Chiropractic

Review of methods used by chiropractors to determine the site for applying manipulation

John J Triano, Brian Budgell, Angela Bagnulo, Benjamin Roffey, Thomas Bergmann, Robert Cooperstein, Brian Gleberzon, Christopher Good, Jacquelyn Perron and Rodger Tepe Abstract (provisional) Background With the development of increasing evidence for the use of manipulation in the management of musculoskeletal conditions, there is growing interest in identifying the appropriate indications for care. Recently, attempts […]

The Biology of Manual Therapies

Brian C. Clark, PhD JAOA Full Text Article:  http://www.jaoa.org/content/112/9/617.full JAOA Full Text PDF:  http://www.jaoa.org/content/112/9/617.full.pdf+html Abstract Each year, more than 18 million adults in the United States receive manual therapies, at a total annual out-of-pocket cost of $3.9 billion. Although there is growing evidence supporting the efficacy of manual therapies, little is known about the mechanisms […]

Precompetition Manipulative Treatment and Performance Among Virginia Tech Athletes During 2 Consecutive Football Seasons

A Preliminary, Retrospective Report Per Gunnar Brolinson, DO Abstract Context: One of the goals of providing manipulative treatment such as osteopathic manipulative treatment (OMT) is to restore maximal, pain-free movement of the musculoskeletal system and to enhance neuromuscular function. Anecdotally, some athletes have reported that their athletic performance improves after manipulative treatment. Objective: To develop preliminary data […]

Associations of Cytokine Concentrations With Key Osteopathic Lesions and Clinical Outcomes in Patients With Nonspecific Chronic Low Back Pain

Results From the OSTEOPATHIC Trial John C. Licciardone, DO, MS, MBA Abstract Context: Little is known about the role that cytokines play in osteopathic manual treatment (OMT) of patients with chronic low back pain (LBP). Objective: To measure the baseline concentrations of interleukin (IL)-1β, IL-6, IL-8, IL-10, and tumor necrosis factor (TNF)-α in patients with chronic LBP; […]

Evaluating the head posture of dentists with no neck pain

J. Mostamand, Ph.D. Journal of Bodywork and Movement Therapies Volume 17, Issue 4 , Pages 430-433, October 2013 Summary Introduction Dentistry is one of the professions that requires a high degree of concentration during the treatment of patients. There are many predisposing factors, affecting dentists when working on the patient’s teeth, including neck flexion, arm […]

Treatment of the sacroiliac joint in patients with leg pain

Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. Visser LH, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten BL. Abstract PURPOSE: The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which […]

Commentary: we can tell where it hurts, but can we tell where the pain is coming from or where we should manipulate?

Spinal manipulative therapy (SMT) is often recommended as a conservative option by evidence based clinical practice guidelines and a treatment modality frequently utilized by chiropractors and other clinicians who offer SMT to their patients. This article serves as a commentary to a review of the methods that are often used by chiropractors to determine the site for applying their manipulative intervention.

Patient education with or without manual therapy compared to a control group in patients with osteoarthritis of the hip

For primary care patients with OA of the hip, a combined intervention of MT and PE was more effective than a MCI

The effect of application site of spinal manipulative therapy (SMT) on spinal stiffness

Tiffany L. Edgecombe, PhD Abstract Background context Like other factors that can influence treatment efficacy (eg, dosage, frequency, time of day), the site of treatment application is known to affect various physical interventions such as topical anesthetics and cardiopulmonary resuscitation. Like these examples, spinal manipulative therapy (SMT) is a physical intervention that may exhibit maximal […]

Impact of imaging guidelines on x-ray utilization among American Provider Network chiropractors

Interrupted time series analysis André E. Bussières, DC, MSc, PhD Abstract Background Context Overuse and misuse of spine x–rays for non-specific back and neck pain persists among chiropractors. Distribution of educational materials among physicians results in small to modest improvements in appropriate care such as ordering spine x-rays, but little is known about its impact […]

Risk Factors for Non-Organic Low Back Pain in Patients with Worker’s Compensation

Jeremy T. Rohrlich Abstract Background Context Nonorganic low back pain is common in the Worker’s Compensation (WC) population. Consults with specialists constitute an unnecessary cost to the system, and a means of screening for these patients is necessary. Purpose The purpose of this study is to design easily identifiable criteria to help identify which Worker’s […]

Dose-response and efficacy of spinal manipulation for care of chronic low back pain:

A randomized controlled trial Mitchell Haas, DC Abstract Background context There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation. Purpose To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine […]

The Roles of Mechanical Stresses in the Pathogenesis of Osteoarthritis: Implications for Treatment of Joint Injuries

Cartilage. 2013 Oct 1;4(4):286-294. Buckwalter JA1, Anderson DD2, Brown TD2, Tochigi Y2, Martin JA2. Abstract Excessive joint surface loadings, either single (acute impact event) or repetitive (cumulative contact stress), can cause the clinical syndrome of osteoarthritis (OA). Despite advances in treatment of injured joints, the risk of OA following joint injuries has not decreased in […]

Determining the Optimal Number of Spinal Manipulation Sessions for Chronic Low-Back Pain

Findings from the largest and most rigorous, randomized dose-response study of spinal manipulative therapy (SMT) for chronic low-back pain suggest that 12 sessions (SMT) may be the best “dose” for people with chronic low-back pain. The study, published in The Spine Journal, was funded by NCCAM. Spinal manipulative therapy, most commonly performed by licensed clinicians (such as […]

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial

Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Visser LH1, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten BL. Abstract PURPOSE: The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back […]

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial

European Spine Journal October 2013, Volume 22, Issue 10, pp 2310-2317 First online: 30 May 2013 L. H. Visser Abstract Purpose The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain. Methods Using a single-blinded randomised trial, […]

The working mechanism of manual therapy in participants with chronic tension-type headache

Castien R,et al. J Orthop Sports Phys Ther. 2013 Oct;43(10):693-9. doi: 10.2519/jospt.2013.4868. Epub 2013 Sep 9. Abstract STUDY DESIGN: Prospective longitudinal study. OBJECTIVE: To explore the working mechanism of manual therapy, we investigated whether 3 cervical spine variables were mediators of the effect of manual therapy on headache frequency. Background Manual therapy has been shown […]

Most chiropractic consults evidence based: study

11th Nov 2013 Andrew Bracey The Medical Observer Full Story:  http://www.medicalobserver.com.au/news/most-chiropractic-consults-evidence-based-study A STUDY providing the best picture yet of the most common conditions treated by chiropractors suggests most chiropractic treatments and consultations undertaken in Australia are evidence based. Researchers from the University of Melbourne collected de-identified data from 4464 consultations carried out by 52 Victorian […]

Essential literature for the chiropractic profession: a survey of chiropractic research leaders

Barbara A Mansholt Chiropractic & Manual Therapies 2013, 21:33 Evidence-based clinical practice (EBCP) is an accepted practice for informed clinical decision making in mainstream health care professions. EBCP augments clinical experience and can have far reaching effects in education, policy, reimbursement and clinical management. The proliferation of published research can be overwhelming—finding a mechanism to […]

Is manipulative therapy more effective than sham manipulation in adults?

A systematic review and meta-analysis Gwendolijne GM Scholten-Peeters Chiropractic & Manual Therapies 2013, 21:34 doi:10.1186/2045-709X-21-34 Abstract Background Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared to sham manipulations is unclear. The purpose of […]