Multivariable prediction models for the recovery of and claim closure related to post-collision neck pain and associated disorders
ConclusionsWe developed prediction models for the recovery and claim closure of NAD caused or aggravated by a traffic collision. Future research needs to focus on improving the predictive ability of the models. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 25, 2023 Category: Complementary Medicine Source Type: research
Effects of the combination of traditional Thai massage, scapular stabilization exercise, and chest mobilization in subjects with forward head posture: a single-blinded randomized clinical trial
ConclusionThis study showed that CTSC had a positive effect on FHA and cervical flexion in subjects with FHP.Trial registration: Thai Clinical Trials Registry (TCTR) (Identification number: TCTR20211119001), registered 19 November 2021;https://www.thaiclinicaltrials.org/show/TCTR20211119001. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 21, 2023 Category: Complementary Medicine Source Type: research
Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action
ConclusionGiven the high worldwide prevalence of persons experiencing 3 or more ACEs, TIC principles are practical adaptations to chiropractic care for use with many patient populations. As TIC and ACEs are emerging concepts within chiropractic, students and practitioners are encouraged to undertake additional training to better understand these complex and sensitive topics. Exploratory research on the incidence, presentation, and impacts of various trauma types, including ACEs, to support adoption of TIC in chiropractic settings is essential. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 14, 2023 Category: Complementary Medicine Source Type: research
Presenters at chiropractic research conferences 2010 –2019: is there a gender equity problem?
ConclusionsOverall, women gave approximately one-third of presentations at the included conferences, which gradually increased from 2010 to 2019. However, the disparity widens for the most prestigious class of keynote/invited presenters. We make several recommendations to support the goal of gender equity, including monitoring and reporting on gender diversity at future conferences. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 10, 2023 Category: Complementary Medicine Source Type: research
Evidence-based maintenance care among chiropractors in Norway: a cross-sectional survey in the Nordic maintenance care program
ConclusionsNorwegian chiropractors had neutral attitudes towards maintenance care, but generally reported moderate skills. Most had not used evidence about maintenance care in the previous month. Access to useful resources about the evidence regarding maintenance care was a barrier, and knowledge of who responds to maintenance care was a facilitator. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 10, 2023 Category: Complementary Medicine Source Type: research
Evaluating rates of chiropractic use and utilization by patient sex within the United States Veterans Health Administration: a serial cross-sectional analysis
ConclusionWe report higher use and utilization of VHA chiropractic care by females compared with males, yet for both sexes rates were lower than in the private US healthcare system. This highlights the need for further assessment of the determinants and outcomes of VHA chiropractic care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 10, 2023 Category: Complementary Medicine Source Type: research
A multidimensional nomogram combining clinical factors and imaging features to predict 1-year recurrence of low back pain with or without radicular pain after spinal manipulation/mobilization
ConclusionWe established and validated a novel nomogram that can accurately predict a patient's risk of LBP recurrence following SM/M. This realistic prognostic model may aid doctors and therapists in their decision-making process and strategy optimization for non-surgical treatment of LBP using SM/M. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 10, 2023 Category: Complementary Medicine Source Type: research
Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins
ConclusionsMany patients with LBP descend into chronic pain. This is rarely inevitable based on clinical factors. Much of chronic LBP results from how the condition is handled within the healthcare system. Medical narrative may be one innovation to illustrate the problem of current LBP management, recommend solutions and foster changes in clinical behavior.Practical implicationsThe starkly different outcomes for each identical twin are illustrated. Recommendations are made for reframing the situation to de-implement the inappropriate and to implement a more appropriate approach. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 8, 2023 Category: Complementary Medicine Source Type: research
Investigation of the factors influencing spinal manipulative therapy force transmission through the thorax: a cadaveric study
ConclusionDifference in force between the clinician-patient and the patient-table interfaces is influenced by SMT force –time characteristics and by thoracic thickness. How these differences in force are associated with vertebral displacements remains unclear. Although further studies are needed, clinicians should consider thorax thickness as a possible modulator of forces being transmitted through it during prone SMT procedures. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - August 7, 2023 Category: Complementary Medicine Source Type: research
The one-week prevalence of neck pain and low back pain in post-secondary students at two Canadian institutions
ConclusionMost post-secondary students in our samples experienced LBP and NP in the past week. Overall, the one-week prevalence of NP and LBP was higher among chiropractic students and among females. This study should draw attention to school administrators about the burden of NP and LBP in post-secondary students. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 31, 2023 Category: Complementary Medicine Source Type: research
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
ConclusionOur study suggests that the newly implemented journal club and embedding chiropractic educational research within the journal club were feasible and acceptable. Small before-and-after differences in the EBP subscale scores for knowledge, attitudes, personal application, and future use were observed in chiropractic students and postgraduate trainees. The small study size and short timeframe during a single semester limit potential inferences. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 24, 2023 Category: Complementary Medicine Source Type: research
Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study
ConclusionsAs of January 2020, 286 duly licensed chiropractors were available to provide musculoskeletal healthcare in Switzerland — just under 50% of responding Swiss chiropractors used an EPR system in clinical practice, while 60% used encrypted email technology. Better implementation of EPR and electronic health information technologies in Swiss chiropractic practice is possible and encouraged for the purpose of musculoske letal healthcare quality improvement. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 17, 2023 Category: Complementary Medicine Source Type: research
Potential effect modifiers for treatment with chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7 –14 years: development of and results from a secondary analysis of a randomised clinical trial
ConclusionChiropractic manipulation offers a moderate benefit for a broad spectrum of children. However, it cannot be excluded that specific headache characteristics, family factors, or a history of neck pain may modify the effect. This question must be addressed in future studies.Trial registration: ClinicalTrials.gov (Albers et al in Curr Pain Headache Rep 19:3 –4, 2015), identifier NCT02684916, registered 02/18/2016—retrospectively registered. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 11, 2023 Category: Complementary Medicine Source Type: research
Investigating force-time characteristics of prone thoracic SMT and self-reported patient outcome measures: a feasibility study
ConclusionsRecording SMT force-time characteristics and self-reported clinical outcome measures during a clinical encounter may be feasible with specific modification to the current protocol. The study protocol did not negatively impact patient management. Specific strategies to optimize the data collection protocol for the development of a large clinical database are being developed. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 7, 2023 Category: Complementary Medicine Source Type: research
Identifying and addressing patient substance use: a survey of chiropractic clinicians
ConclusionsChiropractors indicated a need for training to help them identify and address patient substance use. There is a demand among chiropractors to develop clinical care pathways for chiropractic referrals and collaboration with health care professionals who provide treatment for individuals who use drugs or misuse alcohol or prescription medications. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - July 3, 2023 Category: Complementary Medicine Source Type: research
