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https://www.readbyqxmd.com/read/28822475/an-observational-study-on-recurrences-of-low-back-pain-during-the-first-12-months-after-chiropractic-treatment
#1
Christina Knecht, Barry Kim Humphreys, Brigitte Wirth
OBJECTIVES: The purpose of this study was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions. METHODS: In Switzerland, 722 patients with LBP (375 male; mean age = 44.5 ± 13.8 years) completed the Numeric Rating Scale for pain (NRS) and the Oswestry Disability Index (ODI) before treatment and 1, 3, 6, and 12 months later (ODI up to 3 months)...
July 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28815014/the-relationship-between-intolerance-of-uncertainty-in-chiropractic-students-and-their-treatment-intervention-choices
#2
Stanley I Innes, Charlotte Leboeuf-Yde, Bruce F Walker
BACKGROUND: Psychological factors, such as intolerance of uncertainty (IU), have been shown to impact on the quality of medical care. However, this psychological measure has not been studied in the chiropractic profession. Our objective was to investigate if higher levels of IU in chiropractic students were related to poor choices of management in specific clinical scenarios. Also, we sought to investigate if levels of IU were related to students' intentions to adopt a prescriptive chiropractic technique system and evaluate their levels of self-belief...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28804617/-typical-chiropractic-patients-can-they-be-described-in-terms-of-recovery-patterns
#3
Iben Axén, Charlotte Leboeuf-Yde
BACKGROUND: Chiropractors expect the typical patient to recover fully or to improve quickly with treatment if relapses occur. However, a mismatch between expectations and outcome would have a negative effect on both the chiropractors' professional self-esteem and patients' satisfaction with care. The prevalence of three types of recovery patterns among patients with non-specific low back pain (LBP) was calculated: 1: A full sustained recovery. 2: Initial recovery, but with one or several relapses followed by a period of recovery...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28768113/building-a-chiropractic-academy-of-educators-a-needs-assessment-of-selected-faculty-educators
#4
Michael J Tunning, Dustin C Derby, Kelly A Krell-Mares, Michelle R Barber
OBJECTIVE: Professional demands have led to health-care educator specialization in research or patient care. The academy movement is an avenue that attempts to return prestige and importance to improved instruction. The authors performed a needs analysis of selected faculty at 3 chiropractic colleges to assess the need for, and willingness to participate in, an academy of educators program. METHODS: An expert-developed, pretested survey was deployed using SurveyMonkey...
August 2, 2017: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/28768108/a-cross-sectional-study-of-chiropractic-students-research-readiness-using-the-academic-self-concept-analysis-scale
#5
Stephney Whillier, Kent Au, Louie Feng, Helen Su
OBJECTIVE: The shift toward evidence-based health care has reoriented tertiary clinical education in a way that necessitates and incorporates research. This study assesses the inclination and suitability of chiropractic students for research over a 5-year educational program. METHODS: Research attributes of chiropractic students were assessed in this cross-sectional study using a validated and modified academic self-concept analysis scale. Students in first and final year were assessed in 4 domains: creativity, motivation, self-regulation, and general intellectual ability...
August 2, 2017: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/28746026/complementary-and-alternative-medicine-in-an-integrated-health-care-delivery-system-users-of-chiropractic-acupuncture-and-massage-services
#6
Tracy Mccubbin, Karin L Kempe, Arne Beck
INTRODUCTION: Complementary and alternative medicine research has relied primarily on survey data from community populations rather than from patient populations receiving these services in integrated health care delivery systems (IHDS). OBJECTIVES: To describe patients seeking chiropractic, acupuncture, or massage therapy in a dedicated Center for Complementary Medicine (CCM) within an IHDS. METHODS: Patient surveys at the initial CCM visit included chief complaint, prior treatments, and relief with treatment (0% to 100% relief)...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28690665/use-of-integrative-medicine-in-the-united-states-military-health-system
#7
REVIEW
Cathaleen Madsen, Megan Vaughan, Tracey Pérez Koehlmoos
Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a "whole person" approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature "polytrauma triad" of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS)...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/28657811/description-of-the-case-mix-experienced-by-chiropractic-students-during-a-clinical-internship
#8
Aaron A Puhl, Christine J Reinhart, H Stephen Injeyan, Anthony Tibbles
OBJECTIVE: The primary objective of this study was to describe the case mix experienced by chiropractic students during their clinical internship at the Canadian Memorial Chiropractic College. Secondary objectives were to characterize teaching clinic patient populations, assess the similarity to previously published data for practicing chiropractors, and describe the treatment plans being recommended by interns. METHODS: A prospective, observational study was conducted using a convenience sample of 24 chiropractic interns...
June 28, 2017: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/28645292/implementation-of-tobacco-cessation-brief-intervention-in-complementary-and-alternative-medicine-practice-qualitative-evaluation
#9
Emery R Eaves, Amy Howerter, Mark Nichter, Lysbeth Floden, Judith S Gordon, Cheryl Ritenbaugh, Myra L Muramoto
BACKGROUND: This article presents findings from qualitative interviews conducted as part of a research study that trained Acupuncture, Massage, and Chiropractic practitioners' in Arizona, US, to implement evidence-based tobacco cessation brief interventions (BI) in their routine practice. The qualitative phase of the overall study aimed to assess: the impact of tailored training in evidence-based tobacco cessation BI on complementary and alternative medicine (CAM) practitioners' knowledge and willingness to implement BIs in their routine practice; and their patients' responses to cessation intervention in CAM context...
June 23, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28593041/the-biopsychosocial-model-and-chiropractic-a-commentary-with-recommendations-for-the-chiropractic-profession
#10
Jordan A Gliedt, Michael J Schneider, Marion W Evans, Jeff King, James E Eubanks
There is an increasing awareness, interest and acceptance of the biopsychosocial (BPS) model by all health care professionals involved with patient care. The areas of spine care and pain medicine are no exception, and in fact, these areas of health care are a major centerpiece of the movement from the traditional biomedical model to a BPS model of patient assessment and delivery of care. The chiropractic approach to health care has a history that is grounded in key aspects of the BPS model. The profession has inherently implemented certain features of the BPS model throughout its history, perhaps without a full understanding or realization...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28559759/chiropractic-care-of-a-10-year-old-boy-with-nonorganic-gait-disorder-a-case-report
#11
David E Wasylynko
OBJECTIVE: The purpose of this case report is to describe the multidisciplinary management of a boy with nonorganic gait disorder. CLINICAL FEATURES: A 10-year-old boy presented to a chiropractic clinic having had a concussion 1 week prior. He presented with lower limb muscle weakness and ataxia while weight bearing. He was referred immediately to the emergency department, from which he was sent to a neurologist at a children's hospital. The neurologist's diagnosis was nonorganic gait disorder...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28559758/plasmacytoma-of-the-cervical-spine-a-case-study
#12
Richard Pashayan, Wesley M Cavanaugh, Chad D Warshel, David R Payne
OBJECTIVE: The purpose of this case study is to describe the presentation of a patient with plasmacytoma. CLINICAL FEATURES: A 49-year-old man presented with progressive neck pain, stiffness, and dysphagia to a chiropractic office. A radiograph indicated a plasmacytoma at C3 vertebral body. The lesion was expansile and caused a mass effect anteriorly on the esophagus and posteriorly on the spinal cord. Neurologic compromise was noted with fasciculations and hypesthesia in the right forearm...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28559755/multimodal-chiropractic-care-for-pain-and-disability-in-a-patient-diagnosed-with-ehlers-danlos-syndrome-hypermobility-type-a-case-report
#13
Richard G Strunk
OBJECTIVE: The purpose of this article is to describe the clinical response to multimodal chiropractic treatment of a patient diagnosed with Ehlers-Danlos syndrome, hypermobility type (EDS-HT), and chronic pain. CLINICAL FEATURES: A 22-year-old woman presented with severe chronic neck and low back pain, headaches, and bilateral hand pain and stiffness. In addition to these pain complaints, the patient had a family history of EDS, weekly or daily recurring joint dislocations, and upper and lower extremity joint hypermobility...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28512119/complementary-and-integrative-medicine-in-the-management-of-headache
#14
REVIEW
Denise Millstine, Christina Y Chen, Brent Bauer
Headaches, including primary headaches such as migraine and tension-type headache, are a common clinical problem. Complementary and integrative medicine (CIM), formerly known as complementary and alternative medicine (CAM), uses evidence informed modalities to assist in the health and healing of patients. CIM commonly includes the use of nutrition, movement practices, manual therapy, traditional Chinese medicine, and mind-body strategies. This review summarizes the literature on the use of CIM for primary headache and is based on five meta-analyses, seven systematic reviews, and 34 randomized controlled trials (RCTs)...
May 16, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28503293/historical-influence-on-the-practice-of-chiropractic-radiology-part-ii-thematic-analysis-on-the-opinions-of-diplomates-of-the-american-chiropractic-college-of-radiology-about-the-future
#15
Kenneth J Young
BACKGROUND: Over the past 20 years, various authors have addressed the question of the future of chiropractic. Most were positive about the future, with some advocating evidence-based practice and integration with mainstream healthcare, some advocating continued separation with an emphasis on subluxation-based care or the traditional/historical paradigm of chiropractic, and some calling for tolerance and unity. No papers were found specifically inquiring about the future of chiropractic radiology...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28501759/resource-utilization-for-non-operative-cervical-radiculopathy-management-by-surgeons-versus-non-surgeons
#16
Sophie H Chung, Daniel D Bohl, Jonathan T Paul, Jeffrey A Rihn, James S Harrop, Zoher Ghogawala, Alan S Hilibrand, Jonathan N Grauer
OBJECTIVES: To compare the estimated resource utilization for non-operative treatment of cervical radiculopathy if managed by surgeons versus non-surgeons. PATIENTS AND METHODS: A Cervical Spine Research Society-sponsored survey was administered at a national spine surgery conference to surgeons and non-surgeons, as classified above. The survey asked questions regarding resource utilization and perceived costs for the "average patient" with cervical radiculopathy managed non-operatively...
July 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28494011/changes-in-the-use-practitioner-based-complementary-and-alternative-medicine-over-time-in-canada-cohort-and-period-effects
#17
Mayilee Canizares, Sheilah Hogg-Johnson, Monique A M Gignac, Richard H Glazier, Elizabeth M Badley
BACKGROUND: The use of complementary and alternative medicine (CAM) is growing. However the factors contributing to changes over time and to birth cohort differences in CAM use are not well understood. SETTING: We used data from 10186 participants, who were aged 20-69 years at the first cycle of data collection in the longitudinal component of the Canadian National Population Health Survey (1994/95-2010/11). We examined chiropractic and other practitioner-based CAM use with a focus on five birth cohorts: pre-World War II (born 1925-1934); World War II (born 1935-1944); older baby boomers (born 1945-1954); younger baby boomers (born 1955-1964); and Gen Xers (born 1965-1974)...
2017: PloS One
https://www.readbyqxmd.com/read/28477291/the-effect-of-complementary-private-health-insurance-on-the-use-of-health-care-services
#18
Astrid Kiil, Jacob Nielsen Arendt
This study estimates the effect of complementary private health insurance (PHI) on the use of health care. The empirical analysis focuses on an institutional setting in which empirical findings are still limited; namely on PHI covering co-payment for treatments that are only partly financed by a universal health care system. The analysis is based on Danish data recently collected specifically for this purpose, which makes identification strategies assuming selection on observables only, and on both observables and unobservables also, both plausible and possible...
March 2017: International Journal of Health Economics and Management
https://www.readbyqxmd.com/read/28469841/chiropractors-experience-and-readiness-to-work-in-indigenous-australian-communities-a-preliminary-cross-sectional-survey-to-explore-preparedness-perceived-barriers-and-facilitators-for-chiropractors-practising-cross-culturally
#19
Dein Vindigni, Barbara I Polus, Sonja Cleary, Aunty Kerrie Doyle
BACKGROUND: Indigenous people make up approximately 3% of the total Australian population and score poorer on all health indices, including back pain. Chiropractors are well placed to alleviate back pain, yet there is no research that considers chiropractors' readiness to treat Indigenous patients. This study explores chiropractors` experience working with Indigenous Australians, describes perceived barriers and facilitators to chiropractors' participation in Indigenous Healthcare and their willingness to engage in cultural competency training...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28465224/shoe-orthotics-for-the-treatment-of-chronic-low-back-pain-a-randomized-controlled-trial
#20
Jerrilyn A Cambron, Jennifer M Dexheimer, Manuel Duarte, Sally Freels
OBJECTIVES: To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment. DESIGN: Randomized controlled trial. SETTING: Integrative medicine teaching clinic at a university. PARTICIPANTS: Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample. INTERVENTIONS: Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups)...
April 30, 2017: Archives of Physical Medicine and Rehabilitation
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