Michael Di Donato, Shannon Gray, Luke R Sheehan, Rachelle Buchbinder, Ross Iles, Alex Collie
OBJECTIVES: To identify the prevalence and frequency of physiotherapy, chiropractic, and/or osteopathy care in Australians with workers' compensation claims for low back pain (LBP). METHODS: We included workers with accepted workers' compensation claims longer than 2 weeks from the Australian states of Victoria, Queensland, South Australia, and Western Australia. Workers were grouped by whether they attended physiotherapy, chiropractic, and/or osteopathy in the first 2 years of their claim...
May 18, 2024: Journal of Occupational Rehabilitation
Casper Nim, Dorthe Schøler Ziegler, Anders Hansen, Søren O'Neill
OBJECTIVE: This study investigated patient satisfaction with care provided by chiropractic students under supervision vs supervisors in a Danish hospital setting. METHODS: A cross-sectional observational study of patient satisfaction was conducted at the Spine Center of Southern Denmark, where chiropractic students from the University of Southern Denmark complete an 8-week internship in their final year of pregraduate training. Patients were assigned to students or supervisors based on administrative convenience (ie, natural allocation)...
May 18, 2024: Journal of Chiropractic Education
Claire E O'Hanlon, Steven B Zeliadt, Rian DeFaccio, Lauren Gaj, Barbara G Bokhour, Stephanie L Taylor
BACKGROUND: Acupuncture and chiropractic care are evidence-based pain management alternatives to opioids. The Veterans Health Administration (VA) provides this care in some VA facilities, but also refers patients to community providers. We aimed to determine if patient-reported outcomes differ for acupuncture and chiropractic care from VA versus community providers. MATERIALS AND METHODS: We conducted an observational study using survey outcome data and electronic medical record utilization data for acupuncture and chiropractic care provided in 18 VA facilities or in community facilities reimbursed by VA...
2024: PloS One
Sasha L Aspinall, Casper Nim, Jan Hartvigsen, Chad E Cook, Eva Skillgate, Steven Vogel, David Hohenschurz-Schmidt, Martin Underwood, Sidney M Rubinstein
BACKGROUND: Research waste is defined as research outcomes with no or minimal societal benefits. It is a widespread problem in the healthcare field. Four primary sources of research waste have been defined: (1) irrelevant or low priority research questions, (2) poor design or methodology, (3) lack of publication, and (4) biased or inadequate reporting. This commentary, which was developed by a multidisciplinary group of researchers with spinal manipulative therapy (SMT) research expertise, discusses waste in SMT research and provides suggestions to improve future research...
May 14, 2024: Chiropractic & Manual Therapies
Brian C Coleman, Sidney M Rubinstein, Stacie A Salsbury, Michael Swain, Richard Brown, Katherine A Pohlman
BACKGROUND: The Global Patient Safety Action Plan, an initiative of the World Health Organization (WHO), draws attention to patient safety as being an issue of utmost importance in healthcare. In response, the World Federation of Chiropractic (WFC) has established a Global Patient Safety Task Force to advance a patient safety culture across all facets of the chiropractic profession. This commentary aims to introduce principles and call upon the chiropractic profession to actively engage with the Global Patient Safety Action Plan beginning immediately and over the coming decade...
May 13, 2024: Chiropractic & Manual Therapies
M Wassell, A Vitiello, K Butler-Henderson, K Verspoor, H Pollard
PURPOSE: Electronic Health Records (EHRs) can contain vast amounts of clinical information that could be reused in modelling outcomes of work-related musculoskeletal disorders (WMSDs). Determining the generalizability of an EHR dataset is an important step in determining the appropriateness of its reuse. The study aims to describe the EHR dataset used by occupational musculoskeletal therapists and determine whether the EHR dataset is generalizable to the Australian workers' population and injury characteristics seen in workers' compensation claims...
May 13, 2024: Journal of Occupational Rehabilitation
Samuel N Rodgers-Melnick, Roshini Srinivasan, Rachael L Rivard, Francoise Adan, Jeffery A Dusek
BACKGROUND: Patients seeking integrative health and medicine (IHM) modalities often present with multiple physical and psychological concerns. Research supports IHM's effectiveness for addressing symptoms over longer time periods. However, few studies have evaluated immediate outpatient effects. OBJECTIVE: This study describes pre-encounter patient-reported outcome (PRO) clusters and examines the immediate clinical effectiveness of IHM modalities on pain, stress, and anxiety among outpatients with moderate-to-severe symptoms...
2024: Glob Adv Integr Med Health
Shauna Dawn Fjaagesund, Wayne Graham, Evan Jones, Andrew Ladhams, Mark Sayers, Gary Campbell, Xiang-Yu Hou, Marius-Ionut Ungureanu, Florin Oprescu
The aim of this study was to explore and document the enablers and barriers of chiropractic care colocation in general practice at a large-scale private primary care centre in Australia. This study focused on the perceptions of healthcare professionals regarding this integration. The research setting was a large integrated primary care centre located in an outer metro, low-socioeconomic area in the City of Moreton Bay, Queensland, Australia. Participant inclusion criteria included general medical practitioners, practice nurses, and medical managers who self-reported interactions with the physically collocated and integrated chiropractic practice...
April 30, 2024: Healthcare (Basel, Switzerland)
Hainan Yu, Danielle Southerst, Jessica J Wong, Leslie Verville, Gaelan Connell, Lauren Ead, Silvano Mior, Lise Hestbaek, Michael Swain, Ginny Brunton, Heather M Shearer, Efrosini Papaconstantinou, Daphne To, Darrin Germann, Katie Pohlman, Christine Cedraschi, Carol Cancelliere
BACKGROUND: A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness of rehabilitation interventions is lacking. OBJECTIVES: To evaluate benefits and harms of rehabilitation interventions for non-specific low back pain (LBP) or thoracic spine pain in the pediatric population. METHODS: Seven bibliographic electronic databases were searched from inception to June 16, 2023...
May 8, 2024: Chiropractic & Manual Therapies
Casper Nim, Aron S Downie, Alice Kongsted, Sasha L Aspinall, Steen Harsted, Luana Nyirö, Werner Vach
In patients with low back pain, a visually identified retrospective pain trajectory often mismatches with a trajectory derived from prospective repeated measures. To gain insight into the clinical relevance of the two trajectory types, we investigated which showed a higher association with clinical outcomes. Participants were 724 adults seeking care for low back pain in Danish chiropractic primary care. They answered weekly SMSs on pain intensity and frequency over 52 weeks, which we translated into eight trajectory classes...
May 6, 2024: Journal of Pain
Sumnalata Ma Dewangan, Braj Bhushan Kumar
BACKGROUND: There are numerous reports of remarkable recoveries from diseases through drugless healing systems. In an effort to enhance the understanding of naturopathic therapies, the author, a renowned BNYS doctor specializing in naturopathy, yoga, nutrition, and wellness, aims to explain the importance of drugless therapies in various disease conditions. OBJECTIVE: To provide a comprehensive overview of the relevance and efficacy of naturopathy as a therapeutic tool in modern healthcare...
May 3, 2024: Alternative Therapies in Health and Medicine
Cecilia Bergström, Iben Axén, Jonathan Field, Jan Hartvigsen, Monique van der Marck, Dave Newell, Sidney Rubinstein, Annemarie de Zoete, Margareta Persson
The world's elderly population is growing at a rapid pace. This has led to an increase in demand on the health and welfare systems due to age-related disorders, with musculoskeletal complaints driving the need for rehabilitation services. However, there are concerns about health services' ability to meet this demand. While chiropractic care is gaining recognition for its benefits in treating older adults with musculoskeletal disorders, there is limited scientific literature on chiropractors' role and experiences in this area...
2024: PloS One
Eric J Roseen, Christopher Joyce, Sophie Winbush, Natalie Pavco-Luttschwager, Natalia E Morone, Robert B Saper, Stephen Bartels, Kushang V Patel, Julie J Keysor, Jonathan F Bean, Lance D Laird
BACKGROUND: Clinical practice guidelines encourage primary care providers (PCPs) to recommend nonpharmacologic treatment as first-line therapy for low back pain (LBP). However, the determinants of nonpharmacologic treatment use for LBP in primary care remain unclear, particularly in low-income settings. OBJECTIVE: To pilot a framework-informed interview guide and codebook to explore determinants of nonpharmacologic treatment use in primary care. METHODS: In this qualitative interview study, we enrolled PCPs and community health workers (CHWs) from four primary care clinics at a safety net hospital...
May 2, 2024: PM & R: the Journal of Injury, Function, and Rehabilitation
Sharné Naidoo, Nicole Karensa Hoenselaar, Christopher Yelverton
BACKGROUND: Evidence-Based Practice (EBP) is a model utilised by the majority of healthcare professionals and is a clinical framework that assists with decision-making related to patient care, to improve outcomes and patient satisfaction. The study aimed to analyse the attitudes, skills, and utilization of evidence-based practice (EBP) among South African chiropractors, focusing on perceived skill levels, training, use and identifying facilitators and barriers to EBP application. METHODS: A descriptive cross-sectional quantitative secondary analysis was conducted by inviting registered chiropractors in South Africa (n = 920) to participate in an anonymous online questionnaire using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE)...
April 30, 2024: Chiropractic & Manual Therapies
Robert James Trager, Zachary A Cupler, Roshini Srinivasan, Regina M Casselberry, Jaime A Perez, Jeffery A Dusek
OBJECTIVES: Patients receiving chiropractic spinal manipulation (CSM) for low back pain (LBP) are less likely to receive any opioid prescription for subsequent pain management. However, the likelihood of specifically being prescribed tramadol, a less potent opioid, has not been explored. We hypothesised that adults receiving CSM for newly diagnosed radicular LBP would be less likely to receive a tramadol prescription over 1-year follow-up, compared with those receiving usual medical care...
May 1, 2024: BMJ Open
Ahmed Gamal Sayed, Hesham Aboloyoun, Yasmine Saad Makarem, Ashraf Elnaggar
KEY CLINICAL MESSAGE: Contraindications of spinal manipulative therapy (SMT) have been proposed, which mandate rigorous control for its safe practice when manipulating the upper spine. Here, we report a vascular complication of Neck Manipulation in Eagle syndrome (ES) patient. ABSTRACT: SMT is used to treat musculoskeletal conditions such as back pain and neck pain by applying force to the spinal joints. Here, we report a rare but devastating complication of SMT, where a young male patient, 22 years old, with ES, had a large pseudoaneurysm from the internal carotid artery (ICA) after SMT from an unlicensed practitioner, treated successfully with endograft...
May 2024: Clinical Case Reports
Jason W Haas, Robert H Berry, Paul A Oakley, Deed E Harrison
Alleviation of headaches (HAs), neck pain (NP), and disability is a desirable clinical outcome for the billions globally who suffer from these conditions. Chiropractic BioPhysics® (CBP®) methods may provide an option for head and neck-injured patients. A 62-year-old female historically injured multiple times including two motor vehicle collisions (MVC), and a strike to the face with a hockey puck; all resulting in chronic pain and suffering. The subject sought and received successful treatment in 2016 using this conservative protocol at a facility in the USA...
April 2024: Curēus
Martin Felix, Ryan Denis, Charles Chen, Ana Picaza, Damian Casadesus
A woman in her 20s with a past medical history of surgical debulking of a right neck mass presented to the hospital for persistent and worsening right shoulder pain. The shoulder pain was associated with trismus and back and neck pain. A CT scan of the neck with contrast revealed post-surgical changes with increased heterotopic ossification throughout the surgical site extending to the supraclavicular soft tissues and the left sternocleidomastoid muscle, suggesting muscle ossification. A biopsy was performed, and the patient was diagnosed with myositis ossificans (MO)...
March 2024: Curēus
Amberly A Ferguson, Lia M Nightingale
OBJECTIVE: Providing video recordings of lecture material may enhance student flexibility, but does it alter attendance or influence their grade? This project assessed the extent and purpose of video usage by students and evaluated their impact on course performance within first-year basic science courses in a chiropractic curriculum. METHODS: All first-year students enrolled at a chiropractic college based in the United States were invited to complete a retrospective survey regarding video usage, attendance, and study behaviors for basic science courses they were enrolled during the previous term...
April 24, 2024: Journal of Chiropractic Education
Charles W Webb, Kenneth Aguirre, Peter H Seidenberg
Lumbar spinal stenosis is a clinical syndrome that affects more than 200,000 people in the United States annually. It is a common cause of chronic insidious low back pain, especially in older patient populations (mean age = 64 years). Lumbar spinal stenosis is a degenerative condition of the spine leading to narrowing in the spaces around the neurovascular bundles and the classic symptom of low back pain that radiates to the buttocks and lower extremities bilaterally. It is typically a progressive waxing and waning process that may deteriorate over years...
April 2024: American Family Physician
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