MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis
Chiropractic Resource Organization Blog
by Frank M. Painter
2w ago
Chiro.Org Blog: This meta-analysis of epidemiologic studies demonstrates that MR imaging evidence of disc bulge, disc degeneration, disc extrusions and protrusions, Modic 1 changes, and spondylolysis had significant associations with low back pain in adult patients 50 years of age or younger. The association between these degenerative findings and pain should not be interpreted as causation. These imaging findings may be considered as candidate biomarkers for low back pain in younger patients (younger than 50 years of age). The role of these findings in determining treatment strategies or prog ..read more
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A Retrospective Analysis of the Incidence of Severe Adverse Events Among Recipients of Chiropractic Spinal Manipulative Therapy
Chiropractic Resource Organization Blog
by Frank M. Painter
2w ago
Chiro.Org Blog: This study examined the incidence and severity of adverse events (AEs) of patients receiving chiropractic spinal manipulative therapy (SMT), with the hypothesis that < 1 per 100,000 SMT sessions results in a grade ≥ 3 (severe) AE. A secondary objective was to examine independent predictors of grade ≥ 3 AEs. We identified patients with SMT-related AEs from January 2017 through August 2022 across 30 chiropractic clinics in Hong Kong. AE data were extracted from a complaint log, including solicited patient surveys, complaints, and clinician reports, and corroborated by medical ..read more
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Memorial Day: In Memory of Those Who Have Fallen
Chiropractic Resource Organization Blog
by Frank M. Painter
1M ago
Memorial Day: In Memory of Those Who Have Fallen The Chiro.Org Blog The Bivouac of the Dead The muffled drum’s sad roll has beat The soldier’s last tattoo’ No more on life’s parade shall meet That brave and fallen few; On Fame’s eternal camping ground Their silent tents are spread; But Glory guards with solemn ..read more
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Cost of Chiropractic Versus Medical Management of Adults with Spine-related Musculoskeletal Pain: A Systematic Review
Chiropractic Resource Organization Blog
by Frank M. Painter
2M ago
Chiro.Org Blog: Patients with spine-related musculoskeletal pain who consulted a chiropractor as their initial provider incurred substantially decreased downstream healthcare services and associated costs, resulting in lower overall healthcare costs compared with medical management. A primary limitation was related to the heterogeneity and sample sizes of the populations and retrospective data sets. While observational studies cannot prove causation, the recurrent theme of the data seems to support the utilization of chiropractors as the initial provider for an episode of spine-related musculo ..read more
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Vertebral Subluxation and Systems Biology: An Integrative Review Exploring the Salutogenic Influence of Chiropractic Care on the Neuroendocrine-Immune System
Chiropractic Resource Organization Blog
by Frank M. Painter
2M ago
Chiro.Org Blog: In this paper we synthesize an expansive body of literature examining the multifaceted influence of chiropractic care on processes within and modulators of the neuroendocrine-immune (NEI) system, for the purpose of generating an inductive hypothesis regarding the potential impacts of chiropractic care on integrated physiology. Taking a broad, interdisciplinary, and integrative view of two decades of research-documented outcomes of chiropractic care, inclusive of reports ranging from systematic and meta-analysis and randomized and observational trials to case and cohort studies ..read more
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A Randomized Controlled Trial Comparing Different Sites of High-velocity Low Amplitude Thrust on Sensorimotor Integration Parameters
Chiropractic Resource Organization Blog
by Frank M. Painter
4M ago
Chiro.Org Blog: This randomized controlled trial was the first to investigate the immediate changes in response to an HVLA thrust site selection in the cervical spine using a neurophysiological EEG outcome measure and found evidence that HVLA thrust directed at a cervical site considered as dysfunctional significantly reduces N30 amplitude immediately after such intervention. In contrast, HVLA thrust directed at a cervical site considered as non-dysfunctional causes no significant change. The present findings suggest that clinicians' selection of where to apply cervical HVLA thrust is likely t ..read more
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Our Blog is a Tool. Learn How to Use It Now
Chiropractic Resource Organization Blog
by Frank M. Painter
5M ago
Our Blog is a Tool. Learn How to Use It Now The Chiro.Org Blog A Chiro.Org Editorial Every Blog post is an announcement of new material that was just added to one of our many Sections. I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts ..read more
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Association Between Spinal Manipulative Therapy and Lumbar Spine Reoperation After Discectomy: A Retrospective Cohort Study
Chiropractic Resource Organization Blog
by Frank M. Painter
5M ago
Chiro.Org Blog: This study found that adults receiving SMT for LSR at least one year after lumbar discectomy were less likely to undergo lumbar spine reoperation compared to those receiving usual care without SMT, a difference which persisted over two years’ follow-up. These findings highlight the potential role of SMT in reducing the likelihood of additional surgery in this patient population. However, prospective studies are needed to validate our findings and concurrently examine changes in pain, disability, and safety among those receiving SMT after discectomy ..read more
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A Randomized Controlled Trial Comparing Different Sites of High-velocity Low Amplitude Thrust on Sensorimotor Integration Parameters
Chiropractic Resource Organization Blog
by Frank M. Painter
5M ago
Chiro.Org Blog: This randomized controlled trial was the first to investigate the immediate changes in response to an HVLA thrust site selection in the cervical spine using a neurophysiological EEG outcome measure and found evidence that HVLA thrust directed at a cervical site considered as dysfunctional significantly reduces N30 amplitude immediately after such intervention. In contrast, HVLA thrust directed at a cervical site considered as non-dysfunctional causes no significant change. The present findings suggest that clinicians' selection of where to apply cervical HVLA thrust is likely t ..read more
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Clinical Indicators for Recommending Continued Care to Patients with Neck Pain in Chiropractic Practice: A Cohort Study
Chiropractic Resource Organization Blog
by Frank M. Painter
6M ago
Chiro.Org Blog: The clinical indicators for recommending continued care to patients with neck pain in chiropractic practice differ from those used when recommending MC to patients with low back pain. We found that the strongest clinical indicator for the chiropractor to recommend continued care was a long duration of neck pain. None of the included chiropractor characteristics had a significant impact on this recommendation. Only 39% of patients presenting with previous neck pain episodes, a history of long neck pain duration and improvement four weeks after initial treatment had an appointmen ..read more
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