A new role for spinal manual therapy and for chiropractic? Part II: strengths and opportunities
AbstractIn a previous paper, we presented some important weaknesses of and threats to the chiropractic profession as we see them. We further argued that the chiropractic profession ’s relationship with its principal clinical tool (spinal manual therapy) is at the core of the ideological divide that fractures the profession and prevents professional development towards greater integration in the healthcare landscape. In this manuscript, we shall argue that the historical pred ilection for spinal manipulation also gifts the profession with some obvious strengths and opportunities, and that these are inextricably linked to ...
Source: Chiropractic and Manual Therapies - March 27, 2024 Category: Complementary Medicine Source Type: research
A new role for spinal manual therapy and for chiropractic? Part I: weaknesses and threats
AbstractSpinal manual therapy is central to chiropractic history, clinical practice, and professional identity. That chiropractors have developed an expertise in this domain has provided some considerable advantages. However, we contend it is also at the crux of the ideological schism that fractures the chiropractic profession. In this article, which is the first in a series of two, we discuss chiropractors ’ understanding and use of spinal manual therapy and do so with particular emphasis on what we see as weaknesses it creates and threats it gives rise to. These are of particular importance, as we believe they have lim...
Source: Chiropractic and Manual Therapies - March 26, 2024 Category: Complementary Medicine Source Type: research
The development of working alliance in early stages of care from the perspective of patients attending a chiropractic teaching clinic
ConclusionsEstablishing an early trainee chiropractor-patient working alliance involves a process of building patients ’ confidence in the trainee chiropractors’ expertise, identifying the correct goals of care, and recognising the value of the proposed treatment plan. Factors shaping this process include the context of the care journey, patients’ perceptions of trainee chiropractors’ qualities, their bodily sensations, their expectations, their past experiences, and their satisfaction with trainee chiropractors’ explanations. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 21, 2024 Category: Complementary Medicine Source Type: research
Assessing adverse events associated with chiropractic care in preschool pediatric population: a feasibility study
ConclusionResults suggest that it is feasible to conduct a prospective pragmatic study evaluating AEs associated with manual therapies in private practices. Direct communication with the clinicians, a strategic clinicians ’ recruitment plan, and the resulting administrative burden should be considered in future studies. A larger study is required to confirm the frequency of AEs reported in the current study.Trial registrationClinicalTrials.gov., NCT05409859, Registered on June 3 2022.https://clinicaltrials.gov/study/NCT05409859. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 13, 2024 Category: Complementary Medicine Source Type: research
Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review
ConclusionPatients with spine-related musculoskeletal pain who consulted a chiropractor as their initial provider incurred substantially decreased downstream healthcare services and associated costs, resulting in lower overall healthcare costs compared with medical management. The included studies were limited to mostly retrospective cohorts of large databases. Given the consistency of outcomes reported, further investigation with higher-level designs is warranted. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - March 6, 2024 Category: Complementary Medicine Source Type: research
Attitudes, beliefs, and recommendations for persistent low back pain patients: cross-sectional surveys of students and faculty at a chiropractic college
ConclusionsStudent and faculty attitudes and beliefs, and students ’ activity/work recommendations were found to be dissimilar to those from similar studies and less congruent with CPG recommendations. Lower HC-PAIRS scores increased the odds of students providing “adequate” activity and work recommendations to patients with PLBP. Results from this study may help guide future research and training opportunities. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 29, 2024 Category: Complementary Medicine Source Type: research
Frequency and indication of non-musculoskeletal examinations: a cross-sectional survey of Quebec chiropractors
ConclusionsVital signs and cranial nerve examinations were the most frequency performed non-musculoskeletal examinations reported by chiropractors. Apart from the genitourinary exam almost never performed, most participants chose non-musculoskeletal examinations deemed appropriate for the patient ’s presentation. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 28, 2024 Category: Complementary Medicine Source Type: research
Re: Stress and musculoskeletal pain in physiotherapists during the pandemic depend on a plethora of influencing factors
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 16, 2024 Category: Complementary Medicine Source Type: research
Stress and musculoskeletal pain in physiotherapists during the pandemic depend on a plethora of influencing factors
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - February 16, 2024 Category: Complementary Medicine Source Type: research
A qualitative analysis of free-text patient satisfaction responses in Care Response, a database of patient-reported outcome and experience measures
ConclusionsRespondents seemed to value effective care provided in a safe, professional, friendly, and aesthetically pleasing environment. Chiropractors should note these priorities and engage with patients according to them. Education institutions should consider how good practice in these areas might be incorporated into curricula. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 29, 2024 Category: Complementary Medicine Source Type: research
Is blinding in studies of manual soft tissue mobilisation of the back possible? A feasibility randomised controlled trial with Swiss graduate students
ConclusionsBlinding of participants allocated to an active soft tissue mobilisation of the back was not feasible in this methodological trial, whereas blinding of participants allocated to the control intervention and outcome assessors was adequate. Findings are limited due to imprecision and suboptimal generalisability to clinical settings. Careful thinking and consideration of blinding in manual therapy trials is warranted and needed.Trial registrationClinicalTrials.gov: NCT05822947 (retrospectively registered) (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 29, 2024 Category: Complementary Medicine Source Type: research
Is the use of diagnostic imaging and the self-reported clinical management of low back pain patients influenced by the attitudes and beliefs of chiropractors? A survey of chiropractors in the Netherlands and Belgium
ConclusionThe high biomedical class demonstrated better overall adherence to the practice guidelines for the management of LBP and diagnostic imaging than the other classes. Due to the small numbers for the high and low biomedical classes, these results should be interpreted with caution. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - January 8, 2024 Category: Complementary Medicine Source Type: research
The importance of health policy and systems research for strengthening rehabilitation in health systems: a call to action to accelerate progress
(Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 11, 2023 Category: Complementary Medicine Source Type: research
Minimal important difference of the 12-item World Health Organization Disability Assessment Schedule (WHODAS) 2.0 in persons with chronic low back pain
ConclusionsUsing an anchor-based approach, the MID of WHODAS-12 is estimated at -3.22 (95% CI -4.79 to -1.64) or -5.99 (95% CI − 7.20 to -4.79) in adults with chronic LBP. These MID values inform the utility of WHODAS-12 in measuring functioning to determine whether rehabilitation or other health services achieve a minimal difference that is meaningful to patients with chronic LBP. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - December 5, 2023 Category: Complementary Medicine Source Type: research
Testing the association between shoulder pain prevalence and occupational, physical activity, and mental health factors in two generations of Australian adults
ConclusionOverall, shoulder pain was more prevalent in young females than males and was more prevalent in those under the age of 65. Cross-sectional associations were established between some occupational factors in older adults and depression in all adults, and shoulder pain. (Source: Chiropractic and Manual Therapies)
Source: Chiropractic and Manual Therapies - November 27, 2023 Category: Complementary Medicine Source Type: research
