Chiropractic

NBCE Practice Analysis of Chiropractic in the United States 2020

A project report, summary analysis, and summary of the practice of chiropractic within the United States. Practice Analysis 2020 Download

2020 Young Investigator Award Winner: Age- and Sex-related Normative Value of Whole-body Sagittal Alignment Based on 584 Asymptomatic Chinese Adult Population From Age 20 to 89 – Full Text

Hu, Zongshan PhD SPINE: January 15, 2020 – Volume 45 – Issue 2 – p 79-87 doi: 10.1097/BRS.0000000000003187 Study Design. A cross-sectional radiographic study. Objective. The aim of this study was to establish the age- and sex-related normative values of whole-body sagittal alignment in asymptomatic Chinese adult population, and to investigate the changes and possible […]

Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:December 31, 2019 Volume 50 Issue 1 Pages 24-32 https://www.jospt.org/doi/10.2519/jospt.2020.8928 Abstract Objective To determine the short-term effectiveness of thoracic manipulation when compared to sham manipulation for individuals with low back pain (LBP). Design Randomized controlled trial. Methods Patients with LBP were stratified based on symptom duration and randomly assigned […]

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain – Full Text Article

J Manipulative Physiol Ther. 2019 Dec 20. pii: S0161-4754(19)30008-9. doi: 10.1016/j.jmpt.2019.08.001. [Epub ahead of print] Whalen W, Farabaugh RJ, Hawk C, Minkalis AL, Lauretti W, Crivelli LS, Wyatt L, Sheppard M, Walters SA. Abstract OBJECTIVE: The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain. METHODS: A […]

Current Evidence for Diagnosis of Common Conditions Causing Low Back Pain: Systematic Review and Standardized Terminology Recommendations

JMPT VOLUME 42, ISSUE 9, P651-664, NOVEMBER 01, 2019 Robert D. Vining, DC, DHSc Zacariah K. Shannon, DC, MS Amy L. Minkalis, DC, MS Elissa J. Twist, DC, MS Published:December 20, 2019 DOI:https://doi.org/10.1016/j.jmpt.2019.08.002 Abstract Objective The purpose of this systematic review is to evaluate and summarize current evidence for diagnosis of common conditions causing low […]

U.S. Physician Recommendations to Their Patients About the Use of Complementary Health Approaches

The Journal of Alternative and Complementary Medicine Barbara J. Stussman, Richard R. Nahin, Patricia M. Barnes, and Brian W. Ward Published Online:2 Dec 2019 https://doi.org/10.1089/acm.2019.0303 Abstract Objective: There are no nationally representative studies using a probability sample that have been published examining whether physicians recommend complementary health approaches (CHAs) to their patients, as previous research has […]

Comorbidities in Patients With End-Stage Knee OA: Prevalence and Effect on Physical Function

Archuves of Physical Medicine and Rehabilitation November 2019 Volume 100, Issue 11, Pages 2063–2070 Abstract Objective To investigate the prevalence of comorbidities and their effect on physical function, quality of life (QOL), and pain, in patients with end-stage knee osteoarthritis (OA). Design A cross-sectional study. Setting A rehabilitation facility at university hospital. Participants Patients (N=577; […]

Evidence for decreased Neurologic Pain Signature activation following thoracic spinal manipulation in healthy volunteers and participants with neck pain

NeuroImage: Clinical Volume 24, 2019, 102042 Kenneth A.Weber II Highlights •  The use of brain-based models of pain were explored in two clinical studies. •  Neurologic pain signature activation decreased following spinal manipulation. •  Spinal manipulation altered the processing of pain-related brain activity. •  We provide evidence for a centrally mediated therapeutic action of spinal […]

Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

October 23, 2019 Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain TUESDAY, Oct. 22, 2019 (HealthDay News) — Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids, according […]

Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report – Full Text Article

Jesse Cooper Chiropractic & Manual Therapies volume 27, Article number: 41 (2019) Abstract Background Spinal epidural hematoma is a rare condition usually secondary to trauma and coagulopathy. To the best of our knowledge, we present the first case of a patient with an iatrogenic hypercoaguable state performing self-neck manipulation, which resulted in a spinal epidural […]

Influence of the cervical spine manipulation in the neck disability index in patients with chronic neck pain: A preliminary study – Full Text Available

Miranda, Iã Ferreira; Facchini, Daniel http://dx.doi.org/10.17784/mtprehabjournal.2015.13.283 Man. Ther., Posturology Rehabil. J., vol.13, p.0, 2015 Abstract Introduction: Neck pain is one of the major problems managed by chiropractors, therefore its common the use of spinal manipulation to manage this problem. Objective: To evaluate the influence of Cervical Spine Manipulation (CSM) in the Neck Disability Index (NDI) of patients […]

Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:10 Pages:688–697 DOI: 10.2519/jospt.2019.8578 Background Manual therapy interventions targeting the neck include various positions and movements of the craniocervical region. The hemodynamic changes in various spinal positions potentially have clinical relevance. Objectives To investigate the effects of craniocervical positions and movements on hemodynamic parameters (blood flow velocity and/or volume) of cervical […]

Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis

Pain Medicine, pnz219, https://doi.org/10.1093/pm/pnz219 Kelsey L Corcoran, DC Published:  27 September 2019 Abstract Objective To investigate the current evidence to determine if there is an association between chiropractic use and opioid receipt. Design Systematic review and meta-analysis. Methods The protocol for this review was registered on PROSPERO (CRD42018095128). The MEDLINE, PubMed, EMBASE, AMED, CINAHL, and Web of […]

Age-related Changes in Cervical Sagittal Alignment

A Radiographic Analysis Tang, Ray BA; Ye, Ivan B. BA; Cheung, Zoe B. MD, MS; Kim, Jun S. MD; Cho, Samuel Kang-Wook MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p E1144-E1150 doi: 10.1097/BRS.0000000000003082 Study Design. Retrospective cohort study. Objective. To identify age-related changes in cervical sagittal parameters using standard radiographs. […]

Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid use – Full Text

BMJ Open 2019;9:e028633. doi: 10.1136/bmjopen-2018-028633 First published September 20, 2019. Lewis E Kazis1, Omid Ameli1,2, James Rothendler1, Brigid Garrity1, Howard Cabral3, Christine McDonough4, Kathleen Carey1, Michael Stein1, Darshak Sanghavi2, David Elton5, Julie Fritz6, Robert Saper7 Abstract Objective This study examined the association of initial provider treatment with early and long-term opioid use in a national […]

Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care

Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114. Lisi AJ Abstract OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis […]

Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches.

Health SA. 2019 Sep 25;24:1244. doi: 10.4102/hsag.v24i0.1244. eCollection 2019. Yelverton C1, Rama S1, Zipfel B2. Author information Abstract BACKGROUND: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined […]

Opioid usage patterns, patient characteristics, and the role of chiropractic services in a publicly funded inner city health care facility

Steven Passmore DC, PhD The Spine Journal Volume 19, Issue 9, Supplement, September 2019, Pages S78-S79 BACKGROUND CONTEXT Opioid prescription for spinal pain while common, is no longer recommended by recent clinical practice guidelines. Opioid prescription rates in the US and Canada are double those in most European countries. A recent study found chiropractic care […]

Acute Presentation of Cervical Myelopathy Following Manipulation Therapy

Isr Med Assoc J. 2019 Aug;21(8):542-545. Salame K Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. Abstract Spinal manipulation therapy (SMT) is commonly used as an effective therapeutic modality for a range of cervical symptoms. However, in rare cases, cervical manipulation may be associated with complications. In this review we present […]

Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans

A Systematic Literature Review Wirth, Brigitte PT, PhD Spine: August 1, 2019 – Volume 44 – Issue 15 – p E914-E926 doi: 10.1097/BRS.0000000000003013 Study Design. Systematic review. Objective. To summarize the evidence of neurophysiological effects of spinal manipulative therapy (SMT) with a high velocity low amplitude thrust (HVLA-SMT) in asymptomatic and symptomatic humans. Summary of […]