The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis
ConclusionThe evidence suggests that manual and exercise therapy may reduce headache intensity, frequency and disability at short and long-term in people living with cervicogenic headache, but the overall RoB in most included trials was high. However, a sensitivity meta-analysis on low-RoB trials showed moderate-quality evidence supporting the use of spinal manipulation compared to sham interventions. More high-quality trials are necessary to make stronger recommendations, ideally based on methodological recommendations that enhance comparability between studies.Trial registration The protocol for this meta-analysis was pr...
Source: Chiropractic and Manual Therapies - November 23, 2022 Category: Complementary Medicine Source Type: research
Can you be a manual therapist without using your hands?
ConclusionWe suggest that practitioners of manual medicine make telehealth part of their clinical toolbox where it makes sense and where there is evidence that it is beneficial for people who seek their care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 14, 2022 Category: Complementary Medicine Source Type: research
The importance of setting and therapeutic relationships when delivering chiropractic care to those living with disadvantage
ConclusionsInterview data suggested that these benefits were due to a combination of therapy, the setting and the relationships formed within that setting. Complementing this, PROM data suggested clients experienced better levels of health and wellbeing and decreased levels of pain and disability. Findings indicated that people who experienced disadvantage may receive broader benefits from attending community centres offering chiropractic care. Services such as chiropractic may be complementary in meeting the healthcare needs of those experiencing disadvantage. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 23, 2022 Category: Complementary Medicine Source Type: research
Thoracolumbar fascia mobility and chronic low back pain: Phase 2 of a pilot and feasibility study including multimodal chiropractic care
ConclusionSpinal manipulation does not likely disrupt adhesions or relax paraspinal muscles enough to immediately affect shear strain. Clinical outcomes improved in both groups, however, shear strain only increased in females following 8-weeks of multimodal chiropractic care.Trial registration ClinicalTrials.gov registration is NCT03916705. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 21, 2022 Category: Complementary Medicine Source Type: research
Ischial osteochondroma as an unusual source of pregnancy-related sciatic pain: a case report
ConclusionThe key distinguishing features that led to a diagnosis of osteochondroma in this case included attention to the patient-reported symptoms and history, worsening of symptoms despite conservative care, and lack of explanatory findings on lumbar imaging. This case highlights the benefit of evaluating the hip and pelvis when the clinical features of sciatica cannot be ascribed to a lumbar etiology. This case also illustrates the role of a chiropractor working in an integrative health system to facilitate timely imaging and referrals to resolve a challenging diagnosis. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 17, 2022 Category: Complementary Medicine Source Type: research
The impact of a targeted education package on the knowledge, attitudes, and utilisation of patient reported outcome measures amongst chiropractors in Australia
ConclusionDespite modest improvements in knowledge, which were retained 12 weeks after the educational package was provided, there was no evidence that participant confidence, attitude, or utilisation of PROMs changed because of the intervention. While the respondents ’ have positive attitudes and beliefs regarding PROMs use, further education surrounding the clinical translation process into clinical practice is required. Caution is advised when interpreting these findings due to the low participant response and completion rate with the potential for selection bias and the inability to generalise the results. (Source: C...
Source: Chiropractic and Manual Therapies - October 14, 2022 Category: Complementary Medicine Source Type: research
Do chiropractic interns use clinical practice guidelines when managing patients with neck pain in France? A feasibility study
ConclusionConducting a web-based cross-sectional study of chiropractic interns to assess their utilization and conformity to clinical practice guideline is feasible. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 9, 2022 Category: Complementary Medicine Source Type: research
Impact of audible pops associated with spinal manipulation on perceived pain: a systematic review
ConclusionsWhilst there is still no consensus among chiropractors on the association of an audible pop and pain outcomes in spinal manipulative therapy, knowledge about the audible pop has advanced. This review suggests that the presence or absence of an audible pop may not be important regarding pain outcomes with spinal manipulation. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 4, 2022 Category: Complementary Medicine Source Type: research
One size does not fit all: Participants ’ experiences of the selfBACK app to support self-management of low back pain—a qualitative interview study
ConclusionsThe high prevalence of LBP globally coupled with the advantages of providing help through an app offers opportunities to help countless people. A range of factors should be considered to facilitate implementation of self-management of LBP or similar pain conditions using digital health tools. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - October 3, 2022 Category: Complementary Medicine Source Type: research
Correction: Who are the chiropractic students favouring a limitless scope of practice? Exploring the relationship with personality, magical thinking, and academic achievement
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 30, 2022 Category: Complementary Medicine Source Type: research
Adherence to spinal imaging guidelines and utilization of lumbar spine diagnostic imaging for low back pain at a Canadian Chiropractic College: a historical clinical cohort study
ConclusionThe imaging utilization rate was 3.4%, lower than 12.3% previously reported at a chiropractic teaching clinic. None without red flags were referred for imaging, yielding a 100%, adherence rate to current LBP imaging guidelines. Future research should consider currency of guideline, accuracy of red flags and factors influencing clinicians ’ decision, when assessing imaging adherence rates. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 16, 2022 Category: Complementary Medicine Source Type: research
Knowledge, beliefs, and attitudes of spinal manipulation: a cross-sectional survey of Italian physiotherapists
DiscussionThe beliefs and attitudes of physiotherapists surrounding the use of SM are significantly different when comparing the upper cervical spine to other spinal regions. An educational background in traditional manual therapy significantly influences beliefs and attitudes. We propose an updated framework on evidence-based SM. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 12, 2022 Category: Complementary Medicine Source Type: research
Exploring visual pain trajectories in neck pain patients, using clinical course, SMS-based patterns, and patient characteristics: a cohort study
DiscussionThe visual trajectories reflected the descriptors of the clinical course of pain captured by weekly SMS measures on a group level and formed groups of patients that differed on symptoms and characteristics. However, there were large variations in symptoms and characteristics within, as well as overlap between, each visual trajectory. In particular, patients with mild pain seemed predisposed to recall bias. Although the visual trajectories and SMS-based classifications appear related, visual trajectories likely capture more elements of the pain experience than just the course of pain. Therefore, they cannot be see...
Source: Chiropractic and Manual Therapies - September 8, 2022 Category: Complementary Medicine Source Type: research
In vivo measurement of intradiscal pressure changes related to thrust and non-thrust spinal manipulation in an animal model: a pilot study
ConclusionsThis study marks the first time that feline in vivo changes in IDP have been reported using clinically available instrument-assisted spinal manipulation devices and/or spinal mobilization procedures. The results of this pilot study indicate that a feline model can be used to investigate IDP changes related to spinal manual therapy mechanisms as well as the diminution of these spinal manipulative forces due to viscoelastic properties of the surrounding spinal tissues. Additional investigation of IDP changes is warranted in this and/or other in vivo animal models to provide better insights into the physiological e...
Source: Chiropractic and Manual Therapies - September 6, 2022 Category: Complementary Medicine Source Type: research
Mixed methods systematic review of the literature base exploring working alliance in the chiropractic profession
ConclusionThe findings of this review emphasise the subjective importance of working alliance in the chiropractic clinical encounter. However, there were not enough homogenous studies measuring the effect of working alliance on clinical outcomes and patient satisfaction to conduct a meta-analysis. Future research should focus on evaluating potential direct and mediated effects on patient outcomes. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - September 2, 2022 Category: Complementary Medicine Source Type: research
