Academic literature on the topic 'Chiropractic methods'
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Journal articles on the topic "Chiropractic methods"
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Yalden, Philip, Christina Cunliffe, and Adrian Hunnisett. "An investigation into the demographics and motivations of students studying for a chiropractic degree." Journal of Chiropractic Education 27, no. 2 (September 1, 2013): 128–34. http://dx.doi.org/10.7899/jce-13-8.
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Objective This research aimed to investigate motivations for studying chiropractic, and to determine what students look for in a course/college and potential barriers to studying chiropractic. Methods The study design was a cross-sectional survey. Following IRB/Ethical approval, a paper-based questionnaire was distributed to students at McTimoney College of Chiropractic. Demographic data were compared to another chiropractic college in the United Kingdom. Results The questionnaire response rate was 70.8% (n = 121). Motivating factors for studying chiropractic included a desire to help others (54.5%, n = 66), with 44.6% (n = 54) attracted by chiropractic's holistic, drugless approach to health. Previous help from chiropractic influenced 55.4% (n = 67) and 22.3% (n = 27) felt chiropractic had “changed their life.” Just over half of the respondents (55.4%, n = 67) viewed the ability to work while studying as extremely important and 73.6% (n = 89) said they could not have studied chiropractic without this. Conclusion Previous help from chiropractic care was a common motivation for studying chiropractic. The ability to work while studying was seen as vital by many students and, without it, the vast majority felt they could not have studied chiropractic.
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Whedon, James M., Andrew W. J. Toler, Louis A. Kazal, Serena Bezdjian, Justin M. Goehl, and Jay Greenstein. "Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain." Pain Medicine 21, no. 12 (March 6, 2020): 3567–73. http://dx.doi.org/10.1093/pm/pnaa014.
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Abstract Objective Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain. Design and Setting We employed a retrospective cohort design for analysis of health claims data from three contiguous states for the years 2012–2017. Subjects We included adults aged 18–84 years enrolled in a health plan and with office visits to a primary care physician or chiropractor for spinal pain. We identified two cohorts of subjects: Recipients received both primary care and chiropractic care, and nonrecipients received primary care but not chiropractic care. Methods We performed adjusted time-to-event analyses to compare recipients and nonrecipients with regard to the risk of filling an opioid prescription. We stratified the recipient populations as: acute (first chiropractic encounter within 30 days of diagnosis) and nonacute (all other patients). Results The total number of subjects was 101,221. Overall, between 1.55 and 2.03 times more nonrecipients filled an opioid prescription, as compared with recipients (in Connecticut: hazard ratio [HR] = 1.55, 95% confidence interval [CI] = 1.11–2.17, P = 0.010; in New Hampshire: HR = 2.03, 95% CI = 1.92–2.14, P < 0.0001). Similar differences were observed for the acute groups. Conclusions Patients with spinal pain who saw a chiropractor had half the risk of filling an opioid prescription. Among those who saw a chiropractor within 30 days of diagnosis, the reduction in risk was greater as compared with those with their first visit after the acute phase.
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Ebrall, Phillip, Barry Draper, and Adrian Repka. "Towards a 21st Century Paradigm of Chiropractic: Stage 1, Redesigning Clinical Learning." Journal of Chiropractic Education 22, no. 2 (September 1, 2008): 152–60. http://dx.doi.org/10.7899/1042-5055-22.2.152.
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Objective: To describe a formal process designed to determine the nature and extent of change that may enhance the depth of student learning in the pre-professional, clinical chiropractic environment. Methods: Project teams in the Royal Melbourne Institute of Technology (RMIT) School of Health Sciences and the Division of Chiropractic explored questions of clinical assessment in several health care disciplines of the School and the issue of implementing change in a manner that would be embraced by the clinicians who supervise student-learning in the clinical environment. The teams applied to RMIT for grant funding within the Learning and Teaching Investment Fund to support two proposed studies. Results: Both research proposals were fully funded and are in process. Discussion: The genesis of this work is the discovery that the predominant management plan in the chiropractic teaching clinics is based on diagnostic reductionism. It is felt this is counter-productive to the holistic dimensions of chiropractic practice taught in the classroom and non-supportive of chiropractic's paradigm shift towards wellness. A need is seen to improve processes around student assessment in the contemporary work-integrated learning that is a prime element of learning within the clinical disciplines of the School of Health Sciences, including chiropractic. Conclusion: Any improvements in the manner of clinical assessment within the chiropractic discipline will need to be accompanied by improvement in the training and development of the clinicians responsible for managing the provision of quality patient care by Registered Chiropractic Students.
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Hunnisett, Adrian G. W., and Christina Cunliffe. "A comparison of the academic outcome of chiropractic students on full-time and full-time equivalent chiropractic education routes." Journal of Chiropractic Education 34, no. 2 (August 8, 2019): 140–46. http://dx.doi.org/10.7899/jce-18-4.
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Objective To compare the academic equivalence of full-time (FT) and full-time equivalent (FTE) delivery routes for chiropractic training and to assess nontraditional education delivery as a viable method for training chiropractors. Methods A retrospective analysis of student summative assessment data was undertaken on a total of 196 FT and FTE students studying for the master's in chiropractic degree at a UK chiropractic college between 2009 and graduating by 2017. The analysis consisted of within-group comparison and between-group comparisons using the Kruskal-Wallis test and the Mann-Whitney U test. Results The demographics of the 2 student groups varied in terms of gender and age distribution. The analysis of summative data indicated no differences between the 2 routes of delivery. There was also no difference in the distribution of final degree classification outcome between the 2 routes. Conclusions While it is possible that demographic differences influence the outcomes in each training route, this preliminary study indicates that, based only on analysis of overall achievement, there is no difference in either FT or FTE programs in training chiropractors, allowing them to register with the UK regulatory body. It suggests that a nontraditional mode of delivery is an achievable route to qualification as a chiropractor, enabling a greater number of students to consider chiropractic as a career choice while managing other life commitments.
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Polkinghorn, Bradley S., and Christopher J. Colloca. "Chiropractic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropractic technique." Journal of Manipulative and Physiological Therapeutics 22, no. 6 (July 1999): 411–16. http://dx.doi.org/10.1016/s0161-4754(99)70087-4.
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de Luca, Katie E., Jordan A. Gliedt, Matthew Fernandez, Greg Kawchuk, and Michael S. Swain. "The identity, role, setting, and future of chiropractic practice: a survey of Australian and New Zealand chiropractic students." Journal of Chiropractic Education 32, no. 2 (March 6, 2018): 115–25. http://dx.doi.org/10.7899/jce-17-24.
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Objective: To evaluate Australian and New Zealand chiropractic students' opinions regarding the identity, role setting, and future of chiropractic practice. Methods: An online, cross-sectional survey was administered to chiropractic students in all chiropractic programs in Australia and New Zealand. The survey explored student viewpoints about the identity, role/scope, setting, and future of chiropractic practice as it relates to chiropractic education and health promotion. Associations between the number of years in the program, highest degree preceding chiropractic education, institution, and opinion summary scores were evaluated by multivariate analysis of variance tests. Results: A total of 347 chiropractic students participated in the study. For identity, most students (51.3%) hold strongly to the traditional chiropractic theory but also agree (94.5%) it is important that chiropractors are educated in evidence-based practice. The main predictor of student viewpoints was a student's chiropractic institution (Pillai's trace =.638, F[16, 1368] = 16.237, p < .001). Chiropractic institution explained over 50% of the variance around student opinions about role/scope of practice and approximately 25% for identity and future practice. Conclusions: Chiropractic students in Australia and New Zealand seem to hold both traditional and mainstream viewpoints toward chiropractic practice. However, students from different chiropractic institutions have divergent opinions about the identity, role, setting, and future of chiropractic practice, which is most strongly predicted by the institution. Chiropractic education may be a potential determinant of chiropractic professional identity, raising concerns about heterogeneity between chiropractic schools.
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Wong, Jessica J., Luciano Di Loreto, Alim Kara, Kavan Yu, Alicia Mattia, David Soave, Karen Weyman, and Deborah Kopansky-Giles. "Assessing the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after an educational intervention*." Journal of Chiropractic Education 28, no. 2 (October 1, 2014): 112–22. http://dx.doi.org/10.7899/jce-14-16.
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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.
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Mansholt, Barbara A., Stacie A. Salsbury, Lance G. Corber, and John S. Stites. "Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty." Journal of Chiropractic Education 31, no. 2 (October 1, 2017): 140–63. http://dx.doi.org/10.7899/jce-17-4.
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Objective: Scientific literature applicable to chiropractic practice proliferates in quantity, quality, and source. Chiropractic is a worldwide profession and varies in scope between states or provinces and from country to country. It is logical to consider that the focus and emphasis of chiropractic education varies between programs as well. This original research study endeavored to determine “essential literature” recommended by chiropractic faculty. The purpose of this article is (1) to share our results and (2) to promote discussion and explore means for future collaboration of chiropractic faculty through a worldwide platform. Methods: A 2-phase recruitment occurred initially at the institutional level and subsequently at the faculty level. A Web-based survey used qualitative data collection methods to gather bibliographic citations. Descriptive statistics were calculated for demographics, and citation responses were ranked per number of recommendations, grouped into categories, and tabulated per journal source and publication date. Results: Forty-one chiropractic programs were contacted, resulting in 30 participating chiropractic programs (16 US and 14 international). Forty-five faculty members completed the entire survey, submitting 126 peer-reviewed publications and 25 additional citations. Readings emphasized clinical management of spine pain, the science of spinal manipulation, effectiveness of manual therapies, teaching of chiropractic techniques, outcomes assessments, and professional issues. Conclusion: A systematic approach to surveying educators in international chiropractic institutions was accomplished. The results of the survey provide a list of essential literature for the chiropractic profession. We recommend establishing a chiropractic faculty registry for improved communication and collaboration.
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Johnson, Claire D., and Bart N. Green. "Looking back at the lawsuit that transformed the chiropractic profession part 6: Preparing for the lawsuit." Journal of Chiropractic Education 35, S1 (September 1, 2021): 85–96. http://dx.doi.org/10.7899/jce-21-27.
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Objective This is the sixth article in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this article is to provide a brief review of the plaintiffs, lead lawyer, and the events immediately before the lawsuit was filed. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 articles following a successive timeline. This article, the sixth of the series, explores the plaintiffs' stories. Results Because of the AMA's boycott on chiropractic, chiropractors were not able to collaborate with medical physicians or refer patients to medical facilities, which resulted in restricted trade and potential harm to patients' well-being. The plaintiffs, Patricia Arthur, James Bryden, Michael Pedigo, and Chester Wilk, came from different regions of the United States. Each had unique experiences and were compelled to seek justice. The lead lawyer, Mr George McAndrews, was the son of a chiropractor and had witnessed the effect that the AMA's attacks on chiropractic had on his father. It took several years to gather enough resources to file the suit, which was submitted in 1976. Conclusion The conflicts that the plaintiffs experienced stimulated them to pursue a lawsuit against the AMA and other organized political medicine groups.
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Dunn, Andrew S. "A Survey of Chiropractic Academic Affiliations Within the Department of Veterans Affairs Health Care System." Journal of Chiropractic Education 21, no. 2 (October 1, 2007): 138–43. http://dx.doi.org/10.7899/1042-5055-21.2.138.
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Purpose: With the recent implementation of chiropractic into the Department of Veterans Affairs (VA) Health Care System, chiropractic institutions nationwide now share common educational ground with many of the nation's medical schools and other educational institutions. Chiropractic students may undergo clinical training within VA medical facilities that have affiliation agreements with chiropractic institutions. The purpose of this study was to gain a greater understanding of the current state of chiropractic academic affiliations within the VA. Methods: Survey method was utilized to obtain information about the program design and operation of VA chiropractic academic affiliations. Results: Chiropractic academic affiliations have been establishedwithin four VA medical facilities in association with three chiropractic colleges. There was considerable variation in staffing and internship duration among the locations. Conclusion: The four existing chiropractic academic affiliations were dissimilar in terms of their design and operation with different strengths and program characteristics identified. Additional study is indicated to determine the impact that program variation has on the clinical care and educational functions of VA chiropractic academic affiliations. (The Journal of Chiropractic Education 21(2): 138–143, 2007)
Dissertations / Theses on the topic "Chiropractic methods"
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Miller, Peter. "Attitudes and opinions of chiropractic teaching staff towards methods of detecting the spinal manipulable lesion." Thesis, University of Portsmouth, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.500338.
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The aim of this study was to investigate the different methods of detecting the spinal manipulable lesion and the appropriateness of teaching them in a modern undergraduate chiropractic curriculum. The study consisted of three parts and utilised a mixed mode, sequential explanatory design. In part 1, a survey was sent to chiropractic teaching institutions worldwide to elicit the methods of detecting the spinal manipulable lesion that were taught. Part 2 utilised a survey of chiropractic staff at the Anglo-European College of Chiropractic (AECC) to elicit their opinions regarding the methods of detecting the spinal manipulable lesion that were appropriate to teach at a local institution level. The combined results from parts 1 and 2 were used to inform the areas of discussion for part 3 of the study as well as inform participant selection for the focus groups. For part 3, two focus groups were conducted to explore the attitudes that informed the opinions elicited in the survey (part 2) as well as exploring the development of the curriculum at AECC regarding methods of detecting the spinal manipulable lesion. This study demonstrates that chiropractic teaching institutions are moving towards a coherent multidimensional approach to teaching methods of detecting the spinal manipulable lesion. The study also highlights the importance of developing a paradigm for what constitutes the spinal manipulable lesion, so as to guide students and ultimately clinicians in evidence-based and patient-centred approaches. This study has provided a starting point for the development of this paradigm both in terms of the methods of detection of the spinal manipulable lesion that are appropriate to teach at an undergraduate level and ways to develop the curriculum at the AECC that will encourage the next generation of chiropractors to reflect on the clinical utility of the procedures they use in everyday clinical practice.
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DeBar, Lynn, Charles Elder, Cheryl Ritenbaugh, Mikel Aickin, Rick Deyo, Richard Meenan, John Dickerson, Jennifer Webster, and Yarborough Bobbi Jo. "Acupuncture and chiropractic care for chronic pain in an integrated health plan: a mixed methods study." BioMed Central, 2011. http://hdl.handle.net/10150/610357.
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BACKGROUND:Substantial recent research examines the efficacy of many types of complementary and alternative (CAM) therapies. However, outcomes associated with the "real-world" use of CAM has been largely overlooked, despite calls for CAM therapies to be studied in the manner in which they are practiced. Americans seek CAM treatments far more often for chronic musculoskeletal pain (CMP) than for any other condition. Among CAM treatments for CMP, acupuncture and chiropractic (A/C) care are among those with the highest acceptance by physician groups and the best evidence to support their use. Further, recent alarming increases in delivery of opioid treatment and surgical interventions for chronic pain--despite their high costs, potential adverse effects, and modest efficacy--suggests the need to evaluate real world outcomes associated with promising non-pharmacological/non-surgical CAM treatments for CMP, which are often well accepted by patients and increasingly used in the community.METHODS/DESIGN:This multi-phase, mixed methods study will: (1) conduct a retrospective study using information from electronic medical records (EMRs) of a large HMO to identify unique clusters of patients with CMP (e.g., those with differing demographics, histories of pain condition, use of allopathic and CAM health services, and comorbidity profiles) that may be associated with different propensities for A/C utilization and/or differential outcomes associated with such care(2) use qualitative interviews to explore allopathic providers' recommendations for A/C and patients' decisions to pursue and retain CAM care
and (3) prospectively evaluate health services/costs and broader clinical and functional outcomes associated with the receipt of A/C relative to carefully matched comparison participants receiving traditional CMP services. Sensitivity analyses will compare methods relying solely on EMR-derived data versus analyses supplementing EMR data with conventionally collected patient and clinician data.DISCUSSION:Successful completion of these aggregate aims will provide an evaluation of outcomes associated with the real-world use of A/C services. The trio of retrospective, qualitative, and prospective study will also provide a clearer understanding of the decision-making processes behind the use of A/C for CMP and a transportable methodology that can be applied to other health care settings, CAM treatments, and clinical populations.TRIAL REGISTRATION:ClinicalTrials.gov: NCT01345409
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Talmage, Grant L. "An exploratory mixed-methods study to determine factors which may affect satisfaction levels of patients outside of a clinical setting." Thesis, 2007. http://hdl.handle.net/10321/222.
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Thesis (M.Tech.: Chiropractic)- Dept. of Chiropractic, Durban University of Technology, 2007
xv, 145, 22 leavesIt has been shown that patient satisfaction evaluation is an excellent tool that may be used to determine whether practitioner services are meeting the needs of the general public. Furthermore, it has been observed that patients who were satisfied with their treatment behave differently to those who were dissatisfied with their levels of care, as patient’s who were satisfied with their levels of treatment are more likely to be compliant with their treatment regime and more likely to seek out similar care for the same condition in the future. With satisfaction having such an affect on patient’s behaviour toward practitioners and the treatment experience outcomes, it is imperative to understand the underlying factors that may affect the levels of satisfaction.
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Van, Den Berg Christine Dominique. "The reliability of the tuning fork and therapeutic ultrasound to determine the most reliable methods of fracture diagnosis." Thesis, 2009. http://hdl.handle.net/10210/2672.
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Dold, Raymond Gilbert. "A survey of the most commonly used diagnostic methods used by the chiropractors in Gauteng, South Africa for detecting adjustable lesions." Thesis, 2010. http://hdl.handle.net/10210/3097.
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M. Tech.The main purpose of this study was: • To determine the different diagnostic techniques chiropractors use in Gauteng South Africa. Objectives included: • To determine chiropractics attitude and opinions regarding the different Diagnostic Techniques they use in their practices. • To determine any statistically significantly correlations between answers. • To develop a demographic profile of Chiropractors in Gauteng South Africa. In the world today there are 80 000 chiropractors who are the primary physicians performing manipulations in order to treat problems such as lower back pain. Incidentally 85% of the western world will suffer from at some stage of their lives (Hecker and Daniel, 2004). The identification of the common functional and structural components of the adjustable lesion is critical to the management of these conditions. Unfortunately it has also contributed to the misconception that all manipulative disorders have the same pathological basis (Bergman, 2002). A questionnaire-based study comprising a non-probabilistic, non-random, convenience sample was used to determine the diagnostic techniques used v by the chiropractors actively practicing in Gauteng South Africa. A total of 58 Chiropractors responded to the questionnaire, forming the sample population that was used to calculate results. According to this study, all the responding chiropractors practicing here in Gauteng South Africa (n=58/58 100%), examine the spine to identify areas or subluxations that require adjustments/manipulation. There are a variety of diagnostic techniques methods that they use in everyday practice. Most commonly motion palpation(96.5%), static palpation(93.1%), pain description of the patient(82.8%), leg length discrepancy(55%), neurological tests(77.6%), visual postural analysis(61.4%), orthopedic tests(75%), plain static and stress x-rays(44.5%) and kinesiology muscle testing(10.4%) are used. The perceived reliability of these diagnostic techniques are also considered to be good.
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De, Beer Quintin Hardus. "The relative effectiveness of Kinesio® taping methods as an adjunct to a single sacroiliac joint manipulation in the treatment of chronic sacroiliac joint syndrome." Thesis, 2013. http://hdl.handle.net/10321/939.
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Dissertation submitted in partial compliance with the requirements for the Master’s
Degree in Technology: Chiropractic, Durban University of Technology, 2013.The lifetime incidence of low back pain is between 48% to 79% in South Africa. Globally, chronic Sacroiliac Joint Syndrome occurs in 13% to 63% of the world’s population. Therefore, chronic Sacroiliac Joint Syndrome is a significant health problem that has the potential to have a major impact on quality of life. Chronic Sacroiliac Joint Syndrome is described as an alteration in normal motion or mechanics. The Sacroiliac Joint fibrous capsule contributes to proprioceptive and nociceptive output, which may be exacerbated when the joint is in a dysfunctional state. Chronic Sacroiliac Joint Syndrome may be effectively treated by spinal manipulative therapy. Spinal manipulative therapy is professed to have four therapeutic effects – mechanical correction, pain reducing effects, circulatory increase and neurobiologic effects. Similarly, Kinesio Tex® Tape therapy is professed to have comparable therapeutic effects – circulatory increase, pain reduction and stimulation of proprioceptive systems. Spinal manipulative therapy and Kinesio Tex® Tape therapy may, therefore, have similar therapeutic effects which, if used in adjunction, may produce enhanced therapeutic effects and accelerated results regarding reduction of symptoms in patients with chronic Sacroiliac Joint Syndrome. This investigation aimed to determine whether Kinesio ® Taping methods would have any relative effect on the Sacroiliac Joint, and whether it would be appropriate to use as an adjunct to spinal manipulative therapy in the treatment of chronic Sacroiliac Joint Syndrome. The study was a prospective stratified clinical trial with three intervention groups, twenty participants in each (n = 60). All participants were 18-50 years of age and suffering from chronic Sacroiliac Joint Syndrome. Subjective measurements included the Numerical Rating Scale and Oswestry Low Back Pain Disability Index. Objective measurements included the Algometer Scores. Numerical Rating Scale and Algometer measurements were taken before and immediately after treatment at the first consultation and at the second consultation. Oswestry Low Back Pain Disability Index measurements were taken at the first and second consultation. Group One underwent spinal manipulative therapy alone, Group Two underwent Kinesio Tex® Tape therapy alone and Group Three underwent both spinal manipulative therapy and Kinesio Tex® Tape therapy in combination. Comparisons were made using the Unpaired and Paired t-tests. The results for the Inter-group analyses suggested that most comparisons were statistically insignificant (p ≥ 0.05) which indicated that all treatment groups appeared to improve to a similar degree. The results for the Intra-group analyses suggested that most comparisons were statistically significant (p < 0.05) which indicated that Kinesio Tex® Tape therapy was effective as an adjunct to spinal manipulative therapy, however not statistically more or less effective that spinal manipulative therapy or Kinesio Tex® Tape therapy alone. In conclusion, it was found that some differences did occur, however these differences were not sufficient enough to conclude that one treatment was more effective than the other. Further research with a larger sample size, more frequent treatments and follow-ups, a more homogenous stratification of age, ethnic group, gender, side of diagnosis and categorizing participant occupation is needed in order for the power of the study to be amplified and, therefore, any results would carry more weight.
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Birdsey, Paul Craig. "The reliability of motion palpation versus a traditional chiropractic method for the analysis of chronic mechanical sacroiliac joint syndrome." Thesis, 2000. http://hdl.handle.net/10321/2762.
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Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic at Technikon Natal, 2000.Sacroiliac joint syndrome represents a common cause of lower back pain (Cassidy and Burton 1992:3). However, much controversy exists regarding the most reliable method used to diagnose and determine sacroiliac joint dysfunction (Wiles and Faye 1992).
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Bhoola, Nayna Ratilal. "The relative effectiveness of a conservative multi-method treatment protocol (S.M.T. and Diclofenac) for the management of chronic mechanical thoracic spine pain." Thesis, 2001. http://hdl.handle.net/10321/2023.
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A dissertation presented to the Faculty of Health in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Durban Institute of Technology, 2001.The aim of this study was to determine the relative effectiveness of the combination of spinal manipulative therapy (SMT) and non-steroidal anti-inflammatory drugs (NSAIDs) versus SMT with the administration of a placebo medication in the treatment of chronic mechanical thoracic facet syndrome. It was hypothesised that SMT and NSAIDs over a three week period would be more effective than SMT and placebo medication in terms of the objective and subjective clinical findings. The study design was that of a double blind randomized clinical trial. Sixty patients diagnosed with thoracic facet syndrome were randomly assigned to either the manipulation and NSAID group or the manipulation and placebo medication group. The age range of the patients was eighteen to fifty-nine years. Each patient in the NSAID group received 139mg of diclofenac free acid per day over five days. The placebo group received the same dosage of a similar appearance to that of diclofenac free acid over the same period. The placebo medication was in the form of lactose powders. Each group of thirty patients received six treatments of SMT over a three-week period. Group A received SMT and placebo medication while Group B received SMT and NSAIDs. The patients were assessed by means of obtaining subjective information consisting of three questionnaires; the McGill Short-Form Pain Questionnaire, the Numerical Pain Rating Scale -lOl and the Oswestry Pain Disability Index. Objective data was gathered from goniometer measurements. The objective data was collected before the
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Corin, Alan Clifford. "The relative effectiveness of the four-electrode as opposed to the pen-electrode interferential current method in the treatment of myofascial pain syndromes." Thesis, 1998. http://hdl.handle.net/10321/1954.
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A dissertation submitted in partial compliance with the requirements for a Masters Degree in Technology: Chiropractic, Technikon Natal, 1998.The purpose of this investigation was to determine the relative effect of the four-electrode as opposed to the pen-electrode interferential current method in the treatment of myofascial pain syndromes. This was a randomised clinical trial consisting of two groups. Group A received four-electrode interferential current therapy, while Group B received pen-electrode interferential current therapy. Each group consisted of 15 subjects, between the ages of 18 and 55 years, selected from the general population. Subjects diagnosed with active myofascial trigger points in any of the following muscles: trapezius, levator scapulae, supraspinatus, infraspinatus and rhomboid major and minor, were admitted into the study. Each subject received five treatments over a period of three weeks followed by a one-month follow-up consultation. Each subject was assessed by means of the CMCC Neck Disability Index, short-form McGill Pain Questionnaire and the Numerical Pain Questionnaire; as well as pain threshold readings by means of an algometer and cervical spine ranges of motion measurements by means of a cervical goniometer. Readings were taken at the first, fifth and follow-up consultations for all subjective and objective measurements.
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Smit, Carine Bernice. "The relative effectiveness of using Pilates exercises to obtain scapula stabilisation as an adjunct to cervical manipulation in the treatment of chronic mechanical neck pain." Thesis, 2009. http://hdl.handle.net/10321/462.
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Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic at the Durban University of Technology, 2009.It has been noted that in many recent research studies mechanical neck pain is a serious problem in the world today. There are epidemiological and statistical studies documenting the high incidence and prevalence of mechanical neck pain, which effects people’s daily living (Drew, 1995; Ferrari and Russell, 2003; Cote et al., 2000, Venketsamy, 2007 and Haldeman et al., 2008). Background: Treatments for chronic neck pain, which are non-surgical, appear to be the most beneficial for patients (Haldeman, 2008). In brief, the presentation of chronic mechanical neck pain is defined as localised, asymmetrical neck pain with restricted range of motion and dysfunctional musculature (Grieve, 1988). The muscular dysfunction known as the upper cross syndrome is defined as tightness of the upper trapezius, pectoralis major and levator scapulae and weakness of rhomboids, serratus anterior, middle and lower trapezius and deep neck flexors. These muscles are responsible for stabilizing the scapula and the patient may present with rounded, elevated shoulders and anterior head carriage when diagnosed with this syndrome (Liebenson, 1996). Clinical trials conducted by Cassidy et al., (1992 a, b) concluded that spinal manipulative therapy (SMT) was highly effective in treating mechanical dysfunctions within the cervical spine. However, due to multi systemic involvement of the muscular, neural and passive systems in mechanical neck pain, the treatment may need to target all three of the subsystems of spinal stability to be most effective (Panjabi, 1992 a, b; Lee et al., 1998; Lee 2004 and Richardson et al., 2002). No research has been conducted on the effects and benefits of treatment directed on the cervical spine and upper cross syndromes. This research will compare scapula stabilization training and SMT to SMT in isolation, as a treatment for chronic mechanical neck pain. Objectives: The purpose of this study was to determine the effect that scapula stabilization had on chronic mechanical neck pain. Pilates exercises were used to strengthen and stabilize the scapula muscles (this included stretching out the hypertonic musculature of the upper cross syndrome). The aim was to improve posture as well as to decrease the mechanical stress on the neck. SMT was also concomitantly used to correct any cervical restrictions that were present. These results were then compared to the results of a group that only received spinal manipulative therapy. The null hypothesis was that the intervention group would not respond differently to the treatment protocol in terms of the subjective and objectives measurements. iv Method: This clinical trial was conducted on a sample population of 30 patients with chronic mechanical neck pain. Each patient was assigned to one of two groups (n=15) according to convenience sampling. Both groups received SMT to the cervical spine, while group B (intervention group) also received pilates classes twice weekly for four weeks, which retrained the scapula stabilization muscles to function optimally. The patients each underwent six spinal manipulative treatments over four weeks and a seventh consultation in the fifth week for data collection. Both groups were evaluated in terms of subjective and objective clinical findings. Subjectively the assessment included 2 questionnaires (Numerical Pain Rating Scale and Canadian Memorial Chiropractic College [CMCC] neck disability index). Objective assessment included cervical motion palpation, Cervical Range Of Motion goniometer (CROM) measurements, scapula stabilization tests and a postural analysis with the use of digital photography. The statistics were completed under the guidance of a biostatistician, from the College of Health Science, University of KwaZulu – Natal, (Esterhuizen, 2008) who analyzed the captured data with the use of SPSS version 15. All outcome measures were quantitative. Repeated measures ANOVA testing was used to assess the presence of a different effect for each outcome measure over time between the two treatment groups. A statistically significant time by group effect would indicate a significant treatment effect. The minimum significance level was 0.05. The trends and direction of the effect were assessed via profile plots. Result: According to the statistical analysis, both groups showed improvements - subjectively and objectively - with regards to chronic mechanical neck pain, which is in keeping with the literature. In terms of the inter-group comparison the SMT group (Group A) showed a more constant improvement in range of motion, pain and disability indexes with the SMT only group while the SMT and pilates group (Group B) showed a greater effect in stabilizing the scapula and increasing the functionality of the surrounding musculature. Conclusions and Recommendations: The intervention treatment (Group B) did not have a greater effect on the short-term treatment of chronic mechanical neck pain than the reference group (Group A). It was also evident that the intervention group (Group B) often continued to improve when the SMT (Group A) only group often regressed at the follow up sessions. This improvement was either not significant enough or v the follow up session did not allow for enough time for a true reflection to be noted. It is recommended that more research be carried out to gain conclusive results indicating whether there is a more beneficial long term result to this treatment protocol.
Books on the topic "Chiropractic methods"
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Khalsa, Siri Nam. Network chiropractic: Report. Portland, Ore: Western States Chiropractic College, 1994.
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Schafer, R. C. Motion palpation and chiropractic technic: Principles of dynamic chiropractic. 2nd ed. Huntington Beach, Calif: The Motion Palpation Institute, 1990.
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Schafer, R. C. Motion palpation and chiropractic technic: Principles of dynamic chiropractic. Huntington Beach, Calif: The Motion Palpation Institute, 1989.
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Vizniak, Nikita Allen. Quick reference clinical chiropractic handbook. [Portland, Ore.]: [self-published], 2002.
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Fallon, Joan. Textbook on chiropractic & pregnancy. Arlington, Va: International Chiropractors Association, 1994.
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Kotheimer, William J. Applied chiropractic in subluxation analysis. Youngstown, Ohio: Pig Iron Press, 1995.
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The chiropractic neurological examination. Gaithersburg, Md: Aspen Publishers, 1992.
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Vizniak, Nikita Allen. Quick reference clinical chiropractic Physical Assessment. [Portland, Ore.]: [self-published], 2005.
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10
Byfield, David. Technique skills in chiropractic. Edinburgh: Churchill Livingstone/Elsevier, 2012.
Find full textBook chapters on the topic "Chiropractic methods"
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"Structural integration (Rolfing®), osteopathic, chiropractic, Feldenkrais, Alexander, myofascial release, and related methods." In Energy Medicine, 165–74. Elsevier, 2000. http://dx.doi.org/10.1016/b978-0-443-06261-2.50016-3.
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"Useful information." In Oxford Handbook of Primary Care and Community Nursing, edited by Judy Brook, Caroline McGraw, and Val Thurtle, 831–44. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198831822.003.0014.
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This chapter provides other useful topics for nurses working in primary care or community settings. It defines telecare and telehealth, assistive technologies (ranging from special educational needs equipment to moving and handling systems) and home adaptations (including complex equipment, methods of hiring or buying disability equipment, and wheelchair services), and complementary and alternative therapies (including acupuncture, aromatherapy, faith healing, herbal medicine, homeopathy, hypnotherapy, osteopathy, chiropractic treatments, and reflexology). It also outlines processes for the verification of the fact of death, certification of death, and the registration of births, marriages, civil partnerships, and deaths.
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Wallace, Daniel J., and Janice Brock Wallace. "The Influence of Exercise and Rehabilitation on the Mind and Body." In All About Fibromyalgia. Oxford University Press, 2002. http://dx.doi.org/10.1093/oso/9780195147537.003.0029.
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Let’s continue on the self-help road to improving fibromyalgia symptoms. Suppose we are eating healthy, well-balanced meals, are no longer smoking, have learned to pace ourselves, cope with changes in the weather, are sleeping well, and have reconfigured the house. At this point, how can the body be trained to reduce pain, stiffness, and fatigue? This chapter will explore how physical, mental, and complementary modalities allow fibromyalgia patients to feel better about their bodies and minds. Therapeutic regimens that help the body and mind, whether physical therapy, yoga, acupuncture, or chiropractic methods, are all based on similar tenets of body mechanics: 1. Fibromyalgia patients will never improve unless they have good posture. Bad posture aggravates musculoskeletal pain and creates tight, stiff, sore muscles. Therefore, stretch, change positions, and have a good workstation that does not require too much leaning or reaching. 2. The way we get around is a demonstration of body mechanics. The fundamental principles of good body mechanics in fibromyalgia include using a broad base of support by distributing loads to stronger joints with a greater surface area, keeping things close to the body to provide leverage, minimizing reaching, and not putting too much pressure on the lower back. Also, don’t stay in the same position for a prolonged period of time. 3. Exercise is necessary. It improves our sense of well-being, strengthens muscles and bones, allows restful sleep, relieves stress, releases serotonin and endorphins, which decreases pain, and burns calories. 4. Don’t be shy about using supports. Whether it be an armrest, special chair, brace, wall, railing, pillow, furniture, slings, pockets, or even another person’s body, supports allow fibromyalgia patients to decrease the amount of weight or stress that would otherwise be applied to the body, producing discomfort or pain. 5. All activities should be conducive to relaxation and stress reduction, whether they be deep breathing, meditation, biofeedback, or guided imagery. There are a surprisingly large number of ways these activities can be carried out. They are discussed in the next few sections.
Conference papers on the topic "Chiropractic methods"
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Gudavalli, Maruti Ram, Vikas Yadav, Robert Vining, Michael Seidman, Stacie Salsbury, Paige Morgenthal, Avinash Patwardhan, and Christine Goertz. "Development of Force-Feedback Technology for Training Clinicians to Deliver Manual Cervical Distraction." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-64509.
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Objective: Neck pain is a prevalent musculoskeletal (MSK) complaint and costly societal burden. Doctors of chiropractic (DCs) provide manual therapies for neck pain patients to relieve discomfort and improve physical function. Manual cervical distraction (MCD) is a chiropractic procedure for neck pain. During MCD, the patient lies face down on a specially designed chiropractic table. The DC gently moves the head and neck in a cephalic direction while holding a gentle broad manual contact over the posterior neck, to create traction effects. MCD traction force profiles vary between clinicians making standardization of treatment delivery challenging. This paper reports on a bioengineering technology developed to provide clinicians with auditory and graphical feedback on the magnitude of cervical traction forces applied during MCD to simulated patients during training for a randomized controlled trial (RCT). Methods: The Cox flexion-distraction chiropractic table is designed with a moveable headpiece. The table allows for long axis horizontal movement of the head and neck, while the patient’s trunk and legs rest on fixed table sections. We instrument-modified this table with three-dimensional force transducers to measure the traction forces applied by the doctor. Motion Monitor software collects data from force transducers. The software displays the magnitude of traction forces graphically as a function of time. Real-time audible feedback produces a steady tone when measured traction forces are <20N, no tone when forces range between 20–50N, and an audible tone when forces exceed 50N. Peer debriefing from simulated patients reinforces traction force data from the bioengineering technology. Results: We used audible and graphical feedback to train and certify DCs to apply traction forces to the cervical spine of simulated patients within three specific ranges. This technology supports a RCT designed to assess the ability of clinicians to deliver MCD within specified force ranges to patients randomized to different force dosages as an intervention. Future applications may include training chiropractic students and clinicians to deliver the MCD treatment.