Introducing Australia ’s clinical care standard for low back pain
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 15, 2023 Category: Complementary Medicine Source Type: research

COVID-19-specific adult basic life support guideline strategies for chiropractors and other healthcare providers to maximize the safety and efficacy of resuscitation: a commentary
ConclusionsThis commentary provides a practical overview and highlights current evidence-based intervention strategies of the COVID-19-specific adult BLS guidelines that may help chiropractors and other healthcare providers reduce BLS-related exposures to SARS-CoV-2 and the risks of SARS-CoV-2 transmission and maximize the efficacy of resuscitation. This study is relevant to and impacts future COVID-19-related research in areas such as infection prevention and control. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - June 5, 2023 Category: Complementary Medicine Source Type: research

A new paradigm for musculoskeletal pain care: moving beyond structural impairments. Conclusion of a chiropractic and manual therapies thematic series
AbstractThis commentary closes the thematic series “A new paradigm for musculoskeletal pain care: moving beyond structural impairments”. The papers published in the series point to key aspects of shifting the paradigm of musculoskeletal care from clinician-led management often focused on addressing presumed structural anomalies to partnering wit h patients to find individual strategies that empower patients towards self-management. Several papers in the series highlighted the need for developing patient-centred models of care that respect individual patient’s needs and preferences. Also, the series pointed to differe...
Source: Chiropractic and Manual Therapies - June 1, 2023 Category: Complementary Medicine Source Type: research

The effectiveness of spinal manipulative therapy procedures for spine pain: protocol for a systematic review and network meta-analysis
DiscussionThis will be the most extensive review of thrust SMT to date, and will allow us to estimate the importance of different SMT application procedures used in clinical practice and taught across educational settings. Thus, the results are applicable to clinical practice, educational settings, and research studies.PROSPERO registration: CRD42022375836. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 24, 2023 Category: Complementary Medicine Source Type: research

Patient expectations and levels of satisfaction in chiropractic treatment for lumbar radiculopathy. A mixed methods study
ConclusionOverall, patients were satisfied with the SCCP for lumbar radiculopathy. From a patient ’s perspective, the consultation should include a thorough examination and a focus on communication and information relating to symptoms and prognosis, while expectations regarding the content and efficacy of the treatment should be addressed and aligned. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - May 19, 2023 Category: Complementary Medicine Source Type: research

Musculoskeletal practitioners ’ perceptions of contextual factors that may influence chronic low back pain outcomes: a modified Delphi study
ConclusionThis Delphi study provides initial insights regarding a panel of musculoskeletal practitioners ’ attitudes towards CFs during chronic LBP rehabilitation in the United Kingdom. All five CF domains were perceived as capable of influencing patient outcomes, with the patient-practitioner relationship being perceived as the most important CF during routine clinical practice. Musculoskeletal prac titioners may require further training to enhance their proficiency and confidence in applying essential psychosocial skills to address the complex needs of patients with chronic LBP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 5, 2023 Category: Complementary Medicine Source Type: research

The prevalence of chiropractic-related terminology on South African chiropractors ’ webpages: a cross-sectional study
ConclusionThe use of chiropractic-related terminology on South African chiropractic webpages was common, with the prevalence of term use varying by type of terms, by gender of the chiropractor, and by clinical practice experience. Better understanding of the effects of chiropractic terminology use on interprofessional and patient interactions and communication is warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - April 3, 2023 Category: Complementary Medicine Source Type: research

Clinician approaches to spinal manipulation for persistent spinal pain after lumbar surgery: systematic review and meta-analysis of individual patient data
ConclusionsClinicians using SMT for PSPS-2 most often apply non-manual-thrust SMT to the lumbar spine, while chiropractors are more likely to use lumbar-manual-thrust SMT relative to other providers. As non-manual-thrust SMT may be gentler, the proclivity towards this technique suggests providers are cautious when applying SMT after lumbar surgery. Unmeasured variables such as patient or clinician preferences, or limited sample size may have influenced our findings. Large observational studies and/or international surveys are needed for an improved understanding of SMT use for PSPS-2.Systematic review registration PROSPER...
Source: Chiropractic and Manual Therapies - March 9, 2023 Category: Complementary Medicine Source Type: research

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety
ConclusionThe low number of SIs reported over a 10-year period suggests significant under-reporting, however, an upward trend was identified over the 10-year period. Several key areas for patient safety improvement have been identified for dissemination to the chiropractic profession. Improved reporting practice needs to be facilitated to improve the value and validity of reporting data. CPiRLS is important in identifying key areas for patient safety improvement. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 15, 2023 Category: Complementary Medicine Source Type: research

Multimorbidity in patients with low back pain in Danish chiropractic practice: a cohort study
ConclusionsChiropractors should be aware that patients with LBP may suffer from multimorbidity with poor general health. Patients with multimorbidity also have poorer recovery from LBP than people without chronic disease and clinical follow-up may be indicated. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 10, 2023 Category: Complementary Medicine Source Type: research

Manual therapies in cystic fibrosis care: a scoping review
ConclusionCurrent research on MT in CF care indicates positive trends based on subjective measures. However, research in this context is sparse and disparate in terms of both interventions and methodology. Further investigations including MT as part of multimodal interventions are therefore suggested before any specific recommendations for clinical implementation of MT in CF can be provided. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 6, 2023 Category: Complementary Medicine Source Type: research

A qualitative study exploring perceived barriers and enablers to fidelity of training and delivery for an intervention to reduce non-indicated imaging for low back pain
ConclusionThe largest perceived barrier to attending training was time; perceived enablers were incentives and flexible training. Patient pressure, time, and established habits were perceived barriers to delivering the intervention as intended. Participants suggested enhancement strategies to improve their ability to deliver the intervention as intended, including reminders and check-ins with researchers. Most participants perceived intervention fidelity as important. These results may aid in the development of a more feasible and pragmatic intervention to reduce non-indicated imaging for GPs and chiropractors in NL. (Sour...
Source: Chiropractic and Manual Therapies - January 31, 2023 Category: Complementary Medicine Source Type: research

Description of recurrent headaches in 7 –14-year-old children: Baseline data from a randomized clinical trial on effectiveness of chiropractic spinal manipulation in children with recurrent headaches
ConclusionsChildren with recurrent headaches are often severely affected. A questionnaire-based classification appeared feasible to distinguish between migraine and tension-type headaches in children but leaving many children unclassified. A migraine-tension-type-index can be generated allowing to regard the traditional distinction as a continuum (including mixed headache), and potentially serving as an instrument to improve headache management.Trial registration ClinicalTrials.gov, identifier NCT02684916. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 30, 2023 Category: Complementary Medicine Source Type: research

A two-year follow-up: Twitter activity regarding misinformation about spinal manipulation, chiropractic care and boosting immunity during the COVID-19 pandemic
ConclusionOverwhelmingly, Twitter activity during the COVID-19 pandemic focussed on refuting a relation between chiropractic/SMT and immunity. A decline in Twitter activity promoting a relation between SMT and immunity was observed to coincide with initiatives from chiropractic organizations and regulators to refute these claims. The majority of misinformation about this topic is generated in the United States. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 23, 2023 Category: Complementary Medicine Source Type: research

Attitudes, skills and implementation of evidence-based practice: a national cross-sectional survey of licensed naprapaths in Sweden
ConclusionsThe licensed naprapaths participating in this survey reported positive attitudes toward EBP, moderate levels of EBP skills, and infrequent implementation of EBP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 20, 2023 Category: Complementary Medicine Source Type: research