Journal of the Canadian Chiropractic Association最新文献

Gouty arthritis and cryotherapy in a manual practitioner: an imaging case review. 痛风性关节炎和冷冻治疗在一个手工执业：影像学病例回顾。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Linda Alani, Lauren Tollefson

引用次数: 0

Establishing research priorities in animal chiropractic: a mixed-methods study informed by interested parties. 确定动物脊椎指压疗法的研究重点：由感兴趣的各方告知的混合方法研究。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Nicole M Smith, Simon Wang, David Starmer, Kimberly Adie, Dana Hollandsworth, Brett Guist, Steve Tran, Martha Funabashi

{"title":"Establishing research priorities in animal chiropractic: a mixed-methods study informed by interested parties.","authors":"Nicole M Smith, Simon Wang, David Starmer, Kimberly Adie, Dana Hollandsworth, Brett Guist, Steve Tran, Martha Funabashi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Animal chiropractic is a relatively small subspecialty at the intersection of two well-established professions, chiropractic and veterinary medicine, and is commonly used to manage musculoskeletal conditions in animals. Despite increasing utilization, research guiding its clinical application remains limited.Objective: To identify and prioritize research gaps in the animal chiropractic profession to establish interested party-informed research priorities.Methods: A sequential mixed-methods design was used, comprising an online topic identification survey, in-person Nominal Group Technique sessions, and a final prioritization survey.Results: Thirteen major research topics and 71 subtopics were identified and prioritized by Veterinarians and Chiropractors from Canada and the United States. The top five priorities were objective outcomes, safety and adverse events, condition-specific treatment effects, mechanisms of manual therapies, and treatment comparisons.Conclusion: This study identified research priorities informed by interested parties to inform the future studies and strengthen grant applications by clearly demonstrating the demand for research in specifically identified areas.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"184-202"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082277","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

Clinical management of a Veteran with chronic scan-negative cauda equina syndrome: a case report. 退伍军人慢性扫描阴性马尾综合征的临床处理1例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Sachien R Hewawasam, Christopher B Roecker, Samuel M Schut

{"title":"Clinical management of a Veteran with chronic scan-negative cauda equina syndrome: a case report.","authors":"Sachien R Hewawasam, Christopher B Roecker, Samuel M Schut","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe the clinical presentation, diagnostic considerations, and safety-first course of chiropractic care for an adult male with chronic scan-negative cauda equina syndrome.Clinical features: A 41-year-old male U.S. Veteran sought chiropractic care for progressively intensifying chronic low back pain and bilateral lower extremity pain along with progressive bladder dysfunction, groin hypoesthesia, and sexual dysfunction. The history and examination findings raised concern for cauda equina syndrome, but a same-day MRI and neurosurgery consult failed to yield surgical indications.Intervention and outcomes: Chiropractic care involved 8 visits over 10 weeks. Care focused on neurological monitoring and patient education along with soft-tissue therapy, flexion-distraction, and spinal manipulation. The patient reported improvements in pain, function, and neurological features following this course of care, and no adverse events occurred.Summary: This case emphasizes timely recognition of features associated with cauda equina syndrome and illustrates a cautious, multimodal approach to chiropractic co-management for an individual with scan-negative cauda equina syndrome.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"236-248"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082247","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

Rare anatomical variant of a duplicate renal vein traversing through the L1 vertebral body in a U.S. Veteran presenting with spine pain: an imaging case review. 罕见的解剖变异的重复肾静脉穿过L1椎体在美国退伍军人表现为脊柱疼痛：影像学病例回顾。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Alex V Pham, Kevin W Meyer, Patrick J Battaglia, William H Borman, Clinton J Daniels

引用次数: 0

ChiroSCOPE (Chiropractic Systematic Clinical Observation of Practice Evidence): preliminary evaluation of a web application for data collection within a clinical research network: a mixed methods pilot study. ChiroSCOPE（脊椎指压临床实践证据系统观察）：对临床研究网络中数据收集的网络应用程序的初步评估：一项混合方法的试点研究。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

François Hains, Rebecca Hayes, Dominic Hains, André Bussières, Silvano Mior, Marc-André Blanchette

{"title":"ChiroSCOPE (Chiropractic Systematic Clinical Observation of Practice Evidence): preliminary evaluation of a web application for data collection within a clinical research network: a mixed methods pilot study.","authors":"François Hains, Rebecca Hayes, Dominic Hains, André Bussières, Silvano Mior, Marc-André Blanchette","doi":"","DOIUrl":"","url":null,"abstract":"Background: Practice-based research networks (PBRNs) face challenges including time constraints, workflow disruption, and lack of standardized data collection protocols. We evaluated the usability of \"Patient Progress,\" a web application designed to support PBRN data collection among Canadian chiropractors and their patients.Methods: An explanatory sequential mixed-methods design was used. Ten chiropractors piloted the application over six months, collecting patient-reported outcome measures and clinical data from 60 patients. Patient usability was assessed via the mHealth App Usability Questionnaire (MAUQ); chiropractor perspectives were explored through semi-structured interviews analyzed thematically.Results: Patients rated overall usability highly (mean 6.63/7). Chiropractor interviews identified key implementation barriers: lack of integration with existing practice management software, bilingual interface issues, questionnaire length, and recruitment challenges.Conclusion: \"Patient Progress\" shows promise for PBRN data collection in chiropractic practice. Wider implementation requires seamless integration with existing software systems, interface improvements, and value-added clinical features to incentivize practitioner participation.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"147-160"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082306","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

Management of U.S. Veterans presenting with axial spondyloarthritis to a chiropractic clinic: a case series. 美国退伍军人轴型脊柱炎的管理，以脊椎指压诊所：一个病例系列。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Zachary E Scott, Kevin W Meyer, Clinton J Daniels

{"title":"Management of U.S. Veterans presenting with axial spondyloarthritis to a chiropractic clinic: a case series.","authors":"Zachary E Scott, Kevin W Meyer, Clinton J Daniels","doi":"","DOIUrl":"","url":null,"abstract":"Background: Axial spondyloarthritis (axSpA) is an immune-mediated condition characterized by signs and symptoms of inflammatory back pain (IBP) affecting the spine and sacroiliac (SI) joints, peripheral arthralgia, enthesitis, and systemic extra-articular complications. While chiropractic treatment is effective for chronic mechanical low back pain, evidence is limited for management of patients with axSpA. This report describes the chiropractic management of three U.S. Veterans with chronic spine pain and axSpA.Case presentation: All patients were co-managed with rheumatology, and each presented at different points of disease progression. All three cases improved in terms of pain, function, or quality of life. No adverse events were reported.Summary: Patients with axSpA pursue chiropractic services, but the role of chiropractors in the management of patients with axSpA is unclear. This report outlines the experiences of three patients treated in a VA chiropractic clinic. Further research is needed to evaluate the effectiveness and safety of chiropractic treatment of individuals with axSpA.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"214-227"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082402","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 consistency of reporting adverse events associated with dry needling: a narrative review. 干针相关不良事件报道的一致性：叙述性回顾。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Corrie Myburgh, Malene Sølvbjærg Petersen, Julie Frost, Evgenios Vlachos

{"title":"The consistency of reporting adverse events associated with dry needling: a narrative review.","authors":"Corrie Myburgh, Malene Sølvbjærg Petersen, Julie Frost, Evgenios Vlachos","doi":"","DOIUrl":"","url":null,"abstract":"Dry needling interventions are associated with disabling and potentially life-threatening events. Presently, undesired treatment effects are not reported consistently across the literature and as such, the degree of risk to and impact on patients cannot be clearly articulated. To systematically summarise available literature and capture trends in the reporting of undesired treatment effects occurring during and after dry needling, we searched Scopus, PubMed, Cochrane, CINAHL, Sports Medicine and Education Index and Web of Science. In total, 130 adverse events were reported synthesized into 31 general categories. Synthesis and risk categorisation identified \"pneumothorax (bilateral)\" as the only potentially life-threatening adverse event, while \"acute spinal epidural haematoma, \"dysautonomia\", \"nerve injury\", \"pneumothorax\" and \"pneumothorax (self-limiting)\" were reported as severe. Adverse events resulting in more than mild, transient symptoms during or after dry needling are rare. However, the occurrence of pneumothorax and peripheral nerve injury remain of greatest concern as they are, at least in part, ascribable to clinician error.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"161-183"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082427","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 inaugural Canadian Chiropractic Association Research Day (CCA|RD): fostering collaboration and dissemination in the Canadian chiropractic research community. 首届加拿大脊医协会研究日（CCA|RD）：促进加拿大脊医研究界的合作和传播。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Diana De Carvalho, Kent Stuber

引用次数: 0

Effectiveness of chiropractic care for low back pain: protocol for an updated systematic review and meta-analysis of randomized trials. 脊椎指压治疗腰痛的有效性：随机试验的最新系统评价和荟萃分析方案。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Andrea J Darzi, Peter C Emary, Behnam Sadeghirad, Rana Charide, Samer G Karam, Dana Alameddine, Sophia Mangala, Rachel J Couban, Marc-André Blanchette, André Bussières, Anthony J Lisi, Steven Passmore, Christine Goertz, Jason W Busse

{"title":"Effectiveness of chiropractic care for low back pain: protocol for an updated systematic review and meta-analysis of randomized trials.","authors":"Andrea J Darzi, Peter C Emary, Behnam Sadeghirad, Rana Charide, Samer G Karam, Dana Alameddine, Sophia Mangala, Rachel J Couban, Marc-André Blanchette, André Bussières, Anthony J Lisi, Steven Passmore, Christine Goertz, Jason W Busse","doi":"","DOIUrl":"","url":null,"abstract":"A 2016 review of randomized trials found that chiropractic care was as effective as physiotherapy for low back pain and was unable to establish the effectiveness of chiropractic care vs. exercise therapy or medical care; however, this review had several methodological limitations. We will conduct an updated systematic review to address these limitations and determine the effectiveness of chiropractic care compared to other usual care approaches for adults with non-specific low back pain. We will search for eligible trials indexed in MEDLINE, AMED, Embase, CINAHL, the Index to Chiropractic Literature, and the Cochrane Library from January 1, 2016 through August 31, 2026. Pairs of independent reviewers will conduct study selection, data abstraction, and risk-of-bias assessment. We will conduct meta-analyses using random-effects models and assess the certainty of evidence of all outcomes with the GRADE approach. Our results will be disseminated in a peer-reviewed publication and conference presentations.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"203-213"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082296","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

U.S. Veteran with dural ectasia secondary to severe axial spondyloarthritis: imaging case review. 美国退伍军人硬脑膜扩张继发于严重轴性脊柱炎：影像学病例回顾。

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Kevin W Meyer, Zachary E Scott

引用次数: 0