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Provider kinematic strategies during the delivery of spinal manipulation and mobilization: a scoping review of the literature.
Chiropr Man Therap
January 2025
Department of Chiropractic Medicine, Integrative Spinal Research Group, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Background: Spinal manipulation (MAN) and mobilization (MOB) are biomechanically different yet both elicit pain reduction and increased range of motion. Previous investigations have focused on quantifying kinetics (e.g.
View Article and Find Full Text PDFReassurance use and reassurance-related outcomes for low back pain in primary care: A scoping review.
J Pain
December 2024
Department of Chiropractic, Faculty of Medicine, Health and Health Science, Macquarie University, Australia.
We used a scoping review design to map the available evidence describing the use of reassurance in clinical practice, interventions to increase the delivery of reassurance, and reassurance-related outcome measures. We searched CINAHL, MEDLINE, EMBASE and Cochrane Central from inception to October 2024. Publications were included if they described the use of reassurance or reassurance-related outcome measures in patients with non-specific low back pain (LBP) presenting to primary care.
View Article and Find Full Text PDFA Bayesian analysis integrating expert beliefs to better understand how new evidence ought to update what we believe: a use case of chiropractic care and acute lumbar disc herniation with early surgery.
BMC Med Res Methodol
November 2024
EBPI-UWZH Musculoskeletal Epidemiology Research Group, University of Zurich and Balgrist University Hospital, Zurich, Switzerland.
Background: A Bayesian approach may be useful in the study of possible treatment-related rare serious adverse events, particularly when there are strongly held opinions in the absence of good quality previous data. We demonstrate the application of a Bayesian analysis by integrating expert opinions with population-based epidemiologic data to investigate the association between chiropractic care and acute lumbar disc herniation (LDH) with early surgery.
Methods: Experts' opinions were used to derive probability distributions of the incidence rate ratio (IRR) for acute LDH requiring early surgery associated with chiropractic care.
Objective: The purpose of this review was to identify assessment instruments and their measurement properties for assessing evidence-based practice (EBP) knowledge, skills, attitudes, and behavior among students of manual therapy education programs.
Methods: 7 electronic databases were systematically searched from inception to May 19, 2023. (MEDLINE, EMBASE, CINAHL, ERIC, EBSCO Discovery, LISA, Google Scholar.
Chiropractic and Spinal Manipulation: A Review of Research Trends, Evidence Gaps, and Guideline Recommendations.
J Clin Med
September 2024
Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Article Synopsis
- Chiropractors focus on diagnosing and treating musculoskeletal disorders, often using spinal manipulative therapy (SMT), with increased acceptance in the US since Medicare funded it in 1972.
- A review of chiropractic research from 1972-2024 revealed over 6,000 articles, showing an upward trend in publication and a shift from historical topics to more clinical studies like randomized controlled trials.
- Recent clinical practice guidelines (CPGs) have made 59 recommendations for SMT, mainly endorsing its use for low back pain (90% efficacy) and neck pain (100% efficacy), along with recent support for treating tension-type headaches.
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