keyword
https://read.qxmd.com/read/35392935/gla-d%C3%A2-back-australia-a-mixed-methods-feasibility-study-for-implementation
#21
JOURNAL ARTICLE
Matthew Fernandez, Anika Young, Alice Kongsted, Jan Hartvigsen, Christian Barton, Jason Wallis, Peter Kent, Greg Kawchuk, Hazel Jenkins, Mark Hancock, Simon D French
BACKGROUND: Practice-based guidelines recommend patient education and exercise as first-line care for low back pain (LBP); however, these recommendations are not routinely delivered in practice. GLA:D® Back, developed in Denmark to assist clinicians to implement guideline recommendations, offers a structured education and supervised exercise program for people with LBP in addition to a clinical registry to evaluate patient outcomes. In this study we evaluated the feasibility of implementing the GLA:D® Back program in Australia...
April 7, 2022: Chiropractic & Manual Therapies
https://read.qxmd.com/read/34874115/consensus-for-statements-regarding-a-definition-for-spinal-osteoarthritis-for-use-in-research-and-clinical-practice-a-delphi-study
#22
JOURNAL ARTICLE
Katie de Luca, Alessandro Chiarotto, Flavia Cicuttini, Laura Creemers, Evelien de Schepper, Paulo H Ferreira, Nadine E Foster, Jan Hartvigsen, Gregory Kawchuk, Christopher B Little, Edwin H Oei, Pradeep Suri, Carmen Vleggeert-Lankamp, Sita M A Bierma-Zeinstra, Manuela L Ferreira
OBJECTIVE: To determine consensus among an international, multidisciplinary group of experts regarding definitions of spinal osteoarthritis for research and for clinical practice. METHODS: A 15 member, multidisciplinary steering committee generated 117 statements for a three-round Delphi study. Experts in back pain and/or osteoarthritis were identified and invited to participate. In round one, participants could propose additional statements for voting. All statements were rated on a 1-9 Likert scale, and consensus was set at ≥70% of respondents agreeing or disagreeing with the statement and <15% of respondents providing the opposite response...
December 7, 2021: Arthritis Care & Research
https://read.qxmd.com/read/34862434/the-importance-of-selecting-the-correct-site-to-apply-spinal-manipulation-when-treating-spinal-pain-myth-or-reality-a-systematic-review
#23
JOURNAL ARTICLE
Casper G Nim, Aron Downie, Søren O'Neill, Gregory N Kawchuk, Stephen M Perle, Charlotte Leboeuf-Yde
The concept that spinal manipulation therapy (SMT) outcomes are optimized when the treatment is aimed at a clinically relevant joint is commonly assumed and central to teaching and clinical use (candidate sites). This systematic review investigated whether clinical effects are superior when this is the case compared to SMT applied elsewhere (non-candidate sites). Eligible study designs were randomized controlled trials that investigated the effect of spinal manipulation applied to candidate versus non-candidate sites for spinal pain...
December 3, 2021: Scientific Reports
https://read.qxmd.com/read/34646820/a-reference-database-of-standardised-continuous-lumbar-intervertebral-motion-analysis-for-conducting-patient-specific-comparisons
#24
JOURNAL ARTICLE
Alexander Breen, Diana De Carvalho, Martha Funabashi, Greg Kawchuk, Isabelle Pagé, Arnold Y L Wong, Alan Breen
Lumbar instability has long been thought of as the failure of lumbar vertebrae to maintain their normal patterns of displacement. However, it is unknown what these patterns consist of. Research using quantitative fluoroscopy (QF) has shown that continuous lumbar intervertebral patterns of rotational displacement can be reliably measured during standing flexion and return motion using standardised protocols and can be used to assess patients with suspected lumbar spine motion disorders. However, normative values are needed to make individualised comparisons...
2021: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/34479585/a-cross-sectional-analysis-of-persistent-low-back-pain-using-correlations-between-lumbar-stiffness-pressure-pain-threshold-and-heat-pain-threshold
#25
JOURNAL ARTICLE
Casper Glissmann Nim, Søren O'Neill, Anne Gellert Geltoft, Line Korsholm Jensen, Berit Schiøttz-Christensen, Gregory Neil Kawchuk
INTRODUCTION: Little is known about the underlying biomechanical cause of low back pain (LBP). Recently, technological advances have made it possible to quantify biomechanical and neurophysiological measurements, potentially relevant factors in understanding LBP etiology. However, few studies have explored the relation between these factors. This study aims to quantify the correlation between biomechanical and neurophysiological outcomes in non-specific LBP and examine whether these correlations differ when considered regionally vs...
September 3, 2021: Chiropractic & Manual Therapies
https://read.qxmd.com/read/34450432/characterization-of-thoracic-spinal-manipulation-and-mobilization-forces-in-older-adults
#26
JOURNAL ARTICLE
Martha Funabashi, James Son, Cosma Gary Pecora, Steve Tran, Joyce Lee, Samuel J Howarth, Gregory Kawchuk, Katie de Luca
BACKGROUND: Spinal mobilization and spinal manipulation are common interventions used by manual therapists to treat musculoskeletal conditions in older adults. Their force-time characteristics applied to older adults' thoracic spine are important considerations for effectiveness and safety but remain unknown. This study aimed to describe the force-time characteristics of posterior-to-anterior spinal mobilization and manipulation delivered to older adults' thoracic spine. METHODS: Twenty-one older adults (≥65 years) with no thoracic pain received posterior-to-anterior thoracic spinal mobilization and/or manipulation with the force characteristics a chiropractor deemed appropriate...
October 2021: Clinical Biomechanics
https://read.qxmd.com/read/34157436/posterior-to-anterior-spinal-stiffness-measured-in-a-sample-of-127-secondary-care-low-back-pain-patients
#27
JOURNAL ARTICLE
Steen Harsted, Luana Nyirö, Aron Downie, Gregory N Kawchuk, Søren O'Neill, Liam Holm, Casper Glissmann Nim
BACKGROUND: The sensation of spinal stiffness is a commonly reported symptom among back pain patients, with the clinical assessment of spinal stiffness usually being part of the decision-making process when deciding on providing manual treatment of low back pain. While any relationship between spinal stiffness and low back pain is likely to be multifactorial, prior exploration of this relationship has been overly simplistic (e.g., univariate regression analyses). The purpose of this study was to address this gap by taking a broader approach to compare instrumented measures of spinal stiffness to demographic characteristics, pain phenotypes, psychometrics, and spine-related disability in a sample of secondary care low back pain patients using multivariate regression analysis...
July 2021: Clinical Biomechanics
https://read.qxmd.com/read/33985464/a-consensus-approach-toward-the-standardization-of-spinal-stiffness-measurement-using-a-loaded-rolling-wheel-device-results-of-a-delphi-study
#28
JOURNAL ARTICLE
Maliheh Hadizadeh, Greg Kawchuk, Simon French
BACKGROUND: Spinal stiffness assessment has the potential to become an important clinical measure. Various spinal stiffness-testing devices are available to help researchers objectively evaluate the spine and patient complaints. One of these is VerteTrack, a device capable of measuring posteroanterior displacement values over an entire spinal region. This study aimed to develop a best-practice protocol for evaluating spinal stiffness in human participants using VerteTrack. METHODS: Twenty-five individuals with research experience in measuring spinal stiffness, or who were trained in spinal stiffness measurement using the VerteTrack device, were invited to participate in this 3-Round Delphi study...
May 13, 2021: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/33824812/immersive-video-modeling-versus-traditional-video-modeling-for-teaching-central-venous-catheter-insertion-to-medical-residents
#29
JOURNAL ARTICLE
Evan Mah, Julie Yu, Megan Deck, Kish Lyster, Joann Kawchuk, Alison Turnquist, Brent Thoma
Background  Central Venous Catheter (CVC) placement is a common critical care procedure. Simulated practice has been shown to reduce its iatrogenic complications . Video modeling (VM) is an instructional adjunct that improves the quality and success of CVC insertion. Immersive VM can improve recall and skill translation, but its role in teaching medical procedures is not established. Research question/hypothesis We hypothesized that, relative to traditional VM, immersive VM would decrease cognitive load and enhance ultrasound-guided CVC insertion skill acquisition...
March 2, 2021: Curēus
https://read.qxmd.com/read/33766060/correction-to-leadership-and-capacity-building-in-chiropractic-research-report-from-the-first-carl-cohort
#30
Jan Hartvigsen, 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, Jon Adams
No abstract text is available yet for this article.
March 25, 2021: Chiropractic & Manual Therapies
https://read.qxmd.com/read/33755684/repetitive-in-vivo-manual-loading-of-the-spine-elicits-cellular-responses-in-porcine-annuli-fibrosi
#31
JOURNAL ARTICLE
John Robert Matyas, Claudia Klein, Dragana Ponjevic, Neil A Duncan, Gregory N Kawchuk
Back pain and intervertebral disc degeneration are prevalent, costly, and widely treated by manual therapies, yet the underlying causes of these diseases are indeterminate as are the scientific bases for such treatments. The present studies characterize the effects of repetitive in vivo manual loads on porcine intervertebral disc cell metabolism using RNA deep sequencing. A single session of repetitive manual loading applied to the lumbar spine induced both up- and down-regulation of a variety of genes transcribed by cells in the ventral annuli fibrosi...
2021: PloS One
https://read.qxmd.com/read/33685457/correction-to-the-global-summit-on-the-efficacy-and-effectiveness-of-spinal-manipulative-therapy-for-the-prevention-and-treatment-of-non-musculoskeletal-disorders-a-systematic-review-of-the-literature
#32
Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J David Cassidy, Simon French, Gregory N Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette, Jason W Busse, André Bussières, Carolina Cancelliere, Henrik Wulff Christensen, Diana De Carvalho, Katie De Luca, Alister Du Rose, Andreas Eklund, Roger Engel, Guillaume Goncalves, Jeffrey Hebert, Cesar A Hincapié, Maria Hondras, Amanda Kimpton, Henrik Hein Lauridsen, Stanley Innes, Anne-Laure Meyer, David Newell, Søren O'Neill, Isabelle Pagé, Steven Passmore, Stephen M Perle, Jeffrey Quon, Mana Rezai, Maja Stupar, Michael Swain, Andrew Vitiello, Kenneth Weber, Kenneth J Young, Hainan Yu
No abstract text is available yet for this article.
March 8, 2021: Chiropractic & Manual Therapies
https://read.qxmd.com/read/33627163/spinal-manipulation-and-modulation-of-pain-sensitivity-in-persistent-low-back-pain-a-secondary-cluster-analysis-of-a-randomized-trial
#33
RANDOMIZED CONTROLLED TRIAL
Casper Glissmann Nim, Kenneth Arnold Weber, Gregory Neill Kawchuk, Søren O'Neill
BACKGROUND: Pain hypersensitivity can be assessed using Quantitative Sensory Testing (QST) and is associated with persistent low back pain. Spinal manipulation appears to modify pain hypersensitivity, and this could function as one mechanism leading to clinical improvements. In the current study, we applied a comprehensive QST battery to assess pain sensitivity in a cohort of low back pain patients before and after spinal manipulation to improve our understanding of the association between QST and clinical improvements...
February 24, 2021: Chiropractic & Manual Therapies
https://read.qxmd.com/read/33596925/the-global-summit-on-the-efficacy-and-effectiveness-of-spinal-manipulative-therapy-for-the-prevention-and-treatment-of-non-musculoskeletal-disorders-a-systematic-review-of-the-literature
#34
JOURNAL ARTICLE
Pierre Côté, Jan Hartvigsen, Iben Axén, Charlotte Leboeuf-Yde, Melissa Corso, Heather Shearer, Jessica Wong, Andrée-Anne Marchand, J David Cassidy, Simon French, Gregory N Kawchuk, Silvano Mior, Erik Poulsen, John Srbely, Carlo Ammendolia, Marc-André Blanchette, Jason W Busse, André Bussières, Carolina Cancelliere, Henrik Wulff Christensen, Diana De Carvalho, Katie De Luca, Alister Du Rose, Andreas Eklund, Roger Engel, Guillaume Goncalves, Jeffrey Hebert, Cesar A Hincapié, Maria Hondras, Amanda Kimpton, Henrik Hein Lauridsen, Stanley Innes, Anne-Laure Meyer, David Newell, Søren O'Neill, Isabelle Pagé, Steven Passmore, Stephen M Perle, Jeffrey Quon, Mana Rezai, Maja Stupar, Michael Swain, Andrew Vitiello, Kenneth Weber, Kenneth J Young, Hainan Yu
BACKGROUND: A small proportion of chiropractors, osteopaths, and other manual medicine providers use spinal manipulative therapy (SMT) to manage non-musculoskeletal disorders. However, the efficacy and effectiveness of these interventions to prevent or treat non-musculoskeletal disorders remain controversial. OBJECTIVES: We convened a Global Summit of international scientists to conduct a systematic review of the literature to determine the efficacy and effectiveness of SMT for the primary, secondary and tertiary prevention of non-musculoskeletal disorders...
February 17, 2021: Chiropractic & Manual Therapies
https://read.qxmd.com/read/33522956/the-feasibility-of-implementing-an-english-language-version-of-gla-d-back
#35
JOURNAL ARTICLE
J Lemieux, G Kawchuk, A Kongsted, J Hartvigsen, V Abdollah, A Jones
BACKGROUND: Evidenced-based clinical guidelines for the treatment of low back pain (LBP) consistently suggest educating patients about their back pain, its natural course, and providing advice to keep active and continue working. Despite this evidence, clinicians routinely do not follow these recommendations resulting in ineffective and fragmented care. GLA:D® Back, a standardized care package, was originally developed in Denmark to assist clinicians in implementing evidence-based care...
February 1, 2021: Pilot and Feasibility Studies
https://read.qxmd.com/read/33407345/changes-in-pain-sensitivity-and-spinal-stiffness-in-relation-to-responder-status-following-spinal-manipulative-therapy-in-chronic-low-back-pain-a-secondary-explorative-analysis-of-a-randomized-trial
#36
RANDOMIZED CONTROLLED TRIAL
Casper Glissmann Nim, Gregory Neil Kawchuk, Berit Schiøttz-Christensen, Søren O'Neill
BACKGROUND: In a prior randomized trial, we demonstrated that participants receiving spinal manipulative therapy at a pain-sensitive segment instead of a stiff segment experienced increased mechanical pressure pain thresholds. We hypothesized that the targeted segment mediated this increase through a segment-dependent neurophysiological reflective pathway. Presently, it is not known if this decrease in pain sensitivity is associated with clinical improvement. Therefore, we performed an explorative analysis to examine if changes in experimental pain sensitivity (mechanical and thermal) and lumbar stiffness were further dependent on clinical improvement in disability and patient-reported low back pain...
January 6, 2021: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/33354411/self-reports-vs-physical-measures-of-spinal-stiffness
#37
JOURNAL ARTICLE
Jonas Nielsen, Casper Glissmann Nim, Søren O'Neill, Eleanor Boyle, Jan Hartvigsen, Gregory N Kawchuk
Background: Objectively measured reduction in lumbar posterior-to-anterior (PA) stiffness is associated with pain relief in some, but not all persons with low back pain. Unfortunately, these measurements can be time consuming to perform. In comparison, the Lumbar Spine Instability Questionnaire (LSIQ) is intended to measure spinal instability and the Lumbar Spine Disability Index (LSDI) is created for self-reporting functional disability due to increased spinal stiffness. Given the above, the aim of this study is to compare measures of the LSIQ and LSDI with objective measures of lumbar PA stiffness as measured by a mechanical device, Vertetrack (VT), in patients with persistent non-specific low back pain (nsLBP)...
2020: PeerJ
https://read.qxmd.com/read/33309783/optimization-of-spinal-manipulative-therapy-protocols-a-factorial-randomized-trial-within-a-multiphase-optimization-framework
#38
RANDOMIZED CONTROLLED TRIAL
Julie M Fritz, Jason Sharpe, Tom Greene, Elizabeth Lane, Maliheh Hadizadeh, Molly McFadden, Douglas Santillo, Jedidiah Farley, Jake Magel, Anne Thackeray, Gregory Kawchuk
Spinal manipulative therapy (SMT) is a common nonpharmacological treatment for low back pain (LBP). Although generally supported by systematic reviews and practice guidelines, clinical trials evaluating SMT have been characterized by small effect sizes. This study adopts a Multiphase Optimization Strategy framework to examine individual components of an SMT delivery protocol using a single-blind trial with the goal of identifying and optimizing a multicomponent SMT protocol. We enrolled 241 participants with LBP...
June 2021: Journal of Pain
https://read.qxmd.com/read/33247597/texture-analysis-in-the-classification-of-t-2-weighted-magnetic-resonance-images-in-persons-with-and-without-low-back-pain
#39
JOURNAL ARTICLE
Vahid Abdollah, Eric C Parent, Samin Dolatabadi, Erica Marr, Roger Croutze, Keith Wachowicz, Greg Kawchuk
Magnetic resonance imaging findings often do not distinguish between people with and without low back pain (LBP). However, there are still a large number of people who undergo magnetic resonance imaging to help determine the etiology of their back pain. Texture analysis shows promise for the classification of tissues that look similar, and machine learning can minimize the number of comparisons. This study aimed to determine if texture features from lumbar spine magnetic resonance imaging differ between people with and without LBP...
November 28, 2020: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://read.qxmd.com/read/33232379/predicting-who-responds-to-spinal-manipulative-therapy-using-a-short-time-frame-methodology-results-from-a-238-participant-study
#40
JOURNAL ARTICLE
Maliheh Hadizadeh, Gregory Neil Kawchuk, Narasimha Prasad, Julie M Fritz
BACKGROUND: Spinal manipulative therapy (SMT) is among the nonpharmacologic interventions that has been recommended in clinical guidelines for patients with low back pain, however, some patients appear to benefit substantially more from SMT than others. Several investigations have examined potential factors to modify patients' responses prior to SMT application. The objective of this study was to determine if the baseline prediction of SMT responders can be improved through the use of a restricted, non-pragmatic methodology, established variables of responder status, and newly developed physical measures observed to change with SMT...
2020: PloS One
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