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

Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context
ConclusionAllied health providers, in this instance chiropractors, with patient management expertise can fulfil a key role in sickness absence management and by extension work disability prevention when these practices are legislatively supported. In cases where these practices occur informally, however, practitioners face systemic-related issues and professional self-image challenges that tend to hamper them in fulfilling a more integrated role as providers of work disability prevention practices. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 26, 2018 Category: Complementary Medicine Source Type: research

The regional effect of spinal manipulation on the pressure pain threshold in asymptomatic subjects: a systematic literature review
ConclusionSM has an effect regionally on pressure pain threshold in asymptomatic subjects. The clinical significance of this must be quantified. More knowledge is needed in relation to the comparison of different spinal regions and different types of interventions. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 19, 2018 Category: Complementary Medicine Source Type: research

Complaints about chiropractors, osteopaths, and physiotherapists: a retrospective cohort study of health, performance, and conduct concerns
AbstractBackgroundRecent media reports have highlighted the risks to patients that may occur when practitioners in the chiropractic, osteopathy and physiotherapy professions provide services in an unethical or unsafe manner. Yet research on complaints about chiropractors, osteopaths, and physiotherapists is limited. Our aim was to understand differences in the frequency and nature of formal complaints about practitioners in these professions in order to inform improvements in professional regulation and education.MethodsThis retrospective cohort study analysed all formal complaints about all registered chiropractors, osteo...
Source: Chiropractic and Manual Therapies - April 12, 2018 Category: Complementary Medicine Source Type: research

Effect of chiropractic treatment on primary or early secondary prevention: a systematic review with a pedagogic approach
ConclusionWe found no evidence in the literature of an effect of chiropractic treatment in the scope of PP or early secondary prevention for disease in general. Chiropractors have to assume their role as evidence-based clinicians and the leaders of the profession must accept that it is harmful to the profession to imply a public health importance in relation to the prevention of such diseases through manipulative therapy/chiropractic treatment. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 5, 2018 Category: Complementary Medicine Source Type: research

How frequent are non-evidence-based health care beliefs in chiropractic students and do they vary across the pre-professional educational years
ConclusionsNew strategies are required for chiropractic educators if they are to produce graduates who understand and deliver evidence-based health care and able to be part of the mainstream health care system. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 15, 2018 Category: Complementary Medicine Source Type: research

Outcomes indicators and a risk classification system for spinal manipulation under anesthesia: a narrative review and proposal
AbstractOver a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. As an advanced form of manual therapy, SMUA is reserved for the patient whose condition has proven refractory to office-based manipulation and other modes of conservative care. Historically, the protocols and guidelines put forth by chiropractic MUA proponents have served as the clinical compass for directing MUA practice. With many authors and MUA advocates having focused primarily on anticipated benefit, the published literature contains no resource dedicated to treatment precautio...
Source: Chiropractic and Manual Therapies - March 8, 2018 Category: Complementary Medicine Source Type: research

A Mokken scale analysis of the peer physical examination questionnaire
ConclusionThe subscales identified are consistent with the literature. The ‘comfort’ subscale may be useful to longitudinally evaluate student perceptions of PPE. Further research is required to evaluate changes with PPE and the utility of the questionnaire with other health profession education programs. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 1, 2018 Category: Complementary Medicine Source Type: research

The use of nutritional guidance within chiropractic patient management: a survey of 333 chiropractors from the ACORN practice-based research network
ConclusionsAustralian chiropractors regularly provide nutritional advice and appear to acknowledge the importance of nutrition in their clinical practice especially for patients presenting with chronic disease. If chiropractors are to fulfil their potential in providing such wider public health and preventative health advice to patients, further research examining the utilisation of evidence-based nutrition resources within chiropractic patient management is recommended. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 20, 2018 Category: Complementary Medicine Source Type: research

Work-related acute physical injuries, chronic overuse complaints, and the psychosocial work environment in Danish primary care chiropractic practice – a cross-sectional study
ConclusionThis sample of Danish practicing chiropractors commonly reported work-related acute physical injuries or overuse complaints. Overuse complaints were most commonly reported in the low back, wrist, thumb, and shoulder and were more common among women than men. Newly educated chiropractors reported more overuse complaints than experienced chiropractors. Collectively, this sample of Danish chiropractors reported that they had a good psychosocial work environment. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 13, 2018 Category: Complementary Medicine Source Type: research

Leadership and capacity building in international chiropractic research: introducing the chiropractic academy for research leadership (CARL)
AbstractIn an evidence-based health care environment, healthcare professions require a sustainable research culture to remain relevant. At present however, there is not a mature research culture across the chiropractic profession largely due to deficiencies in research capacity and leadership, which may be caused by a lack of chiropractic teaching programs in major universities. As a response to this challenge the Chiropractic Academy for Research Leadership, CARL, was created with the aim of develop a global network of successful early-career chiropractic researchers under the mentorship of three successful senior academi...
Source: Chiropractic and Manual Therapies - February 6, 2018 Category: Complementary Medicine Source Type: research

Chiropractic student choices in relation to indications, non-indications and contra-indications of continued care
ConclusionsAlthough student responses were generally good, there is still room for improvement, especially for non-indicated care. The quality of students ’ clinical decisions can be measured and thus has the potential to be used by chiropractic educators and regulatory bodies to identify student’s in need of assistance as well as to monitor chiropractic programs in relation to student competence.Trial registrationNot applicable. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 23, 2018 Category: Complementary Medicine Source Type: research

The schism in chiropractic through the eyes of a 1st year chiropractic student
AbstractSince its inception, the chiropractic profession has been divided along ideological fault lines. These divisions have led to a profession wide schism, which has limited mainstream acceptance, utilisation, social authority and integration.The authors explore the historical origins of this schism, taking time to consider historical context, religiosity, perpetuating factors, logical fallacies and siege mentality.Evidence is then provided for a way forward, based on the positioning of chiropractors as mainstream partners in health care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 16, 2018 Category: Complementary Medicine Source Type: research

Failure to define low back pain as a disease or an episode renders research on causality unsuitable: results of a systematic review
ConclusionRecent literature concerning the causality of LBP does not differentiate between the ‘disease’ of LBP and its recurring episodes mainly due to a lack of a clear definition of absence of LBP at baseline. Therefore, current research is not capable of providing a valid answer on this topic. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 9, 2018 Category: Complementary Medicine Source Type: research

Research priorities of the Canadian chiropractic profession: a consensus study using a modified Delphi technique
ConclusionsThis project identified research priority areas for the Canadian chiropractic profession. The top three priority areas were all in the area of health services research: 1) Integration of chiropractic care into multidisciplinary settings; 2) Costs and cost-effectiveness of chiropractic care; 3) Effect of chiropractic care on reducing medical services. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 12, 2017 Category: Complementary Medicine Source Type: research

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