{"title":"Canada-based sports chiropractors' attitudes, beliefs, and practical application of sport psychology in the injury rehabilitation process: a mixed-methods study.","authors":"Cristina Leonardelli, Scott Howitt, Lara deGraauw","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To understand Canada-based sports chiropractors' attitudes, beliefs, and practical application of sport psychology in the sports injury rehabilitation process.</p><p><strong>Methods: </strong>A cross-sectional, mixed-methods study design was employed. A questionnaire was emailed to 144 eligible participants including Fellows and Residents of the Royal College of Chiropractic Sports Sciences (Canada) (RCCSS(C)). Fifty-two surveys were returned fully completed. Fifteen respondents completed semi-structured interviews to further examine attitudes and beliefs in sport psychology training, delivery, and referrals.</p><p><strong>Results: </strong>Approximately two-thirds of Canada-based sports chiropractors felt that athletes were affected psychologically 100% of the time when injured. Sports chiropractors reported using some basic psychological techniques during the sports injury rehab process and expressed interest in having more training in more advanced techniques and practical application of these skills, as well as developing a referral network with sport psychology professionals in Canada.</p><p><strong>Conclusions: </strong>Sports chiropractors in Canada reported receiving entry level training in sports psychology and understood the importance of addressing the psychological aspects of sports injury. Further research is warranted to explore the effectiveness of current and future sports psychology education interventions for sports chiropractors.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"226-245"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570956","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":"JCCA December 2023 Sports Chiropractic Special Issue: 15<sup>th</sup> Edition.","authors":"Mohsen Kazemi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"201"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571036","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}
Andrew Parks, Mohsen Kazemi, David Frost, Samuel J Howarth
{"title":"Assessing construct validity of the Beighton Score as a measure of generalized joint hypermobility in varsity athletes.","authors":"Andrew Parks, Mohsen Kazemi, David Frost, Samuel J Howarth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Beighton Score (BS) is a tool that dichotomizes those who have generalized joint hypermobility (GJH) and those who do not. Unfortunately, the BS is often used in populations that it was not originally developed for, including athletes for screening purposes. The construct validity of the BS remains unknown in this population. This secondary analysis investigated the construct validity of the BS by comparing varsity athletes' passive shoulder and hip ranges of motion (ROMs) to their respective BS and individual forward bend tests (FBTs). There were statistically significant but weak correlations between shoulder ROMs and the BS (r=0.142, p=0.021). Mean hip ROMs were greater by 5-degrees in those with positive FBTs compared to those with negative FBTs. This difference falls within typical measurement errors that occur in practice. Therefore, our results do not support the construct validity of the BS as a measure of GJH in healthy athletes.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 3","pages":"269-278"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570853","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}
Myles W O'Brien, Liam P Pellerine, Scott D Howitt, Chris deGraauw, Jonathon R Fowles
{"title":"Physical activity counselling and exercise prescription practices of chiropractors in Canada and internationally: an exploratory survey.","authors":"Myles W O'Brien, Liam P Pellerine, Scott D Howitt, Chris deGraauw, Jonathon R Fowles","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Physical activity and exercise (PAE) counselling and exercise prescriptions increase patient physical activity. However, the perceptions/practices of chiropractors are poorly understood.</p><p><strong>Methods: </strong>We surveyed the practices among chiropractors working in Canada (n=50) and Internationally (n=37). Chiropractors completed self-reflection questionnaires regarding their current practices and perceptions towards providing PAE counselling to patients. Chiropractor responses were obtained via Canadian provincial survey and educational workshops.</p><p><strong>Results: </strong>Chiropractor respondents included PAE content and exercise prescriptions in most patient appointments (67±27% and 59±35%, respectively), but the largest barriers (2.5/4.0) and least confidence were in their patients to follow through (52±21%). Canadian respondents reported higher knowledge (~0.4/4.0 higher), greater self-confidence (10-20% higher), and provided more PAE recommendations (8%) and prescriptions (16%) than International respondents. Chiropractor respondents were least comfortable advising patients with cancer.</p><p><strong>Conclusion: </strong>Chiropractor respondents may serve as health promotors to address patient inactivity, and the challenges identified should be addressed through educational training.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"105-116"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575325/pdf/jcca-67-105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239506","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":"Recreational windsurfing-related acute injuries: a narrative review. Part 1: injury epidemiology and a proposal for standardized injury definitions.","authors":"Chun-Cheung Woo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this review was to identify the epidemiology of, and develop standardized injury definitions for, acute injuries among recreational windsurfers.</p><p><strong>Methods: </strong>A literature search was conducted from the PubMed and Google Scholar databases through February 28, 2023, using relevant keywords with Boolean operators, such as \"windsurfing\" AND \"epidemiology\" AND \"risk factors.\" Only peer-reviewed, relevant windsurfing-related injury articles were included.</p><p><strong>Results: </strong>A wide range of acute injuries, from minor, moderate, severe, to catastrophic, were reported. Injury rates, frequency of anatomical distributions, existing and potential risk factors, the proposed standardization definitions of behaviour types, skill levels, general windsurfing-related injuries, and injury severity classifications and levels for windsurfing epidemiology were identified and tabled.</p><p><strong>Conclusions: </strong>There is inconsistency in the epidemiological methods and definitions of windsurfing research. The injury rates remain difficult to compare among the identified studies. Future in-depth windsurfing-related injury studies should focus on prospective designs using standardized injury definitions.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"142-158"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575321/pdf/jcca-67-142.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239507","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":"Relationship between backpack load location, sex, anthropometric and body composition factors with postural sway in healthy young adults.","authors":"Dean L Smith, Mark S Walsh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the effect of backpack load location on postural sway and correlate sway path length (PL) to anthropometrics and body composition.</p><p><strong>Methods: </strong>Fifteen participants aged 18-25 stood on a force plate with backpack load located high (LH), low (LL) or without backpack (NL). Body composition and anthropometric variables were correlated to PL.</p><p><strong>Results: </strong>Load increased PL, 95% confidence ellipse, and mean velocity while it reduced mediolateral SampEn (p<0.05). Females had increased mean velocity and PL of sway (p<0.05). Larger phase angles correlated with reduced PL under NL. Taller individuals correlated with reduced PL under LL. Greater mass correlated with reduced PL under LH.</p><p><strong>Conclusions: </strong>Load carriage regardless of load location increased postural sway metrics except mediolateral SampEn. Females had greater PL and mean velocity compared to males. Select anthropometric and body composition variables correlated with postural sway under different load conditions.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"117-126"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575324/pdf/jcca-67-117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239509","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}
Christopher B Roecker, Sachien R Hewawasam, Matthew R Skalski
{"title":"Chiropractic management of bilateral meralgia paresthetica: a case report.","authors":"Christopher B Roecker, Sachien R Hewawasam, Matthew R Skalski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this report is to describe the course of chiropractic care for an adult male experiencing persistent anterolateral thigh pain due to bilateral meralgia paresthetica.</p><p><strong>Clinical features: </strong>A 40-year-old male U.S. Veteran was referred to chiropractic care for a two-year history of bilateral anterolateral thigh pain and paresthesia that worsened with inguinal pressure and hip extension activities.</p><p><strong>Intervention and outcomes: </strong>A total of six chiropractic visits, including a combination of telehealth and in-person appointments, took place over a period of 10 weeks. Treatments included patient education, soft-tissue therapy, therapeutic exercise prescription, and spinal manipulation directed toward the lumbar spine. The patient's pain was reduced from a 6/10 rating to a 0/10, he was able to reengage in recreational activities without discomfort, and sustained improvement was reported.</p><p><strong>Summary: </strong>In this case, a trial of chiropractic care was associated with a resolution of the patient's bilateral meralgia paresthetica symptoms.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"175-185"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575328/pdf/jcca-67-175.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239573","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":"Recreational windsurfing-related acute injuries: a narrative review. Part 2: injury prevention and a proposal for a set of potential prevention strategies with a holistic approach.","authors":"Chun-Cheung Woo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this review was to identify existing prevention strategies for recreational windsurfing-related acute injuries and provide clinicians with a practical overview of current evidence supporting proposed potential prevention strategies.</p><p><strong>Methods: </strong>A literature search was conducted through March 8, 2023, using relevant keywords with Boolean operators, such as \"windsurfing\" AND \"injury prevention\" and \"windsurfing\" AND \"exercise interventions,\" from the PubMed and Google Scholar databases. Only peer-reviewed English-articles were included.</p><p><strong>Results: </strong>Existing prevention strategies, right-of-way rules, a new proposed set of eight potential primary to tertiary prevention strategies for windsurfing-related acute injuries, and proposed definitions of injury prevention levels equivalent to Haddon's matrix were identified and tabled.</p><p><strong>Conclusions: </strong>The proposed potential prevention strategies may facilitate clinicians in preventing recreational windsurfing-related acute injuries. Injury prevention for recreational windsurfing is under-researched. Future studies should focus on large prospective clinical trials evaluating the efficacy of prevention strategies for recreational windsurfing-related injuries.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"159-174"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575326/pdf/jcca-67-159.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239508","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}
Jean Théroux, Corey Rogers, Rebecca Moyle, Indigo Atwood, Mia Bebic, Sofie Murfit, Rachel Martin, Samara Klee, Tahla Even, Alexander Moore, Zachary Willmott, Kimberly McCartney, Vincenzo Cascioli, Marc-André Blanchette, Amber Beynon
{"title":"Understanding patient preferences for student clinician attire: a cross-sectional study of a student chiropractic clinic in Australia.","authors":"Jean Théroux, Corey Rogers, Rebecca Moyle, Indigo Atwood, Mia Bebic, Sofie Murfit, Rachel Martin, Samara Klee, Tahla Even, Alexander Moore, Zachary Willmott, Kimberly McCartney, Vincenzo Cascioli, Marc-André Blanchette, Amber Beynon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Previous studies have investigated the role of clinical attire in establishing patient-held perceptions of professionalism and knowledgeability across various healthcare settings. This study aimed to understand patients' preferences for chiropractic student attire.</p><p><strong>Methods: </strong>Three hundred and twenty patients were recruited from a university chiropractic clinic and asked to complete an online questionnaire. The patients' preferences for five different attires were rated and calculated as the composite score of five domains (knowledgeable, trustworthy, caring, professional, and comfortable).</p><p><strong>Results: </strong>While 71.9% of participants indicated that how students dress was important to them, most (63.4%) disagreed that wearing a white coat was essential for chiropractic student clinicians. The most preferred form of attire was the current clinic shirt.</p><p><strong>Conclusion: </strong>The attire worn by chiropractic student clinicians at a single institution was found to be an influential attribute. Student chiropractic clinicians should dress professionally to make a good first impression. This study provided some guidance with the ongoing debate around students' dress code.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"127-141"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575323/pdf/jcca-67-127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239510","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":"Partial mixed neuropathy of the fourth lumbar spinal nerve misdiagnosed as \"shin splints.\"","authors":"Geoffrey M Bove","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of anteromedial leg pain diagnosed and treated for 10 years as \"shin splints\" (medial tibial stress syndrome) is described. A history and examination was performed focused on anatomy, biomechanics, and peripheral nerves. Detailed sensory testing was performed in the painful area, and imaging was obtained to confirm the diagnosis. The clinical investigation was consistent with dynamic stenosis of the left L4-5 intervertebral foramen, causing a mixed partial mononeuropathy of the L4 spinal nerve that presented as pain and hypersensitivity in the anteromedial shin. Manual therapy maneuvers intended to open the intervertebral foramen led to resolution of the pain and sensory deficits. After three additional treatments performed within a month, resolution was maintained for >3 years. This case highlights how concepts from preclinical studies, coupled with basic anatomical, neurological, and biomechanical investigations, can be critical for accurate diagnosis and treatment for a case previously considered unresponsive to care.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 2","pages":"186-193"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575327/pdf/jcca-67-186.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239574","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}