Journal of the Canadian Chiropractic Association最新文献

The evolution of teaching chiropractic skills: part 1 - a narrative review of lessons learned during the 120 collective years of four tutors in the technique trenches at the Canadian Memorial Chiropractic College. 脊骨神经科学技能教学的演变：第一部分--加拿大纪念脊骨神经科学学院四位导师在技术战壕中 120 年的经验教训回顾。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Brian J Gleberzon, J Kim Ross, F Stuart Kinsinger, Zoltan Szaraz

{"title":"The evolution of teaching chiropractic skills: part 1 - a narrative review of lessons learned during the 120 collective years of four tutors in the technique trenches at the Canadian Memorial Chiropractic College.","authors":"Brian J Gleberzon, J Kim Ross, F Stuart Kinsinger, Zoltan Szaraz","doi":"","DOIUrl":"","url":null,"abstract":"\"The only constant is change\" - Heraclitus, Greek Philosopher The objective of this article, Part 1 of a two part series, is to provide a narrative review of the evolution of teaching chiropractic manual skills by four tutors who taught in the technique trenches at the Canadian Memorial Chiropractic College collectively for 120 years. Based on their collective memories, this narrative review describes the evolution of: central demonstrations; inconsistency between tutors with respect to demonstrating and grading chiropractic manual skills; determining course content; policy on students providing high velocity, low amplitude thrusts on each other during class time and testing; quantitative versus qualitative grading; remediation; acknowledgment of risk and; changes to technique class due to Covid. The results of a unique survey evaluating students' perception of these changes is presented. The intent of this article is for faculty at other accredited educational programs to learn from our experiences and potentially strengthen their pedagogical approach to teaching chiropractic manual skills.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355804","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

Contralateral hip joint degeneration associated with a cam-type deformity of the proximal femur in a retired chiropractor: 10-year follow-up. 一名退休脊骨神经科医生股骨近端凸轮型畸形引起的对侧髋关节退化：10 年随访。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Peter C Emary

引用次数: 0

Expanding concussion care in Canada: the role of chiropractors and policy implications. 扩大加拿大脑震荡治疗范围：脊骨神经科医生的作用和政策影响。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Carol Cancelliere, Scott Howitt, Todd Halowski, Craig Jacobs, Michelle Da Roza, Dean Wright, Gaelan Connell, Hainan Yu

{"title":"Expanding concussion care in Canada: the role of chiropractors and policy implications.","authors":"Carol Cancelliere, Scott Howitt, Todd Halowski, Craig Jacobs, Michelle Da Roza, Dean Wright, Gaelan Connell, Hainan Yu","doi":"","DOIUrl":"","url":null,"abstract":"Concussions are increasingly recognized as a public health concern. This paper evaluates Canadian concussion care guidelines, advocating for the inclusion of a broader range of healthcare professionals (HCPs) in concussion assessment, diagnosis, and management. It emphasizes the role of chiropractors, in addition to medical doctors (MDs) and nurse practitioners (NPs), highlighting their extensive training in musculoskeletal and neurological disorders. Chiropractors are adept at managing symptoms like headache, neck pain, and dizziness, and employing evidence-based, comprehensive interventions including patient education, exercise therapy, manual therapy, cervicovestibular rehabilitation, and return-to-sport (RTS) protocols. The paper also addresses regional variations in chiropractors' roles, focusing on Ontario's \"Rowan's Law,\" and argues that limiting aspects of concussion care (assessment, diagnosis, RTS clearance) to MDs and NPs may result in healthcare inefficiencies and inequities. The findings are significant for policymakers and healthcare leaders, indicating a need for updated concussion care guidelines that integrate and utilize diverse HCPs. This could lead to improved patient outcomes, healthcare efficiency, and equity in concussion management across Canada.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355798","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

Exploration of chiropractic students' motivation toward the incorporation of new evidence on chiropractic maintenance care: a mixed methods study. 脊骨神经科学生对脊骨神经科维护护理新证据的动机探索：一项混合方法研究。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Kent J Stuber, Andreas Eklund, Katherine A Pohlman, Zakary Monier, Ryan Muller, Adam Browning, Christopher A Malaya, Vanessa Morales, Per J Palmgren

{"title":"Exploration of chiropractic students' motivation toward the incorporation of new evidence on chiropractic maintenance care: a mixed methods study.","authors":"Kent J Stuber, Andreas Eklund, Katherine A Pohlman, Zakary Monier, Ryan Muller, Adam Browning, Christopher A Malaya, Vanessa Morales, Per J Palmgren","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This sequential explanatory mixed-method study aimed to explore chiropractic students' attitudes toward incorporating maintenance care (MC) focused evidence.Methods: Attitudes towards using an evidence-based clinical protocol for maintenance care (MC), the MAINTAIN instrument, were assessed via surveys, monologue responses, dialogues, and qualitative feedback. Participants from a single chiropractic educational institution completed questionnaires evaluating their perspectives on patient-centeredness, chronic pain, and evidence incorporation. Descriptive statistics summarized quantitative data, while content analysis was used for qualitative data.Results: 74.4% (n=419) of students participated, mostly male (57.5%), with an average GPA of 3.15 (out of a maximum of 4.0). Qualitative analysis identified the need to clarify MC terminology and factors motivating students to adopt new evidence, such as quality and alignment with healthcare beliefs.Conclusions: This study's findings emphasize the importance of refining healthcare training strategies, including defining terminology and addressing motivators for evidence incorporation, as evidence for MC for low back pain evolves.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355799","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

Exploring strategies to improve clinical decision making in a chiropractic office: a case series. 探索改善脊骨神经科诊所临床决策的策略：病例系列。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Joshua Plener, Demetry Assimakopoulos, Chadwick Chung, François Hains, Silvano Mior

{"title":"Exploring strategies to improve clinical decision making in a chiropractic office: a case series.","authors":"Joshua Plener, Demetry Assimakopoulos, Chadwick Chung, François Hains, Silvano Mior","doi":"","DOIUrl":"","url":null,"abstract":"Background: Clinicians make clinical decisions using the dual process theory. The dual process theory comprises two approaches, System 1, based on heuristics, and System 2, involving an analytical and effortful thought process. However, there are inherent limitations to the dual process theory, such as relying on inaccurate memory or misinterpreting cues leading to inappropriate clinical management. As a result, clinicians may utilize mental shortcuts, termed heuristics, and be susceptible to clinical errors and biases that may lead to flawed decision making and diagnosis.Methods: This case series describes four clinical cases whereby the clinicians use distinct strategies to assess and manage complex clinical presentations.Discussion: Through the use of self-reflection and acknowledging diagnostic uncertainty, the clinicians were able to reduce common cognitive biases and provide effective and timely patient care. We discuss strategies that clinicians can implement in their daily practice to improve clinical decision-making processes and deliver quality care.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355800","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

Cervical spondylotic myelopathy in a 68-year-old man diagnosed with amyotrophic lateral sclerosis. 一名被诊断患有肌萎缩性脊髓侧索硬化症的 68 岁男子患上了颈椎病。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Peter C Emary, Angelica J Turner

引用次数: 0

The evolution of teaching chiropractic manual skills: part 2 - a narrative review and discussion of the impact of research evidence authored by faculty of the Canadian Memorial Chiropractic College. 脊骨神经科徒手技能教学的演变：第二部分--加拿大脊骨神经科纪念学院教师撰写的研究证据影响的叙述性回顾和讨论。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Brian J Gleberzon, J Kim Ross, F Stuart Kinsinger, Zoltan Szaraz

{"title":"The evolution of teaching chiropractic manual skills: part 2 - a narrative review and discussion of the impact of research evidence authored by faculty of the Canadian Memorial Chiropractic College.","authors":"Brian J Gleberzon, J Kim Ross, F Stuart Kinsinger, Zoltan Szaraz","doi":"","DOIUrl":"","url":null,"abstract":"The objectives of this article, Part 2 of a two part series, are twofold: (i) To provide a narrative review of the research evidence authored by faculty of the Canadian Memorial Chiropractic College (CMCC) and; (ii) discussion of the impact this research evidence had on teaching chiropractic manual skills at CMCC and - theoretically - to the broader chiropractic educational community. Research evidence discussed are in the areas of: Experimental studies linked to biomechanics; Measuring Force - Integration of Force Sensing Table Technology (FSTT®) into technique labs; Characteristics of injuries sustained by chiropractic students during technique labs; Finding the clinical target for therapeutic intervention and; Recommendations toward a model technique curriculum. The intent of this article is for faculty at current and future accredited educational programs to incorporate this research evidence into their technique curricula and to potentially strengthen the pedagogical approach used to teach chiropractic manual skills.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355803","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

Musculoskeletal symptomatology in skeletally immature students carrying heavy backpacks: a cross-sectional study. 骨骼尚未发育成熟的学生背着沉重书包时的肌肉骨骼症状：一项横断面研究。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Zehra Alvi, Ali Alvi, Melanie A Mascarenhas, Mansour Alvi, Konstantine K Zakzanis

{"title":"Musculoskeletal symptomatology in skeletally immature students carrying heavy backpacks: a cross-sectional study.","authors":"Zehra Alvi, Ali Alvi, Melanie A Mascarenhas, Mansour Alvi, Konstantine K Zakzanis","doi":"","DOIUrl":"","url":null,"abstract":"Background: Young students with skeletal immaturity report an increasing number of musculoskeletal symptoms associated with daily use of heavy backpacks. This cross-sectional study investigated the relationship between heavy backpack use and reports of pain.Methods: Data were collected from 300 students aged 11 to 18 at the University of Toronto Schools.Results: Students, on average, carried 15.9% of their body weight. 54% of students reported physiological complaints, primarily back, shoulder, neck, and leg pain. Backpack weight as a % of body weight was strongly associated with pain complaints. Younger students and those with longer commutes were more likely to report heavy backpacks (50% compared to 22.6% of older students, p< .001) and pain.Conclusion: Carrying heavy backpacks could result in increased musculoskeletal complaints in young students. Findings suggest that even the upper bound of currently recommended guidelines (20% of body weight) may be too high, especially for younger children.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355801","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

Sonographic evaluation of spondylolysis: technique description and feasibility study of diagnostic ultrasound for the detection of L5 pars interarticularis fractures. 脊柱溶解的超声评估：用于检测 L5 关节旁骨折的超声诊断技术描述和可行性研究。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Christopher L Smoley, John Cho, Whitney Graff, Nicole Zipay

{"title":"Sonographic evaluation of spondylolysis: technique description and feasibility study of diagnostic ultrasound for the detection of L5 pars interarticularis fractures.","authors":"Christopher L Smoley, John Cho, Whitney Graff, Nicole Zipay","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Technique description and verification of L5 pars interarticularis (L5PI) using diagnostic ultrasound (DUS).Methods: Asymptomatic 10-year-old male subject was scanned with diagnostic ultrasound applying a linear array transducer (8-13 MHz) over L5/S1 facets; long-axis slide cephalad to capture both superior (SAP) and inferior articulating process (IAP) of L5. Contiguous hyperechoic cortex with deep acoustic shadowing between the SAP and IAP was assumed to be L5PI. To confirm in vivo technique representing L5PI, two spine models (plastic, human spine) were scanned to verify authors' assumption. Metallic paperclip was placed over L5PI then DUS image captured. Lastly, a subject with known spondylolysis was imaged and sonographic appearance of L5PI compared.Results: The structures localized with the metal paperclip on L5PI models were equivalent to the in vivo DUS image. Spondylolysis demonstrates an abrupt step-off defect at L5PI.Conclusion: We report the first technique description and verification of the L5PI using DUS.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355802","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

An unusual presentation of Herpes zoster and associated differentials. 带状疱疹的不寻常表现及相关鉴别诊断。

Journal of the Canadian Chiropractic Association Pub Date : 2024-08-01

Scott Dunham, Alyson Morris

引用次数: 0