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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. […]

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain

Chiro.Org Blog: Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). […]

Glucose Metabolic Changes in the Brain and Muscles of Patients with Nonspecific Neck Pain Treated by Spinal Manipulation Therapy

Chiro.Org Blog: Changes in brain activity after SMT included activation of the dorsal anterior cingulate cortex, cerebellar vermis, and somatosensory association cortex and deactivation of the prefrontal cortex and temporal sites. Glucose uptake in skeletal muscles showed a trend toward decreased metabolism after SMT, although the difference was not significant. Other measurements indicated relaxation of cervical muscle tension, decrease in salivary amylase level (suppression of sympathetic nerve activity), and pain relief after SMT. […]

Individual Courses of Low Back Pain in Adult Danes

Chiro.Org Blog: In this study, it was evident that when applying the more ‘severe’ definitions of LBP (‘>30 days’, ‘seeking care’, and ‘non-trivial’) as risk factors for future LBP of the same definitions, the associations were stronger than for ‘year’ and ‘month’. We therefore suggest that composite measures of LBP outcomes should be further explored in future epidemiologic studies of risk factors and less attention should be paid to the LBP definitions ‘year’ and ‘month’, which may include both slight LBP with low clinical impact and severe disabling LBP. […]

Chiropractic Rehabilitation of a Scoliosis Family:
Results from a 9-Year Follow-Up

Chiro.Org Blog: A mother and her 2 daughters reported to a private medical clinic for treatment of idiopathic scoliosis. All 3 patients had differing curve patterns. Following the completion of a prescribed chiropractic rehabilitation treatment, and after 9 years of intermittent follow-up, all 3 patients demonstrated a correction of at least 6° in their respective scoliosis. They also demonstrated improvements in their self-rated pain scores and activities of daily living. […]

Clinical Effects of Spinal Manipulation in the Management of Children and Young Adults Diagnosed With Autism Spectrum Disorder

Chiro.Org Blog: The results of this systematic review confirm a general lack of good quality, high level of evidence studies on the topic, as well as no existing experimental studies that have been published in the last 10 years. This review indicates that the literature on the effects of chiropractic interventions to the musculoskeletal system of autistic children and young adults appears to be favourable with respect to the severity of their symptoms. However, the results of this review have to be interpreted with great caution, as the majority of identified studies were case reports. Further feasibility and pilot research is needed to lay the foundation for good quality clinical trials of spinal manipulation in the autistic child population. […]

Mild Traumatic Brain Injury After Motor Vehicle Collisions:
What Are the Symptoms and Who Treats Them?

Chiro.Org Blog: A total of 1716 adults suffered MTBI after a motor vehicle collision over the 2-year inception period. Six weeks after the collision, 75% reported having more than 3 symptoms and 30% had clinically significant pain in more than 3 body sites. Over time, the prevalence of symptoms and pain decreased but they were still common after 1 year. Almost all participants sought care for their symptoms at all time points, most commonly from a physician. Care-seeking from physiotherapists, chiropractors, and massage therapists was also very common, and most participants sought care from 2 or 3 providers at all follow-up points. […]

Dose-response of Spinal Manipulation for Cervicogenic Headache: Study Protocol for a Randomized Controlled Trial

Chiro.Org Blog: With growing concerns regarding the costs and side effects of commonly used conventional treatments, greater numbers of headache sufferers are seeking other approaches to care. This is the first full-scale randomized controlled trial assessing the dose-response of spinal manipulation therapy on outcomes for cervicogenic headache. The results of this study will provide important evidence for the management of cervicogenic headache in adults. […]

GRADE: An Emerging Consensus on Rating Quality of Evidence and Strength of Recommendations

Chiro.Org Blog: Guidelines are inconsistent in how they rate the quality of evidence and the strength of recommendations. This article explores the advantages of the GRADE system, which is increasingly being adopted by organisations worldwide. […]

Interdisciplinary Practice Models for Older Adults With Back Pain

Chiro.Org Blog: Family medicine residents and doctors of chiropractic viewed collaborative care as a useful practice model for older adults with back pain. Health care organizations adopting medical and chiropractic collaboration can tailor this general model to their specific setting to support implementation. […]

Manipulation of Dysfunctional Spinal Joints Affects Sensorimotor Integration in the Prefrontal Cortex

Chiro.Org Blog: This study resulted in two major findings. Firstly, this study reproduced previous findings of SEPs studies that have shown that adjusting dysfunctional spinal segments alters early sensorimotor integration (SMI) of input from the upper limb (as evidenced with a decrease in N30 SEP complex amplitudes). [3, 6, 21] The second major finding of this study was that we were able to show, using dipole source localization, that this change in SMI that occurs after spinal manipulation predominantly happens in the prefrontal cortex. […]

Metabolic Syndrome Components Are Associated with Intervertebral Disc Degeneration

Chiro.Org Blog: Metabolic Syndrome (MS) components were significantly associated with thoracic intervertebral disc degeneration (DD). Furthermore, accumulation of MS components significantly increased the odds ratio for thoracic DD. These findings support the need for further studies of the effects of metabolic abnormality on disc degeneration. […]

Discussion Paper: Evidence-Based Practice and Chiropractic

Chiro.Org Blog: Evidence based medicine is thought by some to have had its day. The concept of best practice seems embedded within chiropractic education. Whether they appreciate it or not, most chiropractors practice a rich form of evidence based practice into which they inject their experience as a chiropractor and the characteristics including preferences of the patient. […]

Cervical Spine Disorders and its Association with Tinnitus: The “Triple” Hypothesis

Chiro.Org Blog: Conceivably, cervical spine disorders could trigger a somatosensory pathway-induced disinhibition of dorsal cochlear nucleus (DCN) activity in the auditory pathway; furthermore, CSD can cause inner ear blood impairment induced by vertebral arteries hemodynamic alterations and trigeminal irritation. […]

Impact of Spinal Manipulation on Cortical Drive to Upper and Lower Limb Muscles

Chiro.Org Blog: Spinal manipulation may therefore be indicated for the patients who have lost tonus of their muscle and/or are recovering from muscle degrading dysfunctions such as stroke or orthopaedic operations and/or may also be of interest to sports performers. […]