Journal of the Canadian Chiropractic Association最新文献_第2页

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":"68 2","pages":"113-121"},"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":"68 2","pages":"160-171"},"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":"68 2","pages":"131-141"},"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":"68 2","pages":"122-130"},"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

Chiropractic management of lumbar spinal epidural lipomatosis in a U.S. Veterans Affairs clinic: a report of two cases. 美国退伍军人事务诊所对腰椎硬膜外脂肪瘤病的整脊治疗：两例病例报告。

Journal of the Canadian Chiropractic Association Pub Date : 2024-04-01

Alex V Pham, Morgan R Price

引用次数: 0

A commentary on the use of mixed methods in chiropractic research: Part 1: overview of mixed methods research. 关于在脊骨神经学研究中使用混合方法的评论：第1部分：混合方法研究概述。

Journal of the Canadian Chiropractic Association Pub Date : 2024-04-01

Peter C Emary, Kent J Stuber

引用次数: 0

A commentary on the use of mixed methods in chiropractic research: Part 2: findings and recommendations for improving future chiropractic mixed methods studies. 关于在脊骨神经学研究中使用混合方法的评论：第二部分：研究结果及改进未来脊骨神经学混合方法研究的建议。

Journal of the Canadian Chiropractic Association Pub Date : 2024-04-01

Peter C Emary, Kent J Stuber

引用次数: 0

Intra-observer reliability study of lumbar segmental measurements utilizing ultrasonography. 利用超声波对腰椎节段进行测量的观察者内部可靠性研究。

Journal of the Canadian Chiropractic Association Pub Date : 2024-04-01

Ralph Kruse, Maruti Ram Gudavalli, Bret White, Geracimo Bracho, Stacey Rider

{"title":"Intra-observer reliability study of lumbar segmental measurements utilizing ultrasonography.","authors":"Ralph Kruse, Maruti Ram Gudavalli, Bret White, Geracimo Bracho, Stacey Rider","doi":"","DOIUrl":"","url":null,"abstract":"Background: Spinal Manipulative Therapy (SMT) benefits LBP patients, but its mechanism is not well documented. One hypothesis indicates that SMT restores interspinal movements. Ultrasound measurement (UM) of spinous process separation (SPS) assesses the intersegmental movements.Methods: We used the test-retest reliability of UM between the L3, L4, L5, and S1 spinous processes on fifteen asymptomatic volunteers while lying prone on a chiropractic table. The participants then walked around for over 5 minutes, and ultrasound images were reperformed prone. UM identified the tips of the spinous processes and distances between L3-L4, L4-L5, and L5-S1. Reliability was assessed using intra-class correlation coefficient (ICC).Results: ICC values of SPS measurements were 0.982 for L3-L4, 0.992 for L4-L5, and 0.997 for L5-S1. Rootmean square difference between the two measures were 0.35mm for L5-S1, 0.36mm for L4-L5, and 0.57mm for L3-L4.Conclusions: This study found UM to be reliable in measuring interspinous distance.","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262959","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