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1

History of Chiropractic Care  

MedlinePLUS

History of Chiropractic Care The roots of chiropractic care can be traced all the way back to the beginning of recorded ... maladies in future years. Education of Doctors of Chiropractic Doctors of chiropractic must complete four to five ...

2

Chiropractic Handbook.  

ERIC Educational Resources Information Center

This reference guide contains laws, regulations, and licensing requirements and procedures governing chiropractic practice in New York State. Following a general introduction to professional regulation in New York State, licensure requirements are spelled out in detail, including general requirements, education requirements, examination…

New York State Education Dept., Albany. Office of the Professions.

3

Chiropractic Handbook.  

ERIC Educational Resources Information Center

The laws, rules and regulations of the State Education Department governing chiropractic practice in New York State are provided in this handbook. Requirements and procedures are also highlighted, and the forms for obtaining a license and first registration as a chiropractor are provided. The booklet is divided into the following sections:…

New York State Education Dept., Albany. Office of the Professions.

4

What Is Chiropractic?  

MedlinePLUS

What is Chiropractic? Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal ...

5

Chiropractic: A Critical Evaluation  

Microsoft Academic Search

Chiropractic was defined by D.D. Palmer as “a science of healing without drugs.” About 60,000 chiropractors currently practice in North America, and, worldwide, billions are spent each year for their services. This article attempts to critically evaluate chiropractic. The specific topics include the history of chiropractic; the internal conflicts within the profession; the concepts of chiropractic, particularly those of subluxation

Edzard Ernst

2008-01-01

6

Chiropractic audits  

PubMed Central

This paper reviews the process which deals with audits of chiropractic billings. It includes the statutory right to review accounts, the factors which lead to a possible audit, the review process itself as well as the possible outcome of a review. Generally, the number of audits performed on professional practices is minimal in relation to the number of practitioners who submit billings for services. Audits are a matter of public necessity involving accountability to the patient and, if government billings are involved, to the public in general. It is incumbent upon the doctor to ensure that proper protocols exist within his or her office to ensure that an audit is nothing more than opening one’s office for an inspection which should satisfy all of the concerned parties as to legitimacy of the practitioner’s entitlement for reimbursement for services rendered.

Freedman, Allan M

2000-01-01

7

Chiropractic: An Introduction  

MedlinePLUS

... manipulation appears to benefit some people with low-back pain and may also be helpful for headaches, neck ... Many people who seek chiropractic care have low-back pain. People also commonly seek chiropractic care for other ...

8

Frequently Asked Questions about Chiropractic  

MedlinePLUS

... Orientation SACA Programs Scholarship Program Speaker Program Rebate Program SACA Calendar SACA Events SACA Activities SACA Conference Calls Prospective Students Chiropractic as a Career Accredited Chiropractic Colleges Board Preparation Education Requirements Future of Chiropractic SACA ...

9

Educational Standards for Chiropractic Colleges.  

ERIC Educational Resources Information Center

The policy of accreditation for the chiropractic profession and educational standards for chiropractic colleges are presented. The following types are historical development of chiropractic accreditation; the structure and function of the Council on Chiropractic Education; and eligibility, procedures, and classifications for status as an…

Council on Chiropractic Education, Des Moines, IA.

10

Chiropractic: A Safe Treatment Option  

MedlinePLUS

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the ... or legs, headaches, and other neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment ...

11

Find a Doctor of Chiropractic  

MedlinePLUS

... Doc is a searchable directory of doctors of chiropractic (DC) who are members of the ACA. This ... Bioenergetics CAT Scan (CT Scan) Cervical / Lumbar Traction Chiropractic Adjustment Corporate Health Cox Flexion-Distraction Craniosacral Therapy ...

12

Educational Standards for Chiropractic Colleges.  

ERIC Educational Resources Information Center

Contents include: background information on the historical development, purpose, structure, and function of chiropractic accreditation; accreditation policy (eligibility, procedures, classifications, commission actions, and reports); standards for chiropractic colleges (organization, administration, scholastic regulations curriculum, faculty,…

Council on Chiropractic Education, Des Moines, IA.

13

Chiropractic care for back pain  

MedlinePLUS

Chiropractic care is a way to diagnose and treat health problems that affect the nerves, muscles, bones, ... the body. A health care provider who provides chiropractic care is called a chiropractor. Hands-on adjustment ...

14

Chiropractic and the clinical art  

Microsoft Academic Search

Chiropractic is the largest 'unorthodox' health profession in the U.S.A. It is licensed in all 50 states and its services are covered by governmental and private health insurance. Yet chiropractic remains, in the opinion of medical commentators, an unscientific healing cult. Chiropractic holds that much illness is caused, directly or indirectly, by derangements in homeostasis that result from subtle vertebral

John L. Coulehan

1985-01-01

15

Chiropractic’s unique evolution and its future status  

PubMed Central

Chiropractic’s demise was regularly predicted but the AMA’s campaign to “contain and then eliminate” it did not succeed. Nor did chiropractic follow osteopathy toward fusion with medicine. D.D. and B.J. Palmer were charismatic outsiders who emphasized the differences between medicine and chiropractic. Chiropractic’s unique evolution and survival owed a lot to BJ’s activity in publishing books and brochures and in part, to motivating his followers to fight for separate and distinct licensure. This paper proposes that in the twenty-first century chiropractic is most likely to become well established as an independent limited medical profession like dentistry, podiatry, optometry, and psychology.

Wardwell, Walter I

1996-01-01

16

Chiropractic. New York State.  

ERIC Educational Resources Information Center

A reference guide to laws, rules, and regulations that govern the chiropractic practice in New York State is presented. After an overview of professional regulation in the state, licensing requirements/procedures for chiropractors are described. Provisions of Title VIII, Articles 130 and 132, of the Education Law are also covered, along with…

New York State Education Dept., Albany. Office of the Professions.

17

American Chiropractic Association  

MedlinePLUS

... employees; search for or sell equipment and more Health Care Reform Video Update The ACA Government Relations Team provides the latest legislative news Chiropractic: Why choose conservative care first? Starting with conservative approach to health care makes sense. Advocacy and Legislation ACA is ...

18

Chiropractic Students and Research  

PubMed Central

Purpose: To continue positive professional growth and boost research endeavors, chiropractic institutions need to develop a research-oriented foundation and produce a larger body of researchers. The purpose of this study was to provide a current analysis of the research culture among students at Palmer College of Chiropractic Florida. This study will gain insight toward the research contributions of the next generation of chiropractors and identify the difficulties toward participation. This will help modify current academic programs to better foster research and ensure a promising, credible future for the chiropractic profession. Methods: Participants were students at Palmer College of Chiropractic Florida enrolled in quarters 1 through 12 during the 2008 summer term. To evaluate the research culture, participants were asked to complete a 33-item web-based survey. Results: A total of 303 students completed the survey. Forty-four percent were female, and the mean age was 26 (SD = 4.2). Ninety-nine percent of respondents agreed that research was necessary for positive growth within the chiropractic profession. A majority of students reported having research experience, and 58% planned to participate in research activities prior to graduation. Technical writing was reported as the most challenging aspect of research, and heavy academic workload was reported as the greatest deterrent to participation. Conclusion: This study expresses possibilities for building a strong research culture at the college. Students were aware of the necessity for research and were openly interested in conducting research. Modification of current academic policies will allow for greater student research opportunities and the development of tomorrow's researchers. PMID:20480013

Weber II, Kenneth A.; He, Xiaohua

2010-01-01

19

Chiropractic. State of the Art.  

ERIC Educational Resources Information Center

The review covers: (1) the discipline (description, scientific theories and principles, its practice, contributions to the health field, and history); (2) the profession (a doctor profile, patients, students, and the American Chiropractic Association); (3) chiropractic education (colleges, career opportunities, standard basic curriculum,…

Schafer, R. C., Ed.

20

The Chiropractic Care of Children  

PubMed Central

Abstract Objective The objective of this study was to characterize the practice of pediatric chiropractic. Design The study design was a cross-sectional descriptive survey. Settings/location The settings were private practices throughout the United States, Canada, and Europe. Participants The participants were 548 chiropractors, the majority of whom are practicing in the United States, Canada, and Europe. Main outcome measures Practitioner demographics (i.e., gender, years in practice, and chiropractic alma mater), practice characteristics (i.e., patient visits per week, practice income reimbursement), and chiropractic technique were surveyed. The practitioners were also asked to indicate common indicators for pediatric presentation, their practice activities (i.e., use of herbal remedies, exercise and rehabilitation, prayer healing, etc.), and referral patterns. Results A majority of the responders were female with an average practice experience of 8 years. They attended an average of 133 patient visits per week, with 21% devoted to the care of children (<18 years of age). Practice income was derived primarily from out-of-pocket reimbursement with charges of an average of $127 and $42 for the first and subsequent visits, respectively. These visits were reimbursed to address common conditions of childhood (i.e., asthma, ear infections, etc.). Approach to patient care was spinal manipulative therapy (SMT) augmented with herbal remedies, exercises, rehabilitation, and so on. Wellness care also figured prominently as a motivator for chiropractic care. Fifty-eight percent (58%) indicated an established relationship with an osteopathic or medical physician. Eighty percent (80%) of the responders indicated referring patients to medical practitioners while only 29% indicated receiving a referral from a medical/osteopathic physician. Conclusions The chiropractic care of children is a significant aspect of the practice of chiropractic. Further research is warranted to examine the safety and effectiveness of this popular nonallopathic approach to children's health. PMID:20569028

Ohm, Jeanne; Kunz, Derek

2010-01-01

21

Dr. Tom Lawrence: a life in chiropractic  

PubMed Central

He dwelt within the chiropractic orbit from the cradle to the grave. Second-generation chiropractor Tom Lawrence was a successful professional and family man who followed in his father’s footsteps and fought the good fight to improve chiropractic within his state and nation. His passing closes a chapter of living memory of the middle years of the first chiropractic century. PMID:17549212

Keating, Joseph C

2005-01-01

22

Suggested Courses: Majors for Pre-Chiropractic Students  

E-print Network

Suggested Courses: Majors for Pre-Chiropractic Students It is important to note that "pre-chiropractic" is not a major. While no specific academic major is preferred by chiropractic schools, the vast majority of pre- chiropractic students tend to major in either Biological Sciences (found in the College of Letters & Science

Saldin, Dilano

23

Chiropractic patients in Denmark: A short description of basic characteristics  

Microsoft Academic Search

Background: The vast majority of information on chiropractic and chiropractic patients originates from English-speaking countries. Lately, however, reports describing chiropractic patients and practice in other European countries have emerged.Objective: To describe basic characteristics of Danish chiropractic patients.Design: Survey questionnaire. All chiropractic clinics in Denmark were asked to collect information on new patients during 1 randomly assigned week in 1999.Setting: Private

Jan Hartvigsen; Line P. Sorensen; Kristian Graesborg; Niels Grunnet-Nilsson

2002-01-01

24

Chiropractic and CAM Utilization: A Descriptive Review  

PubMed Central

Objective To conduct a descriptive review of the scientific literature examining use rates of modalities and procedures used by CAM clinicians to manage chronic LBP and other conditions Data Sources A literature of PubMed and MANTIS was performed using the key terms Chiropractic; Low Back Pain; Utilization Rate; Use Rate; Complementary and Alternative Medicine; and Health Services in various combinations. Data Selection A total of 137 papers were selected, based upon including information about chiropractic utilization, CAM utilization and low back pain and other conditions. Data Synthesis Information was extracted from each paper addressing use of chiropractic and CAM, and is summarized in tabular form. Results Thematic analysis of the paper topics indicated that there were 5 functional areas covered by the literature: back pain papers, general chiropractic papers, insurance-related papers, general CAM-related papers; and worker's compensation papers. Conclusion Studies looking at chiropractic utilization demonstrate that the rates vary, but generally fall into a range from around 6% to 12% of the population, most of whom seek chiropractic care for low back pain and not for organic disease or visceral dysfunction. CAM is itself used by people suffering from a variety of conditions, though it is often used not as a primary intervention, but rather as an additional form of care. CAM and chiropractic often offer lower costs for comparable results compared to conventional medicine. PMID:17241465

Lawrence, Dana J; Meeker, William C

2007-01-01

25

Chiropractic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropractic technique  

Microsoft Academic Search

Objective: To discuss a case of coccygodynia that responded favorably to conservative chiropractic adjusting procedures with the Activator Methods Chiropractic Technique (AMCT) and the Activator II Adjusting Instrument (AAI II). Clinical Features: A 29-year-old woman had unremitting coccygeal pain of 3 weeks' duration. The problem began after she had moved heavy boxes while at work. The pain was characterized by

Bradley S. Polkinghorn; Christopher J. Colloca

1999-01-01

26

Constructing a philosophy of chiropractic: evolving worldviews and premodern roots?  

PubMed Central

Objective The philosophy of chiropractic can be framed as an attempt to correct the problems inherited from the Western Enlightenment. Its origins can be found in the long tradition of Western philosophy. The purpose of this article is to describe in a broad context chiropractic’s roots in premodernity and establish the structural and hermeneutical differences between chiropractic’s original philosophical ideas and those of premodern philosophers. Discussion The worldview or cultural mindset the philosophy arose from must be situated in the context of its time, the birth of the unique postmodern worldview, aperspectival consciousness, and the modern sense of self. This is accomplished by exploring several metatheories about the development of the self through history, with an emphasis on the premodern roots to the chiropractic terms; Universal Intelligence and Innate Intelligence. By contextualizing the philosophy of chiropractic in terms of a structural genealogy of the self and of ideas, a new approach to philosophy in chiropractic emerges. Conclusion Without accounting for chiropractic’s origins as a reflection of the unique time, place, and culture, in terms of the evolution of worldviews through history, any approach to construct or reconstruct a philosophy of chiropractic will potentially miss the seminal feature of chiropractic’s emergence. PMID:22693478

Senzon, Simon A.

2011-01-01

27

Chiropractic  

MedlinePLUS

... to heal itself. They may also use other treatments including Heat and ice Electrical stimulation Relaxation techniques Rehabilitative and general exercise Counseling about diet, weight loss, and other lifestyle factors Dietary supplements ...

28

Development of the Murdoch Chiropractic Graduate Pledge  

PubMed Central

Purpose: This paper reviews the origins of the learned professions, the foundational concepts of professionalism, and the common elements within various healer's oaths. It then reveals the development of the Murdoch Chiropractic Graduate Pledge. Methods: A committee comprised of three Murdoch academics performed literature searches on the topic of professionalism and healer's oaths and utilized the Quaker consensus process to develop the Murdoch Chiropractic Graduate Pledge. Results: The committee in its deliberations utilized over 200 relevant papers and textbooks to formulate the Murdoch Chiropractic Graduate Pledge that was administered to the 2010 Murdoch School of Chiropractic and Sports Science graduates. The School of Chiropractic and Sports Science included professionalism as one of its strategic goals and began the process of curriculum review to align it with the goal of providing a curriculum that recognizes and emphasizes the development of professionalism. Conclusions: The reciting of a healer's oath such as the Hippocratic Oath is widely considered to be the first step in a new doctor's career. It is seen as the affirmation that a newly trained health care provider will use his or her newfound knowledge and skill exclusively for the benefit of mankind in an ethical manner. Born from the very meaning of the word profession, the tradition of recitation of a healer's oath is resurgent in health care. It is important for health care instructors to understand that the curriculum must be such that it contributes positively to the students' professional development. PMID:21048880

Simpson, J. Keith; Losco, Barrett; Young, Kenneth J.

2010-01-01

29

Risk of Vertebrobasilar Stroke and Chiropractic Care  

Microsoft Academic Search

\\u000a Study Design  Population-based, case-control and case-crossover study.\\u000a \\u000a \\u000a \\u000a Objective  To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with\\u000a primary care physician (PCP) visits and VBA stroke.\\u000a \\u000a \\u000a \\u000a Summary of Background Data  Chiropractic care is popular for neck pain and headache, but may increase the risk for VBA dissection and stroke. Neck pain\\u000a and headache are common symptoms of

J. David Cassidy; Eleanor Boyle; Pierre Côté; Yaohua He; Sheilah Hogg-Johnson; Frank L. Silver; Susan J. Bondy

2008-01-01

30

Chiropractic treatment of chronic ‘whiplash’ injuries  

Microsoft Academic Search

Forty-three per cent of patients will suffer long-term symptoms following ‘whiplash’ injury, for which no conventional treatment has proven to be effective. A retrospective study was undertaken to determine the effects of chiropractic in a group of 28 patients who had been referred with chronic ‘whiplash’ syndrome. The severity of patients' symptoms was assessed before and after treatment using the

M. N. Woodward; J. C. H. Cook; M. F. Gargan; G. C. Bannister

1996-01-01

31

78 FR 22901 - United States v. Chiropractic Associates, Ltd. of South Dakota Proposed Final Judgment and...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Antitrust Division United States v. Chiropractic Associates, Ltd. of South Dakota...Dakota in United States of America v. Chiropractic Associates Ltd, of South Dakota...from establishing prices or terms for chiropractic services. Copies of the...

2013-04-17

32

Pregnancy and chiropractic: a narrative review of the literature  

PubMed Central

Abstract Objective The purpose of this article is to review the literature on the topic of chiropractic care during pregnancy. Methods A PubMed search was performed using the terms pregnancy and chiropractic. Sources were cross-referenced to obtain further articles and research information after reviewing the articles obtained through the search. Results Thirty-three references were used for this review. The current literature reports favorable results on the use of chiropractic care throughout pregnancy. Conclusions Chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients. The scarcity of published literature warrants further research. PMID:19674697

Borggren, Cara L.

2007-01-01

33

Chiropractic Use by Urban and Rural Residents with Insurance Coverage  

ERIC Educational Resources Information Center

Purpose: To describe the use of chiropractic care by urban and rural residents in Washington state with musculoskeletal diagnoses, all of whom have insurance coverage for this care. The analyses investigate whether restricting the analyses to insured individuals attenuates previously reported differences in the prevalence of chiropractic use…

Lind, Bonnie K.; Diehr, Paula K.; Grembowski, David E.; Lafferty, William E.

2009-01-01

34

National Board Scores versus Student GPA's in Chiropractic Education.  

ERIC Educational Resources Information Center

The relationship between student GPAs and scores on the National Board of Chiropractic Examiners tests was investigated in an effort to determine if the chiropractic curriculum was properly preparing students to be licensed. The study found that there was a significant correlation between GPAs and board scores. (Author/MLW)

Kalthoff, Theodore J.

1985-01-01

35

Rating specific chiropractic technique procedures for common low back conditions  

Microsoft Academic Search

Objective: To rate specific chiropractic technique procedures used in the treatment of common low back conditions.Design and Methods: A panel of chiropractors rated specific chiropractic technique procedures for their effectiveness in the treatment of common low back conditions, based on the quality of supporting evidence after systematic literature reviews and expert clinical opinion. Statements related to the rating process and

Meridel I. Gatterman; Robert Cooperstein; Charles Lantz; Stephen M. Perle; Michael J. Schneider

2001-01-01

36

PRE-CHIROPRACTIC Undergraduate Credit Required: 90 hours or Bachelor's degree*  

E-print Network

PRE-CHIROPRACTIC Undergraduate Credit Required: 90 hours or Bachelor's degree* Entrance Exam: None Professional Schooling Required: 3-4 years; Doctor of Chiropractic degree Local Professional Schools: None of Chiropractic Colleges) REQUIRED AND SUGGESTED COURSES Specific admission requirements vary per chiropractic

Logan, David

37

PRE-CHIROPRACTIC MEDICINE College of Liberal Arts & Sciences Advising Center  

E-print Network

PRE-CHIROPRACTIC MEDICINE College of Liberal Arts & Sciences Advising Center 387 Cramer Hall, (503) 725-3822, askclas@pdx.edu PORTLAND STATE UNIVERSITY Chiropractic practice is based on the concept Chiropractic College (WSCC) in Portland, Oregon. Students admitted to a chiropractic college such as WSCC earn

38

Iowa Chiropractic Students Outlook for Practitioners and Need for State-Funded Assistance.  

ERIC Educational Resources Information Center

This state-mandated study examined the needs of Iowa chiropractic students and the Iowa demand for chiropractic health care in order to determine the feasibility of establishing a chiropractic forgivable loan program. The project used financial aid data and repayment rate data to evaluate the need for financial aid for chiropractic students;…

Greiner, Keith

39

A diachronic study of the language of chiropractic  

PubMed Central

This study investigates how the language of chiropractic has changed over time. A collection of material, published up until approximately 1950 and consisting of textbooks, monographs and lecture notes from Canadian Memorial Chiropractic College, was analyzed to identify commonly occurring words and phrases. The results were compared to a corpus of recent articles from the Journal of the Canadian Chiropractic Association. This permitted the identification of words which were over-represented in the historical literature and therefore likely have become somewhat archaic or represent themes which are of less import in the modern chiropractic literature. Words which were over-represented in the historical literature often referred to anatomical, pathological and biomechanical concepts. Conversely, words which were comparatively over-represented in the modern chiropractic literature often referred to concepts of professionalism, the clinical interaction and evidence-based care. A detailed analysis is presented of trends in the use of the conceptually important terms subluxation and adjustment. PMID:23482885

Budgell, Brian S.; Kwong, Alice; Millar, Neil

2013-01-01

40

Chiropractic and children: Is more research enough?  

PubMed Central

Many health science research and review articles end with the words: "More research is needed". However, when it comes to research, it is not as much a question of quantity as of quality. There are a number of important prerequisites before research should be initiated. The three pillars, relevance, quality and ethics should be respected but for a project to be meaningful, it must also be based on plausible rationale. In evidence-based (informed) practice, one takes into account not only research-based evidence but also clinical expertise and the patients' perspectives. In this paper, we briefly discuss how this should be handled in clinical practice is briefly discussed, using the concept of "traffic lights" (red, yellow, green). We explain how the combination of evidence and plausibility can be used to reach a decision as to whether a treatment or diagnostic procedure is suitable, possible, or unsuitable. In this thematic series of Chiropractic & Osteopathy a number of reviews are presented, in which the research status of pediatric chiropractic is scrutinized and found wanting. Two important aspects were studied in these reviews: the effect of treatment and safety issues. Two types of problems were identified: the lack of research in general and the lack of research using the appropriate study designs and methodology in particular. Therefore, we discuss the meager research noted in the areas of chiropractic care in children and the clinical consequences this should have. The prerequisites for "more research" are scrutinized and an example given of suitable research programs. Finally, the important issue of implementation of research findings is covered, emphasizing the responsibility of all stakeholders involved at both the undergraduate and the postgraduate level, within professional associations, and on an individual level. PMID:20525193

2010-01-01

41

78 FR 48904 - United States v. Chiropractic Associates, Ltd. of South Dakota; Public Comment and Response on...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Antitrust Division United States v. Chiropractic Associates, Ltd. of South Dakota...Final Judgment in United States v. Chiropractic Associates, Ltd. of South Dakota...STATES OF AMERICA, Plaintiff, v. CHIROPRACTIC ASSOCIATES, LTD. OF SOUTH...

2013-08-12

42

Prevalence of cardiac arrhythmias in a community based chiropractic practice  

PubMed Central

Introduction: The prevalence of arrhythmias in chiropractic practice (the proportion of current patients who currently have arrhythmias) is unknown, but thought to be increasing. As arrhythmias influence management of chiropractic patients, the objective of this study was to determine the feasibility of screening for cardiac arrhythmias in a chiropractic clinic. Methods: With a convenience sample from one clinic, ECG data were recorded and analyzed to identify arrhythmias. Results: Seventy-six of ninety contacted patients participated in this study. Only 8 (?26%) of 31 patients with known or suspected cardiovascular abnormalities demonstrated arrhythmias versus 7 (?16%) of 45 subjects who were not previously aware of having an arrhythmia. Conclusion: The screening of patients for cardiac arrhythmias in a community based chiropractic clinic is feasible. A 3-minute recording of ECG activity at rest is not a highly sensitive method of identifying patients with previously recognized arrhythmias, but is capable of identifying previously undiagnosed arrhythmias. PMID:25202151

Padhi, Suzanne; Patel, Nasreen; Driscoll, Darcy; Budgell, Brian

2014-01-01

43

Process versus outcome: challenges of the chiropractic wellness paradigm  

PubMed Central

Objective The purpose of this article is to discuss the term wellness in the context of the philosophy of chiropractic. Discussion PubMed and Index to Chiropractic Literature show an upward trend in use of the term wellness. Wellness may be used differently depending upon the profession and may be considered a process by some and an outcome by others. Conclusion There appears to be no consensus on the definition of wellness or how it is being used. Wellness is not exclusive to chiropractic, and wellness is not synonymous with health, although is often used that way. Wellness is a societal trend, and chiropractic as a health care profession may be a good fit for this concept. PMID:22693468

Russell, Eric G.

2010-01-01

44

Chiropractic management of breast-feeding difficulties: a case report  

PubMed Central

Objective The purpose of this study is to discuss a chiropractic case of management and resolution of breast-feeding difficulties. Clinical Features The case involves an 8-day-old baby unable to breast-feed since 4 days old. Initial examination revealed cervical, cranial, and sacral restrictions. She was diagnosed with craniocervical syndrome by a doctor of chiropractic. Intervention and Outcome Following history and examination, the infant received gentle chiropractic manipulation based on clinical findings. Immediate improvement and complete resolution of the nursing problems were observed after 3 treatments over 14 days. Conclusion The results of this case suggest that neuromusculoskeletal dysfunction may influence the ability of an infant to suckle successfully and that intervention via chiropractic adjustments may result in improving the infant's ability to suckle efficiently. PMID:22014911

Holleman, Annique C.; Nee, John; Knaap, Simone F.C.

2011-01-01

45

A History of The Journal of Chiropractic Education  

PubMed Central

Purpose: The Journal of Chiropractic Education celebrates its 25th anniversary in the year 2011. The purpose of this article is to chronicle the history of the journal, which is unreported at this time. Methods: The entire collection of the journal was reviewed and information pertaining to important events and changes in the format, personnel, and processes of the journal were extracted. This information was used to create a chronology of the journal. The chronology was complemented with information obtained from people who were involved in the evolution of the journal and the Association of Chiropractic Colleges Educational Conferences. Results: Starting as a humble newsletter in 1987 and produced for a small cadre of readers primarily from the United States, the journal is now a full-sized and bound peer-reviewed international journal. Initially cataloged by the Index to Chiropractic Literature and MANTIS, the indexing expanded to interdisciplinary indexing systems such as CINAHL and ultimately PubMed. The journal has grown to serve the needs of chiropractic educators from around the world with representatives on the editorial board from 39 colleges and universities from 15 different countries. The journal has grown in tandem with the profession’s leading education and research conference and has been the primary repository for the scholarship of chiropractic education. Conclusion: The history of the journal represents a significant milestone in the development of the chiropractic profession, particularly the discipline of chiropractic education. The journal has had an interesting history and the future promises to bring more opportunities and challenges to the field of chiropractic education and to the journal. PMID:22069342

Green, Bart N.; Jacobs, Grace E.; Johnson, Claire D.; Phillips, Reed B.

2011-01-01

46

Attitudes toward vaccination: a survey of Canadian chiropractic students  

Microsoft Academic Search

Background: Although the Canadian Chiropractic Association and the Canadian Memorial Chiropractic College (CMCC) endorse vaccination, the prevalence of anti-vaccination attitudes among Canadian chiropractors is unknown. This study describes the prevalence of anti-vaccination attitudes among Canadian chiro- practic students. Methods: An 11-item questionnaire about attitudes toward vaccination was distrib- uted to students enrolled at CMCC during the 1999\\/2000 academic year. The

Jason W. Busse; Abhaya V. Kulkarni; James B. Campbell; H. Stephen Injeyan

47

Patient satisfaction at the Durban Institute of Technology chiropractic day clinic.  

E-print Network

??Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2006 x, 65 leaves, Annexures A-H Patient satisfaction is an important, desired measure of quality of care… (more)

Thoresen, Bruce

2006-01-01

48

The effect of differing clinical settings on chiropractic patients suffering from mechanical low back pain.  

E-print Network

??Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban University of Technology, 2007 xviii, 140 leaves Each healing encounter, and every treatment, has specific and non-specific treatment effects.… (more)

Richardson, Grant Walter

2007-01-01

49

Faculty of Medicine Canadian Chiropractic Research Foundation Professorship in Epidemiology/Biomechanics  

E-print Network

Faculty of Medicine Canadian Chiropractic Research Foundation Professorship in Epidemiology's, Newfoundland and Labrador, Canada. The successful applicant will be nominated for a Canadian Chiropractic.canadianchiropracticresearchfoundation.com). Applicants must hold a Doctor of Chiropractic (DC) and a PhD or equivalent credentials from accredited

deYoung, Brad

50

Preliminary study of the effects of a placebo chiropractic treatment with sham adjustments  

Microsoft Academic Search

Objective: To identify aspects of the delivery of placebo chiropractic treatments by using sham adjustments that may cause a treatment effect and that may affect the success of blinding. Design and Setting: Two-period crossover design in a chiropractic college research clinic. Subjects: Eighteen volunteer staff, students, and faculty of the chiropractic college who reported low-back pain within the last 6

Cheryl Hawk; Ayla Azad; Chutima Phongphua; Cynthia R. Long

1999-01-01

51

The Effects of Chiropractic Treatment on Students With Learning and Behavioral Impairments Due to Neurological Dysfunction.  

ERIC Educational Resources Information Center

The effects of chiropractic treatment on children with learning and behavioral problems was investigated with 24 elementary and secondary level students, 12 receiving regular chiropractic treatment and 12 receiving medication. Results indicated that chiropractic treatment was more effective for the wide range symptoms common in the neurological…

Walton, E. V.; Brzozowski, Walter T.

52

Economic case for the integration of chiropractic services into the health care system  

Microsoft Academic Search

The role and position of chiropractic care in the health care system must be transformed from being alternative and separate to alternative and mainstream. This transformation requires that chiropractic services become integrated in the many health care delivery organizations that collectively constitute the health care system. There is solid and impressive economic and related justification for the desired integration. Chiropractic

Pran Manga

2000-01-01

53

Chiropractic: a profession at the crossroads of mainstream and alternative medicine  

Microsoft Academic Search

Chiropractic is a large and well-established health care profession in the United States. In this overview, we briefly examine the development of chiropractic from humble and contentious beginnings to its current state at the crossroads of alternative and mainstream medicine. Chiropractic has taken on many of the attributes of an established profession, improving its educational and licensing systems and substantially

William C. Meeker; Scott Haldeman

2002-01-01

54

Human Subject Research: Reporting Ethics Approval and Informed Consent in 3 Chiropractic Journals  

Microsoft Academic Search

ObjectiveTo date, there have been no reports of ethics board approval or informed consent within the chiropractic literature or within chiropractic research. The purpose of this study was to assess the reporting of ethics approval and informed consent in articles published during the 2008 volume year of 3 chiropractic research journals included in PubMed.

Dana J. Lawrence

2011-01-01

55

Major in Anything and be Pre-Chiropractic at NEBRASKA! Pre-Chiropractic is one of fifteen advising categories in Pre-Health indicating your interest in pursuing coursework to prepare for and  

E-print Network

PRE-HEALTH Major in Anything and be Pre-Chiropractic at NEBRASKA! Pre-Chiropractic is one for and apply to chiropractic school. The great part is you can major in anything and pursue these paths. You for Pre-Chiropractic? The University of Nebraska-Lincoln has graduated more health professionals than any

Logan, David

56

Chiropractic management of essential tremor and migraine: a case report  

PubMed Central

Objective The purpose of this case report is to describe the chiropractic management of a 39-year-old woman with essential tremors and migraine headaches. Clinical Features A 39-year-old woman presented with essential tremors and migraine headaches, which occurred 2 to 3 times per week. The essential tremor was diagnosed in 2000, and migraine headaches with aura were diagnosed when she was 10. Both diagnoses were made by her general medical practitioner. Previous treatments for migraine included propranolol, isometheptene, dichloralphenazone, acetaminophen, sumatriptan, and over-the-counter pain relievers. Intervention and Outcome The patient received high-velocity, low-amplitude chiropractic spinal manipulation to her upper cervical spine using the Blair Upper Cervical chiropractic technique protocol. There was improvement in her tremors and migraine headaches following her initial chiropractic treatment, with a sustained improvement after 4 months of care. Conclusion This case study demonstrated improvement in a woman with essential tremors and migraine headaches. This suggests the need for more research to examine how upper cervical specific chiropractic care may help mitigate tremors and migraine headaches. PMID:23204956

Hubbard, Todd A.; Kane, Janice D.

2012-01-01

57

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

PubMed Central

Background 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 identify literature that is essential for practitioners and students is desirable. The purpose of this study was to survey leaders in the chiropractic profession on their opinions of essential literature for doctors of chiropractic, faculty, and students to read or reference. Methods Deployment of an IRB exempted survey occurred with 68 academic and research leaders using SurveyMonkey®. Individuals were solicited via e-mail in August of 2011; the study closed in October of 2011. Collected data were checked for citation accuracy and compiled to determine multiple responses. A secondary analysis assessed the scholarly impact and Internet accessibility of the recommended literature. Results Forty-three (43) individuals consented to participate; seventeen (17) contributed at least one article of importance. A total of 41 unique articles were reported. Of the six articles contributed more than once, one article was reported 6 times, and 5 were reported twice. Conclusions A manageable list of relevant literature was created. Shortcomings of methods were identified, and improvements for continued implementation are suggested. A wide variety of articles were reported as “essential” knowledge; annual or bi-annual surveys would be helpful for the profession. PMID:24289298

2013-01-01

58

The role of pulse oximetry in chiropractic practice: a rationale for its use  

PubMed Central

Objective Pulse oximetry is used regularly to assess oxygen saturation levels. The objective of this commentary is to discuss a rationale for using pulse oximetry in chiropractic practice. Discussion Pulse oximetry may offer doctors of chiropractic a way to monitor patients' oxygen saturation levels. Quantification of saturation values with heart rate may give clinical aid to the management of chiropractic patients. Markedly reduced saturation levels may necessitate medical referral, whereas mildly reduced levels could lead to changes in chiropractic management. Conclusions Pulse oximetry has the potential to be an integral part of chiropractic practice. PMID:23204957

Hall, Michael W.; Jensen, Anne M.

2012-01-01

59

Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial.  

PubMed

The purpose of this randomized patient- and observer-blinded cross-over trial was to evaluate the efficacy of chiropractic treatment in the management of chronic asthma when combined with pharmaceutical maintenance therapy. The trial was conducted at the National University Hospital's Out-patient Clinic in Copenhagen, Denmark. Thirty-one patients aged 18-44 years participated, all suffering from chronic asthma controlled by bronchodilators and/or inhaled steroids. Patients, or who had received chiropractic treatment for asthma within the last 5 years, who received oral steroids and immunotherapy, were not eligible. Patients were randomized to receive either active chiropractic spinal manipulative treatment or sham chiropractic spinal manipulative treatment twice weekly for 4 weeks, and then crossed over to the alternative treatment for another 4 weeks. Both phases were preceded and followed by a 2-week period without chiropractic treatment. The main outcome measurements were forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), daily use of inhaled bronchodilators, patient-rated asthma severity and non-specific bronchial reactivity (n-BR). Using the cross-over analysis, no clinically important or statistically significant differences were found between the active and sham chiropractic interventions on any of the main or secondary outcome measures. Objective lung function did not change during the study, but over the course of the study, non-specific bronchial hyperreactivity (n-BR) improved by 36% (P = 0.01) and patient-rated asthma severity decreased by 34% (P = 0.0002) compared with the baseline values.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7728627

Nielsen, N H; Bronfort, G; Bendix, T; Madsen, F; Weeke, B

1995-01-01

60

Daniel David Palmer: alchemy in the creation of chiropractic.  

PubMed

D.D. Palmer has been a much ignored man in the discipline he founded. The same applies to several early concepts he used to develop from a mere healer's background: D.D. Palmer invested them with an entirely different meaning. When considered, they help to understand the inner logic that allowed for chiropractic survival. There was an alchemy in the creation of chiropractic and the senior Palmer was the alchemist. He has not been recognized even within his own profession for the self-taught scholar and clinician that he was, knowledgeable about the various medical and scientific theories of his time. PMID:11613396

Gaucher-Peslherbe, P L

1995-12-01

61

Chiropractic as spine care: a model for the profession  

Microsoft Academic Search

Background  More than 100 years after its inception the chiropractic profession has failed to define itself in a way that is understandable,\\u000a credible and scientifically coherent. This failure has prevented the profession from establishing its cultural authority over\\u000a any specific domain of health care.\\u000a \\u000a \\u000a \\u000a \\u000a Objective  To present a model for the chiropractic profession to establish cultural authority and increase market share of

Craig F Nelson; Dana J Lawrence; John J Triano; Gert Bronfort; Stephen M Perle; R Douglas Metz; Kurt Hegetschweiler; Thomas LaBrot

2005-01-01

62

Contemporary chiropractic practice in the UK: a field study of a chiropractor and his patients in a suburban chiropractic clinic  

PubMed Central

Background Two recent surveys of chiropractors in Great Britain suggest that there are discrepancies between chiropractic practice as defined in regulatory guidelines and day-to-day chiropractic clinical practice and there is in general a paucity of information regarding the characteristics of contemporary chiropractic practice in the United Kingdom. This field study describes the daily practice of a contemporary British UK-trained chiropractor. Methods The fieldwork took place during the spring and summer of 2008 when the author spent one day per week observing consultations and interviewing patients in a chiropractic clinic. The chiropractor was subjected to interviews on two occasions. The author also registered as a patient. Field notes were taken by the author, interviews were recorded and the transcripts were corrected and analysed by the author. Results A total of 25 patients took part in the study. The interaction that took place between patients and staff in reception could be considered as a prelude to consultation facilitating the transformation from individual to patient and back to individual. Coupled with the continuous physical contact between the chiropractor and each patient there was a substantial amount of verbal and non-verbal communication throughout treatment visits. The patients presented with predominantly musculo-skeletal pain and the majority had consulted the chiropractor as a result of recommendations from others in their close social environment. The majority of the interviewed patients had either an inaccurate or at best rudimentary understanding of the mechanisms of chiropractic treatment. A few of the interviewed patients indicated that they had at first experienced concerns about the nature of chiropractic treatment or getting undressed. The author was able to gain some insight into how the chiropractor's experiences, opinions and beliefs had shaped his approach to chiropractic treatment and how this formed the basis of his clinical modus operandi. Conclusion Although no robust conclusions should be drawn from this small scale field study it does show that the clinical chiropractic practice as carried out by this UK trained British chiropractor contains a number of elements described in earlier qualitative studies in the United States, Canada, and Australia. PMID:23927011

2013-01-01

63

Chiropractic patients in the Netherlands: A descriptive study  

Microsoft Academic Search

Background: Despite the worldwide popularity of chiropractic, there is still relatively little known about the patients who visit chiropractors in the Netherlands and other European countries. Objective: To describe in-depth the patient population of new patients to chiropractors in the Netherlands. Design: Study population consisted of 10 consecutive new patients per participating chiropractor. A retrospective-type questionnaire was used. Setting: Private

Sidney Rubinstein; Charles E. Pfeifle; Maurits W. van Tulder; Willem J. J. Assendelft

2000-01-01

64

ASSOCIATION OF INTERNAL CAROTID ARTERY DISSECTION AND CHIROPRACTIC MANIPULATION  

Microsoft Academic Search

BACKGROUND- To determine the relationship between chiropractic manipulative therapy (CMT) and internal carotid artery dissection (ICAD), a MEDLINE literature search was performed for the years 1966 through 2000 using the terms internal carotid dissection. Literature that included information concerning causation of ICAD, as well as all case studies and series, was selected for review. REVIEW SUMMARY- In reviewing the cases

Michael T. Haneline; Arthur C. Croft; Benjamin M. Frishberg

2003-01-01

65

Limits to medical dominance: The case of chiropractic  

Microsoft Academic Search

This paper describes and analyzes the social history of chiropractic in Canada to partially test a thesis regarding changes in the dominance of the medical profession. We earlier sketched the rise of medicine to dominance by World War I, its consolidation until after World War II, and signs of the start of a decline in dominance signalled by the 1962

David Coburn; C. Lesley Biggs

1986-01-01

66

Chiropractic spinal manipulation for neck pain: a systematic review  

Microsoft Academic Search

Chiropractic spinal manipulation (CSM) is often used as a treatment for neck pain. However, its effectiveness is unclear. The aim of this article was to evaluate systematically and critically the effectiveness of CSM for neck pain. Six electronic databases were searched for all relevant randomized clinical trials. Strict inclusion\\/exclusion criteria had been predefined. Key data were validated and extracted. Methodologic

Edzard Ernst

2003-01-01

67

United States Chiropractic Practice Acts and Institute of Medicine defined primary care practice  

PubMed Central

Abstract Objective This review was conducted to analyze the law for the practice of chiropractic throughout the United States, including the District of Columbia, Puerto Rico and the U.S. Virgin Islands, to determine the legal ability of the Doctor of Chiropractic in each jurisdiction to provide primary care service as described by the 1996 Institute of Medicine Definition of Primary Care. Method The practice acts for each State, the District of Columbia, Puerto Rico and the U.S. Virgin Islands were reviewed for language that would permit the chiropractic doctor to meet the 9 criteria of primary care practice described by the Institute of Medicine. Forty-four practice acts were cross referenced with the results of a scope of practice survey of State Boards of Chiropractic in 1999. Results The review of the practice acts and the survey on chiropractic scope of practice revealed a varied degree of chiropractic scope of practice with 23 of 53 of the jurisdictions limiting the ability of the chiropractic doctor to fully provide IOM defined primary care. Conclusion The varied practice act definitions for chiropractic practice throughout the United States the District of Columbia, Puerto Rico and the U.S. Virgin Islands reveal an inability of the chiropractic profession to respond to a call for a standard nationally-based primary-care policy that could be readily achieved by all chiropractic practitioners throughout the Union. This void of primary-care qualification in many State and Commonwealth practice acts will need to be addressed by the leaders of the profession if government entities and national third party organizations are to utilize chiropractic health care services to the standard of chiropractic education and clinical experience. The need for a broad range chiropractic scope of practice model practice act is suggested. PMID:19674578

Duenas, Richard

2002-01-01

68

The Early Years of Organized Chiropractic Orthopedics, 1954–1973: A Social History  

PubMed Central

Objective: This paper presents the origins and development of the organized chiropractic orthopedics movement in the United States from 1954–1973. Methods: Hand searches of early periodicals were performed and information was organized chronologically to create a timeline. Context for the timeline was provided by extracting pertinent information from audio recordings of interviews. Relevant background information was located using the cumulative index of the journal Chiropractic History and searching the MANTIS database. Historical Features: After World War I, The advent of third party reimbursement for health care created a new environment for health care practitioners. For doctors of chiropractic, this event provided the impetus to begin the postgraduate chiropractic orthopedics program over 50 years ago. In 1954, Alvin A. Hancock, DC and F. Maynard Lipe, DC successfully launched an active orthopedics movement after several earlier attempts failed during the 1940s and early 1950s. The movement generated from the desire to train and certify chiropractors to manage personal injury and workers’ compensation low back injuries. In addition to developing interdisciplinary educational programs, the chiropractic orthopedics group was responsible for producing a research agenda, some of the profession’s early orthopedic-focused research, and for starting the National Council on Chiropractic Orthopedics of the National Chiropractic Association, which later became the American Chiropractic Association Council on Orthopedics. These organizations produced thousands of specialists in chiropractic orthopedics, later known as Diplomates of the American Board of Chiropractic Orthopedists. Conclusion: Several orthopedics interest groups were formed and credentialing processes were created to qualify doctors as recognized chiropractic orthopedics specialists. The popularity of this movement resulted in the inclusion of orthopedics into core chiropractic college curricula and the production of various research studies before the development of the modern science of chiropractic. PMID:19488411

Green, Bart N.; Johnson, Claire D.

2009-01-01

69

Chiropractic Health Care: A National Study of Cost of Education, Service Utilization, Number of Practicing Doctors of Chiropractic, and Other Key Policy Issues. Volumes I-II.  

ERIC Educational Resources Information Center

Results from the first federally sponsored study of the chiropractic health care profession are presented, and a broad range of facts and issues of concern to policy-makers, the profession, and the public are described. The two-year project included three national surveys of: service providers (doctors of chiropractic in practice more than two…

von Kuster, Thomas, Jr.

70

The efficacy of interferential current therapy and chiropractic adjustments for the treatment of quadratus lumborum trigger points found in acute sacroiliac joint syndrome .  

E-print Network

??Objectives: To investigate the effects of a combined therapeutic approach from the chiropractic perspective for the treatment of acute sacroiliac joint syndrome. Chiropractic adjustments combined… (more)

Von Hörsten, Marilize

2012-01-01

71

Australian chiropractic sports medicine: half way there or living on a prayer?  

PubMed Central

Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual prowess rather than standardised evidence based management. This situation has changed in recent years with the acceptance of many within sports chiropractic to operate under an evidence informed banner and to embrace a research culture. Despite recent developments within the sports chiropractic movement, the profession is still plagued by a minority of practitioners continuing to espouse certain marginal and outlandish technique systems that beleaguer the mainstream core of sports chiropractic as a cohesive and homogeneous group. Modern chiropractic management is frequently multimodal in nature and incorporates components of passive and active care. Such management typically incorporates spinal and peripheral manipulation, mobilisation, soft tissue techniques, rehabilitation and therapeutic exercises. Externally, sports chiropractic has faced hurdles too, with a lack of recognition and acceptance by organized and orthodox sports medical groups. Whilst some arguments against the inclusion of chiropractic may be legitimate due to its historical baggage, much of the argument appears to be anti-competitive, insecure and driven by a closed-shop mentality.sequently, chiropractic as a profession still remains a pariah to the organised sports medicine world. Add to this an uncertain continuing education system, a lack of protection for the title 'sports chiropractor', a lack of a recognized specialist status and a lack of support from traditional chiropractic, the challenges for the growth and acceptance of the sports chiropractor are considerable. This article outlines the historical and current challenges, both internal and external, faced by sports chiropractic within Australia and proposes positive changes that will assist in recognition and inclusion of sports chiropractic in both chiropractic and multi-disciplinary sports medicine alike. PMID:17880724

Pollard, Henry; Hoskins, Wayne; McHardy, Andrew; Bonello, Rod; Garbutt, Peter; Swain, Mike; Dragasevic, George; Pribicevic, Mario; Vitiello, Andrew

2007-01-01

72

Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment  

Microsoft Academic Search

OBJECTIVE--To compare chiropractic and hospital outpatient treatment for managing low back pain of mechanical origin. DESIGN--Randomised controlled trial. Allocation to chiropractic or hospital management by minimisation to establish groups for analysis of results according to initial referral clinic, length of current episode, history, and severity of back pain. Patients were followed up for up two years. SETTING--Chiropractic and hospital outpatient

T W Meade; S Dyer; W Browne; J Townsend; A O Frank

1990-01-01

73

Prevalence of nonmusculoskeletal complaints in chiropractic practice: Report from a practice based research program  

Microsoft Academic Search

Objective: To identify patient and practice characteristics that might contribute to people's seeking chiropractic care for nonmusculoskeletal complaints.Design: This was a cross-sectional study conducted through the methods of practice-based research.Setting: Data were collected in 1998-1999 in chiropractic offices in the United States, Canada, and Australia; data were managed by a practice-based research office operating in a chiropractic research center.Population: The

Cheryl Hawk; Cynthia R. Long; Karen T. Boulanger

2001-01-01

74

Chiropractic and concussion in sport: a narrative review of the literature  

PubMed Central

Objective Concussion is a common sporting injury that may be seen by doctors of chiropractic and should be managed following current practice guidelines. The purpose of this abstract is to present a literature review on chiropractic management of concussion in sport and to discuss current guidelines. Methods A review of the literature was performed using the PubMed search engine. MeSH terms included chiropractic and concussion. Search dates were the beginning of the record through July 30, 2013. All languages and article types were included in the search. Articles found were retrieved and evaluated for the relevance of chiropractic management of concussion in sport. Results Five articles were found (1 prospective study, 1 survey, 3 literature reviews) ranging in publication years from 1993 to 2012. No articles reported a position statement, and none provided a review of current concussion management practices related to chiropractic practice. No articles reported adverse outcomes of chiropractic management of an athlete with concussion. Conclusion Research related to the chiropractic management of concussion in sport is a nascent area of investigation. Although there are few published articles, the articles in this review showed that doctors of chiropractic encounter concussed athletes at events and in clinical practice. It is essential for doctors of chiropractic to understand the importance of using standardized concussion assessment tools and current concussion guidelines. PMID:24396325

Johnson, Claire D.; Green, Bart N.; Nelson, Robert C.; Moreau, Bill; Nabhan, Dustin

2013-01-01

75

GPs opinions and perceptions of chiropractic in Sweden and Norway: a descriptive survey  

PubMed Central

Background In Sweden, chiropractic is not included in mainstream health care. In Norway chiropractic is a recognized health care profession. The aim of this study was to explore the perceptions of chiropractic among Swedish and Norwegian General Practitioners (GPs). Methods Eight hundred surveys in each country were distributed randomly by post to Swedish and Norwegian GPs offices. The survey contained two main sections: Experiences and opinions about chiropractic and referral patterns. The data were then described and compared between the countries. Results In Sweden the response rate was 44.8% and in Norway 45.3%. More than half of the Swedish GPs participating in this study stated that they had poor knowledge about chiropractic, while just a tenth of Norwegian GPs stated the same. Nearly all Norwegian GPs had some experience of chiropractic treatment whilst a fairly large number of the Swedish GPs said that they had no experience at all of chiropractic. It was twice as common for GPs in Norway to refer patients to a chiropractor as compared to Sweden. However, Swedish and Norwegian GPs agreed that chiropractors were competent to treat musculo-skeletal conditions with an adequate education to be part of mainstream medicine. Conclusions Swedish and Norwegian GPs agree that chiropractors are competent to treat musculoskeletal conditions. However, there are many differences in GPs perceptions of chiropractic between the two countries and the overall picture indicates that chiropractic is more accepted and recognised as a health care profession in Norway. PMID:24128386

2013-01-01

76

Chiropractic management of elbow tendinopathy following a sports related trauma  

PubMed Central

Objective: This report describes chiropractic management of a case of sub-acute elbow pain and swelling with Active Release Technique® and acupuncture. Case presentation: A 41-year-old male presented to a chiropractic clinic with a primary complaint of elbow pain and swelling following a fall while playing basketball five weeks prior. Intervention and Outcome: Treatment consisted of two sessions of needle acupuncture and one treatment of Active Release Techniques® (ART) applied to the left elbow region. Conclusions: The patient’s outcomes indicated a quick resolution of subjective complaints and objective findings with the chosen treatment. Further research is needed to demonstrate safety, clinical effectiveness, and cost effectiveness when compared to other treatments. PMID:24587497

Gliedt, Jordan A.; Daniels, Clinton J.

2014-01-01

77

Constructing a philosophy of chiropractic: evolving worldviews and modern foundation?  

PubMed Central

Objective The purpose of this article is to trace the foundations of DD Palmer's sense of self and philosophy of chiropractic to its sources in modern Western philosophy as well as current metatheories about modernity. Discussion DD Palmer's sense of self was indicative of a modern self. A modern self is characterized as a self that developed after the Western Enlightenment and must come to terms with the insights of modernity such as Cartesian dualism, Spinoza's substance, Rousseau's expressivism, and Kant's critiques. It is argued that Palmer's philosophy can be viewed as part of the this tradition alongside his involvement in the 19th century American metaphysical religious culture, which was itself a response to these challenges of the modern self of modernity. Conclusion Palmer's development of chiropractic and its philosophy was a reaction to the challenges and promises of modernity. PMID:22693479

Senzon, Simon A.

2011-01-01

78

Stroke following chiropractic manipulation of the cervical spine  

Microsoft Academic Search

We analyzed the clinical course and neuroradiological findings of ten patients aged 27–46 years, with ischemic stroke secondary\\u000a to vertebral artery dissection (VAD; n = 8) or internal carotid artery dissection (CAD; n = 2), all following chiropractic manipulation of the cervical spine. The following observations were made: (a) All patients\\u000a had uneventful medical histories, no or only mild vascular

Andreas Hufnagel; Alexander Hammers; Paul-Walter Schönle; Klaus-Dieter Böhm; Georg Leonhardt

1999-01-01

79

A brief history of historical scholarship in chiropractic  

PubMed Central

This paper provides a cursory overview of attempts to discover, preserve and disseminate the history of the chiropractic profession, up to and including the organization of the Association for the History of Chiropractic (AHC). A surprisingly wide range of materials have been available for many decades, but sustained efforts at historical scholarship are more recent (past quarter century). The quality of these works has been uneven, but has improved with the emergence of chiropractic scholarly periodicals and interest from non-chiropractor investigators. Affiliates of the American-based AHC are located in Australia and Canada; organized historical scholarship in other regions of the world has yet to develop. Several substantial archival resources for historical investigations are available, and merit greater scrutiny and support within the profession. ImagesFigure 2Figure 3Figure 4Figure 5Figure 6Figure 7Figure 8Figure 9Figure 10Figure 11Figure 12Figure 13Figure 14Figure 15Figure 16Figure 17Figure 18Figure 19Figure 20Figure 21Figure 22Figure 23Figure 24Figure 25p136-ap136-bp136-cp136-dp136-e

Keating, Joseph C

2001-01-01

80

Preliminary study of the reliability of assessment procedures for indications for chiropractic adjustments of the lumbar spine  

Microsoft Academic Search

Objective: To assess the intraexaminer and interexaminer reliability of clinicians trained in flexion-distraction technique to determine the need for chiropractic adjustment of each segment of the lumbar spine. Design: This was an intraexaminer and interexaminer reliability study of commonly used chiropractic assessment procedures, including static and motion palpation and visual observation. Setting: Chiropractic college; by four licensed chiropractors trained in

Cheryl Hawk; Chutima Phongphua; James Bleecker; Larry Swank; Dennis Lopez; Todd Rubley

1999-01-01

81

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

PubMed Central

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 although there are lingering effects from them. This article examines the chiropractic profession's history by dividing it into five Eras and suggests that there are three options available for the future of the profession. One: maintaining the status quo. Two: uniting under an evidence based scientific approach as partners in the health care delivery system that has buried the "one-cause, one-cure" sacred cow. The steps required to achieve this outcome are outlined. Three: openly dividing the profession into evidence based practitioners and subluxation based practitioners. Adopting this option would allow each branch of the profession to move forward in the health care delivery system unhindered by the other. It is unclear which option the profession will choose and whether the profession is mature enough to follow option two remains to be seen. What is evident is that the time to act is now. PMID:22260381

2012-01-01

82

Attitudes of clinicians at the Canadian Memorial Chiropractic College towards the chiropractic management of non-musculoskeletal conditions  

PubMed Central

Objective: The objective of this study was to determine the attitudes of clinical faculty during the 2009–2010 academic year at the Canadian Memorial Chiropractic College towards the treatment of various non-musculoskeletal disorders. Methods: A confidential survey was distributed to the clinical faculty via email. It consisted of several questions polling the demographic of the respondent such as years in clinical practice, and a list of 29 non-musculoskeletal conditions. Clinicians were asked to indicate their opinions on each condition on rating scale ranging from strongly agree to strongly disagree. Results: Twenty of 22 clinicians responded. The conditions garnering the greatest positive ratings include: asthma, constipation, chronic pelvic pain, dysmenorrhea, infantile colic, and vertigo. The options regarding vertigo and asthma, while demonstrating an overall positive attitude towards the benefits of chiropractic care, were stratified amongst clinicians with varying years in clinical practice. Conclusion: This study suggests clinicians at this college are moderately open towards the chiropractic treatment of some non-musculoskeletal disorders. PMID:21629463

Parkinson, Jodi; Lau, Jennifer; Kalirah, Sandeep; Gleberzon, Brian J.

2011-01-01

83

Chiropractic at the crossroads or are we just going around in circles?  

PubMed Central

Background Chiropractic in Australia has seen many changes over the past 30 years. Some of these changes have advanced the professional status of chiropractic, improved undergraduate training and paved the way for a research culture. Unfortunately, other changes or lack of changes, have hindered the growth, public utilisation and professional standing of chiropractic in Australia. This article explores what influences have impacted on the credibility, advancement and public utilisation of chiropractic in Australia. Discussion The 1970's and 1980's saw a dramatic change within the chiropractic profession in Australia. With the advent of government regulation, came government funded teaching institutions, quality research and increased public acceptance and utilisation of chiropractic services. However, since that time the profession appears to have taken a backward step, which in the author's opinion, is directly linked to a shift by sections of the profession to the fundamentalist approach to chiropractic and the vertebral subluxation complex. The abandonment, by some groups, of a scientific and evidenced based approach to practice for one founded on ideological dogma is beginning to take its toll. Summary The future of chiropractic in Australia is at a crossroads. For the profession to move forward it must base its future on science and not ideological dogma. The push by some for it to become a unique and all encompassing alternative system of healthcare is both misguided and irrational. PMID:21599991

2011-01-01

84

Chiropractic Care for Nonmusculoskeletal Conditions: A Systematic Review with Implications for Whole Systems Research  

Microsoft Academic Search

ABSTRACT Objectives: (1) To evaluate the evidence on the effect of chiropractic care, rather than spinal manipulation only, on patients with nonmusculoskeletal conditions; and (2) to identify shortcomings in the evidence base on this topic, from a Whole Systems Research perspective. Design: Systematic review. Methods: Databases included were PubMed, Ovid, Mantis, Index to Chiropractic Literature, and CINAHL. Search restrictions were

Cheryl Hawk; Raheleh Khorsan; Anthony J. Lisi; Randy J. Ferrance; Marion Willard Evans

2007-01-01

85

Concurrent utilization of chiropractic, prescription medicines, nonprescription medicines and alternative health care  

Microsoft Academic Search

This study examines the use of chiropractic, prescription medicines, nonprescription medicines and alternative health care for two independent samples representative of the population of Edmonton, Alberta, Canada in 1979 (n = 439) and again in 1988 (n = 464). While the usage of prescription medicines was unchanged from 1979 to 1988, utilization of nonprescription medicines, chiropractic and alternative health care

Herbert C. Northcott; John A. Bachynsky

1993-01-01

86

Maintenance care: Health promotion services administered to US chiropractic patients aged 65 and older, part II  

Microsoft Academic Search

Objective: Health promotion and prevetion services provided by the chiropractic profession historically have been referred to as maintenance care (MC). The primary objective of this investigation was to obtain information regarding multiple health issues of patients age 65 years and over who have had a long-term regimen of chiropractic health promotion and preventive care. The study also sought to explore

Ronald L Rupert; Donna Manello; Ruth Sandefur

2000-01-01

87

Vertigo as Manifestation of Vertebral Artery Dissection after Chiropractic Neck Manipulations  

Microsoft Academic Search

We recently observed a case of vertebral artery (VA) dissection following chiropractic neck manipulations. The first manifestation was unusual; in the form of vertigo. Therefore, the patient was referred to the otoneurologist. A VA dissection should be suspected in a case of vertigo following chiropractic neck manipulations, and vestibular tests should be done carefully, avoiding Rose’s positions. In our case,

Dominique Vibert; Josette Rohr-Le Floch; Gèrard Gauthier

1993-01-01

88

Randomised controlled trial of infantile colic treated with chiropractic spinal manipulation  

Microsoft Academic Search

AIMSTo investigate the efficacy of chiropractic spinal manipulation in the management of infantile colic.METHODSOne hundred infants with typical colicky pain were recruited to a randomised, blinded, placebo controlled clinical trial.RESULTSNine infants were excluded because inclusion criteria were not met, and five dropped out, leaving 86 who completed the study. There was no significant effect of chiropractic spinal manipulation. Thirty two

E Olafsdottir; S Forshei; G Fluge; T Markestad

2001-01-01

89

Straight chiropractic philosophy as a barrier to Medicare compliance: a discussion of 5 incongruent issues  

PubMed Central

Objective The purpose of this commentary is to discuss potential 5 factors within straight chiropractic philosophy and practice that may prevent Medicare compliance. Discussion The national Medicare Benefit Policy Manual and the Florida Local Coverage Determination were reviewed to identify documentation and conceptual issues regarding chiropractic practice. Five Medicare positions were contrasted with tenets of straight chiropractic philosophy. Based on Medicare’s documentation requirements, Medicare defines subluxation and chiropractic practice from the perspective of treating spinal pain and related functional disability. In contrast, traditional straight chiropractic philosophy is not based on the treatment of spinal pain and disability or other symptomatic presentations. In this context, 5 potential areas of conflict are discussed. Conclusion The Medicare version of chiropractic practice is not consistent with traditional straight chiropractic philosophy, which may play a role in preventing Medicare compliance. The chiropractic profession may need to consider the fashion in which “philosophy” as it relates to technique and practice is presented to students and doctors to facilitate compliance with the documentation requirements of Medicare. PMID:25067928

Seaman, David R.; Soltys, Jonathan R.

2013-01-01

90

Basic science research in chiropractic: the state of the art and recommendations for a research agenda.  

PubMed

A position paper was prepared as background information for participants in the National Workshop to Develop the Chiropractic Workshop Agenda conducted by the Palmer Center for Chiropractic Research, Davenport, Iowa. The paper was revised in light of comments and suggestions at the workshop by participants and by a workgroup composed of basic scientists from within and outside of chiropractic. This final article documents the history of basic science research in chiropractic, and the current state of the art of basic science research conducted since 1975 by chiropractors or investigators at chiropractic institutions in North America. Seed recommendations contained in the working paper for the development of an adequate infrastructure needed to conduct future research and seed recommendations for a future basic science research agenda were also modified and revised by the workgroup participants through a modified nominal group process. The final recommendations contained in this article represent a synthesis of these recommendations and those of the authors. PMID:9127254

Brennan, P C; Cramer, G D; Kirstukas, S J; Cullum, M E

1997-01-01

91

Chiropractic management of musculoskeletal pain secondary to tardive dyskinesia.  

PubMed

Tardive dyskinesia (TD) is an umbrella term typically used to describe a movement disorder associated with the use of neuroleptic (anti-psychotic) medication. It is characterized by abnormal, repetitive and involuntary movements. The movements may be around the mouth and face (orofacial dyskinesia) and less frequently, in the trunk and limbs (trunk and limb dyskinesia). TD occurs in over 20% of those using neuroleptic medication continually for longer than three months. A case report is presented of a patient affected by TD who suffered mechanical musculoskeletal pain secondary to its effects, and was managed by chiropractic care. PMID:17549198

Schoonderwoerd, Kelly

2005-06-01

92

Laboratory Pre-Participation Screening Examination in a Chiropractic College  

PubMed Central

Introduction: Chiropractic students often serve as subjects in laboratories where they and their classmates practice examinations, various soft tissue techniques, physiological therapeutic modalities, and active rehabilitation. There are contraindications and risks associated with these procedures. This article describes how a procedure was developed to identify potential health concerns and risks that students may face while serving as subjects or performing procedures in clinical skills laboratories. Methods: Screening questions and examination procedures were developed through a consensus process. Findings from the screening process determine whether students may engage in full participation or limited participation (precautions) or are prohibited from receiving certain procedures (contraindications). Skills laboratory students and their instructors are informed of any identifiable precautions or contraindications to participation. Results: Since its implementation, precautions regarding delivery of manual therapies were found in 4% of those examined and precautions regarding receiving manual therapies in 11.5%. Contraindications to receiving specified manual therapies were found in 8%, and 4% had contraindications to certain physiological therapeutic modalities. Discussion: Further work is necessary to improve compliance with follow-up regarding diagnosis of conditions revealed or suspected. Future efforts should address how well students adhered to precautions and contraindications, the nature and frequency of injuries sustained within the laboratories, and what specific measures were taken by faculty to help students with special needs. Conclusion: This chiropractic college now has a method to describe potential risks, explain rules of laboratory participation, and obtain consent from each student. PMID:21677869

Funk, Matthew F.; Cantito, Albert A.

2011-01-01

93

Chiropractic and social justice: a view from the perspective of Beauchamp's principles.  

PubMed

Social justice in public health involves the process and product of a community acting to fairly distribute advantages and burdens to improve the health of its population and to reasonably take care of the disadvantaged. Although publications are available about chiropractic public health history, programs, and policy, the potential role of chiropractic in social justice has received little attention. This article discusses Beauchamp's 4 principles of social justice and suggests actions that the chiropractic profession may consider to participate in the practice of social justice in the field of public health. PMID:20732576

Green, Bart N; Johnson, Claire

2010-01-01

94

Menorrhagia: A synopsis of management focusing on herbal and nutritional supplements, and chiropractic.  

PubMed Central

Introduction To make chiropractors more aware of menorrhagia and how they can serve a role in their patient’s care and education since women make up 60% of the population seeking chiropractic care. Method A review of the biomedical literature on menorrhagia was conducted. Items that were retrieved were synthesized and interpreted in order to give the best information to practicing chiropractors. Discussion Most of the information available relative to menorrhagia is medically oriented. Other treatment options can include: chiropractic, various types of herbs, and nutritional supplements. Conclusion Knowledge of medical treatment, nutritional supplements, along with chiropractic treatment options may be beneficial to doctors in their practice. PMID:18060009

Livdans-Forret, Anna B.; Harvey, Phyllis J.; Larkin-Thier, Susan M.

2007-01-01

95

Chiropractic spinal manipulative treatment of cervicogenic dizziness using Gonstead method: a case study  

PubMed Central

Objective The purpose of this case report is to present the response of a patient with chronic nonresponsive cervicogenic dizziness to chiropractic care. Case report A 29-year-old man had a 10-year history of progressive cervicogenic dizziness with symptoms including a sensation of excessive motion, imbalance, and spinning associated with neck pain and stiffness. After treatment, he reported a reduction in pain and dizziness and an improved quality of life following Gonstead method of chiropractic spinal manipulative therapy. Conclusion This case study suggests that a patient with nonresponsive cervicogenic dizziness might respond to chiropractic spinal manipulative therapy approach using Gonstead method. PMID:22014910

Chaibi, Aleksander; Tuchin, Peter J.

2011-01-01

96

Teaching, leadership, scholarly productivity, and level of activity in the chiropractic profession: a study of graduates of the Los Angeles College of Chiropractic radiology residency program  

PubMed Central

Objective The purpose of this study was to track the graduates of the Los Angeles College of Chiropractic (LACC) radiology residency program, review their scholarly productivity, and report those involved in teaching and leadership positions. Methods Former LACC residents’ career information was identified through publicly available electronic documents including Web sites and social media. PubMed and the Index to Chiropractic Literature databases were searched for chiropractic graduate job surveys, and proportional comparisons were made between the career paths of LACC radiology residency graduates and those of non–residency-trained chiropractors. Results Of 47 former LACC residents, 28 (60%) have or previously had careers in tertiary (chiropractic) education; and 12 (26%) have attained a department chair position or higher at tertiary teaching institutions. Twenty-two (47%) have or previously had private radiology practices, whereas 11 (23%) have or previously had clinical chiropractic practices. Often, residency graduates hold or have held 2 of these positions at once; and one, all 3. Chapters or books were authored by 13 (28%). Conclusion Radiology residency LACC graduates are professionally active, particularly in education, and demonstrate scholarly productivity. PMID:23966885

Young, Kenneth J.; Siordia, Lawrence

2012-01-01

97

Buckeye chiropractic: turbulence in a limited branch of medicine, 1915-1975.  

PubMed

In Ohio in 1915, the Platt-Ellis Law was enacted, a compromise between medical and chiropractic forces that defined chiropractic as a "limited branch of medicine or surgery." Practitioners of chiropractic, naprapathy, spondylotherapy, mechanotherapy, magnetic healing, and other "minor" healing arts excluding osteopathy and midwifery were all examined by the State Medical Board. The two disparate definitions created six decades of turmoil for chiropractic in Ohio. The 1920's were marked by the civil disobedience employed successfully in other states, with hundreds of unlicensed chiropractors choosing jail over fines. Multiple state organizations were formed, representing "straights, mixers, straight-mixers, mixing straights, minglers" and every other possible combination. The public accepted licensed and unlicensed practitioners, and doctors included their licensing status in their advertisements. PMID:11613404

Callender, A

1995-12-01

98

Quantitative corpus-based analysis of the chiropractic literature – a pilot study  

PubMed Central

In this pilot study, a collection of peer-reviewed articles from the Journal of the Canadian Chiropractic Association was analyzed by computer to identify the more commonly occurring words and phrases. The results were compared to a reference collection of general English in order to identify the vocabulary which is distinctive of chiropractic. From texts with a combined word count in excess of 280,000, it was possible to identify almost 2,500 words which were over-represented in the chiropractic literature and therefore likely to hold special importance within this domain. Additionally, readability statistics were calculated and suggest that the peer-reviewed chiropractic literature is approximately as challenging to read as that of nursing, public health and midwifery. Certain words widely considered to be of importance to the profession, for example “subluxation and adjustment,” were not particularly prevalent in the literature surveyed. PMID:21403783

Millar, Neil; Budgell, Brian S.; Kwong, Alice

2011-01-01

99

Quantitative corpus-based analysis of the chiropractic literature - a pilot study.  

PubMed

In this pilot study, a collection of peer-reviewed articles from the Journal of the Canadian Chiropractic Association was analyzed by computer to identify the more commonly occurring words and phrases. The results were compared to a reference collection of general English in order to identify the vocabulary which is distinctive of chiropractic. From texts with a combined word count in excess of 280,000, it was possible to identify almost 2,500 words which were over-represented in the chiropractic literature and therefore likely to hold special importance within this domain. Additionally, readability statistics were calculated and suggest that the peer-reviewed chiropractic literature is approximately as challenging to read as that of nursing, public health and midwifery. Certain words widely considered to be of importance to the profession, for example "subluxation and adjustment," were not particularly prevalent in the literature surveyed. PMID:21403783

Millar, Neil; Budgell, Brian S; Kwong, Alice

2011-03-01

100

Financial attitudes, knowledge, and habits of chiropractic students: A descriptive survey  

PubMed Central

Objective: Our purpose was to describe the financial knowledge, habits and attitudes of chiropractic students. Methods: We designed a cross-sectional survey to measure basic financial knowledge, current financial habits, risk tolerance, and beliefs about future income among 250 students enrolled in business courses at one US chiropractic college. Descriptive statistical analyses were performed. Results: We received 57 questionnaires (23% response rate). Most respondents would accumulate over $125,000 in student loan debt by graduation. Financial knowledge was low (mean 77%). Most respondents (72%) scored as average financial risk takers. Chiropractic students reported recommended short-term habits such as having checking accounts (90%) and health insurance (63%) or paying monthly bills (88%) and credit cards (60%). Few saved money for unplanned expenses (39%) or long-term goals (26%), kept written budgets (32%), or had retirement accounts (19%). Conclusion: These chiropractic students demonstrated inadequate financial literacy and did not engage in many recommended financial habits. PMID:24587498

Lorence, Julie; Lawrence, Dana J.; Salsbury, Stacie A.; Goertz, Christine M.

2014-01-01

101

Sports chiropractic management at the World Ice Hockey Championships  

PubMed Central

Background Ice hockey is an international sport. Injuries occur in a full body fashion, to a number of tissues, commonly through body contact. There is a lack of literature documenting the scope of sports chiropractic practice. Thus, it was the aim to document the type, scope and severity of conditions presenting to, and the treatment provided by, the New Zealand team chiropractor acting as a primary health provider for the duration of the 2007 World Ice Hockey Championships. Methods All conditions presenting were recorded. Diagnosis was recorded along with clinical parameters of injury: injury type, severity, mechanism and whether referral or advanced imaging was required. All treatment provided was continuously recorded, including information on the number of treatments required and the reason, duration, type and location of treatment. Results Players presented for diagnosis of injury 50 times. Muscle (34%), joint (24%) and tendon injuries (18%) were most common. Players presented with a new injury 76% of the time. Most injuries had been present for less than one week (84%), with 53% occurring through a contact mechanism. Injuries were common at training and match locations. Only two injuries required the player to stop playing or training, both of which were referred for advanced imaging. During the study, 134 treatment consultations were rendered to 45 player injuries. Eighty per-cent of injuries were managed with four or less treatments. Three quarters of treatment was provided at training locations with treatment duration predominantly being between 11-15 minutes (71%) and 16-20 minutes (27%). Most treatment delivered was passive in nature (71%) although combination active and passive care was provided (27%). Treatment typically involved joint (81%) and soft tissue based therapies (81%) and was delivered in a full body manner. Conclusions This study documented the injury profile of ice hockey at an international level of competition. It documented the conditions presenting to a chiropractor for diagnosis and the treatment provided. Treatment was consistent with that recommended for chiropractic management of athletic injuries. This documentation of sports chiropractic scope of practice fills a void in the literature and assists in determining a role for sports chiropractors as primary health providers or in multidisciplinary sports management teams. PMID:21129212

2010-01-01

102

Dose-response for chiropractic care of chronic low back pain  

Microsoft Academic Search

Abstract,BACKGROUND CONTEXT: There have been no trials of optimal chiropractic care in terms of number,of office visits for spinal manipulation and other therapeutic modalities. PURPOSE: To conduct a pilot study to make,preliminary identification of the effects of number of chiropractic treatment visits for manipulation,with and without physical modalities (PM) on chronic low back pain and disability. STUDY DESIGN\\/SETTING: Randomized,controlled trial

Mitchell Haas; Elyse Groupp; Dale F. Kraemer

2004-01-01

103

Chiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents  

PubMed Central

Background A great deal has been published in the chiropractic literature regarding the response, or lack thereof, of various common pediatric conditions to chiropractic care. The majority of that literature is of low scientific value (that is, case reports or case series). The purpose of this review is to summarize the literature from the point of view of clinicians, rather than researchers, and to discuss some additional detail of the conditions themselves. Methods Databases searched were PubMed, Mantis, Index to Chiropractic Literature, and CINAHL. Keywords were chiropractic paired with colic, crying infant, nocturnal enuresis, asthma, otitis media and attention deficit hyperactivity disorder. Results Most of the published literature centers around case reports or series. The more scientifically rigorous studies show conflicting results for colic and the crying infant, and there is little data to suggest improvement of otitis media, asthma, nocturnal enuresis or attention deficit hyperactivity disorder. Discussion The efficacy of chiropractic care in the treatment of non-musculoskeletal disorders has yet to be definitely proven or disproven, with the burden of proof still resting upon the chiropractic profession. PMID:20525197

2010-01-01

104

Chiropractic practice in Hong Kong: the need for amendments of health laws and provisions  

PubMed Central

Chiropractic practitioners with accredited qualifications should have the right to diagnose, the right to operate diagnostic imaging machines, and the right to the title doctor and Yee San. This paper reviews chiropractic practice in Hong Kong as well as laws and provisions of the health professions namely Chiropractors Registration Ordinance, Medical Registration Ordinance, Dentists Registration Ordinance, Radiation Ordinance, and the provisions of codes of practice of Medical Laboratory Technologists and Radiographers. The need for amendments of relevant sections of health laws and provisions, which concern chiropractic rights, chiropractic practice, and clinical research of mechanical neuromusculoskeletal disorders is discussed. Patient privileges relevant to chiropractic practice are proposed. The Chinese title Yee San or Yee and the English title Doctor are generic terms. Hence, legally “Yee San” and “Doctor” should not be coined by medical practitioners and vice versa. Diagnostic imaging and laboratory procedures are essential for differential diagnosis of neuromusculoskeletal disorders, which may indicate or contraindicate the application of manipulation, and hence are essential for chiropractic practice and clinical research. Proposed amendments of the listed sections of the ordinances and provisions are also outlined.

Woo, Chun-Cheung

1995-01-01

105

Chiropractic care of the older person: developing an evidence-based approach  

PubMed Central

Geriatric care has assumed a more dominant position in the health care delivery system. This article discusses the results of a literature search on geriatric chiropractic care with the ultimate goal of promoting a“best practice” approach. Fifty nine articles were found that discussed geriatric chiropractic education (N = 3), demographic and epidemiological studies (N = 9), case studies (N = 25), clinical trials (N = 4) and clinical guidelines (N = 18). The literature revealed that chiropractic pedagogy has recognized the importance of geriatric education, and epidemiological studies reported an increase in utilization rates of chiropractic care by older persons, along with greater acceptance within the medical community. Most older persons sought out chiropractic care for neuromusculoskeletal (NMS) conditions, with several studies reporting the successful resolution of these conditions with spinal manipulative therapy as well as an eclectic group of other treatment interventions. Many older persons enter a maintenance care program, which they believe to be important to their health. Although the results of this article are encouraging, it underscores the need for continued research, especially in the areas of chiropractic maintenance care and the management of non-NMS conditions.

Gleberzon, Brian J.

2001-01-01

106

Constructing a philosophy of chiropractic: evolving worldviews and postmodern core?  

PubMed Central

Objective The purpose of this article is to explore the postmodern, postrational, and postconventional core of DD Palmer's self-sense and philosophy. Discussion DD Palmer's self and philosophy can be viewed as a reaction to the self of modernity and its challenges of a fracture between mind and body, spirit, and nature. It is argued that Palmer's solution to these vexing problems facing the modern self was to use postrational and postconventional logic to overcome the dualisms. His philosophy resonates with similar postrational approaches, most notably, the German idealist Schelling. Conclusion It is argued that Palmer was one of the first postrational individuals in America and that chiropractic was an attempt at the first postrational health profession. PMID:22693480

Senzon, Simon A.

2011-01-01

107

Assessing the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after an educational intervention*  

PubMed Central

Objective We assessed the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after a 1-hour educational intervention. Methods A mixed-methods approach was used with a 52-item cross-sectional paper survey and 1 focus group of third-year medical students. The views of these medical students towards chiropractic were assessed previously in their second-year of medical school. ANOVA and the Wilcoxon rank-sum test were used to assess between-group differences between the medical students' views before and after the educational intervention. The constant comparative method for analyzing qualitative data was used to identify emergent themes from the focus group transcript. Results Of 112 third-year medical students, 58 completed the survey (51.7% response rate). The focus group consisted of 6 medical students. Self-reported understanding of chiropractic and number of attitude-positive responses were significantly higher in the group after the educational session. The average number of correct responses assessing knowledge on chiropractic also was significantly higher. Focus group themes were that medical students wanted exposure to chiropractic in clinical settings, had negative attitudes towards chiropractic formed from hidden curriculum, had concerns regarding evidence and safety of chiropractic, and thought that timing of the session on chiropractic was too late in the curriculum. Conclusions The attitudes and knowledge of medical students towards chiropractic improved immediately after a 1-hour educational intervention. Formally educating medical students on chiropractic may help minimize hidden curriculum issues regarding chiropractic, as identified by the medical students, and facilitate collaboration between medical and chiropractic providers. PMID:25237768

Wong, Jessica J.; Di Loreto, Luciano; Kara, Alim; Yu, Kavan; Mattia, Alicia; Soave, David; Weyman, Karen; Kopansky-Giles, Deborah

2014-01-01

108

Assessing the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after an educational intervention.  

PubMed

Objective : We assessed the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after a 1-hour educational intervention. Methods : A mixed-methods approach was used with a 52-item cross-sectional paper survey and 1 focus group of third-year medical students. The views of these medical students towards chiropractic were assessed previously in their second-year of medical school. ANOVA and the Wilcoxon rank-sum test were used to assess between-group differences between the medical students' views before and after the educational intervention. The constant comparative method for analyzing qualitative data was used to identify emergent themes from the focus group transcript. Results : Of 112 third-year medical students, 58 completed the survey (51.7% response rate). The focus group consisted of 6 medical students. Self-reported understanding of chiropractic and number of attitude-positive responses were significantly higher in the group after the educational session. The average number of correct responses assessing knowledge on chiropractic also was significantly higher. Focus group themes were that medical students wanted exposure to chiropractic in clinical settings, had negative attitudes towards chiropractic formed from hidden curriculum, had concerns regarding evidence and safety of chiropractic, and thought that timing of the session on chiropractic was too late in the curriculum. Conclusions : The attitudes and knowledge of medical students towards chiropractic improved immediately after a 1-hour educational intervention. Formally educating medical students on chiropractic may help minimize hidden curriculum issues regarding chiropractic, as identified by the medical students, and facilitate collaboration between medical and chiropractic providers. PMID:25237768

Wong, Jessica J; Di Loreto, Luciano; Kara, Alim; Yu, Kavan; Mattia, Alicia; Soave, David; Weyman, Karen; Kopansky-Giles, Deborah

2014-10-01

109

Are chiropractic tests for the lumbo-pelvic spine reliable and valid? A systematic critical literature review  

Microsoft Academic Search

Objective: To systematically review the peer-reviewed literature about the reliability and validity of chiropractic tests used to determine the need for spinal manipulative therapy of the lumbo-pelvic spine, taking into account the quality of the studies.Data Sources: The CHIROLARS database was searched for the years 1976 to 1995 with the following index terms: “chiropractic tests,” “chiropractic adjusting technique,” “motion palpation,”

Lise Hestbœk; Charlotte Leboeuf-Yde

2000-01-01

110

A retrospective cross sectional survey of extremity cases on record at the Durban University of Technology chiropractic day clinic (1995-2005).  

E-print Network

??Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban University of Technology, 2007 xiii, 77, Annexures 1-19, 19 leaves The increasing contribution of chiropractors in health care has… (more)

Kandhai, Surasha

2007-01-01

111

A retrospective cross-sectional survey of lumbo-sacral cases recorded at the D.U.T. Chiropractic Day Clinic (1995-2005).  

E-print Network

??Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban University of Technology, 2007 xiii, 76, 13 leaves To determine the prevalence and demographics of lumbo-sacral cases recorded at the… (more)

Jaman, Ravina

2007-01-01

112

A survey of interprofessional education in chiropractic continuing education in the United States  

PubMed Central

Objective The purpose of this study is to describe the state of chiropractic continuing education vis-à-vis interprofessional education (IPE) with medical doctors (MD) in a survey of a sample of US doctors of chiropractic (DC) and through a review of policies. Methods Forty-five chiropractors with experience in interprofessional settings completed an electronic survey of their experiences and perceptions regarding DC-MD IPE in chiropractic continuing education (CE). The licensing bodies of the 50 US states and the District of Columbia were queried to assess the applicability of continuing medical education (CME) to chiropractic relicensure. Results The majority (89.1%) of survey respondents who attend CE-only events reported that they rarely to never experienced MD-IPE at these activities. Survey respondents commonly attended CME-only events, and 84.5% stated that they commonly to very commonly experienced MD-IPE at these activities. More than half (26 of 51) of the licensing bodies did not provide sufficient information to determine if CME was applicable to DC relicensure. Thirteen jurisdictions (25.5%) do not, and 12 jurisdictions (23.5%) do accept CME credits for chiropractic relicensure. Conclusion The majority of integrated practice DCs we surveyed reported little to no IPE occurring at CE-only events, yet significant IPE occurring at CME events. However, we found only 23.5% of chiropractic licensing bodies allow CME credit to apply to chiropractic relicensure. These factors may hinder DC-MD IPE in continuing education. PMID:24918483

Bednarz, Edward M.; Lisi, Anthony J.

2014-01-01

113

A survey of interprofessional education in chiropractic continuing education in the United States.  

PubMed

Objective : The purpose of this study is to describe the state of chiropractic continuing education vis-à-vis interprofessional education (IPE) with medical doctors (MD) in a survey of a sample of US doctors of chiropractic (DC) and through a review of policies. Methods : Forty-five chiropractors with experience in interprofessional settings completed an electronic survey of their experiences and perceptions regarding DC-MD IPE in chiropractic continuing education (CE). The licensing bodies of the 50 US states and the District of Columbia were queried to assess the applicability of continuing medical education (CME) to chiropractic relicensure. Results : The majority (89.1%) of survey respondents who attend CE-only events reported that they rarely to never experienced MD-IPE at these activities. Survey respondents commonly attended CME-only events, and 84.5% stated that they commonly to very commonly experienced MD-IPE at these activities. More than half (26 of 51) of the licensing bodies did not provide sufficient information to determine if CME was applicable to DC relicensure. Thirteen jurisdictions (25.5%) do not, and 12 jurisdictions (23.5%) do accept CME credits for chiropractic relicensure. Conclusion : The majority of integrated practice DCs we surveyed reported little to no IPE occurring at CE-only events, yet significant IPE occurring at CME events. However, we found only 23.5% of chiropractic licensing bodies allow CME credit to apply to chiropractic relicensure. These factors may hinder DC-MD IPE in continuing education. PMID:24918483

Bednarz, Edward M; Lisi, Anthony J

2014-10-01

114

Dual Degree Program with Palmer College of Chiropractic (PCC) Beginning with the first semester of the 2013-2014 Truman State University academic year, a  

E-print Network

Dual Degree Program with Palmer College of Chiropractic (PCC) Beginning with the first semester in Health Sciences or Exercise Science from Truman State University and a Doctor of Chiropractic degree from Palmer College of Chiropractic (PCC) will be available to qualified students. Agreements have been

Gering, Jon C.

115

An audit of health products and services marketed on chiropractic websites in Alberta and consideration of these practices in the context of chiropractic codes of conduct and ethics  

PubMed Central

Background Chiropractic’s success as a health care profession is evidenced in part by the rising number of practitioners. Paradoxically, this success may start to cost the profession, as the number of consumers may not be increasing proportionally. Fewer patients mean less income for practitioners. Some chiropractors are responding to these pressures by marketing health products, and services Objectives To describe the extent to which Alberta chiropractors with websites sold health products and the extent to which fee discounts/service inducements were advertised. To consider these practices in the context of chiropractic codes of conduct and ethics. Methods Chiropractic websites in the province of Alberta were identified using the online Telus Business Finder and cross-referenced with the Yellow Pages print directories. The websites were searched and an inventory of the health products for sale was recorded. Fee discounts and service inducements were also recorded. Results 56 websites were identified and reviewed. Just under two-thirds of the chiropractic websites surveyed contained information on health products for sale. Orthotics were sold most often (N = 29 practices; 51.8%), followed by pillows and supports (N = 15: 26.8%), vitamins/nutritional supplements (N = 15; 26.8%) and exercise/rehabilitation products (N = 10; 17.9%). Nine practices (16.1%) offered some type of inducement to potential customers. These included discounts on treatment packages (N = 2; 3.6%), free gait/ posture analyses (N = 2; 3.6%) and free general consultations with the chiropractors (N = 3; 5.4%) Conclusions The marketing of health care products and services by chiropractors in Alberta is common. Such practices raise ethical considerations for the profession. Professional guidelines vary on the acceptability of these practices. Consumer and practitioner perspectives and practices regarding retailing need to be further examined. PMID:17657302

Page, Stacey A.

2007-01-01

116

The learning style preferences of chiropractic students: A cross-sectional study.  

PubMed

Objective : The aims of our study were to measure the learning style preferences of chiropractic students and to assess whether they differ across the 5 years of chiropractic study. Methods : A total of 407 (41.4% females) full-degree, undergraduate, and postgraduate students enrolled in an Australian chiropractic program agreed to participate in a cross-sectional survey comprised of basic demographic information and the Visual, Aural, Read/Write, Kinesthetic (VARK) questionnaire, which identifies learning preferences on four different subscales: visual, aural, reading/writing, and kinesthetic. Multivariate analysis of variance and the ?(2) test were used to check for differences in continuous (VARK scores) and categorical (VARK category preference) outcome variables. Results : The majority of chiropractic students (56.0%) were found to be multimodal learners. Compared to the other learning styles preferences, kinesthetic learning was preferred by a significantly greater proportion of students (65.4%, p < .001) and received a significantly greater mean VARK score (5.66 ± 2.47, p < .001). Conclusions : To the best of our knowledge, this is the first time chiropractic students have been shown to be largely multimodal learners with a preference for kinesthetic learning. While this knowledge may be beneficial in the structuring of future curricula, more thorough research must be conducted to show any beneficial relationship between learning style preferences and teaching methods. PMID:24350945

Whillier, Stephney; Lystad, Reidar P; Abi-Arrage, David; McPhie, Christopher; Johnston, Samara; Williams, Christopher; Rice, Mark

2014-01-01

117

Chiropractic practice in military and veterans health care: The state of the literature  

PubMed Central

Objective To summarize scholarly literature that describes practice, utilization, and/or policy of chiropractic services within international active duty and/or veteran health care environments. Data Sources PubMed, the Cumulative Index to Nursing and Allied Health Literature, and the Index to Chiropractic Literature were searched from their starting dates through June 2009. Review Methods All authors independently reviewed each of the articles to verify that each met the inclusion criteria. Citations of included papers and other pertinent findings were logged in a summary table. Results Thirteen articles were included in this study. Integration of chiropractic care into military or veteran health care systems has been described in 3 systems: the United States Department of Defense, the United States Department of Veterans Affairs, and the Canadian Forces. Conclusion Chiropractic services seem to be included successfully within military and veteran health care facilities. However, there is a great need for additional written evaluation of the processes, policies, practices, and effectiveness of chiropractic services in these environments. PMID:19714234

Green, Bart N.; Johnson, Claire D.; Lisi, Anthony J.; Tucker, John

2009-01-01

118

The learning style preferences of chiropractic students: A cross-sectional study  

PubMed Central

Objective The aims of our study were to measure the learning style preferences of chiropractic students and to assess whether they differ across the 5 years of chiropractic study. Methods A total of 407 (41.4% females) full-degree, undergraduate, and postgraduate students enrolled in an Australian chiropractic program agreed to participate in a cross-sectional survey comprised of basic demographic information and the Visual, Aural, Read/Write, Kinesthetic (VARK) questionnaire, which identifies learning preferences on four different subscales: visual, aural, reading/writing, and kinesthetic. Multivariate analysis of variance and the ?2 test were used to check for differences in continuous (VARK scores) and categorical (VARK category preference) outcome variables. Results The majority of chiropractic students (56.0%) were found to be multimodal learners. Compared to the other learning styles preferences, kinesthetic learning was preferred by a significantly greater proportion of students (65.4%, p < .001) and received a significantly greater mean VARK score (5.66 ± 2.47, p < .001). Conclusions To the best of our knowledge, this is the first time chiropractic students have been shown to be largely multimodal learners with a preference for kinesthetic learning. While this knowledge may be beneficial in the structuring of future curricula, more thorough research must be conducted to show any beneficial relationship between learning style preferences and teaching methods. PMID:24350945

Whillier, Stephney; Lystad, Reidar P.; Abi-Arrage, David; McPhie, Christopher; Johnston, Samara; Williams, Christopher; Rice, Mark

2014-01-01

119

Before Nugent took charge: early efforts to reform chiropractic education, 1919-1941  

PubMed Central

John J. Nugent, D.C. is remembered by many as either the “Abraham Flexner of Chiropractic” or the “anti-Christ of Chiropractic.” From 1941 until his forced retirement in 1959, the Irish-born Palmer graduate was one of the most important factors in the profession's educational reforms. Yet Nugent's work as the National Chiropractic Association's (NCA's) director of research was not the beginning of the campaign to upgrade chiropractic education. This paper looks at earlier influences and events which set the stage for Nugent's campaign. Among these were the introduction of licensure for chiropractors, the self-defeating actions of B.J. Palmer, the introduction of basic science legislation, the lethargy of the schools, and the struggle for control of education between the schools, on the one hand, and the NCA and the Council of State Chiropractic Examining Boards on the other ImagesFigure 1Figure 3Figure 4Figure 5Figure 6Figure 7Figure 9Figure 10Figure 11Figure 12Figure 13Figure 14Figure 15Figure 16Figure 17Figure 18Figure 19Figure 20Figure 21Figure 22Figure 23Figure 24Figure 25Figure 26Figure 28Figure 29Figure 30Figure 31Figure 32Figure 33Figure 34Figure 35Figure 36Figure 37Figure 38

Keating, Joseph C

2003-01-01

120

Medicare Part B Claims for Chiropractic Spinal Manipulation, 1998–2004  

PubMed Central

Objective The objective of this study was to examine the volume and rate of Medicare part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004. Methods A descriptive retrospective analysis was performed on Medicare part B claims from 1998 to 2004 using the Medicare Part B Standard Analytical Variable Length File. Using a 5% random sample of Medicare part B claims, the total number of claims were determined for chiropractic spinal manipulation procedures, and the rate of chiropractic spinal manipulation procedures per 1,000 beneficiaries. Results From 1998 through 2003 the number of CSM claims increased by 38% (from 824,249 total claims in 1998 to 1,133,872 in 2003) followed by a 24% decline from 2003 to 2004. The rate of total chiropractic spinal manipulation claims rose 29% from 649 claims per 1,000 beneficiaries per year in 1998 to a high of 839 claims per 1,000 beneficiaries per year in 2003 and then declined by 25% to 632 claims per 1,000 beneficiaries per year in 2004. Conclusion Medicare part B claims for chiropractic spinal manipulation increased significantly from 1998 to 2003 and then abruptly declined from 2003 to 2004. Estimates for 2004 are at variance with earlier published estimates. PMID:21036277

Whedon, James M.; Davis, Matthew A.

2010-01-01

121

Can patient reactions to the first chiropractic treatment predict early favorable treatment outcome in persistent low back pain?  

Microsoft Academic Search

Objective: To investigate whether 3 distinct patterns of reactions to chiropractic care predict early favorable treatment outcome in patients with persistent low back pain. Design and Setting: Multicenter, clinic-based prospective outcome study with standardized interview questionnaires conducted in private chiropractic practices in Sweden. Study Subjects: Previously compliant chiropractors were invited to participate in the study. A maximum of 20 consecutive

Iben Axén; Annika Rosenbaum; Robert Röbech; Thomas Wren; Charlotte Leboeuf-Yde

2002-01-01

122

Effect of chiropractic intervention on small scoliotic curves in younger subjects: A time-series cohort design  

Microsoft Academic Search

Background: Chiropractors have long claimed to affect scoliotic curves, and case studies abound reporting on successful outcomes. No clinical trials exist, however, that evaluate chiropractic's effectiveness in the management of scoliotic curves. Objective: To assess the effectiveness of chiropractic intervention in the management of adolescent idiopathic scoliosis in curves less than 20°. Design: Cohort time-series trial with all subjects electing

Charles A. Lantz; Jasper Chen

2001-01-01

123

Test anxiety and academic performance in chiropractic students*  

PubMed Central

Objective We assessed the level of students' test anxiety, and the relationship between test anxiety and academic performance. Methods We recruited 166 third-quarter students. The Test Anxiety Inventory (TAI) was administered to all participants. Total scores from written examinations and objective structured clinical examinations (OSCEs) were used as response variables. Results Multiple regression analysis shows that there was a modest, but statistically significant negative correlation between TAI scores and written exam scores, but not OSCE scores. Worry and emotionality were the best predictive models for written exam scores. Mean total anxiety and emotionality scores for females were significantly higher than those for males, but not worry scores. Conclusion Moderate-to-high test anxiety was observed in 85% of the chiropractic students examined. However, total test anxiety, as measured by the TAI score, was a very weak predictive model for written exam performance. Multiple regression analysis demonstrated that replacing total anxiety (TAI) with worry and emotionality (TAI subscales) produces a much more effective predictive model of written exam performance. Sex, age, highest current academic degree, and ethnicity contributed little additional predictive power in either regression model. Moreover, TAI scores were not found to be statistically significant predictors of physical exam skill performance, as measured by OSCEs. PMID:24350946

Zhang, Niu; Henderson, Charles N. R.

2014-01-01

124

Chiropractic in the yellow pages: a content analysis study.  

PubMed

This paper presents a content analysis of advertisements by chiropractors in the yellow pages. Information was gathered from 13 cities in the United States for the years 1985 and 1986. Results were categorized by size, number and content of the ads. Estimated expenditures for each city were calculated and a total cost for advertising for the entire chiropractic profession was estimated. Of the 5456 chiropractors listed in the yellow pages in this study, 14.7% bought additional space in the regular listing section, and 11.6% purchased large display advertisements. The remaining 73.7% listed only their name and telephone number. Of those who bought additional space, 10.8% advertised techniques, 11.6% symptoms, 14.7% injuries, 3% professional affiliations and 4% advertised free services. The average annual expenditure for the chiropractor was $2474.00. Future research needs to address the attitudes of the profession and patients toward advertising, and the cost-effectiveness of advertising. The value of the distribution of resources for advertising by chiropractors is questioned. PMID:3049889

Hurwitz, E L; Phillips, R B

1988-08-01

125

Burnout among chiropractic practitioners: real or imagined an exploratory study protocol  

PubMed Central

Burnout is a psychological syndrome of emotional exhaustion, depersonalization and reduced personal accomplishment that has been found to exist in a significant number of healthcare and helping professionals. It imposes a significant societal burden by shortened practitioner lifespan, decreased efficiency, negative health outcomes and poorer levels of patient care. Theoretical models suggest that it appears to be the result of a complex interaction between job resources and job demands. It may be reasonable to conclude that Chiropractic professionals experience similar vocational demands and thus experience significant levels of occupational stress and subsequent burnout. However the data on burnout within the chiropractic profession is limited. It is possible that this results in significant negative outcomes on chiropractors and their patients. Therefore, the objective of this paper is to demonstrate the need to explore burnout in chiropractic practice and offer a research protocol for a potential study. PMID:22369737

2012-01-01

126

Chiropractic Treatment of Lateral Epicondylitis: A Case Report Utilizing Active Release Techniques  

PubMed Central

Objective The purpose of this report is to describe the chiropractic management of a case of lateral epicondylitis with active release techniques (ART). Clinical features A 48-year-old white man presented to a chiropractic clinic with a complaint of left lateral elbow pain that began 2 years previous with insidious onset. The patient reported an inability to play 18 consecutive holes of golf due to the pain. Intervention and outcome Treatment consisted of 5 sessions of ART (a soft tissue technique that is applied to muscles, fascia, tendons, ligaments, and nerves) applied to the left elbow soft tissue over a duration of 3 weeks. The patient reported an absence of pain and ability to consistently play 18 consecutive holes of golf up to 3 times per week at 4 and 8 weeks post-treatment. Conclusion This patient with lateral epicondylitis responded favorably to chiropractic treatment using the application of ART, as demonstrated by reduced pain and increased functional outcomes.

Gliedt, Jordan A.; Daniels, Clinton J.

2014-01-01

127

Curriculum Reform in a Public Health Course at a Chiropractic College  

PubMed Central

Improving education in health promotion and prevention has been identified as a priority for all accredited professional health care training programs, an issue recently addressed by a collaboration of stakeholders in chiropractic education who developed a model course outline for public health education. Using a course evaluation questionnaire, the authors surveyed students in the public health course at the Canadian Memorial Chiropractic College (CMCC) before and after the implementation of new course content based on the model course outline. Following the new course, there were significant improvements in perceived relevance to chiropractic practice and motivation to learn the material as a foundation for clinical practice. Changes made to the content and delivery of the course based on the model course outline were well received in the short term. PMID:18483637

Borody, Cameron; Till, Hettie

2007-01-01

128

How can chiropractic become a respected mainstream profession? The example of podiatry  

PubMed Central

Background The chiropractic profession has succeeded to remain in existence for over 110 years despite the fact that many other professions which had their start at around the same time as chiropractic have disappeared. Despite chiropractic's longevity, the profession has not succeeded in establishing cultural authority and respect within mainstream society, and its market share is dwindling. In the meantime, the podiatric medical profession, during approximately the same time period, has been far more successful in developing itself into a respected profession that is well integrated into mainstream health care and society. Objective To present a perspective on the current state of the chiropractic profession and to make recommendations as to how the profession can look to the podiatric medical profession as a model for how a non-allopathic healthcare profession can establish mainstream integration and cultural authority. Discussion There are several key areas in which the podiatric medical profession has succeeded and in which the chiropractic profession has not. The authors contend that it is in these key areas that changes must be made in order for our profession to overcome its shrinking market share and its present low status amongst healthcare professions. These areas include public health, education, identity and professionalism. Conclusion The chiropractic profession has great promise in terms of its potential contribution to society and the potential for its members to realize the benefits that come from being involved in a mainstream, respected and highly utilized professional group. However, there are several changes that must be made within the profession if it is going to fulfill this promise. Several lessons can be learned from the podiatric medical profession in this effort. PMID:18759966

Murphy, Donald R; Schneider, Michael J; Seaman, David R; Perle, Stephen M; Nelson, Craig F

2008-01-01

129

Evidence-based medicine and its implications for the profession of chiropractic  

Microsoft Academic Search

Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a “philosophy, science and art” that is constructed upon divergent epistemological and methodological tenets (namely, the idea

Yvonne Villanueva-Russell

2005-01-01

130

AR ANDOMIZED CLINICAL TRIAL COMPARING CHIROPRACTIC ADJUSTMENTS TO MUSCLE RELAXANTS FOR SUBACUTE LOW BACK PAIN  

Microsoft Academic Search

Background: The adult lifetime incidence for low back pain is 75% to 85% in the United States. Investigating appropriate care has proven difficult, since, in general, acute pain subsides spontaneously and chronic pain is resistant to intervention. Subacute back pain has been rarely studied. Objective: To compare the relative efficacy of chiropractic adjustments with muscle relaxants and placebo\\/sham for subacute

Kathryn T. Hoiriis; Bruce Pfleger; Frederic C. McDuffie; Roger Hinson; Gregoria T. Verzosa

131

Chiropractic management of Bell palsy with low level laser and manipulation: a case report  

PubMed Central

Objective The purpose of this case report is to describe chiropractic management including the use of cold laser and chiropractic manipulation in the treatment of a patient with Bell palsy. Clinical features A 40-year-old male patient had a 10-day history of facial paralysis on his left side, including the inability to close his left eye, which also had tearing and a burning sensation. The patient had trouble lifting his left lip and complained of drooling while brushing his teeth. There was no previous history of similar symptoms or a recent infection. Prior treatment had included oral steroids. Intervention and outcome The patient was treated with low-level laser therapy and chiropractic manipulation 2 times in 4 days. The laser was applied along the course of the facial nerve for 30 seconds at each point and for 1 minute at the stylomastoid foramen. The laser used was a GaAs class 4 laser with a wavelength of 910 nm. The patient perceived a 70% to 80% improvement of facial movement after the first treatment. After the second treatment, the patient reported full control of his facial movements. Conclusion A patient with acute facial paralysis appeared to have complete resolution of his symptoms following the application of low-level laser therapy and chiropractic manipulation. PMID:24396332

Rubis, Lisa M.

2013-01-01

132

Chiropractic Management of Pubic Symphysis Shear Dysfunction in a Patient With Overactive Bladder  

PubMed Central

Objective The purpose of this case report is to describe chiropractic management of a patient with overactive bladder (OAB) and to describe an hypothetical anatomical basis for a somato-vesical reflex and possible clinical link between pelvic and symphysis pubis dysfunction to OAB. Clinical features A 24-year-old nulliparous female with idiopathic OAB, with a primary complaint of nocturia presented for chiropractic care. Her sleep was limited to 2 consecutive hours due to bladder urgency. Pubic symphysis shear dysfunction was observed on physical examination. Intervention and outcomes The primary treatment modality used was chiropractic side-posture drop-table manipulation designed to reduce pubic shear dysfunction. After 8 treatments in 1 month, the pubic shear gradually reduced while nocturia diminished and consecutive sleep hours increased from 2 to 7. At 1-year follow-up, the nocturia remained resolved. Conclusion The patient reported in this case responded favorably to chiropractic care, which resulted in reduced nocturia and increased sleep continuity. PMID:25685115

Cooperstein, Robert; Lisi, Anthony; Burd, Andrew

2014-01-01

133

Chronic pediatric asthma and chiropractic spinal manipulation: A prospective clinical series and randomized clinical pilot study  

Microsoft Academic Search

Objectives: The first objective was to determine if chiropractic spinal manipulative therapy (SMT) in addition to optimal medical management resulted in clinically important changes in asthma-related outcomes in children. The second objective was to assess the feasibility of conducting a full-scale, randomized clinical trial in terms of recruitment, evaluation, treatment, and ability to deliver a sham SMT procedure. Study Design:

Gert Bronfort; Roni L. Evans; Paul Kubic; Patty Filkin

2001-01-01

134

Texas Chiropractic College Practice Management Education: The Patient's Point of View.  

ERIC Educational Resources Information Center

A survey was conducted to determine the patient's perception of treatment received from clinicians at the Texas Chiropractic College Clinic in Pasadena, Texas. A questionnaire designed to assess various aspects of the school's clinical and dispensary services was administered to 79 patients who had completed their treatment prescriptions. The…

Waigandt, Alex; And Others

135

Chiropractic technique procedures for specific low back conditions: Characterizing the literature  

Microsoft Academic Search

Background: Many original clinical trials and several review papers have come to the conclusion that manipulation is safe and effective for the treatment of low back pain. However, it is necessary to determine which specific types of manipulation and nonmanipulative types of chiropractic adjustive care are most effective for particular types of low back pain across both tissue-specific and functional

Robert Cooperstein; Stephen M. Perle; Meridel I. Gatterman; Charles Lantz; Michael J. Schneider

2001-01-01

136

Chiropractic management of mechanical neck and low-back pain: A retrospective, outcome-based analysis  

Microsoft Academic Search

Background: Evidence suggests that spinal manipulation is an effective treatment for mechanical neck and low-back pain (LBP). Treatment efficacy is important to establish for these symptoms because combined they account for a considerable amount of disability and substantial associated direct and indirect costs to society.Objective: The purpose of this study was to examine the outcome of patients undergoing chiropractic treatment

Gordon McMorland; Esther Suter

2000-01-01

137

Self-Regulation of a Chiropractic Association through Participatory Action Research  

ERIC Educational Resources Information Center

Participatory action research (PAR) can be used in the health professions to redefine their roles. This study investigated a small health professional group, the members of The Chiropractic Association Singapore (TCAS), by using a PAR method; researchers and participants gained insights into the self-regulation of a health profession. A…

Sheppard, Lorraine A.; Jorgensen, Anna Maria S.; Crowe, Michael J.

2012-01-01

138

A randomized controlled trial of chiropractic spinal manipulative therapy for migraine  

Microsoft Academic Search

Objective: To assess the efficacy of chiropractic spinal manipulative therapy (SMT) in the treatment of migraine.Design: A randomized controlled trial of 6 months' duration. The trial consisted of 3 stages: 2 months of data collection (before treatment), 2 months of treatment, and a further 2 months of data collection (after treatment). Comparison of outcomes to the initial baseline factors was

Peter J Tuchin; Henry Pollard; Rod Bonello

2000-01-01

139

Chiropractic care of a patient with temporomandibular disorder and atlas subluxation  

Microsoft Academic Search

Objective: To describe the chiropractic care of a patient with cervical subluxation and complaints associated with temporomandibular disorder. Clinical Features: A 41-year-old woman had bilateral ear pain, tinnitus, vertigo, altered or decreased hearing acuity, and headaches. She had a history of ear infections, which had been treated with prescription antibiotics. Her complaints were attributed to a diagnosis of temporomandibular joint

Joel Alcantara; Gregory Plaugher; Darrel D. Klemp; Chris Salem

2002-01-01

140

Correlations Between Chiropractic National Board (Part I) Scores and Basic Science Course Grades and Related Data.  

ERIC Educational Resources Information Center

A study at one institution found significant correlations between students' scores on the National Board of Chiropractic Examiners test and academic achievement data. Results indicate that it is not always course subject matter that influences the relationship between course grade and board scores, but may instead be the ability to assimilate…

Wolfenberger, Virginia

1999-01-01

141

Upper cervical chiropractic management of a patient with Parkinson's disease: A case report  

Microsoft Academic Search

Objective: To discuss the use of upper cervical chiropractic management in managing a single patient with Parkinson's disease and to describe the clinical picture of the disease. Clinical Features: A 60-year-old man was diagnosed with Parkinson's disease at age 53 after a twitch developed in his left fifth finger. He later developed rigidity in his left leg, body tremor, slurring

Erin L. Elster

2000-01-01

142

An Investigation into the Faculty Development Practices in Chiropractic Education Programs  

ERIC Educational Resources Information Center

A descriptive case study design using a cross-sectional quantitative survey method was used to investigate the impact of faculty development programs on teaching effectiveness perceived by faculty teaching at chiropractic colleges in the United States. The availability of faculty development programs related to teaching and student learning was…

Scaringe, John G.

2010-01-01

143

The Types and Frequencies of Improved Nonmuskuloskeletal Symptoms Reported After Chiropractic Spinal Manipulative Therapy  

Microsoft Academic Search

Objective: To investigate the frequency and types of improved nonmuskuloskeletal symp- toms reported after chiropractic spinal ma- nipulative therapy. Design: Retrospective information obtained by chiropractors through standardized inter- view of patients on return visit within 2 weeks of previous treatment. Setting: The private practice of 87 Swedish chi- ropractors (response rate 81%). Subjects: Twenty consecutive (presumably naïve) patients per chiropractor

Charlotte Leboeuf-Yde; Gregers Ahlefeldt; Annika Rosenbaum; Thomas Thurnherr

1999-01-01

144

Pregnant Students in the Gross Anatomy Laboratory: Policies and Practices at Chiropractic Colleges  

ERIC Educational Resources Information Center

Chiropractic and medical colleges have experienced a significant increase in the number of female applicants in recent years, a percentage of whom are pregnant or become pregnant following admission. It is therefore important to ask the question: How do institutions that educate future health care providers address the issue of pregnancy and the…

Duray, Stephen M.; Mekow, Craig L.

2011-01-01

145

Lyman C. Johnston, DC, FICC, FCCS(C): Canadian chiropractic's postural research pioneer and inventive entrepreneur  

PubMed Central

This paper profiles Dr. Lyman Johnston and his contributions in the field of chiropractic research. Postural concepts, diagnostic instruments, therapeutic devices and treatment protocols are reviewed. Set out and briefly discussed are the Posturometer, Pyramidal Man, anterior-posterior gravity line, Postural Spinal Index, tension master, Spine Power Belt and the Mini-Gym. ImagesFigure 1

Brown, Douglas M.

2001-01-01

146

Practice patterns of doctors of chiropractic with a pediatric diplomate: a cross-sectional survey  

PubMed Central

Background Complementary and alternative medicine (CAM) is growing in popularity, especially within the pediatric population. Research on CAM practitioners and their specialties, such as pediatrics, is lacking. Within the chiropractic profession, pediatrics is one of the most recently established post-graduate specialty programs. This paper describes the demographic and practice characteristics of doctors of chiropractic with a pediatric diplomate. Methods 218 chiropractors with a pediatric diplomate were invited to complete our survey using either web-based or mailed paper survey methods. Practitioner demographics, practice characteristics, treatment procedures, referral patterns, and patient characteristics were queried with a survey created with the online survey tool, SurveyMonkey©®. Results A total of 135 chiropractors responded (62.2% response rate); they were predominantly female (74%) and white (93%). Techniques most commonly used were Diversified, Activator ®, and Thompson with the addition of cranial and extremity manipulation to their chiropractic treatments. Adjunctive therapies commonly provided to patients included recommendations for activities of daily living, corrective or therapeutic exercise, ice pack\\cryotherapy, and nutritional counseling. Thirty eight percent of respondents' patients were private pay and 23% had private insurance that was not managed care. Pediatrics represented 31% of the survey respondents' patients. Chiropractors also reported 63% of their work time devoted to direct patient care. Health conditions reportedly treated within the pediatric population included back or neck pain, asthma, birth trauma, colic, constipation, ear infection, head or chest cold, and upper respiratory infections. Referrals made to or from these chiropractors were uncommon. Conclusions This mixed mode survey identified similarities and differences between doctors of chiropractic with a pediatric diplomate to other surveys of doctors of chiropractic, CAM professionals, and pediatric healthcare providers. The pediatric diplomate certificate was established in 1993 and provides didactic education over a 2 to 3 year span. The results of this study can be used for historical information as this specialty continues to grow. PMID:20546582

2010-01-01

147

Development of Basic Workers' Comp Guidelines for Chiropractic Care in Response to Needs of Third Party Payers in Alabama  

Microsoft Academic Search

ObjectiveTo describe a novel program in the area of workers' compensation-based chiropractic care in Alabama developed at the request of third-party administrators handling workers' compensation claims.

Marion W. Evans Jr.

2004-01-01

148

Horner’s syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck  

Microsoft Academic Search

PURPOSE: To report a case of Horner’s syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck.METHODS: Case report. A 44-year-old woman with no prior ocular or vascular history presented with severe right-sided head and neck pain, ptosis, and miosis following chiropractic treatment for a strained right shoulder muscle.RESULTS: Magnetic resonance angiography of the neck and

Bobbie L. Parwar; Amani A. Fawzi; Anthony C. Arnold; Steven D. Schwartz

2001-01-01

149

Chiropractic Management of an 81-Year-Old Man With Parkinson Disease Signs and Symptoms  

PubMed Central

Objective The purpose of this case report is to describe the chiropractic management of a patient with Parkinson disease. Clinical features An 81-year-old male with a 12-year history of Parkinson disease sought chiropractic care. He had a stooped posture and a shuffling gait. He was not able to ambulate comfortably without the guidance of his walker. The patient had a resting tremor, most notably in his right hand. Outcome measures were documented using the Parkinson’s Disease Questionaire-39 (PDQ-39) and patient subjective reports. Intervention and outcome The patient was treated with blue-lensed glasses, vibration stimulation therapy, spinal manipulation, and eye-movement exercises. Within the first week of treatment, there was a reduction in symptoms, improvement in ambulation, and tremor. Conclusion For this particular patient, the use of alternative treatment procedures appeared to help his Parkinson disease signs and symptoms.

Bova, Joesph; Sergent, Adam

2014-01-01

150

Evidence-based medicine and its implications for the profession of chiropractic.  

PubMed

Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a "philosophy, science and art" that is constructed upon divergent epistemological and methodological tenets (namely, the idea of "vitalism"). The EBM movement is conceptualized as part of a larger political economy surrounding the health care environment that creates a new set of imperatives for orthodox medicine, and also branches of alternative medicine that are in the process of professionalization. The quantitative, positivist and empiricist assumptions of EBM dictate which approaches to treatment and which clinical procedures are legitimate and perhaps reimbursable under systems of managed care. The ramifications of practice guidelines and its effects upon the intraprofessional segments of the chiropractic profession are also discussed. PMID:15550303

Villanueva-Russell, Yvonne

2005-02-01

151

Assessing the evidence for the use of chiropractic manipulation in paediatric health conditions: A systematic review  

PubMed Central

OBJECTIVE To review the biomedical literature up to and including 2003, and determine the extent of the evidence related to the therapeutic application of chiropractic manipulation for paediatric health conditions. No critical appraisal of the evidence is undertaken. DATA SOURCES The indexed manual therapy sector including medical, chiropractic, physiotherapy, naturopathic and osteopathic literature was searched. This included PubMed; the Manual, Alternative, and Natural Therapy Index System; the Cumulative Index to Nursing and Allied Health Literature; the Index to Chiropractic Literature; the Paediatric Economic Database Evaluation Project; the Cochrane Library; the Canadian Coordinating Office for Health Technology Assessment database; and the Agency for Healthcare Research and Quality database. Other resources included research conference and symposium proceedings, and the references of identified studies. RESULT The search identified 1731 articles, of which 166 met the eligibility criteria. Two reviewers determined by consensus each citation’s appropriate level on the strength of evidence scale. There was one systematic review, nine randomized controlled trials, one observational study, 141 descriptive case studies and 14 conference abstracts. SUMMARY Health claims made by practitioners regarding the application of chiropractic manipulation as a health care intervention for paediatric health conditions are, for the most part, supported by low levels of scientific evidence. Chiropractors, in particular, employ manipulation for the treatment of a wide variety of paediatric health conditions. The evidence rests primarily with clinical experience, descriptive case studies and a few randomized controlled trials. There is a need for more rigorous scientific inquiry to examine the value of manipulative therapy in the treatment of paediatric conditions. To advance the health interests of paediatric patients, health care decisions made on the basis of expert opinion or clinical experience must integrate the best research evidence available from high-quality, scientific studies. PMID:19675828

Gotlib, Allan; Rupert, Ron

2005-01-01

152

The West Family Chiropractic Dynasty: celebrating a century of accomplishment in Canada  

PubMed Central

This historical treatise documents the unbroken legacy of the West family of chiropractors which has flourished in Canada for over 100 years. Part I, unearths the origins, development and careers of Archibald West, the founder of this dynasty, his son Samuel and grandson Stephen. Part II, not yet ready for publication, will delve into the lives of Archibald’s brother Samson and his chiropractic progeny, as well as a nephew of Stephen and another relative of Frederick West. PMID:20808618

Brown, Douglas M.

2010-01-01

153

Brown-Sequard Syndrome of the Cervical Spinal Cord after Chiropractic Manipulation  

Microsoft Academic Search

Summary: We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after chiropractic manipulation, consistent with contusion. The patient displayed clinical features of Brown-Sequard syn- drome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the pa- tient regained strength on

Maurice H. Lipper; Jonas H. Goldstein; Huy M. Do

154

Attitudes towards fibromyalgia: A survey of Canadian chiropractic, naturopathic, physical therapy and occupational therapy students  

PubMed Central

Background The frequent use of chiropractic, naturopathic, and physical and occupational therapy by patients with fibromyalgia has been emphasized repeatedly, but little is known about the attitudes of these therapists towards this challenging condition. Methods We administered a cross-sectional survey to 385 senior Canadian chiropractic, naturopathic, physical and occupational therapy students in their final year of studies, that inquired about attitudes towards the diagnosis and management of fibromyalgia. Results 336 students completed the survey (response rate 87%). While they disagreed about the etiology (primarily psychological 28%, physiological 23%, psychological and physiological 15%, unsure 34%), the majority (58%) reported that fibromyalgia was difficult to manage. Respondants were also conflicted in whether treatment should prioritize symptom relief (65%) or functional gains (85%), with the majority (58%) wanting to do both. The majority of respondents (57%) agreed that there was effective treatment for fibromyalgia and that they possessed the required clinical skills to manage patients (55%). Chiropractic students were most skeptical in regards to fibromyalgia as a useful diagnostic entity, and most likely to endorse a psychological etiology. In our regression model, only training in naturopathic medicine (unstandardized regression coefficient = 0.33; 95% confidence interval = 0.11 to 0.56) and the belief that effective therapies existed (unstandardized regression coefficient = 0.42; 95% confidence interval = 0.30 to 0.54) were associated with greater confidence in managing patients with fibromyalgia. Conclusion The majority of senior Canadian chiropractic, naturopathic, physical and occupational therapy students, and in particular those with naturopathic training, believe that effective treatment for fibromyalgia exists and that they possess the clinical skillset to effectively manage this disorder. The majority place high priority on both symptom relief and functional gains when treating fibromyalgia. PMID:18513441

Busse, Jason W; Kulkarni, Abhaya V; Badwall, Parminder; Guyatt, Gordon H

2008-01-01

155

Chiropractic/Rehabilitative Management of Post-Surgical Disc Herniation: A Retrospective Case Report  

PubMed Central

Abstract Objective To discuss management of postsurgical lumbar disc herniation using a program of chiropractic manipulation and an active rehabilitation program. Clinical Features The patient was a 54-year-old Caucasian male with a history of acute low back pain and left sciatic pain down the left posterior thigh and lateral calf and numbness in the dorsum of the left foot. Prior medical intervention included treatment with steroid anti-inflammatory drugs and lumbar microdiscectomy surgery, with incomplete resolution of his symptoms. The patient was unable to walk without pain or return to normal activities of daily living. He was antalgic in flexion. His lumbar range of motion was restricted in flexion and extension. He exhibited a positive straight leg raise and exhibited foot drop on the left. Intervention and Outcome The treatment plan and intervention consisted of patient education on proper posture and proper bending and lifting techniques. Rehabilitative exercise began in the office and progressed to home based therapy and exercises. He noticed a decrease in his signs and symptoms after seven visits. Active rehabilitation was continued with the goal of returning lumbar spinal extensor strength. He was released to home therapy and supportive chiropractic care with continued positive response. Conclusion Management of postsurgical lumbar disc herniation with chiropractic and active rehabilitation is discussed. Spinal deconditioning and a weakness of the lumbar spinal extensor muscles appeared to be related to the patient's symptoms. Patient education on proper posture, proper lifting techniques, core stabilization exercises, active strengthening exercise and chiropractic manipulation appeared effective in this case. PMID:19674632

Estadt, Gary M.

2004-01-01

156

Diversified chiropractic management in the treatment of osteoarthritis of the knee: a case report  

PubMed Central

Objective: To evaluate the effectiveness of a conservative protocol for the relief of pain and dysfunction in a patient with knee osteoarthritis (OA). Design: Prospective interventional case report. Patient: A 54-year-old female presented with a complaint of moderate knee pain in both knees with an onset of approximately 3 years. The diagnosis was symptomatic OA of the knees. Intervention and Outcome: The patient was treated conservatively with active, passive, and nutritional therapy. The progress of the patient was scored by knee ranges of motion, the Lequesne index, and the WOMAC index at baseline and every four weeks there after. The total follow-up time was five months. Results: Positive trends were seen in the knee flexion ROM, the Lequesne index, and the WOMAC index. Conclusion: The treatment protocol in this study was effective for the treatment of knee OA. Conservative chiropractic treatment of knee OA has not been well documented in the literature. There is a need to document the effect of chiropractic care on the progression of OA. This case report may serve as a stepping-stone for prospective controlled trials concerning chiropractic management of knee osteoarthritis.

Law, Ada

2001-01-01

157

Chiropractic management of a patient with ulnar nerve compression symptoms: a case report  

PubMed Central

Objective The purpose of this case report is to describe chiropractic management of a patient with arm and hand numbness and who was suspected to have ulnar nerve compression. Clinical Features A 41-year-old woman presented with hand weakness and numbness along the medial aspect of her right forearm and the 3 most medial fingers. The onset of symptoms presented suddenly, 3 weeks prior, when she woke up in the morning and assumed she had “slept wrong.” The patient’s posture showed protracted shoulders and moderate forward head carriage. Orthopedic assessment revealed symptomatic right elevated arm stress test, grip strength asymmetry, and a Tinel sign at the right cubital tunnel. Intervention and Outcome The patient was treated using chiropractic care, which consisted of manipulative therapy, myofascial therapy, and elastic therapeutic taping. Active home care included performing postural exercises and education about workstation ergonomics. She demonstrated immediate subjective improvement of her numbness and weakness after the first treatment. Over a series of 11 treatments, her symptoms resolved completely; and she was able to perform work tasks without dysfunction. Conclusion Chiropractic treatment consisting of manipulation, soft tissue mobilizations, exercise, and education of workstation ergonomics appeared to reduce the symptoms of ulnar nerve compression symptoms for this patient. PMID:24294148

Illes, Jennifer D.; Johnson, Theodore L.

2013-01-01

158

Chiropractic management of postoperative spine pain: a report of 3 cases  

PubMed Central

Objective The purpose of this case series is to describe chiropractic care including spinal manipulation for 3 patients with postsurgical spine pain. Clinical features Three patients with postsurgical spine pain (1 cervical fusion, 1 lumbar discectomy, and 1 lumbar laminectomy) presented for chiropractic treatment at a major US medical center. Treatment included spinal manipulation and/or flexion-distraction mobilization based on patient response to joint loading strategies. Intervention and outcomes Two patients were treated with high-velocity, low-amplitude spinal manipulation; and 1 patient was treated with flexion-distraction mobilization. Treatment frequency and duration were 4 treatments over 4 weeks for case 1, 17 treatments over 7 years for case 2, and 5 treatments over 5 weeks for case 3. Subjective improvement was noted using numeric pain scores and functional changes; and upon completion, the patients reported being “satisfied” with their overall outcome. One episode of transient benign soreness was noted by 1 patient. No additional adverse events or effects were noted. Conclusion In these 3 cases, patients with postsurgical spine pain responded positively to chiropractic care. Spinal manipulation/mobilization was tolerated without significant adverse effects. PMID:24396317

Coulis, Christopher M.; Lisi, Anthony J.

2013-01-01

159

Chiropractic care for patients with asthma: A systematic review of the literature  

PubMed Central

Objective: To provide a review of the literature and rate the quality of published studies regarding chiropractic care, including spinal manipulation, for asthmatic patients. Methods: A multimodal search strategy was conducted, including multiple database searches, along with reference and journal hand-searching. Studies were limited to those published in English and in peer-reviewed journals or conference proceedings between January 1980 and March 2009. All study designs were considered except personal narratives or reviews. Retrieved articles that met the inclusion criteria were rated for quality by using the Downs and Black checklist. A brief summary was also written for each retrieved study. Results: Eight articles met the inclusion criteria of this review in the form of one case series, one case study, one survey, two randomized controlled trials (RCTs), one randomized patient and observer blinded cross-over trial, one single blind cross study design, and one self-reported impairment questionnaire. Their quality scores ranged from 5 to 22 out of 27. Conclusion: Results of the eight retrieved studies indicated that chiropractic care showed improvements in subjective measures and, to a lesser degree objective measures, none of which were statistically significant. It is evident that some asthmatic patients may benefit from this treatment approach; however, at this time, the evidence suggests chiropractic care should be used as an adjunct, not a replacement, to traditional medical therapy. PMID:20195423

Kaminskyj, Adrienne; Frazier, Michelle; Johnstone, Kyle; Gleberzon, Brian J.

2010-01-01

160

On Vaccination & Chiropractic: when ideology, history, perception, politics and jurisprudence collide  

PubMed Central

The Palmers espoused anti-vaccination opinions in the early part of the 20th century, rejecting the germ theory of disease in favor of a worldview that a subluxation-free spine, achieved by spinal adjustments, would result in an unfettered innate intelligence; this, along with other healthful lifestyle choices, would allow a person to thwart disease by marshaling the body’s natural recuperative abilities. Some chiropractors continue to staunchly champion the Palmer postulates, while others do not. At the national level, advocacy organizations publish conflicting position statements. We explore how this divisiveness has impacted chiropractic ideology, perceptions among students and practitioners, politics and issues of jurisprudence as reflected by the evolution of a standard of chiropractic practice in at least one Canadian province (Ontario). We opine that the chiropractic profession should champion a health promotion and disease prevention approach to vaccination, which would allow it to align itself with the broader healthcare community while not abandoning its traditional tenets. PMID:23997246

Gleberzon, Brian; Lameris, Marlee; Schmidt, Catherine; Ogrady, Jillian

2013-01-01

161

Chiropractic management of a 47-year–old firefighter with lumbar disk extrusion  

PubMed Central

Abstract Objective This case report describes the effect of exercise-based chiropractic treatment on chronic and intractable low back pain complicated by lumbar disk extrusion. Clinical Features A 47-year–old male firefighter experienced chronic, unresponsive low back pain. Pre- and posttreatment outcome analysis was performed on numeric (0-10) pain scale, functional rating index, and the low back pain Oswestry data. Secondary outcome assessments included a 1-rep maximum leg press, balancing times, push-ups and sit-ups the patient performed in 60 seconds, and radiographic analysis. Intervention and Outcome The patient was treated with Pettibon manipulative and rehabilitative techniques. At 4 weeks, spinal decompression therapy was incorporated. After 12 weeks of treatment, the patient's self-reported numeric pain scale had reduced from 6 to 1. There was also overall improvement in muscular strength, balance times, self-rated functional status, low back Oswestry scores, and lumbar lordosis using pre- and posttreatment radiographic information. Conclusion Comprehensive, exercise-based chiropractic management may contribute to an improvement of physical fitness and to restoration of function, and may be a protective factor for low back injury. This case suggests promising interventions with otherwise intractable low back pain using a multimodal chiropractic approach that includes isometric strengthening, neuromuscular reeducation, and lumbar spinal decompression therapy. PMID:19646377

Schwab, Matthew J.

2008-01-01

162

Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66-99.  

PubMed

Study Design. Retrospective cohort studyObjective. In older adults with a neuromusculoskeletal complaint, to evaluate risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation, as compared to office visit for evaluation by primary care physicianSummary of Background Data. The risk of physical injury due to spinal manipulation has not been rigorously evaluated for older adults, a population particularly vulnerable to traumatic injury in general.Methods. We analyzed Medicare administrative data on Medicare B beneficiaries aged 66-99 with an office visit in 2007 for a neuromusculoskeletal complaint. Using a Cox proportional hazards model, we evaluated for adjusted risk of injury within 7 days, comparing two cohorts: those treated by chiropractic spinal manipulation vs. those evaluated by a primary care physician. We used direct adjusted survival curves to estimate the cumulative probability of injury. In the chiropractic cohort only, we used logistic regression to evaluate the effect of specific chronic conditions on likelihood of injury.Results. The adjusted risk of injury in the chiropractic cohort was lower as compared to the primary care cohort (hazard ratio 0.24; 95% CI 0.23-0.25). The cumulative probability of injury in the chiropractic cohort was 40 injury incidents per 100,000 subjects, as compared to 153 incidents per 100,000 subjects in the primary care cohort. Among subjects who saw a chiropractic physician, the likelihood of injury was increased in those with a chronic coagulation defect, inflammatory spondylopathy, osteoporosis, aortic aneurysm and dissection, or long-term use of anticoagulant therapy.Conclusions. Among Medicare beneficiaries aged 66-99 with an office visit risk for a neuromusculoskeletal problem, risk of injury to the head, neck or trunk within 7 days was 76% lower among subjects with a chiropractic office visit as compared to those who saw a primary care physician. PMID:25494315

Whedon, James M; Mackenzie, Todd A; Phillips, Reed B; Lurie, Jon D

2014-12-01

163

Chiropractic physicians: toward a select conceptual understanding of bureaucratic structures and functions in the health care institution  

PubMed Central

Objective The purpose of this article is to present select concepts and theories of bureaucratic structures and functions so that chiropractic physicians and other health care professionals can use them in their respective practices. The society-culture-personality model can be applied as an organizational instrument for assisting chiropractors in the diagnosis and treatment of their patients irrespective of locality. Discussion Society-culture-personality and social meaningful interaction are examined in relationship to the structural and functional aspects of bureaucracy within the health care institution of a society. Implicit in the examination of the health care bureaucratic structures and functions of a society is the focus that chiropractic physicians and chiropractic students learn how to integrate, synthesize, and actualize values and virtues such as empathy, integrity, excellence, diversity, compassion, caring, and understanding with a deep commitment to self-reflection. Conclusion It is essential that future and current chiropractic physicians be aware of the structural and functional aspects of an organization so that chiropractic and other health care professionals are able to deliver care that involves the ingredients of quality, affordability, availability, accessibility, and continuity for their patients. PMID:22693481

Fredericks, Marcel; Kondellas, Bill; Hang, Lam; Fredericks, Janet; Ross, Michael WV

2011-01-01

164

Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?  

PubMed Central

The understanding of the relationship between cervical manipulative therapy (CMT) and vertebral artery dissection and stroke (VADS) has evolved considerably over the years. In the beginning the relationship was seen as simple cause-effect, in which CMT was seen to cause VADS in certain susceptible individuals. This was perceived as extremely rare by chiropractic physicians, but as far more common by neurologists and others. Recent evidence has clarified the relationship considerably, and suggests that the relationship is not causal, but that patients with VADS often have initial symptoms which cause them to seek care from a chiropractic physician and have a stroke some time after, independent of the chiropractic visit. This new understanding has shifted the focus for the chiropractic physician from one of attempting to "screen" for "risk of complication to manipulation" to one of recognizing the patient who may be having VADS so that early diagnosis and intervention can be pursued. In addition, this new understanding presents the chiropractic profession with an opportunity to change the conversation about CMT and VADS by taking a proactive, public health approach to this uncommon but potentially devastating disorder. PMID:20682039

2010-01-01

165

Clinical presentation and chiropractic treatment of Tietze syndrome: A 34-year-old female with left-sided chest pain  

PubMed Central

Objective The purpose of this case report is to describe the clinical presentation and chiropractic management of Tietze syndrome. Clinical Features A 34-year-old woman presented with unexplained left-sided chest pain. Electrocardiogram and radiographs were taken at a medical emergency department to rule out cardiovascular and pulmonary causes, and pain medication did not relieve her pain. Physical examination showed tenderness on palpation and swelling of the second and third chondrosternal joints, as well as thoracic joint dysfunction. Heart and lung pathology was ruled out, and chondrosternal joint swelling was present, Tietze syndrome was diagnosed. Intervention and Outcome A treatment plan aimed at restoring normal thoracic and rib joint movement and decreasing inflammation of the chondrosternal joints resulted in lower pain levels. Treatment consisted of diversified high-velocity, low-amplitude chiropractic manipulation; activator technique; and cryotherapy. Conclusion Chiropractic management of Tietze syndrome was successful in reducing pain levels in this patient's case. PMID:22027210

Gijsbers, Eefje; Knaap, Simone F.C.

2011-01-01

166

Predictors of performance of students in biochemistry in a doctor of chiropractic curriculum.  

PubMed

Objective : This study investigated the effect of completion of course prerequisites, undergraduate grade point average (GPA), undergraduate degree, and study habits on the performance of students in the biochemistry course at Palmer College of Chiropractic Florida. Methods : Students self-reported information regarding academic preparation at the beginning of the semester using a questionnaire. Final exam grade and final course grade were noted and used as measures of performance. Multivariate analysis of variance was used to determine if number of prerequisites completed, undergraduate GPA, undergraduate degree, hours spent studying in undergraduate study, and hours spent studying in the first quarter of the chiropractic program were associated significantly with the biochemistry final exam grade or the final grade for the biochemistry course. Results : The number of prerequisites completed, undergraduate degree, hours spent studying in undergraduate study, and hours spent studying in the first quarter of the chiropractic program did not significantly affect the biochemistry final exam grade or the final grade for the biochemistry course, but undergraduate GPA did. Subsequent univariate analysis and Tukey's post hoc comparisons revealed that students with an undergraduate GPA in the 3.5 to 3.99 range earned significantly higher final course grades than students with an undergraduate GPA in the 2.5 to 2.99 range. Conclusion : No single variable was determined to be a factor that determines student success in biochemistry. The interrelationship between the factors examined warrants further investigation to understand fully how to predict the success of a student in the biochemistry course. PMID:24295362

Shaw, Kathy; Rabatsky, Ali; Dishman, Veronica; Meseke, Christopher

2014-01-01

167

Statin induced myopathy presenting as mechanical musculoskeletal pain observed in two chiropractic patients  

PubMed Central

Lipid lowering drugs, such as statins, are commonly used to treat approximately 10 million Canadians affected by hypercholesterolemia. The most commonly experienced side-effect of statin medication is muscle pain. Statin induced myopathy consists of a spectrum of myopathic disorders ranging from mild myalgia to fatal rhabdomyolysis. The following is a presentation of 2 cases of statin induced myopathy in patients presenting in a chiropractic setting. In addition, discussion will surround the mechanism, predisposing risk factors and frequency of statin induced myopathy while highlighting the role that chiropractors and other manual therapists may play in its recognition and management. PMID:20195425

Rodine, Robert J; Tibbles, Anthony C; Kim, Peter SY; Alikhan, Neetan

2010-01-01

168

The academic legitimization of chiropractic: the case of CMCC and York University  

PubMed Central

Despite the fact that chiropractic has been accepted by more and more Canadians and Americans, it has yet to gain a foothold on a large American or Canadian university campus. In Canada, the primary chiropractic educational institution, the Canadian Memorial Chiropractic College (CMCC), has attempted to affiliate with many universities including the University of Victoria, Brock University, the University of Waterloo, and, most recently, York University. The benefits of association with a university include eligibility for many research grants and academic legitimacy for the profession. While chiropractic has been denied university affiliation, other “subordinate” health occupations, such as nursing and midwifery, are currently taught in Ontario universities. The objective of the current research is to analyse the reasons for the failure of the CMCC to affiliate with York University. The major focus of the investigation is whether CMCC's lack of success can be viewed as a manifestation of the dominance of a medical model at York or whether arguments similar to those raised against CMCC are common in mergers in higher education. The first possibility is consistent with closure theory in general in which professions attempt to limit competition for scarce resources (in this case patients and status), and to the notions of medical dominance and medical sovereignty that are related to closure theory. The second explanation is consistent with “mutual-growth merger theory” in which it is postulated that mergers in higher education are successful when they are of benefit to both parties and a series of steps have been taken ranging from institutional self-assessment, that may involve conducting surveys of the university community, to post-merger consolidation and community building. Overall, it will be argued that the failure of the proposed affiliation is best explained by reference to closure theory, as manifested in medical dominance and medical sovereignty. Because of medical dominance and sovereignty. Because of medical dominance and sovereignty, even if steps consistent with mutual growth merger theory had been followed at York, it is questionable that affiliation would have been successful.

Grayson, J Paul

2002-01-01

169

Comminuted scapular body fractures: A report of three cases managed conservatively in chiropractic settings  

PubMed Central

Fractures of the scapula are relatively uncommon. Fractures specific to the scapular body comprise 35–65% of these fractures. Currently, 99% of all isolated scapular body fractures are being treated nonoperatively with an immobilizing sling or brace and some form of manual therapy with an 86% success rate. We present the conservative management of three patients with comminuted fractures involving the scapular body that were managed in chiropractic settings. Residual disabilities in these three patients as measured by a standardized outcome tool were 2%, 5% and 23% after 3 years, 2 years, and 6 years respectively. PMID:23754863

Scarano, Julie Lynn; Richardson, Matthew; Taylor, John A.

2013-01-01

170

Chiropractic management of episodic tension-type headache: a survey of clinical specialists  

PubMed Central

Tension-type headache (TTH) is a highly prevalent condition experienced annually by 30-70% of the population. As a chief complaint, it occupies 5-8% of chiropractors’ caseloads, but is probably more prevalent in multiple complaint cases. While numerous clinical descriptions exist in the literature of the management of TTH by chiropractors, and while there is a small body of clinical trials of the treatment of non-migrainous headache by spinal manipulation, there is no systematic survey of the approaches to its treatment by chiropractors. The goals of this study were to determine the test-retest reliability of a questionnaire designed to identify the most commonly used treatments for TTH and to report on any consistent findings as a potential profile of typical practice approach. The respondents consisted of a group of Canadian chiropractic clinical specialists. Respondents were asked to complete a survey which consisted of a comprehensive list of chiropractic treatment procedures including standard manual manipulations and mobilisations, soft tissue therapies, modalities, exercises, behavioral therapies, acupuncture, nutrition and four “systems” techniques. The respondents were asked to rate their frequency of use of these procedures on a 4-point scale ranging from “always” to “never”. The surveys were completed twice within a two day interval. The response rate was 18/25 (72%). Eighty-seven percent (87%) of the items were rated identically on both surveys. All but one of the items achieved a statistically significant reliability coefficient. The highest rated items were “upper cervical manipulations”, “upper cervical soft tissue therapy” and “neck stretching exercises”. The items which received the lowest endorsement were: chiropractic procedures to the dorso-lumbo-pelvic spine, most therapy modalities and the “systems” techniques which were included in the survey. Years in practice appeared to have very little effect on the use of the various procedures. With very minor exceptions, this group of respondents provided reliable and consistent responses which were also consistent with the clinical trial literature on the treatment of headache by spinal manipulation. We interpret this to indicate that the survey instrument has an acceptable level of reliability and validity for use in any larger study of field practitioners’ approaches to the treatment of TTH. The set of procedures endorsed by this group of specialists is presented as a possible set of “best-evidence practices” in the chiropractic management of tension-type headache.

Vernon, Howard; McDermaid, Cameron

1998-01-01

171

Symptomatic improvement in function and disease activity in a patient with ankylosing spondylitis utilizing a course of chiropractic therapy: a prospective case study  

PubMed Central

Background There is limited outcome measure support for chiropractic manipulative therapy in the management of ankylosing spondylitis. An improvement in specific indices for both function and disease activity during chiropractic therapy for ankylosing spondylitis has not previously been reported. Objective To measure changes in function and disease activity in a patient with ankylosing spondylitis during a course of chiropractic therapy. The clinical management of ankylosing spondylitis, including chiropractic manipulative therapy and the implications of this case study are discussed. Clinical Features A 34-year-old male with a 10 year diagnosis of ankylosing spondylitis sought chiropractic treatment for spinal pain and stiffness. His advanced radiographic signs included an increased atlantodental interspace and cervical vertebral ankylosis. Intervention and outcome The Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), finger-tip-to-floor distance and chest expansion were assessed during an 18 week course of chiropractic spinal manipulation and mobilization therapy. There was a 90% improvement in the disease activity index and an 85% improvement in the functional index from the pre-treatment baseline, as measured by the BASDAI and BASFI respectively. Spinal flexibility and chest expansion also improved. Conclusion To the authors knowledge this is the first study to incorporate ankylosing spondylitis specific indices, for both disease activity and function, to objectively support the use of chiropractic manipulative therapy in the management of ankylosing spondylitis. More intensive research is suggested. PMID:17549197

Rutherford, Susan M; Nicolson, Cameron F; Crowther, Edward R

2005-01-01

172

Application of lead-acrylic compensating filters in chiropractic full spine radiography: a technical report  

SciTech Connect

X-raying the entire spinal column in the standing position in a single exposure (mainly the AP projection) is an often-used chiropractic radiography procedure which has also found some application in medical scoliosis screening program. Aside from any controversy of clinical objectives or medical necessity, the primary agreed-upon requisite for such procedure is twofold; achieving the best possible film image quality with the least amount of radiation exposure to the patient. A popular method of accomplishing this objective is by the use of collimator-attached devices designed to selectively filter the primary x-ray beam in accordance with regional variations of body thickness and/or density. This study was conducted to evaluate the use of a new lead-acrylic filter system under specialized chiropractic conditions. In comparison to other available systems, it was concluded that this new system; a) is generally equivalent in its radiation dose reduction capabilities; b) is capable of producing full spine radiographs with good to above average image quality; and c) is appreciably easier to use.

Buehler, M.T.; Hrejsa, A.F.

1985-09-01

173

Restructuring of the jurisprudence course taught at the Canadian Memorial Chiropractic College  

PubMed Central

Introduction: The process by which the jurisprudence course was restructured at the Canadian Memorial Chiropractic College is chronicled. Method: A Delphi process used to restructure the course is described, and the results of a student satisfaction survey are presented. Results: When asked “I think this material was clinically relevant,” over 81% of the 76 students who respondents strongly agreed or agreed with this statement; 100% of students agreed or strongly agreed that scope of practice; marketing, advertising and internal office promotion; record keeping; fee schedules; malpractice issues and; professional malpractice issues and negligence was clinically relevant. When asked “I think this material was taught well,” a minimum of 89% of students agreed or strongly agreed with this statement. Discussion: This is the first article published that described the process by which a jurisprudence course was developed and assessed by student survey. Summary: Based on a survey of student perceptions, restructuring of the jurisprudence course was successful in providing students with clinically relevant information in an appropriate manner. This course may serve as an important first step in development a ‘model curriculum’ for chiropractic practice and the law courses in terms of content, format and assessment strategies. PMID:20195427

Gleberzon, Brian J.

2010-01-01

174

A Model for Learning to Understand and Communicate the Philosophy of Chiropractic: Using the 7 Habits of Highly Effective People  

Microsoft Academic Search

Background: From the beginning, communicating the philosophy of chiropractic has created turmoil within the profession, caused debate over its practicality, and sometimes been discarded as useless. A search began for a model to create avenues of understanding and communication. Other professionals have used Covey's 7 Habits as a model for success in communicating their principles and we felt that the

Timothy A. Gross

2005-01-01

175

Simultaneous bilateral internal carotid and vertebral artery dissection following chiropractic manipulation: case report and review of the literature  

Microsoft Academic Search

Single-vessel cervical arterial dissections typically occur in young adults and are a common cause of cerebral ischemia and stroke. Although the pathogenesis of multivessel dissection is unclear, it is thought to be a consequence of underlying collagen vascular disease. We present a 34-year-old previously healthy man who developed bilateral internal carotid and vertebral artery dissection following chiropractic manipulation.

R. N. Nadgir; L. A. Loevner; T. Ahmed; G. Moonis; J. Chalela; K. Slawek; S. Imbesi

2003-01-01

176

Unsubstantiated claims in patient brochures from the largest state, provincial, and national chiropractic associations and research agencies  

Microsoft Academic Search

Objective: To determine the presence or absence of claims for the clinical art of chiropractic that are not currently justified by available scientific evidence or are intrinsically untestable. Design: A survey of patient education and promotional material produced by national, state, and provincial societies and research agencies in Canada and the United States. Method: Patient brochures were solicited from the

Jaroslaw P. Grod; David Sikorski; Joseph C. Keating

2001-01-01

177

A feasibility study of chiropractic spinal manipulation versus sham spinal manipulation for chronic otitis media with effusion in children  

Microsoft Academic Search

Background: Pediatric otitis media with effusion is a common and costly condition. Although chiropractors have anecdotally claimed success in treating otitis media, there is little research to support their claims. Objective: A pilot study was undertaken for the purpose of assessing the feasibility of conducting a full-scale randomized clinical trial investigating the efficacy of chiropractic spinal manipulative therapy (SMT) for

Charles E. Sawyer; Roni L. Evans; Patrick D. Boline; Richard Branson; Anne Spicer

1999-01-01

178

Low Back Pain in Primary Care: A Description of 1250 Patients with Low Back Pain in Danish General and Chiropractic Practice  

PubMed Central

Study Design. Baseline description of a multicenter cohort study. Objective. To describe patients with low back pain (LBP) in both chiropractic and general practice in Denmark. Background. To optimize standards of care in the primary healthcare sector, detailed knowledge of the patient populations in different settings is needed. In Denmark, most LBP-patients access primary healthcare through chiropractic or general practice. Methods. Chiropractors and general practitioners recruited adult patients seeking care for LBP. Extensive baseline questionnaires were obtained and descriptive analyses presented separately for general and chiropractic practice patients, Mann-Whitney rank sum test and Pearson's chi-square test, were used to test for differences between the two populations. Results. Questionnaires were returned from 934 patients in chiropractic practice and 319 patients from general practice. Four out of five patients had had previous episodes, one-fourth were on sick leave, and the LBP considerably limited daily activities. The general practice patients were slightly older and less educated, more often females, and generally worse on all disease-related parameters than chiropractic patients. All differences were statistically significant. Conclusions. LBP in primary care was recurrent, causing sick leave and activity limitations. There were clear differences between the chiropractic and general practice populations in this study. PMID:25436149

Munck, Anders; Jarbøl, Dorte Ejg; Søndergaard, Jens

2014-01-01

179

A comparison of quality and satisfaction experiences of patients attending chiropractic and physician offices in Ontario  

PubMed Central

Introduction: Improving the quality of healthcare is a common goal of consumers, providers, payer groups, and governments. There is evidence that patient satisfaction influences the perceptions of the quality of care received. Methods: This exploratory, qualitative study described and analyzed, the similarities and differences in satisfaction and dissatisfaction experiences of patients attending physicians (social justice) and chiropractors (market justice) for healthcare services in Niagara Region, Ontario. Using inductive content analysis the satisfaction and dissatisfaction experiences were themed to develop groups, categories, and sub-categories of quality judgments of care experiences. Results: Study participants experienced both satisfying and dissatisfying critical incidents in the areas of standards of practice, professional and practice attributes, time management, and treatment outcomes. Cost was not a marked source of satisfaction or dissatisfaction. Conclusion: Patients may be more capable of generating quality judgments on the technical aspects of medical and chiropractic care, particularly treatment outcomes and standards of practice, than previously thought. PMID:24587494

Crowther, Edward R.

2014-01-01

180

A narrative review of medical, chiropractic, and alternative health practices in the treatment of primary dysmenorrhea  

PubMed Central

Abstract Objective Primary dysmenorrhea and related issues are discussed as they influence the gynecological and social health of females during adolescence, adulthood, and senior maturity. Health practitioners are exposed to multiple approaches towards the management of menstrual pain. Clinical and social viewpoints target the causation, development, diagnosis, manifestation and management of primary dysmenorrhea. This narrative review includes the topic of the doctor-patient relationship in efforts of cultivating effectively communicative health practitioners. Controversial topics related to primary dysmenorrhea and the quality of life for women are addressed. Data Sources A search for literature reviews, case studies, laboratory research, and clinical trials from 1985–2004 was performed using the MEDLINE database. Sources of additional information included textbooks, national organizational literature and contemporary articles. Discussion Menstrual pain is a prevalent experience yet it is socially taboo for conversation; as such, it poses a hindrance to its management. The communication between the doctor and patient is a critical barrier point between establishing a diagnosis and determining an appropriate treatment plan. A multi-disciple treatment plan varies as much as patients themselves vary in personal experiences, needs, and preferences. Conclusions Medicinal prophylactics, physical therapeutics, non-acidic diets, herbal supplements, eastern therapies and the chiropractic manual adjustments of the spine are effective methods for the management of primary dysmenorrhea. The non-invasive management of primary dysmenorrhea includes the chiropractic adjustment with complimentary modalities, and other alternative health care practices. Medicinal prophylactics are invasive and pose a higher risk to long-term chemical exposure, side effects or irreversible conditions. PMID:19674650

Spears, Lolita G.

2005-01-01

181

A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder  

PubMed Central

Background Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs). Methods The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders. Results The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality. Conclusions The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study. Practical Implications. This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD. PMID:24080932

DeVocht, James W.; Goertz, Christine M.; Hondras, Maria A.; Long, Cynthia R.; Schaeffer, Wally; Thomann, Lauren; Spector, Michael; Stanford, Clark M.

2014-01-01

182

Chiropractic Research  

MedlinePLUS

... 000 Blue Cross Blue Shield (BCBS) beneficiaries in Tennessee over a two-year span. The study population ... savings of $2.3 million for BCBS of Tennessee. They also concluded that insurance companies that restrict ...

183

Chiropractic Management and Rehabilitation of a 38-Year-Old Male with an L5-S1 Disc Herniation  

PubMed Central

Abstract Objective To present a chiropractic treatment plan for a patient with lumbar disc herniation including radicular symptoms below the knee. Clinical Features A 38-year-old male experienced lumbar disc herniation with radicular symptoms to the lower extremities, below the knee. Etiology of this episode included a traumatic injury which was complicated by chronic degenerative joint and disc changes. Intervention and Outcome The treatment regime included chiropractic spinal manipulation, modalities and exercise rehabilitation. Specific rehabilitation exercises were used during various stages of healing in an attempt to stabilize a potential surgical case. Goals of care were to alleviate pain, increase function, and decrease peripheralization related to disc herniation in this case. The patient reached a level of functional biomechanical stability over 15 weeks. Conclusion This case demonstrates that with proper management, rehabilitation of a patient with disc herniation can be reached in a short duration of time. PMID:19674637

Hammer, Christopher J.

2004-01-01

184

Chiropractic management of a patient with postoperative lateral retinacular release using a multimodal approach: a case report  

PubMed Central

Objective The purpose of this case report is to describe a chiropractic rehabilitation program for a patient with postsurgical lateral retinaculum release. Clinical Features A 26-year-old male ice hockey goalie presented 1 month after having lateral retinaculum release surgery for his left knee with residual mild discomfort and edema in his left knee. Intervention and Outcome The patient was treated using a multimodal approach of both passive and active chiropractic care focusing on the restoration of full range of motion, increased proprioception, balance, strength, and endurance to return the patient to competitive ice hockey. Conclusion This case study demonstrated that, after 14 weeks of care, the patient was able to return to ice hockey training with no residual symptoms. PMID:22942841

Solecki, Thomas J.; Hostnik, Kurt D.

2012-01-01

185

Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial  

PubMed Central

Background Back-related leg pain (BRLP) is a common variation of low back pain (LBP), with lifetime prevalence estimates as high as 40%. Often disabling, BRLP accounts for greater work loss, recurrences, and higher costs than uncomplicated LBP and more often leads to surgery with a lifetime incidence of 10% for those with severe BRLP, compared to 1-2% for those with LBP. In the US, half of those with back-related conditions seek CAM treatments, the most common of which is chiropractic care. While there is preliminary evidence suggesting chiropractic spinal manipulative therapy is beneficial for patients with BRLP, there is insufficient evidence currently available to assess the effectiveness of this care. Methods/Design This study is a two-site, prospective, parallel group, observer-blinded randomized clinical trial (RCT). A total of 192 study patients will be recruited from the Twin Cities, MN (n = 122) and Quad Cities area in Iowa and Illinois (n = 70) to the research clinics at WHCCS and PCCR, respectively. It compares two interventions: chiropractic spinal manipulative therapy (SMT) plus home exercise program (HEP) to HEP alone (minimal intervention comparison) for patients with subacute or chronic back-related leg pain. Discussion Back-related leg pain (BRLP) is a costly and often disabling variation of the ubiquitous back pain conditions. As health care costs continue to climb, the search for effective treatments with few side-effects is critical. While SMT is the most commonly sought CAM treatment for LBP sufferers, there is only a small, albeit promising, body of research to support its use for patients with BRLP. This study seeks to fill a critical gap in the LBP literature by performing the first full scale RCT assessing chiropractic SMT for patients with sub-acute or chronic BRLP using important patient-oriented and objective biomechanical outcome measures. Trial Registration ClinicalTrials.gov NCT00494065 PMID:21426558

2011-01-01

186

Self-regulation in a small professional group is an important step toward professionalization: the Chiropractic Association in Singapore  

PubMed Central

Objective The chiropractic profession is immersed in the process of professionalization with particular consideration of self-regulation as an avenue toward state recognition in Singapore. The purpose of this article is to discuss the emergence of chiropractic as a profession in Singapore and the Chiropractic Association (Singapore). Discussion The concept of professionalization is varied and context based, and the institutionalization of formal knowledge plays an important role in the socialization of how a profession forms a unifying identity. The difference in institutional socialization of the professions plays a role in the way a profession is perceived in the hierarchy of societal power. Continuing professional development is an essential part of professionalism and is best done within the realm of self-regulation and autonomous control of the profession itself. Conclusion The social process of professionalization can be a process of internal conflict and external battles almost from the profession's inception with university training only entering late in its development, rather than being a linear development. A sequential progress ensued as with other professions, with the seeking of legal protection and a code of ethics as the final areas reached toward becoming an acknowledged member of the health care system. PMID:22693465

Jorgensen, Anna Maria S.; Sheppard, Lorraine A.

2010-01-01

187

Presentation of an 85-Year-Old Woman With Musculoskeletal Pain to a Chiropractic Clinic: A Case of Ischemic Stroke  

PubMed Central

Objective The purpose of this case is to describe a patient who had a stroke preceding a chiropractic appointment and was unaware that the cerebrovascular event had occurred. Clinical features An 85-year-old established patient presented for chiropractic treatment of pain in the left side of the neck, hip, and low back associated with known advanced degenerative spinal disease and lumbar stenosis. On the day of presentation, the patient reported morning nausea, double vision, and right-sided vision loss; she related that she had collided into a car while driving to the appointment. Review of her medical history divulged residual neurological deficits related to a previous subdural hematoma, resulting in craniotomy. Examination revealed a right inferior quadrantanopia in the right eye and right nasal hemianopia in the left eye. Nystagmus was present in the left eye with saccadic intrusion on pursuit right to left. Intervention and outcome The patient was transported immediately to an emergency room,where diagnosis of an Acute infarct in the left cerebrum at the junction of the left occipital, parietal and temporal lobes in the watershed area was confirmed. Conclusion Patients with signs and symptoms of stroke in progress may occasionally present for chiropractic care. It is imperative to complete a thorough history and examination prior to care. PMID:24711785

Liebich, Julia M.; Reinke, Tari S.

2014-01-01

188

Multimodal Chiropractic Care of Pain and Disability for a Patient Diagnosed With Benign Joint Hypermobility Syndrome: A Case Report  

PubMed Central

Objective The purpose of this case report is to describe multimodal chiropractic care of a female patient diagnosed with benign joint hypermobility syndrome (BJHS) and a history of chronic spine pain. Clinical features A 23-year-old white female presented for chiropractic care with chronic low back pain, neck pain, and headaches. The patient was diagnosed with BJHS, including joint hypermobility of her thumbs, elbows, right knee, and lumbopelvic region. A 6-year history of low back pain and varicose veins in her posterior thighs and knees were additional significant diagnostic findings of BJHS. Interventions and outcomes The treatment consisted of spinal and extremity manipulation, Graston technique, and postisometric relaxation combined with sensory motor stimulation and scapular stabilization exercises. The patient was seen 15 times over an 18-week period. After 18 weeks of care, the Revised Oswestry Low Back Questionnaire and Headache Disability Index demonstrated clinically important improvements with her low back pain and headache; but little change was noted in her neck pain as measured by the Neck Disability Index. Conclusion This patient with BJHS who had decreased disability and spine pain improved after a course of multimodal chiropractic care. PMID:24711783

Strunk, Richard G.; Pfefer, Mark T.; Dube, Derrick

2014-01-01

189

Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report  

PubMed Central

Objective The purpose of this case report is to describe the chiropractic management of a patient who had postoperative reconstructive surgery for an anterior cruciate ligament (ACL) tear. Clinical Features A 25-year-old man experienced a rupture of his left ACL, as well as a bucket-handle tear of the medial meniscus and full-thickness tear within the posterior horn of the lateral meniscus, following direct-contact trauma while playing basketball. Intervention and Outcome Postoperative care included a 12-week functional chiropractic rehabilitation program along with Active Release Technique, Graston Technique, and Kinesio Taping. Following treatment, the patient recorded a 0/10 on the Numeric Pain Scale, recorded improvement on the Patient Specific Functional and Pain Scales, returned to play with no complications, and had complete restoration of range of motion and lower extremity muscle strength. At 1-year follow-up, the patient reported no pain and was fully functional. Conclusion A multimodal approach to the treatment of a postsurgical ACL repair was successful in restoring functional ability, as well as complete subjective pain relief. Chiropractic care may be a beneficial addition to the care of postoperative patients. PMID:22027208

Solecki, Thomas J.; Herbst, Elizabeth M.

2011-01-01

190

Chiropractic clinical practice guideline: evidence-based treatment of adult neck pain not due to whiplash  

PubMed Central

OBJECTIVE To provide an evidence-based clinical practice guideline for the chiropractic cervical treatment of adults with acute or chronic neck pain not due to whiplash. This is a considerable health concern considered to be a priority by stakeholders, and about which the scientific information was poorly organized. OPTIONS Cervical treatments: manipulation, mobilization, ischemic pressure, clinic- and home-based exercise, traction, education, low-power laser, massage, transcutaneous electrical nerve stimulation, pillows, pulsed electromagnetic therapy, and ultrasound. OUTCOMES The primary outcomes considered were improved (reduced and less intrusive) pain and improved (increased and easier) ranges of motion (ROM) of the adult cervical spine. EVIDENCE An “extraction” team recorded evidence from articles found by literature search teams using 4 separate literature searches, and rated it using a Table adapted from the Oxford Centre for Evidence-based Medicine. The searches were 1) Treatment; August, 2003, using MEDLINE, CINAHL, AMED, MANTIS, ICL, The Cochrane Library (includes CENTRAL), and EBSCO, identified 182 articles. 2) Risk management (adverse events); October, 2004, identified 230 articles and 2 texts. 3) Risk management (dissection); September, 2003, identified 79 articles. 4) Treatment update; a repeat of the treatment search for articles published between September, 2003 and November, 2004 inclusive identified 121 articles. VALUES To enable the search of the literature, the authors (Guidelines Development Committee [GDC]) regarded chiropractic treatment as including elements of “conservative” care in the search strategies, but not in the consideration of the range of chiropractic practice. Also, knowledge based only on clinical experience was considered less valid and reliable than good-caliber evidence, but where the caliber of the relevant evidence was low or it was non-existent, unpublished clinical experience was considered to be equivalent to, or better than the published evidence. REPORTED BENEFITS, HARMS AND COSTS The expected benefits from the recommendations include more rapid recovery from pain, impairment and disability (improved pain and ROM). The GDC identified evidence-based pain benefits from 10 unimodal treatments and more than 7 multimodal treatments. There were no pain benefits from magnets in necklaces, education or relaxation alone, occipital release alone, or head retraction-extension exercise combinations alone. The specificity of the studied treatments meant few studies could be generalized to more than a minority of patients. Adverse events were not addressed in most studies, but where they were, there were none or they were minor. The theoretic harm of vertebral artery dissection (VAD) was not reported, but an analysis suggested that 1 VAD may occur subsequent to 1 million cervical manipulations. Costs were not analyzed in this guideline, but it is the understanding of the GDC that recommendations limiting ineffective care and promoting a more rapid return of patients to full functional capacity will reduce patient costs, as well as increase patient safety and satisfaction. For simplicity, this version of the guideline includes primarily data synthesized across studies (evidence syntheses), whereas the technical and the interactive versions of this guideline (http://ccachiro.org/cpg) also include relevant data from individual studies (evidence extractions). RECOMMENDATIONS The GDC developed treatment, risk-management and research recommendations using the available evidence. Treatment recommendations addressing 13 treatment modalities revolved around a decision algorithm comprising diagnosis (or assessment leading to diagnosis), treatment and reassessment. Several specific variations of modalities of treatment were not recommended. For adverse events not associated with a treatment modality, but that occur in the clinical setting, there was evidence to recommend reconsideration of treatment options or referral to the appropriate health services. For adverse eve

Anderson-Peacock, Elizabeth; Blouin, Jean-Sébastien; Bryans, Roland; Danis, Normand; Furlan, Andrea; Marcoux, Henri; Potter, Brock; Ruegg, Rick; Gross Stein, Janice; White, Eleanor

2005-01-01

191

Is there a chilly climate? An educational environmental mixed method study in a chiropractic training institution  

PubMed Central

Objective The attitude towards gender in an educational environment has a significant impact on a student's behavior, sense of well-being, and academic performance. Our study aimed to explore the presence and extent of gender-related issues in a chiropractic undergraduate learning environment, which has been a scarcely researched topic in the literature. Methods The Perceived Chilly Climate Scale (PCCS) was used as the initial tool for screening the gender issues among undergraduates. The issues identified were explored further with a series of focus group interviews. Results The PCCS had an 83% response rate. The PCCS score (105/196) indicated the nonexistence of alarming gender-related issues. However, the PCCS score was significantly higher among female than male subjects, immigrants than nonimmigrants, and minorities than majority ethnic groups. Despite high ratings on the questionnaire quantitative findings, the focus groups indicated a good sense of equality, oppression-free environment, and no obvious signs of discrimination. Conclusion The educational environment of the institution concerned was conducive to equality. However, subtle but important gender-, ethnic-, and minority-related issues could be addressed to provide an enhanced educational environment to learners. PMID:23518905

Palmgren, Per J.; Chandratilake, Madawa; Nilsson, Gunnar H.; Laksov, Klara Bolander

2013-01-01

192

Audit and feedback intervention: An examination of differences in chiropractic record-keeping compliance.  

PubMed

Objective : The objective of this study was to investigate the association of a clinical documentation quality improvement program using audit-feedback with clinical compliance to indicators of quality chart documentation. Methods : This was an analysis of differences between adherence to quality indicators of chiropractic record documentation and audit-feedback intervention (feedback report only vs. feedback report with one-on-one educational consultation) at different campuses. Comparisons among groups were analyzed using analysis of variance (ANOVA), Tukey or Dunnett post hoc tests, and Cohen's d effect size estimates. Results : There was a significant increase in the mean percentile compliance in 2 of 5 compliance areas and 1 of 11 compliance objectives. Campus B demonstrated significantly higher levels of compliance relative to campus A and/or campus C in 5 of 5 compliance areas and 7 of 11 compliance objectives. Across-campus comparisons indicated that the compliance area Review (Non-Medicare) Treatment Plan [F(2,18) = 17.537, p < .001] and compliance objective Treatment Plan Goals [F(2,26) = 5.653, p < .001] exhibited the highest practical importance for clinical compliance practice. Conclusions : Feedback of performance improved compliance to indicators of quality health record documentation, especially when baseline adherence is relatively low. Required educational consultations with clinicians combined with audit-feedback were no more effective at increasing compliance to indicators of quality health record documentation than audit-feedback alone. PMID:24804561

Homb, Nicole M; Sheybani, Shayan; Derby, Dustin; Wood, Kurt

2014-10-01

193

Audit and feedback intervention: An examination of differences in chiropractic record-keeping compliance  

PubMed Central

Objective The objective of this study was to investigate the association of a clinical documentation quality improvement program using audit–feedback with clinical compliance to indicators of quality chart documentation. Methods This was an analysis of differences between adherence to quality indicators of chiropractic record documentation and audit–feedback intervention (feedback report only vs. feedback report with one-on-one educational consultation) at different campuses. Comparisons among groups were analyzed using analysis of variance (ANOVA), Tukey or Dunnett post hoc tests, and Cohen's d effect size estimates. Results There was a significant increase in the mean percentile compliance in 2 of 5 compliance areas and 1 of 11 compliance objectives. Campus B demonstrated significantly higher levels of compliance relative to campus A and/or campus C in 5 of 5 compliance areas and 7 of 11 compliance objectives. Across-campus comparisons indicated that the compliance area Review (Non-Medicare) Treatment Plan [F(2,18) = 17.537, p < .001] and compliance objective Treatment Plan Goals [F(2,26) = 5.653, p < .001] exhibited the highest practical importance for clinical compliance practice. Conclusions Feedback of performance improved compliance to indicators of quality health record documentation, especially when baseline adherence is relatively low. Required educational consultations with clinicians combined with audit–feedback were no more effective at increasing compliance to indicators of quality health record documentation than audit–feedback alone. PMID:24804561

Homb, Nicole M.; Sheybani, Shayan; Derby, Dustin; Wood, Kurt

2014-01-01

194

A health care system in transformation: making the case for chiropractic  

PubMed Central

There are a number of factors that have conspired to create a crisis in healthcare. In part, the successes of medical science and technologies have been to blame, for they have led to survival where lives would previously have been cut short. An informed public, aware of these technological advances, is demanding access to the best that healthcare has to offer. At the same time the burden of chronic disease in an increasing elderly population has created a marked growth in the need for long term care. Current estimates for expenditure predict a rapid escalation of healthcare costs as a proportion of the GDP of developed nations, yet at the same time a global economic crisis has necessitated dramatic cuts in health budgets. This unsustainable position has led to calls for an urgent transformation in healthcare systems. This commentary explores the present day healthcare crisis and looks at the opportunities for chiropractors as pressure intensifies on politicians and leaders in healthcare to seek innovative solutions to a failing model. Amidst these opportunities, it questions whether the chiropractic profession is ready to accept the challenges that integration into mainstream healthcare will bring and identifies both pathways and potential obstacles to acceptance. PMID:23216921

2012-01-01

195

Paraplegia in a chiropractic patient secondary to atraumatic dural arteriovenous fistula with perimedullary hypertension: case report  

PubMed Central

Intracranial dural arteriovenous fistulas are abnormal communications between higher-pressure arterial circulation and lower-pressure venous circulation. This abnormal communication can result in important and frequently misdiagnosed neurological abnormalities. A case of rapid onset paraplegia following cervical chiropractic manipulation is reviewed. The patient’s generalized spinal cord edema, lower extremity paraplegia and upper extremity weakness, were initially believed to be a complication of the cervical spinal manipulation that had occurred earlier on the day of admission. Subsequent diagnostic testing determined the patient suffered from impaired circulation of the cervical spinal cord produced by a Type V intracranial arteriovenous fistula and resultant venous hypertension in the pontomesencephalic and anterior spinal veins. The clinical and imaging findings of an intracranial dural arteriovenous fistula with pontomesencephalic venous congestion and paraplegia are reviewed. This case report emphasizes the importance of thorough and serial diagnostic imaging in the presence of sudden onset paraplegia and the potential for error when concluding atypical neurological presentations are the result of therapeutic misadventure. PMID:23830411

2013-01-01

196

Patient characteristics and physicians' practice activities for patients with chronic low back pain: A practice-based study of primary care and chiropractic physicians  

Microsoft Academic Search

Background: Chronic low back pain sufferers are among those who account for the greatest usage of health care resources. Primary care medical (MD) physicians and chiropractic (DC) physicians treat most of these patients. Objectives: To study patient characteristics and physician practice activities for patients with chronic low back pain treated by DC physicians and MD physicians. Methods: A longitudinal, practice-based

Joanne Nyiendo; Mitchell Haas; Bruce Goldberg; Gary Sexton

2001-01-01

197

Predictive factors for 1-year outcome of low-back and neck pain in patients treated in primary care: comparison between the treatment strategies chiropractic and physiotherapy  

Microsoft Academic Search

The inability to predict outcome in patients with low back\\/neck pain leads to inappropriate or unnecessary treatment. The aims of the study were to identify prognostic factors for disability at 1-year follow-up in patients with back pain visiting primary care, and to compare the effect of these in two treatment strategies – chiropractic and physiotherapy. Data were taken from a

Elisabeth I Skargren; Birgitta E. Öberg

1998-01-01

198

A survey of accessibility and utilisation of chiropractic services for wheelchair-users in the United Kingdom: What are the issues?  

PubMed Central

Background People with physical disabilities experience barriers to healthcare across all services despite a legal and moral obligation to the contrary. Complementary medicine is considered as supplementary to conventional care and integration of these approaches is essential to achieve optimal care. This paper explores the utilisation of chiropractic services and practitioner experiences of treating wheelchair-users which appears under-reported. Methods A 20 item questionnaire was posted to 250 randomly selected chiropractors registered with the General Chiropractic Council. Follow-up questionnaires were sent 7 days after the initial return date. Quantitative data were subjected to frequency analysis. Results The response rate was 64% (n = 161). The majority (66%) of chiropractors had been in practice less than 10 years and were practice owners (50%). Fifty-two percent of chiropractors sampled had treated a patient in a wheelchair in the previous 5 years. The majority (87%) had treated between 1 and 5 such patients. Patients with multiple sclerosis, stroke and cerebral palsy most commonly presented for treatment. The majority of patients' presenting complaint was musculoskeletal in origin, primarily for pain control. Only 13% of respondents worked in a fully accessible clinic. Impracticality of alterations was the most common reason for inaccessibility. Conclusions Wheelchair-users seem to be an underserved patient group in relation to chiropractic services. Chiropractic management is primarily utilised for pain control in patients with physical disabilities in which mobility may be improved or maintained. Co-management of wheelchair-users with GPs appears to be desirable in order to achieve optimal patient care however more research is required regarding the efficacy of chiropractic treatment for a range of disabling conditions. Physical access was identified as a key barrier to accessing care. PMID:21914167

2011-01-01

199

A Practice-Based Study of Patients with Acute and Chronic Low Back Pain Attending Primary Care and Chiropractic Physicians: Two-Week to 48Month Follow-Up  

Microsoft Academic Search

ObjectiveThis study reports pain and disability outcomes up to 4 years for chiropractic and medical patients with low back pain (LBP) and assesses the influence of doctor type and pain duration on clinical outcomes.

Mitchell Haas; Bruce Goldberg; Mikel Aickin; Bonnie Ganger; Michael Attwood

2004-01-01

200

Knowledge and application of correct car seat head restraint usage among chiropractic college interns: a cross-sectional study  

PubMed Central

Summary of background data Cervical spine injuries sustained in rear-end crashes cost at least $7 billion in insurance claims annually in the United States alone. When positioned correctly, head restraint systems have been proven effective in reducing the risk of whiplash associated disorders. Chiropractors should be knowledgeable about the correct use of head restraint systems to educate their patients and thereby prevent or minimize such injuries. Objectives The primary objective of this study was to determine the prevalence of correct positioning of car seat head restraints among the interns at our institution. The secondary objective was to determine the same chiropractic interns’ knowledge of the correct positioning of car seat head restraints. It was hypothesized that 100 percent of interns would have their head restraint correctly positioned within an acceptable range and that all interns would possess the knowledge to instruct patients in the correct positioning of head restraints. Study Design Cross-sectional study of a convenient sample of 30 chiropractic interns from one institution. Methods Interns driving into the parking lot of our health center were asked to volunteer to have measurements taken and to complete a survey. Vertical and horizontal positions of the head restraint were measured using a beam compass. A survey was administered to determine knowledge of correct head restraint position. The results were recorded, entered into a spreadsheet, and analyzed. Results 13.3 percent of subjects knew the recommended vertical distance and only 20 percent of subjects knew the recommended horizontal distance. Chi Square analyses substantiated that the majority of subjects were unaware of guidelines set forth by the National Highway Traffic Safety Administration (NHTSA) for the correct positioning of the head restraint (?2vertical = 16.13, ?2horizontal = 10.80, p <.05). Only 6.7 percent of the subjects positioned their head restraint at the vertical distance of 6 cm or less (p <.05). However, 60 percent of the subjects positioned their head restraint at the recommended horizontal distance of 7 cm or less, but this was no different than could be expected by chance alone (p >.05). Interestingly, the 13.3 percent of the subjects who were aware of the vertical plane recommendations did not correctly position their own head restraint in the vertical plane. Similarly, only half of the subjects who were aware of the horizontal plane recommendations correctly positioned their head restraint in the horizontal plane. The data suggest that chance alone could account for the correct positioning of the head restraint in our subjects. Conclusions The results of this cross-sectional study raise concerns about chiropractic intern knowledge and application of correct head restraint positioning. The importance of chiropractors informing patients of the correct head restraint position should be emphasized in chiropractic education to help minimize or prevent injury in patients involved in motor vehicle collisions. PMID:17549149

Taylor, John AM; Burke, Jeanmarie; Gavencak, John; Panwar, Pervinder

2005-01-01

201

Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey  

PubMed Central

Background As health care has increased in complexity and health care teams have been offered as a solution, so too is there an increased need for stronger interprofessional collaboration. However the intraprofessional factions that exist within every profession challenge interprofessional communication through contrary paradigms. As a contender in the conservative spinal health care market, factions within chiropractic that result in unorthodox practice behaviours may compromise interprofessional relations and that profession’s progress toward institutionalization. The purpose of this investigation was to quantify the professional stratification among Canadian chiropractic practitioners and evaluate the practice perceptions of those factions. Methods A stratified random sample of 740 Canadian chiropractors was surveyed to determine faction membership and how professional stratification could be related to views that could be considered unorthodox to current evidence-based care and guidelines. Stratification in practice behaviours is a stated concern of mainstream medicine when considering interprofessional referrals. Results Of 740 deliverable questionnaires, 503 were returned for a response rate of 68%. Less than 20% of chiropractors (18.8%) were aligned with a predefined unorthodox perspective of the conditions they treat. Prediction models suggest that unorthodox perceptions of health practice related to treatment choices, x-ray use and vaccinations were strongly associated with unorthodox group membership (X2 =13.4, p?=?0.0002). Conclusion Chiropractors holding unorthodox views may be identified based on response to specific beliefs that appear to align with unorthodox health practices. Despite continued concerns by mainstream medicine, only a minority of the profession has retained a perspective in contrast to current scientific paradigms. Understanding the profession’s factions is important to the anticipation of care delivery when considering interprofessional referral. PMID:24512507

2014-01-01

202

Chiropractic management of a veteran with lower back pain associated with diffuse idiopathic skeletal hypertrophy and degenerative disk disease  

PubMed Central

Objective The purpose of this article is to report the response of chiropractic care of a geriatric veteran with degenerative disk disease and diffuse idiopathic skeletal hyperostosis. Clinical Features A 74-year-old man presented with low back pain (LBP) and loss of feeling in his lower extremities for 3 months. The LBP was of insidious onset with a 10/10 pain rating on the numeric pain scale (NPS) and history of degenerative disk disease and diffuse idiopathic skeletal hypertrophy. Oswestry questionnaire was 44% and health status questionnaire was 52%, which were below average for his age. The patient presented with antalgia and severe difficulty with ambulation and thus used a walker. Intervention and Outcome Chiropractic care included Activator Methods protocol. Two weeks into treatment, he reported no back pain; and after 4 treatments, he was able to walk with a cane instead of a walker. The NPS decreased from a 10/10 to a 0/10, and his Revised Oswestry score decreased from 44/100 to 13.3/100. His Health Status Questionnaire score increased 25 points to 77/100, bringing him from below average for his age to above average for his age. Follow-up with the patient at approximately 1 year and 9 months showed an Oswestry score of 10/100 and a Health Status Questionnaire score of 67/100, still above average for his age. Conclusion The findings in this case study showed that Activator-assisted spinal manipulative therapy had positive subjective and objective results for LBP and ambulation in a geriatric veteran with degenerative disk disease and diffuse idiopathic skeletal hyperostosis. PMID:23843763

Roberts, Jan A.; Wolfe, Tristy M.

2012-01-01

203

Pain, disability, and satisfation outcomes and predictors of outcomes: A practice-based study of chronic low back pain patients attending primary care and chiropractic physicians  

Microsoft Academic Search

Background: Few studies exist on the prognostic value of demographic, clinical, or psychosocial factors on long-term outcomes for patients with chronic low back pain.Objective: This study reports on long-term pain and disability outcomes for patients with chronic low back pain, evaluates predictors of long-term outcomes, and assesses the influence of doctor type on clinical outcome.Methods: Sixty chiropractic (DC) and 111

Joanne Nyiendo; Mitchell Haas; Bruce Goldberg; Gary Sexton

2001-01-01

204

Publication rates of abstracts presented at the Association of Chiropractic Colleges Educational Conference/Research Agenda Conference from 2002 to 2008  

PubMed Central

Objective The purposes of this study were to investigate the overall publication rates of presentations at the Association of Chiropractic Colleges Educational Conference/Research Agenda Conference (ACC/RAC) meetings (2002–2008), differences in the publication rates of platform vs poster presentations, and the consistency of the meeting abstract compared to the full-length journal article. Methods Abstracts were obtained from proceedings published in the Journal of Chiropractic Education. Literature searches using PubMed and the Index to the Chiropractic Literature (ICL) were performed to locate peer-reviewed journal articles based upon those abstracts. Whether the article was based upon a poster or platform presentation, and the congruence of the information in the abstract and article were recorded. Results We identified 776 proceeding abstracts, 249 of which eventually were published between 2002 and 2012. The overall publication rate was 32.2%. A total of 42.7% of platform presentations eventually were published vs 20.3% of posters. Congruency showed that 43.2% had the same title as the meeting abstract, 59.7% had the same authorship, and 88.8% had the same methods. Conclusion Publication rates of abstracts from spine and orthopedic surgery national meetings range from 34% to 59%. The ACC/RAC meetings have similar publication rates. More platform than poster presentations reach full publication. The congruency of ACC/RAC abstracts to published articles is higher than national meetings in other fields. PMID:24295363

Bakkum, Barclay W.; Chapman, Cynthia; Johnson, Claire

2014-01-01

205

Collaborative Care for Older Adults with low back pain by family medicine physicians and doctors of chiropractic (COCOA): study protocol for a randomized controlled trial  

PubMed Central

Background Low back pain is a prevalent and debilitating condition that affects the health and quality of life of older adults. Older people often consult primary care physicians about back pain, with many also receiving concurrent care from complementary and alternative medicine providers, most commonly doctors of chiropractic. However, a collaborative model of treatment coordination between these two provider groups has yet to be tested. The primary aim of the Collaborative Care for Older Adults Clinical Trial is to develop and evaluate the clinical effectiveness and feasibility of a patient-centered, collaborative care model with family medicine physicians and doctors of chiropractic for the treatment of low back pain in older adults. Methods/design This pragmatic, pilot randomized controlled trial will enroll 120 participants, age 65 years or older with subacute or chronic low back pain lasting at least one month, from a community-based sample in the Quad-Cities, Iowa/Illinois, USA. Eligible participants are allocated in a 1:1:1 ratio to receive 12 weeks of medical care, concurrent medical and chiropractic care, or collaborative medical and chiropractic care. Primary outcomes are self-rated back pain and disability. Secondary outcomes include general and functional health status, symptom bothersomeness, expectations for treatment effectiveness and improvement, fear avoidance behaviors, depression, anxiety, satisfaction, medication use and health care utilization. Treatment safety and adverse events also are monitored. Participant-rated outcome measures are collected via self-reported questionnaires and computer-assisted telephone interviews at baseline, and at 4, 8, 12, 24, 36 and 52 weeks post-randomization. Provider-rated expectations for treatment effectiveness and participant improvement also are evaluated. Process outcomes are assessed through qualitative interviews with study participants and research clinicians, chart audits of progress notes and content analysis of clinical trial notes. Discussion This pragmatic, pilot randomized controlled trial uses a mixed method approach to evaluate the clinical effectiveness, feasibility, and participant and provider perceptions of collaborative care between medical doctors and doctors of chiropractic in the treatment of older adults with low back pain. Trial registration This trial registered in ClinicalTrials.gov on 04 March 2011 with the ID number of NCT01312233. PMID:23324133

2013-01-01

206

Symptomatic reactions, clinical outcomes and patient satisfaction associated with upper cervical chiropractic care: A prospective, multicenter, cohort study  

PubMed Central

Background Observational studies have previously shown that adverse events following manipulation to the neck and/or back are relatively common, although these reactions tend to be mild in intensity and self-limiting. However, no prospective study has examined the incidence of adverse reactions following spinal adjustments using upper cervical techniques, and the impact of this care on clinical outcomes. Methods Consecutive new patients from the offices of 83 chiropractors were recruited for this practice-based study. Clinical outcome measures included 1) Neck pain disability index (100-point scale), 2) Oswestry back pain index (100-point scale), 3) 11-point numerical rating scale (NRS) for neck, headache, midback, and low back pain, 4) treatment satisfaction, and 5) Symptomatic Reactions (SR). Data were collected at baseline, and after approximately 2 weeks of care. A patient reaching sub-clinical status for pain and disability was defined as a follow-up score <3 NRS and <10%, respectively. A SR is defined as a new complaint not present at baseline or a worsening of the presenting complaint by >30% based on an 11-point numeric rating scale occurring <24 hours after any upper cervical procedure. Results A total of 1,090 patients completed the study having 4,920 (4.5 per patient) office visits requiring 2,653 (2.4 per patient) upper cervical adjustments over 17 days. Three hundred thirty- eight (31.0%) patients had SRs meeting the accepted definition. Intense SR (NRS ?8) occurred in 56 patients (5.1%). Outcome assessments were significantly improved for neck pain and disability, headache, mid-back pain, as well as lower back pain and disability (p <0.001) following care with a high level (mean = 9.1/10) of patient satisfaction. The 83 chiropractors administered >5 million career upper cervical adjustments without a reported incidence of serious adverse event. Conclusions Upper cervical chiropractic care may have a fairly common occurrence of mild intensity SRs short in duration (<24 hours), and rarely severe in intensity; however, outcome assessments were significantly improved with less than 3 weeks of care with a high level of patient satisfaction. Although our findings need to be confirmed in subsequent randomized studies for definitive risk-benefit assessment, the preliminary data shows that the benefits of upper cervical chiropractic care may outweigh the potential risks. PMID:21974915

2011-01-01

207

Rehabilitation — a valuable consideration in acute and chronic neck and low back pain in addition to standard chiropractic management: a case study  

PubMed Central

A case of chronic neck and low back pain, resistant to standard chiropractic management of manipulation/adjustment and verbal exercise instruction is presented. Identification of psychosocial factors and deconditioning, with a subsequent three month program of in-office rehabilitation including supervised progressive/resistance exercises and behavioural therapy was administered in conjunction with spinal manipulation/adjustment and passive modalities. The program proved effective in reducing the patient’s neck and low back pain. The beneficial effect of supervised exercises and behavioural therapy in patient management is illustrated.

Mizel, Dennis H

1999-01-01

208

Comparison of outcomes in neck pain patients with and without dizziness undergoing chiropractic treatment: a prospective cohort study with 6 month follow-up  

PubMed Central

Background The symptom ‘dizziness’ is common in patients with chronic whiplash related disorders. However, little is known about dizziness in neck pain patients who have not suffered whiplash. Therefore, the purposes of this study are to compare baseline factors and clinical outcomes of neck pain patients with and without dizziness undergoing chiropractic treatment and to compare outcomes based on gender. Methods This prospective cohort study compares adult neck pain patients with dizziness (n = 177) to neck pain patients without dizziness (n = 228) who presented for chiropractic treatment, (no chiropractic or manual therapy in the previous 3 months). Patients completed the numerical pain rating scale (NRS) and Bournemouth questionnaire (BQN) at baseline. At 1, 3 and 6 months after start of treatment the NRS and BQN were completed along with the Patient Global Impression of Change (PGIC) scale. Demographic information was also collected. Improvement at each follow-up data collection point was categorized using the PGIC as ‘improved’ or ‘not improved’. Differences between the two groups for NRS and BQN subscale and total scores were calculated using the unpaired Student’s t-test. Gender differences between the patients with dizziness were also calculated using the unpaired t-test. Results Females accounted for 75% of patients with dizziness. The majority of patients with and without dizziness reported clinically relevant improvement at 1, 3 and 6 months with 80% of patients with dizziness and 78% of patients without dizziness being improved at 6 months. Patients with dizziness reported significantly higher baseline NRS and BQN scores, but at 6 months there were no significant differences between patients with and without dizziness for any of the outcome measures. Females with dizziness reported higher levels of depression compared to males at 1, 3 and 6 months (p = 0.007, 0.005, 0.022). Conclusions Neck pain patients with dizziness reported significantly higher pain and disability scores at baseline compared to patients without dizziness. A high proportion of patients in both groups reported clinically relevant improvement on the PGIC scale. At 6 months after start of chiropractic treatment there were no differences in any outcome measures between the two groups. PMID:23295018

2013-01-01

209

Training and certification of doctors of chiropractic in delivering manual cervical traction forces: Results of a longitudinal observational study  

PubMed Central

Objective Doctors of chiropractic (DCs) use manual cervical distraction to treat patients with neck pain. Previous research demonstrates variability in traction forces generated by different DCs. This article reports on a training protocol and monthly certification process using bioengineering technology to standardize cervical traction force delivery among clinicians. Methods This longitudinal observational study evaluated a training and certification process for DCs who provided force-based manual cervical distraction during a randomized clinical trial. The DCs completed a 7-week initial training that included instructional lectures, observation, and guided practice by a clinical expert, followed by 3 hours of weekly practice sessions delivering the technique to asymptomatic volunteers who served as simulated patients. An instrument-modified table and computer software provided the DCs with real-time audible and visual feedback on the traction forces they generated and graphical displays of the magnitude of traction forces as a function of time immediately after the delivery of the treatment. The DCs completed monthly certifications on traction force delivery throughout the trial. Descriptive accounts of certification attempts are provided. Results Two DCs achieved certification in traction force delivery over 10 consecutive months. No certification required more than 3 attempts at C5 and occiput contacts for 3 force ranges (0–20 N, 21–50 N, and 51–100 N). Conclusions This study demonstrates the feasibility of a training protocol and certification process using bioengineering technology for training DCs to deliver manual cervical distraction within specified traction force ranges over a 10-month period. PMID:25237767

Gudavalli, Maruti Ram; Vining, Robert D.; Salsbury, Stacie A.; Goertz, Christine M.

2014-01-01

210

Training and certification of doctors of chiropractic in delivering manual cervical traction forces: Results of a longitudinal observational study.  

PubMed

Objective : Doctors of chiropractic (DCs) use manual cervical distraction to treat patients with neck pain. Previous research demonstrates variability in traction forces generated by different DCs. This article reports on a training protocol and monthly certification process using bioengineering technology to standardize cervical traction force delivery among clinicians. Methods : This longitudinal observational study evaluated a training and certification process for DCs who provided force-based manual cervical distraction during a randomized clinical trial. The DCs completed a 7-week initial training that included instructional lectures, observation, and guided practice by a clinical expert, followed by 3 hours of weekly practice sessions delivering the technique to asymptomatic volunteers who served as simulated patients. An instrument-modified table and computer software provided the DCs with real-time audible and visual feedback on the traction forces they generated and graphical displays of the magnitude of traction forces as a function of time immediately after the delivery of the treatment. The DCs completed monthly certifications on traction force delivery throughout the trial. Descriptive accounts of certification attempts are provided. Results : Two DCs achieved certification in traction force delivery over 10 consecutive months. No certification required more than 3 attempts at C5 and occiput contacts for 3 force ranges (0-20 N, 21-50 N, and 51-100 N). Conclusions : This study demonstrates the feasibility of a training protocol and certification process using bioengineering technology for training DCs to deliver manual cervical distraction within specified traction force ranges over a 10-month period. PMID:25237767

Gudavalli, Maruti Ram; Vining, Robert D; Salsbury, Stacie A; Goertz, Christine M

2014-10-01

211

Chiropractic management using a brain-based model of care for a 15-year-old adolescent boy with migraine headaches and behavioral and learning difficulties: a case report  

PubMed Central

Objective The purpose of this report is to describe chiropractic management, using a brain-based model of care, of a teen who had migraine headaches and several social and learning difficulties. Clinical features A 15-year-old adolescent boy with a chronic history of migraines and more than 10 years of learning and behavioral difficulties, including attention-deficit/hyperactivity disorder, obsessive compulsive disorder, and Tourette syndrome, presented for chiropractic care. Intervention and outcome The patient received spinal manipulation and was given home physical coordination activities that were contralateral to the side of the involved basal ganglia and ipsilateral to the involved cerebellum, along with interactive metronome training. Quantitative changes were noted in neurological soft signs, tests of variables of attention Conners’ Parent Rating Scale, the California Achievement Test, grade point, and reduction of medications. The patient reported qualitative improvements in tics, attention, reading, vision, health, relationships with his peers and his family, and self-esteem. Conclusion The patient with migraine headaches and learning difficulties responded well to the course of chiropractic care. This study suggests that there may be value in a brain-based model of care in the chiropractic management of conditions that are beyond musculoskeletal in nature. PMID:24396330

Kuhn, Kurt W.; Cambron, Jerrilyn

2013-01-01

212

Sports chiropractic management of concussions using the Sport Concussion Assessment Tool 2 symptom scoring, serial examinations, and graded return to play protocol: a retrospective case series  

PubMed Central

Objective The purpose of this case series is to report how the symptom section of the Sport Concussion Assessment Tool 2 (SCAT2) was used to manage athletes with concussions in a high school training room setting and to address the need for SCAT2 baseline measurements. Clinical features During a 4-month period, 3 doctors of chiropractic with certification from the American Chiropractic Board of Sports Physicians managed 15 high school athletes with concussions in a multidisciplinary setting. Fourteen athletes were male American football players, and one was a female volleyball player. Intervention and outcome Of the 15 athletes, 3 athletes had baseline SCAT2 documentation. Athletes were evaluated and returned to play with a graded return to play protocol using the SCAT2 symptoms and serial physical examinations. Once participants were asymptomatic, they began a graded return to play process. A total of 47 SCAT2 tests were performed on the 15 athletes, averaging 3.13 SCAT2 evaluations per patient. Of the 15 athletes evaluated, 6 were managed and cleared for return to play; 2 of the athletes sustained concussions in the last week of the season, thus ending their season; and 3 athletes were cleared by medical doctors. None of the athletes under care reported an adverse event. Conclusion The utilization of the SCAT2 with serial physical examinations provided objective measures for athlete’s injuries, allowing the practitioners to evaluate concussions. More efforts are needed to collect baseline SCAT2 to compare these scores with subsequent SCAT2 scores following athletic injuries. PMID:24396327

Shane, Eric R.; Pierce, Kevin M.; Gonzalez, Jannet K.; Campbell, Nathan J.

2013-01-01

213

Brief screening questions for depression in chiropractic patients with low back pain: identification of potentially useful questions and test of their predictive capacity  

PubMed Central

Background Depression is an important prognostic factor in low back pain (LBP) that appears to be infrequent in chiropractic populations. Identification of depression in few patients would consequently implicate screening of many. It is therefore desirable to have brief screening tools for depression. The objective of this study was to investigate if one or two items from the Major Depression Inventory (MDI) could be a reasonable substitute for the complete scale. Methods The MDI was completed by 925 patients consulting a chiropractor due to a new episode of LBP. Outcome measures were LBP intensity and activity limitation at 3-months and 12-months follow-up. Single items on the MDI that correlated strongest and explained most variance in the total score were tested for associations with outcome. Finally, the predictive capacity was compared between the total scale and the items that showed the strongest associations with outcome measures. Results In this cohort 9% had signs of depression. The total MDI was significantly associated with outcome but explained very little of the variance in outcome. Four single items performed comparable to the total scale as prognostic factors. Items 1 and 3 explained the most variance in all outcome measures, and their predictive accuracies in terms of area under the curve were at least as high as for the categorised complete scale. Conclusions Baseline depression measured by the MDI was associated with a worse outcome in chiropractic patients with LBP. A single item (no. 1 or 3) was a reasonable substitute for the entire scale when screening for depression as a prognostic factor. PMID:24438448

2014-01-01

214

Chiropractic: An Introduction  

MedlinePLUS

... product that contains vitamins, minerals, herbs or other botanicals, amino acids, enzymes, and/or other ingredients intended ... PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. ...

215

Recognition of Spontaneous Vertebral Artery Dissection Preempting Spinal Manipulative Therapy: A Patient Presenting With Neck Pain and Headache for Chiropractic Care  

PubMed Central

Objective The purpose of this case report is to describe a patient who presented to a chiropractic physician for evaluation and treatment of neck pain and headache. Clinical features A 45-year-old otherwise healthy female presented for evaluation and treatment of neck pain and headache. Within minutes, non-specific musculoskeletal symptoms progressed to neurological deficits, including limb ataxia and cognitive disturbances. Suspicion was raised for cerebrovascular ischemia and emergent referral was initiated. Intervention and outcome Paramedics were immediately summoned and the patient was transported to a local hospital with a working diagnosis of acute cerebrovascular ischemia. Multiplanar computed tomographic and magnetic resonance imaging with contrast revealed vertebral artery dissection of the V2 segment in the right vertebral artery. Anticoagulation therapy was administered and the patient was discharged without complications after 5 days in the hospital. Conclusion This case highlights the potential for patients with vertebral artery dissection to present with nonspecific musculoskeletal complaints. Neurological symptoms may not manifest initially, but their sudden onset indicates the possibility of an ischemic cerebrovascular event. We suggest that early recognition and emergent referral for this patient avoided potential exacerbation of an evolving pre-existing condition and resulted in timely anticoagulation treatment.

Mattox, Ross; Smith, Linda W.; Kettner, Norman W.

2014-01-01

216

Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report  

PubMed Central

Abstract Objective This case report describes the evaluation and conservative management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran within a Veterans Affairs Medical Center chiropractic clinic. Clinical Features The 43-year–old patient had a 20-year history of mechanical back pain secondary to an injury sustained during active military duty. He had intermittent radiation of numbness and tingling involving the right lower extremity distal to the knee. Radiographs of the lumbosacral region demonstrated a grade I spondylolisthesis of L3 in relation to L4 and a grade II spondylolisthesis of L4 in relation to L5 secondary to bilateral pars interarticularis defects. There was marked narrowing of the L4-5 disk space with associated subchondral sclerosis. Intervention and Outcome A course of conservative management consisting of 10 treatments including lumbar flexion/distraction and activity modification was provided over an 8-week period. Despite the long-standing nature of the complaint and underlying multiple-level lumbar spondylolysis with spondylolisthesis, there was a 25% reduction in low back pain severity on the numeric rating scale and a 22% reduction in perceived disability related to low back pain on the Revised Oswestry Disability Questionnaire. Conclusions Conservative management is considered to be the standard of care for spondylolysis and should be explored in its various forms for symptomatic low back pain patients who present without neurologic deficits and with spondylolisthesis below grade III. The response to treatment for the veteran patient in this case suggests that lumbar flexion/distraction may serve as a safe and effective component of conservative management of mechanical low back pain for some patients with spondylolysis and spondylolisthesis. PMID:19703668

Dunn, Andrew S.; Baylis, Shayne; Ryan, Danielle

2009-01-01

217

The psychometric profile of chiropractic patients in Norway and England: using and comparing the generic versions of the STarT Back 5-item screening tool and the Bournemouth Questionnaire  

PubMed Central

Background Musculoskeletal pain and low back pain (LBP) in particular is one of the more costly health challenges to society. The STarT Back Tool (SBT) has been developed in the UK with a view to identifying subgroups of LBP patients in order to guide more cost effective care decisions. The Bournemouth Questionnaire (BQ) is a validated multidimensional patient reported outcome measure (PROM) that is widely used in routine clinical practice settings. This study sets out to describe and compare SBT and BQ scores within and between populations of patients presenting for chiropractic care in Norway and Great Britain. Methods Patient demographics, BQ and the 5-item generic condition SBT data were collected from patients presenting with musculoskeletal pain to 18 Norwegian and 12 English chiropractors. Analysis of correlation between groups was achieved using a 1-way Chi2 approximation (p < 0.05). Results Eleven percent of Norwegian LBP patients (n = 214) and 24% of English LBP patients (n = 186) were “distressed by their condition” (SBT > 4). By comparison, Norwegian chiropractic patients are: somewhat younger, have lower BQ scores, are less distressed by the condition and score significantly lower on items relating to catastrophisation and depression than English patients. There was an apparent association between total BQ and SBT scores (correlation 0.59, p < .0001) and patients who scored higher than 45 (IQR 39–58) on BQ were more likely to respond “distressed by condition” (>4) on SBT. Furthermore, patients in “distressed by condition” SBT category who had marked the “low mood” question on SBT also had a high score on the “depression” question of BQ (>6 (IQR 4–8), correlation 0.54, p < .0001). Conclusion The BQ and SBT appear to identify the same subgroups in some, but not all of the measured items. It appears that unknown factors result in variations between patients seeking chiropractic care for comparable complaints in primary care in England vs Norway. Comparison of populations from Norway and UK demonstrate that extrapolating and pooling of data in relation to different populations should be done with caution, in regard to these stratification tools. PMID:24268179

2013-01-01

218

Donald Campbell Sutherland — chiropractic statesman and diplomat  

PubMed Central

This paper chronicles the 50 year career of Dr. Donald Sutherland DC. Described are his political, clinical, legislative and administrative achievements accomplished during that time period. The authors’ hope that this paper will foster more Canadian historic manuscripts recognizing and documenting the significant profession building contributions made by pioneering chiropractors of the 20th century. ImagesFigure 1Figure 2Figure 3Figure 4Figure 5Figure 6Figure 7

Vear, Herbert J; Keating, Joseph C

1999-01-01

219

Useful Websites Useful Websites  

E-print Network

for the Health Professions NAAHP Main Page Chiropractic American Chiropractic Association Chiropractic: Educational Agencies and Schools Student Canadian Chiropractic Association Home Page Federation of Chiropractic Licensing Boards FCLB: Acronyms for Chiropractic Organizations Graduate School Directories

Fernandez, Eduardo

220

Ross E. Baker, DC: A Canadian chiropractic survivor.  

PubMed

This paper is an historical biography of a fortunate man. It begins with a glimpse of Ross E. Baker's origins in south-western Ontario, watches him going to school and working in Hamilton before joining the Canadian Army and shipping off to Europe to fight in the Second World War. At War's end, the article picks up Dr. Baker as he comes home, starts a family, becomes a chiropractor and sustains a viable practice. Now in the twilight of life, the good doctor is last seen content with his retirement, spending days at his cottage property, reviewing his memoirs and reflecting on the tumult, terror and eventual triumph of the D-Day landing at Normandy. PMID:24587499

Brown, Douglas M

2014-03-01

221

Chiropractic manipulation in pediatric health conditions – an updated systematic review  

PubMed Central

Objective Our purpose was to review the biomedical literature from January 2004 to June 2007 inclusive to determine the extent of new evidence related to the therapeutic application of manipulation for pediatric health conditions. This updates a previous systematic review published in 2005. No critical appraisal of the evidence is undertaken. Data Sources We searched both the indexed and non-indexed biomedical manual therapy literature. This included PubMed, MANTIS, CINAHL, ICL, as well as reference tracking. Other resources included the Cochrane Library, CCOHTA, PEDro, WHO ICTRP, AMED, EMBASE and AHRQ databases, as well as research conferences and symposium proceedings. Results The search identified 1275 citations of which 57 discrete citations met the eligibility criteria determined by three reviewers who then determined by consensus, each citation's appropriate level on the strength of evidence scale. The new evidence from the relevant time period was 1 systematic review, 1 RCT, 2 observational studies, 36 descriptive case studies and 17 conference abstracts. When this additional evidence is combined with the previous systematic review undertaken up to 2003, there are now in total, 2 systematic reviews, 10 RCT's, 3 observational studies, 177 descriptive studies, and 31 conference abstracts defining this body of knowledge. Summary There has been no substantive shift in this body of knowledge during the past 3 1/2 years. The health claims made by chiropractors with respect to the application of manipulation as a health care intervention for pediatric health conditions continue to be supported by only low levels of scientific evidence. Chiropractors continue to treat a wide variety of pediatric health conditions. The evidence rests primarily with clinical experience, descriptive case studies and very few observational and experimental studies. The health interests of pediatric patients would be advanced if more rigorous scientific inquiry was undertaken to examine the value of manipulative therapy in the treatment of pediatric conditions. PMID:18789139

Gotlib, Allan; Rupert, Ron

2008-01-01

222

Chiropractic and Neck Pain: Conservative Care of Cervical Pain, Injury  

MedlinePLUS

... this flexibility makes the neck very susceptible to pain and injury. The neck’s susceptibility to injury is ... normal aging, and everyday wear and tear. Neck pain can be very bothersome, and it can have ...

223

Vertebral and carotid artery dissection following chiropractic cervical manipulation  

Microsoft Academic Search

A 50-year-old woman presented a sudden left occipital headache and a posterior circulation stroke after cervical manipulation\\u000a for neck pain. Magnetic resonance imaging documented a left intracranial vertebral artery occlusive dissection associated\\u000a with an ipsilateral internal carotid artery dissection with vessel stenosis in its prepetrous tract. This is the first reported\\u000a case showing an associate vertebral and carotid artery dissection

Giuliano Parenti; Giovanni Orlandi; Mariacristina Bianchi; Maria Renna; Antonio Martini; Luigi Murri

1999-01-01

224

Maintenance care in chiropractic – what do we know?  

Microsoft Academic Search

BACKGROUND: Back problems are often recurring or chronic. It is therefore not surprising that chiropractors wish to prevent their return or reduce their impact. This is often attempted with a long-term treatment strategy, commonly called maintenance care. However, some aspects of maintenance care are considered controversial. It is therefore relevant to investigate the scientific evidence forming the basis for its

Charlotte Leboeuf-Yde; Lise Hestbæk

2008-01-01

225

Chiropractic and pilates therapy for the treatment of adult scoliosis  

Microsoft Academic Search

Objective: To describe the use of Pilates therapy and sacro-occipital technique in the management of a 39-year-old woman with scoliosis who had undergone spinal fusion many years earlier. Clinical Features: The patient had progressive severe low back pain that had worsened over the years after her surgery and had prevented her from activities such as carrying her son or equipment

Charles L. Blum

2002-01-01

226

Vertebral Artery Injuries Following Chiropractic Cervical Spine Manipulation —Case Reports  

Microsoft Academic Search

Four patients undergoing cervical spinal manipulations for nonneurologic diseases and with no previous neurologic signs or symptoms all developed significant neurologic deficits, one fatal, following manipulations of the cervical spine. Both the literature and the authors' series show that a number of patients have a prodrome prior to the onset of neurologic changes. There is no established therapy for the

Robert Raskind; Charles M. North

1990-01-01

227

Ross E. Baker, DC: A Canadian chiropractic survivor  

PubMed Central

This paper is an historical biography of a fortunate man. It begins with a glimpse of Ross E. Baker’s origins in south-western Ontario, watches him going to school and working in Hamilton before joining the Canadian Army and shipping off to Europe to fight in the Second World War. At War’s end, the article picks up Dr. Baker as he comes home, starts a family, becomes a chiropractor and sustains a viable practice. Now in the twilight of life, the good doctor is last seen content with his retirement, spending days at his cottage property, reviewing his memoirs and reflecting on the tumult, terror and eventual triumph of the D-Day landing at Normandy. PMID:24587499

Brown, Douglas M.

2014-01-01

228

Medical Plans Summary and Comparison Effective January 1 December 31, 2014  

E-print Network

Acupuncture Acupuncture, Chiropractic, and Medical Massage treatments have a combined maximum benefit of $2 Chiropractic Acupuncture, Chiropractic, and Medical Massage treatments have a combined maximum benefit of $2

229

Treatment Options for Scoliosis  

MedlinePLUS

... physical therapy to address your specific needs. Will chiropractic treatment help? Chiropractic is a controversial method of treatment that seems ... do not seem effectively managed by long-term chiropractic care. Patients who have scoliosis and choose chiropractic ...

230

Colin A. Greenshields, DC: the Canadian Memorial Chiropractic College’s first graduate  

PubMed Central

This biographical study investigates the complex tribulations and impressive accomplishments of Dr. Colin Greenshields. Part I (the Formative Years) goes back to his ancestors in Great Britain and forward to his graduation from CMCC in 1948. Part II (the Professional Years) begins with the opening of Colin’s office in St. Catharines, ON, and proceeds through his professional career and multiple leadership roles to his retirement in 1986. PMID:22675227

Brown, Douglas M.

2012-01-01

231

Chiropractic care for paediatric and adolescent Attention-Deficit\\/Hyperactivity Disorder: A systematic review  

Microsoft Academic Search

BACKGROUND: Psychostimulants are first line of therapy for paediatric and adolescent AD\\/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders

Fay Karpouzis; Rod Bonello; Henry Pollard

2010-01-01

232

Naturopathy in Canada: Changing relationships to medicine, chiropractic and the state  

Microsoft Academic Search

It is said that we can learn as much about social processes from so-called 'deviant' institutions than from the more legitimate. 'Deviant' medical occupations have not attracted much attention from social scientists. Naturopathy is one of these nonconventional health occupations. It emerged in the 18th and 19th centuries and moved to Canada from the United States and Europe early in

Elaine H. Gort; David Coburn

1988-01-01

233

Patient characteristics upon initial presentation to chiropractic teaching clinics: A descriptive study conducted at one university  

PubMed Central

Objective The purpose of this study was to compare demographics and chief complaints of the new patient population at our institution's fee-for-service clinics to the patient population of practicing chiropractors in the United States. We also compared the prevalence of obesity and hypertension to reference standards for the adult population. Methods Patient data were obtained from the electronic health records. All records identified as new patients during October 2013 were included. Variables of interest were clinic site, patient demographics, blood pressure, body mass index (BMI), chief complaint, and ICD-9 codes. Descriptive statistics were computed and compared to reference standards from previous reports. Results During October 2013, there were 224 new patients that entered the clinics. The average patient was a 31- to 50-year-old white male. Our clinic patients differed from those seen by US chiropractors in the distribution of all demographic variables. For adult patients, 31.4% were overweight, 29% were obese, and 8% stage 1 or 2 hypertension. Conclusion New patients in the fee-for-service teaching clinics appear to be dissimilar to those of US practicing chiropractors in several important demographics, characteristics, and types of complaints. The new patients had lower levels of overweight, obesity, and hypertension compared to US reference standards. PMID:25162982

Kaeser, Martha A.; Hawk, Cheryl; Anderson, Michelle

2014-01-01

234

Communication in a chiropractic clinic: How A D.C. treats his patients  

Microsoft Academic Search

This study of a chiropractor and his patients represents the first interaction analysis of an alternative practitioner. Relationships between the types and quantities of communications in clinical exchanges and patient satisfaction with treatment are examined using both quantitative and qualitative analysis of verbal dialogue and clinical observations. Findings suggest that patient satisfaction is enhanced by a practitionerpatient relationship characterized by

Kathryn Oths

1994-01-01

235

Patient characteristics upon initial presentation to chiropractic teaching clinics: A descriptive study conducted at one university.  

PubMed

Objective : The purpose of this study was to compare demographics and chief complaints of the new patient population at our institution's fee-for-service clinics to the patient population of practicing chiropractors in the United States. We also compared the prevalence of obesity and hypertension to reference standards for the adult population. Methods : Patient data were obtained from the electronic health records. All records identified as new patients during October 2013 were included. Variables of interest were clinic site, patient demographics, blood pressure, body mass index (BMI), chief complaint, and ICD-9 codes. Descriptive statistics were computed and compared to reference standards from previous reports. Results : During October 2013, there were 224 new patients that entered the clinics. The average patient was a 31- to 50-year-old white male. Our clinic patients differed from those seen by US chiropractors in the distribution of all demographic variables. For adult patients, 31.4% were overweight, 29% were obese, and 8% stage 1 or 2 hypertension. Conclusion : New patients in the fee-for-service teaching clinics appear to be dissimilar to those of US practicing chiropractors in several important demographics, characteristics, and types of complaints. The new patients had lower levels of overweight, obesity, and hypertension compared to US reference standards. PMID:25162982

Kaeser, Martha A; Hawk, Cheryl; Anderson, Michelle

2014-10-01

236

The Emotional Impact of Being Recently Diagnosed with Dyslexia from the Perspective of Chiropractic Students  

ERIC Educational Resources Information Center

Increased awareness and improved tests have contributed to the identification of rising numbers of dyslexic students entering higher education in the United Kingdom. Nearly half of these students are not diagnosed until they start their HE courses. Studies of experiences of dyslexic students diagnosed as children exist; however, there is little…

Kong, Shelley Young

2012-01-01

237

Gross Anatomy Instruction in Chiropractic Colleges: A Local and Global Perspective  

NSDL National Science Digital Library

This resource is part of the AAA Education and Teaching Session. In particular this resource is a pdf of the presentation from the AAA 2012 Anatomical Education for Allied Health Care Professionals Seminar.

Jennette Ball (New York Chiropractic College Department of Basic Sciences)

2012-04-21

238

Comparison of chiropractic student scores before and after utilizing active learning techniques in a classroom setting  

PubMed Central

Objective We report the differences in final examination scores achieved by students at the culmination of two different teaching strategies in an introductory skills course. Methods Multiple choice examination scores from six consecutive academic calendar sessions over 18 months (n = 503) were compared. Two groups were used: Cohort A (n = 290) represented students who were enrolled in the course 3 consecutive academic sessions before an instructional change and Cohort B (n = 213) included students who were enrolled in 3 consecutive academic sessions following the instructional change, which included a more active learning format. Statistical analyses used were 2-tailed independent t-test, one-way ANOVA, Tukey's honestly significant difference (HSD), and effect size. Results The 2-tailed independent t-test revealed a significant difference between the two groups (t = ?3.71, p < .001; 95% confidence interval [CI] 1.29–4.20). Significant difference was found in the highest performing subgroup compared to the lowest performing subgroup in Cohort A (F = 3.343, p = .037). For Cohort A subgroups 1 and 2, Tukey's HSD was p < .028. In Cohort B, no difference was found among subgroups (F = 1.912, p = .150, HSD p > .105). Conclusion Compared to previous versions of the same course taught by the same instructor, the students in the new course design performed better, suggesting that using active learning techniques helps improve student achievement. PMID:23964739

Guagliardo, Joseph G.; Hoiriis, Kathryn T.

2013-01-01

239

New Hampshire PPO Providers COUNTY SPECIALTYNAME ADDRESS CITY ST ZIP PHONE  

E-print Network

-528-8555 Chiropractic MedicineEisenberg, Charles D Dc E 169 Daniel Webster Hwy MEREDITH NH 03253 603-279-6250 Chiropractic MedicineFink, Charles R Dc F 783 Elm St Fink Chiropractic Ctr LACONIA NH 03246 603-524-4555 Chiropractic MedicineGuild, Stephen G Dc G 84 Hayes Rd LACONIA NH 03246 603-366-7337 Chiropractic Medicine

New Hampshire, University of

240

78 FR 4439 - United States  

Federal Register 2010, 2011, 2012, 2013, 2014

...Division United States v. Oklahoma State Chiropractic Independent Physicians Association...States of America v. Oklahoma State Chiropractic Independent Physicians Association...from establishing prices or terms for chiropractic services. Copies of the...

2013-01-22

241

WELL REWARDS MEMBER DISCOUNTS  

E-print Network

. COMPLEMENTARY HEALTH CARE Acupuncture, Chiropractic, Massage and Nutrition Counseling Save on acupuncture, chiropractic, nutrition counseling and massage therapy services. Receive 50 percent off the provider's usual

Burke, Peter

242

Summary of Compensation, Benefits and Pension Contribution Changes for Senior Research Associates and Research Associates (Limited Term)  

E-print Network

Benefits a) Chiropractic / Physiotherapy / Registered Massage Therapy Benefit: Move from the current to a combined Chiropractic / Physiotherapy / Registered Massage Therapy benefit at $500 / person / year

Sun, Yu

243

Health Professions Advisory Program Page 165Sonoma State University 2008-2010 Catalog health professions advisory program  

E-print Network

medicine, podiatry, optometry, pharmacy, physical therapy, physician assistant, and chiropractic medicine, and chiropractic medicine may require fewer units and courses for admission. The following outline of courses

Ravikumar, B.

244

2013-2014 UPlan Medical (Out-of-Pocket Charges for In-Network Providers)  

E-print Network

to Chiropractic, Acupuncture, Physical, Occupational, and Speech Therapy, and Mental Health/Substance Abuse to Chiropractic, Acupuncture, Physical, Occupational, and Speech Therapy, and Mental Health/Substance Abuse

Blanchette, Robert A.

245

LEED Study Session Session #3: Buildings  

E-print Network

#12;Certification! #12;Sustainable Sites #12;Life Expression Chiropractic Center #12;Life Expression Chiropractic Center #12;University of Washington, Merrill Hall #12;University of Washington, Merrill Hall #12

Zaferatos, Nicholas C.

246

Life University  

NSDL National Science Digital Library

Life University offers professional degrees in chiropractic, and undergraduate and graduate degrees in health related fields. Information is provided about the college, the chiropractic profession and research.

1997-01-01

247

Health Professions Advisory Program Page 157Sonoma State University 2011-2012 Catalog Darwin Hall 200  

E-print Network

, veterinary medicine, podiatry, optometry, pharmacy, physi- cal therapy, physician assistant, and chiropractic, and chiropractic medicine may require fewer units and courses for admission. The following outline of courses

Ravikumar, B.

248

Vaccine 21 (2003) 10441047 MMR vaccination advice over the Internet  

E-print Network

- munisation as an important preventive procedure [11]. The chiropractic profession has also repeatedly philosophy of these approaches to healthcare. The early chiropractic philoso- phy considered most diseases

Colquhoun, David

249

Reliability of chiropractic methods commonly used to detect manipulable lesions in patients with chronic low-back pain  

Microsoft Academic Search

Objective: To assess the intraexaminer and interexaminer reliability of a multidimensional spinal diagnostic method commonly used by chiropractors.Design: An intraexaminer and interexaminer Latin square, repeated measures reliability study. The techniques of diagnosis under investigation included visual postural analysis, pain description by the patient, plain static erect x-ray film of the lumbar spine, leg length discrepancy, neurologic tests, motion palpation, static

Simon D. French; Sally Green; Andrew Forbes

2000-01-01

250

Spinal manipulation for low-back pain: a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations  

Microsoft Academic Search

Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial—a national study of physical treatments in primary

E. Harvey; A. K. Burton; J. K. Moffett; A. Breen

2003-01-01

251

Use of post-isometric relaxation in the chiropractic management of a 55-year-old man with cervical radiculopathy  

PubMed Central

This case report chronicles the successful management of a 55-year-old patient diagnosed with cervical radiculopathy using spinal manipulative therapy and cervical paraspinal post-isometric relaxation stretches. PMID:22457537

Emary, Peter

2012-01-01

252

PRECHIROPRACTIC INFORMATION SUMMARY Preprofessional Advisors: Mayumi Kasai (mkasai@uc.utah.edu)  

E-print Network

University of Utah, 5815744 www.ppa.utah.edu A doctor of chiropractic helps meet the health needs aspects of the body in a noninvasive manner. Preparation for chiropractic school involves curricular with chiropractic. Any major is appropriate. For general information about Chiropractic, visit www

253

Active Listening Reading Comprehension  

E-print Network

-PROFESSIONAL PROGRAM... Please note: Chiropractic is NOT a UPB major. Students pursing this career MUST declare Chiropractic Colleges recommend a major in Biology. Chiropractic is a health care profession that focuses on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including

Jiang, Huiqiang

254

Summary of Health Plan Benefits GatorGradCare August 16, 2014  

E-print Network

Outpatient Therapies Facility 10% 20% after BYD 30% after BYD Therapy maximum is inclusive of Chiropractic Services Combined Therapy 75-Visit Limit Per Benefit Period* Chiropractic Services $30 copay $30 copay 30% after BYD Chiropractic Limit is included in overall Therapy maximum Chiropractic 26-Visit Limit Per

Pilyugin, Sergei S.

255

PRECHIROPRACTIC INFORMATION SUMMARY Preprofessional Advisors: John Nilsson (Ujnilsson@uc.utah.eduU)  

E-print Network

University of Utah, 5815744 HUwww.ppa.utah.eduU A doctor of chiropractic help meet the health needs aspects of the body in a noninvasive manner. Preparation for chiropractic school involves curricular with chiropractic. Any major is appropriate. For general information about Chiropractic, visit www

Tipple, Brett

256

Matthew A. Davis Updated January, 2014  

E-print Network

Chiropractic College, Seneca Falls, NY, 2004 · Summa cum laude · Area of Study: Chiropractic Care BA, Colby Public Health Association, 2011 to present AcademyHealth, 2011 to present National Board of Chiropractic Examiners, 2004 to present Vermont Board of Chiropractic Regulation, 2004 to present Research Funding

Myers, Lawrence C.

257

Manual Healing and Physical Touch  

MedlinePLUS

... seeds of Ricinus communis, an herb native to Africa and India. Chiropractic Chiropractic is a health care ... Symptoms of Cancer Treatments & Side Effects Cancer Facts & Statistics News About Cancer Expert Voices Blog Programs & Services ...

258

Fibromyalgia  

MedlinePLUS Videos and Cool Tools

... to try in combination with your medications. Self-Care Patients with fibromyalgia have chronic fatigue that leads ... in the body where muscle pain begins. Chiropractic Care The goal of chiropractic care is to realign ...

259

42 CFR 60.10 - How much can be borrowed?  

Code of Federal Regulations, 2011 CFR

...student enrolled in a school of public health, pharmacy, chiropractic, or a graduate program in health administration, clinical...eligible nonstudent in the field of pharmacy, public health, chiropractic, health administration, or clinical psychology may...

2011-10-01

260

Fibromyalgia and CAM: At a Glance  

MedlinePLUS

... insufficient to draw conclusions about the effectiveness of chiropractic care , hypnosis, or magnet therapy for fibromyalgia. Top ... Schneider M, Vernon H, Ko G, et al. Chiropractic management of fibromyalgia syndrome: a systematic review of ...

261

78 FR 27343 - Medical Examiner's Certification Integration  

Federal Register 2010, 2011, 2012, 2013, 2014

...Leaner's Permit CMV Commercial Motor Vehicle DC Doctors of Chiropractic DO Doctor of Osteopathy DOT U.S. Department of Transportation...PA), Advanced Practice Nurses (APN) and Doctors of Chiropractic (DC). Once a year the Department of Labor's Bureau...

2013-05-10

262

continued > Contact Information  

E-print Network

if admitted) $100 $100 (waived if admitted) Routine Eye Exams $0 $40 $40 Physical Therapy/ Chiropractic Physical therapy: $0 Chiropractic: up to 12 visits per year, at a $50 reimbursement per visit $40 (reviewed

263

SIU Student Health Initiative Working for quality and affordable student heath care at Southern.  

E-print Network

and began seeing chiropractors one year ago. My chiropractic visits were covered while I was on my family and chiropractic care would not be covered for 12 months. Usually insurance offered by employers has a clause

Nickrent, Daniel L.

264

Headaches and Complementary Health Approaches  

MedlinePLUS

... their stroke. A 2007 study of 19,722 chiropractic patients in the United Kingdom concluded that minor ... Effectiveness of manual therapies: the UK evidence report . Chiropractic & Osteopathy . 2010;18(3). Bronfort G, Nilsson N, ...

265

Page 156 Health Professions Advisory Program Sonoma State University 2012-2013 Catalog HEALTH PROFESSIONS ADVISORY PROGRAM  

E-print Network

assistant, and chiropractic medicine. Please note that advising for physical therapy and nursing are done, physician assis- tant, and chiropractic medicine may require fewer units and courses for admission

Ravikumar, B.

266

42 CFR 60.10 - How much can be borrowed?  

Code of Federal Regulations, 2012 CFR

...student enrolled in a school of public health, pharmacy, chiropractic, or a graduate program in health administration, clinical...eligible nonstudent in the field of pharmacy, public health, chiropractic, health administration, or clinical psychology may...

2012-10-01

267

42 CFR 60.10 - How much can be borrowed?  

Code of Federal Regulations, 2013 CFR

...student enrolled in a school of public health, pharmacy, chiropractic, or a graduate program in health administration, clinical...eligible nonstudent in the field of pharmacy, public health, chiropractic, health administration, or clinical psychology may...

2013-10-01

268

42 CFR 60.50 - Which schools are eligible to be HEAL schools?  

Code of Federal Regulations, 2013 CFR

...Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree of Clinical Psychology...Council on Education for Public Health. (I) Council on Chiropractic Education. (J) Accrediting Commission on Education...

2013-10-01

269

The chart below represents a general overview of the Yale University Medical Plan options. Benefits & Services  

E-print Network

Surgical $0 10% 30% $0 30% Inpatient Hospital Services $0 10% 30% $0 30% Physical Therapy/ Chiropractic PhysicalTherapy: $0 Chiropractic: Up to 12 visits per year, $50 max reimbursement per visit $40 30% $5 30

270

The chart below represents a general overview of the Yale University Medical Plan options. Clerical & Technical, Service & Maintenance and Security Staff  

E-print Network

$0 30% Inpatient Hospital Services $0 $0 $0 30% Physical Therapy/ Chiropractic PhysicalTherapy: $0 Chiropractic: Up to 12 visits per year, $50maximum reimbursementpervisit $15 $15 30% Infertility Services In

271

river dolphins Investigating dolphin deaths in WA  

E-print Network

Autumn 2010 Helping India Chiropractic, Nursing and Pharmacy Schools making a difference Fossil fuel, Chiropractic and Sports Science, Nursing and Midwifery, are doing their bit to make the world a better place

272

Health Professions Advisory Program Page 159Sonoma State University 2014-2015 Catalog HEALTH PROFESSIONS ADVISORY PROGRAM  

E-print Network

, and chiropractic medicine. Please note that advising for physical therapy and nursing are done by the Departments, and chiropractic medicine may require fewer units and courses for admission. The following outline of courses

Ravikumar, B.

273

Science 150: Introduction To Careers In The Health Professions Guest Lecture Series*  

E-print Network

October 3 Chiropractic Medicine; Admissions and Application Process - Bill Riley Palmer College of Chiropractic October 10 Osteopathic Medicine - Russell Brunet, D.O.M. Salinas Valley PrimeCare Medical Group

Ravikumar, B.

274

Travel Aches and Strains Can Be a Pain in Your Back  

MedlinePLUS

... support the head of the infant or child. Chiropractic Care Can Help... "If you follow these simple ... pain and stress on your back, doctors of chiropractic are trained and licensed to diagnose and treat ...

275

Pre-Health Professions Program Page 317Sonoma State University 2006-2008 Catalog Sonoma State University provides preparation for continuing study  

E-print Network

assistant, and chiropractic medicine. Students interested in entering the health professions will select, and chiropractic medicine may require fewer units and courses for admission. The following outline of courses

Ravikumar, B.

276

Important Phone Numbers and Websites Group Number Phone Address Website  

E-print Network

, Chiropractic, Massage and Nutrition Counseling 1-877-335-2746 Kaiser Permanente (HMO) 102607 800-464-4000 P Specialty Health Networks (ASH Networks) discounts on Acupuncture, Chiropractic, Massage and Nutrition

Gleeson, Joseph G.

277

42 CFR 60.50 - Which schools are eligible to be HEAL schools?  

Code of Federal Regulations, 2010 CFR

...Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree of Clinical Psychology...Council on Education for Public Health. (I) Council on Chiropractic Education. (J) Accrediting Commission on Education...

2010-10-01

278

Back Pain Facts and Statistics  

MedlinePLUS

... for Back Problems Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been ... cost effectiveness , manipulation is receiving more widespread attention. Chiropractic spinal manipulation is a safe and effective spine ...

279

The relative effectiveness of myofascial manipulation versus ischaemic compression in the treatment of myofascial trigger points of the upper trapezius muscle.  

E-print Network

??Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005 Myofascial pain syndrome is defined as the sensory, motor and autonomic symptoms caused by myofascial… (more)

Shacksnovis, Richard

2005-01-01

280

http://www.uhs.berkeley.edu/students/insurance/ucship.shtml All UC Students are required to have a major  

E-print Network

,000) · Increased coverage for acupuncture, chiropractic, and podiatry services · In-Network medical and mental during the Urgent Care visit : Plan pays 100% Benefits Overview #12;· Acupuncture & Chiropractic (UHS

Doudna, Jennifer A.

281

2013 Alternative Entry Pathways for School Entry Awards and Media Portfolio Entry  

E-print Network

will be offered by the Deans of the following Schools at Murdoch; Business, Chiropractic and Sports Science requirements. What courses offer this? Courses within the areas of Business, Chiropractic and Sports Science

282

42 CFR 60.10 - How much can be borrowed?  

Code of Federal Regulations, 2010 CFR

...student enrolled in a school of public health, pharmacy, chiropractic, or a graduate program in health administration, clinical...eligible nonstudent in the field of pharmacy, public health, chiropractic, health administration, or clinical psychology may...

2010-10-01

283

Back in Shape & Pain Free: Exercises to Safeguard Your Back  

MedlinePLUS

... you feel stronger. Consult with your doctor of chiropractic prior to starting a new exercise program, especially ... Fax: 703 243 2593 | www.acatoday.org American Chiropractic Association D Passive Stretches Passive stretches help facilitate ...

284

42 CFR 60.50 - Which schools are eligible to be HEAL schools?  

Code of Federal Regulations, 2011 CFR

...Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree of Clinical Psychology...Council on Education for Public Health. (I) Council on Chiropractic Education. (J) Accrediting Commission on Education...

2011-10-01

285

Complementary Therapies in Medicine (2014) 22, 409--418 Available online at www.sciencedirect.com  

E-print Network

-PLANTS, CHIROPRACTIC-AND-LOW-BACK-PAIN, ACUPUNCTURE- AND-PAIN, CELL-PROCESSES-AND-DISEASES, LIPID as chiropractic, ayurveda, homeopathy and naturopathy).1 On the other hand, Integrative Medicine incorporates

Granada, Universidad de

286

42 CFR 60.50 - Which schools are eligible to be HEAL schools?  

Code of Federal Regulations, 2012 CFR

...Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree of Clinical Psychology...Council on Education for Public Health. (I) Council on Chiropractic Education. (J) Accrediting Commission on Education...

2012-10-01

287

The period prevalence of congenital thoracic and lumbar spine anomalies and the association between the literature reported clinical features of these anomalies with the subject's presenting clinical features.  

E-print Network

??Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban University of Technology, 2007 xi, 38 leaves, Annexures 1-2 Background: Various congenital spinal anomalies are common findings in the… (more)

Pillay, Amashnee

2007-01-01

288

2011 Entry and Media Portfolio Awards Murdoch University offers a number of Entry Awards as well as Media Portfolio a  

E-print Network

Entry Award and · Dean of Chiropractic Entry Award · Dean of Education Entry Award · Dean of Engineering or individual merit. Award and Scholarship Dean of Chiropractic Entry Award Dean of Education Entry Award Dean

289

MURALI PILLAI, PhD. Professor of Biology and Chair of the Health Professions Advisory Committee, Sonoma State University. Introductory Meeting  

E-print Network

of California, San Francisco. Pharmacy NOVEMBER 01 MARY FLANNERY, DC. Life Chiropractic College West. Chiropractic Medicine NOVEMBER 08 DAVID TRAN, DPM. California School of Podiatric Medicine at Samuel Merritt

Ravikumar, B.

290

A cross sectional cohort pilot study of the activation and endurance of the transversus abdominis muscle in three populations.  

E-print Network

??Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban University of Technology, 2007 xi, 60 leaves, Annexures 1-9 The Transversus Abdominis (TrA) muscle is recognised in the literature… (more)

Ferguson, Sarah Kim

2007-01-01

291

The relative effectiveness of spinal manipulation in conjunction with core stability exercises as opposed to spinal manipulation alone in the treatment of post-natal mechanical low back pain.  

E-print Network

??Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2006 xvii, 176 leaves Core strengthening has become a major trend in the rehabilitation of patients suffering… (more)

Wilson, Dean Paul Charles

2006-01-01

292

CHEIBA TRUST Health Insurance  

E-print Network

.................................................................................................................1-800-542-9402 Provider Directories Health and Dental www.anthem.com HMO Chiropractic Landmark

293

Corporate Extras is a premium level of cover. It helps you with the cost of services not always covered by Medicare, including dental, optical,  

E-print Network

covered by Medicare, including dental, optical, physiotherapy and chiropractic. With Corporate Extras your Maximums per person Chiropractic/ Osteopathy First 10 attendances (per person per calendar year) Initial Combined Loyalty Maximums for Chiropractic/osteopathy, speech Therapy, Eye Therapy and occupational Therapy

294

Wichita State University Fairmount College of Liberal Arts and Sciences 2013 -2014 Preparation for a Profession as a Chiropractor  

E-print Network

for a Profession as a Chiropractor A bachelor's degree is required for admissions into most chiropractic schools. Many states, including Kansas, require a bachelor's degree along with a Doctor of Chiropractic degree the prerequisite core courses in math and sciences. Chiropractic schools expect candidates to demonstrate

295

NATURE PHYSICS | VOL 8 | JUNE 2012 | www.nature.com/naturephysics 437 A new parliamentary session began  

E-print Network

Simon Singh was sued by the British Chiropractic Association over an article in The Guardian newspaper. In the article, Singh had criticized the association for claiming chiropractic to be an effective treatment of Appeal decided Singh's article was legally permissible fair comment. Days later, the British Chiropractic

Loss, Daniel

296

Wichita State University Fairmount College of Liberal Arts and Sciences 2014 -2015 Preparation for a Profession as a Chiropractor  

E-print Network

for a Profession as a Chiropractor A bachelor's degree is required for admissions into most chiropractic schools. Many states, including Kansas, require a bachelor's degree along with a Doctor of Chiropractic degree the prerequisite core courses in math and sciences. Chiropractic schools expect candidates to demonstrate

297

PRE-MEDICAL PROFESSIONS Medical professional schools  

E-print Network

requirements required for application to the following medical professional schools include: chiropractic offered in January and also April through September each year. Chiropractic (DC) Each professional school sets its own prerequisites and requirements. There is no admissions test for chiropractic schools

298

Last Updated: January 2014 1 For more information visit www.uwinnipeg.ca or contact a student recruitment officer at  

E-print Network

Course Calendar and this fact sheet differ, the current Calendar takes precedence. Pre-Chiropractic gain admission to chiropractic school. Come to The University of Winnipeg for your pre's medical library, chiropractic clinics, major hospitals, research centres, and labs such as the National

Martin, Jeff

299

General Information: Chiropractors provide a valuable health care service to the general public. These health care  

E-print Network

. Different chiropractic colleges emphasize different approaches. As such, students must determine which specific chiropractic colleges and determine which one(s) provide the type of education they desire. Links curriculum for Chiropractic College is fairly uniform for accredited schools. Courses required

Walker, Lawrence R.

300

Responsiveness of the Bournemouth and Oswestry questionnaires: A prospective pilot study  

Microsoft Academic Search

Background: The assessment of health-related quality-of-life outcome information has become an essential feature in the delivery of quality health care. Outcome assessment and increased clinical research capacity have been identified as recommended areas of priority for chiropractic research, chiropractic colleges, and the profession. Objective: This article reports the results of a multisite pilot project utilizing New York Chiropractic College's 3

Michael Perillo; Ronald Bulbulian

2003-01-01

301

The Homewood influence in Canada and beyond  

PubMed Central

If there is any one individual who stands out in the saga of the early growth and development of the Canadian Memorial Chiropractic College, it must be Albert Earl Homewood (1916–1990). His contributions included steering the institution through the lean 1950s, coping with the metropolitan transit authorities’ devastating incursion upon the first campus, and arranging the construction and financing of the school’s second campus. Along the way, this feisty gentleman and respected instructor, “chiropractic’s Mr. Chips,” raised the standard for scholarship among DCs and assisted in the administration of several additional chiropractic colleges (Lincoln and Los Angeles). PMID:17549169

Keating, Joseph C

2006-01-01

302

78 FR 18988 - Agency Information Collection Activities; Proposed Collection; Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, allied health, or chiropractic, and graduate students in health administration or clinical psychology through September 30, 1998. Eligible...

2013-03-28

303

42 CFR 433.56 - Classes of health care services and providers defined.  

Code of Federal Regulations, 2013 CFR

...services only and do not include surgical procedures; (10) Dental services; (11) Podiatric services; (12) Chiropractic services; (13) Optometric/optician services; (14) Psychological services; (15) Therapist services,...

2013-10-01

304

77 FR 16244 - Request for Comments on the Update of the Scholarships for Disadvantaged Students Program  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine; veterinary medicine; nursing (associate, diploma, baccalaureate, and graduate degree); public health; chiropractic; allied health (baccalaureate and graduate degree programs of dental hygiene, medical laboratory technology,...

2012-03-20

305

75 FR 16136 - Agency Information Collection Activities: Proposed Collection: Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, allied health, or chiropractic, and graduate students in health administration or clinical psychology through September 30, 1998. Eligible...

2010-03-31

306

78 FR 35286 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Public...  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, allied health, or chiropractic, and graduate students in health administration or clinical psychology through September 30, 1998. Eligible...

2013-06-12

307

42 CFR 433.56 - Classes of health care services and providers defined.  

Code of Federal Regulations, 2010 CFR

...services only and do not include surgical procedures; (10) Dental services; (11) Podiatric services; (12) Chiropractic services; (13) Optometric/optician services; (14) Psychological services; (15) Therapist services,...

2010-10-01

308

75 FR 30407 - Agency Information Collection Activities: Proposed Collection: Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, allied health, or chiropractic, and graduate students in health administration or clinical psychology through September 30, 1998. Eligible...

2010-06-01

309

42 CFR 433.56 - Classes of health care services and providers defined.  

Code of Federal Regulations, 2014 CFR

...services only and do not include surgical procedures; (10) Dental services; (11) Podiatric services; (12) Chiropractic services; (13) Optometric/optician services; (14) Psychological services; (15) Therapist services,...

2014-10-01

310

42 CFR 433.56 - Classes of health care services and providers defined.  

Code of Federal Regulations, 2011 CFR

...services only and do not include surgical procedures; (10) Dental services; (11) Podiatric services; (12) Chiropractic services; (13) Optometric/optician services; (14) Psychological services; (15) Therapist services,...

2011-10-01

311

42 CFR 433.56 - Classes of health care services and providers defined.  

Code of Federal Regulations, 2012 CFR

...services only and do not include surgical procedures; (10) Dental services; (11) Podiatric services; (12) Chiropractic services; (13) Optometric/optician services; (14) Psychological services; (15) Therapist services,...

2012-10-01

312

Frequency of use of diagnostic and manual therapeutic procedures of the spine currently taught at the Canadian Memorial Chiropractic College: A preliminary survey of Ontario chiropractors. Part 2 – procedure usage rates  

PubMed Central

Objective: The purpose of this study was to determine which diagnostic and therapeutic procedures of the spine are most commonly utilized by chiropractors practicing in Ontario, based on a list of currently taught procedures at CMCC. In Part 1 of this study (published previously), the demographics and practice patterns of the respondents were presented. Part 2 of this study (presented here) reports on the utilization rates of spinal diagnostic and therapeutic procedures by the respondents. Methods: The study consisted of a paper-based survey that was sent to 500 randomly selected Ontario chiropractors who responded confidentially. Survey questions inquired into demographic and practice style characteristics as well as the frequency with which spinal diagnostic and therapeutic procedures were performed. Results: There were 108 respondents to the survey, giving a response rate of 22.4%. Frequency of use of diagnostic procedures fell into three broad categories: (i) those tests that are almost always performed, (ii) those tests that are almost always performed by two-thirds to one-half of patients, and (iii) those tests that are virtually never used. By comparison, respondents utilized the same therapeutic procedures for patients care less consistently. Conclusions: Despite a low response rate, respondents reported mostly relying on static and motion palpation, joint play, neurological tests, and ranges of motion when assessing their patients. Due to a low response rate, the results of this study may not be generalizable to all Ontario chiropractors. PMID:23754862

Gleberzon, Brian; Stuber, Kent

2013-01-01

313

Allan M. Freedman, LLB: a lawyer’s gift to Canadian chiropractors  

PubMed Central

This paper reviews the leadership role, contributions, accolades, and impact of Professor Allan Freedman through a 30 year history of service to CMCC and the chiropractic profession in Canada. Professor Freedman has served as an educator, philanthropist and also as legal counsel. His influence on chiropractic organizations and chiropractors during this significant period in the profession is discussed. PMID:18060008

Brown, Douglas M.

2007-01-01

314

Developing skilled performance of lumbar spine manipulation  

Microsoft Academic Search

Objective: To quantify elements of spinal manipulation therapy performance and to test the strategy of combined rehearsal and quantitative feedback as a means of enhancing student skill development. Design: Randomized, controlled study. Setting: Chiropractic college. Subjects: Thirty-nine chiropractic student volunteers entering the manipulation technique training course participated after providing informed consent. Methods: Student performance of lumbar spinal manipulation therapy was

John J. Triano; Carolyn M. Rogers; Sarah Combs; David Potts; Kenneth Sorrels

2002-01-01

315

Neuromotor Transmissibility of Horizontal Seatpan Vibration  

E-print Network

of Medical and Chiropractic Management Within the Victorian WorkCare Scheme. Chiropractic J Aust 22, 47-53, 1992. 9. Papageorgiou, A. C., Croft, P. R., Ferry, S., Jayson, M. I. and Silman, A. J. Estimating the prevalence of low back pain in the general...

Channamallu, Raghu Ram

2007-12-16

316

Questions about Neck Manipulation?  

MedlinePLUS

Questions About Neck Manipulation? Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of ... of chiropractic, osteopaths and physical therapists provide--neck manipulation (also known as cervical manipulation)—with a certain ...

317

How Much Health Promotion and Disease Prevention Is Enough?  

PubMed Central

Introduction: Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession. PMID:18483632

Terre, Lisa; Globe, Gary; Pfefer, Mark T.

2006-01-01

318

Reactive Attachment Disorder: A Preventable Mental Health Disease  

Microsoft Academic Search

ObjectiveTo discuss attachment disorders; most specifically, Reactive Attachment Disorder, its etiology, background causes, symptoms, and its prevention with the intervention of allopathic, chiropractic, naturopathic, and osteopathic physicians.

James J. Lehman; Shereen K. Jegtvig

2004-01-01

319

Complementary and alternative medicine for children: does it work?  

PubMed Central

Paediatric use of complementary and alternative medicine is common and increasing, particularly for the sickest children. This review discusses the various options available including dietary supplements, hypnosis, massage, chiropractic, and acupuncture.?? PMID:11124773

Kemper, K

2001-01-01

320

A comparative study between the effects of side-lying sacroiliac adjustments and Sacro Occipital Technic on the muscle strength of the gastrocnemius muscle in asymptomatic adult males .  

E-print Network

??This unblinded, non-randomised pilot study was conducted in order to determine if diversified chiropractic manipulation and/or sacro occipital technic adjustments of the sacroiliac (SI) joint… (more)

Pretorius, Grant

2008-01-01

321

Vestibular Disorders Association  

MedlinePLUS

... Psychologist Social Worker Counselor Internist Family/General Practitioner Sleep Medicine Physical Therapist Occupational Therapist Physiatrist/Rehabilitation Medicine Nurse Researcher Pediatrics Geriatrics Dentist Alternative Medicine Chiropractic Social Services Other ...

322

75 FR 57972 - Advisory Committee on Interdisciplinary, Community-Based Linkages Notice for Request for Nominations  

Federal Register 2010, 2011, 2012, 2013, 2014

...schools of osteopathic medicine that engage in interdisciplinary...allied health, podiatric medicine (in preventive and primary care) or chiropractic medicine; and (4) Accredited...shall be made without discrimination on the basis of...

2010-09-23

323

42 CFR 411.12 - Charges imposed by an immediate relative or member of the beneficiary's household.  

Code of Federal Regulations, 2014 CFR

...completely owned by one or more physicians and is operated for the purpose of conducting the practice of medicine, osteopathy dentistry, podiatry, optometry, or chiropractic, or is owned by other health care professionals as authorized by State law....

2014-10-01

324

42 CFR 75.2 - Definitions.  

Code of Federal Regulations, 2014 CFR

...interacts with atoms to produce ion pairs in matter. Licensed practitioner means a licensed doctor of medicine, osteopathy, dentistry, podiatry, or chiropractic. Licensure means the process by which an agency of State government grants permission...

2014-10-01

325

42 CFR 60.1 - What is the HEAL program?  

Code of Federal Regulations, 2014 CFR

...is a program of Federal insurance of educational loans to graduate students in the fields of medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic, health...

2014-10-01

326

Minimally Invasive Lumbar Discectomy  

MedlinePLUS Videos and Cool Tools

... together the entire ensemble required to deliver the care we provide. You know, besides my valuable colleague, ... modalities that are available are excellent, including chiropractic care. I do not -- you know, for some reason ...

327

Time to Talk: Tell Your Health Care Provider about Your Use of Complementary and Alternative Medicine  

MedlinePLUS

... external links Menu Time to Talk Tell Your Health Care Provider About Your Use of Complementary Health Practices ... chiropractic manipulation, and acupuncture. Top Why tell your health care providers? Giving your health care providers a full ...

328

45 CFR 158.140 - Reimbursement for clinical services provided to enrollees.  

Code of Federal Regulations, 2014 CFR

...reserves for contingent benefits and the medical claim...anticipated coordination of benefits (COB), and claim recoveries...chiropractic network, or high technology radiology vendor, or a pharmacy benefit manager, and the...

2014-10-01

329

Programs and services to enhance your health and wellness From acupuncture to natural supplements. From aerobic classes to a therapeutic  

E-print Network

Programs and services to enhance your health and wellness From acupuncture to natural supplements® Alternative Medicine Acupuncture Chiropractic Care Massage Therapy Mind/Body Healthy Roads Mind/Body Program

Hutcheon, James M.

330

Programs and services to enhance your health and wellness From acupuncture to natural supplements. From aerobic classes to a therapeutic  

E-print Network

Programs and services to enhance your health and wellness From acupuncture to natural supplements Acupuncture Chiropractic Care Massage Therapy Mind/Body HealthyroadsTM Mind/Body Program Fitness Fitness Club

Nelson, Tim

331

A Note on Complementary Medicines  

MedlinePLUS

... Photo: iStock Herbal supplements, meditation, chiropractic manipulation, and acupuncture are types of complementary and alternative medicine (CAM) ... effective. For example, NCCAM studies have shown that: Acupuncture can provide pain relief and improve function for ...

332

Credentialing CAM Providers: Understanding CAM Education, Training, Regulation, and Licensing  

MedlinePLUS

... be certified by the National Certification Commission for Acupuncture and Oriental Medicine to get licensed. Some of ... accredit chiropractic colleges and the Accreditation Commission for Acupuncture and Oriental Medicine to accredit acupuncture programs. Differences ...

333

Alternative and Complementary Therapies  

MedlinePLUS

... practices such as ayurveda (Fact Sheet 702) , Chinese acupuncture (Fact Sheet 703) , and Native American healing (Fact ... plans pay for therapies such as chiropractic or acupuncture. ARE THEY SAFE? Alternative therapies can have dangerous ...

334

Cancer Alternative Therapies  

MedlinePLUS

... of standard care. Examples of CAM therapies are acupuncture, chiropractic, and herbal medicines. People with cancer may ... not work for everyone. Some methods, such as acupuncture, might help with nausea, pain and other side ...

335

Insurance Resources for Patients  

MedlinePLUS

... increase in your chiropractic benefits, your human resources manager should be contacted. You should inquire when determinations ... report concerns and suggestions to the human resources manager or benefits administrator. If you do not know ...

336

For Immediate Release --Wednesday, April 23, 2014 University of Lethbridge graduate student seeking why  

E-print Network

's World Immunization Week (Apr. 24-30). In her research, King plans, such as chiropractic care, vitamins and a healthy diet. "I think there is a lot something different to the literature that currently exists. She plans to get

Seldin, Jonathan P.

337

42 CFR 411.12 - Charges imposed by an immediate relative or member of the beneficiary's household.  

Code of Federal Regulations, 2012 CFR

...physicians and is operated for the purpose of conducting the practice of medicine, osteopathy dentistry, podiatry, optometry, or chiropractic, or is owned by other health care professionals as authorized by State law. (c) Applicability of the exclusion....

2012-10-01

338

42 CFR 60.1 - What is the HEAL program?  

Code of Federal Regulations, 2012 CFR

...medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic, health administration and clinical psychology. The basic purpose of the program is to encourage lenders to...

2012-10-01

339

32 CFR 935.152 - Activities for which permit is required.  

Code of Federal Regulations, 2011 CFR

...personal or family use). (b) The practice of any medical profession, including dentistry, surgery, osteopathy, and chiropractic. (c) The erection of any structure or sign, including a major alteration or enlargement of an existing...

2011-07-01

340

45 CFR 158.140 - Reimbursement for clinical services provided to enrollees.  

Code of Federal Regulations, 2012 CFR

...administrative fees, claims processing, and utilization management. For example, if an issuer contracts with a behavioral health, chiropractic network, or high technology radiology vendor, or a pharmacy benefit manager, and the vendor reimburses the...

2012-10-01

341

20 CFR 10.5 - What definitions apply to the regulations in this subchapter?  

Code of Federal Regulations, 2013 CFR

... (o) Medical services means services and supplies provided by or under the supervision of a physician. Reimbursable chiropractic services are limited to physical examinations (and related laboratory tests), x-rays performed to diagnose a...

2013-04-01

342

77 FR 3269 - Loan Repayment Program for Repayment of Health Professions Educational Loans; Announcement Type...  

Federal Register 2010, 2011, 2012, 2013, 2014

...psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, an allied health profession, or any other health profession. For...

2012-01-23

343

20 CFR 10.5 - What definitions apply to these regulations?  

Code of Federal Regulations, 2010 CFR

... (o) Medical services means services and supplies provided by or under the supervision of a physician. Reimbursable chiropractic services are limited to physical examinations (and related laboratory tests), x-rays performed to diagnose a...

2010-04-01

344

29 CFR 1904.7 - General recording criteria.  

Code of Federal Regulations, 2013 CFR

...tweezers, cotton swabs or other simple means; (L) Using finger guards; (M) Using massages (physical therapy or chiropractic treatment are considered medical treatment for recordkeeping purposes); or (N) Drinking fluids for relief of heat...

2013-07-01

345

29 CFR 1904.7 - General recording criteria.  

Code of Federal Regulations, 2014 CFR

...tweezers, cotton swabs or other simple means; (L) Using finger guards; (M) Using massages (physical therapy or chiropractic treatment are considered medical treatment for recordkeeping purposes); or (N) Drinking fluids for relief of heat...

2014-07-01

346

32 CFR 935.152 - Activities for which permit is required.  

Code of Federal Regulations, 2010 CFR

...personal or family use). (b) The practice of any medical profession, including dentistry, surgery, osteopathy, and chiropractic. (c) The erection of any structure or sign, including a major alteration or enlargement of an existing...

2010-07-01

347

77 FR 76043 - Agency Information Collection Activities: Proposed Collection; Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...care for adults and Routine dental care for adults will replace Routine vision care and Routine dental care respectively. Chiropractic care remains unchanged. Is this a Grandfathered health plan as defined by the Affordable Care Act?...

2012-12-26

348

42 CFR 75.2 - Definitions.  

Code of Federal Regulations, 2012 CFR

...pairs in matter. Licensed practitioner means a licensed doctor of medicine, osteopathy, dentistry, podiatry, or chiropractic. Licensure means the process by which an agency of State government grants permission to persons meeting...

2012-10-01

349

20 CFR 10.5 - What definitions apply to the regulations in this subchapter?  

Code of Federal Regulations, 2012 CFR

... (o) Medical services means services and supplies provided by or under the supervision of a physician. Reimbursable chiropractic services are limited to physical examinations (and related laboratory tests), x-rays performed to diagnose a...

2012-04-01

350

32 CFR 732.15 - Unauthorized care.  

Code of Federal Regulations, 2011 CFR

...Dental Care From Nonnaval Sources § 732.15 Unauthorized care. The following are not authorized by this part: (a) Chiropractic services. (b) Vasectomies. (c) Tubal ligations. (d) Breast augmentations or reductions. (e)...

2011-07-01

351

42 CFR 60.1 - What is the HEAL program?  

Code of Federal Regulations, 2011 CFR

...medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic, health administration and clinical psychology. The basic purpose of the program is to encourage lenders to...

2011-10-01

352

42 CFR 60.1 - What is the HEAL program?  

Code of Federal Regulations, 2013 CFR

...medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic, health administration and clinical psychology. The basic purpose of the program is to encourage lenders to...

2013-10-01

353

78 FR 52779 - Merchant Mariner Medical Advisory Committee  

Federal Register 2010, 2011, 2012, 2013, 2014

...Minutes. (5) Public Comments. (6) Presentation from the American Epilepsy Society. (7) Presentation from American Chiropractic Association MEDMAC Discussion/Recommendation (8) Working Groups report out. (9) Working Groups addressing the...

2013-08-26

354

42 CFR 60.5 - Who is an eligible student borrower?  

Code of Federal Regulations, 2011 CFR

...Bachelor or Master of Science in Pharmacy or equivalent degree Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree in Clinical Psychology Masters or doctoral degree in Health...

2011-10-01

355

32 CFR 732.15 - Unauthorized care.  

Code of Federal Regulations, 2013 CFR

...Dental Care From Nonnaval Sources § 732.15 Unauthorized care. The following are not authorized by this part: (a) Chiropractic services. (b) Vasectomies. (c) Tubal ligations. (d) Breast augmentations or reductions. (e)...

2013-07-01

356

32 CFR 935.152 - Activities for which permit is required.  

Code of Federal Regulations, 2012 CFR

...personal or family use). (b) The practice of any medical profession, including dentistry, surgery, osteopathy, and chiropractic. (c) The erection of any structure or sign, including a major alteration or enlargement of an existing...

2012-07-01

357

75 FR 24437 - Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and...  

Federal Register 2010, 2011, 2012, 2013, 2014

...physician. Physicians are doctors of medicine and osteopathy, optometry, podiatry, dental medicine, dental surgery, and chiropractic. Referring physicians are those who order covered items or services for Medicare beneficiaries from Medicare...

2010-05-05

358

45 CFR 158.140 - Reimbursement for clinical services provided to enrollees.  

Code of Federal Regulations, 2013 CFR

...administrative fees, claims processing, and utilization management. For example, if an issuer contracts with a behavioral health, chiropractic network, or high technology radiology vendor, or a pharmacy benefit manager, and the vendor reimburses the...

2013-10-01

359

20 CFR 10.5 - What definitions apply to these regulations?  

Code of Federal Regulations, 2011 CFR

... (o) Medical services means services and supplies provided by or under the supervision of a physician. Reimbursable chiropractic services are limited to physical examinations (and related laboratory tests), x-rays performed to diagnose a...

2011-04-01

360

42 CFR 411.12 - Charges imposed by an immediate relative or member of the beneficiary's household.  

Code of Federal Regulations, 2013 CFR

...physicians and is operated for the purpose of conducting the practice of medicine, osteopathy dentistry, podiatry, optometry, or chiropractic, or is owned by other health care professionals as authorized by State law. (c) Applicability of the exclusion....

2013-10-01

361

75 FR 17938 - Advisory Committee on Interdisciplinary, Community-Based Linkages; Notice for Request for...  

Federal Register 2010, 2011, 2012, 2013, 2014

...administered or are currently administering awards from the following programs: Allied Health; Area Health Education Centers; Chiropractic Demonstration Program; Geriatric Academic Career Award; Geriatric Education Centers; Quentin N. Burdick Rural...

2010-04-08

362

76 FR 8748 - Loan Repayment Program for Repayment of Health Professions Educational Loans  

Federal Register 2010, 2011, 2012, 2013, 2014

...psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, and allied health profession, or any other health profession. For...

2011-02-15

363

42 CFR 411.12 - Charges imposed by an immediate relative or member of the beneficiary's household.  

Code of Federal Regulations, 2011 CFR

...physicians and is operated for the purpose of conducting the practice of medicine, osteopathy dentistry, podiatry, optometry, or chiropractic, or is owned by other health care professionals as authorized by State law. (c) Applicability of the exclusion....

2011-10-01

364

20 CFR 10.5 - What definitions apply to the regulations in this subchapter?  

Code of Federal Regulations, 2014 CFR

... (o) Medical services means services and supplies provided by or under the supervision of a physician. Reimbursable chiropractic services are limited to physical examinations (and related laboratory tests), x-rays performed to diagnose a...

2014-04-01

365

78 FR 48941 - Advisory Committee on Prosthetics and Special-Disabilities Programs, Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...terms of daily life functions. On August 13, the Committee will receive briefings on the Blind Rehabilitation Program, Chiropractic Care, Audiology and Speech Pathology, Veterans Benefits, and Prosthetic and Sensory Aids Service. On August 14,...

2013-08-12

366

32 CFR 935.152 - Activities for which permit is required.  

Code of Federal Regulations, 2013 CFR

...personal or family use). (b) The practice of any medical profession, including dentistry, surgery, osteopathy, and chiropractic. (c) The erection of any structure or sign, including a major alteration or enlargement of an existing...

2013-07-01

367

42 CFR 60.5 - Who is an eligible student borrower?  

Code of Federal Regulations, 2012 CFR

...Bachelor or Master of Science in Pharmacy or equivalent degree Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree in Clinical Psychology Masters or doctoral degree in Health...

2012-10-01

368

45 CFR 158.140 - Reimbursement for clinical services provided to enrollees.  

Code of Federal Regulations, 2011 CFR

...administrative fees, claims processing, and utilization management. For example, if an issuer contracts with a behavioral health, chiropractic network, or high technology radiology vendor, or a pharmacy benefit manager, and the vendor reimburses the...

2011-10-01

369

29 CFR 1904.7 - General recording criteria.  

Code of Federal Regulations, 2011 CFR

...tweezers, cotton swabs or other simple means; (L) Using finger guards; (M) Using massages (physical therapy or chiropractic treatment are considered medical treatment for recordkeeping purposes); or (N) Drinking fluids for relief of heat...

2011-07-01

370

78 FR 7787 - Loan Repayment Program for Repayment of Health Professions Educational Loans  

Federal Register 2010, 2011, 2012, 2013, 2014

...psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, an allied health profession, or any other health profession. For...

2013-02-04

371

42 CFR 60.5 - Who is an eligible student borrower?  

Code of Federal Regulations, 2010 CFR

...Bachelor or Master of Science in Pharmacy or equivalent degree Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree in Clinical Psychology Masters or doctoral degree in Health...

2010-10-01

372

32 CFR 732.15 - Unauthorized care.  

Code of Federal Regulations, 2012 CFR

...Dental Care From Nonnaval Sources § 732.15 Unauthorized care. The following are not authorized by this part: (a) Chiropractic services. (b) Vasectomies. (c) Tubal ligations. (d) Breast augmentations or reductions. (e)...

2012-07-01

373

76 FR 14417 - ``Low Income Levels'' Used for Various Health Professions and Nursing Programs Included in Titles...  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health podiatric medicine, nursing, chiropractic, public or private nonprofit schools which offer graduate programs in behavioral health and mental health practice,...

2011-03-16

374

42 CFR 75.2 - Definitions.  

Code of Federal Regulations, 2013 CFR

...pairs in matter. Licensed practitioner means a licensed doctor of medicine, osteopathy, dentistry, podiatry, or chiropractic. Licensure means the process by which an agency of State government grants permission to persons meeting...

2013-10-01

375

29 CFR 1904.7 - General recording criteria.  

Code of Federal Regulations, 2012 CFR

...tweezers, cotton swabs or other simple means; (L) Using finger guards; (M) Using massages (physical therapy or chiropractic treatment are considered medical treatment for recordkeeping purposes); or (N) Drinking fluids for relief of heat...

2012-07-01

376

32 CFR 935.152 - Activities for which permit is required.  

Code of Federal Regulations, 2014 CFR

...personal or family use). (b) The practice of any medical profession, including dentistry, surgery, osteopathy, and chiropractic. (c) The erection of any structure or sign, including a major alteration or enlargement of an existing...

2014-07-01

377

49 CFR 390.103 - Eligibility requirements for medical examiner certification.  

Code of Federal Regulations, 2013 CFR

...State laws and regulations to perform physical examinations. The applicant must be an advanced practice nurse, doctor of chiropractic, doctor of medicine, doctor of osteopathy, physician assistant, or other medical professional authorized by...

2013-10-01

378

49 CFR 390.103 - Eligibility requirements for medical examiner certification.  

Code of Federal Regulations, 2012 CFR

...State laws and regulations to perform physical examinations. The applicant must be an advanced practice nurse, doctor of chiropractic, doctor of medicine, doctor of osteopathy, physician assistant, or other medical professional authorized by...

2012-10-01

379

32 CFR 732.15 - Unauthorized care.  

Code of Federal Regulations, 2010 CFR

...Dental Care From Nonnaval Sources § 732.15 Unauthorized care. The following are not authorized by this part: (a) Chiropractic services. (b) Vasectomies. (c) Tubal ligations. (d) Breast augmentations or reductions. (e)...

2010-07-01

380

42 CFR 60.5 - Who is an eligible student borrower?  

Code of Federal Regulations, 2013 CFR

...Bachelor or Master of Science in Pharmacy or equivalent degree Graduate or equivalent degree in Public Health Doctor of Chiropractic or equivalent degree Doctoral degree in Clinical Psychology Masters or doctoral degree in Health...

2013-10-01

381

77 FR 22790 - ``Low Income Levels'' Used for Various Health Professions and Nursing Programs Included in Titles...  

Federal Register 2010, 2011, 2012, 2013, 2014

...medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health podiatric medicine, nursing, chiropractic, public or private nonprofit schools which offer graduate programs in behavioral health and mental health practice,...

2012-04-17

382

32 CFR 732.15 - Unauthorized care.  

Code of Federal Regulations, 2014 CFR

...Dental Care From Nonnaval Sources § 732.15 Unauthorized care. The following are not authorized by this part: (a) Chiropractic services. (b) Vasectomies. (c) Tubal ligations. (d) Breast augmentations or reductions. (e)...

2014-07-01

383

Teaching Biochemistry in a "Guided Discovery Curriculum".  

ERIC Educational Resources Information Center

Describes the implementation of the innovative Guided Discovery Curriculum at the National College of Chiropractic. Emphasizes the relevance of biochemical principles to clinical practice through the selection of two clinical cases. (DDR)

Surlekar, Sheela

1998-01-01

384

Entry Award Nomination Form MD7618/08-12  

E-print Network

Entry Award Dean of Chiropractic and Sports Science Entry Award Dean of Education Entry Award Dean of Engineering and Energy Entry Award Dean of Law Entry Award Dean of Psychology Entry Award Director

385

SCHOOL OF SCIENCE & TECHNOLOGY HEALTH PROFESSIONS ADVISORY PROGRAM  

E-print Network

2 DAT (Dental Admission Test): The American Dental Association (ADA) administers DAT by computer medical, dental, veterinary medical, osteopathic medical, podiatry, chiropractic, pharmacy, physician (Dental Admission Test), GRE (Graduate Record Examination), OAT (Optometry Admission Test), PCAT (Pharmacy

Ravikumar, B.

386

The BraveNet prospective observational study on integrative medicine treatment approaches for pain  

E-print Network

Exercise Yoga Alternative Medical Systems Energy Therapy aexercise (7.7%), yoga (1.9%), and alternative medical systems therapy (therapy: chiropractic, osteopathy, massage; Mind/Body: biofeedback, deep breathing exercises,

2013-01-01

387

Alternative Therapies  

MedlinePLUS

... classes, or trained individuals. Bodywork includes myofascial release (Smith, 1997) , various types of massage, craniosacral therapy, chiropractic ... 1987) ; therapeutic touch, developed in nursing (Gerber, 1988; Smith, 1997) ; and reiki and polarity (Goldberg, 1995) . All ...

388

The activity of Rubisco's molecular chaperone, Rubisco activase, in leaf extracts  

Technology Transfer Automated Retrieval System (TEKTRAN)

Rubisco frequently undergoes unproductive interactions with its sugar-phosphate substrate that stabilize active sites in an inactive conformation. Restoring catalytic competence to these sites requires the “molecular chiropractic” activity of Rubisco activase (activase). To make the study of activas...

389

Occupational hazards at the work place  

PubMed Central

Industrial accidents and injuries are prevalent amongst the industrialised world. Accident related research has long attempted to find common denominators among the human and environmental antecedents of occupational hazards. Chemical substances can adversely effect one or several of the body systems, with resulting symptoms which may not fit in a specific disease pattern. While occupational health physicians will be familiar with hazards of particular industries, general physicians or chiropractic clinicians may easily overlook industrial poisoning as a cause of symptoms because of its relative rarity. Even though awareness of chiropractic and use of chiropractic care has been increasing, there are still millions of Canadians who know little or nothing about chiropractic and are not part of its utilization profile.

Dhami, MSI; Vernon, H

1985-01-01

390

State of Tennessee Employee Discount Program (State only)  

E-print Network

. These include gym memberships (FitnessBlue), LASIK eye surgery, massage therapy, hearing aids, regional on alternative care like acupuncture, massage and chiropractic care. Gym memberships: Members can save 60

Davis, Lloyd M.

391

2013 Retiree Health Plan Design Pre & Post 65 (Medicare eligible retirees Medicare is always primary for health)  

E-print Network

deductible 35% 40% after deductible Massage Therapy 35% 40% after deductible 35% 40% after deductible Durable deductible Physical Therapy 35% 35% after deductible 35% 35% after deductible Chiropractic 35% 40% after

392

Fibromyalgia  

MedlinePLUS

... therapy Biofeedback Herbs Nutritional supplements Osteopathic or chiropractic manipulation Return to top What can I do to ... when you wake up. It is hard for people with fibromyalgia to get a good night's sleep. ...

393

Use of mental rotation reaction-time paradigm to measure the effects of upper cervical adjustments on cortical processing: A pilot study  

Microsoft Academic Search

Objectives: To investigate the potential usefulness of a mental rotation paradigm in providing an objective measure of spinal manipulative therapy. To determine if cortical processing, as indicated by response time to a mental rotation reaction-time task, is altered by an upper cervical toggle recoil adjustment.Design: Prospective, double-blind, randomized, controlled trial.Setting: Chiropractic college clinical training facility.Participants: Thirty-six chiropractic student volunteers with

David D. Kelly; Bernadette A. Murphy; David P. Backhouse

2000-01-01

394

Where We Stand—CMA Position Papers: • Abortion • Acupuncture • Chiropractic • Confidentiality • Cost of Care • Drug Abuse • Environmental Health • Health Education for the Public • Health in the United States • Health Quackery • Health Maintenance Organizations and Prepaid Health Plans • Health Manpower • National Health Insurance • Physician's Assistants • Physician Unions • Professional Standards Review Organizations • Quality Medical Care  

PubMed Central

To serve the interests of members and to function in the public interest, the California Medical Association must set policies and take positions on current issues affecting the health care of Californians. These policies then guide the activities of the Association in fulfilling its leadership role and its responsibility to the public. Delegates, elected by the membership of CMA's component medical societies, meet annually to deliberate and determine the policies and courses of action for the Association. Between meetings of these Delegates, the CMA Councilors, elected by their district membership, implement the directives of the Delegates and set interim policies. By this democratic process, the membership governs the CMA. Association members must be informed if they are to participate effectively in the affairs of their medical organizations. To disseminate better understanding of CMA's activities, position papers on current issues have been developed. They are based on House of Delegates resolutions and Council actions. Entitled “Where We Stand on Medical and Health Issues,” these papers represent the current policy positions of CMA. Each paper is annotated to give the reference source of the policy actions. As with any organization, CMA policies are subject to timely revision. When policies are amended or new policies are adopted, new papers will be developed. PMID:4148533

1973-01-01

395

Commentary on a framework for multicultural education.  

PubMed

Today's changing demographics require that multicultural factors be considered in the delivery of quality patient-centred health care in chiropractic. Yet minimal training in cultural competency in chiropractic education leaves graduates ill-equipped to treat a diverse population. This commentary examines cultural competency training in current literature, demonstrates frameworks for curriculum integration, and suggests how cultural competency might be included in a chiropractic college curriculum. A database search yielded little evidence that cultural competency is integrated into curricula of chiropractic schools. Some journal articles note that promoting multicultural education and cultural sensitivity is an important goal. However, they provide no mechanisms as to how this can be achieved within training programs. Thus, although an undeniable need exists for all healthcare practitioners to develop cultural competency in the face of an increasingly diverse population, cultural competency education has not kept pace. Chiropractic schools must review their curricula to develop the cultural competencies of their graduates and a basic framework is suggested. PMID:25202156

Hammerich, Karin F

2014-09-01

396

Commentary on a framework for multicultural education  

PubMed Central

Today’s changing demographics require that multicultural factors be considered in the delivery of quality patient-centred health care in chiropractic. Yet minimal training in cultural competency in chiropractic education leaves graduates ill-equipped to treat a diverse population. This commentary examines cultural competency training in current literature, demonstrates frameworks for curriculum integration, and suggests how cultural competency might be included in a chiropractic college curriculum. A database search yielded little evidence that cultural competency is integrated into curricula of chiropractic schools. Some journal articles note that promoting multicultural education and cultural sensitivity is an important goal. However, they provide no mechanisms as to how this can be achieved within training programs. Thus, although an undeniable need exists for all healthcare practitioners to develop cultural competency in the face of an increasingly diverse population, cultural competency education has not kept pace. Chiropractic schools must review their curricula to develop the cultural competencies of their graduates and a basic framework is suggested. PMID:25202156

Hammerich, Karin F.

2014-01-01

397

Interprofessional Collaboration and Turf Wars How Prevalent Are Hidden Attitudes?*  

PubMed Central

Purpose: Interprofessional collaboration in health care is believed to enhance patient outcomes. However, where professions have overlapping scopes of practice (eg, chiropractors and physical therapists), "turf wars" can hinder effective collaboration. Deep-rooted beliefs, identified as implicit attitudes, provide a potential explanation. Even with positive explicit attitudes toward a social group, negative stereotypes may be influential. Previous studies on interprofessional attitudes have mostly used qualitative research methodologies. This study used quantitative methods to evaluate explicit and implicit attitudes of physical therapy students toward chiropractic. Methods: A paper-and-pencil instrument was developed and administered to 49 individuals (students and faculty) associated with a Canadian University master's entry-level physical therapy program after approval by the Research Ethics Board. The instrument evaluated explicit and implicit attitudes toward the chiropractic profession. Implicit attitudes were determined by comparing response times of chiropractic paired with positive versus negative descriptors. Results: Mean time to complete a word association task was significantly longer (t = 4.75, p =.00) when chiropractic was associated with positive rather than negative words. Explicit and implicit attitudes were not correlated (r = 0.13, p =.38). Conclusions: While little explicit bias existed, individuals associated with a master's entry-level physical therapy program appeared to have a significant negative implicit bias toward chiropractic PMID:22778528

Chung, Chadwick L. R.; Manga, Jasmin; McGregor, Marion; Michailidis, Christos; Stavros, Demetrios; Woodhouse, Linda J.

2012-01-01

398

Functional outcomes of low back pain: comparison of four treatment groups in a randomized controlled trial.  

PubMed

The revised Oswestry Low Back Pain Questionnaire (ROLBPQ) and Roland-Morris Activity Scale (RMAS) were compared in a randomized controlled trial of chiropractic manipulation, stroking massage, corset and transcutaneous muscular stimulation (TMS). This trial employed specific inclusion and exclusion criteria, including nonspecific low back pain for a duration of 3 wk to 6 months and ages between 18 and 55. We had the opportunity to ask 85 patients to answer the questionnaires. Sixty-three patients, who completed the initial and final evaluations, were used for data analysis. Both ROLBPQ and RMAS showed good internal consistency with alpha coefficients ranging from .77 to .93. Both instruments showed a significant difference between the chiropractic manipulation and massage groups (p less than .05). RMAS was able to further show significant differences between the chiropractic manipulation and TMS groups, and between the corset and massage groups, but the ROLBPQ failed to do so. RMAS also showed that chiropractic manipulation had a better but nonsignificant result than corset, possibly due to insufficient sample size and/or duration of treatment. We conclude that both instruments are reliable for measuring low back pain disability, and chiropractic manipulation has a superior short-term benefit when compared to stroking massage and TMS in subacute low back pain patients. In addition, it appears that RMAS is preferable in a clinical trial situation for subacute low back pain because it is more sensitive than ROLBPQ to detect changes. PMID:1531488

Hsieh, C Y; Phillips, R B; Adams, A H; Pope, M H

1992-01-01

399

Post-traumatic upper cervical subluxation visualized by MRI: a case report  

PubMed Central

Background This paper describes MRI findings of upper cervical subluxation due to alar ligament disruption following a vehicular collision. Incidental findings included the presence of a myodural bridge and a spinal cord syrinx. Chiropractic management of the patient is discussed. Case presentation A 21-year old female presented with complaints of acute, debilitating upper neck pain with unremitting sub-occipital headache and dizziness following a vehicular collision. Initial emergency department and neurologic investigations included x-ray and CT evaluation of the head and neck. Due to persistent pain, the patient sought chiropractic care. MRI of the upper cervical spine revealed previously unrecognized clinical entities. Conclusion This case highlights the identification of upper cervical ligamentous injury that produced vertebral subluxation following a traumatic incident. MRI evaluation provided visualization of previously undetected injury. The patient experienced improvement through chiropractic care. PMID:18093309

Demetrious, James

2007-01-01

400

Historical overview and update on subluxation theories?  

PubMed Central

Objective This article presents a personal view of the historical evolution of theories of subluxation in the chiropractic profession. Discussion Two major themes emerge from this review: those related to the mechanical behavior of the spine and those related to the neurologic implications of these mechanical issues. Chiropractic subluxation theory is one of the few health-related theories whereby these mechanical and neurologic theories have been unified into a comprehensive theory of disorder of spinal function. For this disorder, doctors of chiropractic have used the term subluxation. These theories, and their unification in the “subluxation concept,” have undergone evolution in the profession's history. Conclusion The “subluxation concept” currently faces challenges, which are briefly reviewed in this article. The only way forward is to strengthen our efforts to investigate the “subluxation concept” with high-quality scientific studies including animal models and human clinical studies. PMID:22693473

Vernon, Howard

2010-01-01

401

Evidence-based protocol for structural rehabilitation of the spine and posture: review of clinical biomechanics of posture (CBP®) publications  

PubMed Central

BACKGROUND Although practice protocols exist for SMT and functional rehabilitation, no practice protocols exist for structural rehabilitation. Traditional chiropractic practice guidelines have been limited to acute and chronic pain treatment, with limited inclusion of functional and exclusion of structural rehabilitation procedures. OBJECTIVE (1) To derive an evidence-based practice protocol for structural rehabilitation from publications on Clinical Biomechanics of Posture (CBP®) methods, and (2) to compare the evidence for Diversified, SMT, and CBP®. METHODS Clinical control trials utilizing CBP® methods and spinal manipulative therapy (SMT) were obtained from searches in Mantis, CINAHL, and Index Medicus. Using data from SMT review articles, evidence for Diversified Technique (as taught in chiropractic colleges), SMT, and CBP® were rated and compared. RESULTS From the evidence from Clinical Control Trials on SMT and CBP®, there is very little evidence support for Diversified (our rating = 18), as taught in chiropractic colleges, for the treatment of pain subjects, while CBP® (our rating = 46) and SMT for neck pain (rating = 58) and low back pain (our rating = 202) have evidence-based support. CONCLUSIONS While CBP® Technique has approximately as much evidence-based support as SMT for neck pain, CBP® has more evidence to support its methods than the Diversified technique taught in chiropractic colleges, but not as much as SMT for low back pain. The evolution of chiropractic specialization has occurred, and doctors providing structural-based chiropractic care require protocol guidelines for patient quality assurance and standardization. A structural rehabilitation protocol was developed based on evidence from CBP® publications. PMID:17549209

Oakley, Paul A.; Harrison, Donald D.; Harrison, Deed E.; Haas, Jason W.

2005-01-01

402

Canadian Chiropractors are not alone: external advocacy in Ontario, 1902–2012  

PubMed Central

This article focuses primarily on Ontario, identifying a number of the profession’s allies and their advocacy effectiveness, under two main headings: The Ontario Chiropractic Association; and the Canadian Memorial Chiropractic College during the period of 1902 to 2012. While part of our success in gaining recognition has been attributed to intense lobbying by the profession, here the public support of several labour unions is reviewed. The part played by various politicians, educators, entrepreneurs, legal counsel, academic administrators and historians is also discussed. PMID:23482916

Brown, Douglas M.

2013-01-01

403

Complementary and alternative medicine in women’s health  

Microsoft Academic Search

Complementary and alternative medicine is becoming an established intervention modality within the contemporary health care system. Various forms of complementary and alternative medicine are used by patients and practitioners alike, including chiropractic, massage, botanical medicine, homeopathy, and energy therapies. The National Center for Complementary and Alternative Medicine was established within the National Institutes of Health to facilitate evaluation of these

Patricia Aikins Murphy; Fredi Kronenberg; Christine Wade

1999-01-01

404

Which adviser do I see? Major Advisers*  

E-print Network

-Health Advisers (**All prospective students except nursing see Paloma) Melissa Yates Pre-Dentistry** Pre-Medicine** Pre-Physician Assistant** Pre-Chiropractic** Pre-Naturopathic** Laura Marsh Pre-Nursing Pre-Veterinary Medicine** Pre-Radiation Therapy** Pre-Clinical Lab. Science** **Paloma Harrison Sees all prospective (not

Daescu, Dacian N.

405

Integrating naturopathy: can we move forward?  

PubMed

Although acupuncture and chiropractic care have achieved some measure of acceptance within mainstream medicine, the integrative role for naturopathy has yet to be well specified. This essay provides a discussion of the potential benefits of naturopathic medicine, as well as an overview of current obstacles to its integration. Action steps toward improving communication between allopathic and naturopathic physicians are suggested. PMID:24361025

Elder, Charles R

2013-01-01

406

Exploration of the Practices of Credentialing of Nurse Practitioners in Acute Care Hospital Settings  

E-print Network

facilities for complementary and alternative medicine (CAM) therapies and their providers. Examples included in the CAM scope were chiropractic, acupuncture, massage therapy, nutritionist, and naturopathic providers of care. The studies included facilities... and Laboratory 17 Physician Assistants and Physicians 18 Complementary Alternative Medicine 19 Nursing 19 NP Credentialing Literature 21 vii Credentialing Process 21 Barriers to Credentialing 23...

Hronek, Carla M.

2014-05-31

407

Departmental Advisers Martha Dyson  

E-print Network

-Chiropractic Pre-Naturopathic (Pre-Physician Assistant)* Kimberly Felipe Pre Medicine Pre-Nursing Pre Pre-professional Advisers Pre-Health Advisers Melissa Yates Pre-Medicine Pre-Dentistry Pre-Physician Assistant Pre-Radiation Therapy Joan Jagodnik Pre-Medicine Pre-Dentistry Pre-Physical Therapy Pre

Lafferriere, Gerardo

408

Gender differences in pain levels before and after treatment: a prospective outcomes study on 3,900 Swiss patients with musculoskeletal complaints  

PubMed Central

Background Current studies comparing musculoskeletal pain levels between the genders focus on a single point in time rather than measuring change over time. The purpose of this study is to compare pain levels between males and females before and after treatment. Methods Eleven different patient cohorts (3,900 patients) included in two prospective outcome databases collected pain data at baseline and 1?month after treatment. Treatments were either imaging-guided therapeutic injections or chiropractic therapy. The Mann–Whitney U test was used to calculate differences in numerical rating scale (NRS) median scores between the genders for both time points in all 11 cohorts. Results Females reported significantly higher baseline pain scores at 4 of the 11 sites evaluated (glenohumeral (p = 0.015), subacromial (p = 0.002), knee (p = 0.023) injections sites and chiropractic low back pain (LBP) patients (p = 0.041)). However, at 1?month after treatment there were no significant gender differences in pain scores at any of the extremity sites. Only the chiropractic LBP patients continued to show higher pain levels in females at 1?month. Conclusions In these 11 musculoskeletal sites evaluated before and after treatment, only 3 extremity sites and the chiropractic LBP patients showed significantly higher baseline pain levels in females. At 1?month after treatment only the LBP patients had significant gender differences in pain levels. Gender evaluation of change in pain over time is likely to be more clinically important than an isolated pain measurement for certain anatomical sites. PMID:23217116

2012-01-01

409

34 CFR 668.2 - General definitions.  

Code of Federal Regulations, 2012 CFR

...licensure is also generally required. Examples of a professional degree include but are not limited to Pharmacy (Pharm.D.), Dentistry (D.D.S. or D.M.D.), Veterinary Medicine (D.V.M.), Chiropractic (D.C. or D.C.M.), Law...

2012-07-01

410

34 CFR 668.2 - General definitions.  

Code of Federal Regulations, 2011 CFR

...licensure is also generally required. Examples of a professional degree include but are not limited to Pharmacy (Pharm.D.), Dentistry (D.D.S. or D.M.D.), Veterinary Medicine (D.V.M.), Chiropractic (D.C. or D.C.M.), Law...

2011-07-01

411

34 CFR 668.2 - General definitions.  

Code of Federal Regulations, 2013 CFR

...licensure is also generally required. Examples of a professional degree include but are not limited to Pharmacy (Pharm.D.), Dentistry (D.D.S. or D.M.D.), Veterinary Medicine (D.V.M.), Chiropractic (D.C. or D.C.M.), Law...

2013-07-01

412

34 CFR 668.2 - General definitions.  

Code of Federal Regulations, 2014 CFR

...licensure is also generally required. Examples of a professional degree include but are not limited to Pharmacy (Pharm.D.), Dentistry (D.D.S. or D.M.D.), Veterinary Medicine (D.V.M.), Chiropractic (D.C. or D.C.M.), Law...

2014-07-01

413

A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention  

Microsoft Academic Search

BACKGROUND: There is little literature describing the use of manual therapy performed on athletes. It was our purpose to document the usage of a sports chiropractic manual therapy intervention within a RCT by identifying the type, amount, frequency, location and reason for treatment provided. This information is useful for the uptake of the intervention into clinical settings and to allow

Wayne Hoskins; Henry Pollard

2010-01-01

414

Student Health and Counseling Services University of California, Davis Davis SHIP PHYSICAL THERAPY AND ACUPUNCTURE  

E-print Network

THERAPY AND ACUPUNCTURE Benefits Checklist 2013/14 Patient Name) is the primary provider for Physical Therapy and Acupuncture services. Ã? A referral by an SHCS provider must Acupuncture, Chiropractic Care & Osteopathic Manipulation: all covered at 80% in-network after $300 deductible

Ullrich, Paul

415

Alternative Therapies Authors Kamran Amwar, Nicholas S.Y. Jim, Kath Huckbody and Ian Hughes  

E-print Network

science at all. The main topics are acupuncture, aromatherapy, chiropractic, herbalism, homeopathy bizarre part of the acupuncture section we are invited to click to discover about the "classical Chinese theory" and the "Western scientific theory" of how acupuncture works [sic]. The former is the usual mumbo

Colquhoun, David

416

Common Data Set 2008-09 Full-time Part-time  

E-print Network

number who are women Total number who are men First-professional: includes the fields of dentistry (DDS or DMD), medicine (MD), optometry (OD), osteopathic medicine (DO), pharmacy (DPharm or BPharm), podiatric medicine (DPM), veterinary medicine (DVM), chiropractic (DC or DCM), law (JD) and theological professions

Heller, Barbara

417

Excavating the Role of NPEs in the Innovation Process: Did We Start a Mission Possible?  

E-print Network

–80, 1974. [49] B. N. Green, C. D. Johnson, and A. Adams, “Writing narrative litera- ture reviews for peer-reviewed journals: secrets of the trade,” Journal of Chiropractic Medicine, vol. 5, pp. 101–117, 2006. [50] P. Cronin, F. Ryan, and M. Coughlan...

Dekkers, R.; Tietze, F.

2014-01-01

418

78 FR 17210 - Agency Information Collection Activities; Proposed Collection; Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...care for adults and Routine dental care for adults will replace Routine vision care and Routine dental care respectively Chiropractic care remains unchanged Is this a Grandfathered health plan as defined by the Affordable Care Act? Yes/No/Don't...

2013-03-20

419

Community Attitudes about Economic Impacts of Colleges: A Case Study. AIR 1996 Annual Forum Paper.  

ERIC Educational Resources Information Center

This study examined attitudes of people about benefits of the economic impacts of two local colleges (Palmer College of Chiropractic and Scott Community College) in the metropolitan Quad Cities area of Rock Island County (Illinois) and Scott County (Iowa). The study compared impacts considered important by the community with those estimated by the…

Stout, Robert J.

420

Shades of Grey: An Exploration of the Student Learning Experience in Diagnostic Imaging Education  

ERIC Educational Resources Information Center

Diagnostic radiology education is a specialty within healthcare education and encompasses education at both the undergraduate and resident level. There is little research regarding what constitutes effective radiology education. The broad purpose of this study was to investigate through the student perspective how chiropractic students learned…

Linaker, Kathleen Linda

2012-01-01

421

Bodywork Abstracts. 1989 Edition.  

ERIC Educational Resources Information Center

This comprehensive bibliography of research and writings on massage therapy for chronic illness, disabilities, and general health, is addressed to students of therapeutic bodywork, massage therapists, osteopathic and chiropractic physicians, as well as schools and research centers for health professionals. The work draws its citations from…

van Why, Richard P., Comp.

422

Grades as Predictors of College and Career Success: The Case of a Health-Related Institution.  

ERIC Educational Resources Information Center

Examined relationship between grades, academic performance, and career success in case of nontraditional, health-related educational institution (Palmer College of Chiropractic). Found direct relationship between entering grade point average and subsequent college performance. Relationship between good grades in professional schools and career…

Tan, David L.

1991-01-01

423

Improving College Faculty Instruction in the Basic and Allied Health Sciences.  

ERIC Educational Resources Information Center

A project to improve college instruction in the basic and allied health sciences at New York Chiropractic College and the New York Institute of Technology is described. Attention was directed to: the kinds of resources colleges and professional schools provide to improve instruction; motivation of faculty to explore innovative or strategic…

Washton, Nathan S.

424

The Comprehensive Health Assessment.  

ERIC Educational Resources Information Center

This report contains information from a fall 1991 health occupations assessment of 1,021 health-related employers in Eastern Iowa and the Illinois Quad Cities area. Twelve chapters present comprehensive results of all surveys; results of 10 labor market survey instruments developed for chiropractic offices, dentists' offices, emergency medical…

Eastern Iowa Community Coll. District, Davenport.

425

At Life U., an Omnipresent President Pushes the Institution and Its Specialty.  

ERIC Educational Resources Information Center

Describes development and expansion of Life University (Georgia) to an institution with 3,500 students offering the doctor of chiropractic degree, a master's degree in sport health science, and bachelor's degrees in 32 related areas. Notes the president's dominant role and critics' objections to high salaries for the president and his family…

Suggs, Welch

1999-01-01

426

Developing a community-based educational program for older persons  

PubMed Central

Chiropractic pedagogy is recognizing the importance of community-based education. This article describes the manner in which a series of community-based presentations were developed, specifically targeting the elderly. With support from both the Ontario Ministry of Health and the Ontario Chiropractic Association, presentations were developed that primarily addressed the three areas of greatest concern to older persons: osteoporosis, osteoarthritis and injury prevention. The primary objectives of the presentations were to dispel any myths that older persons may have had about osteoporosis and osteoarthritis, and to suggest ways to safety-proof their homes. Additional topics discussed were exercise, nutrition and the role of chiropractic in geriatric health care. Twenty-five presentations were conducted at twelve different community centers. Presentations were conducted by chiropractic interns. The results of pre and post-surveys suggest that the primary objectives of the program were successfully met. ImagesFigure 1Figure 2p25-ap25-bp25-cp25-dp25-e

Gleberzon, Brian J.

2001-01-01

427

Wm. Lloyd Stackhouse & Robert E. Kinsman: A tale of two chiropractors  

PubMed Central

This paper reviews the story of two childhood friends, Dr. Wm. Lloyd Stackhouse and Dr. Robert E. Kinsman, who attended the Canadian Memorial Chiropractic College (CMCC) together, graduated in 1953 to form an enduring partnership that included their immediate relatives, and to this day persists as a supportive tribe. PMID:23997249

Brown, Douglas M.

2013-01-01

428

Mentoring in the Clinical Setting to Improve Student Decision-Making Competence  

Microsoft Academic Search

INTRODUCTION: The physician-intern relationship can be difficult to develop. A new chiropractic intern in a teaching clinic undergoes a major transition from classroom to clinical practice and must learn to turn classroom knowledge into clinical application. The ability to start formulating clinical techniques and apply them on a patient is daunting. Developing a mentor relationship is difficult to do in

Misty Stick-Mueller; Ron Boesch; Steven Silverman; Scott Carpenter; Robert Illingworth; Countryman James

2010-01-01

429

Radiographic disk height increase after a trial of multimodal spine rehabilitation and vibration traction: a retrospective case series  

Microsoft Academic Search

ObjectiveAlthough spinal decompression therapy has been touted as an effective treatment of disk pathologies, there is little existing research that specifically uses disk parameters as an outcome measure after a course of spinal decompression therapy. Our study presents multidimensional outcomes after a structured protocol of multimodal chiropractic rehabilitation and uses a radiographic parameter of disk disease as an indication of

Ian Horseman; Mark W. Morningstar

2008-01-01

430

Integrating Naturopathy: Can We Move Forward?  

PubMed Central

Although acupuncture and chiropractic care have achieved some measure of acceptance within mainstream medicine, the integrative role for naturopathy has yet to be well specified. This essay provides a discussion of the potential benefits of naturopathic medicine, as well as an overview of current obstacles to its integration. Action steps toward improving communication between allopathic and naturopathic physicians are suggested. PMID:24361025

Elder, Charles R

2013-01-01

431

UA Choice Plan July 1, 2013  

E-print Network

the allowable charge. Limited to 26 visits per year unless additional visits are pre-certified. Massage therapy Opinions, Diagnostic Lab and X-Ray Mental Health and Chemical Dependency Chiropractic Treatment Massage Therapy Physical Therapy, Rehabilitation Morbid Obesity and Bariatric Surgery In network: 80% of allowable

Pantaleone, Jim

432

Xiphodynia: A diagnostic conundrum  

Microsoft Academic Search

This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid, as well as the incidence, aetiology, symptoms, diagnosis, and treatment. A brief overview of the mechanism of referred pain is presented.

J Keith Simpson; Erin Hawken

2007-01-01

433

University of Connecticut Health Center  

E-print Network

of the following treatments for your pain? Bed Rest Physical Therapy Back Corset / Brace Chiropractic is your major source of pain? ________________ Please indicate, on the diagram below, where your pain is located. 5. Is your pain constant? Yes No 6. Which best describes your pain currently: Sharp Stabbing

Oliver, Douglas L.

434

Use of Complementary Medicine in Older Americans: Results from the Health and Retirement Study  

PubMed Central

Purpose The correlates of Complementary and Alternative Medicine (CAM) utilization among elders have not been fully investigated. This study was designed to identify such correlates in a large sample of older adults, thus generating new data relevant to consumer education, medical training and health practice and policy. Design and Methods A subsample from the 2000 wave of the Health and Retirement Study (n=1099) aged 52 or older were surveyed regarding use of CAM (chiropractic, alternative practitioners, dietary and herbal supplements, and personal practices). Results 88% of respondents over 65 years used CAM, with dietary supplements and chiropractic most commonly reported (65% and 46%, respectively). Users of alternate practitioners and dietary supplements reported having more out-of-pocket expenses on health than non-users of these modalities. Age correlated positively with use of dietary supplements and personal practices and inversely with alternative practitioner use. Men reported less CAM use than women, except for chiropractic and personal practices. Blacks and Hispanics used less chiropractic and dietary supplements, but reported more personal practices than Caucasians. Advanced education correlated with fewer chiropractic visits and more dietary and herbal supplement and personal practices use. Higher income, functional impairment, alcohol use and frequent physician visits correlated with more alternative practitioner use. There was no association between CAM and number of chronic diseases. Implications The magnitude and patterns of CAM use among elders lend considerable importance to this field in public health policy-making and suggest a need for further epidemiological research and ongoing awareness efforts for both patients and providers. PMID:16051914

Ness, Jose; Cirillo, Dominic J.; Weir, David R.; Nisly, Nicole L.; Wallace, Robert B.

2006-01-01

435

Spinal manipulation as a valid treatment for low back pain.  

PubMed

The practice of chiropractic has been regulated in the State of Delaware since 1937. Since that time, the battle lines in the state between medicine and chiropractic have been drawn. This war has existed on both the political and clinical fronts, and although it has always been believed by the chiropractic profession that once the "scientific evidence" of the benefit of chiropractic was proven, the war would end. This has not occurred to the extent believed. Even with its 1980 victory over the AMA, chiropractic has still been unable to achieve full acceptance as a clinical discipline among other professions. Many hospitals in this country have opened their doors to DCs. This by and large, has solely been for economic reasons and not as a recognition of the clinical benefit of manipulation. There is, however, a growing population of primary care physicians and researchers suggesting the benefit of manipulation for low back pain as well as suggesting that increased cooperation between MDs and DCs could be of extreme benefit to the patient population at large. This group continues to be in the minority. However, with increased knowledge of the benefits of spinal manipulation and the scientific evidence that now exists to support its efficacy, it is now believed that this interprofessional referral pattern will increase. In addition, many managed care programs now require primary care physicians to determine the necessity for referral to a chiropractor, thus causing a need for the primary physician to have some knowledge of spinal manipulation. This paper is presented to inform the physician community of Delaware of some of the evidence pointing to the efficacy of spinal manipulation as a treatment for low back pain. PMID:8867392

Vernon, L F

1996-03-01

436

Ian Douglass Coulter, PhD  

PubMed Central

This paper focuses on Dr. Ian Coulter’s accomplishments from the time he became Executive Vice-President of CMCC in 1981, until he ended his presidency with a year’s administrative leave in 1990. Annual planning initiatives, pedagogy, scholarship, conflicts, and the quest for university affiliation are discussed as well as his legacy to the College and the chiropractic profession. The term “adventurous” was first attributed to Coulter by Oswald Hall, PhD, Professor Emeritus, University of Toronto who had worked closely with Coulter in a major investigation of the chiropractic profession from 1976 to 1979. Throughout this article the author tries to capture the spirit of daring, innovation and intellect that permeated Coulter’s presidency, enthralling his advocates and confounding his detractors. PMID:17549218

Brown, Douglas M

2004-01-01

437

Chiropractors as Primary Spine Care Providers: precedents and essential measures.  

PubMed

Chiropractors have the potential to address a substantial portion of spinal disorders; however the utilization rate of chiropractic services has remained low and largely unchanged for decades. Other health care professions such as podiatry/chiropody, physiotherapy and naturopathy have successfully gained public and professional trust, increases in scope of practice and distinct niche positions within mainstream health care. Due to the overwhelming burden of spine care upon the health care system, the establishment of a 'primary spine care provider' may be a worthwhile niche position to create for society's needs. Chiropractors could fulfill this role, but not without first reviewing and improving its approach to the management of spinal disorders. Such changes have already been achieved by the chiropractic profession in Switzerland, Denmark, and New Mexico, whose examples may serve as important templates for renewal here in Canada. PMID:24302774

Erwin, W Mark; Korpela, A Pauliina; Jones, Robert C

2013-12-01

438

Chiropractors as Primary Spine Care Providers: precedents and essential measures  

PubMed Central

Chiropractors have the potential to address a substantial portion of spinal disorders; however the utilization rate of chiropractic services has remained low and largely unchanged for decades. Other health care professions such as podiatry/chiropody, physiotherapy and naturopathy have successfully gained public and professional trust, increases in scope of practice and distinct niche positions within mainstream health care. Due to the overwhelming burden of spine care upon the health care system, the establishment of a ‘primary spine care provider’ may be a worthwhile niche position to create for society’s needs. Chiropractors could fulfill this role, but not without first reviewing and improving its approach to the management of spinal disorders. Such changes have already been achieved by the chiropractic profession in Switzerland, Denmark, and New Mexico, whose examples may serve as important templates for renewal here in Canada. PMID:24302774

Erwin, W. Mark; Korpela, A. Pauliina; Jones, Robert C.

2013-01-01

439

The origin, and application of somatosensory evoked potentials as a neurophysiological technique to investigate neuroplasticity  

PubMed Central

Somatosensory evoked potentionals (SEPs) can be used to elucidate differences in cortical activity associated with a spinal manipulation (SM) intervention. The purpose of this narrative review is to overview the origin and application of SEPs, a neurophysiological technique to investigate neuroplasticity. Summaries of: 1) parameters for SEP generation and waveform recording; 2) SEP peak nomenclature, interpretation and generators; 3) peaks pertaining to tactile information processing (relevant to both chiropractic and other manual therapies); 4) utilization and application of SEPs; 5) SEPs concurrent with an experimental task and at baseline/control/pretest; 6) SEPs pain studies; and 7) SEPs design (pre/post) and neural reorganization/neuroplasticity; and 8) SEPs and future chiropractic research are all reviewed. Understanding what SEPs are, and their application allows chiropractors, educators, and other manual therapists interested in SM to understand the context, and importance of research findings from SM studies that involve SEPs. PMID:24932021

Passmore, Steven R.; Murphy, Bernadette; Lee, Timothy D.

2014-01-01

440

Conservative management of recurrent lumbar disk herniation with epidural fibrosis: a case report  

PubMed Central

Objective A retrospective case report of a 24-year-old man with recurrent lumbar disk herniation and epidural fibrosis is presented. Recurrent lumbar disk herniation and epidural fibrosis are common complications following lumbar diskectomy. Clinical Features A 24-year-old patient had a history of lumbar diskectomy and new onset of low back pain and radiculopathy. Magnetic resonance imaging revealed recurrent herniation at L5/S1, left nerve root displacement, and epidural fibrosis. Intervention and Outcomes The patient received a course of chiropractic care including lumbar spinal manipulation and rehabilitation exercises with documented subjective and objective functional and symptomatic improvement. Conclusion This case report describes chiropractic management including spinal manipulative therapy and rehabilitation exercises and subsequent objective and subjective functional and symptomatic improvement. PMID:23843756

Welk, Aaron B.; Werdehausen, Destiny N.; Kettner, Norman W.

2012-01-01

441

Innate intelligence: its origins and problems  

PubMed Central

Animal Magnetism and Radionics were among several occult practices used during the 19th century for the treatment of disease. D.D. Palmer was exposed to these teachings and derived many of his ideas about health from the folk medicine practices of his time. As a ‘magnetic healer’ Palmer believed he was correcting an undefined fifth force in the body that is otherwise unknown to science. Palmer believed he could influence this fifth force, termed Innate Intelligence, and that it was the explanation for the presence or absence of health. Today, Innate Intelligence remains an untestable enigma that isolates chiropractic and impedes its acceptance as a legitimate health science. The concept of Innate is derived directly from the occult practices of another era. It carries a high penalty in divisiveness and lack of logical coherence. The chiropractic profession must decide whether the concept of Innate should be retained.

Morgan, Lon

1998-01-01

442

Advances in Paraspinal Thermographic Analysis  

Microsoft Academic Search

Basic theory and common practice in temperature-based chiropractic assessment procedures and instrumentation are reviewed. Segmental spinal thermoregulatory function is presented as a refining mechanism for hypothalamic core-temperature control. Spinal nerve-cell-body function is suggested as the primary mechanism responsible for the asymmetries and anomalies com- monly observed in paraspinal and other thermograms. Paraspinal cutaneous thermal asymmetries and anomalies are shown to

Harry Wallace; D. C. Joni Wallace; Roy Resh

443

Factors influencing student performance on the carpal bone test as a preliminary evaluation of anatomical knowledge retention.  

PubMed

It has been demonstrated that a positive correlation exists between clinical knowledge and retained concepts in basic sciences. Studies have demonstrated a modest attrition of anatomy knowledge over time, which may be influenced by students' perceived importance of the basic sciences and the learning styles adopted. The aims of this study were to: (1) conduct a cross-sectional evaluation of the retention of anatomical knowledge in preclinical (second-year) and clinical (fifth-year) chiropractic students at Murdoch University; and (2) examine students' perceptions of factors that may influence their anatomy knowledge retention. Second- and fifth-year chiropractic students at Murdoch University were invited to participate in the study. Ninety-one students voluntarily participated. The Carpal Bone Test, previously utilized to determine the retention of anatomical knowledge, was utilized to determine the extent to which participants retained gross anatomy knowledge. Participants also completed a questionnaire specifically designed to identify the factors that may have influenced their retention of gross anatomy knowledge. A two-sided Pearson chi-square test of association was used to ascertain statistically significant differences in carpal bone retention and students' responses between the two cohorts. Seventy percent of the fifth-year (clinical) chiropractic students correctly identified all eight carpal bones compared to only six percent of second-year chiropractic students. The majority of participants in both cohorts believed that gross anatomy knowledge is of clinical importance. The use of mnemonics and the clinical application of anatomy knowledge were identified as factors that significantly influenced participants' gross anatomy knowledge retention within this study. Anat Sci Educ. © 2014 American Association of Anatomists. PMID:24838440

Meyer, Amanda J; Armson, Anthony; Losco, C Dominique; Losco, Barrett; Walker, Bruce F

2014-05-16

444

Therapeutic interventions employed by Greater Toronto Area chiropractors on pregnant patients: results of a cross-sectional online survey  

PubMed Central

Introduction: Due to different biomechanical, nutritional, and hormonal considerations, it is possible that chiropractors may employ different therapeutic interventions and recommendations for pregnant patients than non-pregnant ones. The objective of this study was to determine the therapeutic interventions that chiropractors who are members of the Ontario Chiropractic Association in the Greater Toronto Area most commonly provide to pregnant patients. Methods: An introductory e-mail was sent in October 2011 to 755 members of the Ontario Chiropractic Association within the Greater Toronto Area five days prior to a 15 question survey being distributed via e-mail. Reminder e-mails were sent 13 days and 27 days later. Using descriptive statistics, demographic information was reported along with reported use of different treatments and recommendations for pregnant patients Results: A response rate of 23% was obtained. The majority of the respondents (90%) reported using the Diversified technique on pregnant patients, followed by soft tissue therapy (62%) and Activator (42%). The most common adjunctive therapy recommended to pregnant patients was referral to massage therapy (90%). Most of the respondents (92%) indicated that they prescribe stretching exercises to pregnant patients and recommend a multivitamin (84%) or folic acid (81%) to pregnant patients. Conclusion: In agreement with previous research on chiropractic technique usage on non-pregnant patients, the majority of respondents indicated treating pregnant patients with the Diversified technique, with other chiropractic techniques being utilized at varying rates on pregnant patients. Most respondents indicated prescribing exercise, and making adjunctive and nutritional recommendations frequently for their pregnant patients. PMID:23754858

Yuen, Tammy; Wells, Kayla; Benoit, Samantha; Yohanathan, Sahila; Capelletti, Lauren; Stuber, Kent

2013-01-01

445

Alternative medicine: Implications for the surgeon  

Microsoft Academic Search

Practitioners of traditional medicine should be aware of what patients do to improve their health and sense of health. Consider, for example, a 55-year-old woman who delayed seeking traditional medical evaluation while undergoing 3 months of chiropractic manipulation for chronic neck pain. When she eventually sought the advice of her family physician, a 3.2 cm mass was discovered in her

Richard M. Bell

1999-01-01

446

Pain Research in Complementary and Alternative Medicine in Australia: A Critical Review  

PubMed Central

Abstract Background Sixty percent (60%) to 80% of patients who visit chiropractic, osteopathic, or Chinese medicine practitioners are seeking pain relief. Objectives This article aimed to identify the amount, quality, and type of complementary and alternative medicine (CAM) pain research in Australia by systematically and critically reviewing the literature. Methods PubMed, Scopus, Australasian Medical Index, and Cochrane library were searched from their inception to July 2009. Australian and New Zealand Clinical Trial Registration and National Health and Medical Research Council databases were searched for human studies yet to be completed. Predefined search terms and selection criteria were used for data identification. Results Of 204 studies selected, 54% were on chiropractic, 27% on Chinese medicine, 15% about multitherapy, and 4% on osteopathy. Chronic spinal pain was the most studied condition, with visceral pain being the least studied. Half of the articles in Chinese medicine or multitherapy were systematic reviews or randomized control trials. In comparison, only 5% of chiropractic and none of osteopathy studies were in these categories. Government funding was rare, and most studies were self-funded or internally funded. All chiropractic, osteopathic, and Chinese herbal medicine studies were conducted by the researchers of the professions. In contrast, half of the acupuncture studies and all t'ai chi studies were conducted by medical doctors or physiotherapists. Multidisciplinary collaboration was uncommon. Conclusions The quantity and the quality of CAM pain research in Australia are inconsistent with the high utilization of the relevant CAM therapies by Australians. A substantial increase in government funding is required. Collaborative research examining the multimodality or multidisciplinary approach is needed. PMID:22891634

Xue, Charlie C.L.

2013-01-01

447

News and Views: Where at a supermassive black hole do gamma-rays come from? Keep libel laws out of science  

NASA Astrophysics Data System (ADS)

Radio observations of galaxy M87 at the time of a massive gamma-ray flare have established that the gamma-ray emission arises close to the central black hole, in the inner jet. Writer Simon Singh is being sued for libel by the British Chiropractic Association because he wrote a newspaper article about the evidence for the effectiveness of spinal manipulation as a treatment for childhood illnesses. Why should scientists care about this action, asks Sue Bowler?

2009-08-01

448

Long-term effectiveness of bone-setting, light exercise therapy, and physiotherapy for prolonged back pain: A randomized controlled trial  

Microsoft Academic Search

Background: Chiropractic manipulation and strenuous exercise therapy have been shown effective in the treatment of nonspecific back pain. Bone-setting, the predecessor of modern manual therapies, still survives in some parts of Finland and was compared with a light exercise therapy and nonmanipulative, pragmatic physiotherapy in a year-long randomized controlled trial on patients with long-term back pain. Methods: One hundred fourteen

Heikki M. Hemmilä; Sirkka M. Keinänen-Kiukaanniemi; Sinikka Levoska; Pekka Puska

2002-01-01

449

Spinal manipulation under anesthesia: a narrative review of the literature and commentary  

PubMed Central

As exhibited throughout the medical literature over many decades, there is a lack of uniformity in the manner in which spine pain patients have historically qualified for and received manipulation under anesthesia (MUA). Also, for different professions that treat the same types of spinal conditions via the same means, fundamental MUA decision points vary within the published protocols of different professional associations. The more recent chiropractic literature communicates that the evidence to support the efficacy of MUA of the spine remains largely anecdotal. In addition, it has been reported that the types of spinal conditions most suitable for MUA are without clear-cut consensus, with various indications for MUA of the low back resting wholly upon the opinions and experiences of MUA practitioners. This article will provide a narrative review of the MUA literature, followed by a commentary about the current lack of high quality research evidence, the anecdotal and consensus basis of existing clinical protocols, as well as related professional, ethical and legal concerns for the chiropractic practitioner. The limitations of the current medical literature related to MUA via conscious/deep sedation need to be recognized and used as a guide to clinical experience when giving consideration to this procedure. More research, in the form of controlled clinical trials, must be undertaken if this procedure is to remain a potential treatment option for chronic spine pain patients in the chiropractic clinical practice. PMID:23672974

2013-01-01

450

Prevalence of adverse effects among students taking technique classes: A retrospective study.  

PubMed

Objective : The main objective of this study was to determine characteristics of injuries experienced by students while learning chiropractic procedures in the classroom. Methods : Injury was defined as any physical adverse effect such as pain, stiffness, headache, and muscle spasm. Survey questions included age, sex, role, anatomical areas of injury, adjustive technique utilized, types of injury, treatment (if any), and recovery time. The survey was administered among the students in the 5th, 6th, and 8th trimesters of our doctor of chiropractic program. Only students who had completed one or more chiropractic procedures courses at the institution were asked to participate in the study. Results : Female recipients had a higher prevalence of adverse effects as the recipient of the adjustment than did male recipients. The most common site for injury overall was the lower back. The relationship between recipient role and sacroiliac joint injury and the relationship between adjustor role and wrist/hand injury were statistically significant. Students were more likely to be injured in the beginning of their technique education. Conclusion : This study suggests that students in technique courses learning adjustive procedures experience minor adverse physical effects related to the physical skills being learned. Strategies for prevention need to be considered. PMID:24955948

Kizhakkeveettil, Anupama; Sikorski, David; Tobias, Gene; Korgan, Christos

2014-10-01

451

Prevalence of adverse effects among students taking technique classes: A retrospective study  

PubMed Central

Objective The main objective of this study was to determine characteristics of injuries experienced by students while learning chiropractic procedures in the classroom. Methods Injury was defined as any physical adverse effect such as pain, stiffness, headache, and muscle spasm. Survey questions included age, sex, role, anatomical areas of injury, adjustive technique utilized, types of injury, treatment (if any), and recovery time. The survey was administered among the students in the 5th, 6th, and 8th trimesters of our doctor of chiropractic program. Only students who had completed one or more chiropractic procedures courses at the institution were asked to participate in the study. Results Female recipients had a higher prevalence of adverse effects as the recipient of the adjustment than did male recipients. The most common site for injury overall was the lower back. The relationship between recipient role and sacroiliac joint injury and the relationship between adjustor role and wrist/hand injury were statistically significant. Students were more likely to be injured in the beginning of their technique education. Conclusion This study suggests that students in technique courses learning adjustive procedures experience minor adverse physical effects related to the physical skills being learned. Strategies for prevention need to be considered. PMID:24955948

Kizhakkeveettil, Anupama; Sikorski, David; Tobias, Gene; Korgan, Christos

2014-01-01

452

Introduction, development, and evaluation of the miniclinical evaluation exercise in postgraduate education of chiropractors.  

PubMed

Objective : To determine if the clinical evaluation exercise (CEX) format is reliable, applicable and useful for evaluating clinical competency in the postgraduate chiropractic program as formative feedback. Methods : Twelve mini-CEX clinical encounters were evaluated by 2 assessors per clinical encounter (7 assessors per session) in 23 chiropractic residents over a 12-month period. Two different rating scales (9 point and 5 point) were used, and the 2 assessors completed the forms independently. Individual competencies assessed consisted of history taking, physical examination, organization/efficiency, clinical judgment, professionalism/communication, counseling, and overall clinical performance. Interassessor reliability was calculated using ? and intraclass correlation coefficient statistics. Cronbach ? assessed internal consistency of the mini-CEX. Spearman correlation coefficient evaluated correlation between the various competencies. The Mann-Whitney U test evaluated differences between the assessors' median numerical scores. Results : The ? value for the 9-point rating scale was 0.31 (fair) and for the 5-point scale was 0.42 (moderate) with statistically significant intraclass correlation values (p < .05) for 4 of the 6 competencies. High correlation coefficients (p = .0001) were found when comparing the various competencies at each clinical encounter. There were no significant differences between the 2 assessors per clinical encounter for the scores awarded to the residents. Conclusions : The mini-CEX is a reliable and useful tool to provide valuable formative feedback to postgraduate chiropractic residents. The 5-point grading scale was more user-friendly with better reliability. PMID:25408995

Paravicini, Inga; Peterson, Cynthia K

2014-11-19

453

Cervical artery dissection--clinical features, risk factors, therapy and outcome in 126 patients.  

PubMed

The highly variable clinical course of cervical artery dissections still poses a major challenge to the treating physician. This study was conducted (1) to describe the differences in clinical and angiographic presentation of patients with carotid and vertebral artery dissections (CAD, VAD), (2) to define the circumstances that are related to bilateral arterial dissections, and (3) to determine factors that predict a poor outcome. Retrospectively and by standardised interview, we studied 126 patients with cervical artery dissections. Preceding traumata, vascular risk factors, presenting local and ischemic symptoms, and patient-outcome were evaluated. Patients with CAD presented more often with a partial Horner's syndrome and had a higher prevalence of fibromuscular dysplasia than patients with VAD. Patients with VAD complained more often of neck pain, more frequently reported a preceding chiropractic manipulation and had a higher incidence of bilateral dissections than patients with CAD. Bilateral VAD was significantly related to a preceding chiropractic manipulation. Multivariate analysis showed that the variables stroke and arterial occlusion were the only independent factors associated with a poor outcome. This study emphasises the potential dangers of chiropractic manipulation of the cervical spine. Probably owing to the systematic use of forceful neck-rotation to both sides, this treatment was significantly associated with bilateral VAD. Patients with dissection-related cervical artery occlusion had a significantly increased risk of suffering a disabling stroke. PMID:14586598

Dziewas, Rainer; Konrad, Carsten; Dräger, Bianca; Evers, Stefan; Besselmann, Michael; Lüdemann, Peter; Kuhlenbäumer, Gregor; Stögbauer, Florian; Ringelstein, E Bernd

2003-10-01

454

Use of conventional and alternative treatment strategies for a case of low back pain in a F/A-18 aviator  

PubMed Central

Background Low back pain can diminish jet pilot concentration and function during flight and be severe enough to ground pilots or cause decreased flying time. The objective of this case report is to present an example of the integration of chiropractic care with conventional treatments for the management of low back pain in a F/A-18 aviator. Case presentation The patient had insidious severe low back pain without radiation or neurological deficit, resulting in 24 hours of hospitalization. Spinal degeneration was discovered upon imaging. Four months later, it still took up to 10 minutes for him to get out of bed and several minutes to exit the jet due to stiffness and pain. He had discontinued his regular Marine Corps fitness training due to pain avoidance. Pain severity ranged from 1.5–7.1 cm on a visual analog scale. His Roland Morris Disability Questionnaire score was 5 out of 24. The pilot's pain was managed with the coordinated efforts of the flight surgeon, physiatrist, physical therapist, and doctor of chiropractic. Following this regimen he had no pain and no functional disability; he was able to fly multiple training missions per week and exercise to Marine Corps standards. Conclusion A course of care integrating flight medicine, chiropractic, physical therapy, and physiatry appeared to alleviate pain and restore function to this F/A-18 aviator with low back pain. PMID:16820063

Green, Bart N; Sims, John; Allen, Rachel

2006-01-01

455

The great subluxation debate: a centrist's perspective  

PubMed Central

Objective This commentary describes the debate and some of the associated issues involving the subluxation construct. Discussion The long-standing debate regarding the chiropractic subluxation has created substantial controversy within the profession. Currently, this phenomenon can be compared with a country with a 2-party system that has a large silent majority sitting between the 2 factions. It is argued that the position held by those in the middle (the centrists) may be the most rational view when considering all of the available evidence. It is also suggested that the subluxation construct is similar to the Santa Claus construct in that both have a factual basis as well as social utility. Ultimately, the centrists must become proactive if they want to protect the profession and further advance the evidence in regard to the subluxation. They must not only engage in the debate, but fund the research that will investigate various aspects of the subluxation and then help disseminate this evidence to fellow doctors of chiropractic, other practitioners, health care policy makers, and society at large. Conclusion The role of subluxation in chiropractic practice, the progression of this debate, and the future of the profession will be directly determined by the role that centrists choose to play. PMID:22693474

Good, Christopher J.

2010-01-01

456

The treatment experience of patients with low back pain during pregnancy and their chiropractors: a qualitative study  

PubMed Central

Background Chiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; however the experience of the pregnant patient with low back pain and their chiropractor has not yet been explored. The objective of this study is to explore the experience of chiropractic treatment for pregnant women with low back pain, and their chiropractors. Methods This qualitative study employed semi-structured interviews of pregnant patients in their second or third trimester, with low back pain during their pregnancy, and their treating chiropractors in separate interviews. Participants consisted of 11 patients and 12 chiropractors. The interviews consisted of 10 open-ended questions for patients, and eight open-ended questions for chiropractors, asking about their treatment experience or impressions of treating pregnant patients with LBP, respectively. All interviews were audio-recorded, transcribed verbatim, and reviewed independently by the investigators to develop codes, super-codes and themes. Thematic saturation was reached after the eleventh chiropractor and ninth patient interviews. All interviews were analyzed using the qualitative analysis software N-Vivo 9. Results Five themes emerged out of the chiropractor and patient interviews. The themes consisted of Treatment and Effectiveness; Chiropractor-Patient Communication; Pregnant Patient Presentation and the Chiropractic Approach to Pregnancy Care; Safety Considerations; and Self-Care. Conclusions Chiropractors approach pregnant patients with low back pain from a patient-centered standpoint, and the pregnant patients interviewed in this study who sought chiropractic care appeared to find this approach helpful for managing their back pain symptoms. PMID:23046615

2012-01-01

457

Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review  

PubMed Central

Background The treatment of adolescent idiopathic scoliosis is contingent upon many variables. Simple observation is enough for less serious curvatures, but for very serious cases surgical intervention could be proposed. Between these there is a wide range of different treatments. Manual therapy is commonly used: the aim of this paper is to verify the data existing in the literature on the efficacy of this approach. Methods A systematic review of the scientific literature published internationally has been performed. We have included in the term manual therapy all the manipulative and generally passive techniques performed by an external operator. In a more specific meaning, osteopathic, chiropractic and massage techniques have been considered as manipulative therapeutic methods. We performed our systematic research in Medline, Embase, Cinhal, Cochrane Library, Pedro with the following terms: idiopathic scoliosis combined with chiropractic; manipulation; mobilization; manual therapy; massage; osteopathy; and therapeutic manipulation. The criteria for inclusion were as follows: Any kind of research; diagnosis of adolescent idiopathic scoliosis; patients treated exclusively by one of the procedures established as a standard for this review (chiropractic manipulation, osteopathic techniques, massage); and outcome in Cobb degrees. Results We founded 145 texts, but only three papers were relevant to our study. However, no one of the three satisfied all the required inclusion criteria because they were characterized by a combination of manual techniques and other therapeutic approaches. Conclusion The lack of any kind of serious scientific data does not allow us to draw any conclusion on the efficacy of manual therapy as an efficacious technique for the treatment of Adolescent idiopathic scoliosis. PMID:18211702

Romano, Michele; Negrini, Stefano

2008-01-01

458

Femoral neck stress fracture in a female athlete: a case report  

PubMed Central

Objective The purpose of this case report is to describe chiropractic rehabilitation of a master's-level athlete with proximal femoral stress fracture and provide a brief discussion of stress fracture pathology. Clinical Features A 41-year-old female master's-level endurance athlete presented with chronic groin pain later diagnosed and confirmed by magnetic resonance imaging as a stress fracture of the femoral neck. After diagnosis, the patient was referred to a doctor of chiropractic at week 1 of the non–weight-bearing physical rehabilitation process. At that time, the patient presented with sharp and constant groin pain rated 6/10 on a numeric rating scale. Intervention and Outcome This patient avoided weight-bearing activity for 8 weeks while cross-training and was able to return to her sport after this period. The patient was progressed through a series of non–weight-bearing strengthening exercises for the lower extremity. Myofascial release therapy was performed on the gluteal, hip flexor, and groin muscle groups to improve range of motion. Motion palpation testing the lumbar and sacroiliac joints was performed during each session, and manipulative therapy was performed when necessary. The patient was seen once a week for 8 weeks. Reevaluation was performed at week 8; at that time, the patient reported no groin pain (0/10). The patient was discharged from care and referred back to the supervising physician for clearance to return to sporting activities. One month after discharge, she reported that she was pain free and had fully returned to sport activities. Conclusion This case report demonstrates the importance of a through clinical history, physical examination, and magnetic resonance imaging in the accurate diagnosis of a patient with chronic groin pain and that chiropractic care can contribute to rehabilitation programs for these injuries. PMID:23843760

Avrahami, Daniel; Pajaczkowski, Jason A.

2012-01-01

459

Spinal palpatory diagnostic procedures utilized by practitioners of spinal manipulation: annotated bibliography of content validity and reliability studies  

PubMed Central

The diagnosis of spinal neuro-musculoskeletal dysfunction is a pre-requisite for application of spinal manual therapy. Different disciplines rely on palpatory procedures to establish this diagnosis and design treatment plans. Over the past 30 years, the osteopathic, chiropractic, physical therapy and allopathic professions have investigated the validity and reliability of spinal palpatory procedures. We explored the literature from all four disciplines looking for scientific papers studying the content validity and reliability of spinal palpatory procedures. Thirteen databases were searched for relevant papers between January 1966 and October 2001. An annotated bibliography of these articles is presented and organized by the type of test used.

Seffinger, Michael; Adams, Alan; Najm, Wadie; Dickerson, Vivian; Mishra, Shiraz I; Reinsch, Sibylle; Murphy, Linda

2003-01-01

460

Campuses of the LACC  

PubMed Central

In its 94 years the Los Angeles College of Chiropractic (LACC) has occupied at least nine main campuses, exclusive of “satellite” facilities and the campuses of the dozen or more schools which have amalgamated with the LACC over the years. The longest serving of these properties have been in Glendale (1950–1981), Whittier (1981–present), and on Venice Boulevard in Los Angeles (1924–1950). This paper reviews these several locations and the efforts involved in acquiring and refurbishing them for College purposes. Additionally, we note two prospective campuses that never quite materialized: in Burbank, 1930 and in Los Gatos, 1975–76. PMID:17549200

Siordia, Lawrence; Keating, Joseph C

2005-01-01

461

Subtle radiographic presentation of a pleural effusion secondary to a cancer of unknown primary: a case study.  

PubMed

Carcinoma of unknown primary sites is a clinical syndrome that represents many types of cancer. The mortality rate associate to this type of cancer is elevated and a rapid medical referral is required for patients presenting this condition. Pleural effusion may be the only visible sign. We report a case of pleural effusion secondary to a cancer of unknown primary site in a 60-year-old man that sought chiropractic care for radiating low back pain. The radiographic studies revealed a pleural effusion as one of the only significant finding. This article will address the clinical presentation, radiographic studies and a discussion on the radiographic detection of pleural effusion. PMID:25202155

Blanchette, Marc-André; Grenier, Julie-Marthe

2014-09-01

462

Subtle radiographic presentation of a pleural effusion secondary to a cancer of unknown primary: a case study  

PubMed Central

Carcinoma of unknown primary sites is a clinical syndrome that represents many types of cancer. The mortality rate associate to this type of cancer is elevated and a rapid medical referral is required for patients presenting this condition. Pleural effusion may be the only visible sign. We report a case of pleural effusion secondary to a cancer of unknown primary site in a 60-year-old man that sought chiropractic care for radiating low back pain. The radiographic studies revealed a pleural effusion as one of the only significant finding. This article will address the clinical presentation, radiographic studies and a discussion on the radiographic detection of pleural effusion. PMID:25202155

Blanchette, Marc-André; Grenier, Julie-Marthe

2014-01-01

463

The perils of complementary alternative medicine.  

PubMed

More than 11,000 articles lauding alternative medicine appear in the PubMed database, but there are only a few articles describing the complications of such care. Two patients suffering from complications of alternative medicine were treated in our hospital: one patient developed necrotizing fasciitis after acupuncture, and the second developed an epidural hematoma after chiropractic manipulation. These complications serve as a clarion call to the Israeli Health Ministry, as well as to health ministries around the world, to include complementary medicine under its inspection and legislative authority. PMID:25120919

Bayme, Michael J; Geftler, Alex; Netz, Uri; Kirshtein, Boris; Glazer, Yair; Atias, Shahar; Perry, Zvi

2014-07-01

464

Robert Goddard Young, DC, ND: Searching for a better way  

PubMed Central

This biographical study tracks the life of Robert Goddard Young; a member of the Canadian Memorial Chiropractic College’s (CMCC) Class of 1950. The paper begins with an overview of Robert Young’s origins, his childhood and early training, moves to his tour of duty in World War II, followed by his education at CMCC, before converging on the core of this matter; Robert Young’s professional career, which spanned over half a century. Now in his twilight years, the paper ends with a discussion on the substance of Dr. Young’s largely-forgotten contributions. PMID:19714235

Brown, Douglas M.

2009-01-01

465

Subluxation: dogma or science?  

PubMed Central

Subluxation syndrome is a legitimate, potentially testable, theoretical construct for which there is little experimental evidence. Acceptable as hypothesis, the widespread assertion of the clinical meaningfulness of this notion brings ridicule from the scientific and health care communities and confusion within the chiropractic profession. We believe that an evidence-orientation among chiropractors requires that we distinguish between subluxation dogma vs. subluxation as the potential focus of clinical research. We lament efforts to generate unity within the profession through consensus statements concerning subluxation dogma, and believe that cultural authority will continue to elude us so long as we assert dogma as though it were validated clinical theory. PMID:16092955

Keating, Joseph C; Charlton, Keith H; Grod, Jaroslaw P; Perle, Stephen M; Sikorski, David; Winterstein, James F

2005-01-01

466

Abdominal aortic aneurysms: case report  

PubMed Central

A 71-year-old male presented to a chiropractic clinic with subacute low back pain. While the pain appeared to be mechanical in nature, radiographic evaluation revealed an abdominal aortic aneurysm, which required the patient to have vascular surgery. This case report illustrates the importance of the history and physical examination in addition to a thorough knowledge of the features of abdominal aortic aneurysms. The application of spinal manipulative therapy in patients with (AAA) is also discussed. ImagesFigure 1Figure 2Figure 3

Hadida, Camille; Rajwani, Moez

1998-01-01

467

Rehabilitation techniques in ankylosing spondylitis management: a case report  

PubMed Central

Ankylosing spondylitis (AS) is a chronic inflammatory disorder of the musculoskeletal system. Progressive complaints of axial stiffness and restriction in movement may not be addressed by general medical practitioners. While AS has a progressive natural history, chiropractors may play a significant role in early detection, patient education, and management. Early diagnosis and therapy may help to minimize future pain and disability. Chiropractic treatment methods coupled with individualized active rehabilitation techniques should be directed to reduce pain, minimize functional loss and optimize quality of life. ImagesFigure 1Figure 2Figure 3Figure 4

Henderson, Shawn

2003-01-01

468

 

PubMed Central

A case is presented with clinical, thermographic and radiographic evaluations of concurrent dorsalgia and abdominal symptoms. The radiographs demonstrated the presence of a duodenal ulcer, and the thermographs were interpreted as confirming the presence of thoracic and abdominal dysfunction. The patient’s chiropractic management is outlined. The possible inter-relationship between the visceral pathology and spinal dysfunction is discussed. The case allows exploration of the unresolved issues of the clinical significance of somatovisceral/viscerosomatic reflex pathways and of their assessment by thermography. ImagesFigure 2Figure 2

Kobrossi, T.; Steiman, I.

1990-01-01

469

[Diagnosis and therapy of vertebrogenic vertigo].  

PubMed

Functional disorders of the cervical spine may lead to vertigenous symptoms. The typical pathological finding in these patients is a hyperlordotic position of the cervical spine. This causes functional problems of the C0/C1 and C1/C2 joints. X-rays show morphological changes of the vertebrae and may also point to functional disorders. Physiotherapy is the most important treatment modality and preventative measure in static dysbalance of the cervical spine. sometimes chiropractic therapy by an experienced manual therapist or carefully directed infiltration therapy is necessary. PMID:3561125

Biesinger, E

1987-01-01

470

Acute traumatic stroke: a case of bow hunter's stroke in a child.  

PubMed

Acute traumatic stroke of the cerebellum is rarely seen in children. In adults, chiropractical manipulation, yoga exercises, bow hunting and cervical trauma have all been associated with vertebrobasillar damage and subsequent stroke due to cerebellar infarction. We present a case of bow hunter's stroke in a child. An 11-year-old boy developed deep coma one day after minor occipital head injury due to an infarct in the left cerebellum and ipsilateral medulla oblongata. Magnetic resonance angiography (MRA) showed hypoperfusion of the left vertebral artery and occlusion of the posterior and anterior inferior cerebellar arteries (PICA and AICA respectively). PMID:9846257

Duval, E L; Van Coster, R; Verstraeten, K

1998-06-01

471

Rehabilitation of a patient with a rare multi-level isthmic spondylolisthesis: a case report  

PubMed Central

A rare multi–level isthmic spondylolisthesis was discovered in a young male patient following an acute onset of low back pain. The prevalence of spondylolisthesis in the adult population is low and it is believed that the prevalence of multiple level spondylolisthesis is even rarer. A combination of onset of ambulation, hereditary factors, and sports involving hyper-extension of the spine are predisposing factors. Conservative treatment such as chiropractic manipulation and rehabilitation of the spine are first treatment options before surgical intervention is considered. The clinical presentations, radiographic features, treatment options including rehabilitation methods are discussed. PMID:17549226

Wong, Leong C

2004-01-01

472

Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report  

PubMed Central

Objective The purpose of this case report is to describe the evaluation and conservative management of an isolated posterior cruciate ligament (PCL) tear. Clinical Features A 32-year-old man with a traumatic right knee injury after tripping was initially diagnosed with medial patellar retinaculum tear at a multidisciplinary clinic. The patient received physiotherapy but reinjured the knee after returning to the sports field 3 weeks later. Subsequent clinical testing and magnetic resonance imaging confirmed a grade II isolated PCL tear. Intervention and Outcome Following the PCL tear diagnosis, a multimodal treatment approach over the course of 8 weeks consisting of chiropractic lumbopelvic manipulation, physiotherapy, and an exercise program emphasizing eccentric muscle action was implemented. Lunges, 1-leg squats, and trunk stabilization exercises were extensively used. Three months postinjury, the patient successfully returned to sports activity with no further complications. Conclusion The patient in this case report demonstrated successful return to preinjury functional status. This case highlights a multidisciplinary approach through the utilization of chiropractic, physiotherapy, and exercise therapies. PMID:23204951

Fernandez, Matthew; Pugh, David

2012-01-01

473

A 69-Year-Old Presenting With Musculoskeletal Low Back Pain: A Case of Lumbosacral Chordoma  

PubMed Central

Objective The purpose of this case report is to describe the presentation of a patient with lumbosacral chordoma characterized by somatic chronic low back pain and intermittent sacral nerve impingement. Case report A 69-year-old male presenting to an emergency department (ED) with low back pain was provided analgesics and muscle relaxants then referred for a series of chiropractic treatments. Chiropractic treatment included manipulation, physical therapy, and rehabilitation. After 3 times per week for a total of 4 weeks, re-examination showed little relief of his symptoms. His pain symptoms worsened and he presented to the ED for the second time. Magnetic resonance imaging was performed and revealed a high intensity mass. Intervention and outcome The soft tissue mass identified on magnetic resonance imaging was surgically removed. Shortly after the surgery, the patient developed post-operative bleeding and was returned to surgery. During the second procedure, he developed a post-operative hemorrhage related to the development of disseminated intravascular coagulation and subsequently died during the second procedure. A malignant lumbosacral chordoma was diagnosed on pathologic examination. Conclusion This case report describes the presentation of a patient with lumbosacral chordoma presenting with musculoskeletal low back pain. Chordomas are rare with few prominent manifestations. An early diagnosis can potentially make a difference in morbidity and mortality. Due to its insidious nature, it is a difficult diagnosis and one that is often delayed.

Williams, Shawn P.; Beckerman, Bernard; Piña Fonti, Maria Elena

2014-01-01

474

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma  

PubMed Central

Objective The purpose of this case is to describe findings of a mature cystic teratoma and to further provide differential diagnoses for ovarian pelvic masses and calcifications. Clinical Features A 27-year-old woman presented to a chiropractic teaching clinic with a chief complaint of chronic multilevel spinal pain. During a full spine radiographic examination, radiopaque densities were incidentally identified in the pelvic bowl visualized through a gonad shield. Follow-up pelvic radiography revealed several radiopacities of uniform density localized in the pelvic bowl. Intervention/Outcomes Medical (gynecological) consultation led to ultrasonography of the pelvis that revealed a mature cystic teratoma. The patient underwent complete excision of the mass through a laparotomy procedure. The patient continued to receive chiropractic treatment of her original cervical and lumbar spine complaints, further suggesting that the pelvic mass was not a source of her musculoskeletal complaints. Conclusion This case demonstrates the detection and proper referral of a patient with a calcific mass. The presence of a pelvic mass, suspected of arising from the ovary, requires additional diagnostic imaging and careful clinical correlation. PMID:22654694

Kaeser, Martha A.; McDonald, Jennifer K.; Kettner, Norman W.

2011-01-01

475

CMCC’s persistent pursuit of university affiliation Part II: knocking on doors and heads in Ontario 1969 to 1988  

PubMed Central

The Canadian Memorial Chiropractic College (CMCC) or it’s agents, have been seeking some form of university affiliation for at least 30 years, yet to date those efforts have been fruitless. It has been said that one’s success is not measured by the position you have attained - but by the obstacles you have had to overcome to get there. CMCC has run into many stumbling blocks on the road to amalgamation. This triad of papers, Part 1 (JCCA 1992; 36(1):33-37) and Part III to follow at a later date, will endeavour to describe and document those barriers and the resourceful attempts that have been marshalled to surmount them. Part I, 1945 to 1969, concentrates on the first recorded proposals, emanating from the Western Divisions of the Canadian Chiropractic Association (CCA). Part II, 1969 to 1988, will outline the scattergun method that was used to approach numerous institutions, primarily in Ontario. Part III, 1988 to 1991, will focus on an account of the push for union with the University of Victoria, in British Columbia (U Vic).

Brown, Douglas M

1994-01-01

476

Diagnosis, management and post-surgical rehabilitation of an Achilles tendon rupture: a case report  

PubMed Central

Chiropractors, as primary contact practitioners, assess a wide variety of musculoskeletal related complaints. Among these, a certain percentage of patients, generally small, will present for assessment and treatment of extremity injuries. Spontaneous Achilles tendon rupture (ATR), although a relatively common extremity injury, can sometimes present as a clinical diagnostic challenge. Failure to establish an early diagnosis and immediate referral for further assessment and appropriate rehabilitation can impair recovery, decrease functional capacity and increase the rate of re-rupture. The author presents the case of a 25-year-old male presenting to a chiropractic office for assessment, treatment and rehabilitation of an acute left ATR. Physical examination characteristically reveals swelling, tenderness, loss of true gastrocnemius and soleus resisted plantar flexion, weak or absent Achilles reflex, a palpable gap in the tendon and a positive Thompson test. The challenge associated with the diagnosis of an ATR is discussed. The debate surrounding surgical versus conservative management of this condition is compared. Chiropractic treatment, case management and rehabilitation protocols are reviewed and highlighted. ImagesFigure 1Figure 2

Ramelli, Frank D.

2003-01-01

477

High hamstring tendinopathy in 3 female long distance runners  

PubMed Central

Objective The purpose of this case report is to describe and discuss the clinical presentation, diagnosis, and management of 3 female long distance runners with high hamstring tendinopathy. Clinical Features Three female runners presented to a chiropractic office with proximal hamstring pain that was aggravated by running. Increasing mileage, hills, and/or interval training preceded the onset of symptoms in each case. The subjects all displayed weakness of the hip abductors, pelvic joint dysfunction, hamstring tightness, and ischial tuberosity tenderness. Other clinical findings included overpronation, proprioceptive weakness, and lumbar dysfunction. Intervention and Outcome All 3 patients were treated with Graston Instrument Assisted Soft Tissue Mobilization, lumbopelvic manipulation, and electrical muscle stimulation with ultrasound. Active exercise focused on hamstring stretching and strengthening, gluteal strengthening, and proprioceptive training. The 3 runners seen in this clinic had resolution of hamstring pain in an average of 13 treatments and were able to continue competing without restriction. Conclusion Runners with high hamstring tendinopathy may respond favorably to conservative chiropractic treatment and active rehabilitation with minimal time off of training. PMID:22014863

White, Kristin E.

2011-01-01

478

CEREBROSPINAL FLUID STASIS AND ITS CLINICAL SIGNIFICANCE  

PubMed Central

We hypothesize that stasis of the cerebrospinal fluid (CSF) occurs commonly and is detrimental to health. Physiologic factors affecting the normal circulation of CSF include cardiovascular, respiratory, and vasomotor influences. The CSF maintains the electrolytic environment of the central nervous system (CNS), influences systemic acid-base balance, serves as a medium for the supply of nutrients to neuronal and glial cells, functions as a lymphatic system for the CNS by removing the waste products of cellular metabolism, and transports hormones, neurotransmitters, releasing factors, and other neuropeptides throughout the CNS. Physiologic impedance or cessation of CSF flow may occur commonly in the absence of degenerative changes or pathology and may compromise the normal physiologic functions of the CSF. CSF appears to be particularly prone to stasis within the spinal canal. CSF stasis may be associated with adverse mechanical cord tension, vertebral subluxation syndrome, reduced cranial rhythmic impulse, and restricted respiratory function. Increased sympathetic tone, facilitated spinal segments, dural tension, and decreased CSF flow have been described as closely related aspects of an overall pattern of structural and energetic dysfunction in the axial skeleton and CNS. Therapies directed at affecting CSF flow include osteopathic care (especially cranial manipulation), craniosacral therapy, chiropractic adjustment of the spine and cranium, Network Care (formerly Network Chiropractic), massage therapy (including lymphatic drainage techniques), yoga, therapeutic breathwork, and cerebrospinal fluid technique. Further investigation into the nature and causation of CSF stasis, its potential effects upon human health, and effective therapies for its correction is warranted. PMID:19472865

Whedon, James M.; Glassey, Donald

2010-01-01

479

Pilot study of the impact that bilateral sacroiliac joint manipulation using a drop table technique has on gait parameters in asymptomatic individuals with a leg length inequality.  

PubMed Central

Purpose: The purpose of this study was to pilot test our study procedures and estimate parameters for sample size calculations for a randomized controlled trial to determine if bilateral sacroiliac (SI) joint manipulation affects specific gait parameters in asymptomatic individuals with a leg length inequality (LLI). Methods: Twenty-one asymptomatic chiropractic students engaged in a baseline 90-second walking kinematic analysis using infrared Vicon® cameras. Following this, participants underwent a functional LLI test. Upon examination participants were classified as: left short leg, right short leg, or no short leg. Half of the participants in each short leg group were then randomized to receive bilateral corrective SI joint chiropractic manipulative therapy (CMT). All participants then underwent another 90-second gait analysis. Pre- versus post-intervention gait data were then analyzed within treatment groups by an individual who was blinded to participant group status. For the primary analysis, all p-values were corrected for multiple comparisons using the Bonferroni method. Results: Within groups, no differences in measured gait parameters were statistically significant after correcting for multiple comparisons. Conclusions: The protocol of this study was acceptable to all subjects who were invited to participate. No participants refused randomization. Based on the data collected, we estimated that a larger main study would require 34 participants in each comparison group to detect a moderate effect size. PMID:24587501

Ward, John; Sorrels, Ken; Coats, Jesse; Pourmoghaddam, Amir; DeLeon, Carlos; Daigneault, Paige

2014-01-01

480

Therapeutic management of the hallux rigidus.  

PubMed

Background. Hallux rigidus is a chronic, disabling condition of foot characterized by reduced great toe extension. The manual therapy approaches are described theoretically however their practical published evidence has not been analyzed well. Objective. Aim of the present paper was to systematically review the literature available for therapeutic management of the hallux rigidus by identifying and evaluating the randomized controlled trials (RCTs) and non-RCTs. Methods. To view the hallux rigidus and its rehabilitation, a webbased published literature search of Pubmed, Ovid Medline, Science direct, Cochrane Database, PEDro database, CINAHL was conducted for last 35 years in August 2010 using 4 specific keywords "hallux rigidus, physical therapy, chiropractic, and manual therapy" typed in exactly same manner in the search column of the databases. Result. the review finds that there is acute need of the quality studies and RCTs for the manual therapy, chiropractic, or physiotherapeutic management of the hallux rigidus. Conclusion. Review conclude that conservative programs for hallux rigidus consists of comprehensive intervention program that includes great toe mobilization, toe flexor strengthening, sesamoid bones mobilization and long MTP joint. The clinician should put an emphasis on the mobilization program with proper follow up along with comparative studies for rehabilitation of hallux rigidus. PMID:22991669

Aggarwal, Anoop; Kumar, Suraj; Kumar, Ratnesh

2012-01-01

481

Conducting practice-based projects among chiropractors: a manual  

PubMed Central

Introduction Practice-based research is a challenge as clinicians are busy with their patients and any participation in research activities will be secondary to the needs of the patients and the clinic. As a result, it is difficult to obtain high compliance among clinicians. A method to enhance compliance in multicentre practice-based research has been developed and refined for use in the chiropractic setting and possibly also by other researchers in different settings. Method This manual provides a stringent step-by-step approach for conducting clinic-based research. It describes the competencies and requirements of an effective working group, how to recruit participating clinicians and how to empower, encourage and support these clinicians to obtain good compliance. Discussion The main advantage of the method is the high compliance of participating clinicians compared to many other clinical studies. Difficulties with the method are described and suggestions for solutions are presented. Conclusions This manual is a description of a method that may be of use for clinical researchers in the chiropractic setting. PMID:23369259

2013-01-01

482

Ultrasonography and Radiography to Identify Early Post Traumatic Myosistis Ossificans in an 18-Year-Old Male: A Case Report  

PubMed Central

Objective The purpose of this case report is to describe a patient with post traumatic myositis ossificans (PTMO) of the anterior thigh following blunt trauma and discuss the incidence, clinical presentation, management, and imaging findings. Clinical features An 18-year-old male presented to a chiropractic clinic with a chief complaint of left knee pain and reduced range of motion after an impact injury to his left anterior thigh during hurdling 6 weeks earlier. Immediately after the injury, he presented to the emergency department where radiography of the left knee was negative and he was diagnosed with a muscle sprain. Follow-up radiography and ultrasonography of the left knee in a chiropractic radiology department revealed ossification consistent with PTMO within his vastus intermedius. Intervention and outcome The patient underwent a course of rehabilitation for 2 months including ice, class IV cold laser and vibration applied to his anterior thigh, and myofascial release of his quadriceps musculature with targeted and progressive rehabilitative exercises. His left knee pain resolved within 2 weeks of care. He resumed sports participation (American football) pain-free, while wearing protective padding over the affected thigh, 1 month after presentation, which was approximately 2 1/2 months following his injury. Conclusion This case demonstrates that ultrasonography may have the capability to detect early phases of PTMO approximately 2 weeks prior to radiographic evidence and to monitor progression throughout its course.

Yochum, Alicia M.; Reckelhoff, Kenneth; Kaeser, Martha; Kettner, Norman W.

2014-01-01

483

Therapeutic Management of the Hallux Rigidus  

PubMed Central

Background. Hallux rigidus is a chronic, disabling condition of foot characterized by reduced great toe extension. The manual therapy approaches are described theoretically however their practical published evidence has not been analyzed well. Objective. Aim of the present paper was to systematically review the literature available for therapeutic management of the hallux rigidus by identifying and evaluating the randomized controlled trials (RCTs) and non-RCTs. Methods. To view the hallux rigidus and its rehabilitation, a webbased published literature search of Pubmed, Ovid Medline, Science direct, Cochrane Database, PEDro database, CINAHL was conducted for last 35 years in August 2010 using 4 specific keywords “hallux rigidus, physical therapy, chiropractic, and manual therapy” typed in exactly same manner in the search column of the databases. Result. the review finds that there is acute need of the quality studies and RCTs for the manual therapy, chiropractic, or physiotherapeutic management of the hallux rigidus. Conclusion. Review conclude that conservative programs for hallux rigidus consists of comprehensive intervention program that includes great toe mobilization, toe flexor strengthening, sesamoid bones mobilization and long MTP joint. The clinician should put an emphasis on the mobilization program with proper follow up along with comparative studies for rehabilitation of hallux rigidus. PMID:22991669

Aggarwal, Anoop; Kumar, Suraj; Kumar, Ratnesh

2012-01-01

484

Guidelines for the practice and performance of manipulation under anesthesia  

PubMed Central

Background There are currently no widely accepted guidelines on standards for the practice of chiropractic or manual therapy manipulation under anesthesia, and the evidence base for this practice is composed primarily of lower-level evidence. The purpose of this project was to develop evidence-informed and consensus-based guidelines on spinal manipulation under anesthesia to address the gaps in the literature with respect to patient selection and treatment protocols. Methods An expert consensus process was conducted from August-October 2013 using the Delphi method. Panelists were first provided with background literature, consisting of three review articles on manipulation under anesthesia. The Delphi rounds were conducted using the widely-used and well-established RAND-UCLA consensus process methodology to rate seed statements for their appropriateness. Consensus was determined to be reached if 80% of the 15 panelists rated a statement as appropriate. Consensus was reached on all 43 statements in two Delphi rounds. Results The Delphi process was conducted from August-October 2013. Consensus was reached on recommendations related to all aspects of manipulation under anesthesia, including patient selection; diagnosis and establishing medical necessity; treatment and follow-up procedures; evaluation of response to treatment; safety practices; appropriate compensation considerations; and facilities, anesthesia and nursing standards. Conclusions A high level of agreement was achieved in developing evidence-informed recommendations about the practice of chiropractic/manual therapy manipulation under anesthesia. PMID:24490957

2014-01-01

485

Applied kinesiology methods for a 10-year-old child with headaches, neck pain, asthma, and reading disabilities  

PubMed Central

Objective The purpose of this case report is to describe the chiropractic care of a 10-year-old boy who presented with developmental delay syndromes, asthma, and chronic neck and head pain and to present an overview of his muscular imbalances during manual muscle testing evaluation that guided the interventions offered to this child. Clinical Features The child was a poor reader, suffered eye strain while reading, had poor memory for classroom material, and was unable to move easily from one line of text to another during reading. He was using 4 medications for the asthma but was still symptomatic during exercise. Intervention and Outcome Chiropractic care, using applied kinesiology, guided evaluation, and treatment. Following spinal and cranial treatment, the patient showed improvement in his reading ability, head and neck pain, and respiratory distress. His ability to read improved (in 3 weeks, after 5 treatments), performing at his own grade level. He has remained symptom free for 2 years. Conclusion The care provided to this patient seemed to help resolve his chronic musculoskeletal dysfunction and pain and improve his academic performance. PMID:22027037

Cuthbert, Scott; Rosner, Anthony

2010-01-01

486

Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine  

PubMed Central

Objective The purpose of this case study is to describe the treatment using acupuncture and spinal manipulation for a patient with a chronic tension-type headache and episodic migraines. Clinical Features A 32-year-old woman presented with headaches of 5 months' duration. She had a history of episodic migraine that began in her teens and had been controlled with medication. She had stopped taking the prescription medications because of gastrointestinal symptoms. A neurologist diagnosed her with mixed headaches, some migrainous and some tension type. Her headaches were chronic, were daily, and fit the International Classification of Headache Disorders criteria of a chronic tension-type headache superimposed with migraine. Intervention and Outcome After 5 treatments over a 2-week period (the first using acupuncture only, the next 3 using acupuncture and chiropractic spinal manipulative therapy), her headaches resolved. The patient had no recurrences of headaches in her 1-year follow-up. Conclusion The combination of acupuncture with chiropractic spinal manipulative therapy was a reasonable alternative in treating this patient's chronic tension-type headaches superimposed with migraine. PMID:23449932

Ohlsen, Bahia A.

2012-01-01

487

Common errors and clinical guidelines for manual muscle testing: "the arm test" and other inaccurate procedures  

PubMed Central

Background The manual muscle test (MMT) has been offered as a chiropractic assessment tool that may help diagnose neuromusculoskeletal dysfunction. We contend that due to the number of manipulative practitioners using this test as part of the assessment of patients, clinical guidelines for the MMT are required to heighten the accuracy in the use of this tool. Objective To present essential operational definitions of the MMT for chiropractors and other clinicians that should improve the reliability of the MMT as a diagnostic test. Controversy about the usefulness and reliability of the MMT for chiropractic diagnosis is ongoing, and clinical guidelines about the MMT are needed to resolve confusion regarding the MMT as used in clinical practice as well as the evaluation of experimental evidence concerning its use. Discussion We expect that the resistance to accept the MMT as a reliable and valid diagnostic tool will continue within some portions of the manipulative professions if clinical guidelines for the use of MMT methods are not established and accepted. Unreliable assessments of this method of diagnosis will continue when non-standard MMT research papers are considered representative of the methods used by properly trained clinicians. Conclusion Practitioners who employ the MMT should use these clinical guidelines for improving their use of the MMT in their assessments of muscle dysfunction in patients with musculoskeletal pain. PMID:19099575

Schmitt, Walter H; Cuthbert, Scott C

2008-01-01

488

Sports related concussion and spinal injuries: the need for changing spearing rules at the National Capital Amateur Football Association (NCAFA).  

PubMed Central

Introduction Returning an athlete to play following a spinal or concussive injury remains a challenge for the health practitioner making the decision. Among the possible mechanisms responsible for such injuries in amateur football, the concept of “spearing” has attracted a great deal of attention in sport medicine. Objective The purpose of this paper is to present a review of the diagnosis and treatment of the potentially catastrophic neck and head injuries caused by spearing in Canadian amateur football and to suggest the role the chiropractic profession can have in their prevention. It proposes to follow the recommendations advocated by the National Capital Amateur Football Association (NCAFA) athletic trainers group, led by a chiropractor. Methods Information regarding the concepts and prevention of “spearing”, concussion and spinal injuries at the amateur football level in both the United States and Canada was obtained using the following computerized search methods: PubMed – MeSH (via the National Center for Biotechnology Information (NCBI); The Index to Chiropractic Literature (ICL); Google Scholar Beta. Recent (2005) information on sports related spinal injuries and concussion were obtained by attendance at the 2005 Sports Related Concussion and Spine Injury Conference. Foxborough, Massachusetts. From a total of 698 references, 63 were retained. Conclusion Literature search yields very little information regarding Canadian statistics for amateur football neck and head injuries. The author encourages such injury data collecting and proposes that original Canadian studies and statistical analyses be carried out, such as those from diverse sports groups in the United States and abroad.1, 2, 3 The NCAFA group of trainers recommends a changing of the rules for “spearing” within the league and advocates gathering of Canadian based sports injury statistics. It also recognizes the need for public presentations (of concussion/spinal injuries).5 This paper describes the different interpretations of spearing rules at American and Canadian football associations, both at the amateur and professional levels; it further shows that injury prevention in sports is an absolute necessity and that the chiropractic profession should play a role in its application. It is suggested that chiropractors, who often attend to athletes who sustained sport related neck and head injuries, ought to contribute in their prevention and treatment. PMID:17549157

Pelletier, Jacques C

2006-01-01

489

Prevention of low back pain: effect, cost-effectiveness, and cost-utility of maintenance care – study protocol for a randomized clinical trial  

PubMed Central

Background Low back pain (LBP) is a prevalent condition and a socioeconomic problem in many countries. Due to its recurrent nature, the prevention of further episodes (secondary prevention), seems logical. Furthermore, when the condition is persistent, the minimization of symptoms and prevention of deterioration (tertiary prevention), is equally important. Research has largely focused on treatment methods for symptomatic episodes, and little is known about preventive treatment strategies. Methods/Design This study protocol describes a randomized controlled clinical trial in a multicenter setting investigating the effect and cost-effectiveness of preventive manual care (chiropractic maintenance care) in a population of patients with recurrent or persistent LBP. Four hundred consecutive study subjects with recurrent or persistent LBP will be recruited from chiropractic clinics in Sweden. The primary outcome is the number of days with bothersome pain over 12 months. Secondary measures are self-rated health (EQ-5D), function (the Roland Morris Disability Questionnaire), psychological profile (the Multidimensional Pain Inventory), pain intensity (the Numeric Rating Scale), and work absence. The primary utility measure of the study is quality-adjusted life years and will be calculated using the EQ-5D questionnaire. Direct medical costs as well as indirect costs will be considered. Subjects are randomly allocated into two treatment arms: 1) Symptom-guided treatment (patient controlled), receiving care when patients feel a need. 2) Preventive treatment (clinician controlled), receiving care on a regular basis. Eligibility screening takes place in two phases: first, when assessing the primary inclusion/exclusion criteria, and then to only include fast responders, i.e., subjects who respond well to initial treatment. Data are collected at baseline and at follow-up as well as weekly, using SMS text messages. Discussion This study investigates a manual strategy (chiropractic maintenance care) for recurrent and persistent LBP and aims to answer questions regarding the effect and cost-effectiveness of this preventive approach. Strict inclusion criteria should ensure a suitable target group and the use of frequent data collection should provide an accurate outcome measurement. The study utilizes normal clinical procedures, which should aid the transferability of the results. Trial registration Clinical trials.gov; NCT01539863, February 22, 2012. The first patient was randomized into the study on April 13th 2012. PMID:24690201

2014-01-01

490

Alternative medicine and the family physician.  

PubMed

The seven categories of alternative medicine, as established by the National Institutes of Health Office of Alternative Medicine, are mind-body interventions, bioelectromagnetic therapies, alternative systems of medical practice, manual healing methods, pharmacologic and biologic treatments, herbal medicine, and diet and nutrition. Mind-body approaches have been shown to be effective in a variety of conditions. Acupuncture and homeopathy are alternative systems of medical practice that may be beneficial. Chiropractic manipulation for low back pain and infant message for enhancing growth are two methods of manual healing. While the literature on herbal medicine is vast, most of it focuses on a single approach for a specific condition. Traditional herbalists use a combination of herbs individualized for the specific person. As more and more people turn to alternative therapies, it is important for family physicians to be open to their patients' interest in alternative approaches. PMID:8940955

Gordon, J S

1996-11-15

491

Innovations in integrative healthcare education: CAM selective at St. George's Medical School.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, no more than 300 to 400 words. Please include any Web site or other resource that is relevant as well as contact information. PMID:16781656

Sierpina, Victor; Kreitzer, Mary Jo; Stanley, Jacqueline

2006-05-01

492

Ways of knowing: integrating research into CAM education and holism into conventional health professional education.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 500 to 1500 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:18602624

Kreitzer, Mary Jo; Sierpina, Victor; Maiers, Michele; Delagran, Louise; Baldwin, Lori; Evans, Roni; Chase, Michele

2008-01-01

493

Innovations in integrative healthcare education: mind-body medicine training.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institu-tions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, no more than 300-400 words. Please include any Web site or other resource that is relevant as well as contact information. PMID:16781576

Sierpina, Victor S; Kreitzer, Mary Jo

2005-09-01

494

Innovations in integrative healthcare education: Integrative Medicine DesignShop and National Education Dialogue.  

PubMed

Content on integrative healthcare and complementary and alternative medicine (CAM) is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at vssierpi@utmb.edu or Dr. Kreitzer at kreit003@umn.edu. Submissions should be brief, no more than 300 to 400 words. Please include any Web site or other resource that is relevant as well as contact information. PMID:16781596

Sierpina, Victor; Kreitzer, Mary Jo

2005-11-01

495

Innovations in integrative healthcare education: mind-body faculty development at UCLA and the symposium for portland area research on complementary and alternative medicine.  

PubMed

Content on integrative healthcare and complementary and alternative medicine (CAM) is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be no more than 700-800 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:17113498

Sierpina, Victor S; Kreitzer, Mary Jo; Brodsky, Marc; Fung, Chachi; Hui, Ka-Kit; Stuber, Margaret; Fleishman, Susan

2006-01-01

496

Teaching self-care: taking charge of your health.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 500 to 1,500 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:19608116

Kreitzer, Mary Jo; Sierpina, Victor; Delagran, Louise

2009-01-01

497

Transformational learning: an immersion course on the big island of Hawaii.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 500 to 1,500 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:18775406

Kreitzer, Mary Jo; Sierpina, Victor S; Traub, Michael; Riff, Ken

2008-01-01

498

Teaching physicians, nurses, and mental health professionals about medically unexplained symptoms: a course on the mindful body at the University of Calgary.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 500 to 1,500 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:19272586

Bakal, Donald; Steiert, Malynne; Coll, Patrick; Schaefer, Jeffrey; Kreitzer, Mary Jo; Sierpina, Victor

2009-01-01

499

The health enhancement program at monash university medical school.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 500 to1,500 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:18984555

Hassed, Craig; Sierpina, Victor S; Kreitzer, Mary Jo

2008-01-01

500

Innovations in integrative healthcare education: undergraduate holistic studies at San Francisco State University and the CAM in undergraduate medical education project in Canada.  

PubMed

Content on integrative healthcare and complementary and alternative medicine is being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions they can adapt into new or ongoing educational efforts at their institution or programs. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr Sierpina at vssierpi@utmb.edu or Dr Kreitzer at kreit003@umn.edu. Submissions should be no more than 700 to 800 words. Please include any Web site or other resource that is relevant, as well as contact information. PMID:17362857

Sierpina, Victor S; Kreitzer, Mary Jo; Burke, Adam; Verhoef, Marja; Brundin-Mather, Rebecca

2007-01-01