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Chiropractic & Manual Therapies

Hadi Sarafraz, Mohammad Reza Hadian, Niloofar Ayoobi Yazdi, Gholamreza Olyaei, Hossein Bagheri, Shohreh Jalaie, Omid Rasouli
Background: Ultrasound imaging has been suggested for studying the structure and function of nerves and muscles; however, reliability studies are limited to support the usage. The main aim of this study was to explore the intrarater within-session reliability of evaluating the sciatic nerve and some related muscles morphology by ultrasound imaging. Methods: Three B-mode images from two scans (transverse and longitudinal) were acquired from the multifidus, biceps femoris, soleus and medial gastrocnemius muscles bilaterally from 15 participants with sciatica and 15 controls in one session, 1-h apart...
2018: Chiropractic & Manual Therapies
Stig L Midtiby, Niels Wedderkopp, Rasmus T Larsen, Anne-Marie Fiala Carlsen, Dimitris Mavridis, Ian Shrier
Background: Overuse injuries are reported to be more common than acute trauma in children and adolescents, causing pain and reduced function. The most common is apophysitis - a traction injury to the apophysis in growing individuals. The duration of symptoms reported in the literature is between 6 weeks to 6 months or more. The objective of this systematic review and network meta-analysis is to compare the effectiveness and safety of all available treatments for any type of apophysitis in children and adolescents...
2018: Chiropractic & Manual Therapies
Kylie Fitzgerald, Michael Fleischmann, Brett Vaughan, Kevin de Waal, Sarah Slater, John Harbis
Background: Chronic pain is a substantial burden on the Australian healthcare system with an estimated 19.2% of Australians experiencing chronic pain. Knowledge of the neurophysiology and multidimensional aspects of pain is imperative to ensure health professionals apply a biopsychosocial approach to pain. Questionnaires may be used to assess learner changes in neurophysiology knowledge and beliefs and attitudes towards pain after education interventions.The aim of this study was to evaluate changes in pain neurophysiology knowledge, beliefs and attitudes following a 12 week clinically-focused pain module in year 3 osteopathy students as measured by the Neurophysiology of Pain (NPQ) Questionnaire and Health Care Providers Pain and Impairment Relationship scale (HC-PAIRS)...
2018: Chiropractic & Manual Therapies
Line Thorndal Moll, Morten Wasmod Kindt, Christina Malmose Stapelfeldt, Tue Secher Jensen
Background: Knowledge about the assessment reliability of common cervical spine changes is a prerequisite for precise and consistent communication about Magnetic Resonance Imaging (MRI) findings. The purpose of this study was to determine the inter- and intra-rater reliability of degenerative findings when assessing cervical spine MRI. Methods: Fifty cervical spine MRIs from subjects with neck pain were used. A radiologist, a chiropractor and a second-year resident of rheumatology independently assessed kyphosis, disc height, disc contour, vertebral endplate signal changes, spinal canal stenosis, neural foraminal stenosis, and osteoarthritis of the uncovertebral and zygapophyseal joints...
2018: Chiropractic & Manual Therapies
Natalie Clohesy, Anthony Schneiders
Background: The current utilisation of patient reported outcome measures (PROMs) for low back pain (LBP) within the Australian Chiropractic profession is unknown. The aims of this study were to determine the current utilisation of LBP PROMs amongst Chiropractors in Australia and to identify the potential barriers and facilitators of using PROMs for LBP in Chiropractic practice. Methods: A cross sectional online survey was distributed to Chiropractors in Australia who were members of the Chiropractic Association of Australia (CAA) and Chiropractic Australia (CA) between June-August 2016...
2018: Chiropractic & Manual Therapies
Keith M Silcox, Clinton J Daniels, Glenn A Bub, Pamela J Wakefield, James D Toombs
Background: Spinal epidural lipomatosis is an uncommon source of neurogenic claudication. We present two cases of spinal epidural lipomatosis as it relates to diagnosis, management, and a possible association with common medical intervention. Case presentation: Case 1: 63-year old male patient presented with neurogenic claudication symptoms, but without evidence of bony central canal stenosis on lumbar computed tomography. He entered a trial of spinal manipulation with transient beneficial gains after seven appointments, but no durable change in neurogenic claudication...
2018: Chiropractic & Manual Therapies
Brigitte Wirth, Tobias Potthoff, Sandra Rosser, Barry Kim Humphreys, Eling D de Bruin
Background: Besides low back pain (LBP), also neck pain (NP) and mid back pain (MBP) are common health issues in adolescence. Psychological factors are regarded as main risk factors for spinal pain in adolescence, but recent studies suggest that the importance of physical factors might be underestimated. The purpose of this study was to summarize the results of studies on physical risk factors for adolescent NP and MBP. Methods: Cross-sectional and prospective English studies on NP and MBP in adolescents aged 10 to 18 were searched by a professional librarian in Medline (OvidSP), Premedline (PubMed), EMBASE, Cochrane, CINAHL, PEDro and PsycINFO up to October 2016...
2018: Chiropractic & Manual Therapies
Muhammad Alrwaily, Mohammed Almutiri, Michael Schneider
Background: Previous systematic reviews have concluded that lumbar traction is not effective for patients with low back pain (LBP), yet many clinicians continue to assert its clinical effectiveness. Objective: To systematically identify randomized controlled trials (RCTs) of traction and explore the variability of traction interventions used in each RCT. Method: A literature search started in September 2016 to retrieve systematic reviews and individual RCTs of lumbar traction...
2018: 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
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