Journal of the Canadian Chiropractic Association最新文献

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Differentially diagnosing chronic upper limb paresthesia in a 24-year-old patient: is thoracic outlet syndrome the culprit? A case report. 24岁患者慢性上肢感觉异常的鉴别诊断:胸廓出口综合征是罪魁祸首吗?一份病例报告。
Janny Mathieu, Joe Lemire, Igor Steiman, Benjamin Provencher
{"title":"Differentially diagnosing chronic upper limb paresthesia in a 24-year-old patient: is thoracic outlet syndrome the culprit? A case report.","authors":"Janny Mathieu,&nbsp;Joe Lemire,&nbsp;Igor Steiman,&nbsp;Benjamin Provencher","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe the differential diagnosis, diagnosis, and chiropractic management of a case of chronic upper extremity paresthesia.</p><p><strong>Clinical features: </strong>A 24-year-old woman presented with recent neck stiffness, along with a primary complaint of chronic upper extremity paresthesia and hand weakness of insidious onset.</p><p><strong>Intervention and outcome: </strong>Results of previous electro-diagnostic and advanced imaging studies were combined with clinical assessment to diagnose thoracic outlet syndrome (TOS). Discontinuing after five weeks of chiropractic management, the patient reported significant improvement of paresthesia but less improvement of her hand weakness.</p><p><strong>Summary: </strong>Several etiologies can give rise to symptoms in common with TOS. It is imperative to rule out mimicking conditions. A battery of clinical orthopedic tests has been proposed in the literature for the diagnosis of TOS but with reported questionable validity. As a result, TOS is mostly a diagnosis of exclusion. Chiropractic treatment shows potential for effective management of TOS, but research is required.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211405/pdf/jcca-67-85.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546516","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
Splenic calcifications in a patient with Systemic Lupus Erythematosus: an imaging case review. 系统性红斑狼疮患者脾脏钙化:影像学病例回顾。
Alessia S Galante, Lauren J Tollefson
{"title":"Splenic calcifications in a patient with Systemic Lupus Erythematosus: an imaging case review.","authors":"Alessia S Galante,&nbsp;Lauren J Tollefson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 47-year-old female presented to a chiropractic clinic with known diagnosis of systemic lupus erythematosus. Radiographic examination demonstrated multiple splenic calcifications, an uncommon, yet important finding. The patient was subsequently referred to her primary care physician for co-management and further evaluation.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211401/pdf/jcca-67-97.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9900759","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 gout diagnosis in chiropractic practice: narrative review. 脊椎指压治疗中痛风的诊断:叙述性回顾。
Cameron I McConville, James M Cox
{"title":"Spinal gout diagnosis in chiropractic practice: narrative review.","authors":"Cameron I McConville,&nbsp;James M Cox","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To review and summarize the recent literature, increase awareness and provide guidance for chiropractic physicians regarding the diagnosis of spinal gout.</p><p><strong>Methods: </strong>A search of PubMed was undertaken for recent case reports, reviews and trials relating to spinal gout.</p><p><strong>Results: </strong>Our analysis of 38 cases of spinal gout revealed that 94% of spinal gout patients presented with back or neck pain, 86% displayed neurological symptoms, 72% had a history of gout, and 80% had raised serum uric acid levels. Seventy-six percent of cases proceeded to surgery. A combination of clinical findings, laboratory tests and appropriate utilization of Dual Energy Computed Tomography (DECT) has the potential to improve early diagnosis.</p><p><strong>Conclusion: </strong>Gout is an uncommon cause of spine pain; however, it must be considered in the differential diagnosis as outlined in this paper. Increased awareness of the signs of spinal gout and earlier detection and treatment has the potential to improve the quality of life of patients and reduce the need for surgery.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211406/pdf/jcca-67-50.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546512","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
Capitellar osteochondritis dissecans in an elite pre-adolescent gymnast: a case report and overview. 一例优秀的青春期前体操运动员的小头骨软骨炎:一例报告和综述。
Steve Gillis, Marshall N Deltoff
{"title":"Capitellar osteochondritis dissecans in an elite pre-adolescent gymnast: a case report and overview.","authors":"Steve Gillis,&nbsp;Marshall N Deltoff","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Following sports injury, a timely and accurate diagnosis is important, so as to initiate appropriate care as soon as possible. This is perhaps even more paramount in pediatric athletic trauma, particularly during the pre-puberty through adolescent years of rapid skeletal growth. This paper presents the diagnosis and management of osteochondritis dissecans in its third most common location, the elbow, a presentation of which chiropractors should be aware, including the importance of timely diagnosis and appropriate treatment.</p><p><strong>Clinical features: </strong>A 9-year-old elite gymnast presented at a chiropractic clinic with elbow pain and restricted range of motion after a fall during training. Following multidisciplinary involvement, the diagnosis was eventually made as osteochondritis dissecans.</p><p><strong>Intervention and outcomes: </strong>The patient underwent successful arthroscopic surgery in order to remove the osteochondral fragment, followed by a specific regimen of rehabilitation exercises, which helped to enhance and accelerate optimal healing for her return to athletic activity.</p><p><strong>Summary: </strong>This case reminds the practicing chiropractor of the valuable role he/she can play in a multidisciplinary management of pediatric sports trauma, particularly in diagnosis and post-surgical care. A literature review presents a synopsis of the reported clinical presentations, diagnostic assessment and therapeutic options for capitellar osteochondritis dissecans.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914824/pdf/jcca-66-282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9330403","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 December 2022 Sports Chiropractic Special Issue: 14th Edition. JCCA 2022年12月体育脊椎治疗特刊:第14版。
Mohsen Kazemi
{"title":"JCCA December 2022 Sports Chiropractic Special Issue: 14th Edition.","authors":"Mohsen Kazemi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914827/pdf/jcca-66-226.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9330404","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
Symptomatic tibial tunnel ganglion cyst presenting four years following an ACL hamstring autograft reconstruction: a case report of a rare complication of ACL surgery. 前交叉韧带腘绳肌腱自体移植物重建4年后出现症状性胫骨隧道神经节囊肿:前交叉韧带手术罕见并发症1例报告。
David Oh, Alexander Dennis Lee, Ali Smith
{"title":"Symptomatic tibial tunnel ganglion cyst presenting four years following an ACL hamstring autograft reconstruction: a case report of a rare complication of ACL surgery.","authors":"David Oh,&nbsp;Alexander Dennis Lee,&nbsp;Ali Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To highlight a case of an athlete with a symptomatic pretibial cyst 4-years post-ACL reconstruction surgery.</p><p><strong>Case presentation: </strong>A 23-year-old female soccer athlete presented with right-sided knee pain, locking and catching, and diminished sensation along the anteroinferior knee. She had a history of an ipsilateral ACL hamstring autograft four years prior. Physical evaluation revealed a visible and palpable swelling medial to the patellar tendon, limited and painful range, and hypoesthesia within the infrapatellar branch of the saphenous nerve. MRI revealed a tubular ganglion cyst along the anterior aspect of the tibial tunnel, medial to the patellar tendon, and anterior to the ACL graft.</p><p><strong>Summary: </strong>Post-surgical ganglion cyst formation in the reconstructed ACL is a rare complication that can present years following ACL surgery. This case aims to bring awareness to this condition as a potential long-term complication in the ACL-reconstructed athlete.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914829/pdf/jcca-66-293.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9330397","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
Prevalence of shoulder problems in youth swimmers in Ontario. 在安大略省的青少年游泳者肩部问题的流行。
Taylor Ostrander, Chris DeGraauw, Samuel J Howarth, Sheilah Hogg-Johnson
{"title":"Prevalence of shoulder problems in youth swimmers in Ontario.","authors":"Taylor Ostrander,&nbsp;Chris DeGraauw,&nbsp;Samuel J Howarth,&nbsp;Sheilah Hogg-Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Shoulder problems are common in swimmers. Previous research has focused on elite swimmers. Our research questions were: 1) what is the prevalence of shoulder problems among Ontario age group swimmers and 2) how does prevalence relate to age, sex and years of experience?</p><p><strong>Methods: </strong>A cross sectional survey was administered to youth swimmers from two Ontario clubs. Oslo Sports Trauma Research Centre Overuse Injury Questionnaire (OSTRC) was used to assess four-week prevalence of shoulder problems. Prevalence (%) with 95% confidence intervals (95% CI) was constructed and prevalence across age, sex and years of experience was investigated using cross-tabulations and chi-square tests.</p><p><strong>Results: </strong>There were 83 surveys completed (response rate 50%). The 4-week prevalence of shoulder pain was 35% (95% CI 25%, 45%). Shoulder problems were not significantly related to age, sex or years of experience.</p><p><strong>Conclusion: </strong>These results can inform future studies on injury prevention and risk mitigation strategies in swimmers.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914825/pdf/jcca-66-244.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315930","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
Identifying and prioritizing research to inform a research agenda for Canadian chiropractors working in sport - the Canadian sports chiropractic perspective. 确定和确定研究的优先顺序,以告知加拿大运动脊医的研究议程-加拿大运动脊医的观点。
Alexander Dennis Lee, Lara deGraauw, Brad J Muir, Melissa Belchos, David Oh, Kaitlyn Szabo, Kent Murnaghan, Chris deGraauw, Scott Howitt
{"title":"Identifying and prioritizing research to inform a research agenda for Canadian chiropractors working in sport - the Canadian sports chiropractic perspective.","authors":"Alexander Dennis Lee,&nbsp;Lara deGraauw,&nbsp;Brad J Muir,&nbsp;Melissa Belchos,&nbsp;David Oh,&nbsp;Kaitlyn Szabo,&nbsp;Kent Murnaghan,&nbsp;Chris deGraauw,&nbsp;Scott Howitt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To identify and prioritize research to inform research agenda development for Canadian chiropractors working in sport.</p><p><strong>Methods: </strong>Clinicians, researchers and leaders from the Canadian sports chiropractic field were invited to participate in 1) a survey to refine a list of research priorities, 2) a Delphi procedure to determine consensus on these priorities, and 3) a prioritization survey.</p><p><strong>Results: </strong>The top three research priorities were 1) effects of interventions on athletic outcomes, 2) research about sports healthcare teams, and 3) clinical research related to spinal manipulative and mobilization therapy. The three highest ranked conditions to research were 1) low back pain, 2) neck pain, and 3) concussion. Collaborations with sports physicians and universities/ colleges were rated as important research collaborations to pursue.</p><p><strong>Conclusions: </strong>These results represent the Canadian sports chiropractic perspective to research priority setting and will be used alongside stakeholder input to set the first research agenda for the Canadian sports chiropractic field.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914826/pdf/jcca-66-227.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10825691","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
Food cravings during the first week of concussion. 脑震荡后第一周对食物的渴望。
Mohsen Kazemi, Sarah Donaldson, Melissa Hamilton, Nikolaus Suich
{"title":"Food cravings during the first week of concussion.","authors":"Mohsen Kazemi,&nbsp;Sarah Donaldson,&nbsp;Melissa Hamilton,&nbsp;Nikolaus Suich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The brain utilizes glucose as its main source of energy. Traumatic brain injuries may alter the brain's ability to shuttle glucose effectively; therefore, the symptoms experienced may be a signal of the dysregulation. The objective of this cross-sectional study was to investigate the presence of any specific food cravings during the first week post-concussion and if the consumption of such a food decreased the symptoms of concussion. The link to the survey was posted on 4 Canadian organization websites from November 2020 to February 2021. Any individual over 18 years old who had suffered one of more concussions in the past 12 months was included. 73 females and 24 males, the majority aged 18-40 years, completed the survey. Participants with combined carbohydrate and sweet cravings reported significantly more symptoms of increased emotions (p=0.04), irritability (p=0.03), sadness (p=0.04), nervousness (p=0.03), and sleep disturbances (p=0.05) than those without these cravings. Consumption of the craved food did not change the concussion symptoms.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914828/pdf/jcca-66-253.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315936","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
Can a structural leg length discrepancy contribute to persistent concussion symptoms? A case report. 结构性腿长差异会导致持续性脑震荡症状吗?一份病例报告。
Brad Muir, Brittany Boot, Melissa Hamilton
{"title":"Can a structural leg length discrepancy contribute to persistent concussion symptoms? A case report.","authors":"Brad Muir,&nbsp;Brittany Boot,&nbsp;Melissa Hamilton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the past several years, concussions and post-concussion syndrome (PCS) have become more commonly recognized conditions. However, with limited physiological explanation for post-concussion syndrome, there is also limited evidence supporting effective treatment. The vestibular system plays a role in postural reflexes and coordinated eye and cervical spine movements and is often disrupted in patients with prolonged concussion symptoms. This disruption has contributed to some of the most debilitating symptoms in PCS patients including dizziness, nausea, and balance deficits. Ongoing, post-concussion, vestibulo-ocular/cervical-ocular disruption due to an underlying structural leg length discrepancy as a contributing factor has not been previously described in the literature. A case of PCS with initial conservative treatment of their structural leg length discrepancy and subsequent vestibulo-ocular/cervical-ocular rehabilitation is presented.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914830/pdf/jcca-66-300.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315929","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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