Chiropractic & Manual Therapies最新文献

{"title":"The CARL II cohort: what we did and what came out of it.","authors":"Jan Hartvigsen, Sasha Aspinall, Aron Downie, Steen Harsted, Hazel Jenkins, Andrée-Anne Marchand, David McNaughton, Amy Miller, Casper Nim, Luana Nyirö, Eric J Roseen, James J Young, Kenneth A Weber, Jessica J Wong, Cecilie K Øverås, Diana De Carvalho, Jon Adams","doi":"10.1186/s12998-026-00641-3","DOIUrl":"10.1186/s12998-026-00641-3","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":"34 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On-site manual therapy for firefighters in Seoul: six-month utilization and outcome from a retrospective service analysis and web-based survey.","authors":"Sungmin Park, Bo-Hyoung Jang","doi":"10.1186/s12998-026-00640-4","DOIUrl":"https://doi.org/10.1186/s12998-026-00640-4","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediators of the effect of chiropractic care on 12- and 52-week outcomes for U.S. active-duty military personnel with low back pain: secondary analysis of a clinical trial.","authors":"Zacariah K Shannon, Cynthia R Long, Robert D Vining, Joan A Walter, Ian D Coulter, Christine M Goertz","doi":"10.1186/s12998-026-00628-0","DOIUrl":"10.1186/s12998-026-00628-0","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":"34 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13088719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of prescribed analgesics before and after a standardised chiropractic care programme among patients with lumbar spinal stenosis: a nationwide cohort study.","authors":"Rikke K Jensen, Mathias Bech, Christian V Skovsgaard, Jesper Ryg, Jan Hartvigsen, Melker S Johansson","doi":"10.1186/s12998-026-00639-x","DOIUrl":"https://doi.org/10.1186/s12998-026-00639-x","url":null,"abstract":"<p><strong>Background: </strong>Patients with degenerative lumbar spinal stenosis (LSS) commonly use analgesics despite not being recommended by clinical guidelines. However, detailed knowledge of utilisation patterns is limited. This study aimed to describe prescribed analgesic use before, during, and after enrolment in a standardised chiropractic care programme, and to examine associations between patient characteristics and continued analgesic use after the programme.</p><p><strong>Methods: </strong>This cohort study included patients with LSS enrolled in the chiropractic care programme between 1 April 2017 and 31 December 2022, identified via the Danish National Health Service Register. The programme provides guideline-based non-pharmacological care, structured follow-up, and coordination with the patient's general practitioner. Data on dispensed analgesics were retrieved from the Danish National Prescription Registry. Quarterly prevalence of analgesic use (≥ 1 dispensed prescriptions) and defined daily doses per 1000 individuals were calculated for the year before enrolment, 3 months during, and the year after the programme. The distribution of use was assessed using Lorenz curves and Gini coefficients. Associations between patient characteristics and continued analgesic use (≥ 1 dispensed prescriptions in ≥ 2 of 4 consecutive quarters) after the programme among existing users were examined using robust Poisson regression.</p><p><strong>Results: </strong>Of the 7294 included patients, 45% used analgesics in the year before enrolment. Use of paracetamol, non-steroidal anti-inflammatory drugs (NSAID), opioids, and gabapentinoids increased in the year before enrolment, peaked during the programme, and generally declined after. Ten percent of analgesic users accounted for approximately 43%, 49%, 68%, and 57% of the total use of paracetamol, NSAIDs, opioids, and gabapentinoids, respectively. Female sex, having one comorbidity, and pre-existing use of paracetamol, opioid, or gabapentinoid were associated with a 5-16% higher risk of continued use, whereas long-cycle higher education was associated with a 13% lower risk.</p><p><strong>Conclusions: </strong>Analgesic use increased before enrolment, peaked during the programme, and then declined after. A small proportion of analgesic users accounted for a large share of the total use. Sociodemographic and health-related factors, and pre-existing analgesic use were associated with continued use. These findings highlight the complexity of analgesic use in this population and emphasise the need for deprescribing strategies that take this complexity into account.</p>","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: No drugs, more sex? And Rock'n Roll: effective non-operative treatments and practical management strategies for older adults with lumbar spinal stenosis.","authors":"Carlo Ammendolia","doi":"10.1186/s12998-026-00637-z","DOIUrl":"10.1186/s12998-026-00637-z","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":"34 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Ten myths of back pain in older adults that can lead to ineffective and harmful care.","authors":"Carlo Ammendolia","doi":"10.1186/s12998-026-00638-y","DOIUrl":"10.1186/s12998-026-00638-y","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":"34 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the importance and feasibility of quality measures for chiropractic care: a national survey of U.S. chiropractors.","authors":"Maranda Kleppe, Jacob McCarey, Sujatha Kedilaya, Robert Vining","doi":"10.1186/s12998-026-00635-1","DOIUrl":"10.1186/s12998-026-00635-1","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 2023 patient profile and clinical management characteristics at a South African chiropractic training clinic: a descriptive cross-sectional study.","authors":"Bevan Leedham, Fatima Ismail, Christopher Yelverton","doi":"10.1186/s12998-026-00634-2","DOIUrl":"10.1186/s12998-026-00634-2","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobilization with movement enhances early rehabilitation outcomes in knee osteoarthritis: a six-week randomized controlled trial.","authors":"Shahnaz Hasan, Amir Iqbal, Abeer Ramadan Ibrahim, Reham H Diab, Zaheen A Iqbal, Tabinda Hasan, Shahnawaz Anwer, Ahmad H Alghadir","doi":"10.1186/s12998-026-00636-0","DOIUrl":"10.1186/s12998-026-00636-0","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chiropractor perspectives on the use of patient reported outcome measures: a survey of Veterans Health Administration chiropractors.","authors":"Brian C Coleman, Cynthia A Brandt, Edward R Melnick, Todd Kawecki, Alicia Heapy, Anthony J Lisi","doi":"10.1186/s12998-026-00631-5","DOIUrl":"10.1186/s12998-026-00631-5","url":null,"abstract":"","PeriodicalId":48572,"journal":{"name":"Chiropractic & Manual Therapies","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}