Journal of the Canadian Chiropractic Association最新文献

{"title":"Challenges in researching chiropractic pediatric curricula.","authors":"Michael R Wiles, Joel M Stevans","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"143-144"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082288","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 chiropractor's role in addressing social determinants of health: a case report of a U.S. Veteran with acute housing instability.","authors":"Nikhil Sharma, Huyen Ho, Zachary A Cupler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Housing is a well-established social determinant of health (SDOH) where housing instability can negatively affect physical health and access to health care. We present a case where housing instability was reported while under chiropractic management of neck pain and headaches.</p><p><strong>Clinical features: </strong>A 54-year-old male under care at a Veterans Affairs chiropractic clinic for mechanical neck pain and cervicogenic headaches, presented at follow-up visit four with new-onset nausea, change in headache, and recent residential furnace failure.</p><p><strong>Intervention and outcome: </strong>Care coordination was initiated by the chiropractor with the social work team due to concerns of housing instability. Following furnace repairs and return to stable housing, the veteran reported significant symptom improvement and was lost to follow up.</p><p><strong>Summary: </strong>We demonstrate real-world recognition of an SDOH impacting a presenting complaint to a chiropractic clinic. Timely action was taken by the chiropractor to coordinate appropriate care to address acute housing instability.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"228-235"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082340","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":"Patients, learners, and mentors as storytellers and bearers of meaning in care: a narrative reflection.","authors":"Aubrianna L Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients, personnes en formation et mentors comme narrateurs et porteurs de sens dans les soins: une réflexion narrative.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 2","pages":"145-146"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082413","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":"Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review.","authors":"Alec L Schielke, Robert J Trager, Joel M Stevans, Morgan R Price, Ronald D Wilcox, Sheryl A Walters, Clinton J Daniels","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This systematic review evaluated the efficacy of SMT for chronic spinal conditions in adults aged 55 years and older.</p><p><strong>Methods: </strong>We searched multiple databases for randomized controlled trials (RCTs) on SMT for older adults with chronic spinal conditions (≥ 12 weeks) published from February 2016 through October 2024. Additionally, studies from the prior article being updated were included as appropriate. Eligible studies compared SMT to active or inert comparators, measuring pain, function, or quality of life.</p><p><strong>Results: </strong>Nine reports were included, evaluating SMT for chronic low back pain (5 RCTs, n=544), chronic neck pain (2 RCTs, n=241), lumbar spinal stenosis (1 RCT, n=259), and combined neck/back disability (1 RCT, n=182).</p><p><strong>Conclusion: </strong>SMT may offer comparable or modestly greater benefit than other treatments for chronic spinal conditions in older adults, particularly for neck pain and LSS. Evidence certainty remains very low to moderate.</p><p><strong>Registration: </strong>PROSPERO (CDR42024615084).</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"27-54"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158450","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":"Force-time characteristics of hip high velocity, low amplitude manipulation in asymptomatic adults: with and without a drop piece.","authors":"Mohsen Kazemi, Shivarny Maheswaran, Grand Choi, Alison Yip, Heather Ferns, Glen Harris, Martha Funabashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the force-time characteristics of HVLA hip manipulation (HVLA-HM) with (DP) and without (NDP) a drop-piece.</p><p><strong>Methods: </strong>Twenty asymptomatic participants (22-28 years; 60% female) received 3 whip HVLA-HM (DP) on one hip and 3 whip HVLA-HM (NDP) on the other. Force-time characteristics were collected using Force-Sensing Table Technology (FSTT®) and analyzed descriptively.</p><p><strong>Results: </strong>On average, HVLA-HM (DP) had a 1st peak force initiation of 40N (±19), peak force of 637N (±218), time to 1st peak of 62ms (±26), loading rate of 10763N/s (±5042) and 2nd peak force of 197N (±85). HVLA-HM (NDP) had a 1st peak force initiation of 36N (±23), peak force of 567N (±290), time to 1st peak of 63ms (±22), loading rate of 9465N/s (±5966) and 2nd peak force of 197N (±82).</p><p><strong>Conclusion: </strong>Forces during these techniques present with slightly higher peak forces and loading rates during HVLA-HM (DP) at the patient-table interface.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"55-67"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158436","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":"Chiropractic specialties in Canada: realizing the full potential of advanced practice: a commentary.","authors":"François Hains, Marc-André Blanchette","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chiropractic specialization in Canada has evolved into a nationally coordinated, competency-based framework guided by the Federation of Canadian Chiropractic (FCC) and regulated through the Competency Profile for Chiropractic Specialists in Canada (2023) and emerging accreditation standards. Although specialists represent only 3% of Canadian chiropractors, they contribute disproportionately to education, research, and professional leadership. A 2025 survey on the value proposition of chiropractic specialty confirmed broad consensus that specialization enhances professional quality and public protection, yet revealed persistent barriers including inconsistent provincial recognition, limited visibility, and uneven geographic access. Framed within an advanced-practice paradigm, this commentary proposes three strategic priorities-harmonized recognition across provinces, equitable access through innovation, and enhanced visibility and evidence-to position chiropractic specialists as valued contributors to Canada's healthcare system. Implementation will strengthen quality assurance, expand interprofessional collaboration, and advance evidence-informed neuromusculoskeletal care.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"14-26"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158411","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":"Chiropractic utilization at the International Workers and Amateurs in Sports Confederation (CSIT) 6th World Sport Games 2019.","authors":"Timothy Ray, Michael Hadbavny, Henry Pollard, Scott Mist","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To describe utilization of sports chiropractic treatment and injury statistics provided by Federation Internationale de Chiropratique du Sport (FICS) delegation at the International Workers and Amateurs in Sports Confederation 6th World Sport Games 2019 in Catalunya, Spain.</p><p><strong>Methods: </strong>This historical case-series study analysed clinical encounters of participants seeking sports chiropractic services during the 2019 WSG event. Descriptive statistical data included: participant demographics, utilization rate (proportion of accredited participants who sought chiropractic treatment), frequency (number of treatment sessions per individual), conditions per sport, treatment provided, and Numerical Rating Scale (NRS) for pain intensity (0-10 scale) before/after treatment provided by the FICS Chiropractic delegation.</p><p><strong>Results: </strong>Of a total of 2566 participants, 406 adults (accredited athletes and non-athletes over 18 years who provided informed consent) sought treatment from FICS; the overall utilization rate was 15.8%. We collected 623 forms; 602 met the inclusion criteria (complete treatment records from consenting adults). The FICS delegation provided services at centralized locations servicing 9 of 30 available sports. Primary body regions treated were shoulder (13.9%), neck (13.6%), knee (10.7%), thoracic spine (10.1%), and lumbar spine (10.1%), representing 58.4% of all treatments. The remaining 41.6% included ribs, sacroiliac joint, extremities, and other regions. Treatment modalities included: myotherapy (38.8%), manipulation (34.3%), taping (15.6%), and mobilization (8.2%). Participants receiving chiropractic treatment reported statistically significant pain reduction (average decrease of 2.8 NRS points, p < 0.001, 95% CI: 2.6-3.0), though the contribution of natural healing processes and concurrent interventions cannot be excluded. Volleyball (49.6%), beach volleyball (49.4%), and tennis (49.1%) showed the highest utilization rates.</p><p><strong>Conclusion: </strong>Participants receiving sports chiropractic treatment reported clinically significant pain reduction, with 90% experiencing immediate improvement. However, the single-arm observational design precludes definitive attribution to chiropractic intervention alone. The utilization rates varied by sport with volleyball, beach volleyball, and tennis showing the highest rates among sports with access to treatment centres. These findings provide valuable insights for future integration of sports chiropractic services at international sporting events.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"107-118"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158431","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 Good, the Bad and the Ugly: musings, observations and reflections after a half-century in chiropractic education.","authors":"Michael R Wiles","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author reflects on experiences over a half-century of engagement in chiropractic education. Both positive and negative aspects of the profession's evolution are highlighted, including such areas as clinical education, diversity within chiropractic education, the importance of research, and the importance of gaining public trust through evidence-based practices. The paper concludes with a repeated call to action for the profession to be a major player in the solution to the global challenge of low back pain, which can be supported by integration with the healthcare-system-at-large as a trusted and valued team member.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158532","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":"Impact of the MAINTAIN instrument on clinical decision-making for new spinal pain patients: a cross-sectional study.","authors":"Patrick Boylan, Andreas Eklund, Leon Tom, Kent Stuber, Christopher A Malaya, Brandon Beckerman, Per J Palmgren, Katherine A Pohlman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This quantitative pilot study with a qualitative adjunct aimed to characterize patients at two U.S.-based chiropractic teaching clinics using the novel MAINTAIN instrument, and to assess clinicians' and interns' initial clinical impressions based on patients' MAINTAIN scores.</p><p><strong>Methods: </strong>Between February and September 2022, 597 spinal pain patients were screened. Eligible patients (n=91) completed demographic and health questionnaires, including the MAINTAIN instrument. Clinicians and interns completed surveys to assess treatment plans and expectations for recovery. A qualitative analysis assessed clinicians' and interns' initial impressions based on patients' MAINTAIN scores.</p><p><strong>Results: </strong>The mean MAINTAIN score was 15.06 (SD: 9.03, range -7 to 32), with 39.6% of participants identified as potential candidates for maintenance care. Qualitative analysis identified several themes and subthemes which describe how clinicians and interns used patients' MAINTAIN scores.</p><p><strong>Conclusions: </strong>Despite limitations, these findings highlight the value of integrating the MAINTAIN instrument in chiropractic teaching clinics to enhance clinical decision-making and patient management.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"81-93"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158415","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":"Mechanical diagnosis and therapy in chronic postpartum isolated coccygeal pain: a case report.","authors":"Jessy Johnson, Joshua Nisler, Venkateswara Gogineni, Eric Kirk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe the use of Mechanical Diagnosis and Therapy in evaluating and treating a patient with chronic postpartum isolated coccygeal pain.</p><p><strong>Clinical features: </strong>A 30-year-old female presented with isolated coccygeal pain that began after a vaginal birth 4 months prior. Aggravating factors included sitting and standing upright. She also expressed fear of transitioning from sitting to standing.</p><p><strong>Intervention/outcome: </strong>A directional preference for lumbar extension with right lateral flexion was identified, leading to a diagnosis of lumbar derangement and initiation of reductive forces. At follow-up, she maintained reduction and reported periods of being pain free with less fear of movement. Subsequently, force progressions were implemented. By visit 6, she was discharged with symptom resolution and functional improvement.</p><p><strong>Summary: </strong>This case demonstrates the utility of applying the principles of Mechanical Diagnosis and Therapy in the evaluation and treatment of a patient with chronic postpartum isolated coccygeal pain who failed previous treatments.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"70 1","pages":"119-131"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158500","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}