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PRESCRIPTION RIGHTS: The Timex Topic:
It Took A Licking But Kept On Ticking

Chiro.Org Blog: Although prescription rights may seem appealing to many in the chiropractic profession, major changes to education and legislation will first be needed before these privileges can be incorporated into the profession’s scope of practice.   Chiropractors and the governing bodies that wish to pursue limited prescriptive authority should engage in dialogue with like-minded politicians and third-party payers and promote the benefits of making such changes to the existing healthcare system.   In addition, future research might be needed in order to justify such discussions with healthcare stakeholders. […]

Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

Chiro.Org Blog: Thirty children (mean age 120.70 months [SD 15.14]) with features of CGH and 34 (mean age 125.38 months [13.14]) age-matched asymptomatic controls participated in the study. When compared to asymptomatic controls, symptomatic children had a significantly smaller CVA (p < 0.001), significantly less active ROM in all cardinal planes (p < 0.001), and significantly less ROM during the FRT (p < 0.001), especially towards the dominant headache side (p < 0.001). […]

Cost-Effectiveness of Non-Invasive and
Non-Pharmacological Interventions for Low Back Pain

Chiro.Org Blog: Thirty-three studies were identified. Study interventions were categorised as: (1) combined physical exercise and psychological therapy, (2) physical exercise therapy only, (3) information and education, and (4) manual therapy. Interventions assessed within each category varied in terms of their components and delivery. In general, combined physical and psychological treatments, information and education interventions, and manual therapies appeared to be cost effective when compared with the study-specific comparators. There is inconsistent evidence around the cost effectiveness of physical exercise programmes as a whole, with yoga, but not group exercise, being cost effective. […]

Diagnostic Testing Considerations in
Pediatric Cervicogenic Headache

Chiro.Org Blog: Cervicogenic headache is common in pediatric patients and is defined by the International Headache Society as a condition caused by cervical spine dysfunction that is usually accompanied by neck pain. We chose this type of headache because it is commonly seen in chiropractic offices. With these thoughts in mind, we performed a search for office-based tests to help substantiate a diagnosis of cervicogenic headache diagnosis in a pediatric patient. […]

The Use of Spinal Manipulation to Treat
an Acute on Field Athletic Injury

Chiro.Org Blog: This case describes the utilization of spinal manipulative therapy for an acute athletic injury during a Taekwondo competition. During the tournament, an athlete had a sudden, non-traumatic, ballistic movement of the cervical spine. This resulted in the patient having a locked cervical spine with limited active motion in all directions. The attending chiropractor assessed the athlete, and deemed manipulation was appropriate. After the manipulation, the athlete’s range of motion was returned and was able to finish the match. […]

Children and Adolescents Presenting to Chiropractors in Norway

Chiro.Org Blog: The youngest children constituted the largest paediatric group in Norwegian chiropractic practice. Musculoskeletal problems were the most common reason for children visiting a chiropractor in all of the age categories, according to NHI data. Part two of the study found that one-third of young school children and adolescents reported pain lasting longer than 1-year. Eleven percent of children found that their complaint had severely affected their mood and 22 % felt their activities were very limited by their condition. Referrals from healthcare professionals were uncommon. The survey’s results were based on 161 completed questionnaires, received from 15 % of the Norwegian chiropractors. […]

Outcomes Of Pregnant Patients With Low Back Pain Undergoing Chiropractic Treatment

Chiro.Org Blog: 52% of 115 recruited patients ‘improved’ at 1 week, 70% at 1 month, 85% at 3 months, 90% at 6 months and 88% at 1 year. Most pregnant patients undergoing chiropractic treatment reported clinically relevant improvement at all time points. No single variable was strongly predictive of ‘improvement’ in the logistic regression model. […]

Chiropractic Management of Pregnancy-Related
Lumbopelvic Pain

Chiro.Org Blog: There are discrepancies to defining lumbopelvic pain in the pregnant population. [1, 2] Current terminology, pain topography, functional disabilities, and positive correlation of clinical testing have demarcated the classification of pregnancy-related lumbopelvic pain (PR LPP) into 2 bgroups: […]

Evidence-based Practice, Research Utilization, and Knowledge Translation in Chiropractic

Chiro.Org Blog: Evidence-based practice (EBP), research utilization (RU), and knowledge translation (KT) are interrelated concepts that pertain to the identification, utilization and application of knowledge from research sources to clinical practice. EBP has been defined as “the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care”. [1] […]