Journal of the Canadian Chiropractic Association最新文献

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Characteristics of adolescent athletes seeking early versus late care for sport-related concussion. 青少年运动员寻求运动相关脑震荡早期与晚期治疗的特点。
Darrin Germann, Carol Cancelliere, Mohsen Kazemi, Cameron Marshall, Sheilah Hogg-Johnson
{"title":"Characteristics of adolescent athletes seeking early versus late care for sport-related concussion.","authors":"Darrin Germann,&nbsp;Carol Cancelliere,&nbsp;Mohsen Kazemi,&nbsp;Cameron Marshall,&nbsp;Sheilah Hogg-Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>1) To determine which characteristics of adolescent athletes with SRC are associated with 'early' versus 'late' presentation for multimodal treatment; 2) to build a propensity score to investigate the effects of treatment timing during the management of SRCs.</p><p><strong>Methods: </strong>Associations between early (0-7 days) versus late (8-28 days) presentation for treatment and pre-specified sociodemographic, pre-injury and injury characteristics were investigated in a historical cohort study of 2949 multi-sport athletes across Canada aged 12-18 years diagnosed with a SRC in community-based healthcare clinics.</p><p><strong>Results: </strong>Early presentation was associated with being male, completing a pre-injury baseline assessment, and responding 'yes' or 'no' to having a diagnosed learning disability. Older athletes who reported previous SRCs were less likely to present early. The propensity score demonstrated an area under the curve of 0.71 (95% CI, 0.69 to 0.73).</p><p><strong>Conclusions: </strong>Male athletes with a completed baseline assessment were more likely to seek early treatment following a SRC, and older athletes who reported a greater number of previous SRCs were less likely to present early. External validation of the propensity score is needed before examining the impact of treatment timing on adolescent athlete recovery outcomes.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791547/pdf/jcca-65-260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39948273","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
Hip pain in an elite cyclist with Non-Hodgkin's Follicular Lymphoma: a case report. 优秀自行车运动员髋关节疼痛伴非霍奇金滤泡性淋巴瘤1例报告。
Melissa Belchos, Varsha Kumar, Carol Ann Weis
{"title":"Hip pain in an elite cyclist with Non-Hodgkin's Follicular Lymphoma: a case report.","authors":"Melissa Belchos,&nbsp;Varsha Kumar,&nbsp;Carol Ann Weis","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>We present a case of an elite cyclist that hesitated to follow the medical advice from her practitioners, as she was determined to train and compete resulting in delayed diagnosis and management of a rare hip pathology.</p><p><strong>Case presentation: </strong>A 51-year old elite female cyclist had a history of years of hip pain with insidious onset. The chiropractor in this case observed a lack of response to treatment, and advised the patient to get an MRI with suspicion of a labral tear. She eventually agreed to further investigations and was diagnosed with Non-Hodgkin's follicular lymphoma and a labral tear.</p><p><strong>Summary: </strong>Elite athletes are not immune to serious pathology. Chiropractors should be vigilant and ensure to investigate any patients with a lack of response to conservative management. Chiropractors should be aware of the risk of athletic patients that continue to train and compete when advised not to.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791548/pdf/jcca-65-330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39644489","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
Delayed diagnosis of osteodiscitis in an adolescent athlete: a case report. 青少年运动员骨椎间盘炎的延迟诊断:1例报告。
Dominique Harmath, Erin Boynton, Peter Lejkowski
{"title":"Delayed diagnosis of osteodiscitis in an adolescent athlete: a case report.","authors":"Dominique Harmath,&nbsp;Erin Boynton,&nbsp;Peter Lejkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Vertebral osteomyelitis (OM) is an infectious condition of bone caused by an infecting organism, most commonly Staphylococcus aureus (S. aureus). Though rare in adolescents, it is important to remember that this population has vascularized intervertebral discs prior to skeletal maturity and, therefore, is more susceptible to an osteodiscitis infection.</p><p><strong>Purpose: </strong>To determine the possible factors that lead to a delayed diagnosis of osteodiscitis compared to an early diagnosis in an adolescent athlete.</p><p><strong>Summary: </strong>This case provides a unique example of osteodiscitis in an adolescent rowing athlete where an infected heel blister was the only indication toward a diagnosis. Early diagnosis and successful management of osteodiscitis are dependent on recognizing constitutional and non-constitutional signs and symptoms of infection.</p><p><strong>Clinical relevance: </strong>In sport, when skin barriers may be compromised more readily, the risk of infection should be considered in the differential diagnosis of unprovoked back pain.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791545/pdf/jcca-65-338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39644490","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
The chiropractor's role in primary, secondary, and tertiary prevention of suicide: a clinical guide. 脊椎指压治疗师在一级、二级和三级预防自杀中的作用:临床指南。
Zachary A Cupler, Clinton J Daniels, Derek R Anderson, Michael T Anderson, Jason G Napuli, Megan E Tritt
{"title":"The chiropractor's role in primary, secondary, and tertiary prevention of suicide: a clinical guide.","authors":"Zachary A Cupler,&nbsp;Clinton J Daniels,&nbsp;Derek R Anderson,&nbsp;Michael T Anderson,&nbsp;Jason G Napuli,&nbsp;Megan E Tritt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To provide the practicing chiropractor foundational knowledge to enhance the understanding of relevant primary, secondary, and tertiary public health measures for suicide prevention.</p><p><strong>Methods: </strong>A descriptive literature review was performed using keywords low back pain, neck pain, psychosocial, pain, public health, suicide, suicide risk factors, and suicide prevention. English language articles pertaining to suicide prevention and the chiropractic profession were retrieved and evaluated for relevance. Additional documents from the Centers for Disease Control, Veterans Health Administration, and the World Health Organization were reviewed. Key literature from the clinical social work and clinical psychology fields were provided by authorship team subject matter experts.</p><p><strong>Conclusion: </strong>No articles reported a position statement regarding suicide prevention specific to the chiropractic profession. Risk, modifiable, and protective factors associated with self-directed violence are important clinical considerations. A proactive approach to managing patients at-risk includes developing interprofessional and collaborative relationships with mental health care professionals.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480373/pdf/jcca-65-137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525117","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
Agreement of primary outcomes in chiropractic-related clinical trials registered in clinicaltrials.gov with corresponding publication. 在clinicaltrials.gov上注册的脊椎相关临床试验的主要结果与相应的出版物一致。
Robert M Coté, Stephen M Perle, Derek S Martin
{"title":"Agreement of primary outcomes in chiropractic-related clinical trials registered in clinicaltrials.gov with corresponding publication.","authors":"Robert M Coté,&nbsp;Stephen M Perle,&nbsp;Derek S Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Previous analysis of registered clinical trials has found a number of protocols result in changes in the registered primary outcome measures. This investigation determined if reported primary outcomes in chiropractic-related clinical trials registered in clinicaltrials.gov match their published results. Additionally, we assessed secondary outcomes, publication status and whether raw data were posted to the registry.</p><p><strong>Methods: </strong>Clinicaltrials.gov was searched for chiropractic-related trials and having a completed status. If the study was published, outcome measures were compared between the clinicaltrials.gov entry and the published paper to assess for consistency.</p><p><strong>Results: </strong>Within clinicaltrials.gov 171 chiropracticrelated protocols were identified with 102 of those published (59.6% publication rate). Ninety-two of the published papers (90.2%) had agreement between their primary outcome and the entry on clinicaltrials.gov and 82 (80.4%) agreed with the secondary outcomes.</p><p><strong>Conclusion: </strong>A modest rate of agreement between clinicaltrials.gov entries and the published papers was found. While chiropractic-related clinical trials are fewer compared to medical trials, chiropractic-related research has a substantially better rate of primary and secondary outcome concordance with registered protocols.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480378/pdf/jcca-65-207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525123","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
Gender diversity in chiropractic leadership: a cross-sectional study. 脊骨疗法领导的性别多样性:一项横断面研究。
Ayla Azad, Michele Maiers, Kent Stuber, Michael Ciolfi
{"title":"Gender diversity in chiropractic leadership: a cross-sectional study.","authors":"Ayla Azad,&nbsp;Michele Maiers,&nbsp;Kent Stuber,&nbsp;Michael Ciolfi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this cross-sectional study was to compare the number of males and females in leadership positions, and whether there is a relationship between gender and degrees held in those positions, within chiropractic academic institutions, national regulatory bodies and the most widely representative national professional associations in the United States and Canada.</p><p><strong>Methods: </strong>Publicly accessible websites from chiropractic institutions and organizations were used to collect data. Pearson χ<sup>2</sup> tests of independence were conducted to determine the relationship between gender (male vs. female) and other variables, including position (principal vs secondary), and chiropractic and other advanced professional degrees.</p><p><strong>Results: </strong>A total of 107 leaders were identified across institutions and organizations. Under one-third of leaders (30.8%) were identified as female. Males were more likely to be in principal leadership roles (86.2%) and more likely to be in a secondary leadership position (62.8%).</p><p><strong>Conclusion: </strong>Male leaders significantly outnumber female leaders in both principal and secondary leadership positions within American and Canadian chiropractic institutions. Strategies should be developed to include gender diversity within all chiropractic organizations.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480369/pdf/jcca-65-156.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525118","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
The research enterprise at Canadian Memorial Chiropractic College. 加拿大纪念脊椎医学学院的研究机构。
Brian S Budgell, Mark Fillery
{"title":"The research enterprise at Canadian Memorial Chiropractic College.","authors":"Brian S Budgell,&nbsp;Mark Fillery","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>A bibliometric survey was conducted, using network and textual analysis tools, to assess the current state of the research enterprise at Canadian Memorial Chiropractic College and to augment planning processes.</p><p><strong>Methods: </strong>Searches were conducted via several databases to identify publications attributable to the institution. Bibliometric data were summarized and post-processed using the programme VosViewer and analysis tools provided in the Web of Science.</p><p><strong>Results: </strong>Canadian Memorial Chiropractic College is a productive source of peer-reviewed publications supported by a diverse suite of funding agencies and collaborating institutions, and published across a broad range of journals.</p><p><strong>Conclusions: </strong>As a private, single-purpose educational institution, awarding a qualification only in chiropractic, Canadian Memorial Chiropractic College probably performs well in its class of institution in terms of research productivity. However, assessment is constrained by inconsistencies on the part of authors, journals and databases in archiving data.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480368/pdf/jcca-65-219.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525068","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
Scalenus muscle and the C5 root of the brachial plexus: bilateral anatomical variation and its clinical significance. 斜角肌与臂丛C5根:双侧解剖变异及其临床意义。
Gagandeep Kaur Aheer, Joey Villella
{"title":"Scalenus muscle and the C5 root of the brachial plexus: bilateral anatomical variation and its clinical significance.","authors":"Gagandeep Kaur Aheer,&nbsp;Joey Villella","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe an anatomical variant wherein, bilaterally, the C5 ventral root passes anterior to the anterior scalene muscle.</p><p><strong>Clinical implications: </strong>This and other variants in the anatomy of brachial plexus may complicate diagnosis of thoracic outlet syndrome, by producing unconventional signs and symptoms. Additionally, the passage of C5 ventral root anterior to the anterior scalene muscle, as in this case, may render the nerve root more susceptible to injury, including injury during manual therapy directed to this region.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480370/pdf/jcca-65-229.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525069","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
Reconciling evidence and experience in the context of evidence-based practice. 在循证实践的背景下协调证据和经验。
Stephanie Alexopulos, Carol Cancelliere, Pierre Côté, Silvano Mior
{"title":"Reconciling evidence and experience in the context of evidence-based practice.","authors":"Stephanie Alexopulos,&nbsp;Carol Cancelliere,&nbsp;Pierre Côté,&nbsp;Silvano Mior","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480374/pdf/jcca-65-132.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39527699","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
Australian chiropractic students' perceptions of education: validation of a questionnaire. 澳洲脊医学生对教育的认知:问卷的验证。
Stanley I Innes, Norman Stomski, Charlotte Leboeuf-Yde, Bruce F Walker
{"title":"Australian chiropractic students' perceptions of education: validation of a questionnaire.","authors":"Stanley I Innes,&nbsp;Norman Stomski,&nbsp;Charlotte Leboeuf-Yde,&nbsp;Bruce F Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to validate a questionnaire to address an absence of a measure to evaluate Australian chiropractic students' perceptions of the quality of chiropractic programs.</p><p><strong>Method: </strong>Potential relevant questionnaire items were selected from the Australian chiropractic accreditation standards. Chiropractic students rated these items for clarity and relevance, which resulted in a pilot questionnaire of 47 items. Principal components analysis was used to establish the structure of the scales. Finally, intra-class correlation coefficients were used to establish the scales' test-retest reliability.</p><p><strong>Results: </strong>Thirty-four items were omitted resulting in the retention of 13 items that strongly loaded onto five factors. Internal consistency was adequate. The test-retest reliability ranged from adequate to good for four of the derived factors. The fifth was poor and omitted.</p><p><strong>Conclusion: </strong>A valid questionnaire for assessing Australian chiropractic programs has been developed comprising four scales that enquire about: 1) quality of the educational program; 2) provision of student support services; 3) enablement of independent learning; and 4) adequacy of teaching resources.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480377/pdf/jcca-65-174.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525120","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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