Choosing Outcome Assessments for Back Pain

Patient-reported outcome measures quantify patients’ subjective symptoms and are often more in line with accomplishing patient-centered goals. Patient-reported outcomes can give valuable information to evaluate the success of a treatment plan and aid in determining a prognosis based on past response. They are also used by insurance companies for re-imbursement purposes, such as determining medical necessity. Chiarotto et al. developed a core outcome set for use in clinical practice with accompanying suggested measures for patients with low back pain.

Tuesday, November 13, 2018/Author: Zac Shannon/Number of views (49)/Comments (0)/ Article rating: No rating

If Not Bone Out of Place, Then What?

Learn ACA Survey Course Shows How Chiropractic Theory Has Changed and Where the Science Is Taking Us

For more than a century, chiropractic science—at least as offered by many chiropractors—was frozen in late 19th century medical thought. Because the founders spoke of “tone” and the “safety-pin cycle,” it became almost a rallying cry for many of the followers. But has chiropractic science advanced since that time, and if so, will chiropractors embrace it? Many of you have read my theory textbooks through the years, but have you kept up with our modern science? There is a new story to tell. The new story is based on solid science that dovetails nicely with science from related healthcare disciplines, and that places [the chiropractic profession] squarely in the middle of interdisciplinary recommendations for conservative spine care and positions us as a substitute for old-school use of opioids and back surgery--instead of putting us out on a ledge, preaching against interdisciplinary care.

Tuesday, October 30, 2018/Author: Robert Leach/Number of views (1060)/Comments (1)/ Article rating: 3.0

Chiropractic Education and Radiography Best Practices

ACA’s Choosing Wisely recommendations are consistent with X-ray guidance in today’s classroom and trusted texts.

In the past year, many chiropractors have discussed indications for radiographic examination with renewed interest. In particular, they have questioned the X-ray recommendations of the Choosing Wisely initiative, a project of the American Board of Internal Medicine that seeks to promote more effective use of healthcare resources. The recommendations are hardly revolutionary, and well in line with current radiology education. In my own final radiology classes, professors emphasized that what we learned was only the foundation of what we would need in practice, and a mere fraction of what our peers would learn should they choose to become chiropractic radiologists. The recommendations in Choosing Wisely are shorthand for what we already know. 

Thursday, October 11, 2018/Author: Brendan McCann, DC/Number of views (665)/Comments (1)/ Article rating: 5.0

Essential Skills for Managing Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. The condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. Chiropractors are uniquely suited to differentiate BPPV from the similar-looking cervicogenic vertigo. Both conditions are very amenable to treatment; however, each is managed quite differently. Successful outcomes are predicated upon a solid understanding of both.

Tuesday, October 09, 2018/Author: Timothy Bertelsman/Number of views (1144)/Comments (0)/ Article rating: 5.0

Research Review: Exercise Interventions for Cognitive Function in Adults Older Than 50

As any population ages, cognitive decline becomes more of an issue. Maintaining a physically active lifestyle has been shown to help reduce age-related cognitive declines and incidence of dementia. This research review focuses on a systemic review with meta-analysis summarizing the evidence specific to cognitive benefits of exercise for people over 50. Prior research has shown conflicting results, due in part to the use of restrictive inclusion criteria. However, the results of this review show promise for both aerobic and resistance training.

Wednesday, October 03, 2018/Author: Shawn Thistle/Number of views (554)/Comments (0)/ Article rating: 4.0
Categories: Research
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