Predictors of instanteous relief from spinal manipulation for non-specific low back pain: a delphi study
Discussion/conclusionFive categories; patient factors, practitioner factors, signs and symptoms of NSLBP presentation, an instrument of measurement (FABQ), and the presence of cavitation following SMT best describe the overall characteristics of the factors. The 18 factors identified in this study can potentially be used to create an instrument of measurement for further study to predict those patients with NSLBP who will receive instantaneous relief post-SMT. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 1, 2020 Category: Complementary Medicine Source Type: research
Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors ’ attitudes, beliefs, and practices
ConclusionThis survey provides preliminary data on VA chiropractic services in the management of patients with prior lumbar fusion. These patients are often seen by VA chiropractors, and our findings support the need for further study to advance understanding of interventions utilized by chiropractors in this patient population. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 18, 2020 Category: Complementary Medicine Source Type: research
PROMIS ® General Life Satisfaction scale: construct validity in musculoskeletal pain patients
ConclusionsThe PROMIS ® General Life Satisfaction scale demonstrated acceptable internal structure and structural validity in a musculoskeletal pain population. Additional research is required to explore concurrent validity and other measurement properties, however initial data suggests the measure could be a feasible s creen of life satisfaction for Australian osteopathic patients. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 15, 2020 Category: Complementary Medicine Source Type: research
Pressure pain threshold and temporal summation in adults with episodic and persistent low back pain trajectories: a secondary analysis at baseline and after lumbar manipulation or sham
DiscussionWe found no differences between people with no LBP, episodic LBP, or persistent LBP in baseline PPT or TS. Changes in PPT and TS following a lumbar manual therapy intervention do not appear to differ between LBP trajectories.Trial registrationThe trial was prospectively registered with ANZCTR (ACTRN12617001094369). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 11, 2020 Category: Complementary Medicine Source Type: research
Vitalism in contemporary chiropractic: a help or a hinderance?
ConclusionVitalism has had many meanings throughout the centuries of recorded history. Though only vaguely defined by chiropractors, vitalism, as a representation of supernatural force and therefore an untestable hypothesis, sits at the heart of the divisions within chiropractic and acts as an impediment to chiropractic legitimacy, cultural authority and integration into mainstream health care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 10, 2020 Category: Complementary Medicine Source Type: research
The effectiveness and safety of conservative interventions for positional plagiocephaly and congenital muscular torticollis: a synthesis of systematic reviews and guidance
ConclusionsDistinguishing between superiority of treatments was difficult due to the lack of standardised measurement systems, the variety of outcomes and limited high quality studies. More well powered effectiveness and efficacy studies are needed. However overall, advice and guidance on repositioning (including tummy-time) and practitioner-led stretching were low risk, potentially helpful and inexpensive interventions for parents to consider.Systematic review registration numberPROSPERO 2019CRD42019139074. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 10, 2020 Category: Complementary Medicine Source Type: research
Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
ConclusionTwitter activity about SMT and immunity increased during the COVID-19 crisis. Results from this work have the potential to help policy makers and others understand the impact of SMT misinformation and devise strategies to mitigate its impact. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 8, 2020 Category: Complementary Medicine Source Type: research
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial
ConclusionsThere was a reduction in subjective pain intensity, evaluated using a numerical scale, in both the intervention and control groups immediately after the intervention, suggesting that the spinal manipulation had a similar effect to the placebo procedure. No effect of HVLA lumbar manipulation was identified for postural control variables in either the intervention or control groups.Trial registrationThe study was registered at ClinicalTrials.gov under the numberNCT02312778, registered at 14 September 2014. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 2, 2020 Category: Complementary Medicine Source Type: research
Inter-examiner reliability of radiographic measurements from Open-mouth lateral bending cervical radiographs
ConclusionsThe qualitative and quantitative measurements used in this study demonstrated good to excellent inter-examiner reliability. Correlation with clinical findings is necessary to establish the utility of these measurements in clinical practice. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 25, 2020 Category: Complementary Medicine Source Type: research
Are Councils on Chiropractic Education expectations of chiropractic graduates changing for the better: a comparison of similarities and differences of the graduate competencies of the Chiropractic Council on Education-Australasia from 2009 to 2017
ConclusionThere have been positive changes which reflect contemporary mainstream health care standards between CCE-A graduate competency revisions. The absence of a clear definition of chiropractic and its attendant scope of practice as well as continued silence on vitalism reflect known issues within the chiropractic profession. Recommendations are made for future accreditation standards to inform the required competencies and aid the integration of chiropractic into the broader health care community. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 23, 2020 Category: Complementary Medicine Source Type: research
Attitudes to functional neurology and some other ‘prescriptive’ chiropractic techniques and their associations with chiropractic conservatism: a cross-sectional survey of chiropractic students
ConclusionAlthough not taught in the curriculum, these students were attracted to ‘prescriptive’ techniques including FN, particularly in the higher grades. Curiously, despite this interest they do not generally agree with some key concepts within FN. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 18, 2020 Category: Complementary Medicine Source Type: research
Neck-specific strengthening exercise compared with sham ultrasound when added to home-stretching exercise in patients with migraine: study protocol of a two-armed, parallel-groups randomized controlled trial
ConclusionThis study will aim to determine the efficacy of a neck-specific exercise program in reducing the frequency and intensity of migraine attacks. If the results show that a neck-specific exercise program is effective in reducing the frequency and intensity of migraine attacks, therapists will have a low cost and easily applicable tool to treat migraine. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 18, 2020 Category: Complementary Medicine Source Type: research
Chiropractic students call for action against unsubstantiated claims
ConclusionIt is our hope that all regulatory bodies will protect the public by taking appropriate action against chiropractors making unfounded claims contradicting public health policy. We believe it is the responsibility of all stakeholders in the chiropractic profession to ensure this is carried out and the standard of care is raised. We call on current chiropractors to ensure a viable profession exists moving forward. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 12, 2020 Category: Complementary Medicine Source Type: research
The Manchurian candidate: chiropractors as propagators of neoliberalism in health care
AbstractThe rise of neoliberalism has influenced the health care sector, including the chiropractic profession. The neoliberal infiltration of market justice behavior is in direct conflict with the fiduciary agreement to serve the public good before self-interests and has compromised the chiropractor, who now may act as an agent of neoliberalism in health care. The purpose of this paper is to present an overview of the impact of neoliberalism on the chiropractic profession and provide recommendations for a professional philosophical shift from a market justice model to a communal and social justice model. (Source: Chiropra...
Source: Chiropractic and Manual Therapies - May 11, 2020 Category: Complementary Medicine Source Type: research
The use of internet analytics by a Canadian provincial chiropractic regulator to monitor, evaluate and remediate misleading claims regarding specific health conditions, pregnancy, and COVID-19
ConclusionInternet analytics are an effective way for regulators to monitor internet activity to protect the public from misleading statements. The processes described were effective at bringing about rapid practitioner compliance. Given the increasing volume of internet activity by healthcare professionals, internet analytics are an important addition for health care regulators to protect the public they serve. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 10, 2020 Category: Complementary Medicine Source Type: research
