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Chiropractic & Manual Therapies

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https://www.readbyqxmd.com/read/29760878/chiropractic-treatment-including-instrument-assisted-manipulation-for-non-specific-dizziness-and-neck-pain-in-community-dwelling-older-people-a-feasibility-randomised-sham-controlled-trial
#1
Julie C Kendall, Simon D French, Jan Hartvigsen, Michael F Azari
Background: Dizziness in older people is a risk factor for falls. Neck pain is associated with dizziness and responds favourably to neck manipulation. However, it is unknown if chiropractic intervention including instrument-assisted manipulation of the neck in older people with neck pain can also improve dizziness. Methods: This parallel two-arm pilot trial was conducted in Melbourne, Australia over nine months (October 2015 to June 2016). Participants aged 65-85 years, with self-reported chronic neck pain and dizziness, were recruited from the general public through advertisements in local community newspapers and via Facebook...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29744031/exploring-the-measurement-properties-of-the-osteopathy-clinical-teaching-questionnaire-using-rasch-analysis
#2
Brett Vaughan
Background: Clinical teaching evaluations are common in health profession education programs to ensure students are receiving a quality clinical education experience. Questionnaires students use to evaluate their clinical teachers have been developed in professions such as medicine and nursing. The development of a questionnaire that is specifically for the osteopathy on-campus, student-led clinic environment is warranted. Previous work developed the 30-item Osteopathy Clinical Teaching Questionnaire...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29713458/can-chiropractors-contribute-to-work-disability-prevention-through-sickness-absence-management-for-musculoskeletal-disorders-a-comparative-qualitative-case-study-in-the-scandinavian-context
#3
Mette Jensen Stochkendahl, Ole Kristoffer Larsen, Casper Glissmann Nim, Iben Axén, Julia Haraldsson, Ole Christian Kvammen, Corrie Myburgh
Background: Despite extensive publication of clinical guidelines on how to manage musculoskeletal pain and back pain in particular, these efforts have not significantly translated into decreases in work disability due to musculoskeletal pain. Previous studies have indicated a potential for better outcomes by formalized, early referral to allied healthcare providers familiar with occupational health issues. Instances where allied healthcare providers of comparable professional characteristics, but with differing practice parameters, can highlight important social and organisational strategies useful for informing policy and practice...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29713457/the-regional-effect-of-spinal-manipulation-on-the-pressure-pain-threshold-in-asymptomatic-subjects-a-systematic-literature-review
#4
REVIEW
Margaux Honoré, Charlotte Leboeuf-Yde, Olivier Gagey
Background: Spinal manipulation (SM) has been shown to have an effect on pain perception. More knowledge is needed on this phenomenon and it would be relevant to study its effect in asymptomatic subjects. Objectives: To compare regional effect of SM on pressure pain threshold (PPT) vs. sham, inactive control, mobilisation, another SM, and some type of physical therapy. In addition, we reported the results for the three different spinal regions. Method: A systematic search of literature was done using PubMed, Embase and Cochrane...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29682278/complaints-about-chiropractors-osteopaths-and-physiotherapists-a-retrospective-cohort-study-of-health-performance-and-conduct-concerns
#5
Anna T Ryan, Lay San Too, Marie M Bismark
Background: Recent media reports have highlighted the risks to patients that may occur when practitioners in the chiropractic, osteopathy and physiotherapy professions provide services in an unethical or unsafe manner. Yet research on complaints about chiropractors, osteopaths, and physiotherapists is limited. Our aim was to understand differences in the frequency and nature of formal complaints about practitioners in these professions in order to inform improvements in professional regulation and education...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29632661/effect-of-chiropractic-treatment-on-primary-or-early-secondary-prevention-a-systematic-review-with-a-pedagogic-approach
#6
REVIEW
Guillaume Goncalves, Christine Le Scanff, Charlotte Leboeuf-Yde
Introduction: The chiropractic vitalistic approach to the concept of 'subluxation' as a cause of disease lacks both biological plausibility and possibly proof of validity. Nonetheless, some chiropractors purport to prevent disease in general through the use of chiropractic care. Evidence of its effect is needed to be allowed to continue this practice. The objective of this systematic review was therefore to investigate if there is any evidence that spinal manipulations/chiropractic care can be used in primary prevention (PP) and/or early secondary prevention in diseases other than musculoskeletal conditions...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29568484/how-frequent-are-non-evidence-based-health-care-beliefs-in-chiropractic-students-and-do-they-vary-across-the-pre-professional-educational-years
#7
Stanley I Innes, Charlotte Leboeuf-Yde, Bruce F Walker
Background: Evidence suggests that a students' beliefs already prior to entering a program may be important as a determinant in sustaining unsuitable health care beliefs. Our objectives were to investigate the proportion of Australian chiropractic students who hold non-evidence-based beliefs in the first year of study and the extent to which they may be involved in non-musculoskeletal health conditions. Finally, to see if this proportion varies over the course of the chiropractic program...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29541445/outcomes-indicators-and-a-risk-classification-system-for-spinal-manipulation-under-anesthesia-a-narrative-review-and-proposal
#8
REVIEW
Dennis DiGiorgi, John L Cerf, Daniel S Bowerman
Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. As an advanced form of manual therapy, SMUA is reserved for the patient whose condition has proven refractory to office-based manipulation and other modes of conservative care. Historically, the protocols and guidelines put forth by chiropractic MUA proponents have served as the clinical compass for directing MUA practice. With many authors and MUA advocates having focused primarily on anticipated benefit, the published literature contains no resource dedicated to treatment precautions and contraindications...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29507714/a-mokken-scale-analysis-of-the-peer-physical-examination-questionnaire
#9
Brett Vaughan, Sandra Grace
Background: Peer physical examination (PPE) is a teaching and learning strategy utilised in most health profession education programs. Perceptions of participating in PPE have been described in the literature, focusing on areas of the body students are willing, or unwilling, to examine. A small number of questionnaires exist to evaluate these perceptions, however none have described the measurement properties that may allow them to be used longitudinally. The present study undertook a Mokken scale analysis of the Peer Physical Examination Questionnaire (PPEQ) to evaluate its dimensionality and structure when used with Australian osteopathy students...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29468012/the-use-of-nutritional-guidance-within-chiropractic-patient-management-a-survey-of-333-chiropractors-from-the-acorn-practice-based-research-network
#10
Mi Kyung Lee, Lyndon Amorin-Woods, Vincenzo Cascioli, Jon Adams
Background: Food consumption and nutritional status affect an individual's health throughout their life-course and an unhealthy diet is a major risk factor for the current global burden of chronic disease. The promotion of health and good nutrition through healthy eating requires the active involvement of all health professionals including chiropractors. This paper reports findings from the first nationally representative examination of the use of nutritional guidance within chiropractic patient management in Australia...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29456833/work-related-acute-physical-injuries-chronic-overuse-complaints-and-the-psychosocial-work-environment-in-danish-primary-care-chiropractic-practice-a-cross-sectional-study
#11
Mille Charlotte Hansen, Tine Aagaard, Henrik Wulff Christensen, Jan Hartvigsen
Background: Little is known about the physical and psychosocial work environment of chiropractors and their work-related health complaints, and this has never been described for Danish chiropractors. The aim of this study was, therefore, to describe work-related acute physical injuries, overuse complaints, and psychosocial stress in Danish chiropractic work settings. Methods: We developed a questionnaire specifically for this study and distributed it electronically in August 2016 using SurveyXact to all 575 members of the Danish Chiropractors' Association working in primary care clinics...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29441194/leadership-and-capacity-building-in-international-chiropractic-research-introducing-the-chiropractic-academy-for-research-leadership-carl
#12
EDITORIAL
Jon Adams, Greg Kawchuk, Alexander Breen, Diana De Carvalho, Andreas Eklund, Matthew Fernandez, Martha Funabashi, Michelle M Holmes, Melker S Johansson, Katie de Luca, Craig Moore, Isabelle Pagé, Katherine A Pohlman, Michael S Swain, Arnold Y L Wong, Jan Hartvigsen
In an evidence-based health care environment, healthcare professions require a sustainable research culture to remain relevant. At present however, there is not a mature research culture across the chiropractic profession largely due to deficiencies in research capacity and leadership, which may be caused by a lack of chiropractic teaching programs in major universities. As a response to this challenge the Chiropractic Academy for Research Leadership, CARL, was created with the aim of develop a global network of successful early-career chiropractic researchers under the mentorship of three successful senior academics from Australia, Canada, and Denmark...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29387341/chiropractic-student-choices-in-relation-to-indications-non-indications-and-contra-indications-of-continued-care
#13
Stanley I Innes, Charlotte Leboeuf-Yde, Bruce F Walker
Background: The quality of health care provider clinical decisions has long been recognized as variable. Research has focused on clinical decision making with the aim of improving patient outcomes. No studies have looked at chiropractic students´ abilities in this regard. Method: In 2016, advanced students from two Australian chiropractic programs ( N  = 444) answered a questionnaire on patient case scenarios for neck and low back pain (LBP). We selected 7 scenarios representing the three categories; continuing care, non-indicated care, and contraindicated care...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29372046/the-schism-in-chiropractic-through-the-eyes-of-a-1st-year-chiropractic-student
#14
REVIEW
Bob Strahinjevich, J Keith Simpson
Since its inception, the chiropractic profession has been divided along ideological fault lines. These divisions have led to a profession wide schism, which has limited mainstream acceptance, utilisation, social authority and integration. The authors explore the historical origins of this schism, taking time to consider historical context, religiosity, perpetuating factors, logical fallacies and siege mentality. Evidence is then provided for a way forward, based on the positioning of chiropractors as mainstream partners in health care...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29321845/failure-to-define-low-back-pain-as-a-disease-or-an-episode-renders-research-on-causality-unsuitable-results-of-a-systematic-review
#15
REVIEW
Emad M Ardakani, Charlotte Leboeuf-Yde, Bruce F Walker
Background: Causative factors may be different for the very first onset of symptoms of the 'disease' of low back pain (LBP) than for ensuing episodes that occur after a pain-free period. This differentiation hinges on a life-time absence of low back pain at first onset and short-term absence for further episodes. In this systematic review, we explored whether researchers make these distinctions when investigating the causality of LBP. Methods: A literature search of PUBMED, CINAHL, and SCOPUS databases was performed from January 2010 until September 2016 using the search terms 'low back pain' or 'back pain' and 'risk factor' or 'caus*' or 'predict*' or 'onset' or 'first-time' or 'inception' or 'incidence'...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29255593/research-priorities-of-the-canadian-chiropractic-profession-a-consensus-study-using-a-modified-delphi-technique
#16
Simon D French, Peter J H Beliveau, Paul Bruno, Steven R Passmore, Jill A Hayden, John Srbely, Greg N Kawchuk
Background: Research funds are limited and a healthcare profession that supports research activity should establish research priority areas. The study objective was to identify research priority areas for the Canadian chiropractic profession, and for stakeholders in the chiropractic profession to rank these in order of importance. Methods: We conducted a modified Delphi consensus study between August 2015 and May 2017 to determine the views of Canadian chiropractic organisations (e...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29234493/what-are-the-risks-of-manual-treatment-of-the-spine-a-scoping-review-for-clinicians
#17
REVIEW
Gabrielle Swait, Rob Finch
Background: Communicating to patients the risks of manual treatment to the spine is an important, but challenging element of informed consent. This scoping review aimed to characterise and summarise the available literature on risks and to describe implications for clinical practice and research. Method: A methodological framework for scoping reviews was followed. Systematic searches were conducted during June 2017. The quantity, nature and sources of literature were described...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29214015/effect-of-spinal-manipulative-treatment-on-cardiovascular-autonomic-control-in-patients-with-acute-low-back-pain
#18
Mohamed Younes, Karine Nowakowski, Benoit Didier-Laurent, Michel Gombert, François Cottin
Background: This study aimed to quantify the effect of spinal manipulative treatment (SMT) from an analysis of baroreflex, systolic blood pressure and heart rate variability (HRV) on patients with acute back pain. It was hypothesized that SMT would increase the parasympathetic cardiovascular autonomic control. Methods: Twenty-two patients with acute back pain were randomly divided into two groups: one receiving sham treatment (Sham) and the other receiving SMT. Recordings were completed during the first day and the seventh day, immediately before and after treatment on both days...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29214014/influence-of-perceived-difficulty-of-cases-on-student-osteopaths-diagnostic-reasoning-a-cross-sectional-study
#19
Aurelien L Noyer, Jorge E Esteves, Oliver P Thomson
Background: Diagnostic reasoning refers to the cognitive processes by which clinicians formulate diagnoses. Despite the implications for patient safety and professional identity, research on diagnostic reasoning in osteopathy remains largely theoretical. The aim of this study was to investigate the influence of perceived task difficulty on the diagnostic reasoning of students osteopaths. Methods: Using a single-blinded, cross sectional study design, sixteen final year pre-registration osteopathy students diagnosed two standardized cases under two context conditions (complex versus control)...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29201346/the-chiropractic-profession-a-scoping-review-of-utilization-rates-reasons-for-seeking-care-patient-profiles-and-care-provided
#20
REVIEW
Peter J H Beliveau, Jessica J Wong, Deborah A Sutton, Nir Ben Simon, André E Bussières, Silvano A Mior, Simon D French
Background: Previous research has investigated utilization rates, who sees chiropractors, for what reasons, and the type of care that chiropractors provide. However, these studies have not been comprehensively synthesized. We aimed to give a global overview by summarizing the current literature on the utilization of chiropractic services, reasons for seeking care, patient profiles, and assessment and treatment provided. Methods: Systematic searches were conducted in MEDLINE, CINAHL, and Index to Chiropractic Literature using keywords and subject headings (MeSH or ChiroSH terms) from database inception to January 2016...
2017: Chiropractic & Manual Therapies
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