{"title":"Neuromuscular exercises on pain intensity, functional disability, proprioception, and balance of military personnel with chronic low back pain.","authors":"Ehsan Alvani, Hossein Shirvani, Alireza Shamsoddini","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Due to their occupational status, military personnel are a high-risk group for low back pain (LBP).</p><p><strong>Purpose: </strong>The aim of this study was to investigate the effect of neuromuscular exercises on the severity of pain, functional disability, proprioception, and balance in military personnel with LBP.</p><p><strong>Methods: </strong>Military personnel with LBP were randomly assigned into two groups: intervention (n=15) and control (n=15). The intervention group performed 60 minutes of neuromuscular exercises three times per week for eight weeks while the control group continued their routine physical activities.</p><p><strong>Results: </strong>The mean post-intervention pain intensity, disability, and proprioception error significantly decreased in the intervention group. Whereas their mean post-interventions static and dynamic balance scores significantly increased.</p><p><strong>Conclusions: </strong>The results indicate eight weeks of neuromuscular exercise decreased pain intensity and improved functional ability, static and dynamic balance, and proprioception among military staff suffering chronic low back pain.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 2","pages":"193-206"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480371/pdf/jcca-65-193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525122","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}
Shangavi Parthipan, Chris Bowles, Katie de Luca, Hazel Jenkins
{"title":"The association between guideline adherent radiographic imaging by chiropractic students and the diagnostic yield of clinically significant findings.","authors":"Shangavi Parthipan, Chris Bowles, Katie de Luca, Hazel Jenkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Radiographic guidelines aim to increase the diagnostic yield of clinically relevant imaging findings whilst minimising risk. This study assessed the appropriateness of radiographic referrals made by student chiropractors and explored the association between guideline appropriate imaging and clinically significant radiographic findings.</p><p><strong>Methods: </strong>Radiographic referral and report findings (n=437) from 2018 were extracted from Macquarie University chiropractic clinics. Appropriateness of radiographic referrals was assessed according to current radiographic guidelines. Radiographic findings were assessed for clinical significance. The association between guideline appropriate radiographic referral and clinically significant radiographic findings was assessed using logistic regression analysis and odds ratios were estimated.</p><p><strong>Results: </strong>The proportion of guideline appropriate imaging was 55.8% (95%CI: 51.2-60.4). An association between guideline appropriate radiographs and clinically significant findings was found (OR: 2.2; 95%CI: 1.3-4.1).</p><p><strong>Conclusions: </strong>Approximately half of all radiographic referrals made by chiropractic students were guideline concordant. Guideline appropriate imaging was associated with an increase in clinically significant radiographic findings.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128328/pdf/jcca-65-66.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39018357","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":"The nosological classification of whiplash-associated disorder: a narrative review.","authors":"Joe H Ghorayeb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Whiplash-associated disorder (WAD) is the most common complaint and purported cause of chronic disability associated with motor vehicle collisions in North America. However, its construct validity remains controversial. This narrative review of the literature summarises the evidence underlying the most commonly theorised biological and psychosocial mechanisms of WAD pathogenesis. While the face validity of WAD is good, empirical evidence supporting the various constructs suggesting a causal link between a trauma mechanism and the development of symptoms is poor. Because individual expectations of recovery are outcome-predictive, future research is necessary to develop a better understanding of how to enhance expectancies in order to help affected motorists gain a greater sense of control over their health and wellbeing.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"76-93"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128336/pdf/jcca-65-76.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39018358","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}
Ellen Vogel, Silvano A Mior, Deborah Sutton, Pierre Côté, Simon French, Margareta Nordin, Audrey Laporte
{"title":"When boundaries blur - exploring healthcare providers' views of chiropractic interprofessional care and the Canadian Forces Health Services.","authors":"Ellen Vogel, Silvano A Mior, Deborah Sutton, Pierre Côté, Simon French, Margareta Nordin, Audrey Laporte","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal (MSK) conditions are primary reasons prohibiting Canadian Armed Forces (CAF) personnel from being deployed, with back pain the second most common activity-limiting condition. CAF provides a spectrum of services, including chiropractic care. There is a paucity of data related to chiropractic interprofessional care (IPC) within CAF healthcare settings.</p><p><strong>Methods: </strong>A qualitative study, using an Interpretative Phenomenological Analysis (IPA) approach, involving 25 key informant interviews explored factors that impact chiropractic IPC. We used a systematic but not prescriptive process, based on a thematic analysis, to interconnect data to develop meaning and explanation. Initially, we explained and interpreted participant's experiences and meanings. Next, we used extant literature and theory, together with expert knowledge, to explain and interpret the meanings of participants' shared accounts.</p><p><strong>Results: </strong>We present findings central to the domain, Role Clarity, as described in the IPC Competency Framework. Our findings call for strengthening IPC specific to MSK conditions in the CAF, including an examination of gatekeeping roles, responsibilities and outcomes.</p><p><strong>Conclusion: </strong>It is timely to investigate models of care that nurture and sustain inter-provider relationships in planning and coordinating evidence-based chiropractic care for MSK conditions, within the CAF, and its extended referral networks.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"14-31"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128330/pdf/jcca-65-14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016957","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":"The best aspects of being a chiropractor.","authors":"Amber M Beynon, Bruce F Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The aims of this study were to determine the best aspects of being a chiropractor from the practitioners' perspective and to determine job satisfaction among respondents.</p><p><strong>Methods: </strong>An anonymous online survey was distributed to members of the chiropractic profession from August to September 2019. The survey included 25 statements regarded as being \"a positive aspect of being a chiropractor.\"</p><p><strong>Results: </strong>Three hundred and sixty-nine chiropractors responded. Respondents believe that the best aspects of being a chiropractor are that chiropractors can reduce pain, help move or build strength, flexibility, and power in patients. In addition, chiropractors 'being trained to diagnose' and 'being able to transform peoples' quality of life' were highly scored. Job satisfaction overall was rated as high (median score of 9/10). However, there are some aspects that are not highly regarded as best aspects by the profession such as the respect of the public and other health professionals.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128334/pdf/jcca-65-59.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016960","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}
Gaelan Connell, Carol Ann Weis, Heather Hollman, Kelsey Nissen, Leslie Verville, Carol Cancelliere
{"title":"Physical activity throughout pregnancy: guideline critical appraisal and implementation tool.","authors":"Gaelan Connell, Carol Ann Weis, Heather Hollman, Kelsey Nissen, Leslie Verville, Carol Cancelliere","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The 2019 Canadian guideline for physical activity throughout pregnancy provides evidencebased recommendations to promote maternal, fetal, and neonatal health. We aimed to 1) critically appraise the 2019 Canadian guideline for physical activity throughout pregnancy; and 2) develop a guideline summary for clinicians to facilitate the uptake of recommendations into practice.</p><p><strong>Methods: </strong>We used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to critically appraise the quality and reporting of this guideline. Four reviewers independently scored between 1 (strongly disagree) to 7 (strongly agree) for 23 items organized into six quality domains.</p><p><strong>Results: </strong>AGREE II quality domain scores ranged from 47%-64% and the overall quality of the guideline was rated as 83% (high quality).</p><p><strong>Conclusion: </strong>Based on its methodological quality, we recommend the use of this guideline. Our guideline summary includes six recommendations and other safety precautions that are relevant for clinicians in Canada.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"50-58"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128335/pdf/jcca-65-50.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016958","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}
Edward F Owens, Joseph Esposito, Ronald S Hosek, Stephanie G B Sullivan
{"title":"Assessing the feasibility of using an electronic records database system in use in a group of private chiropractic clinics for practice-based research.","authors":"Edward F Owens, Joseph Esposito, Ronald S Hosek, Stephanie G B Sullivan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To explore the feasibility of collecting aggregated patient data from the electronic records of a group of private practices and to determine the suitability of the data for comparative effectiveness or other practice-based research (PBR).</p><p><strong>Methods: </strong>Assess the type and quality of healthrelated variables contained in a commercially available electronic records system (Vitalogics) in use in consenting chiropractor's offices. Descriptively analyze baseline patient records to identify demographic variables, vital signs, case types and diagnoses.</p><p><strong>Results: </strong>Of the 46,000 individual patient records that were analyzed, only a fraction had usable demographic data while more than half contained ICD-9 codes, including records for non-insurance case-types. None contained outcome variables.</p><p><strong>Conclusion: </strong>We did not find that the electronic record system we examined had the types of demographic and outcomes variables that would be useful for comparative effectiveness research. The addition of special fields to code chief complaint and health status indicators not typically included in an electronic records system would be most useful.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"94-104"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128329/pdf/jcca-65-94.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39018359","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":"Management of knee and hip osteoarthritis: an opportunity for the Canadian chiropractic profession.","authors":"James J Young, Olja Važić, Andrew C Cregg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knee and hip osteoarthritis (OA) place a significant burden on the Canadian health system and are a major public health challenge. This brief commentary discusses the recently published Osteoarthritis Research Society International guideline and the American College of Rheumatology guideline for the management of OA. Special attention has been given to the role of manual therapy, exercise, and patient education for the treatment of knee and hip OA. This article also reviews the Good Life with osteoArthritis in Denmark (GLA:D<sup>®</sup>) treatment program for knee and hip OA and the implementation of this program in Canada. Lastly, the authors discuss the opportunity for the Canadian chiropractic profession to embrace treatment programs like GLA:D<sup>®</sup> and take an active role in the strengthening of the Canadian health system from a musculoskeletal perspective.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128331/pdf/jcca-65-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016956","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}
Carol Ann Weis, Kent Stuber, Kent Murnaghan, Shari Wynd
{"title":"Adverse events from spinal manipulations in the pregnant and postpartum periods: a systematic review and update.","authors":"Carol Ann Weis, Kent Stuber, Kent Murnaghan, Shari Wynd","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study is to update a previous critical review of adverse events in pregnant and postpartum populations.</p><p><strong>Methods: </strong>The following databases were searched: PubMed, CINAHL, Index to Chiropractic Literature, Cochrane Database of Systematic Reviews/Cochrane Central Register of Controlled Trials and MEDLINE. We included all study design types as it was determined a priori that there would not be enough high-quality research on spinal manipulative therapy (SMT) in these populations to make any determinations. The Scottish Intercollegiate Guidelines Network (SIGN) and CARE (CAse REport) checklists were used for quality rating.</p><p><strong>Results: </strong>This update found one case study that demonstrated a serious adverse event in the cervical spine following SMT and a handful of minor and transient adverse events in the low back following SMT.</p><p><strong>Conclusions: </strong>There was limited evidence of adverse events following SMT in these populations. Although we are calling for improved reporting of such events in future studies, it may be that such injuries are rare.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"32-49"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128327/pdf/jcca-65-32.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016959","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":"Survey of students' perception of the jurisprudence, ethics and business management course at the Canadian Memorial Chiropractic College.","authors":"Brian J Gleberzon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to survey 2018-2019 Year III students at the Canadian Memorial Chiropractic College in order explore their perceptions of the components of the revised Jurisprudence, Ethics and Business Management course.</p><p><strong>Methods: </strong>This study was approved by the Research Ethics Board. A paper survey was distributed to all enrolled students. Using a five-point Likert scale, students were asked if they perceived the course material was (i) well-presented and (ii) important for them to know as future chiropractors. Students were required to sign a consent form to participate.</p><p><strong>Results: </strong>Survey response rate was 94%. Over 90% of respondents 'strongly agreed/'agreed' lectures, small group session and course assignments were well presented and important for them to know as future chiropractors. Respondents were more critical of the online business modules (on average, 50% 'strongly agreed/agreed').</p><p><strong>Conclusions: </strong>The information from this survey will enable refinement of future versions of this course.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"65 1","pages":"105-120"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128332/pdf/jcca-65-105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39018360","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}