Journal of the Canadian Chiropractic Association最新文献

Chiropractic management of L5-S1 disc protrusion in an elite speed skater: a case report. 一名优秀速滑运动员L5-S1椎间盘突出的捏脊治疗：1例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Yeewon Chong, Henry Pollard

{"title":"Chiropractic management of L5-S1 disc protrusion in an elite speed skater: a case report.","authors":"Yeewon Chong, Henry Pollard","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe clinical outcomes and return-to-play following multimodal chiropractic management of an elite speed skater with acute L5-S1 disc protrusion and S1 radiculopathy.Clinical features: A 20-year-old male elite speed skater presented with sudden-onset severe lumbosacral pain and S1 dermatomal symptoms during ice training. Assessment revealed positive straight leg raise at 40 degrees, diminished reflexes, and motor weakness consistent with S1 radiculopathy. Day 3 MRI confirmed mild L5-S1 disc protrusion with S1 nerve root impingement.Intervention: McKenzie-based directional preference exercises with lumbar extension movements demonstrating centralization phenomenon. Treatment included progressive loading rehabilitation with sport-specific movement patterns through structured phases, McKenzie exercises performed 3-4 times daily (3-5 sets of 10-12 repetitions), and coordinated multidisciplinary care with physiotherapy, massage therapy, and strength coaching.Outcome: Complete return to competitive speed skating within 4.8 months with sustained participation without symptom recurrence at 12-month follow-up. Notable 5-second personal best improvement in week 9 of rehabilitation.Conclusion: Conservative chiropractic management utilizing McKenzie-based protocols within a coordinated multidisciplinary framework achieved excellent outcomes in this elite athlete with lumbar disc herniation and radiculopathy, including successful return to competitive performance with enhanced outcomes.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"425-433"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

JCCA December 2025 Sports Chiropractic Special Issue: 17th Edition. JCCA 2025年12月体育脊椎治疗特刊：第17版。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Mohsen Kazemi

引用次数: 0

Multiligament knee injury and dislocation in a 17-year old football player: clinical focus on rehabilitation exercise and return to sport. 17岁足球运动员膝关节多韧带损伤和脱位：康复训练和重返运动的临床重点。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Noah Lane, George Austin Rees, Kevin D'Angelo

引用次数: 0

Abstracts of the Scientific Poster Award Competition of the 2025 Royal College of Chiropractic Sports Sciences (Canada) Conference (RCCSS(C)). 2025年皇家压脊运动科学学院（加拿大）会议（RCCSS(C)）科学海报奖竞赛摘要

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Alexander Dennis Lee

引用次数: 0

Platelet-Rich Plasma (PRP)/stem-cell therapy for a partial torn ulnar collateral ligament in a professional football player: case report. 富血小板血浆(PRP)/干细胞治疗一名职业足球运动员尺侧韧带部分撕裂：病例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Noah Lane, George Austin Rees, Kevin D'Angelo

{"title":"Platelet-Rich Plasma (PRP)/stem-cell therapy for a partial torn ulnar collateral ligament in a professional football player: case report.","authors":"Noah Lane, George Austin Rees, Kevin D'Angelo","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Present a unique case of non-operative management of a partial ulnar collateral ligament (UCL) tear where the athlete was able to return to performance-based training in a brief six-week period.Case presentation: A 29-year-old male running back presented to a sports specialist chiropractor for post-injection management of a grade 2 partial tear of the right UCL treated with ultrasound-guided platelet-rich plasma (PRP) and stem cell injections. Physical exam testing found limitations in elbow range of motion (ROM) as well as positive orthopedic tests confirming a UCL injury including the milking maneuver, and dynamic valgus stress test.Summary: Management consisted of multimodal chiropractic care including active release therapy (ART), electroacupuncture and rehabilitation exercises. This patient's improved strength and function without surgical intervention highlights the possible role of biologic injections as a form of non-operative management when combined with multimodal care to accelerate recovery from UCL injuries in elite athletes.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"414-424"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Routine medical care for adults with musculoskeletal disorders in the Indigenous community of Pimicikamak, northern Manitoba before and after implementing the Global Spine Care Initiative model: a retrospective chart review with a 10-month post-implementation window: A collaborative research project between World Spine Care Canada (WSCC), Pimicikamack Okimawin, and Cross Lake Nursing Station. 马尼托巴北部Pimicikamak土著社区中患有肌肉骨骼疾病的成人的常规医疗保健在实施全球脊柱护理倡议模式之前和之后：一个具有实施后10个月窗口的回顾性图表回顾：加拿大世界脊柱护理（WSCC）、Pimicikamack Okimawin和Cross Lake护理站之间的合作研究项目。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Patricia Tavares, Jennifer Ward, Steven Passmore, Melissa Atkinson-Graham, Randall Smolinski, Muriel Scott, Jean Moss, Deborah Kopansky-Giles, Jacqueline C Ladwig, Jordan Myers, Cheryl M Glazebrook, David A Monias, Helga Hamilton, Donald Z Mckay, Scott Haldeman, Sheilah Hogg-Johnson, André Bussières

{"title":"Routine medical care for adults with musculoskeletal disorders in the Indigenous community of Pimicikamak, northern Manitoba before and after implementing the Global Spine Care Initiative model: a retrospective chart review with a 10-month post-implementation window: A collaborative research project between World Spine Care Canada (WSCC), Pimicikamack Okimawin, and Cross Lake Nursing Station.","authors":"Patricia Tavares, Jennifer Ward, Steven Passmore, Melissa Atkinson-Graham, Randall Smolinski, Muriel Scott, Jean Moss, Deborah Kopansky-Giles, Jacqueline C Ladwig, Jordan Myers, Cheryl M Glazebrook, David A Monias, Helga Hamilton, Donald Z Mckay, Scott Haldeman, Sheilah Hogg-Johnson, André Bussières","doi":"","DOIUrl":"","url":null,"abstract":"Background: Indigenous communities in northern Manitoba face a high burden of musculoskeletal (MSK) conditions and limited access to care. In October 2023, a new chiropractic service was launched in Cross Lake, Manitoba, aiming to improve MSK care access. This study explored: (1) the nature of MSK-related care provided at the Cross Lake Nursing Station, and (2) changes in clinical management during the first 10 months post-implementation.Methods: We conducted a retrospective chart review (standardized 14-item form) for two periods: December 2021-2022 (pre-implementation) and October 2023-August 2024 (post-implementation). Data on presentations, imaging, treatments, and referrals were analyzed descriptively.Results: Post-implementation, imaging use declined (63.4% to 44.9%), as did prescription of NSAIDs (80.5% to 53.1%), acetaminophen (63.4% to 32.7%), and opioids (21.9% to 8.2%). Muscle relaxant prescriptions increased, while pregabalin/gabapentin remained stable.Conclusion: The new chiropractic service may be associated with reduced use of imaging and common medications for MSK conditions.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"348-364"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The bi-directional adjustment? 双向调整？

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Jordan A Gliedt

引用次数: 0

Schwannoma causing chronic medial calf pain in a recreational skiing and running athlete: a case report. 神经鞘瘤引起慢性小腿内侧疼痛在一个休闲滑雪和跑步运动员：一个病例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Madlaina Gruber, Christopher White, Glenn Cashman

{"title":"Schwannoma causing chronic medial calf pain in a recreational skiing and running athlete: a case report.","authors":"Madlaina Gruber, Christopher White, Glenn Cashman","doi":"","DOIUrl":"","url":null,"abstract":"Background: Soft tissue masses in the extremities of athletes present commonly in clinical practice. Clinicians focusing on musculoskeletal care will be familiar with common causes such as myofascial trigger points, hematomas and even lipomas, but may overlook less common causes such as benign or metastatic tumours. This paper describes a case of a schwannoma, a benign nerve tumour.Case presentation: A 28-year-old recreational athlete presented with a five-year history of progressive calf pain and a palpable nodule unresponsive to conservative care. Imaging revealed a well-circumscribed intramuscular mass with vascular features. Surgical excision and histopathology confirmed a schwannoma. Postoperatively, the patient returned to full activity with resolution of pain.Summary: This case underscores the necessity of maintaining a broad differential and reinforces the importance of reevaluating diagnoses when conservative interventions fail. Early recognition and referral for imaging are critical to avoid prolonged mismanagement.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"434-440"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Well-being in Australian chiropractors and chiropractic students: factors influencing burnout and job satisfaction. 澳大利亚脊医和脊医学生的幸福感：影响职业倦怠和工作满意度的因素。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Zoe Ryan, Matt Fernandez, Katie de Luca, Aron Downie, David T McNaughton

{"title":"Well-being in Australian chiropractors and chiropractic students: factors influencing burnout and job satisfaction.","authors":"Zoe Ryan, Matt Fernandez, Katie de Luca, Aron Downie, David T McNaughton","doi":"","DOIUrl":"","url":null,"abstract":"Background: Chiropractors face workplace stressors that affect well-being, burnout and job satisfaction. The well-being of chiropractors and students in Australia is yet to be examined.Methods: From September 2024 to January 2025, Australian chiropractors and students completed a well-being survey. Measures included burnout, anxiety, depression, job satisfaction, substance use, suicidal ideation and job demands/resources. Multivariable regression models assessed factors associated with burnout and job satisfaction.Results: Of 200 respondents, 38% reported burnout and nearly 80% reported job satisfaction. Early-career chiropractors reported lower job satisfaction and higher burnout. Higher depression (β=0.26 [0.15-0.36]) and anxiety (β=0.03 [0.00-0.06]) scores were associated with burnout. Job satisfaction was associated with lower depression (OR=.60 [0.39-0.93]), more resources (OR=2.98 [1.39-6.39]) and greater workload control (OR=2.03 [1.14-3.62]).Conclusion: Preliminary results suggest the need for well-being screening and interventions for at-risk groups, including students, early career chiropractors and those experiencing elevated anxiety and depression.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"365-378"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Return to cycling protocol after chronic coccydynia: a case report. 慢性尾骨痛后恢复骑行方案：1例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2025-12-01 Epub Date: 2025-12-30

Melissa Hamilton, Kristen Mangos

引用次数: 0