Correction to: The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature
An amendment to this paper has been published and can be accessed via the original article. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 8, 2021 Category: Complementary Medicine Source Type: research
Spinal manipulation and modulation of pain sensitivity in persistent low back pain: a secondary cluster analysis of a randomized trial
ConclusionsWe report that the baseline QST profile was not associated with clinical improvements following spinal manipulation. We did observe a substantial change for regional pressure pain threshold, which suggests that any effect of spinal manipulation on pain sensitivity is most likely to be observed as changes in regional, mechanical pain threshold. However, the mechanism that invokes clinical improvement and pain sensitivity changes appear distinct. Due to methodological caveats, we advise caution when interpreting the results.Trial registrationClinical.Trial.gov identifier:NCT04086667, registered 11 September 2019 â...
Source: Chiropractic and Manual Therapies - February 24, 2021 Category: Complementary Medicine Source Type: research
Leadership and capacity building in chiropractic research: report from the first CARL cohort
AbstractThe Chiropractic Academy for Research Leadership (CARL) was formed in 2016 in response to a need for a global network of early career researchers and leaders in the chiropractic profession. Thirteen fellows were accepted competitively and have since worked together at residentials and virtually on many research and leadership projects. In 2020, the CARL program ended for this first cohort, and it is now timely to take stock and reflect on the achievements and benefits of the program. In this paper we present the structure of CARL, the scientific and leadership outputs as well as the personal value of CARL for the p...
Source: Chiropractic and Manual Therapies - February 22, 2021 Category: Complementary Medicine Source Type: research
The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature
ConclusionOur systematic review included six randomized clinical trials (534 participants) of acceptable or high quality investigating the efficacy or effectiveness of SMT for the treatment of non-musculoskeletal disorders. We found no evidence of an effect of SMT for the management of non-musculoskeletal disorders including infantile colic, childhood asthma, hypertension, primary dysmenorrhea, and migraine. This finding challenges the validity of the theory that treating spinal dysfunctions with SMT has a physiological effect on organs and their function. Governments, payers, regulators, educators, and clinicians should c...
Source: Chiropractic and Manual Therapies - February 17, 2021 Category: Complementary Medicine Source Type: research
Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial
ConclusionOur findings show that manipulation of the extremities enhanced stability (e.g. tube stabilization and standing balance) on performance of a dual task. This furthers the argument that site-specific manipulations influence context specific motor behavior/coordination. However, as this study focused only on the immediate effects of extremity manipulation, caution is urged in generalizing these results to longer time frames until more work has been done examining the length of time these effects last.Trial registrationClinicaltrials.gov,NCT03877367, Registered 15 March 2019. Data collection took place July 2019. (So...
Source: Chiropractic and Manual Therapies - February 5, 2021 Category: Complementary Medicine Source Type: research
Chiropractic students ’ cognitive dissonance to statements about professional identity, role, setting and future: international perspectives from a secondary analysis of pooled data
ConclusionsChiropractic students in this analysis show traditional and progressive attitudes towards the chiropractic profession. Individual student responses frequently contradict in terms of professional ideology, but most (approximately half) students demonstrate concordant progressive and mainstream attitudes. Ideological conflict may raise concerns about some students ’ ability to learn and make clinical judgements, and potential for disharmony in the chiropractic fraternity. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 2, 2021 Category: Complementary Medicine Source Type: research
COVID-19: how has a global pandemic changed manual therapy technique education in chiropractic programs around the world?
ConclusionThis study used a qualitative descriptive approach to describe how some chiropractic programs immediately responded to the initial outbreak of the COVID-19 pandemic in their teaching of manual therapy techniques. Chiropractic programs around the world provided their students with rapid, innovative learning strategies, in an attempt to maintain high standards of chiropractic education; however, challenges included maintaining student engagement in an online teaching environment, psychomotor skills acquisition and staff workload. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 1, 2021 Category: Complementary Medicine Source Type: research
Knowledge of and adherence to radiographic guidelines for low back pain: a survey of chiropractors in Newfoundland and Labrador, Canada
ConclusionsWhile many chiropractors in this sample reported being unsure of specific radiographic guidelines, the majority of respondents adhered to guideline recommendations measured using clinical vignettes. Nonetheless, a small proportion still hold beliefs about radiographs for LBP that are discordant with current radiographic guidelines. Future research should aim to determine barriers to guideline uptake in this population in order to design and evaluate tailored knowledge translation strategies to reduce unnecessary LBP imaging. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 18, 2021 Category: Complementary Medicine Source Type: research
Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
ConclusionsParticipating chiropractors of the Swedish Chiropractic Association were generally favourable of EBP, though only reported modest levels of EBP-related skills and engagement in EBP activities. Our findings suggest future studies investigating interventions focussed on improving chiropractors ’ skills and uptake of EBP are warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 11, 2021 Category: Complementary Medicine Source Type: research
Effects of spinal manipulative therapy on inflammatory mediators in patients with non-specific low back pain: a non-randomized controlled clinical trial
ConclusionThe short course of SMT treatments of non-specific LBP patients resulted in significant albeit limited and diverse alterations in the production of several of the mediators investigated in this study. This exploratory study highlights the potential of SMT to modulate the production of inflammatory components in acute and chronic non-specific LBP patients and suggests a need for further, randomized controlled clinical trials in this area.Trial registrationThis study was prospectively registered April 2012 with Clinical Trials.gov (#NCT01766141).https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=...
Source: Chiropractic and Manual Therapies - January 8, 2021 Category: Complementary Medicine Source Type: research
Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7 –14 years - a randomised clinical trial
ConclusionsChiropractic spinal manipulation resulted in fewer headaches and higher global perceived effect, with only minor side effects. It did not lower the intensity of the headaches.Since the treatment is easily applicable, of low cost and minor side effects, chiropractic spinal manipulation might be considered as a valuable treatment option for children with recurrent headaches.Trial registrationClinicalTrials.gov, identifierNCT02684916, registered 02/18/2016 – retrospectively registered. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 7, 2021 Category: Complementary Medicine Source Type: research
The professional contribution of chiropractors to Danish elite football clubs: a qualitative exploration of role and perceived value in an interprofessional service provision context
ConclusionIn this practice context, chiropractors fill the role of musculoskeletal health care service providers. Their perceived value stems from additional expert disciplinary knowledge, improved diagnostic triage and increased treatment flexibility. However, where not utilized, the role of a spinal health expert is questioned and when acknowledged, is limited to that of a technician/therapist. It is unclear from this investigation whether chiropractors can claim core provider status. Further exploration of this interesting context of interprofessional practice is warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 18, 2020 Category: Complementary Medicine Source Type: research
Cost comparison of two approaches to chiropractic care for patients with acute and sub-acute low Back pain care episodes: a cohort study
ConclusionsThis study comprehensively analyzed cost data associated with the chiropractic care of adults with acute or sub-acute low back pain cared by two cohorts of chiropractic physicians. In general, providers in Cohort 2 were found to be significantly associated with lower costs for patient care as compared to Cohort 1. Utilization of a clinical model characterized by a patient-centered clinic approach and standardized, best-practice clinical protocols may offer lower cost when compared to non-standardized clinical approaches to chiropractic care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 14, 2020 Category: Complementary Medicine Source Type: research
Differences in force-time parameters and electromyographic characteristics of two high-velocity, low-amplitude spinal manipulations following one another in quick succession
ConclusionWhen a second manipulation was delivered because there was not audible cavitation during the first thrust, the second thrust was associated with greater treatment forces and faster thrust rates. Peak electromyographic responses were greater following the second thrust. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 8, 2020 Category: Complementary Medicine Source Type: research
Chiropractic conservatism among chiropractic students in Denmark: prevalence and consequences
ConclusionsChiropractic students enrolled at a university-based course closely integrated with a medical teaching environment are not immune to chiropractic conservatism. However, the course appears to attenuate it and limit its effect on clinical decision-making compared to other educational institutions. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 4, 2020 Category: Complementary Medicine Source Type: research
