Journal of chiropractic medicine最新文献

{"title":"Satisfaction and interpersonal process of care experience of parents with children under chiropractic care.","authors":"Joel Alcantara, Ryan Whetten","doi":"10.67400/JCME-D-25-00077","DOIUrl":"https://doi.org/10.67400/JCME-D-25-00077","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the satisfaction and interpersonal process of care (IPC) experience of parents with children receiving chiropractic care.</p><p><strong>Methods: </strong>In this prospective cohort study, the IPC experience of parents was assessed with the IPC-18 at study entrance and following a course of chiropractic care for their child. The study population was a convenience sample of educated parents (<i>n</i> = 671) with an average age of 36.27 years. Data were collected in the United States from December 2016 to December 2017. Parental satisfaction was also assessed with the RAND visit-specific satisfaction instrument (VSQ9) at follow-up. In addition to descriptive statistics, we utilized the Wilcoxon signed rank test and the Kruskal-Wallis test to compare means at 2 and ≥3 independent groups, respectively. Random forest modeling determined factors predictive of overall VSQ9 scoring.</p><p><strong>Results: </strong>Overall, parents reported a favorable IPC experience in terms of communication, decision making, and interpersonal style with their child's chiropractor and the chiropractor's staff. High ratings of satisfaction were also measured with the VSQ9 (ie, mean score of 92.86; range: 0 = <i>poor</i>, 100 = <i>excellent</i>). The most important predictors for overall VSQ9 rating of satisfaction were parental ratings of satisfaction and effectiveness of chiropractic, that the chiropractor elicited parental concerns and responded and allowed the parent to voice what was important and explained the results of tests.</p><p><strong>Conclusion: </strong>The parental satisfaction and interpersonal experience of parents with a child under chiropractic care were positive. Factors predictive of overall parental satisfaction were ratings of effectiveness of chiropractic care and subdomains of communication (ie, elicitation of parental concerns and responding to those concerns, explaining the results of tests and examinations).</p>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"25 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167843","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":"Patient safety culture of chiropractors and variables predictive of overall patient safety rating: Response to an adapted version of the Survey on Patient Safety Culture Medical Office Survey.","authors":"Joel Alcantara, Andrew Whetten","doi":"10.67400/JCME-D-26-00004","DOIUrl":"https://doi.org/10.67400/JCME-D-26-00004","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to assess the frequency of patient safety and quality issues reported by chiropractors and identify factors predictive for overall patient safety.</p><p><strong>Methods: </strong>Chiropractors from the United States attending postgraduate courses with the International Chiropractic Pediatric Association completed a survey in June 2008 to August 2017. The survey collected their sociodemographic information, practice characteristics, and an adapted version of the Agency for Healthcare Research and Quality Medical Office Survey on Patient Safety Culture. In addition to descriptive statistics, random forest and elastic net logistic regression analyses were applied to assess the variable strongly predictive of the overall patient safety rating.</p><p><strong>Results: </strong>Respondents were 125 chiropractors (average age = 36.0 years, average years in practice = 8.3). Issues (ie, ensuring that malfunctioning equipment is repaired, lack of leadership support) were identified that can be targeted for interventions to enhance patient safety in chiropractic. Key findings were responses that included preventing mistakes from occurring and reoccurring, ensuring that chronic patients follow their treatment regimen, and providing efficient and cost-effective care were strongly predictive for overall patient safety rating.</p><p><strong>Conclusion: </strong>For this group of chiropractors, the frequency of patient safety and quality issues and factors for overall patient safety were identified. Chiropractors reported that they were willing to work collaboratively, speak up and voice concerns about safety issues, facilitate changes in office processes to improve the quality of patient care, and have a positive overall perception of patient safety and quality.</p>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"25 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171685","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":"Hand hygiene knowledge, attitudes, and perceptions of chiropractic students pre- and post-COVID-19 pandemic.","authors":"Susarah M Richter, Nadine Mahmood, Tobias G Barnard","doi":"10.67400/JCME-D-25-00081","DOIUrl":"https://doi.org/10.67400/JCME-D-25-00081","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to compare the hand hygiene knowledge, attitudes, and perceptions of chiropractic students from a graduating class before (pre-COVID-19) and after the COVID-19 pandemic (post-COVID-19) using the World Health Organization (WHO)'s standardized questionnaires.</p><p><strong>Methods: </strong>The questionnaire was distributed to participating pre-COVID-19 (<i>n</i> = 55) and post-COVID-19 (<i>n</i> = 51) cohorts of chiropractic interns doing their clinical training at an academic institution in South Africa (May 2019 and August 2023). Frequencies, descriptive statistics, and cross-tabulations were used to describe the outcome of analysis and <i>P</i> = < .05 was considered the level of significance.</p><p><strong>Results: </strong>Participants focused more on environmental contributions as a possible cause of healthcare-associated infections, rather than on the risk of poor hand hygiene among health care workers and the patient being a vector for cross-contamination. The participants may have perceived the transmission of pathogens to the patient as minimal after treatment of the patient and leaving the clinical or practice environment. Less consideration was also given to the risk of transmission to the health care worker before the commencement of treatment. An exceptionally high percentage use of alcohol-based hand rub was indicated, irrespective of whether it was pre-COVID-19 or post-COVID-19, which may be related to the physical requirements of the chiropractic environment. An increased need for peers or colleagues to be aware that hand hygiene was being performed, especially among the post-COVID-19 group, was noted.</p><p><strong>Conclusion: </strong>A decline in hand hygiene knowledge among chiropractors as it relates to the understanding of healthcare-associated infection transmission was noted. Misconceptions and an overemphasis on surface transfer-likely influenced by COVID-19 messaging-highlight the need for re-education aligned with WHO guidelines. The low awareness of the WHO Five Moments for Hand Hygiene model points to the importance of incorporating structured training into chiropractic education.</p>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"25 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168594","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":"Neck pain patient with a final diagnosis of bilateral vertebral artery tears: A case report.","authors":"Rebecca Bauer","doi":"10.67400/JCME-D-25-00080","DOIUrl":"https://doi.org/10.67400/JCME-D-25-00080","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this case report is to present atypical red flags for vertebral artery tears in a young adult with neck pain.</p><p><strong>Clinical features: </strong>A 24-year-old female patient presented with acute neck pain 4 days after waterskiing. Pain extended from the suboccipital muscles to the cervicothoracic junction. She had visual disturbances described as \"fans\" in the peripheral vision bilaterally. Orthopedic and neurological examination was unremarkable except for the inability to reproduce the symptoms and a guarded range of motion.</p><p><strong>Intervention and outcome: </strong>Initial chiropractic treatment consisted of gentle manual soft-tissue massage and Kinesio Tape, both over the cervicothoracic junction, and a referral for medical evaluation. Four days later, the patient went to the emergency department, where a computed tomography scan was performed and revealed a tear in the vertebral artery at C3/C4 on the left and C4/C5 on the right. Anticoagulants were administered, and referral to a specialty clinic, where another computed tomography scan was performed to confirm the diagnosis. The specialty clinic prescribed Plavix for 6 months and aspirin for life.</p><p><strong>Conclusion: </strong>This case report emphasizes that not all patients with vertebral artery tears present with classic stroke symptoms. Using this clinically recommended risk-benefit assessment strategy may help mitigate risk related to the broad differential diagnosis of neck pain.</p>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"25 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171064","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":"Risk Factors of Low Back Pain Among Railway Track-Maintainers in India: A Cross-Sectional Survey","authors":"Banibrata Das Ph.D","doi":"10.1016/j.jcm.2025.09.008","DOIUrl":"10.1016/j.jcm.2025.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to determine the relationship between low back pain (LBP) and ergonomic and psychosocial risk factors encountered by railway track maintainers in India.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted in India. Socio-demographics, ergonomics, and psychosocial risk factors were examined among railway track maintainers. A modified Nordic Musculoskeletal Disorder Questionnaire was also administered to participants. The working posture of the participants was assessed using the Ovako Working Posture Analysis System (OWAS). Univariate logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) among participants.</div></div><div><h3>Results</h3><div>90.3% of railway track maintainers reported low back pain. In the univariate analysis, repetitive work (OR-2.848; 95% CI-1.34-6.051), awkward posture (OR-33.84; 95% CI-12.334-92.896), pulling loads (MMH) (OR- 6.300; 95% CI-2.802 to 14.166), and long working hours (OR- 4.553; 95% CI-1.910 to 10.854) all demonstrated significant relationships with LBP among participants. Psychosocial factors, such as work demand targeting specific productivity (97.3%), monotony of work (91.8%), perceived inadequacy of income (83.3%), and rigidity in work methods (86.4%), have a relationship with LBP. According to the OWAS posture analysis, most of the working postures of railway track maintainers require immediate correction.</div></div><div><h3>Conclusions</h3><div>The high prevalence of LBP among railway track maintainers and its significant associations with ergonomic and psychosocial risk factors indicate a need to follow suggested preventive measures to avoid LBP.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 239-250"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694835","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":"Effects of Warm and Cold Contrast Footbaths on Psychological and Physiological Responses in Healthy Adults","authors":"Takemune Fukuie PhD ,&nbsp;Tomomi Fujimoto PhD ,&nbsp;Koshiro Inoue PhD ,&nbsp;Akihiko Yamaguchi PhD","doi":"10.1016/j.jcm.2025.09.032","DOIUrl":"10.1016/j.jcm.2025.09.032","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure whether 3-minute warm/cold-contrast footbaths have psychological and physiological relaxation effects, focusing on the effects of the order of the warm and cold footbaths.</div></div><div><h3>Methods</h3><div>Thirty healthy young adults (age: 19 ± 2 years; 23 female) participated in the study. Participants performed 2 conditions on separate days: a warm-cold footbath condition (WC condition) starting with a warm footbath (42°C warm water) and ending with a cold footbath (15°C to 20°C) and a cold–warm footbath condition (CW condition) starting with a cold footbath and ending with a warm footbath. The warm footbath was performed for 45 seconds and the cold footbath for 15 seconds per set, for a total of 3 sets of 3 minutes in length. Psychological responses were evaluated before and after the footbath using a questionnaire, and physiological responses were evaluated during the footbath by measuring heart rate, heart rate variability, and pupil diameter.</div></div><div><h3>Results</h3><div>Psychological relaxation and leg lightness significantly increased after the footbath under both conditions (<em>P</em> = .04, <em>P</em> &lt; .001). Leg warmth increased significantly after the footbath only in the CW condition (<em>P</em> = .001). Heart rate and pupil diameter decreased significantly from the beginning to the end of the footbath under both conditions (<em>P</em> = .001, <em>P</em> &lt; .001); no change in heart rate variability was observed.</div></div><div><h3>Conclusion</h3><div>Three-minute warm/cold-contrast footbaths had psychological and physiological relaxation effects, regardless of the order of the warm and cold footbaths. The psychological relaxation effect may be greater if the warm footbath is at the end.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 260-267"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694837","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":"Utilization of Nutritional Supplements by South African Chiropractors in the Management of Musculoskeletal Conditions in Runners: A Qualitative Exploration","authors":"Lori L. Niemand MHSC, ICSC ,&nbsp;Ashura Abdul-Rasheed PhD, MTech ,&nbsp;Yasmeen Thandar PhD","doi":"10.1016/j.jcm.2025.09.029","DOIUrl":"10.1016/j.jcm.2025.09.029","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to explore chiropractors’ utilization methods, types of supplements advised, and their influence in managing musculoskeletal conditions in runners.</div></div><div><h3>Methodology</h3><div>This was a qualitative, exploratory descriptive study. Fifteen South African chiropractors with a minimum of 3 years' experience, who treat runners and recommend nutritional supplements, were interviewed. Data collection took place over about 5 weeks, between July and September 2023. Data were analyzed using Tesch's method for themes and sub-themes.</div></div><div><h3>Results</h3><div>Four main themes emerged, revealing chiropractors' active use of supplements for runners, diverse supplement recommendations, improved treatment outcomes, enhanced recovery and performance, and reduced injury rates. Holistic management of runners was evident.</div></div><div><h3>Conclusion</h3><div>This study offered insights into South African chiropractors' selection, prescription, and dispensation of supplements for runners, revealing recommendations for both musculoskeletal and nonmusculoskeletal conditions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 268-277"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694838","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":"Effect of Omega-3 Fatty Acid Supplementation on Cellular Lipid Profile: A Case Series","authors":"Erica Callahan DC, MSACN,&nbsp;Robert L. Fox DC","doi":"10.1016/j.jcm.2025.07.001","DOIUrl":"10.1016/j.jcm.2025.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe changes in the cellular lipid profile of participants following 120 days of omega-3 fatty acid supplementation.</div></div><div><h3>Methods</h3><div>Six participants received a non-gastric acid-resistant omega-3 fatty acid supplement, with dosages personalized based on preintervention red blood cell (RBC) omega-6 to omega-3 ratios. Blood samples were analyzed pre- and postintervention to determine changes in RBC lipid profiles.</div></div><div><h3>Results</h3><div>Six participants who were either fully or partially compliant with the supplementation showed a mean reduction of 41.2% in their RBC omega-6 to omega-3 ratio, with 2 participants achieving a ratio of 4:1 or lower.</div></div><div><h3>Conclusion</h3><div>Several of the compliant participants with Omega-3 fatty acid supplementation recorded a reduction in the omega-6 to omega-3 ratio in RBC lipid profiles.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 380-385"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694855","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":"Congenital Bilateral Complete Agenesis of the Hallucal Sesamoids: A Case Report","authors":"Dingbo Shi DC ,&nbsp;Aidan E. O’Brien DC ,&nbsp;Jesse D. Politowski DC ,&nbsp;Norman W. Kettner DC","doi":"10.1016/j.jcm.2025.08.016","DOIUrl":"10.1016/j.jcm.2025.08.016","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe a patient with bilateral complete hallucal sesamoidal agenesis.</div></div><div><h3>Clinical Features</h3><div>A 23 year-old female presented with left 4th metatarsal head pain that is worse in the morning and prevents her from running. A week later, she had an inversion injury in the right foot while playing flag football.</div></div><div><h3>Interventions and Outcomes</h3><div>Radiography incidentally demonstrated bilateral complete absence of osseous hallucal sesamoids with a round, featureless 1st metatarsal head that does not have sesamoidal grooves nor an intersesamoidal crest and later confirmed lack of fibrocartilaginous nodes on ultrasonography.</div></div><div><h3>Conclusion</h3><div>Bilateral complete agenesis of the hallucal sesamoids is rare. This study describes a case of asymptomatic congenital bilateral complete agenesis of the hallucal sesamoids visualized on radiography and confirmed with ultrasonography.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 386-390"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694856","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":"Relationship of Lumbar Multifidus Activity, Disability, and Pain During Standing in People With Chronic Low Back Pain: Cross-Sectional Study From a Randomized Controlled Trial","authors":"Aftab Ahmed Mirza Baig PhD ,&nbsp;Basit Ansari PhD ,&nbsp;Farhan Ishaque Khan PhD ,&nbsp;Rabia Hassan MSAPT ,&nbsp;Waqas Ahmed Farooqui PhD","doi":"10.1016/j.jcm.2025.09.013","DOIUrl":"10.1016/j.jcm.2025.09.013","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to determine the relationship between pain, disability, and lumbar multifidus activity in people with chronic low back pain while standing.</div></div><div><h3>Methods</h3><div>This cross-sectional study included baseline analysis of a randomized controlled trial of 150 patients with chronic low back pain. Pain intensity during standing, disability, and lumbar multifidus activity was assessed using a visual analog scale, the Oswestry Disability Index questionnaire, and surface electromyography, respectively. Multiple linear regression was used to analyze the association between lumbar multifidus activity, pain during standing, and disability.</div></div><div><h3>Results</h3><div>Lumbar multifidus (LM) activity on the right side did not significantly correlate with pain intensity during standing, except for the left-side percent maximum voluntary contraction of the LM, which showed a significant positive correlation with pain intensity (r = 0.328, <em>P</em> &lt; .001). There was a positive correlation of functional disability with right-side LM activity (r = 0.180, <em>p</em> &lt; .05) and left-side LM activity (r = 0.351, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>An increase in lumbar multifidus activity is correlated with increased pain during standing and disability.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 179-184"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694875","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}