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Symptomatic Arnold-Chiari malformation and cranial nerve dysfunction: a case study of applied kinesiology cranial evaluation and treatment.

Abstract Title: Symptomatic Arnold-Chiari malformation and cranial nerve dysfunction: a case study of applied kinesiology cranial evaluation and treatment. Abstract Source: J Manipulative Physiol Ther. 2005 May;28(4):e1-6. PMID: 15883570 Abstract Author(s): Scott Cuthbert, Charles Blum Article Affiliation: Chiropractic Health Center, Pueblo, CO 81004, USA. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: OBJECTIVE: To present an overview of possible effects of Arnold-Chiari malformation (ACM) and to offer chiropractic approaches and theories for treatment of a patient with severe visual dysfunction complicated by ACM. CLINICAL FEATURES: A young woman had complex optic nerve neuritis exacerbated by an ACM type I of the brain. INTERVENTION AND OUTCOME: Applied kinesiology chiropractic treatment was used for treatment of loss of vision and nystagmus. After treatment, the patient's ability to see, read, and perform smooth eye tracking showed improvement. CONCLUSION: Further studies into applied kinesiology and cranial treatments for visual dysfunctions associated with ACM may be helpful to evaluate whether this single case study can be representative of a group of patients who might benefit from this care. Article Published Date : May 01, 2005

Efficacy of chiropractic manual therapy on infant colic: a pragmatic single-blind, randomized controlled trial.

Abstract Title: Efficacy of chiropractic manual therapy on infant colic: a pragmatic single-blind, randomized controlled trial. Abstract Source: J Manipulative Physiol Ther. 2012 Oct ;35(8):600-7. PMID: 23158465 Abstract Author(s): Joyce E Miller, David Newell, Jennifer E Bolton Article Affiliation: Associate Professor, Anglo-European College of Chiropractic, Bournemouth, UK. Electronic address: This email address is being protected from spambots. You need JavaScript enabled to view it.. Abstract: OBJECTIVE: The purpose of this study was to determine the efficacy of chiropractic manual therapy for infants with unexplained crying behavior and if there was any effect of parental reporting bias. METHODS: Infants with unexplained persistent crying (infant colic) were recruited between October 2007 and November 2009 at a chiropractic teaching clinic in the United Kingdom. Infants younger than 8 weeks were randomized to 1 of 3 groups: (i) infant treated, parent aware; (ii) infant treated, parent unaware; and (iii) infant not treated, parent unaware. The primary outcome was a daily crying diary completed by parents over a period of 10 days. Treatments were pragmatic, individualized to examination findings, and consisted of chiropractic manual therapy of the spine. Analysis of covariance was used to investigate differences between groups. RESULTS: One hundred four patients were randomized. In parents blinded to treatment allocation, using 2 or less hours of crying per day to determine a clinically significant improvement in crying time, the increased odds of improvement in treated infants compared with those not receiving treatment were statistically significant at day 8 (adjusted odds ratio [OR], 8.1; 95% confidence interval [CI], 1.4-45.0) and at day 10 (adjusted OR, 11.8; 95% CI, 2.1-68.3). The number needed to treat was 3. In contrast, the odds of improvement in treated infants were not significantly different in blinded compared with nonblinded parents (adjusted ORs, 0.7 [95% CI, 0.2-2.0] and 0.5 [95% CI, 0.1-1.6] at days 8 and 10, respectively). CONCLUSIONS: In this study, chiropractic manual therapy improved crying behavior in infants with colic. The findings showed that knowledge of treatment by the parent did not appear to contribute to the observed treatment effects in this study. Thus, it is unlikely that observed treatment effect is due to bias on the part of the reporting parent. Article Published Date : Sep 30, 2012

Chiropractic management of postsurgical lumbar spine pain: a retrospective study of 32 cases.

Abstract Title: Chiropractic management of postsurgical lumbar spine pain: a retrospective study of 32 cases. Abstract Source: J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):408-12. PMID: 21807265 Abstract Author(s): Ralph A Kruse, Jerrilyn Cambron Article Affiliation: Chiropractic Physician, Private Practice, Homewood and Chicago, IL. Abstract: OBJECTIVE: Although chiropractic manipulation is commonly used for low back pain, applying this procedure to the patient with postlumbar spine surgery has not been adequately studied. The purpose of this retrospective chart review is to report on the results of chiropractic management (including Cox flexion distraction technique) of patients with postsurgical lumbar spine pain to determine the change in reported pain based on surgical type. METHODS: Ten years of patient files from one chiropractic practice were electronically screened for lumbar spine surgery occurring before presenting for chiropractic care. Of the 58 patients with a postsurgical diagnosis, 32 files contained all pertinent components for this study including treatment with Cox flexion distraction manipulation (in addition to adjunct procedures) for at least 2 weeks and pretreatment and posttreatment pain measures using the Numeric Pain Scale (NPS) that ranged from 0 (no pain) to 10 (worst pain imaginable). RESULTS: A change was observed in the mean pretreatment and posttreatment NPS pain scores of 6.4 to 2.3, a reduction of 4.1 of 10. The mean number of treatments was 14, with a range of 6 to 31. When stratified by surgical type, the mean change in pain was most remarkable in patients who underwent a surgery that combined lumbar discectomy, fusion, and/or laminectomy, with an average NPS pain reduction of 5.7 of 10. No adverse events were reported for any of these postsurgical patients. CONCLUSIONS: The results of this study showed improvement for patients with low back pain subsequent to lumbar spine surgery who were managed with chiropractic care. Article Published Date : Jul 01, 2011

Spinal manipulative therapy for elderly patients with chronic obstructive pulmonary disease: a case series.

Abstract Title: Spinal manipulative therapy for elderly patients with chronic obstructive pulmonary disease: a case series. Abstract Source: J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):413-7. Epub 2011 Jun 24. PMID: 21807266 Abstract Author(s): Paul E Dougherty, Roger M Engel, Subramanyam Vemulpad, Jeanmarie Burke Article Affiliation: Professor, New York Chiropractic College, Seneca Falls, NY; Adjunct Assistant Professor, University of Rochester School of Medicine and Dentistry, Rochester, NY. Abstract: OBJECTIVE: The objective of this case series is to report the results of spinal manipulative therapy (SMT) for people with chronic obstructive pulmonary disease (COPD) who were older than 65 years. METHODS: The study design was a prospective case series. Six patients of a long-term care center who were older than 65 years and having COPD underwent a course of 12 SMT sessions over a 4-week period. Each SMT session consisted of manually applied spinal manipulation and instrument-assisted spinal manipulation delivered by a doctor of chiropractic. Lung function measurements were recorded at baseline and at 2 and 4 weeks. The occurrence and type of any adverse events (AEs) related to SMT were recorded at each SMT session. RESULTS: One male and 5 female patients took part in the study. The average age was 79.1 years (range, 68-89 years). There was a clinically significant increase in forced expiratory volume in the first second after SMT in 4 of the 6 patients at 2 weeks. This was sustained in only 1 patient at 4 weeks. No clinically significant changes were observed for forced vital capacity at 2 or 4 weeks. One hundred forty-four manually applied spinal manipulations and 72 instrument-assisted spinal manipulations were administered during the intervention period. No major or moderate AEs were reported. Only minor AEs were reported after 29% of the intervention sessions, with 1 AE being reported for each patient. All AEs resolved within 48 hours. CONCLUSIONS: This case series offers preliminary evidence that SMT may have the potential to benefit lung function in patients with COPD who are older than 65 years. Article Published Date : Jul 01, 2011

Evidence-based guidelines for the chiropractic treatment of adults with headache.

Abstract Title: Evidence-based guidelines for the chiropractic treatment of adults with headache. Abstract Source: J Manipulative Physiol Ther. 2011 Jun ;34(5):274-89. PMID: 21640251 Abstract Author(s): Roland Bryans, Martin Descarreaux, Mireille Duranleau, Henri Marcoux, Brock Potter, Rick Ruegg, Lynn Shaw, Robert Watkin, Eleanor White Article Affiliation: Guidelines Development Committee Chair and Chiropractor, Private Practice, Clarenville, Newfoundland and Labrador, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: OBJECTIVE: The purpose of this manuscript is to provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults. METHODS: Systematic literature searches of controlled clinical trials published through August 2009 relevant to chiropractic practice were conducted using the databases MEDLINE; EMBASE; Allied and Complementary Medicine; the Cumulative Index to Nursing and Allied Health Literature; Manual, Alternative, and Natural Therapy Index System; Alt HealthWatch; Index to Chiropractic Literature; and the Cochrane Library. The number, quality, and consistency of findings were considered to assign an overall strength of evidence (strong, moderate, limited, or conflicting) and to formulate practice recommendations. RESULTS: Twenty-one articles met inclusion criteria and were used to develop recommendations. Evidence did not exceed a moderate level. For migraine, spinal manipulation and multimodal multidisciplinary interventions including massage are recommended for management of patients with episodic or chronic migraine. For tension-type headache, spinal manipulation cannot be recommended for the management of episodic tension-type headache. A recommendation cannot be made for or against the use of spinal manipulation for patients with chronic tension-type headache. Low-load craniocervical mobilization may be beneficial for longer term management of patients with episodic or chronic tension-type headaches. For cervicogenic headache, spinal manipulation is recommended. Joint mobilization or deep neck flexor exercises may improve symptoms. There is no consistently additive benefit of combining joint mobilization and deep neck flexor exercises for patients with cervicogenic headache. Adverse events were not addressed in most clinical trials; and if they were, there were none or they were minor. CONCLUSIONS: Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches. The type, frequency, dosage, and duration of treatment(s) should be based on guideline recommendations, clinical experience, and findings. Evidence for the use of spinal manipulation as an isolated intervention for patients with tension-type headache remains equivocal. Article Published Date : Jun 01, 2011
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Therapeutic Actions Chiropractic treatment

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Post-operative rehabilitation of a distal biceps brachii tendon reattachment in a weightlifter: a case report.

Related Articles Post-operative rehabilitation of a distal biceps brachii tendon reattachment in a weightlifter: a case report. J Can Chiropr Assoc. 2018 Dec;62(3):193-201 Authors: Wentzell M Abstract Objective: To describe the successful rehabilitation of a distal biceps brachii tendon reattachment following an acute traumatic tendon rupture. Clinical Features: A 30-year-old weightlifter presented five days post-op after a left distal biceps tendon repair. A three month one pound weight-restriction was recommended by the attending surgeon. Active and passive elbow and wrist range of motion were markedly reduced with profuse post-operative swelling and bruising noted upon initial inspection. Intervention and Outcome: An accelerated treatment program was prescribed that included soft tissue therapy, scar mobilization, laser therapy, kinesiology tape and rehabilitative exercise. A novel training method known as blood flow restriction (BFR) training was utilized throughout the rehabilitative process to maximize recovery and retain muscle mass and strength. The weightlifter returned to near pre-injury activity level after 3.5 months. Treatment, exercise and BFR protocols are provided. PMID: 30662074 [PubMed]

Conservative management of femoral anterior glide syndrome: a case series.

Related Articles Conservative management of femoral anterior glide syndrome: a case series. J Can Chiropr Assoc. 2018 Dec;62(3):182-192 Authors: Grant C, Pajaczkowski J Abstract Background: Femoral anterior glide syndrome is a movement impairment syndrome, which presents with anterior hip pain aggravated by hip flexion and extension. It is believed to occur because of altered muscle activation patterns contributing to altered gliding of the femoral head within the acetabulum and constant overloading and irritation of the joint structures. Study Design: Case series. Case Description: Three elite athletes diagnosed with femoral anterior glide syndrome were treated conservatively with the main goal of improving posterior femoral glide. Rehabilitative exercises were completed to gain independent articular control of the hip and improve hip and low back dissociation. Outcomes: Patients received complete symptom resolution allowing them to continue participating in their sport at full capacity. They were able to perform the femoral anterior glide tests without pain and aberrant movement patterns. Discussion: This case series provides data to support further investigation of treatment of femoral anterior glide syndrome. PMID: 30662073 [PubMed]

Effects of local vibration therapy on various performance parameters: a narrative literature review.

Related Articles Effects of local vibration therapy on various performance parameters: a narrative literature review. J Can Chiropr Assoc. 2018 Dec;62(3):170-181 Authors: Germann D, El Bouse A, Shnier J, Abdelkader N, Kazemi M Abstract Introduction: The therapeutic effects of local muscle vibration (LMV) remain controversial due to a lack of specific protocols. This review was conducted to better understand the effects of various LMV application protocols. Methods: A comprehensive literature search was performed based on title and abstract and a set of predetermined inclusion criteria. Study quality was then evaluated via the PEDro scale. Results: 23 articles were returned initially, and 21 studies were evaluated. The average PEDro score was 5.97/10. Reported outcome measures included muscle activation, strength, power, and range of motion / flexibility. The frequency and amplitude of LMV ranged from 5 - 300 Hz and 0.12-12 mm respectively, and duration from 6 seconds - 30 minutes. Conclusion: Most studies found that LMV elicits beneficial changes in the mentioned outcome measures. However, the methodological procedures used are quite heterogeneous. Further research is needed to understand the optimal application of LMV. PMID: 30662072 [PubMed]

Does interprofessional interaction influence physical therapy students' attitudes toward chiropractic?

Related Articles Does interprofessional interaction influence physical therapy students' attitudes toward chiropractic? J Can Chiropr Assoc. 2018 Dec;62(3):143-148 Authors: Bond BM, Dehan J, Horacek M Abstract Background: Interprofessional education (IPE) facilitates collaborative health practice, improving clinical outcomes. Objective: Explore physical therapy (PT) students' observations about chiropractic, including attitudes amongst distinctive PT programs. Methods: We administered a 74-item electronic survey, including 12 attitudinal items comprising the chiropractic attitude questionnaire (CAQ), to PT students at two universities. PT students at University 2 interacted with faculty members who were chiropractors, while PT students at University 1 did not interrelate with faculty members who were chiropractors. Results: Mean CAQ score for University 1 was 35.92 (SD ± 5.62), while the mean CAQ score for University 2 was 40.67 (SD ± 5.34) indicating a significant mean difference of 4.75 (SE ± 0.89) points (P ≤ 0.001). Discussion: Our results suggest that interprofessional interaction may improve attitudes amongst PT students. Conclusions: PT students exposed to chiropractors via interprofessional interaction demonstrated a more positive attitude toward the chiropractic profession. PMID: 30662068 [PubMed]

SafetyNET Community-based patient safety initiatives: development and application of a Patient Safety and Quality Improvement Survey.

Related Articles SafetyNET Community-based patient safety initiatives: development and application of a Patient Safety and Quality Improvement Survey. J Can Chiropr Assoc. 2018 Dec;62(3):130-142 Authors: Funabashi M, Pohlman KA, Mior S, O'Beirne M, Westaway M, De Carvalho D, El-Bayoumi M, Haig B, Wade DJ, Thiel HW, Cassidy JD, Hurwitz E, Kawchuk GN, Vohra S Abstract Objectives: To: 1) develop/adapt and validate an instrument to measure patient safety attitudes and opinions of community-based spinal manipulative therapy (SMT) providers; 2) implement the instrument; and 3) compare results among healthcare professions. Methods: A review of the literature and content validation were used for the survey development. Community-based chiropractors and physiotherapists in 4 Canadian provinces were invited. Results: The Agency for Healthcare Research and Quality's (AHRQ) Medical Office Survey on Patient Safety Culture was the preferred instrument. The survey was modified and validated, measuring 14 patient safety dimensions. 276 SMT providers volunteered to respond to the survey. Generally, SMT providers had similar or better patient safety dimension scores compared to the AHRQ 2016 medical offices database. Discussion: We developed the first instrument measuring patient safety attitudes and opinions of community-based SMT providers. This instrument provides understanding of SMT providers' opinions and attitudes on patient safety and identifies potential areas for improvement. PMID: 30662067 [PubMed]
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