Journal of Chiropractic Humanities最新文献_第8页

Comparison of Chiropractic Treatment Outcomes Depending on the Language Region in Switzerland: A Prospective Outcomes Study 瑞士不同语言地区脊椎指压治疗结果的比较:一项前瞻性结果研究

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-06-17 DOI: 10.1016/j.echu.2017.05.002

David A. Guillén BMed, MChiroMed, Cynthia K. Peterson DC, MMedEd, B. Kim Humphreys DC, PhD

{"title":"Comparison of Chiropractic Treatment Outcomes Depending on the Language Region in Switzerland: A Prospective Outcomes Study","authors":"David A. Guillén BMed, MChiroMed, Cynthia K. Peterson DC, MMedEd, B. Kim Humphreys DC, PhD","doi":"10.1016/j.echu.2017.05.002","DOIUrl":"10.1016/j.echu.2017.05.002","url":null,"abstract":"<div><h3>Objectives</h3><p><span>Switzerland has optimal conditions for research of language-based cultural influences on low back pain (LBP). The aim of this study was to compare LBP treatment outcomes after </span>chiropractic care between patients from the German- and French-speaking regions of Switzerland.</p></div><div><h3>Methods</h3><p><span><span>Baseline Numeric Rating Scale for pain (NRS), demographic, and </span>Oswestry Disability Index<span> (ODI) data were collected from patients presenting to 51 Swiss-German and 12 Swiss-French chiropractors. Prospective outcome data included the proportion reporting clinically relevant improvement on the Patient Global Impression of Change scale and the NRS change scores collected at 1 week; 1, 3, and 6 months; and 1 year. ODI change scores were collected until 3 months. The proportion improved between the 2 groups was compared using the χ</span></span><sup>2</sup> test. NRS and ODI change scores were compared using the unpaired <em>t</em> test.</p></div><div><h3>Results</h3><p>At baseline, only patient age comparing 853 Swiss-German and 215 Swiss-French patients revealed a significant difference. The Patient Global Impression of Change, NRS, and ODI had no significant differences between both patient groups up to 6 months. Between 6 months and 1 year the proportion reporting improvement continued to increase to 83.5% for German-speaking Swiss but reduced to 73.1% for French-speaking Swiss (<em>P</em> = .01). The NRS change scores were also higher for German speaking Swiss at 1 year compared with Swiss-French citizens (<em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>Treatment outcome data for LBP are comparable in the German and French parts of Switzerland until the 1-year time point, when people located in the French-speaking regions are more likely to have an increase in pain levels.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"24 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2017.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849581","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}

引用次数: 1

Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Review of the Literature 跨性别社群的文化敏感脊医照护:文献的叙述回顾

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-08-04 DOI: 10.1016/j.echu.2017.05.001

Michele J. Maiers DC, MPH, PhD , William K. Foshee BS , Heidi Henson Dunlap DC

{"title":"Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Review of the Literature","authors":"Michele J. Maiers DC, MPH, PhD , William K. Foshee BS , Heidi Henson Dunlap DC","doi":"10.1016/j.echu.2017.05.001","DOIUrl":"10.1016/j.echu.2017.05.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span>Transgender individuals commonly experience barriers to quality health care and may suffer from unique </span>musculoskeletal complaints<span>. Although these needs are often inadequately addressed within the health care system, they could be attended to by the chiropractic<span> community. This narrative review describes best practices for delivering culturally sensitive care to transgender patients within the context of chiropractic offices.</span></span></p></div><div><h3>Methods</h3><p>A literature search generated peer-reviewed material on culturally competent care of the transgender community. Google Scholar and trans-health RSS feeds on social media were also searched to find relevant gray literature. Information pertinent to a chiropractic practice was identified and summarized.</p></div><div><h3>Results</h3><p><span>Contemporary definitions of transgender, gender identity, and sexual orientation provide a framework for culturally sensitive language and clinic culture. Small changes in record keeping and office procedures can contribute to a more inclusive environment for transgender patients and improve a chiropractor’s ability to collect important health history information. Special considerations during a </span>musculoskeletal examination may be necessary to properly account for medical and nonmedical practices transgender patients may use to express their gender. Chiropractors should be aware of health care and social and advocacy resources for transgender individuals and recommend them to patients who may need additional support.</p></div><div><h3>Conclusions</h3><p>Small yet intentional modifications within the health care encounter can enable chiropractors to improve the health and well-being of transgender individuals and communities.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"24 1","pages":"Pages 24-30"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2017.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849585","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}

引用次数: 6

A Survey of the Public Perception of Chiropractic After Exposure to Chiropractic Public Place Marketing Events in New Zealand 新西兰公众对脊医公共场所营销事件后脊医认知的调查

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-03-30 DOI: 10.1016/j.echu.2017.02.001

David G. Russell BSc (Psych), BSc (Chiro), Cert TT , Tanja T. Glucina BSc (Psych), BSc (Chiro) , Matthew W. Sherson BSc (Physiol), BSc (Chiro), Cert TT , Melinda Bredin BSc (Chiro), Cert TT

{"title":"A Survey of the Public Perception of Chiropractic After Exposure to Chiropractic Public Place Marketing Events in New Zealand","authors":"David G. Russell BSc (Psych), BSc (Chiro), Cert TT , Tanja T. Glucina BSc (Psych), BSc (Chiro) , Matthew W. Sherson BSc (Physiol), BSc (Chiro), Cert TT , Melinda Bredin BSc (Chiro), Cert TT","doi":"10.1016/j.echu.2017.02.001","DOIUrl":"10.1016/j.echu.2017.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to assess public perception of chiropractic public place marketing events.</p></div><div><h3>Method</h3><p>A chiropractic public place marketing program was held at 3 events (a community sports event, an exposition, and a university campus market day) over a 5-month period in Auckland, New Zealand, between 2008 and 2009. Participants were interviewed by chiropractic students. Interview questions were standardized and sought to find out participants’ perception of chiropractic and whether it was influenced in a positive or negative manner after their exposure to the marketing program.</p></div><div><h3>Results</h3><p>Three hundred forty-five interviews were completed during 3 events. The minority of participants (15.9%) had a negative view of chiropractic, 29.2% were neutral, and 54.9% had a positive view of chiropractic. Of the responses of those surveyed, 54% did not change their opinion of chiropractic, 44.3% were more positive, and 1.7% were more negative.</p></div><div><h3>Conclusions</h3><p>This study found that direct or indirect exposure to chiropractic public place marketing events may possibly influence the public perception of chiropractic. Because of the limited sample, these findings cannot be extrapolated to other regions or populations. Further studies are needed to test these findings in other world regions and in more controlled environments.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"24 1","pages":"Pages 9-14"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2017.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849583","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}

引用次数: 5

Thriving for 110 Years: National’s Philosophy of Collaboration and Integration 蓬勃发展110年:国家合作与融合的理念

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-09-08 DOI: 10.1016/j.echu.2017.07.001

Kenneth J. Dougherty DC

引用次数: 1

The McAndrews Leadership Lecture: February 2016, by Dr Greg Kawchuk. Putting the “Act” Back in Chiropractic 麦克安德鲁斯领导力讲座:2016年2月，由格雷格·卡丘克博士。在脊椎指压治疗中重新发挥作用

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-12-05 DOI: 10.1016/j.echu.2017.09.002

Gregory Neil Kawchuk DC, PhD

引用次数: 0

Joint Manipulation: Toward a General Theory of High-Velocity, Low-Amplitude Thrust Techniques 关节操作:高速、低振幅推力技术的一般理论

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-03-31 DOI: 10.1016/j.echu.2017.01.001

Andrew S. Harwich DO

{"title":"Joint Manipulation: Toward a General Theory of High-Velocity, Low-Amplitude Thrust Techniques","authors":"Andrew S. Harwich DO","doi":"10.1016/j.echu.2017.01.001","DOIUrl":"10.1016/j.echu.2017.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to describe the initial stage of a generalized theory of high-velocity, low-amplitude thrust (HVLAT) techniques for joint manipulation.</p></div><div><h3>Methods</h3><p><span>This study examined the movements described by authors from the fields of osteopathy, </span>chiropractic<span><span>, and physical therapy to produce joint cavitation in both the metacarpophalangeal (MCP) joint and the cervical spine apophysial joint. This study qualitatively compared the kinetics, the similarities, and the differences between MCP cavitation and cervical </span>facet joint cavitation. A qualitative vector analysis of forces and movements was undertaken by constructing computer-generated, simplified graphical models of the MCP joint and a typical cervical apophysial joint and imposing the motions dictated by the clinical technique.</span></p></div><div><h3>Results</h3><p>Comparing the path to cavitation of 2 modes of HVLAT for the MCP joint, namely, distraction and hyperflexion, it was found that the hyperflexion method requires an axis of rotation, the hinge axis, which is also required for cervical HVLAT. These results show that there is an analogue of cervical HVLAT in one of the MCP joint HVLATs.</p></div><div><h3>Conclusions</h3><p>The study demonstrated that in a theoretical model, the path to joint cavitation is the same for asymmetric separation of the joint surfaces in the cervical spine and the MCP joints.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"24 1","pages":"Pages 15-23"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2017.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849584","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}

引用次数: 2

A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions 电子健康记录在脊椎指压治疗中的文献综述:共同的挑战和解决方案

Journal of Chiropractic Humanities Pub Date : 2017-12-01 Epub Date: 2017-01-18 DOI: 10.1016/j.echu.2016.12.001

David N. Taylor DC

{"title":"A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions","authors":"David N. Taylor DC","doi":"10.1016/j.echu.2016.12.001","DOIUrl":"10.1016/j.echu.2016.12.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to review the literature on current challenges and propose solutions for the optimal utilization of the electronic health records (EHRs) in </span>chiropractic practice.</p></div><div><h3>Methods</h3><p>A search was performed in the PubMed, Index of Chiropractic Literature, and Current Index to Nursing and Allied Health Literature databases from November 2005 to February 2015. A combination of the following key words was used: <em>electronic health records</em>, <span><em>electronic medical records</em></span>, <em>implementation</em>, <em>documentation</em>, <em>benefits</em>, and <em>challenges</em>. Articles were categorized into common problems and solutions. These were filtered by application to chiropractic or educational institutions.</p></div><div><h3>Results</h3><p>The search resulted in 45 papers, which included case reports of EHR implementation, governmental insurance reports, commentaries, controlled studies, narrative reviews of past experiences with conversion from paper systems, and the implementation of EHRs in small offices and chiropractic offices. Minimal literature was found that directly related to chiropractic EHRs. Improper utilization, incorrect use of the software, faulty implementation, workflow burdens, financial considerations, and insufficient training were found to negatively affect the quality of the record.</p></div><div><h3>Conclusions</h3><p>Documentation errors are often innate in the EHR software. Improper utilization, insufficient training, or difficulty in integration of the EHR into the clinical office setting results in poor implementation of the electronic version of the clinical record. Solutions that may decrease documentation errors include EHR training, continued financial incentives, and appropriate implementation process and utilization of available software features.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"24 1","pages":"Pages 31-40"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2016.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849586","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}

引用次数: 6

Toxins, Toxicity, and Endotoxemia: A Historical and Clinical Perspective for Chiropractors 毒素、毒性和内毒素血症:指压治疗师的历史和临床观点

Journal of Chiropractic Humanities Pub Date : 2016-12-01 Epub Date: 2016-09-03 DOI: 10.1016/j.echu.2016.07.003

David R. Seaman DC, MS

{"title":"Toxins, Toxicity, and Endotoxemia: A Historical and Clinical Perspective for Chiropractors","authors":"David R. Seaman DC, MS","doi":"10.1016/j.echu.2016.07.003","DOIUrl":"10.1016/j.echu.2016.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this commentary is to review the notion of toxicity in the context of chiropractic practice.</p></div><div><h3>Discussion</h3><p><span><span>The belief that body toxicity is the cause of disease has been promoted for thousands of years. Prior to the emergence of the chiropractic profession, the medical profession embraced the notion that the body becomes “toxic,” requiring </span>detoxification interventions or surgery. The legacy of body toxicity within the chiropractic approach to patient care began with Daniel David Palmer. Today, some sectors within the medical and chiropractic professions continue to embrace the concept of body toxicity and the related need to engage in detoxifying </span>treatments<span><span><span>. The most common areas of focus for detoxification are the intestines and liver; however, the nature of the toxicity in these organs has yet to be defined or measured. In contrast, diet-induced systemic bacterial endotoxemia is a measureable state that is known to be promoted by a diet rich in sugar, flour, and refined oil. This suggests that </span>bacterial endotoxin<span> may be a candidate toxin to consider in the clinical context, as many common conditions, such as obesity, metabolic syndrome, diabetes, </span></span>interstitial cystitis, depression, and migraine headache, are known to be promoted by endotoxemia.</span></p></div><div><h3>Conclusion</h3><p>A diet rich in refined sugar, flour, and oils may induce proinflammatory changes within intestinal microbiota that lead to systemic, low-grade endotoxemia, which is a common variety of “toxicity” that is measurable and worthy of research consideration. Introducing a diet to reduce endotoxemia, rather than attempting to target a specific organ, appears to be a rational clinical approach for addressing the issue of toxicity.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"23 1","pages":"Pages 68-76"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2016.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54127342","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}

引用次数: 0

Chiropractic Identity in the United States: Wisdom, Courage, and Strength 美国的脊椎治疗身份:智慧、勇气和力量

Journal of Chiropractic Humanities Pub Date : 2016-12-01 Epub Date: 2016-09-15 DOI: 10.1016/j.echu.2016.08.001

Christopher J. Good DC, MA(Ed)

引用次数: 8

Spine Care as a Framework for the Chiropractic Identity 脊柱护理作为脊骨治疗身份的框架

Journal of Chiropractic Humanities Pub Date : 2016-12-01 Epub Date: 2016-11-04 DOI: 10.1016/j.echu.2016.09.004

Michael Schneider DC, PhD , Donald Murphy DC , Jan Hartvigsen DC, PhD

{"title":"Spine Care as a Framework for the Chiropractic Identity","authors":"Michael Schneider DC, PhD , Donald Murphy DC , Jan Hartvigsen DC, PhD","doi":"10.1016/j.echu.2016.09.004","DOIUrl":"10.1016/j.echu.2016.09.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this commentary is to provide an argument for the role and identity of chiropractors<span> as spine care providers within the context of the greater health care system.</span></p></div><div><h3>Discussion</h3><p><span>Surveys of the general public and chiropractors indicate that the majority of patients seek chiropractic services for back and neck pain. Insurance company utilization data confirm these findings. Regulatory and legal language found in chiropractic practice acts reveals that most jurisdictions define the chiropractic </span>scope of practice<span><span> as based on a foundation of spine care. Educational accrediting and testing organizations have been shaped around a chiropractic education that produces graduates who focus on the diagnosis and treatment of spine and </span>musculoskeletal disorders. Spine care is thus the common denominator and theme throughout all aspects of chiropractic practice, legislation, and education globally.</span></p></div><div><h3>Conclusion</h3><p>Although the chiropractic profession may debate internally about its professional identity, the chiropractic identity seems to have already been established by society, practice, legislation, and education as a profession of health care providers whose area of expertise is spine care.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"23 1","pages":"Pages 14-21"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2016.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54127390","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}

引用次数: 32