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Chiropractic & Manual Therapies

Amie Steel, Nigel Jackson, Raymond Blaich, Mathew Kirk, Jon Wardle
Background: Workforce distribution has an important influence on the quality of healthcare delivered in a region, primarily because it impacts access to health services in the community and overall health equity in the population. Distribution of osteopaths in Australia does not appear to follow the Australian population with the majority of osteopaths located in Victoria. The implications of this imbalance on the osteopathic workforce have not yet been explored. Methods: A secondary analysis of data from a survey of 1531 members of Osteopathy Australia in 2013...
2018: Chiropractic & Manual Therapies
Heidrun Lingner, Lena Blase, Anika Großhennig, Guido Schmiemann
Background: Nonspecific acute low back pain (LBP) is a common reason for accessing primary care. German guidelines recommend non-steroidal anti-inflammatory drugs and physical activity as evidence-based treatments. Manual Therapy (MT) remains controversial. To increase evidence-based treatment options for general practitioners (GPs), a Pilot-Study was set up to gather information about the required conditions and setting for an RCT. Methods: The open pilot-study assesses recruitment methods for GPs and patients, timelines, data collection and outcomes of treatment immediately (T0) and 1, 6 and 12 weeks after consultation (T1, T2, T3)...
2018: Chiropractic & Manual Therapies
Alice Kongsted, Magnus Rudbæk Christensen, Karl Kristian Ingersen, Tue Secher Jensen
Background: Reassuring information is recommended in clinical guidelines for the treatment of low back pain (LBP), but has not been clearly defined. The Consultation-based Reassurance Questionnaire (CRQ) was developed as a tool for measuring to what extent reassurance is present in back pain consultations and may provide important information about the clinical encounter. Until now the CRQ has only been tested in general practice patients in the UK although many patients with LBP are seen outside of this setting...
2018: Chiropractic & Manual Therapies
Jung-Ha Kim, Rogier M van Rijn, Maurits W van Tulder, Bart W Koes, Michiel R de Boer, Abida Z Ginai, Raymond W G J Ostelo, Danielle A M W van der Windt, Arianne P Verhagen
Main text: We aim to summarize the available evidence on the diagnostic accuracy of imaging (index test) compared to surgery (reference test) for identifying lumbar disc herniation (LDH) in adult patients.For this systematic review we searched MEDLINE, EMBASE and CINAHL (June 2017) for studies that assessed the diagnostic accuracy of imaging for LDH in adult patients with low back pain and surgery as the reference standard. Two review authors independently selected studies, extracted data and assessed risk of bias...
2018: Chiropractic & Manual Therapies
Alijan Ahmadiahangar, Yahya Javadian, Mansour Babaei, Behzad Heidari, Seyedreza Hosseini, Mohammad Aminzadeh
Background: Falls are a major health issue in the elderly people and an important cause of bone fracture. The aim of this study was to determine the association between quadriceps muscle strength (QMS) and falls in the elderly subjects. Methods: All eligible participants of the Amirkola Cohort Study entered the study. Data regarding demographic characteristics, clinical and laboratory examinations were provided between 2011 to 2014. Occurrence of falls during previous year was determined by interview and review of the medical records...
2018: Chiropractic & Manual Therapies
Stanley I Innes, Charlotte Leboeuf-Yde, Bruce F Walker
Background: Chiropractic programs are accredited and monitored by regional Councils on Chiropractic Education (CCE). The CCE-International has historically been a federation of regional CCEs charged with harmonising world standards to produce quality chiropractic educational programs. The standards for accreditation periodically undergo revision. We conducted a comparison of the CCE-International 2016 Accreditation Standards with the previous version, looking for similarities and differences, expecting to see some improvements...
2018: Chiropractic & Manual Therapies
Anne-Laure Meyer, Charlotte Leboeuf-Yde
Background: Functional Neurology (FN), mainly practiced by chiropractors, proposes to have an effect or a benefit on varied clinical cases, from debilitating diseases to performance enhancement in asymptomatic people. Objectives and design: A critical review of publications captured in and from the journal Functional Neurology, Rehabilitation, and Ergonomics (FNRE) was performed in order to investigate whether there is evidence on clinical effects or benefits of FN...
2018: Chiropractic & Manual Therapies
Michele Maiers, Mustafa Agaoglu, Richard Brown, Christopher Cassirer, Kendrah DaSilva, Reidar P Lystad, Sarkaw Mohammad, Jessica J Wong
The World Federation of Chiropractic supports the involvement of chiropractors in public health initiatives, particularly as it relates to musculoskeletal health. Three topics within public health have been identified that call for a renewed professional focus. These include healthy ageing; opioid misuse; and women's, children's, and adolescents' health. The World Federation of Chiropractic aims to enable chiropractors to proactively participate in health promotion and prevention activities in these areas, through information dissemination and coordinated partnerships...
2018: Chiropractic & Manual Therapies
Yannely Serrano-Villar, Eliana-Isabel Rodríguez-Grande
[This corrects the article DOI: 10.1186/s12998-018-0187-x.].
2018: Chiropractic & Manual Therapies
James S Demetrious
Background: Spontaneous cervical artery dissections more often manifest in young people and have been associated with catastrophic consequences. Some indeterminate risk factors have been identified, making the diagnosis of developing dissections quite difficult. Fluoroquinolone antibiotics have been recognized for their degradative effects on connective tissue. Recent studies have implicated fluoroquinolones in the genesis of aortic artery aneurysms. It is the purpose of this paper to provide reasoning for a testable hypothesis of whether fluoroquinolones constitute a risk factor associated with cervical artery dissections...
2018: Chiropractic & Manual Therapies
Matthew F Funk, Aric J Frisina-Deyo, Timothy A Mirtz, Stephen M Perle
Background: The subluxation construct generates debate within and outside the profession. The International Chiropractic Education Collaboration, comprised of 10 chiropractic programs outside of North America, stated they will only teach subluxation in a historical context. This research sought to determine how many chiropractic institutions worldwide still use the term in their curricula and to expand upon the previous work of Mirtz & and Perle. Methods: Forty-six chiropractic programs, 18 United States (US) and 28 non-US, were identified from the World Federation of Chiropractic Educational Institutions list...
2018: Chiropractic & Manual Therapies
Christopher J Hodgetts, Bruce F Walker
Background: Spinal manipulation is the primary therapy utilised by chiropractors in the management of their patients. The skills required may feel foreign to chiropractic students as they need strength and endurance in movement patterns they may not have otherwise been exposed to. This may lead to injury while learning manipulative techniques. It is plausible to suggest that the implementation of a strength and conditioning program early in a practitioner's career could reduce the incidence and progression of injuries...
2018: Chiropractic & Manual Therapies
Simon D French, Aron S Downie, Bruce F Walker
An important series of papers have been published in the Lancet . These papers provide a comprehensive update for the major global problem of low back pain, and the challenges that low back pain presents to healthcare practitioners and policy makers. Chiropractors are well placed to reduce the burden of low back pain, but not all that chiropractors do is supported by robust, contemporary evidence. This commentary summarises the Lancet articles. We also make suggestions for how the chiropractic profession should most effectively help people with low back pain by implementing practices supported by high quality evidence...
2018: Chiropractic & Manual Therapies
Stacie A Salsbury, Robert D Vining, Donna Gosselin, Christine M Goertz
Background: While chiropractors are integrating into multidisciplinary settings with increasing frequency, the perceptions of medical providers and patients toward adding chiropractors to existing healthcare teams is not well-understood. This study explored the qualities preferred in a chiropractor by key stakeholders in a neurorehabilitation setting. Methods: This qualitative analysis was part of a multi-phase, organizational case study designed to evaluate the planned integration of a chiropractor into a multidisciplinary rehabilitation team...
2018: Chiropractic & Manual Therapies
Mohammed Al-Azdee, Stephen M Perle, Bingjie He
Background: Chiropractic has professional tensions with other medical disciplines. This sets up a biased online media coverage of controversial issues, such as the unverified causal relation between chiropractic treatment and stroke. The objective of this study is to find and analyze recent online media texts relevant to the alleged causal relation between chiropractic treatment and stroke, using Google News search, including such characteristics of texts as tone and position on Google News Search Engine Results Page (SERP) ...
2018: Chiropractic & Manual Therapies
David N Taylor, Shari Wynd
Background: There has been little study of the recognition of mild traumatic brain injury (MTBI) by the chiropractic practitioner, or of the inquiry by the clinician to assess those patients who may be suffering from the condition, but fail to report the symptoms. Although severe cases of TBI are more often recognized and treated by attendance to hospital or emergency room, MTBI is less recognizable and would present a long-term risk to the patient. Given the clinical risk associated with failure to recognize such injuries, training of the clinician in the subtle signs of MTBI is imperative...
2018: Chiropractic & Manual Therapies
Lise Vilstrup Holm, Dorte Ejg Jarbøl, Henrik Wulff Christensen, Jens Søndergaard, Lise Hestbæk
Background: Infantile colic is a common condition during early childhood affecting around one of six newborns. The condition is characterized by inconsolable crying and fussing in otherwise healthy and thriving infants. The most used definition is excessive crying for at least three hours a day for at least three days for at least three weeks. The cause of colic is still unknown although many hypotheses and thereby many different treatment modalities have been investigated. Chiropractic care is used increasingly in treatment of infants, including for infantile colic, although the evidence worldwide is sparse...
2018: Chiropractic & Manual Therapies
Mehmet Toprak, Hasan Kerem Alptekin, Doruk Turhan
[This corrects the article DOI: 10.1186/s12998-017-0166-7.].
2018: Chiropractic & Manual Therapies
Yannely Serrano-Villar, Eliana-Isabel Rodríguez-Grande
Background: The Thoracic Index (TI) is a useful tool for evaluating costal mobility as a component of respiritory mechanics in adults with asthma. In a review of the literature, however, few studies were found that reported the psychometrics of this test. The goal of this study is to evaluate the reproducibility and validity of the TI in adults with asthma. Methods: A cross-sectional study was conducted to evaluate the diagnostic tests. Measurements were done randomly by two independent evaluators...
2018: Chiropractic & Manual Therapies
Esmaeil Shokri, Fahimeh Kamali, Ehsan Sinaei, Farahnaz Ghafarinejad
Background: To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility. Methods: Twenty patients aged between 20 and 50 years with MRI-confirmed LDH who also had SIJ hypomobility participated in the trial in 2010. Patients who had sequestrated disc herniation were excluded. All patients received five sessions of spinal manipulative therapy (SMT) for the SIJ and lumbar spine during a 2-week period...
2018: Chiropractic & Manual Therapies
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