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Self-reported Attitudes, Skills and Use of Evidence-based Practice Among Canadian Doctors of Chiropractic

Chiro.Org Blog: While most Canadian chiropractors held positive attitudes towards EBP, believed EBP was useful, and were interested in improving their skills in EBP, many did not use research evidence or CPGs to guide clinical decision making. Our findings should be interpreted cautiously due to the low response rate (7.7%). […]

Attitudes and Opinions of Doctors of Chiropractic Specializing in Pediatric Care Toward Patient Safety

Chiro.Org Blog: Compared with 2014 Agency for Healthcare Research and Quality physician referent data from medical offices, pediatric DCs appear to have more positive patient safety attitudes and opinions. Future patient safety studies need to prospectively evaluate safety performance with direct feedback from patients and compare results with these self-assessed safety attitudes, as well as make further use of this survey to develop a comparable database for spinal manipulation providers. […]

Primary Prevention in Chiropractic Practice: A Systematic Review

Chiro.Org Blog: It is well accepted that non-communicable diseases, whether musculoskeletal or not, represent a social and economic burden, because they can be the source of long-term morbidity, and with increasing longevity they are expected to become increasingly common [1]. The prevention of such diseases can therefore minimize costs of health care, improve quality of life, and decrease both morbidity and mortality. Guidelines exist on how to approach this, such as the “Healthy People 2020”, which promotes modification of individual behaviour with a multidisciplinary approach [2]. […]

A Videofluoroscopy-based Tracking Algorithm for Quantifying the Time Course of Human Intervertebral Displacements

A Videofluoroscopy-based Tracking Algorithm for Quantifying the Time Course of Human Intervertebral Displacements

The Chiro.Org Blog

Comput Methods Biomech Biomed Engin. 2017 (Mar 15): 1-9 Christian Balkovec, Jim H. Veldhuis, John W. Baird, G. Wayne Brodland & Stuart M. McGill

Department of Kinesiology, University of Waterloo, Waterloo, Canada.

The motions of individual intervertebral joints […]

Subclinical Neck Pain and the Effects of Cervical Manipulation on Elbow Joint Position Sense

Chiro.Org Blog: These results suggest that asymptomatic people with a history of subclinical neck pain (SCNP) have reduced elbow JPS accuracy compared to those with no history of any neck complaints. Furthermore, the results suggest that adjusting dysfunctional cervical segments in people with SCNP can improve their upper limb JPS accuracy. […]

Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain

Chiro.Org Blog: The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest. These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system. […]

Early Predictors of Lumbar Spine Surgery After Occupational Back Injury

Chiro.Org Blog: In the D-RISC sample of 1885 workers, 174 (9.2%) had a lumbar spine surgery within 3 years. Baseline variables associated with surgery (P < 0.05) in the multivariate model included higher Roland-Morris Disability Questionnaire scores, greater injury severity, and surgeon as first provider seen for the injury. Reduced odds of surgery were observed for those younger than 35 years, females, Hispanics, and those whose first provider was a chiropractor. Approximately 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor. […]

This On-site Chiropractic Clinic Is Saving a Minnesota Manufacturer Big Money

Chiro.Org Blog: And when it comes to the bottom line, the results have been better than Friendship Homes and Northwestern expected. For every $1 that the company has invested in the program, it is saving $8 by avoiding more-costly and less-effective treatments, spending less on insurance payments and keeping more workers on the job in the first place, which generates savings through less lost tine for workers and less overtime to compensate for absences. […]

Effects of 12 Weeks of Chiropractic Care on Central Integration of Dual Somatosensory Input in Chronic Pain Patients

Chiro.Org Blog: The dual SEP ratio technique appears to be sensitive enough to measure changes in cortical intrinsic inhibitory interactions in patients with chronic neck pain. The observations in 6 subjects revealed that 12 weeks of chiropractic care improved suppression of SEPs evoked by dual upper limb nerve stimulation at the level of the motor cortex, premotor areas, and/or subcortical areas such as basal ganglia and/or thalamus. It is possible that these findings explain one of the mechanisms by which chiropractic care improves function and reduces pain for chronic pain patients. […]

The Association of Complementary and Alternative Medicine Use and Health Care Expenditures for Back and Neck Problems

Chiro.Org Blog: A total of 12,036 respondents with spine problems were included, including 4306 (35.8%) CAM users (40.8% in weighted sample). CAM users had significantly better self-reported health, education, and comorbidity compared with non-CAM users. Adjusted annual medical costs among CAM users was $424 lower (95% confidence interval: $240, $609; P<0.001) for spine-related costs, and $796 lower (95% confidence interval: $121, $1470; P = 0.021) for total health care cost than among non-CAM users. Average expenditure for CAM users, based on propensity matching, was $526 lower for spine-specific costs (P<0.001) and $298 lower for total health costs (P = 0.403). Expenditure differences were primarily due to lower inpatient expenditures among CAM users. […]

Psychological and Behavioral Differences Between Low Back Pain Populations

Chiro.Org Blog: This study has described patients seeking chiropractic primary care for LBP with regards to psychological and behavioral characteristics and compared them to the characteristics of patients from a sample at high risk of developing chronic disabling NP and/or LBP and long term sick leave in primary care, and two secondary care samples with chronic LBP. Contrary to the hypothesis the chiropractic primary care sample was more affected by pain and worse off with regards to psychological and behavioral characteristics compared to the other primary care sample. Based on these findings the 4 samples may be considered statistically and clinically different. […]

A Systematic Review Comparing the Costs of Chiropractic Care to other Interventions for Spine Pain in the United States

Chiro.Org Blog: This review identified 25 cost comparison studies related to chiropractic care for spine pain in the US and published in English since 1993. Although findings from the studies reviewed generally suggested that chiropractic care may be associated with lower health care costs when compared to care from other HCPs, the methods used in these studies differed widely, limiting their interpretation and generalizability. Additional research using more rigorous methods is needed to determine if differences in health care costs noted in these studies are attributable to the type of health care received for spine pain or patient sociodemographic, clinical, or other factors that may be unrelated to health care. […]

The Effect of Spinal Manipulation on Deep Experimental Muscle Pain in Healthy Volunteers

Chiro.Org Blog:The current findings do not support the theory that HVLA-manipulation has a non-specific, reflex-mediated local or generalized analgesic effect on experimentally induced deep muscle pain. This in turn suggests, that any clinical analgesic effect of HVLA-manipulation is likely related to the amelioration of a pre-existing painful problem, such as reduction of biomechanical dysfunction. […]

A Comparison of Chiropractic Manipulation Methods and Usual Medical Care for Low Back Pain

A Comparison of Chiropractic Manipulation Methods and Usual Medical Care for Low Back Pain: A Randomized Controlled Clinical Trial

The Chiro.Org Blog

SOURCE:   J Altern Complement Med. 2014 (May);   20 (5):   A22–23 Michael Schneider, Mitchell Haas, Joel Stevans, Ronald Glick, Doug Landsittel

University of Pittsburgh, Pittsburgh, PA, USA

Purpose:   […]

The Death Knell for the Prescription Rights Movement?

Chiro.Org Blog: The recent release (2-14-17) of American College of Physician’s new study ”Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain” appears to raise an evidence-based obstacle in the path to adding Rx rights to our profession. […]