The rate of use of Veterans Affairs chiropractic care: a 5-year analysis
ConclusionThe VA has expanded the non-pharmacologic treatments available to Veterans by providing chiropractic services, yet chiropractic use remains low compared to other US populations. As Veterans have a high prevalence of pain and musculoskeletal conditions, continued work to assess and achieve the optimal levels of chiropractic use in this population is warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 21, 2022 Category: Complementary Medicine Source Type: research
Intervention usage for the management of low back pain in a chiropractic teaching clinic
ConclusionsDespite chiropractic interns providing guideline concordant care for the majority of LBP patients, interventions classified as not recommended and without recommendation are still frequently offered. This study provides a starting point to understand the treatment interventions provided by chiropractic interns. Further research should be conducted to improve our understanding of the use of LBP guideline recommended care in the chiropractic profession.Trial registrationOpen Science Framework # g74e8. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 9, 2022 Category: Complementary Medicine Source Type: research
Advanced magnetic resonance imaging of chronic whiplash patients: a clinical practice-based feasibility study
ConclusionsThis study did not show that MRI ‐based measures of morphology, spinal cord and nerve root diffusion or cerebrospinal fluid flow are sensitive biomarkers to distinguish between chronic whiplash patients and healthy controls. The detailed description of the chronic whiplash patients using readily available clinical tools may be of great relevance to the clinician. In the context of feasibility, clinical practice-based advanced imaging studies with a technical setup similar to the presented can be expected to have a high likelihood of successful completion. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 7, 2022 Category: Complementary Medicine Source Type: research
Efficiency of primary spine care as compared to conventional primary care: a retrospective observational study at an Academic Medical Center
ConclusionsPatients who received PSC in an academic primary care clinic experienced significantly less escalation of their spine care within 6 months of their initial visit. The PSC model may offer a more efficient approach to the primary care of spine problems for patients with SRDs, as compared to usual primary care. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 6, 2022 Category: Complementary Medicine Source Type: research
Risk factors for low back pain in active military personnel: a systematic review
ConclusionIn active duty personnel, prior history of LBP, previous musculoskeletal injury, less time in physical training, female sex, and lower rank were consistent risk factors for LBP. This information is relevant for researchers, active duty military personnel, and other decision makers. Future studies should explore causal relationships for LBP in this population. PROSPERO registration number: CRD42018084549. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 30, 2021 Category: Complementary Medicine Source Type: research
A descriptive study of sports chiropractors with an International Chiropractic Sport Science Practitioner qualification: a cross-sectional survey
ConclusionsThis study of ICSSP-qualified sports chiropractors describes a small but well-educated workforce treating high-level athletes, managing a wide range of spine and non-spinal neuromusculoskeletal conditions, utilising multimodal approaches (including active and passive strategies), and referring to and co-managing with other health practitioners. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 13, 2021 Category: Complementary Medicine Source Type: research
Digging deeper: exploring chiropractors online claims about non-musculoskeletal disorders
ConclusionsA minority of Danish chiropractic websites suggest that non-musculoskeletal disorders are within the chiropractic scope of practice. Those that do, do so for varying reasons —poor communication and website maintenance were commonly cited problems. An explicitly stated adherence to traditional chiropractic subluxations concepts was uncommon. By contrast, a more tempered rationale that suggested a potential beneficialside-effect of chiropractic on non-musculoskeletal health issues were more common and was typically presented in softer-language and/or with some reservations. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 6, 2021 Category: Complementary Medicine Source Type: research
Corticosteroid injection or dry needling for musculoskeletal pain and disability? A systematic review and GRADE evidence synthesis
ConclusionsThere are no differences between DN and CSI in pain or disability for myofascial pain and greater trochanteric pain syndrome. Very-low certainty evidence suggests that CSI is superior to DN at shorter follow-up periods, whereas DN seems to be more effective than CSI at longer follow-up durations for improving pain in plantar fasciitis and lateral epicondylitis. Large RCTs with higher methodological quality are needed in order to draw more incisive conclusions.PROSPERO registration numberCRD42020148650. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 2, 2021 Category: Complementary Medicine Source Type: research
The effect of spinal manipulative therapy and home stretching exercises on heart rate variability in patients with persistent or recurrent neck pain: a randomized controlled trial
ConclusionAdding four treatments of spinal manipulation therapy to a 2-week program of daily stretching exercises gave no significant change in Heart Rate Variability.Trial Registration: The trial was registered 03/07/2018 at ClinicalTrials.gov, registration number: NCT03576846. (https://pubmed.ncbi.nlm.nih.gov/31606042/) (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 29, 2021 Category: Complementary Medicine Source Type: research
“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
ConclusionsThe COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 25, 2021 Category: Complementary Medicine Source Type: research
What are the effects of diagnostic imaging on clinical outcomes in patients with low back pain presenting for chiropractic care: a matched observational study
ConclusionsDiagnostic imaging did not result in better clinical outcomes in patients with low back pain presenting for chiropractic care. These results support that current guideline recommendations against routine imaging apply equally to chiropractic practice. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 23, 2021 Category: Complementary Medicine Source Type: research
Correction to: Reframing a debate in chiropractic
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 22, 2021 Category: Complementary Medicine Source Type: research
Reframing a debate in chiropractic
AbstractThe chiropractic profession is 125 years old and has evolved a culture beset with internal conflict. The internal ructions have been particularly noticeable during the last 20 years. The recent resignation of the entire World Federation of Chiropractic Research Committee has again focussed the conflicting views and goals of the “ wellness” and “evidence” factions within the profession. These polarising viewpoints are worsening to the degree that there are calls for the profession to break into two separate entities. Key to the recognition of the differences within the profession is the recognition of tit...
Source: Chiropractic and Manual Therapies - November 3, 2021 Category: Complementary Medicine Source Type: research
Naprapathy versus orthopaedic standard care for common musculoskeletal disorders: an 8-year follow-up of a pragmatic randomized controlled trial in Sweden
ConclusionsNaprapathy is a continuously effective treatment. Together with earlier research our study suggests that specialized manual therapy should be considered when triaging patients with common non-surgical musculoskeletal disorders in national health care systems.Trial registration: Not applicable, as per information given by ClinicalTrials.gov. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 2, 2021 Category: Complementary Medicine Source Type: research
Clinicians ’ perceived value and demographic factors that predict the utilisation of patient reported outcome measures for low back pain amongst chiropractors in Australia
ConclusionPrincipal chiropractors were more likely to frequently use pain-related PROMs for the management of patients with LBP when compared to associate chiropractors. Demographic factors, appear to have little influence on PROM usage. While chiropractors place high value on PROMs, these beliefs are not associated with increased frequency of PROM usage for the management of LBP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 1, 2021 Category: Complementary Medicine Source Type: research
