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https://www.readbyqxmd.com/read/27904232/inter-professional-practices-of-private-sector-physiotherapists-for-low-back-pain-management-who-how-and-when
#1
Kadija Perreault, Clermont E Dionne, Michel Rossignol, Stéphane Poitras, Diane Morin
Purpose: Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (LBP) management and identifies organizational and provider-level variables associated with the intensity of such practices. Method: A total of 327 randomly selected physiotherapists were surveyed in the province of Quebec...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27884924/low-acuity-presentations-to-the-emergency-department-in-canada-exploring-the-alternative-attempts-to-avoid-presentation
#2
Lynette D Krebs, Scott W Kirkland, Rajiv Chetram, Taylor Nikel, Britt Voaklander, Alan Davidson, Bryn Holroyd, Cristina Villa-Roel, Katelynn Crick, Stephanie Couperthwaite, Chris Alexiu, Garnet Cummings, Brian H Rowe
OBJECTIVE: ED visits have been rising year on year worldwide. It has been suggested that some of these visits could be avoided if low-acuity patients had better primary care access. This study explored patients' efforts to avoid ED presentation and alternative care sought prior to presentation. METHODS: Consecutive adult patients presenting to three urban EDs in Edmonton, Canada, completed a questionnaire collecting demographics, actions attempted to avoid presentation and reasons for presentation...
November 24, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27884458/risk-of-carotid-stroke-after-chiropractic-care-a-population-based-case-crossover-study
#3
J David Cassidy, Eleanor Boyle, Pierre Côté, Sheilah Hogg-Johnson, Susan J Bondy, Scott Haldeman
BACKGROUND: Chiropractic manipulation is a popular treatment for neck pain and headache, but may increase the risk of cervical artery dissection and stroke. Patients with carotid artery dissection can present with neck pain and/or headache before experiencing a stroke. These are common symptoms seen by both chiropractors and primary care physicians (PCPs). We aimed to assess the risk of carotid artery stroke after chiropractic care by comparing association between chiropractic and PCP visits and subsequent stroke...
November 21, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27826415/does-case-misclassification-threaten-the-validity-of-studies-investigating-the-relationship-between-neck-manipulation-and-vertebral-artery-dissection-stroke-no
#4
Donald R Murphy, Michael J Schneider, Stephen M Perle, Christopher G Bise, Michael Timko, Mitchell Haas
BACKGROUND: The purported relationship between cervical manipulative therapy (CMT) and stroke related to vertebral artery dissection (VAD) has been debated for several decades. A large number of publications, from case reports to case-control studies, have investigated this relationship. A recent article suggested that case misclassification in the case-control studies on this topic resulted in biased odds ratios in those studies. DISCUSSION: Given its rarity, the best epidemiologic research design for investigating the relationship between CMT and VAD is the case-control study...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27822361/serious-bicycle-crash-injury-in-chiropractic-practice-a-case-report-of-delayed-diagnosis
#5
Lars Uhrenholt
BACKGROUND: Bicyclists are vulnerable road users and are at risk of serious spinal injury if involved in traffic crashes. In Denmark approximately 25 bicyclists are killed each year and some 20.000 bicycle related casualties are registered in the National Patient Registry each year. In addition to these figures, a large number of casualties remain unregistered despite injury. Many of the casualties will consult chiropractors in primary practice with or without preceding evaluation in the established emergency care facilities...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27822360/an-indication-of-current-views-of-australian-general-practitioners-towards-chiropractic-and-osteopathy-a-cross-sectional-study
#6
Roger M Engel, Robyn Beirman, Sandra Grace
BACKGROUND: While the role of complementary medicine therapies such as chiropractic and osteopathy is yet to be clearly delineated in the Australian context, demand for these services remains high. The attitudes of general practitioners towards chiropractors and osteopaths may have played a part in producing this outcome. However, this view is based on data that were more than 10 years old. Current anecdotal evidence suggests that the previous level of support may be declining in sections of the Australian medical profession...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27766145/outcomes-of-a-pilot-study-in-chiropractic-practices-in-western-australia
#7
Lyndon G Amorin-Woods, Gregory F Parkin-Smith, Lee Nedkoff, Colleen Fisher
BACKGROUND: This paper reports the quantitative outcomes of a mixed-methods pilot study of the characteristics and demographics of chiropractic practices and patients in Western Australia. METHODS: This was a mixed-methods data transformation model (qualitative to quantitative) pilot study. A non-random sample of chiropractic practices across Western Australia was recruited and data collected anonymously from consecutive new patients using an online platform. Data covered practice and patient demographics and characteristics, alongside quality of life measures...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27760504/relationship-between-craniocervical-orientation-and-center-of-force-of-occlusion-in-adults
#8
Curtis D Westersund, Jeffrey Scholten, Raymond J Turner
OBJECTIVE: Clinical observation and anecdotal reports suggest changes can occur to dental occlusion following intervention with the National Upper Cervical Chiropractic Association (NUCCA) procedure. This case controlled study discerned if occlusion changes are measurable using a dental force plate (T-Scan®) following an adjustment to the craniocervical junction (CCJ). METHODS: A degree of case control was established by active patients being assessed twice prior to and following intervention...
October 20, 2016: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/27756318/workers-characteristics-associated-with-the-type-of-healthcare-provider-first-seen-for-occupational-back-pain
#9
Marc-André Blanchette, Michèle Rivard, Clermont E Dionne, Sheilah Hogg-Johnson, Ivan Steenstra
BACKGROUND: Few studies have compared the factors that drive patients' decision to choose a chiropractor, physician or physiotherapist as their first healthcare provider for occupational back pain. The purpose of this study is to identify characteristics associated with the choice of first healthcare provider seen for acute uncomplicated occupational back pain. METHODS: We analyzed data collected by the Workplace Safety and Insurance Board from a cohort of workers with compensated back pain in 2005 in Ontario (Canada)...
October 18, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27730112/influenza-immunization-among-canadian-health-care-personnel-a-cross-sectional-study
#10
Sarah A Buchan, Jeffrey C Kwong
BACKGROUND: Influenza immunization coverage among Canadian health care personnel remains below national targets. Targeting this group is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. We examined influenza immunization coverage in health care personnel in Canada, reasons for not being immunized and the impact of "vaccinate-or-mask" influenza prevention policies. METHODS: In this national cross-sectional study, we pooled data from the 2007 to 2014 cycles of the Canadian Community Health Survey and restricted it to respondents who reported a health care occupation...
July 2016: CMAJ Open
https://www.readbyqxmd.com/read/27717581/establishing-the-acorn-national-practitioner-database-strategies-to-recruit-practitioners-to-a-national-practice-based-research-network
#11
Jon Adams, Amie Steel, Craig Moore, Lyndon Amorin-Woods, David Sibbritt
OBJECTIVES: The purpose of this paper is to report on the recruitment and promotion strategies employed by the Australian Chiropractic Research Network (ACORN) project aimed at helping recruit a substantial national sample of participants and to describe the features of our practice-based research network (PBRN) design that may provide key insights to others looking to establish a similar network or draw on the ACORN project to conduct sub-studies. METHODS: The ACORN project followed a multifaceted recruitment and promotion strategy drawing on distinct branding, a practitioner-focused promotion campaign, and a strategically designed questionnaire and distribution/recruitment approach to attract sufficient participation from the ranks of registered chiropractors across Australia...
October 4, 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27713818/awareness-of-radiographic-guidelines-for-low-back-pain-a-survey-of-australian-chiropractors
#12
Hazel J Jenkins
BACKGROUND: Chiropractors have been shown to refer for lumbar radiography in clinical scenarios inconsistent with the current clinical guidelines for low back pain. It is unknown whether this is due to lack of adherence with known guidelines or a lack of awareness of relevant guidelines. Therefore, the aim of this study is to determine Australian chiropractors' awareness of, and reported adherence to, radiographic guidelines for low back pain. Demographic, chiropractic practice and radiographic usage characteristics will be investigated for association with poor guideline adherence...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27713583/advanced-hip-joint-degeneration-associated-with-femoroacetabular-impingement-in-a-retired-chiropractor
#13
Peter C Emary, John A Taylor
Femoroacetabular impingement is a relatively new clinical entity only recently described in the orthopedic literature. In this report, we document a severe case of hip joint osteoarthritis associated with cam-type impingement in a retired chiropractor.
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27713576/neck-pain-in-children-a-retrospective-case-series
#14
Jocelyn Cox, Christine Davidian, Silvano Mior
INTRODUCTION: Spinal pain in the paediatric population is a significant health issue, with an increasing prevalence as they age. Paediatric patients attend for chiropractor care for spinal pain, yet, there is a paucity of quality evidence to guide the practitioner with respect to appropriate care planning. METHODS: A retrospective chart review was used to describe chiropractic management of paediatric neck pain. Two researchers abstracted data from 50 clinical files that met inclusion criteria from a general practice chiropractic office in the Greater Toronto Area, Canada...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27698631/the-association-of-complementary-health-approaches-with-mood-and-coping-strategies-among-orthopedic-patients
#15
Casey O'Connor, Yvonne Braun, Sjoerd P F T Nota, Timothy Baloda, David Ring
Background: Variation in pain intensity and magnitude of disability among patients with musculoskeletal illness is largely accounted for by variations in symptoms of depression, catastrophic thinking, and heightened illness concern. It is possible that patients with greater stress, distress, and less effective coping strategies might be more likely to seek the use of Complementary Health Approaches (CHA). This study addressed the primary null hypothesis that there are no demographic, illness-related, or psychological factors associated with CHA use among patients with upper extremity illness...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27660596/effect-of-tens-versus-placebo-on-walking-capacity-in-patients-with-lumbar-spinal-stenosis-a-protocol-for-a-randomized-controlled-trial
#16
Carlo Ammendolia, Pierre Côté, Y Raja Rampersaud, Danielle Southerst, Brian Budgell, Claire Bombardier, Gillian Hawker
BACKGROUND: Lumbar spinal stenosis (LSS) is a growing health problem and a leading cause of disability and loss of independence in older adults. It is usually caused by age-related degenerative narrowing of the spinal canals leading to compression and ischemia of the spinal nerves and symptoms of neurogenic claudication. Limited walking ability is the dominant functional impairment caused by LSS. Animal studies suggest increased blood flow to the spinal nerves and spinal cord with superficial paraspinal electrical stimulation...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27638518/association-between-the-type-of-first-healthcare-provider-and-the-duration-of-financial-compensation-for-occupational-back-pain
#17
Marc-André Blanchette, Michèle Rivard, Clermont E Dionne, Sheilah Hogg-Johnson, Ivan Steenstra
Objective To compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers. Methods We analyzed data from a cohort of 5511 workers who received compensation from the Workplace Safety and Insurance Board for back pain in 2005. Multivariable Cox models controlling for relevant covariables were performed to compare the duration of financial compensation for the patients of each of the three types of first healthcare providers...
September 17, 2016: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/27637456/chiropractic-and-spinal-manipulation-therapy-on-twitter-case-study-examining-the-presence-of-critiques-and-debates
#18
Alessandro R Marcon, Philip Klostermann, Timothy Caulfield
BACKGROUND: Spinal manipulation therapy (SMT) is a popular though controversial practice. The debates surrounding efficacy and risk of SMT are only partially evident in popular discourse. OBJECTIVE: This study aims to investigate the presence of critiques and debates surrounding efficacy and risk of SMT on the social media platform Twitter. The study examines whether there is presence of debate and whether critical information is being widely disseminated. METHODS: An initial corpus of 31,339 tweets was compiled through Twitter's Search Application Programming Interface using the query terms "chiropractic," "chiropractor," and "spinal manipulation therapy...
September 16, 2016: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/27633262/allied-health-management-of-technology-related-musculoskeletal-complaints-among-children-and-adolescents
#19
Marina Ciccarelli, Kerri Fraser, Sharmila Vaz
BACKGROUND/AIM: Children and adolescents are prolific users of information and communication technologies (ICT) in learning, leisure, and social communication activities. High exposure to ICT is associated with musculoskeletal injuries in adults; however, the management of ICT physical complaints in children is not well-understood. METHODS: An online survey of allied health professionals (occupational therapists, physiotherapists, and chiropractors) was undertaken to determine (i) the number of children and adolescents in Perth, Western Australia who accessed treatment for musculoskeletal complaints related to use of technology; (ii) the typical frequency and duration of service provision; and (iii) the nature of treatment provided...
September 16, 2016: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/27621800/the-factors-and-motivations-behind-united-kingdom-chiropractic-professional-association-membership-a-survey-of-the-welsh-institute-of-chiropractic-alumni
#20
Sheena E Wotherspoon, Peter W McCarthy
BACKGROUND: There are many professional associations representing chiropractors and chiropractic in the United Kingdom (UK). Each has its unique selling points (USPs) and chiropractors can choose to join as many as they like; however, cost of membership has to be weighed against perceived benefits. The predictors of UK chiropractic association membership and motivational factors to join these associations, have not formally been identified. This research study aimed to identify some of the factors and motivations in Welsh Institute of Chiropractic (WIOC) Alumni regarding their decision to join (or not) a UK chiropractic professional association...
2016: Chiropractic & Manual Therapies
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