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Journal of the Canadian Chiropractic Association

Spencer Bell, Cameron Borody
Introduction: Os trigonum syndrome is a relatively uncommon condition, resulting from compression of a congenital bony anomaly (os trigonum) and adjacent soft tissues during repetitive hyper-plantarflexion. This condition is currently well-described in ballet, soccer, and running athletes, but few cases exist describing os trigonum syndrome in overhead athletes. Case Presentation: A 22-year-old national level male javelin athlete presented with a recalcitrant history of posterior ankle pain following a hyper-plantarflexion mechanism...
December 2018: Journal of the Canadian Chiropractic Association
Matt Wentzell
Objective: To describe the successful rehabilitation of a distal biceps brachii tendon reattachment following an acute traumatic tendon rupture. Clinical Features: A 30-year-old weightlifter presented five days post-op after a left distal biceps tendon repair. A three month one pound weight-restriction was recommended by the attending surgeon. Active and passive elbow and wrist range of motion were markedly reduced with profuse post-operative swelling and bruising noted upon initial inspection...
December 2018: Journal of the Canadian Chiropractic Association
Chris Grant, Jason Pajaczkowski
Background: Femoral anterior glide syndrome is a movement impairment syndrome, which presents with anterior hip pain aggravated by hip flexion and extension. It is believed to occur because of altered muscle activation patterns contributing to altered gliding of the femoral head within the acetabulum and constant overloading and irritation of the joint structures. Study Design: Case series. Case Description: Three elite athletes diagnosed with femoral anterior glide syndrome were treated conservatively with the main goal of improving posterior femoral glide...
December 2018: Journal of the Canadian Chiropractic Association
Darrin Germann, Amr El Bouse, Jordan Shnier, Nader Abdelkader, Mohsen Kazemi
Introduction: The therapeutic effects of local muscle vibration (LMV) remain controversial due to a lack of specific protocols. This review was conducted to better understand the effects of various LMV application protocols. Methods: A comprehensive literature search was performed based on title and abstract and a set of predetermined inclusion criteria. Study quality was then evaluated via the PEDro scale. Results: 23 articles were returned initially, and 21 studies were evaluated...
December 2018: Journal of the Canadian Chiropractic Association
Scott W Cheatham, Kyle R Stull, Morey J Kolber
This investigation measured the reliability of the numeric pain rating scale (NPRS) for roller massage (RM) over two sessions and compared it to pressure pain threshold (PPT) during a third session. Twenty-five subjects participated. Session one, subjects rolled on 3 different rollers and filled out the NPRS for each roller then chose their preferred roller. Session two, subjects repeated the testing blind-folded to eliminate visual biases. Session three, subjects repeated testing but were measured with PPT...
December 2018: Journal of the Canadian Chiropractic Association
Melissa Corso
This narrative review summarizes the current literature on early sport specialization and changes that occur in the musculoskeletal system throughout growth and maturation. It discusses the impact of development on the motor and sensory systems and how this contributes to movement and coordination in the young athlete. With the increasing number of youth athletes in organized sport and the popularization of early sport specialization, the purpose of this paper is to educate those involved with the youth and adolescent athlete to important changes that are occurring at this time in development and the implications they have on movement, performance and injury...
December 2018: Journal of the Canadian Chiropractic Association
Mohsen Kazemi
No abstract text is available yet for this article.
December 2018: Journal of the Canadian Chiropractic Association
Bryan M Bond, Jamie Dehan, Mark Horacek
Background: Interprofessional education (IPE) facilitates collaborative health practice, improving clinical outcomes. Objective: Explore physical therapy (PT) students' observations about chiropractic, including attitudes amongst distinctive PT programs. Methods: We administered a 74-item electronic survey, including 12 attitudinal items comprising the chiropractic attitude questionnaire (CAQ), to PT students at two universities. PT students at University 2 interacted with faculty members who were chiropractors, while PT students at University 1 did not interrelate with faculty members who were chiropractors...
December 2018: Journal of the Canadian Chiropractic Association
Martha Funabashi, Katherine A Pohlman, Silvano Mior, Maeve O'Beirne, Michael Westaway, Diana De Carvalho, Mohamed El-Bayoumi, Bob Haig, Darrell J Wade, Haymo W Thiel, J David Cassidy, Eric Hurwitz, Gregory N Kawchuk, Sunita Vohra
Objectives: To: 1) develop/adapt and validate an instrument to measure patient safety attitudes and opinions of community-based spinal manipulative therapy (SMT) providers; 2) implement the instrument; and 3) compare results among healthcare professions. Methods: A review of the literature and content validation were used for the survey development. Community-based chiropractors and physiotherapists in 4 Canadian provinces were invited. Results: The Agency for Healthcare Research and Quality's (AHRQ) Medical Office Survey on Patient Safety Culture was the preferred instrument...
December 2018: Journal of the Canadian Chiropractic Association
Brian Budgell, Brenda Yee
Background: Debate concerning chiropractic management of female infertility occurs largely in the absence of reference to the extant literature. Methods: A scoping review was conducted of primary (original) data publications on the chiropractic management of female infertility based on searches of the Index to Chiropractic Literature and Pubmed, supplemented by papers from one author's archive. Results: Ten articles, all case studies, met the review's inclusion criteria and documented the experiences of 11 women (mean age 31 years; mean period of infertility 3 years)...
August 2018: Journal of the Canadian Chiropractic Association
Matt Wentzell
Objective: To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis. Clinical Features: A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Pain was constant but exacerbated with training and assuming the en pointe and demi-pointe dance positions. Plantar flexion of the great toe was pain provoking. Triggering of the great toe and audible and palpable crepitus were noted with active and passive great toe range of motion...
August 2018: Journal of the Canadian Chiropractic Association
Melissa Corso, Scott Howitt
Background: Knee injuries are the second to fourth most common injuries in youth soccer. In this population, sprains/strains, fractures and contusions are most common. Due to variations in the developing skeleton, it can be difficult to rule out fractures. Case Summary: We present a case of a 13-year-old presenting to the emergency department (ED) with patellar pain after pivoting during a soccer game. After radiographic clearance, he was allowed to return to sport...
August 2018: Journal of the Canadian Chiropractic Association
Patrick Welsh
Objective: To report 2 cases of lateral elbow tendinopathy treated with a novel adaptation of tendon neuroplastic training (TNT). Clinical features: Patient 1: A 61-year-old male machine operator presented with one year of bilateral lateral elbow pain related to his occupation of using torque wrenches. Patient 2: A 37-year-old male electrician presented with two months of recurrent left lateral elbow pain related to repetitive motions of gripping and pulling at work...
August 2018: Journal of the Canadian Chiropractic Association
Robert Cooperstein, Felisha Truong
Objective: The purpose of this study was to quantify the extent to which apparent movements of the posterior superior iliac spine and sacral base areas Gillet sacroiliac motion testing were related to (a) degree of hip flexion and (b) the examiner's palpatory pressure. Methods: A preliminary exploratory study quantified relative PSIS/S2 displacements in 10 sacroiliac joints among 5 asymptomatic subjects at 10° increments of hip flexion from 0-90°. A comprehensive follow-up asymptomatic study quantified PSIS/S2 displacements at 0° vs...
August 2018: Journal of the Canadian Chiropractic Association
H Stephen Injeyan, Gaelan Connell, Katelyn Foster, Deborah Kopansky-Giles, Guy Sovak, Tony Tibbles
Objective: To determine the prevalence and presenting complaints of HIV/AIDS patients attending a chiropractic outpatient teaching clinic in downtown Toronto, and explore their self-reported comorbidities, medications used, and consumption of other complementary health care. Methods: A random sample was drawn from the entire clinic file collection spanning the years 2007 to 2013. Files were anonymized and coded to ensure confidentiality. Results: A total of 264 files were radomly pulled from approxinately 3750 clinic files...
August 2018: Journal of the Canadian Chiropractic Association
Margaret Butkovic
This paper traces the development of the CMCC Health Sciences Library from its humble beginning in 1945 to the present day. In the early years of its development the library grew and prospered thanks to the support of early pioneers, the believers in the importance of the library to chiropractic education. In the later years of its growth and in spite of some challenges, with the support of CMCC presidents Dr. Ian Coulter and Dr. Jean Moss, and the academic deans Dr. Al Adams and Dr. John Mrozek, the library prospered...
April 2018: Journal of the Canadian Chiropractic Association
Craig A Bauman, Peter Emary, Tyler Damen, Heather Dixon
Introduction: Melanoma can be a fatal form of skin cancer. The prognosis rapidly deteriorates from the in situ stage (stage 0) to stage 4. As such, early detection and treatment are key. Case Presentation: A middle-aged patient, who was also a chiropractor, self-identified a small skin lesion using the Chiropractors Guide to Skin Cancer. The primary care physician made a dermatology referral, and biopsy identified melanoma. Surgery was subsequently booked and the lesion was excised with a 5 mm margin...
April 2018: Journal of the Canadian Chiropractic Association
Joseph Morley, David M Sikorski
Objective: The objective of this pilot study is to determine the effects of whole body vibration on head repositioning accuracy. Methods: Twenty-one participants had a bicycle helmet with an attached laser pointer placed on their heads while standing on a vibration platform. After aligning the laser beam to their determined neutral position on wall-mounted chart paper, they were instructed to close their eyes, flex their neck maximally then return to their perceived neutral position...
April 2018: Journal of the Canadian Chiropractic Association
Sheryl Bourgaize, Genevieve Newton, Dinesh Kumbhare, John Srbely
Two prominent forms of chronic musculoskeletal pain disorders are fibromyalgia (FM) and myofascial pain syndrome (MPS). Inconsistent diagnosis of chronic musculoskeletal pain is an important clinical issue, as MPS is often mistaken for FM. Distinction between the two diagnoses depends largely on identification of either tender points or myofascial trigger points in FM and MPS, respectively. However, there currently is no standard diagnostic protocol for MPS. Consequently, this results in a lack of consistency across health care practitioners diagnosing both FM and MPS...
April 2018: Journal of the Canadian Chiropractic Association
James Boysen, Stacie A Salsbury, Dana J Lawrence
Purpose: To describe chiropractic students' perceptions of their future role in public health following an international service-learning experience. Methods: Four, 60-minute focus groups were held with 17 upper-level students from 1 U.S. chiropractic college after a mentored clinical experience in 4 international settings. Two investigators analyzed the transcribed focus group interviews. Results: We identified 3 themes where chiropractic students emphasized the public health contributions of chiropractors, usually through one-on-one interactions with patients...
April 2018: Journal of the Canadian Chiropractic Association
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