Colin Burnette, Randi N Birr, Kathryn J Kavanagh, Peter L Mattei
{"title":"A descriptive review of common dermatological diseases encountered by manual therapy providers.","authors":"Colin Burnette, Randi N Birr, Kathryn J Kavanagh, Peter L Mattei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Manual therapy providers such as chiropractors and physical therapists may encounter various dermatologic diseases during visits with their patients, and it is important for these providers to have astute knowledge of both benign and malignant lesions. This collaborative guide reviews many of these lesions and includes descriptions, identifying features, and clinical significance such as when to refer to a specialist. Through early detection, identification, and proper referral, manual therapy providers can play a valuable role in minimizing the effects of sinister lesions. Preventative measures and risk factors for these skin lesions are also discussed. Providing primary prevention recommendations to patients can allow manual therapy providers to play a vital role in public health awareness of skin disease.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"19-32"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286727","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}
{"title":"Ewing sarcoma of the clavicle: a case report.","authors":"Whitney Fuqua, Whitney Graff, Lauren Tollefson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this case study is to demonstrate an unusual location of Ewing Sarcoma and promote awareness of the effects of patient care regarding delay in diagnosis. A 23-year-old male presented with a painless soft tissue mass over the left clavicle of two months. Initial radiographs of the clavicle were reported negative. Approximately one year later the patient stated the mass had become painful and increased in size. Repeat radiographs demonstrated permeative destruction within the left clavicle with adjacent soft tissue mass. Follow up imaging of CT, MRI, and PET-CT characterized the lesion and demonstrated metastatic disease. Subsequent biopsy confirmed a diagnosis of primary Ewing sarcoma. The patient was referred for oncologic management including chemotherapy and radiation with initial remission post treatment. Unfortunately, the tumor recurred two years later. Timely diagnosis, appropriate management and referral of patients with suspicious presentation is critical to future outcomes.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"80-87"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286730","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}
{"title":"Migraine resolution in a patient receiving Cox<sup>®</sup> flexion-distraction and thoracolumbar spinal manipulative therapy: a case report.","authors":"Nicholas Linn, Ralph Kruse","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This case report describes the use of flexiondistraction as a chiropractic treatment for a 46-year-old woman experiencing acute-onset migraine headaches.</p><p><strong>Clinical features: </strong>A 46-year-old woman with acute-onset migraine headaches sought an evaluation at our chiropractic clinic. She reported experiencing 10 headaches per month for the past two months. Prior to visiting our clinic, she consulted several doctors and tried several medications for relief of her migraine headaches.</p><p><strong>Intervention and outcome: </strong>A trial of conservative care using flexion-distraction was applied to the cervical spine as a primary intervention for managing her acute migraine headaches, along with the application of thoracolumbar spinal manipulation. After 13 sessions over six weeks, the patient reported less pain, a notable decrease in the frequency in her migraine occurrences and in her use of pain medication, increased sleep, and an improved mood.</p><p><strong>Summary: </strong>The flexion-distraction chiropractic approach effectively managed acute migraine headaches in a middle-aged woman.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286731","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}
Aubrianna L Jones, Jordan A Gliedt, Aditya Vedantam
{"title":"Presentation and management of a patient with rapid progression of degenerative cervical myelopathy during pregnancy: a case report.","authors":"Aubrianna L Jones, Jordan A Gliedt, Aditya Vedantam","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical presentation and management of a patient with degenerative cervical myelopathy (DCM) during pregnancy.</p><p><strong>Case presentation: </strong>A 34-year-old female, who was 21-weeks pregnant, presented for chiropractic evaluation with acute left upper-back pain.</p><p><strong>Intervention and outcome: </strong>For the initial symptoms, the patient completed multidisciplinary treatment with progressive improvement in pain. At the nine-week follow-up visit, the patient described a rapid onset of extremity paresthesia and balance change. The physical examination revealed hyperreflexia. DCM was established as the working diagnosis based on clinical examination. Spinal cord compression was confirmed by MRI (magnetic resonance imaging). The patient had a cesarean delivery and anterior cervical discectomy and fusion (ACDF) surgery was performed at four-weeks postpartum.</p><p><strong>Summary: </strong>Symptoms associated with DCM may be wide-ranging. DCM diagnosis is commonly delayed and timely recognition and management is essential. This case highlights the importance of awareness of DCM and appropriate management for this condition.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"70-79"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286733","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}
{"title":"Original Articles: Intern use and perceptions of implementing diagnostic ultrasonography in a chiropractic educational clinic.","authors":"Nicole M Zipay, John Chin Suk Cho","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Use of musculoskeletal ultrasonography has been growing in many healthcare fields. Our aim is to evaluate the use and attitudes toward musculoskeletal ultrasound within a chiropractic educational clinic.</p><p><strong>Methods: </strong>A survey questionnaire was distributed to interns (n=168), who were provided access to musculoskeletal ultrasound services for patients in our clinic. We collected self-reported usage and attitudes toward musculoskeletal ultrasound among interns in our clinic. Descriptive statistics summarized the data.</p><p><strong>Results: </strong>The response rate was 60.1% (101/168). Overall, 31.7% (n=32) of respondents reported access of musculoskeletal ultrasound services. Ninety-one percent (n=29) reported the experience as beneficial. Identified benefits included: improved anatomic understanding, exclusion or confirmation of diagnoses, increased confidence, and patient reassurance. Of those that did not report use, 96% (n=66) reported interest in future use. Frequently reported limiting factors included: absence of indications for imaging, and patient ineligibility.</p><p><strong>Conclusion: </strong>Our findings support musculoskeletal ultrasound implementation in an educational clinic to enhance student learning and confidence.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"62-69"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286732","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}
Martha Funabashi, David Starmer, Nicole M Smith, Grand Choi, Andrew Dane, Aron S Downie, Felipe C K Duarte, Dana Hollandsworth, Christopher A Malaya, Isabelle Pagé, Casper Nim
{"title":"The role of force-sensing devices in spinal manipulative therapy research, education, and clinical practice.","authors":"Martha Funabashi, David Starmer, Nicole M Smith, Grand Choi, Andrew Dane, Aron S Downie, Felipe C K Duarte, Dana Hollandsworth, Christopher A Malaya, Isabelle Pagé, Casper Nim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spinal manipulative therapy (SMT) is commonly used by chiropractors, and much attention has been given to teaching students how to master it. Currently, over 20 chiropractic educational institutions use some type of force-sensing device (FSD) to teach students how to modulate their SMT force-time characteristics. Modulating SMT forces is believed to improve SMT's effectiveness, increase comfort during SMT, and reduce adverse events, contributing to improved clinical outcomes. In this commentary, we highlight the transition we are currently living in and discuss the strengths, uncertainties and opportunities of using FSDs to modulate SMT force-time characteristics within research, education, and clinical practice. Given that additional high-quality research is needed to determine if the ability to modulate SMT force-time characteristics indeed influences clinical effectiveness, increases patient comfort, and reduces adverse events, a collaborative effort is needed to address these critical research gaps. Specifically, having similar FSDs across educational institutions allows the collection of multicenter data, sharing research findings across different settings, and provides a unique opportunity for advancing educational and clinical research.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286666","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}
{"title":"Spinal manipulation for fibromyalgia: a narrative review.","authors":"Christopher B Roecker, Sachien R Hewawasam","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this review was to summarize the available literature on the use of spinal manipulative therapy for the management of fibromyalgia.</p><p><strong>Methods: </strong>A narrative review of the literature was performed through February 29, 2024, using keywords and Boolean operators, such as \"manipulation AND fibromyalgia.\" Databases searched include MEDLINE, ICL, PEDro, the Cochrane Library, Google Scholar, as well as clinical trials registries. Online literature mapping was also used to identify relevant studies. All publications involving spinal manipulation for fibromyalgia management were included, excluding editorials, commentaries, conference proceedings, and trade magazine articles.</p><p><strong>Results: </strong>A total of 38 publications met the inclusion criteria. These results consisted of nine case reports, three case series, four pilot studies, four randomized controlled trials, 14 systematic reviews, and four clinical practice guidelines with publication dates ranging from 1997 to 2023.</p><p><strong>Conclusion: </strong>Higher-quality controlled studies are limited and report mixed results for treating fibromyalgia with spinal manipulation, while lower-quality studies are more likely to report benefit following treatment. Systematic reviews report a lack of established efficacy or inconclusive evidence, while clinical practice guidelines vary widely from strong recommendations against its use to suggesting that it be considered as a component of multi-modal treatment.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"33-48"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286734","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}
Andrew Romanelli, Silvano Mior, Craig Jacobs, James J Young
{"title":"Characteristics of GLA:D® Canada Hip and Knee Osteoarthritis patients at the Canadian Memorial Chiropractic College: a retrospective analysis of registry-based cohort data.","authors":"Andrew Romanelli, Silvano Mior, Craig Jacobs, James J Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Canadian Memorial Chiropractic College (CMCC) began delivering the GLA:D® Canada program for knee and hip osteoarthritis (OA) in 2018. Little is known about the program participants or their outcomes. This study aimed to describe participant characteristics and outcomes (via a secondary dataset analysis) of CMCC patients in the GLA:D<sup>®</sup> Canada registry from inception to June 30, 2023. Results revealed improvements in mean scores for knee-related pain, function, quality of life, and hip-related pain. Health related quality of life and self-efficacy in managing symptoms were similar for participants with knee and hip OA. Demographic and outcome data were similar between CMCC and other GLA:D<sup>®</sup> programs in Canada and internationally. The data from this analysis may provide further investigative opportunities to better understand the experience of GLA:D<sup>®</sup> patients, clinical and educational faculty and students at CMCC, and should be conducted to optimize the program for an academic chiropractic setting.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"49-61"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286728","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}
Kritin K Verma, Michelle B Tarbox, Daniel P Friedmann, Daniel J Lewis, Sancy A Leachman
{"title":"Chiropractic care and skin health: a partnership for early melanoma detection.","authors":"Kritin K Verma, Michelle B Tarbox, Daniel P Friedmann, Daniel J Lewis, Sancy A Leachman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 1","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286729","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}
{"title":"Abstracts of the inaugural scientific poster presentation and award competition of the 2024 Royal College of Chiropractic Sports Sciences (Canada) Conference.","authors":"Alexander Dennis Lee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 3","pages":"233-235"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060816","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}