Chiropractic

Changes in pain sensitivity following spinal manipulation: a systematic review and meta-analysis

The Facts: a. Spinal manipulation is a common form of treatment for musculoskeletal conditions. b. It is frequently used for the treatment of pain. c. The mechanism by which this manipulative therapy reduces pain is unclear. d. However, one method by which spinal manipulation may reduce pain is by reducing pain sensitivity. e. “Meta-analysis was […]

Manual Therapy Followed by Specific Active Exercises Versus a Placebo Followed by Specific Active Exercises on the Improvement of Functional Disability in Patients With Chronic Non Specific Low Back Pain

A RANDOMIZED CONTROLLED TRIAL Pierre Balthazard, Pierre de Goumoens, Gilles Rivier, Philippe Demeulenaere, Pierluigi Ballabeni, Olivier DériazDisclosures BMC Musculoskelet Disord. 2012;13(162) ABSTRACT Background: Recent clinical recommendations still propose active exercises (AE) for CNSLBP. However, acceptance of exercises by patients may be limited by pain-related manifestations. Current evidences suggest that manual therapy (MT) induces an immediate […]

Where the United States Spends its Spine Dollars: Expenditures on different ambulatory services for the management of back and neck conditions

Matthew A. Davis, DC, MPH Spine (Phila Pa 1976). 2012 September 1; 37(19): 1693–1701. Abstract Study Design Serial, cross-sectional, nationally representative surveys of non-institutionalized adults. Objective To examine expenditures on common ambulatory health services for the management of back and neck conditions. Summary of Background Data Although it is well recognized that national costs associated with […]

Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment

Cynthia K. Peterson, DC Journal of Manipulative and Physiological Therapeutics Volume 35, Issue 7 , Pages 525-533, September 2012 Objectives The purpose of this study was to investigate outcomes and prognostic factors in patients with acute or chronic low back pain (LBP) undergoing chiropractic treatment. Methods This was a prognostic cohort study with medium-term outcomes. […]

Somatic Dysfunction and Its Association With Chronic Low Back Pain, Back-Specific Functioning, and General Health

Somatic Dysfunction and Its Association With Chronic Low Back Pain, Back-Specific Functioning, and General Health: Results From the OSTEOPATHIC Trial John C. Licciardone, DO, MS, MBA J Am Osteopath Assoc July 1, 2012 vol. 112 no. 7 420-428 Abstract Context: Somatic dysfunction is diagnosed by the presence of any of 4 TART criteria: tissue texture […]

MD/DC team can ease low back pain, project finds

Family doctors working closely with chiropractors to ease a patient’s low back pain can lead to fast and effective treatment, a pilot project found.

Chiropractic care of children from birth to adolescence and classification of reported conditions

J Manipulative Physiol Ther. 2012 Jun;35(5):372-80. doi: 10.1016/j.jmpt.2012.04.008. Epub 2012 May 22. Chiropractic care of children from birth to adolescence and classification of reported conditions: an internet cross-sectional surveyed of 956 European chiropractors. Marchand AM. Abstract OBJECTIVE: Few studies have addressed the practice of chiropractic care of children in Europe. No systematic classification of conditions […]

The basis for spinal manipulation: Chiropractic perspective of indications and theory

Henderson CN. J Electromyogr Kinesiol. 2012 Oct;22(5):632-42. doi: 10.1016/j.jelekin.2012.03.008. Epub 2012 Apr 17. Abstract It is reasonable to think that patients responding to spinal manipulation (SM), a mechanically based therapy, would have mechanical derangement of the spine as a critical causal component in the mechanism of their condition. Consequently, SM practitioners routinely assess intervertebral motion, […]

Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature

Kent Jason Stuber Chiropractic & Manual Therapies 2012, 20:8 Abstract Background The safety of spinal manipulation during pregnancy and the postpartum periods has been a matter of debate among manual therapists. Spinal manipulative therapy during these periods is a commonly performed intervention as musculoskeletal pain is common in these patients. To date there has not been […]

The Quality of Reports on Cervical Arterial Dissection following Cervical Spinal Manipulation

PLoS One. 2013; 8(3): e59170. Published online 2013 Mar 20. doi: 10.1371/journal.pone.0059170 PMCID: PMC3604043 PMID: 23527121 Shari Wynd Abstract Background Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a […]

Evaluation of a general practitioner referral service for manual treatment of back and neck pain

Prim Health Care Res Dev. 2012 Jul;13(3):204-10. doi: 10.1017/S1463423611000648. Epub 2012 Jan 30. Evaluation of a general practitioner referral service for manual treatment of back and neck pain. Gurden M1, Morelli M, Sharp G, Baker K, Betts N, Bolton J. Abstract AIM: To describe and evaluate a community-based musculoskeletal service, commissioned by National Health Services […]

The Five Eras of Chiropractic & the future of chiropractic as seen through the eyes of a participant observer – Full Text

Chiropr Man Therap. 2012; 20: 1. Published online 2012 Jan 19. doi: 10.1186/2045-709X-20-1 PMCID: PMC3299614 PMID: 22260381 J Keith Simpson Abstract Chiropractic has endured a turbulent history, marked by tremendous advances in areas such as education and licensing while marred by interprofessional conflict and a poor public image. The prolonged interprofessional conflict was instrumental in […]

The Five Eras of Chiropractic & the future of chiropractic as seen through the eyes of a participant observer

J Keith Simpson Chiropractic & Manual Therapies 2012 20:1 Abstract Chiropractic has endured a turbulent history, marked by tremendous advances in areas such as education and licensing while marred by interprofessional conflict and a poor public image. The prolonged interprofessional conflict was instrumental in shaping the culture of chiropractic. These obstacles have long-since been removed […]

For Neck Pain, Chiropractic and Exercise Are Better Than Drugs

Seeing a chiropractor and engaging in light exercise relieves neck pain more effectively than relying on pain medication, new research shows.

A Structured Protocol of Evidence-Based Conservative Care Compared With Usual Care for Acute Nonspecific Low Back Pain

A Randomized Clinical Trial Gregory F. Parkin-Smith, MTech(Chiro), MSc, DrHC Archives of Physical Medicine and Rehabilitation Volume 93, Issue 1 , Pages 11-20, January 2012 Abstract Parkin-Smith GF, Norman IJ, Briggs E, Angier E, Wood TG, Brantingham JW. A structured protocol of evidence-based conservative care compared with usual care for acute nonspecific low back pain: […]

Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain

Ogura T Altern Ther Health Med. 2011 Nov-Dec;17(6):12-7. Abstract BACKGROUND: Chiropractic spinal manipulation (CSM) is an alternative treatment for back pain. The autonomic nervous system is often involved in spinal dysfunction. Although studies on the effects of CSM have been performed, no chiropractic study has examined regional cerebral metabolism using positron emission tomography (PET). OBJECTIVE: […]

Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain

Altern Ther Health Med. 2011 Nov-Dec;17(6):12-7. Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain. Ogura T, Tashiro M, Masud M, Watanuki S, Shibuya K, Yamaguchi K, Itoh M, Fukuda H, Yanai K. Abstract BACKGROUND: Chiropractic spinal manipulation (CSM) is an alternative treatment for back pain. The autonomic nervous system is often […]

Clinical presentation and manual therapy for lower quadrant musculoskeletal conditions – Full Text Available

This paper will discuss the evidence which supports the use of manual therapy for lower quarter musculoskeletal dysfunction.

Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial – Full Text

The Lancet Volume 378, No. 9802, p1560–1571, 29 October 2011 Summary Background Back pain remains a challenge for primary care internationally. One model that has not been tested is stratification of the management according to the patient’s prognosis (low, medium, or high risk). We compared the clinical effectiveness and cost-effectiveness of stratified primary care (intervention) […]

Preliminary investigation of the mechanisms underlying the effects of manipulation

Spine (Phila Pa 1976). Author manuscript; available in PMC 2012 Oct 1. Published in final edited form as: Spine (Phila Pa 1976). 2011 Oct 1; 36(21): 1772–1781. doi: 10.1097/BRS.0b013e318216337d PMCID: PMC3150636 NIHMSID: NIHMS282545 PMID: 21358568 Preliminary investigation of the mechanisms underlying the effects of manipulation: exploration of a multi-variate model including spinal stiffness, multifidus recruitment, […]