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https://www.readbyqxmd.com/read/29914805/physiotherapy-education-is-a-good-financial-investment-up-to-a-certain-level-of-student-debt-an-inter-professional-economic-analysis
#1
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
June 15, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29878852/a-survey-of-chiropractic-intern-experiences-learning-and-using-an-electronic-health-record-system
#2
Matthew F Funk
OBJECTIVE: Previous research has discussed various challenges to introducing an electronic health record (EHR) to first-time health professional students. Chiropractic interns face similar challenges. Interns' perceptions about learning and using an EHR were assessed. METHODS: An anonymous electronic survey was sent to interns of our outpatient chiropractic clinic requesting their relative agreement or disagreement to statements in nine domains. Since perceptions of EHR have been shown to change with increased time spent using an EHR, the survey also sought to compare more experienced users (8th semester) to novices (7th semester)...
June 7, 2018: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/29843912/association-between-utilization-of-chiropractic-services-for-treatment-of-low-back-pain-and-risk-of-adverse-drug-events
#3
James M Whedon, Andrew W J Toler, Justin M Goehl, Louis A Kazal
OBJECTIVES: Mortality rates due to adverse drug events (ADEs) are escalating in the United States. Analgesics are among the drug classes most often associated with occurrence of an ADE. Utilization of nonpharmacologic chiropractic services for treatment of low back pain could lead to reduced risk of an ADE. The objective of this investigation was to evaluate the association between utilization of chiropractic services and likelihood of an ADE. METHODS: We employed a retrospective cohort design to analyze health insurance claims data from the state of New Hampshire...
May 26, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29765191/alleviation-of-posttraumatic-dizziness-by-restoration-of-the-cervical-lordosis-a-cbp-%C3%A2-case-study-with-a-one-year-follow-up
#4
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present the successful treatment of posttraumatic dizziness and neck pains that were initiated in a patient following a whiplash event. [Subject and Methods] A 46 year old male suffered a whiplash event that initiated neck pain and dizziness symptoms. The patient had many positive orthopedic findings and demonstrated a forward head posture and cervical hypolordosis. The patient was treated by Chiropractic BioPhysics® technique including cervical extension traction, extension exercises and spinal manipulative therapy initially three times a week for 16-weeks, and once a month thereafter...
May 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29762118/pediatric-orthopaedic-consults-from-chiropractic-care
#5
Andy B Awwad, William L Hennrikus, Douglas G Armstrong
Alternative medicine in pediatrics is expanding, with chiropractic now a common choice for families seeking alternative medical care. Currently, there is sparse information in the literature exploring the role of chiropractic in orthopaedic pathology. The objective of this case series is to present pediatric patients who received treatment from chiropractors and orthopaedic physicians as well as to review the respective existing research. Data collected included chiropractic diagnosis, orthopaedic diagnosis, imaging studies, treatments, and complications...
2018: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29760552/patients-receiving-chiropractic-care-in-a-neurorehabilitation-hospital-a-descriptive-study
#6
Robert D Vining, Stacie A Salsbury, W Carl Cooley, Donna Gosselin, Lance Corber, Christine M Goertz
Objectives: Individuals rehabilitating from complex neurological injury require a multidisciplinary approach, which typically does not include chiropractic care. This study describes inpatients receiving multidisciplinary rehabilitation including chiropractic care for brain injury, spinal cord injury (SCI), stroke, and other complex neurological conditions. Design: Chiropractic services were integrated into Crotched Mountain Specialty Hospital (CMSH) through this project...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29739300/does-a-diagnostic-classification-algorithm-help-to-predict-the-course-of-low-back-pain-a-study-of-danish-chiropractic-patients-with-one-year-follow-up
#7
Lisbeth Hartvigsen, Alice Kongsted, Werner Vach, Louis-Rachid Salmi, Lise Hestbaek
Study Design A prospective observational study. Background A diagnostic classification algorithm was developed by Petersen et al., consisting of 12 categories based on a standardized examination protocol with the primary purpose of identifying clinically homogeneous subgroups of low back pain (LBP). Objectives To investigate if a diagnostic classification algorithm is associated with activity limitation and LBP intensity at 2-week and 3-month follow up, and 1-year trajectories of LBP intensity, and if it improves prediction of outcome when added to a set of known predictors...
May 8, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29735382/evidence-based-nonpharmacologic-strategies-for-comprehensive-pain-care-the-consortium-pain-task-force-white-paper
#8
Heather Tick, Arya Nielsen, Kenneth R Pelletier, Robert Bonakdar, Samantha Simmons, Ronald Glick, Emily Ratner, Russell L Lemmon, Peter Wayne, Veronica Zador
Consortium Pain Taskforce White Paper Summary Evidence-based Nonpharmacologic Strategies for Comprehensive Pain Care Supplementary information can be found in the online version at https://doi.org/10.1016/j.explore.2018.02.001. Medical pain management is in crisis; from the pervasiveness of pain to inadequate pain treatment, from the escalation of prescription opioids to an epidemic in addiction, diversion and overdose deaths. The rising costs of pain care and managing adverse effects of that care have prompted action from state and federal agencies including the DOD, VHA, NIH, FDA and CDC...
March 1, 2018: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/29706725/alleviation-of-neck-pain-by-the-non-surgical-rehabilitation-of-a-pathologic-cervical-kyphosis-to-a-normal-lordosis-a-cbp-%C3%A2-case-report
#9
Alyssa K Dennis, Paul A Oakley, Michael T Weiner, Tara A VanVranken, David A Shapiro, Deed E Harrison
[Purpose] To present a case of the therapeutic reversal of a cervical kyphosis into a lordosis in a patient who presented with neck pain and headaches. [Subject and Methods] A 24-year-old male irritated his neck while dancing. Upon examination it was revealed he had an excessive, 45 mm forward head translation and a 15° cervical kyphosis from C3-C6. The patient was treated with Chiropractic BioPhysics® methods aimed at restoring the cervical lordosis by mirror image® , neck extension exercises, cervical extension traction, and spinal manipulative therapy...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29702550/chiropractic-manipulation-increases-maximal-bite-force-in-healthy-individuals
#10
Heidi Haavik, Mustafa Görkem Özyurt, Imran Khan Niazi, Kelly Holt, Rasmus Wiberg Nedergaard, Gizem Yilmaz, Kemal Sitki Türker
Recent research has shown that chiropractic spinal manipulation can alter central sensorimotor integration and motor cortical drive to human voluntary muscles of the upper and lower limb. The aim of this paper was to explore whether spinal manipulation could also influence maximal bite force. Twenty-eight people were divided into two groups of 14, one that received chiropractic care and one that received sham chiropractic care. All subjects were naive to chiropractic. Maximum bite force was assessed pre- and post-intervention and at 1-week follow up...
April 27, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29655480/nontraditional-therapies-traditional-chinese-veterinary-medicine-and-chiropractic-in-exotic-animals
#11
REVIEW
Jessica A Marziani
The nontraditional therapies of Traditional Chinese Veterinary Medicine and chiropractic care are adjunct treatments that can be used in conjunction with more conventional therapies to treat a variety of medical conditions. Nontraditional therapies do not need to be alternatives to Western medicine but, instead, can be used simultaneously. Exotic animal practitioners should have a basic understanding of nontraditional therapies for both client education and patient referral because they can enhance the quality of life, longevity, and positive outcomes for various cases across multiple taxa...
May 2018: Veterinary Clinics of North America. Exotic Animal Practice
https://www.readbyqxmd.com/read/29629286/the-kaleidoscope-model-of-integrative-healthcare-as-a-collaborative-paradigm-for-cardiology-and-chiropractic-a-call-to-action
#12
REVIEW
Daniel J Cohen, Steven Schulman, Charles S Masarsky, Marion Todres-Masarsky
This review article proposes a model of integrative care for cardiovascular patients in institutional settings. We review relevant historic and contemporary examples of medical-chiropractic cooperation and a brief review of the literature illustrating the clinical benefits of chiropractic care for patients with cardiovascular disease. The groundwork proposes a distinct research and clinical practice model incorporating the doctor of chiropractic (D.C.) as a synergistic partner with the medical cardiologist coined the Kaleidoscope Model of Integrative Care (KM)...
March 2018: Integrative medicine research
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#13
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
May 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29589380/massage-reflexology-and-other-manual-methods-for-pain-management-in-labour
#14
REVIEW
Caroline A Smith, Kate M Levett, Carmel T Collins, Hannah G Dahlen, Carolyn C Ee, Machiko Suganuma
BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour, and this may contribute towards the popularity of complementary methods of pain management. This review examined the evidence currently available on manual methods, including massage and reflexology, for pain management in labour. This review is an update of the review first published in 2012. OBJECTIVES: To assess the effect, safety and acceptability of massage, reflexology and other manual methods to manage pain in labour...
March 28, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29584926/evaluation-of-complementary-and-integrative-health-approaches-among-us-veterans-with-musculoskeletal-pain-using-propensity-score-methods
#15
Ling Han, Joseph L Goulet, Melissa Skanderson, Harini Bathulapalli, Stephen L Luther, Robert D Kerns, Cynthia A Brandt
Objectives: To examine the treatment effectiveness of complementary and integrative health approaches (CIH) on chronic pain using Propensity Score (PS) methods. Design, Settings, and Participants: A retrospective cohort of 309,277 veterans with chronic musculoskeletal pain assessed over three years after initial diagnosis. Methods: CIH exposure was defined as one or more clinical visits for massage, acupuncture, or chiropractic care. The treatment effect of CIH on self-rated pain intensity was examined using a longitudinal model...
March 23, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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
#16
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/29552080/themes-underlying-australian-general-practitioner-views-towards-chiropractic-and-osteopathy-an-assessment-of-free-text-data-from-a-cross-sectional-survey
#17
Sandra Grace, Roger Engel, Ian Jalsion
The Australian chiropractic and osteopathic professions underwent a period of significant transformation between 1960 and 2000. This resulted in an improvement in the views held by the medical profession towards the two professions. However, a recent survey of Australian general practitioners (GPs) reported that a number of GPs still hold negative views towards chiropractors and osteopaths. This paper examines these views from the perspective of critical realism and explores the generative mechanisms that can influence the willingness of health practitioners to collaborate over patient care...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/29545691/cervical-extension-traction-as-part-of-a-multimodal-rehabilitation-program-relieves-whiplash-associated-disorders-in-a-patient-having-failed-previous-chiropractic-treatment-a-cbp-%C3%A2-case-report
#18
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a patient suffering from chronic whiplash syndrome including chronic neck pain and daily headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female presented with a chief complaint of chronic neck pain and headaches for 12 years, correlating temporally with a sustained whiplash. These symptoms were not significantly relieved by previous chiropractic spinal manipulative therapy. The patient had cervical hypolordosis and was treated with Chiropractic BioPhysics® protocol including extension exercises, manual adjustments and cervical extension traction designed to increase the cervical lordosis...
February 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29541445/outcomes-indicators-and-a-risk-classification-system-for-spinal-manipulation-under-anesthesia-a-narrative-review-and-proposal
#19
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/29510963/-conventional-analgesics-and-non-pharmacological-multidisciplinary-therapeutic-treatment-in-endometriosis-cngof-has-endometriosis-guidelines
#20
J-M Wattier
A major symptom of endometriosis is pelvic pain with a wide range of intensity, rhythm, type, and expression, without clearly established relationship between pain and the disease. Endometriosis-associated pain has physical, psychological/behavioral and social consequences with a significant impact on patient quality-of-life in relation with the biopsychosocial model of chronic pain. Pain assessment in all of its dimensions, as well as assessing the consequences of pain is therefore a crucial part of therapeutic management...
March 2018: Gynecologie, Obstetrique, Fertilite & Senologie
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