The effect of clinical guidelines on the utilisation of radiographs in chiropractic clinics in Denmark - an interrupted time series analysis
ConclusionsThe proportion of Danish chiropractic patients undergoing radiography was halved in the period from 2010 to 2020. However, the dissemination of clinical imaging guidelines recommendations and policy changes related to referrals for advanced imaging showed little meaningful change in the monthly utilisation of radiographs in the same period. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 22, 2023 Category: Complementary Medicine Source Type: research
Effectiveness of deep dry needling versus manual therapy in the treatment of myofascial temporomandibular disorders: a systematic review and network meta-analysis
ConclusionsThe results of the network meta-analysis should be considered with caution due to the low quality of the evidence available and the high variability of the study protocols in terms of the method of application of dry needling and manual therapy interventions.PROSPERO under identifier: (CRD42020186470). (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 3, 2023 Category: Complementary Medicine Source Type: research
The association between cervical degenerative MRI findings and self-reported neck pain, disability and headache: a cross-sectional exploratory study
ConclusionsIn this cross-sectional exploratory study, we found that cervical disc degeneration and disc contour changes were associated with neck pain, and VESC was associated with neck disability. None of the MRI findings were associated with headache. The results suggest that cervical degenerative changes may contribute to the aetiology of neck symptoms, but the associations are modest and cannot guide clinical decisions. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 11, 2023 Category: Complementary Medicine Source Type: research
Correction: Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 10, 2023 Category: Complementary Medicine Source Type: research
Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: a qualitative case study
ConclusionFour key themes: care drivers, care barriers, chiropractic treatment, and response to care support an emergent substantive-level theory in women ’s care seeking experiences for pregnancy-related back pain and chiropractic care. This theory is that chiropractic care for pregnant women experiencing low back pain and pelvic girdle pain may improve pain and function, while reducing pregnancy-related biopsychosocial concerns. The findings may i nform antenatal health providers and the chiropractic profession about pregnant women’s experience seeking chiropractic care as well as directing future research. (Source: ...
Source: Chiropractic and Manual Therapies - October 3, 2023 Category: Complementary Medicine Source Type: research
Chiropractic care and research priorities for the pediatric population: a cross-sectional survey of Quebec chiropractors
ConclusionsQuebec chiropractors adapt their treatment techniques to pediatric patients. In light of limited sources of continuing education in the field of pediatric chiropractics, practitioners mostly rely on the training provided by their provincial college and scientific publications. According to practitioners, future research priorities for pediatric care should focus on both MSK conditions and non-MSK conditions. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 26, 2023 Category: Complementary Medicine Source Type: research
Creating and testing a questionnaire to predict immediate and strong positive responders to spinal manipulative therapy for non-specific low back pain. A pilot study
ConclusionThe length of time and level of participation required to collect the calculated sample size was inadequate and suggested that incentivization may be required for a larger investigation. Significant ceiling effects were found and suggested that participants did so because of a positive bias toward chiropractic care and the use of SMT. The questionnaires in this pilot study require alternative measures and further validation before use in a larger study. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 26, 2023 Category: Complementary Medicine Source Type: research
Correction: Feasibility of a new clinical journal club implementation and its association with knowledge, attitudes, and application of evidence-based practice among chiropractic students and trainees: a before-and-after healthcare education improvement study
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 26, 2023 Category: Complementary Medicine Source Type: research
Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: a cross-sectional analysis of the COAST and O-COAST study data
ConclusionIn more than 10,000 diagnostic encounters, manipulation was the most common therapeutic intervention for spine-related problems, whereas soft tissue therapies were more common for extremity problems. Different patient and provider characteristics were associated with intervention selection. These data may be used to support further research on appropriate selection of interventions for common musculoskeletal complaints. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 21, 2023 Category: Complementary Medicine Source Type: research
A guide to evaluating systematic reviews for the busy clinicians or reluctant readers
AbstractSystematic reviews (SRs) provide a solution to handle information overload for busy clinicians by summarising and synthesizing studies on a specific issue. However, because SRs are complicated and often boring to read, the busy or reluctant reader may make do with the abstract. When, as it has been shown, many authors overstate efficacy or understate harm in their abstracts, not consulting the underlying article could be misleading. This means that the prudent reader must have the ability to identify the ‘tender points’ of SRs to avoid falling for ‘spin’. To this end we briefly review the method of SRs and ...
Source: Chiropractic and Manual Therapies - September 20, 2023 Category: Complementary Medicine Source Type: research
A descriptive analysis of the contents of Care Response, an international data set of patient-reported outcomes for chiropractic patients
ConclusionsThe CR database is a large set of PROMs for chiropractic patients internationally. We found it unsuitable for machine learning analysis for our purposes; its utility is limited by a lack of demographic information, diagnoses, and therapeutic interventions. However, it can offer information about chiropractic care in general and patient satisfaction. It could form the basis for a useful clinical tool in the future, if reformed to be more accessible to researchers and expanded with more information collected. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 19, 2023 Category: Complementary Medicine Source Type: research
Spinal manipulation characteristics: a scoping literature review of force-time characteristics
ConclusionsConsiderable variability in the reported kinetic force-time characteristics of SM exists. Some of this variability is likely due to differences in SM delivery (e.g. different clinicians) and the measurement equipment used to quantify force-time characteristics. However, improved reporting in certain key areas could facilitate more sophisticated syntheses of force-time characteristics data in the future. Such syntheses could provide the foundation upon which dose-response estimates regarding the clinical effectiveness of SM are made. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 13, 2023 Category: Complementary Medicine Source Type: research
Can self-assessment and augmented feedback improve performance and learning retention in manual therapy: results from an experimental study
ConclusionNo learning effects between the three groups of students exposed to different feedback and self-assessment learning strategies were highlighted in the present study. However, future research on innovative motor learning strategies could explore the role of external focus of attention, self-motivation and autonomy in SM performance training. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 12, 2023 Category: Complementary Medicine Source Type: research
Psychological distress and musculoskeletal pain in manual therapists during the second wave of the COVID-19 pandemic in Sweden: a cross-sectional study
ConclusionsDuring the second wave of the COVID-19 pandemic in Sweden, manual therapists primarily suffered from musculoskeletal pain related to the back and shoulders, while depressive symptoms were the most common symptom of psychological distress. Owners of businesses that suffered economic consequences had a higher prevalence of high psychological distress, which may call for targeted support of this group in future similar contexts. Future longitudinal studies during the pandemic are warranted to assess these associations further. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 12, 2023 Category: Complementary Medicine Source Type: research
Clinical indicators for recommending continued care to patients with neck pain in chiropractic practice: a cohort study
ConclusionChiropractors recommended continued care for patients experiencing neck pain based on their history of long pain duration, and this was not influenced by characteristics of the chiropractor. This differs from previous studies of indicators for maintenance care in patients with low back pain. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 31, 2023 Category: Complementary Medicine Source Type: research
