Journal of Chiropractic Humanities最新文献

{"title":"Ed Board","authors":"","doi":"10.1016/S1556-3499(25)00013-0","DOIUrl":"10.1016/S1556-3499(25)00013-0","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"32 ","pages":"Page i"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145733348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inappropriate Patient Sexual Behaviour Towards Female Chiropractors in South Africa: A Quantitative Analysis","authors":"Christopher Yelverton PhD, MTech (Chiro) (SA),&nbsp;Kamilah Jordaan MHSc Chiropractic (UJ)","doi":"10.1016/j.echu.2025.07.006","DOIUrl":"10.1016/j.echu.2025.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to survey chiropractors’ awareness and use of inappropriate patient sexual behavior (IPSB) protocol guidelines.</div></div><div><h3>Method</h3><div>This study used a 31-question online survey, distributed during the period of September to November 2022, to all registered female chiropractors in South Africa. The survey focused on how often and how severe IPSB incidents were, as well as practitioners’ knowledge and use of IPSB guidelines.</div></div><div><h3>Results</h3><div>Of the 508 chiropractors, 24.2% (123) responded. All respondents were aware of IPSB, with 59.8% reporting they had experienced it. More than half (52.2%) had encountered IPSB more than once, with mild cases being the most common, followed by moderate and severe cases. Respondents reported they felt more prepared for mild IPSB than for moderate or severe incidents. Many (40.9%) chose to ignore the behavior and continue treating the patient, while 34.1% gave a verbal warning before continuing care. A majority (95.7%) were concerned about IPSB, and 82.9% thought additional training could help them better handle these situations. While 62.6% knew about the IPSB protocol guidelines, 80.5% had not read them. Nevertheless, 83.3% said they had implemented the guidelines, and 66.7% found them helpful for educating chiropractors about IPSB.</div></div><div><h3>Conclusion</h3><div>The study found that 59.8% of female chiropractors in South Africa have experienced IPSB. Maintaining professional boundaries is a major concern for this group of chiropractors, and further research and professional guidelines may be necessary to address the impact comprehensively.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"32 ","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delivering Accessible Chiropractic Services in a Culturally Sensitive Manner: The Aboriginal Health in Aboriginal Hands Program","authors":"Stephen R. Bird PhD ,&nbsp;Sussen Stavridis MA ,&nbsp;April Clarke ,&nbsp;Franca Smarrelli ,&nbsp;Dein Vindigni PhD","doi":"10.1016/j.echu.2025.08.003","DOIUrl":"10.1016/j.echu.2025.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>The purposes of this study were to (1) identify important principles for facilitating accessibility to allied health services such as chiropractic treatment for Aboriginal and Torres Strait Islander people and delivering these services in a culturally appropriate manner; and (2) to contextualize these principles by mapping them to an allied health program (Aboriginal Health in Aboriginal Hands [AHAH]) currently delivering these services within an Indigenous community.</div></div><div><h3>Methods</h3><div>To gather information about the program`, yarnings were held with stakeholders of the AHAH clinic. Key features of the program were then mapped against the identified domains of accessibility and principles for design and delivery in the context of cultural sensitivity.</div></div><div><h3>Results</h3><div>Notable aspects of the AHAH service design and delivery included building on the strengths of the community; being located at an established Aboriginal community gathering space that provides a familiar location for prospective service users; high level and face to face involvement of Aboriginal community members who facilitate the “welcoming nature” and cultural appropriateness of the service. Furthermore, the oversight and daily involvement of Indigenous community members ensures the application of the domains of approachability, acceptability, availability, affordability, and appropriateness and the cultural principles identified as important by Aboriginal leaders and researchers for working with “Aboriginal and Torres Strait Islander” communities (lore, love, look, listen, learn, lead, and land).</div></div><div><h3>Conclusion</h3><div>Applying the principles of accessibility and cultural appropriateness, appears to facilitate the delivery of therapies, such as chiropractic, with “Aboriginal and Torres Strait Islander” communities.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"32 ","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Defense of Metaphysics: A Kantian Approach to the Philosophy of Chiropractic","authors":"John T. Thornhill DC","doi":"10.1016/j.echu.2025.07.003","DOIUrl":"10.1016/j.echu.2025.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>At the extremes of interpretation within chiropractic’s philosophical landscape, one group of members adheres to historical doctrines of Innate Intelligence, whereas the other group borders on scientism. This article examines the metaphysical problems faced by each extreme and offers the methodology of Immanuel Kant as a means toward progress in understanding by offering a unifying application of philosophy.</div></div><div><h3>Discussion</h3><div>The philosophical and ideological extremes within chiropractic represent divergent epistemologies, with one group arguing for the necessity of deductive rationalism based on axiomatic principles and the other for the primacy of empirical or scientific knowledge. This division emerges from a basic misunderstanding of the aim of metaphysics and recapitulates fierce disagreements published throughout the Enlightenment in continental philosophy, culminating with Kant’s <em>Critique of Pure Reason</em>. Kant’s was an attempt to reconcile these disparate views by elevating metaphysics to the level of science. This article works backward chronologically from Daniel David Palmer to Kant and then from Kant to contemporary applications of metaphysics. By investigating Kant’s arguments and those that followed, it is observed that positivism, grounded in empirical science, as well as rationalism in and beyond chiropractic research, depends upon certain metaphysical ideas that cannot be dismissed.</div></div><div><h3>Conclusion</h3><div>This article proposes that empirical scientific research in the clinical setting is contingent upon basic assumptions that are inherently metaphysical. In order to further philosophical progress in chiropractic, metaphysics in chiropractic, as in Kant’s time, must embrace an academically rigorous form.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"32 ","pages":"Pages 33-44"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Trends in Dry Needling for Neck Pain Treatment: A Bibliometric Analysis","authors":"Varun Kalia PhD,&nbsp;Priyanka Rajput MPT","doi":"10.1016/j.echu.2024.02.002","DOIUrl":"10.1016/j.echu.2024.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to analyze the published literature on the utilization of dry needling in the management of neck pain.</div></div><div><h3>Methods</h3><div>We performed a bibliometric analysis of publications from January 1, 2002 to December 31, 2022. Using the Scopus database, articles about the utilization of dry needling in neck pain were found. Scopus analyzer was used to obtain results such as “documents by year,” “source,” “country,” and so on. VOS viewer Version 1.6.18 was used to analyze various units such as “co-authorship,” “co-occurrences,” and “citation analysis.”</div></div><div><h3>Results</h3><div>The search yielded 125 articles. Most articles were published in the years 2022, followed by 2021. A network analysis of various parameters reveals that the topic has a high research potential.</div></div><div><h3>Conclusion</h3><div>This bibliometric analysis offers an understanding of the literature on dry needling therapy for neck pain. The number of studies in this sector has increased over a decade. There is a gap in research from low- and middle-income countries on use of dry needling in the management of neck pain.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 33-47"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"South African Chiropractic Students’ Intentions, Motivations, and Considerations for Emigration: A Cross-Sectional Study","authors":"Fatima Ismail MTech,&nbsp;Courtney Coetzee MTech","doi":"10.1016/j.echu.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.echu.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to investigate the emigration intentions of South African senior chiropractic students upon graduation, emphasizing motivations and considerations guiding migration decisions.</p></div><div><h3>Methods</h3><p>A cross-sectional, quantitative, and exploratory approach was employed, utilizing an anonymous and adapted online survey administered to chiropractic students at 2 South African institutions (<em>n</em> = 177) between March 15 and May 19, 2021. Data were analyzed using frequencies, descriptions, and cross-tabulations to identify trends and interrelationships related to students’ intentions to emigrate postqualification.</p></div><div><h3>Results</h3><p>Findings indicate that 75.5% of South African chiropractic senior students intend to emigrate. Motivations for emigration include improved quality of life and seeking of opportunities. Economic instability in South Africa (SA) (82.7%) and concern for the National Health Insurance implementation (57.7%) serve as a significant push factor, whereas economic stability abroad (85.7%) emerged as a key pull factor. Preferred emigration destinations are primarily developed countries with established chiropractic communities.</p></div><div><h3>Conclusion</h3><p>High emigration intentions among students were driven by diverse push factors in SA, including economic decline, socio-political climates, and safety concerns, contrasting with pull factors abroad, such as better opportunities, living conditions, and economic stability. Concerns regarding healthcare reforms, particularly the National Health Insurance, are also highlighted. Destinations in order of preference such as the United Kingdom, Canada, and Australia offer valuable insights for policy interventions. Understanding these dynamics is crucial for developing effective retention strategies and addressing socio-economic challenges.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 8-19"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1556349924000056/pdfft?md5=b09316875db8014b2cafac75269cd51b&pid=1-s2.0-S1556349924000056-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540275","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":"Onset and Prevalence of Musculoskeletal Disorders Among Undergraduate Health Science Students at the University of Johannesburg During the COVID-19 Regulations","authors":"Dirkie Maria Landman MTech (Chiro),&nbsp;Muhammed Yaseen Tagari MHSc (Chiro)","doi":"10.1016/j.echu.2024.01.001","DOIUrl":"10.1016/j.echu.2024.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the onset and prevalence of musculoskeletal disorders (MSD) in undergraduate students from the Faculty of Health Sciences at the University of Johannesburg during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>This was an explorative cross-sectional survey. The sample consisted of 106 Faculty of Health Sciences students recruited through 4 departments. The study was conducted through Google Forms and made use of a questionnaire that was adapted from 2 existing questionnaires, namely “Physical Activity and Sedentary Lifestyle in University Students: Changes During Confinement Due to the COVID-19 Pandemic” and “Musculoskeletal Health Questionnaire (MSK-HQ).” Variables that were tested included dietary changes, habitual and activity changes, perceived MSK health before COVID-19 and during COVID-19 restrictions, and the development and regional distribution of MSD. Data were analyzed using frequency tables for single-response questions, custom tables for multiple responses and Likert-type questions, summary statistics to analyze continuous variables, and paired samples <em>t</em> tests to analyze statistically significant differences in MSK health before and during the COVID-19 lockdown periods.</p></div><div><h3>Results</h3><p>Prior to the implementation of the institutional academic restrictions, 33.0% of respondents reported having no MSD, while 67.0% reported already having had an MSD present. The prevalence of new MSD in descending order by region were back (78.3%), neck (71.7%), head (41.5%), lower limb (27.4%), pelvis and perineum (20.8%), thorax/chest (12.3%), abdomen (12.3%), and upper limb (11.3%). Of these new-onset MSD, 11.3% were induced by physical trauma, while 76.4% were not from any form of physical trauma. Of the 106 participants, 28 stated that their MSK health deteriorated over the 2 compared points in time, 18 remained unchanged, and 60 showed improvement in MSK health.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that even though students had MSD before the pandemic lockdown restrictions, new conditions were recorded as developing during the restricted period. Complaints of new-onset back, neck, and head pain were reported the most, although overall, MSK health appeared to have improved.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ed Board","authors":"","doi":"10.1016/S1556-3499(24)00009-3","DOIUrl":"10.1016/S1556-3499(24)00009-3","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Page i"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Survey on Variables Influencing a Patient's Preferences in Choosing Their Chiropractor in Klang Valley, Malaysia","authors":"Sheng Hui Kioh PhD,&nbsp;Katarzyna Paczek MS","doi":"10.1016/j.echu.2024.01.002","DOIUrl":"10.1016/j.echu.2024.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to examine the variables influencing patients’ preferences in choosing their chiropractor in Klang Valley, Malaysia.</p></div><div><h3>Methods</h3><p>This cross-sectional study included patients from 5 different chiropractic centers in Klang Valley, Malaysia. Demographic information and variables influencing patients’ decisions were obtained through an online questionnaire via quick-response code. Descriptive statistics were used to describe patients’ demographics and factors influencing patients’ preferences in choosing their chiropractors.</p></div><div><h3>Results</h3><p>Data were available for 198 chiropractic patients with a mean age of 31.5 years. Approximately 90% of the participants agreed that a chiropractor with good technical and interpersonal skills and excellent service by chiropractic center staff strongly influenced their preference in choosing their chiropractor, while only 13.6% agreed that referral by other health care professionals influenced their preference in choosing their chiropractor.</p></div><div><h3>Conclusion</h3><p>This study emphasizes the influence of a chiropractor's technical and interpersonal skills, as well as friendly staff, on a patient's preferences when choosing their chiropractor. Our findings may provide chiropractic centers and health care providers with a better understanding of the variables that influence a patient's decisions and assist them in improving their services.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 28-32"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Library as a Therapeutic Landscape Promoting Health and Well-Being to Chiropractic Students: A Descriptive Report","authors":"Natalia Tukhareli PhD","doi":"10.1016/j.echu.2024.08.001","DOIUrl":"10.1016/j.echu.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this paper is to describe a bibliotherapy-based wellness initiative that was developed at the health science library at Canadian Memorial Chiropractic College.</div></div><div><h3>Methods</h3><div>A comprehensive literature review and consultations with stakeholders were completed. A bibliotherapy program, which included the practice of using books and reading to promote mental health, well-being, and resilience for chiropractic students, was developed and launched in January 2020. The program included shared reading, reflection, and a guided group discussion. Short readings of various genres (i.e., poetry, fiction, nonfiction) were tailored specifically to address psychological, emotional, and social challenges facing students.</div></div><div><h3>Results</h3><div>The program participant feedback showed that shared reading helped students cope with anxiety, worries, and loneliness and isolation caused by the pandemic, as consistent with bibliotherapy research.</div></div><div><h3>Conclusion</h3><div>The bibliotherapy program at this 1 location seemed to be well-received by chiropractic students. The program was recognized by faculty and college administrators as a valuable addition to other mental health and wellness support services available on campus. These findings suggest future research to evaluate the potential efficacy of bibliotherapy for the mental health, well-being, and resilience of chiropractic students.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"31 ","pages":"Pages 48-54"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}