Journal of the Canadian Chiropractic Association最新文献

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Combining motor imagery practice with physical practice optimizes the improvement in peak force control during thoracic spinal manipulation. 将运动想象练习与身体练习相结合,可优化胸椎手法操作过程中峰值力控制的改善。
Constance Dubant, Aurore Meugnot
{"title":"Combining motor imagery practice with physical practice optimizes the improvement in peak force control during thoracic spinal manipulation.","authors":"Constance Dubant, Aurore Meugnot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spinal manipulation learning requires intensive practice, which can cause injuries in students. Motor imagery (MI) paired with physical practice (PP) appears to be a suitable means to reduce the number of physical repetitions without decreasing skill outcomes. This study examines whether a session of MI paired with PP leads to a similar improvement in the ability to precisely produce peak forces during a thoracic manipulation as PP alone. Chiropractic students participated in a thoracic manipulation training program for five weeks. They were randomised in two groups: the MI+PP group performed sessions combining physical and mental repetitions with 1/3 fewer PP sessions, while the PP group performed only PP. Thoracic manipulation performance was assessed in pre and post-tests, consisting of thoracic manipulations at three different strength targets. Absolute error (AE), corresponding to the difference between the force required and the force applied by the student, was recorded for each trial. The main result revealed that AE was significantly lower in post-test than in pre-test for both groups. Despite fewer physical repetitions, the MI+PP participants showed as much improvement as the PP participants. This result supports the use of MI combined with PP to optimise the benefits of physical repetitions on thoracic manipulation learning.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"40-48"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263703","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
A commentary on the use of mixed methods in chiropractic research: Part 3: integration of qualitative research with randomized controlled trials. 关于在脊骨神经学研究中使用混合方法的评论:第三部分:定性研究与随机对照试验的结合。
Peter C Emary, Kent J Stuber
{"title":"A commentary on the use of mixed methods in chiropractic research: Part 3: integration of qualitative research with randomized controlled trials.","authors":"Peter C Emary, Kent J Stuber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the third of three papers in our series of articles on the use of mixed methods in chiropractic research. In this commentary, we discuss the mixed methods experimental (or intervention) design. This design is a complex mixed methods research design in which qualitative research is integrated with randomized controlled trials. We provide a brief overview of this study design as well as a case example from the literature to illustrate how this approach can be applied to research within the chiropractic profession.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262956","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
JCCA April 2024 Chiropractic Sciences Special Issue: 5th Edition. JCCA 2024 年 4 月脊骨神经科学特刊:第 5 版。
Brynne E Stainsby, Daphne To
{"title":"JCCA April 2024 Chiropractic Sciences Special Issue: 5<sup>th</sup> Edition.","authors":"Brynne E Stainsby, Daphne To","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262960","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
Spinal ependymoma presenting as subtle neurological findings in a VA chiropractic clinic: a case report in differential diagnosis and appropriate use of diagnostic imaging. 在一家退伍军人脊骨神经科诊所出现的脊髓上皮瘤:鉴别诊断和适当使用诊断成像的病例报告。
Olivia Poppen, Alyssa Troutner, Christopher Farrell, Lindsay Rae
{"title":"Spinal ependymoma presenting as subtle neurological findings in a VA chiropractic clinic: a case report in differential diagnosis and appropriate use of diagnostic imaging.","authors":"Olivia Poppen, Alyssa Troutner, Christopher Farrell, Lindsay Rae","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Lhermitte's sign is a nonspecific historical and exam finding that carries with it a differential diagnosis of cervical myelopathy, multiple sclerosis, intradural tumors, or other central nervous system pathology. Regardless of the suspected diagnosis, further diagnostic investigation is indicated to determine etiology of symptoms.</p><p><strong>Case presentation: </strong>In this case, a 67-year-old male Veteran presents to a Veterans Affairs (VA) outpatient chiropractic clinic with an insidious 6-month onset of neck pain with historical description of a positive Lhermitte's sign, a single episode of bladder incontinence, and mild changes in upper extremity manual dexterity. These subtle historical findings prompted referral for a brain and cervical spine MRI, revealing an ependymoma in the cervical spine. Urgent neurosurgical referral was made, and the patient underwent C3-C7 laminectomy, C3-T2 fusion, and tumor resection.</p><p><strong>Summary: </strong>This case represents an example of clinical reasoning in a VA chiropractic clinic when presented with subtle neurologic findings, and discusses the differential diagnoses and decision-making process to pursue imaging that resulted in appropriate neurosurgical management.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"58-67"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262961","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
Axillary-Subclavian Venous Thrombosis following a weightlifting injury in an elderly patient: a case report. 一名老年患者因举重受伤导致腋下-锁骨下静脉血栓形成:病例报告。
Chris White, Felix Lascelles-Palys, Glenn Cashman
{"title":"Axillary-Subclavian Venous Thrombosis following a weightlifting injury in an elderly patient: a case report.","authors":"Chris White, Felix Lascelles-Palys, Glenn Cashman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Axillary-subclavian venous thrombosis (ASVT) is a type of upper extremity deep vein thrombosis (UEDVT). UEDVTs are classified as either primary or secondary depending on their etiology. Although uncommon, clinicians should be aware of the clinical presentation of UEDVT as timely diagnosis and early treatment is critical in preventing possible post-thrombotic complications.</p><p><strong>Case presentation: </strong>We report a rare case of axillary-subclavian and internal jugular vein thrombosis in the absence of clear risk factors in a 78-year-old male weightlifter who presented to the office with two-week duration of left upper extremity pain and swelling following strenuous exercise at the gym.</p><p><strong>Summary: </strong>The combination of unusual thrombi location, in addition to the unusual absence of existing thoracic-outlet compression or indwelling medical hardware, makes our case of UEDVT especially uncommon. Clinicians should be aware of this rare disease due to the debilitating effects both in the short and long term.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262957","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
Fluoroquinolone-induced Achilles tendinitis: a case report. 氟喹诺酮引起的跟腱炎:病例报告。
Antonio Anziano
{"title":"Fluoroquinolone-induced Achilles tendinitis: a case report.","authors":"Antonio Anziano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although most cases of Achilles tendinitis are caused by some form of biomechanical stress, other factors may play a role in its etiology. Fluoroquinolone use is a well-known contributing factor to Achilles tendon pathology. This report describes a case of fluoroquinolone-induced Achilles tendinitis in a 77-year-old woman. Eight weeks after she presented to our office, the patient reported significant improvements after a course of care that included low level laser therapy (LLLT), activity modification and graduated exercises. Management can include many of the treatment tools used for biomechanically induced tendinopathy, with particular consideration given to delaying more advanced weight-bearing rehabilitative exercise due to the increased risk of rupture.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"68 1","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263705","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
Investigating the research capacity and productivity of Canadian sports chiropractors. 调查加拿大运动脊骨神经科医生的研究能力和生产力。
Alexander Dennis Lee, Brad J Muir, David Oh, Kyle Chung, Ryan Debusschere, Jaclyn Kissel, Nadia Richer, Caroline Poulin, Kent Murnaghan, Kent Stuber
{"title":"Investigating the research capacity and productivity of Canadian sports chiropractors.","authors":"Alexander Dennis Lee, Brad J Muir, David Oh, Kyle Chung, Ryan Debusschere, Jaclyn Kissel, Nadia Richer, Caroline Poulin, Kent Murnaghan, Kent Stuber","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the research capacity and productivity of Canadian sports chiropractors.</p><p><strong>Methods: </strong>A cross-sectional survey (phase one) and scoping review (phase two) investigated the research capacity and productivity (from 2015-2020) of the Canadian sports chiropractic field.</p><p><strong>Results: </strong>Most respondents (72%) reported obtaining research training from fellowship and master's programs, with only 2 (1%) PhD qualifications identified. Approximately, 30% reported active involvement in research, with 28% being part-time clinician researchers. Access to human and technological research resources were limited. We identified 67 publications and 16 conference presentations within a five-year period, with clinical, population health, and basic science research as the areas most studied.</p><p><strong>Conclusion: </strong>The research effort of Canadian sports chiropractors is primarily conducted by clinicians involved in research on a part-time basis. Its research outputs predominantly reflect the research requirements of the RCCSS(C) Sports Sciences Residency Program, highlighting its contribution in developing capacity and producing research for the Canadian sports chiropractic field.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"202-225"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571007","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
Autonomic nervous system dysfunction in pediatric sport-related concussion: a systematic review. 小儿运动相关脑震荡的自主神经系统功能障碍:系统性综述。
Andrew Parks, Sheilah Hogg-Johnson
{"title":"Autonomic nervous system dysfunction in pediatric sport-related concussion: a systematic review.","authors":"Andrew Parks, Sheilah Hogg-Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To identify, appraise and synthesize the evidence of autonomic nervous system (ANS) dysfunction following sport-related concussion in pediatric populations.</p><p><strong>Methods: </strong>A literature search was conducted using MEDLINE (Ovid), SportDiscus (EBSCO), CINAHL (EBSCO), EMBASE (Ovid) and PsycINFO (Ovid). Studies were selected and appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. Data was extracted from the included studies and qualitatively synthesized.</p><p><strong>Results: </strong>Eleven studies were included in the synthesis. There was variability in the methods used to measure ANS function between studies, and sample populations and time to assessment following concussion varied considerably. There was also variability in the direction of change of ANS function between some studies.</p><p><strong>Conclusion: </strong>This systematic review identifies that concussion is associated with dysregulation of ANS function in pediatric athletes. We identified some weaknesses in the extant literature which may be due to existing logistical and financial barriers to implementing valid ANS measurements in clinical and sports settings.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"246-268"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570891","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
Risk factors of multiple pulmonary emboli in an elite Ironman triathlete: a case report. 一名铁人三项精英运动员发生多发性肺栓塞的风险因素:病例报告。
David Oh, Paul S Nolet, Paula Stern, Patti Galvin
{"title":"Risk factors of multiple pulmonary emboli in an elite Ironman triathlete: a case report.","authors":"David Oh, Paul S Nolet, Paula Stern, Patti Galvin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To present a unique case of pulmonary embolism (PE) in an elite-Ironman triathlete and review athlete-specific risk factors associated with venous thromboembolism (VTE).</p><p><strong>Case presentation: </strong>A 57-year-old male triathlete presented for chiropractic care of midback pain and dyspnea one day before competition. During competition, he was removed and unable to complete the event with dyspnea, chest, and midback pain. Vitals revealed prolonged elevated resting heart rate. He was triaged to the hospital with a high index of suspicion for PE. He was diagnosed with multiple PE in both lungs.</p><p><strong>Summary: </strong>VTE is not normally considered in athletes. A combination of athlete-specific risk factors may predispose athletes to a higher propensity of VTE. Due to life-threatening consequences, it is important to include a differential diagnosis of VTE in patients presenting with midback pain and dyspnea.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"279-286"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571094","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
Interval return to play for a wrist fracture in a hockey player: a case report. 曲棍球运动员腕部骨折的间歇复位治疗:病例报告。
Brittany Boot, Kaitlyn Szabo
{"title":"Interval return to play for a wrist fracture in a hockey player: a case report.","authors":"Brittany Boot, Kaitlyn Szabo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Distal radius fractures are a common sports injury, often managed with reduction, immobilization, and rehabilitation. However, structured sport specific return to play protocols have yet to be developed, specifically within hockey. This case report reviews the various factors to consider when managing an athlete's recovery from a radius fracture, and objective measures to aid with return to play decision making when managing a hockey player.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"287-294"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571046","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
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