe study was registered at,NCT02483091, on 17th June 2015. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 17, 2019 Category: Complementary Medicine Source Type: research

Chiropractic services in the active duty military setting: a scoping review
ConclusionsOur scoping review found the majority of published articles described chiropractic services in the active duty military in the US setting. Recent RCTs suggest a benefit of including chiropractic care to usual medical care in managing back pain in active duty military. Yet despite reported benefits in Australia, Canada, and the US, there is a need for further qualitative, descriptive, and clinical trial data worldwide to inform the role of chiropractic services in active duty military. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 15, 2019 Category: Complementary Medicine Source Type: research

Simulation can offer a sustainable contribution to clinical education in osteopathy
AbstractBackgroundClinical education forms a substantial component of health professional education. Increased cohorts in Australian osteopathic education have led to consideration of alternatives to traditional placements to ensure adequate clinical exposure and learning opportunities. Simulated learning offers a new avenue for sustainable clinical education. The aim of the study was to explore whether directed observation of simulated scenarios, as part replacement of clinical hours, could provide an equivalent learning experience as measured by performance in an objective structured clinical examination (OSCE).MethodsTh...
Source: Chiropractic and Manual Therapies - July 10, 2019 Category: Complementary Medicine Source Type: research

If I was more informed about what exactly they do : perceptions of Botswana district hospital healthcare providers about World Spine Care
ConclusionsMDH healthcare providers had adequate general knowledge about World Spine Care and spinal-related disorders, but did not understand the WSC scope of practice nor referral pathways to and from providers. Participants advocated for greater collaboration between WSC and hospital staff to increase acceptance and integration to deliver spine care services and foster wider adoption of the WSC model, particularly if WSC expands services across Botswana. Future efforts that incorporate interviews with patients and government officials also can provide valuable perspectives to achieve sustainable, integrated, evidence-ba...
Source: Chiropractic and Manual Therapies - July 3, 2019 Category: Complementary Medicine Source Type: research

Effect of active TENS versus de-tuned TENS on walking capacity in patients with lumbar spinal stenosis: a randomized controlled trial
ConclusionsActive TENS applied while walking is no better than de-tuned TENS for improving walking ability in patients with degenerative LSS and therefore should not be a recommended treatment in clinical practice.RegistrationClinicalTrials.gov ID:NCT02592642. Registration October 30, 2015. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 19, 2019 Category: Complementary Medicine Source Type: research

The research crisis in American institutions of complementary and integrative health: one proposed solution for chiropractic profession
This article presents the proposed five components of the RAND Center for Collaborative CIH Research and the steps required to bring it to being: 1) the CIH Research Network – an online resource and collaborative site for CIH researchers; 2) the CIH Research Advisory Board – the governing body for the Center selected by its members; 3) the RAND CIH Interest Group – a group of RAND researchers with an interest in and who could provide support to CIH research; 4) CI H Researcher Training – access to existing RAND research training as well as the potential for the Center to provide a research training ...
Source: Chiropractic and Manual Therapies - June 17, 2019 Category: Complementary Medicine Source Type: research

At-risk advertising by Australian chiropractors and physiotherapists
DiscussionAdvertising breaches were common in both samples even though regulators and professional associations provide practitioners with explicit information on how to comply with advertising guidelines. Breaches by chiropractors were more numerous and more serious due to their greater potential to lead consumers to make inappropriate and potentially harmful healthcare decisions.Stronger enforcement strategies may have a positive effect on compliance. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 13, 2019 Category: Complementary Medicine Source Type: research

Do adverse events after manual therapy for back and/or neck pain have an impact on the chance to recover? A cohort study
ConclusionThis study indicates that mild adverse events after manual therapy may be related to a better chance to recover in men.Trial registrationThe study is based on data from a trial registered in Current Controlled Trials (ISRCTN92249294). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 12, 2019 Category: Complementary Medicine Source Type: research

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence
ConclusionThe preponderance of evidence suggests that SMT in comparison to sham or other interventions does not enhance performance-based outcomes in asymptomatic adult population. All studies are exploratory with immediate effects. In the few studies suggesting a positive immediate effect, the importance of such change is uncertain. Further high-quality performance specific studies are required to confirm these preliminary findings. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 7, 2019 Category: Complementary Medicine Source Type: research

The development of a global chiropractic rehabilitation competency framework by the World Federation of Chiropractic
AbstractThe World Health Organization (WHO), in its “Rehabilitation 2030 A Call for Action”, identified the need to strengthen rehabilitation in health systems to meet the growing demands of current and future populations. Greater access to rehabilitation services is required to secure the achievement of the United Nation’s third Sustainable De velopment Goal, “Ensure healthy lives and promote well-being for all at all ages”. To support this mandate, WHO issued a call for non-governmental organizations, associations and institutions to share their rehabilitation-related competency frameworks w...
Source: Chiropractic and Manual Therapies - May 29, 2019 Category: Complementary Medicine Source Type: research

Spinal manipulation frequency and dosage effects on clinical and physiological outcomes: a scoping review
ConclusionThe results of this study showed that SM dosage and frequency effects have been mostly studied over the past two decades. Definitions for these two concepts however differ across studies. Overall, the results showed that treatment frequency does not significantly affect clinical outcomes during and following a SM treatment period. Dosage effects clearly influence short-term physiological responses to SM treatment, but relationships between these responses and clinical outcomes remains to be investigated. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 22, 2019 Category: Complementary Medicine Source Type: research

Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial
ConclusionsAdding spinal manipulation or supervised rehabilitative exercise to home exercise alone does not appear to improve pain or disability in the short- or long-term for older adults with chronic low back pain, but did enhance satisfaction with care.Trial registrationNCT00269321. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 15, 2019 Category: Complementary Medicine Source Type: research

Neurodynamic tests for patellofemoral pain syndrome: a pilot study
AbstractBackgroundPatellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder. There is little consensus on the etiology, but one explanatory model suggests that PFPS can be caused by referred pain. Neurodynamic tests are used to explore the mechanosensitivity of peripheral nerves, and previous studies have shown a relationship between increased mechanosensitivity and anterior knee pain by using the femoral slump test (FST). Previously the prone knee bend test (PKB) does not appear to have been included. The main purpose of this pilot study was to examine whether there was an identifiable difference in mechano...
Source: Chiropractic and Manual Therapies - May 8, 2019 Category: Complementary Medicine Source Type: research

European guidelines on quality criteria for diagnostic radiographic images of the lumbar spine – an intra- and inter-observer reproducibility study
ConclusionThe European Guidelines on Quality Criteria for Diagnostic Radiographic Images are considered a gold-standard and used in a method for quality assurance within the Danish chiropractic profession. The inter-rater and intra-rater agreements in this study, using the CEC-criteria, were found mostly acceptable. With appropriate attention to clear understanding of the individual criteria and sufficient training, this method is found to be reliable, even using less experienced observers, to carry out Diagnostic Radiographic Image Quality-assurance in primary care settings. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 1, 2019 Category: Complementary Medicine Source Type: research

How big is the effect of spinal manipulation on the pressure pain threshold and for how long does it last? – secondary analysis of data from a systematic review
ConclusionAuthors need to revise their approach to ‘effect size’. Our calculations showed that the effect-size of SM on PPT may go from ‘medium’ to ‘large’ within the first five minutes but appears to diminish again within ten minutes. Research of this type should collect information for longer periods and compare results to other interv entions to put results into perspective. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 24, 2019 Category: Complementary Medicine Source Type: research

The profile of chiropractors managing patients with low back-related leg pain: analyses of 1907 chiropractors from the ACORN practice-based research network
ConclusionsAustralian chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling chiropractors to deliver safe and effective treatment of LBRLP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 17, 2019 Category: Complementary Medicine Source Type: research

The shape of chiropractic in Europe: a cross sectional survey of chiropractor ’s beliefs and practice
ConclusionsDespite limitations with generalisability in this survey, the proportion of respondents adhering to the different belief categories are remarkably similar to other studies exploring this phenomenon. In addition, and in parallel with other research, this survey suggests that key practice characteristics in contravention of national radiation guidelines or opposition to evidence based public health policy are significantly more associated with non-orthodox chiropractic paradigms. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 10, 2019 Category: Complementary Medicine Source Type: research

Attempting to explore chiropractors and their clinical choices: an examination of a failed study
Conclusion and recommendationsThe low response rate and small study sample in this study made any substantive analysis inappropriate. For these reasons, the study was not concluded. However, the potential reasons for the low response from this large database of volunteer research participants are of interest and need to be investigated. Clearly, it is necessary to engage this population better to explore sensitive issues such as personality inventories and different practice profiles in the interest of effective health care delivery and patient safety. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 3, 2019 Category: Complementary Medicine Source Type: research

Manual therapy for chronic migraine: a pragmatic randomised controlled trial study protocol
This study will explore the effectiveness of manual therapy as an adjunctive approach to the management of chronic migraine.Trial registrationThe trial has received a favourable opinion from the UK Health Research Authority (IRAS 228901) and is registered at ClinicalTrials.gov.numberNCT03395457. Registered 1st March 2018. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 27, 2019 Category: Complementary Medicine Source Type: research

The natural course of low back pain from childhood to young adulthood – a systematic review
AbstractBackgroundTaking the natural course of recurrent and fluctuating low back pain (LBP) seen in longitudinal studies of adults into consideration, the aetiology and development of LBP in children and adolescents also needs to be reflected in a long-term course. Therefore, a systematic critical literature review was undertaken to assess the natural course of LBP in the general population from childhood through adolescence to young adulthood.MethodsA systematic literature search was conducted in MEDLINE, EMBASE, CINAHL and PsycINFO with synonyms of search terms for 1) low back pain; 2) natural course; 3) cohort study an...
Source: Chiropractic and Manual Therapies - March 20, 2019 Category: Complementary Medicine Source Type: research

The epidemiology of work-related musculoskeletal injuries among chiropractors in the eThekwini municipality
ConclusionsThe results concur with other studies on work-related musculoskeletal injuries in chiropractors and add insight into risk factors predisposing this population to injury. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 19, 2019 Category: Complementary Medicine Source Type: research

Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study
ConclusionFear-avoidance beliefs are moderately associated with ES IMAT and poorly associated with LMM IMAT in a population with CLBP. Results should be interpreted with caution due to a small and selected study population. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 15, 2019 Category: Complementary Medicine Source Type: research

The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials
ConclusionSome types of mobilizations probably produce an immediate and short-term, statistically significant increase in skin sympathetic nerve activity when compared to a sham procedure, whereas spinal SNAGs and spinal HVLA techniques may have no acute effect on the studied markers of ANS activity. No region-specific results were noted. The literature suffers from several shortcomings, for which reason we strongly suggest further research. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 12, 2019 Category: Complementary Medicine Source Type: research

Prevalence of MRI findings in the cervical spine in patients with persistent neck pain based on quantification of narrative MRI reports
ConclusionMRI-findings from radiologists ’ narrative reports can reliably be extracted by chiropractic master students with a minimum of training. Degenerative findings in the cervical spine were most commonly found at levels C5/C6 and C6/C7 and increased with age. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 6, 2019 Category: Complementary Medicine Source Type: research

Contrasting real time quantitative measures (weekly SMS) to patients ’ retrospective appraisal of their one-year’s course of low back pain; a probing mixed-methods study
ConclusionThis study shows that a real time quantitative measure (weekly SMS) and the patient ’s retrospective appraisal do not fundamentally differ in their reflection of the one-year course of LBP.As a first investigation into this area, these results are promising, as longitudinal quantitatively derived trajectories of LBP seem to reflect the lived experience of the patient to a large degree. Furthermore, the patient ’s ability to retrospectively recall their one-year course of LBP appears to be quite good. Future studies should focus on refining the categories of trajectories. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 26, 2019 Category: Complementary Medicine Source Type: research

Chiropractic, one big unhappy family: better together or apart?
ConclusionThere is a need to pause and consider if the many reasons for disharmony within the chiropractic profession are, in fact, irreconcilable. It is time to openly debate the issue of a professional split by engaging in formal and courageous discussions. This item should be prioritised on the agendas of national associations, conferences, teaching institutions, and licensing/registration as well as accreditation bodies. However, for this to happen, the middle group of chiropractors will have to become engaged and consider the benefits and risks of respectively staying together or breaking up. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 21, 2019 Category: Complementary Medicine Source Type: research

Chiropractic conservatism and the ability to determine contra-indications, non-indications, and indications to chiropractic care: a cross-sectional survey of chiropractic students
ConclusionIt is concerning that students who adhere to the subluxation model are prepared to ‘operationalize’ their conservative opinions in their future scope of practice; apparently willing to treat asymptomatic people with chiropractic adjustments. The determinants of this phenomenon need to be understood. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 19, 2019 Category: Complementary Medicine Source Type: research

Exploratory study for clinical signs of MODIC changes in patients with low-back pain in the Netherlands armed forces
ConclusionNo model to predict the presence of MC, based on clinical tests, could be demonstrated. It is therefore not likely that LBP patients with MC are very different from other LBP patients and that they form a specific subgroup. However, the study only explored a limited number of clinical findings and it is possible that larger samples allowing for more variables would conclude differently. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 14, 2019 Category: Complementary Medicine Source Type: research

Multisite joint pain in older Australian women is associated with poorer psychosocial health and greater medication use
ConclusionsOver one-third of older women in our sample had>5 painful joints in the last month. These women demonstrated significantly poorer psychosocial health, and increased medication use, than women with no or fewer sites of joint pain. Many women with multisite joint pain were still in the workforce, even when nearing retirement age.  This study has important implications for future research into musculoskeletal pain, particularly in regards to womens health and wellbeing, and for clinical practice where there should be increased awareness of the implications of concurrent, multisite j...
Source: Chiropractic and Manual Therapies - February 12, 2019 Category: Complementary Medicine Source Type: research

An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment
AbstractBackgroundA close collaboration between surgeons and non-surgical spine experts is crucial for optimal care of low back pain (LBP) patients. The affiliation of a chiropractic teaching clinic to a university hospital with a large spine division in Zurich, Switzerland, enables such collaboration. The aim of this study was to describe the trajectories and outcomes of patients with chronic LBP referred from the spine surgery division to the chiropractic teaching clinic.MethodsThe patients filled in an 11-point numeric rating scale (NRS) for pain intensity and the Bournemouth Questionnaire (BQ) (bio-psycho-social measur...
Source: Chiropractic and Manual Therapies - February 5, 2019 Category: Complementary Medicine Source Type: research

Manipulation-induced hypoalgesia in musculoskeletal pain populations: a systematic critical review and meta-analysis
ConclusionsWe found that systemic MIH (for pressure pain threshold) does occur in musculoskeletal pain populations, though there was low quality evidence of no significant difference compared to sham manipulation. Future research should focus on the clinical relevance of MIH, and different types of quantitative sensory tests.Trial registrationProspectively registered with PROSPERO (registrationCRD42016041963). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 29, 2019 Category: Complementary Medicine Source Type: research

Experimental assessment of cervical ranges of motion and compensatory strategies
The objectives of this work were to develop and assess a reliable method for measuring the cervical range of motion in order to investigate motion and compensatory strategies.Methods and data collectionNinety-seven no neck-related pain subjects (no severe cervical pathology, 57 women, age: 28.3  ± 7.5y. old, BMI: 22.5 ± 3.2 kg/m2) underwent a non-invasive cervical range of motion assessment protocol. In-vivo head ’s motion relative to the thorax was assessed through the measurement of the main angular amplitudes in the 3 directions (flexion/extension, axial rotations a...
Source: Chiropractic and Manual Therapies - January 22, 2019 Category: Complementary Medicine Source Type: research

Measuring biopsychosocial risk for back pain disability in chiropractic patients using the STarT back screening tool: a cross-sectional survey
ConclusionThe sample surveyed was less likely to score with medium or high risk for back pain disability than previous samples studied, perhaps due to differences in study design and sample characteristics. Rates of low mood and anxious thoughts indicate a need for future research to explore psychological factors among persons seeking chiropractic care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 15, 2019 Category: Complementary Medicine Source Type: research

Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors
This study aimed to determine the prevalence of musculoskeletal practitioners ’ practice behaviours, and their perceptions and beliefs about sickness absence management by using Scandinavian chiropractors as an example, as well as to examine the association between these characteristics and two different practice behaviours.MethodsAs part of a mixed-methods study, we surveyed members of the national chiropractic associations in Denmark, Norway, and Sweden in 2016. Descriptive statistics were used to describe prevalence. Multilevel logistic regression with backwards stepping was used to estimate odds ratios with 95% c...
Source: Chiropractic and Manual Therapies - January 11, 2019 Category: Complementary Medicine Source Type: research

Chiropractors ’ views on the use of patient-reported outcome measures in clinical practice: a qualitative study
ConclusionsUsing participating chiropractors ’ views of PROMs, the study identified barriers and facilitators to implementing PROMs in chiropractic care, such as clinician knowledge, engagement, and organisational concerns and identified the potential training needs of chiropractors regarding PROMs. The results from the study suggested chiro practors use PROMs with their individual patients, but PROMs should be meaningful to patients and chiropractors to improve engagement. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 18, 2018 Category: Complementary Medicine Source Type: research

Are frequent measurements in back pain research harmful? Two comparisons of back pain in groups with or without frequent follow-up
ConclusionSince the data were not optimally suited for the purpose of these analyses, the results should obviously be interpreted with caution, but they do not support a theory about increased attention leading to increased awareness, which in turn will lead to increased pain. On the contrary, participants reported lower levels of pain when belonging to the samples that had been subject to frequent follow-up by SMS-track over long periods of time. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 11, 2018 Category: Complementary Medicine Source Type: research

The interrater reliability of static palpation of the thoracic spine for eliciting tenderness and stiffness to test for a manipulable lesion
ConclusionStatic palpation was overall moderately reliable for the identification of segmental thoracic spine stiffness and tenderness, with tenderness demonstrating a higher reliability. Also, an increased agreement was found within the mid-thoracic spine. A brief training intervention failed to improve reliability. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 4, 2018 Category: Complementary Medicine Source Type: research

Systems change to improve tobacco use identification and referral in the chiropractic setting: a pilot study
ConclusionsThis study demonstrates the feasibility of implementing a health systems change in the chiropractic setting to identify tobacco users, to advise them to quit, and to refer users for cessation services. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 26, 2018 Category: Complementary Medicine Source Type: research

Current evidence for spinal X-ray use in the chiropractic profession: a narrative review
AbstractThe use of routine spinal X-rays within chiropractic has a contentious history. Elements of the profession advocate for the need for routine spinal X-rays to improve patient management, whereas other chiropractors advocate using spinal X-rays only when endorsed by current imaging guidelines. This review aims to summarise the current evidence for the use of spinal X-ray in chiropractic practice, with consideration of the related risks and benefits. Current evidence supports the use of spinal X-rays only in the diagnosis of trauma and spondyloarthropathy, and in the assessment of progressive spinal structural deformi...
Source: Chiropractic and Manual Therapies - November 21, 2018 Category: Complementary Medicine Source Type: research

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain using an individual participant data meta-analysis approach: a study protocol
DiscussionThis project capitalizes on a unique opportunity to combine clinical and economic data collected in a several clinical trials that used similar methods. The findings will provide important information on the value of spinal manipulation, exercise therapy, and self-management for spinal pain management in the U.S. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 13, 2018 Category: Complementary Medicine Source Type: research

Test-retest reliability of nerve and muscle morphometric characteristics utilizing ultrasound imaging in individuals with unilateral sciatica and controls
ConclusionsUltrasound imaging has high intrarater within-session reliability for assessing the sciatic nerve Cross-sectional area and muscle contraction ratios. Transverse scans with the maximum region of interest result in higher reliability. The sciatic Cross-sectional area is most accurately measured utilizing the direct tracing method rather than the indirect ellipsoid method. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 6, 2018 Category: Complementary Medicine Source Type: research

Post-infectious ankylosis of the cervical spine in an army veteran: a case report
ConclusionPotential sequela of osteomyelitis is ankylosis of affected joints. In this particular case, imaging provides evidence of regional ankylosis of the cervical spine. Considering the patient did not complain of cervical pain or related symptoms apart from lack of cervical range of motion, and his Neck Disability Index score was 2 out of 50 (4%), no intervention was provided to the cervical spine. The patient reported he self-managed well, worked full-time as a postal worker after he was discharged due to the injury to his neck, and planned to retire in less than one month at age 70. The patient demonstrates successf...
Source: Chiropractic and Manual Therapies - October 30, 2018 Category: Complementary Medicine Source Type: research

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 19, 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 9, 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