Journal of the Canadian Chiropractic Association最新文献

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Chiropractic management of bilateral meralgia paresthetica: a case report. 双侧麻痛的脊医治疗:一例报告。
Christopher B Roecker, Sachien R Hewawasam, Matthew R Skalski
{"title":"Chiropractic management of bilateral meralgia paresthetica: a case report.","authors":"Christopher B Roecker,&nbsp;Sachien R Hewawasam,&nbsp;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}
引用次数: 0
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. 与娱乐性帆板运动相关的急性损伤:叙述性综述。第2部分:伤害预防和一套具有整体方法的潜在预防策略的建议。
Chun-Cheung Woo
{"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}
引用次数: 0
Understanding patient preferences for student clinician attire: a cross-sectional study of a student chiropractic clinic in Australia. 了解患者对学生临床医生着装的偏好:澳大利亚一家学生脊骨神经医学诊所的横断面研究。
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,&nbsp;Corey Rogers,&nbsp;Rebecca Moyle,&nbsp;Indigo Atwood,&nbsp;Mia Bebic,&nbsp;Sofie Murfit,&nbsp;Rachel Martin,&nbsp;Samara Klee,&nbsp;Tahla Even,&nbsp;Alexander Moore,&nbsp;Zachary Willmott,&nbsp;Kimberly McCartney,&nbsp;Vincenzo Cascioli,&nbsp;Marc-André Blanchette,&nbsp;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}
引用次数: 0
Partial mixed neuropathy of the fourth lumbar spinal nerve misdiagnosed as "shin splints." 第四腰椎神经的部分混合性神经病被误诊为“胫骨夹板”
Geoffrey M Bove
{"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}
引用次数: 0
Should you adjust that herniated disc? Thoughts from a chiropractor/molecular scientist. 你要调整椎间盘突出吗?来自脊椎按摩师/分子科学家的想法。
W Mark Erwin
{"title":"Should you adjust that herniated disc? Thoughts from a chiropractor/molecular scientist.","authors":"W Mark Erwin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Low back pain accounts for the most years lost to disability of any malady worldwide but most cases of disc herniation (DH) and degenerative disc disease (DDD) resolve with conservative methods. Numerous tissue sources of pain affecting the degenerative/herniated disc have been identified, with changes secondary to the influence of inflammation figuring prominently among them. Due to the proven linkage of inflammation to the pain and progression of disc degeneration, anti-inflammatory/anti-catabolic and pro-anabolic repair strategies are gaining prominence for novel therapeutic approaches. Current treatments include conservative therapies such as modified rest, exercise, anti-inflammatory treatments, and analgesics. There is no accepted proposed mechanism of action to support the direct role of spinal manipulation for the treatment of the degenerative and/or herniated disc. However, there are published accounts of very serious adverse events accompanying such treatments leading to the question; 'should a patient with suspected painful IVD be treated with manipulation?</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"7-18"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211408/pdf/jcca-67-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546509","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
Diagnosis and conservative management of sural neuropathy: a case report. 腓肠神经病变的诊断与保守治疗1例。
Anser Abbas, Demetry Assimakopoulos, Angela Mailis
{"title":"Diagnosis and conservative management of sural neuropathy: a case report.","authors":"Anser Abbas,&nbsp;Demetry Assimakopoulos,&nbsp;Angela Mailis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nerve entrapments in the lower extremity are rare and can be difficult to diagnose. Here we describe a Canadian Armed Forces veteran with left posterior-lateral calf pain. The patient's condition was previously misdiagnosed as a left-sided mid-substance Achilles tendinosis, which subsequently led to mismanagement, persistent pain and severe functional limitations. After performing a thorough evaluation, we diagnosed the patient with chronic left-sided sural neuropathy secondary to entrapment within the gastrocnemius fascia. The patient's physical symptoms abated completely with chiropractic care, while overall disability improved substantially after taking part in an interdisciplinary pain program. The objectives of this case report are to describe a challenging differential diagnosis of sural neuropathy, and present conservative whole-person management options according to the patient's needs and goals.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"67-76"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211404/pdf/jcca-67-67.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598539","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 2023 Chiropractic Sciences Special Issue: 4th Edition. JCCA 2023年4月脊医科学特刊:第四版。
Brynne E Stainsby
{"title":"JCCA April 2023 Chiropractic Sciences Special Issue: 4th Edition.","authors":"Brynne E Stainsby","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211400/pdf/jcca-67-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160347","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 narrative review of social determinants of health education in health professional programs and potential pathways for integration into Doctor of Chiropractic programs. 对健康专业项目中健康教育的社会决定因素和整合脊椎指压医生项目的潜在途径的述评。
Jevinne A Khan, Patrick J Battaglia, Jordan A Gliedt
{"title":"A narrative review of social determinants of health education in health professional programs and potential pathways for integration into Doctor of Chiropractic programs.","authors":"Jevinne A Khan,&nbsp;Patrick J Battaglia,&nbsp;Jordan A Gliedt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a narrative review of the literature pertaining to strategies employed by health professional programs to teach social determinants of health (SDOH) and use the results to describe pathways for integrating SDOH education into Doctor of Chiropractic programs (DCPs).</p><p><strong>Methods: </strong>A narrative review of peer-reviewed literature describing SDOH education in health professional programs within the United States was performed. The results were used to inform potential pathways of integrating SDOH education into all aspects of DCPs.</p><p><strong>Results: </strong>Twenty-eight papers demonstrated health professional programs' incorporation of SDOH education and assessment into didactic and experiential learning opportunities. Educational interventions resulted in positive changes in knowledge and attitudes toward SDOH.</p><p><strong>Conclusion: </strong>This review demonstrates existing methods for integrating SDOH in health professional programs. Methods may be adopted and assimilated into an existing DCP. Further research is needed to understand barriers and facilitators to the implementation of SDOH education into DCPs.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"19-37"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211407/pdf/jcca-67-19.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9900761","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
Chiropractic management of a U.S. Veteran with myofascial pain and concurrent distal bimelic amyotrophy (Hirayama disease): a case report. 美国退伍军人肌筋膜疼痛并发远端双侧肌萎缩症(平山病)的整脊治疗:一例报告。
Kevin W Meyer, Morgan R Price, Sarah E Page, Clinton J Daniels
{"title":"Chiropractic management of a U.S. Veteran with myofascial pain and concurrent distal bimelic amyotrophy (Hirayama disease): a case report.","authors":"Kevin W Meyer,&nbsp;Morgan R Price,&nbsp;Sarah E Page,&nbsp;Clinton J Daniels","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Distal bimelic amyotrophy (DBMA) also known as Hirayama disease, is a rare, self-limiting motor neuron disease manifesting as atrophy of C7-T1 innervated muscles. We present a case report describing the chiropractic management of neck and thoracic pain in a patient with known DBMA.</p><p><strong>Case presentation: </strong>A 30 year-old black male U.S. veteran with DBMA presented with myofascial pain of the neck, shoulder, and back. A trial of chiropractic care was undertaken involving spinal manipulation of the thoracic spine and cervicothoracic region, manual and instrument-assisted soft tissue mobilization, and home exercise prescription. The patient reported modest improvement in pain intensity and did not experience any adverse events.</p><p><strong>Summary: </strong>This case presents the first documentation of chiropractic services in musculoskeletal pain management of a patient with concurrent DBMA. At this time there is no guidance in the existing body of literature for the safety and effectiveness of manual therapy in this population.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"77-84"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211402/pdf/jcca-67-77.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546510","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
Impact of hype on clinicians' evaluation of trials - a pilot study. 炒作对临床医生评价试验的影响——一项初步研究。
Neil Millar, Brian Budgell
{"title":"Impact of hype on clinicians' evaluation of trials - a pilot study.","authors":"Neil Millar,&nbsp;Brian Budgell","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to determine the practicality of using a teleconferencing platform to assess the effect of hype on clinicians' evaluations of reports of clinical trials in spinal care.</p><p><strong>Methods: </strong>Twelve chiropractic clinicians were interviewed via a videoconferencing application. Interviews were recorded and timed. Participant behaviour was monitored for compliance with the protocol. Differences between participants numerical ratings of hyped and non-hyped abstracts based on four measures of quality were analysed using pairwise comparisons (Wilcoxon signed rank test for independent samples). In addition, a linear mixed effects model was fitted with condition (i.e. hype vs. no hype) as a fixed effect and participant and abstract as random effects.</p><p><strong>Results: </strong>The interviews and data analysis were conducted without significant technical difficulty. Participant compliance was high, and no harms were reported. There were no statistically significant differences in the quality rankings of hyped versus non-hyped abstracts.</p><p><strong>Conclusion: </strong>The use of a videoconferencing platform to measure the effects of hype on clinicians' evaluations of abstracts of clinical trials is practical and an adequately powered study is justified. Lack of statistically significant results may well be due to low participant numbers.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"67 1","pages":"38-49"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211403/pdf/jcca-67-38.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546515","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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