United States Bone and Joint Initiative: Programs Designed to Advance Knowledge, Improve Care

*Member-Exclusive Content* The United States Bone and Joint Initiative (USBJI) developed in 2011 as a continuation of the work of the United States Bone and Joint Decade, which began in 2002. The American Chiropractic Association (ACA) was an original founding member of the United States Bone and Joint Decade and has held a seat on the board since the beginning. USBJI’s mission is to advocate for and promote multidisciplinary, coordinated and patient-centered care to improve the prevention, diagnosis and treatment of musculoskeletal disorders. To that end, it has launched a number of programs to advance knowledge and improve patient care. 

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Friday, April 20, 2018/Author: John Ventura/Number of views (0)/Comments (0)/ Article rating: No rating
Categories: EngageResearch
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Back Pain Treatment Is Harming Patients: The Lancet Low Back Pain Series

*Member-Exclusive Content* Low back pain (LBP) is by far the most common reason people seek care from chiropractors all over the world. The Lancet, one of the world’s leading medical journals, just published a series of three papers dealing with LBP in a global perspective. The main conclusion from the series is that worldwide easy access to, and overuse of, inappropriate tests and treatments such as imaging, opioids and surgery means patients are not receiving the right care. As a result, patients are harmed and resources are wasted. Jan Hartvigsen, DC, PhD, one of the authors of the series as well as ACA's 2017 Researcher of the Year, provides a summary for members. 

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Thursday, April 12, 2018/Author: Jan Hartvigsen/Number of views (0)/Comments (0)/ Article rating: No rating
Categories: Research
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Research Review: Spinal Manipulation vs. NSAID (Diclofenac) for Acute Low Back Pain

The purpose of this randomized, double-blinded, placebo-controlled, parallel trial was to compare high-velocity low-amplitude spinal manipulation with chemical treatment. In this case, the chemical treatment was diclofenac, a nonsteroidal anti-inflammatory. The trial also included comparison with placebo. Considering the staggering impact of low back pain, the authors of this trial felt there were too few studies comparing spinal manipulation to nonsteroidal anti-inflammatory drugs or placebo. They aimed to test patient satisfaction and function, time off from work, and rescue medication, specifically.

Monday, March 12, 2018/Author: Jeffery Williams/Number of views (2927)/Comments (0)/ Article rating: No rating
Categories: Research

Evidence-based Diagnosis for Low Back Pain

Health professionals from different disciplines use diverse diagnostic methods to inform clinical management for patients with low back pain. One person may diagnose someone as suffering from sacroiliac joint pain while another might classify the same patient with a movement disorder caused by poor muscle coordination. In a given circumstance, either or both individuals could be right or wrong. However, we can’t realistically discern this until we understand the underlying strength of the diagnostic tests we use.

Tuesday, March 06, 2018/Author: Robert Vining/Number of views (881)/Comments (2)/ Article rating: 5.0

Collaboration for Low Back Pain Treatment in Older Adults

Part of the Evidence in Action series by Palmer College of Chiropractic

The inclusion of chiropractic practitioners into various collaborative health systems has increased over the past decade. The addition of chiropractic within these multi-disciplinary settings has been embraced by many as a way to manage spinal conditions, such as back and neck pain, using noninvasive therapies. However, taking a patient-centered approach to such integration involving various health care practitioners leads to new questions and challenges and requires novel research to optimize patient outcomes in these settings.

Wednesday, February 14, 2018/Author: Zac Shannon/Number of views (1425)/Comments (0)/ Article rating: No rating
Categories: Research
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