Clinical Chiropractic
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Editorial Board
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Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Source Type: journals
Happy birthday to us!
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What were you doing ten years ago today? Personally, I was buying a rail ticket to London for the official launch of the College of Chiropractors, which was due to take place in four days time. It was the result of four years of planning and hard work, following the passing of the Chiropractors’ Act: if chiropractic in the UK was to have a statutory regulatory body, it should follow the path of the other medically regulated professions and have a Royal College, distinct from the professional associations that would henceforth focus more on representing the interests of practitioners.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Martin Young Tags: Editorial Source Type: journals
A 12-month-old female with lower limb deformity and abnormal gait: Case presentation
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A 12-month-old female presented with obvious lower limb deformity bilaterally, initially noticed by the patient's grandmother when the patient was 10 months old (). She was concerned that the abnormality had progressively worsened over the ensuing 2-month period. Patient history elicited that the patient began walking at 9 months old and that she was in a high percentile bracket for weight.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Marine Surroca, Erin Lean, Martin D. Timchur, Michelle A. Wessely Tags: Case Challenge Source Type: journals
Proceedings of the 10th Annual General Meeting of the College of Chiropractors
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According to precedent, the day began with a series of individual AGMs for each of the College's Clinical Specialist Faculties. In addition, the first Research Clinics Forum was held which drew together the expertise and enthusiasm of those chiropractors engaged in clinic-based research to discuss future support for clinical research activity.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Rob Finch Tags: Proceedings Source Type: journals
Factors influencing parents’ decisions to choose chiropractic care for their children in the UK
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Summary: The attitudes and opinions of parents or guardians as the main decision-makers in their children's health care are likely to play an important role in determining whether or not children receive chiropractic care. The aim of this study was to determine the factors likely to influence parents or guardians when seeking chiropractic care for their children.An anonymous questionnaire was sent via the head teachers of 8 primary schools in a typical UK county to the parents/guardians of children aged 5–11 who were attending the schools.Of 987 questionnaires distributed, 259 were returned with 175 eligible for inclusio...
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Patricia Carlton, Ian Johnson, Christina Cunliffe Tags: Original Papers Source Type: journals
Chiropractic care amongst people with multiple sclerosis: A survey of MS therapy centres in the UK
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Conclusions: There is moderate uptake of chiropractic by people with MS in the UK together with a willingness to recommend it. Further awareness of the potential benefits of chiropractic amongst stakeholders may help its integration into the team management of MS.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Elizabeth A. Carson, Gabrielle Swait, Ian P. Johnson, Christina Cunliffe Tags: Original Papers Source Type: journals
Chiropractic manual intervention in chronic adult dyspepsia: A pilot study
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Summary: Objective: To investigate the effects of chiropractic management of patients with symptoms of idiopathic dyspepsia.Design: Prospective, sequential, longitudinal pilot cohort study using a structured questionnaire to determine pre- and post-treatment outcomes.Setting: Private chiropractic clinic in south-west England.Subjects: Eighty-three consecutive patients presenting to the clinic who confirmed the presence of pain of digestive origin in the central chest or epigastric area of greater than 2-years duration.Intervention: Chiropractic spinal manipulative therapy and adjunctive soft tissue modalities.Results: Pati...
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Martin F. Young, Peter W. McCarthy, Susan J. King Tags: Original Papers Source Type: journals
Encouraging good posture in school children using computers
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Conclusions: Postural interventions that include on-screen reminders during the course of the lesson significantly reduce the reported severity of discomfort of musculoskeletal problems and are associated with a trend towards lower reported frequencies of musculoskeletal problems overall. This data may be relevant to those devising ergonomic correction programmes for school children.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: M. Robbins, I.P. Johnson, C. Cunliffe Tags: Original Papers Source Type: journals
Back pain: what is happening when it becomes chronic?
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Summary: In the absence of pathology most back pain settles quickly; however, for a significant minority of patients, the symptoms and disability it causes endure, often for a protracted time.It is not believed that this ongoing pain is related to persisting tissue damage but is rather a consequence of inappropriate adaptions to the original pain or predisposing factors within the individuals.This paper reviews the available evidence for the role of mechanical, neurological, psychological, social and genetic factors surrounding chronicity in back pain.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Jonathan Field Tags: Literature Review Source Type: journals
A 12-month-old female with lower limb deformity and abnormal gait: Case discussion
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A 12-month-old female presented with obvious lower limb deformity bilaterally, initially noticed by the patient's grandmother when the patient was 10 months old (). She was concerned that the abnormality had progressively worsened over the ensuing 2-month period. Patient history elicited that the patient began walking at 9 months old and that she was in a high percentile bracket for weight.
Source: Clinical Chiropractic - March 1, 2009 Category: Complementary Medicine Authors: Marine Surroca, Erin Lean, Martin D. Timchur, Michelle A. Wessely Tags: Case Challenge Source Type: journals
Editorial Board
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Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Source Type: journals
Methodological madness
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Chiropractic, along with the other diverse forms of complementary and alternative medicine (CAM) with which it is often inappropriately grouped, is coming under increasing international pressure to “prove” itself: to establish efficacy and effectiveness for the many conditions it purports to treat.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Martin Young Tags: Editorial Source Type: journals
Non-specific low back pain in a 60-year-old female: Case presentation
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A 60-year-old lady presented to the chiropractor with non-specific back pain, with some mild associated discomfort in both buttock regions. She had a history of breast cancer, which was treated successfully 2 years previously with a partial mastectomy and chemotherapy. She had been in remission since, with regular visits to her treating physician. As part of their clinical evaluation, the chiropractor performed imaging of the lumbar spine (a and b).
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: T.J. Mick, M.A. Wessely Tags: Case Challenge Source Type: journals
Relative immediate effect of ischaemic compression and activator trigger point therapy on active upper trapezius trigger points: A randomised trial
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Conclusion: Based on the primary outcome measure the results suggest that both ischaemic compression and activator trigger point therapy have an equal immediate clinically important effect on upper trapezius trigger point pain.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Hugh Gemmell, Anna Allen Tags: Original Papers Source Type: journals
The lived experience of mothers of ADHD children undergoing chiropractic care: A qualitative study
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Conclusion: These findings suggests that, according to the mothers, there are two key factors in the process of treating ADHD children that may not have been assessed thoroughly enough by the health system in Norway in general; these are the importance of applying the biopsychosocial model in the health care system and the reported effect of the IM.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Maiken S. Hermansen, Peter J. Miller Tags: Original Papers Source Type: journals
The presenting complaints of pediatric patients for chiropractic care: Results from a practice-based research network
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Summary: Objective: The purpose of this study was to determine the range of presenting complaints by children (
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Joel Alcantara Tags: Original Papers Source Type: journals
Exercises and management of lower back pain
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Summary: The emphasis in treating back pain has changed over the last century; moving from resting the patient ‘allowing tissues to heal’, towards encouraging movement and activity as early as possible. This has been mirrored by a shift from so-called passive treatments which were done to a patient (e.g. ultrasound and traction) to active ones where the patient is encouraged to play a role in their own recovery.Rehabilitation is a popular treatment option increasingly utilised by all major professions involved with musculoskeletal injury. Guidelines exist from several international bodies providing statements on rehabi...
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Jonathan Field Tags: Literature Review Source Type: journals
Fracture of the tibial intercondylar eminence: A case report
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This article reports on an unusual case of tibial intercondylar eminence fracture in a 20-year-old female with the ligaments of the knee, including the ACL, posterior cruciate ligament (PCL), medial and lateral collateral ligaments, and the menisci all intact.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Newsha Azizi Tags: Case Reports Source Type: journals
Non-synostotic deformational plagiocephaly: An evidence-based case report
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Conclusions: A simple guideline approach to safe and effective chiropractic management of an infant with plagiocephaly was established, based upon the best available evidence from the literature in conjunction with the paediatric training available to a chiropractor.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Jason M. Leighton Tags: Case Reports Source Type: journals
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Current Diagnosis and Treatment of Pain is an up-to-date reference for healthcare practitioners involved in treating patients with pain and painful conditions. This book is intended to be used as a quick reference for the assessment and treatment of pain related to common disorders in adults and children. It is written principally for primary care medical practitioners including physicians, nurses, physicians’ assistants, and students in those fields.
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: Trung Phu Toan Ngo Tags: Book Review Source Type: journals
Non-specific low back pain in a 60-year-old female: Case discussion
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A 60-year-old female presented to the chiropractor with non-specific back pain, with some mild associated discomfort in both buttock regions. She had a history of breast cancer, which was treated successfully 2 years previously with a partial mastectomy and chemotherapy. She had been in remission since, with regular visits to her treating physician. As part of their clinical evaluation, the chiropractor performed imaging of the lumbar spine (a and b).
Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Authors: M.A. Wessely, T.J. Mick Tags: Case Challenge Source Type: journals
Contents of Volume 11
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Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Source Type: journals
Author Index to Volume 11
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Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Source Type: journals
Keyword Index to Volume 11
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Source: Clinical Chiropractic - December 1, 2008 Category: Complementary Medicine Source Type: journals
Editorial Board
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Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Source Type: journals
Scope of practice: What should be included and what not?
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The question of scope of practice and whether there is a need for a defined statement is one that has been bouncing along in the background of chiropractic for a number of years. Issues such as this have both positive and negative sides dependent on whether you are discussing it inside or outside the profession (for an example of an external view of a similar issue see ). However, viewing something from a different standpoint, i.e., by personalising the issue, can often help people realise the implications they otherwise would not have considered. From this perspective, as at sometime or another many of the readers of this...
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Peter W. McCarthy Tags: Guest Editorial Source Type: journals
Chronic low back pain with previous disc lesion: Presentation
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A 58-year-old female patient presented to a chiropractor with chronic low back pain. She brought to the consultation diagnostic imaging of her spine (a and b), which had been ordered by her general medical practitioner owing to the patient's complaint of a sensation of “losing control of her ankle” on occasion.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Amelie Haran, Arnaud Lardon, Michelle Wessely Tags: Case Challenge Source Type: journals
Comparison of the short-term effects of chiropractic spinal manipulation and occipito-sacral decompression in the treatment of infant colic: A single-blinded, randomised, comparison trial
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Summary: Objective: To compare two interventions in the treatment of infant colic.Design: A single-blinded, randomised, and comparison trial.Setting: Anglo-European College of Chiropractic teaching clinic.Participants: Forty-three infants of less than 8 weeks of age who cried >3h/day for at least 4 of the previous 7 days.Interventions: Two weeks of spinal manipulative therapy (SMT, n=22) or occipito-sacral decompression (OSD, n=21).Main outcome measures: Change in daily hours of crying.Results: At day 7 of the trial, the mean hours of crying per day were significantly reduced in both groups (SMT, by 2.1h/day, p
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Maria Browning, Joyce Miller Tags: Original Papers Source Type: journals
The occurrence, identification and treatment of convergence failure in children with dyslexia, dyspraxia, attention deficit disorder (ADD), attention deficit hyperactive disorder (AD/HD), obsessive compulsive disorder (OCD) and Tourette's syndrome
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Summary: This paper examines a neurological manifestation, convergence insufficiency, as yet not considered in association with the primary diagnosis of learning/behavioural disorders. When the data from a previous study were initially examined what appeared to be a significantly high number of the children (57%) demonstrated convergence failure on testing. The data were then sorted and convergence failure related to the primary diagnosis, comorbidity patterns and other neurological findings. The conclusion based on this relatively small case series would suggest that a high percentage of children have convergence failure ...
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Robin Pauc Tags: Original Papers Source Type: journals
The successful chiropractic care of pediatric patients with chronic constipation: A case series and selective review of the literature
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Conclusion: This study contributes to evidence-based practice on the chiropractic care of children with constipation.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Joel Alcantara, Diane M. Mayer Tags: Case Series Source Type: journals
Taking on the fall: The etiology and prevention of falls in the elderly
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Conclusions: The approach to prevention of falls in senior citizens should include improving joint mobility, improved patient mobility, and prevention of the downward spiral of fear, depression, and inactivity that can lead to falling. There is a need to develop chiropractic models that address the special preventive and rehabilitative needs of older patients. The ability of older persons to remain independent has a profound influence on the perceived quality of life and the costs incurred for assistance.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Link Larson, Thomas F. Bergmann Tags: Literature Review Source Type: journals
Where less really is more
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Summary: The relevance of research findings to the routine clinical setting has been hampered in the past by providing data in a form that has little meaning for the individual patient. If evidence-based practice is ever to work then research findings must be given in a way that they can be applied to an individual patient, and clinicians will have to be able to interpret and use them accordingly. This is the third article in an occasional series to help clinicians in this task. It covers the paramount importance of researchers measuring simple outcomes, whether from a treatment or from a diagnostic test, and analysing the...
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Jennifer E. Bolton Tags: Resource Document Source Type: journals
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This 2nd edition, published 11 years after the first, is an excellent text for students and chiropractors wanting to learn the technique. It improves on the first edition with outstanding colour photographs and chapter contributions from published scientists.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Ian Hutchinson Tags: Book Reviews Source Type: journals
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As a practising Registered Osteopath and, in the past, a teacher of advanced soft tissue techniques to Sports Therapists, I was very pleased to be asked to review this book. I have been an avid supporter of Mr Chaitow's book ‘Soft Tissue Manipulation’ and was keen to see how this area of manual therapy has evolved on both the research and publishing fronts.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Oliver O’Callaghan-Brown Tags: Book Reviews Source Type: journals
Chronic low back pain with previous disc lesion: Discussion
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A 58-year-old female patient presented to a chiropractor with chronic low back pain. She brought to the consultation diagnostic imaging of her spine, which had been ordered by her general medical practitioner owing to the patient's complaint of a sensation of “losing control of her ankle” on occasion.
Source: Clinical Chiropractic - September 1, 2008 Category: Complementary Medicine Authors: Amelie Haran, Arnaud Lardon, Michelle Wessely Tags: Case Challenge Source Type: journals
