Journal of the Canadian Chiropractic Association最新文献

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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
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":"67 1","pages":"85-96"},"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":"67 1","pages":"97-100"},"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":"67 1","pages":"50-66"},"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":"66 3","pages":"282-292"},"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
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