Research Review: Systematic Review and Meta-Analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation

Based on case reports/series and case-control studies, an association between chiropractic neck manipulation (CM) and cervical artery dissection (CAD) has been proposed. However, questions remain as to whether CM is actually a cause of CAD, or if the relationship is the result of other extraneous factors. The purpose of this study was to examine the strength of evidence about whether CM causes CAD by performing a systematic review, meta-analysis and evaluation of the body of evidence as a whole.

Thursday, January 25, 2018/Author: Shawn Thistle/Number of views (1942)/Comments (2)/ Article rating: No rating
Categories: Research

Case Report: A Severe Strain/Sprain and Segmental Dysfunction of the Cervical Spine

*Member-Exclusive Content* This is a case study of a patient with severe cervical sprain/strain and segmental dysfunction following trauma of the cervical and thoracic spine with predisposing multiple levels of disc degeneration and herniation. A 46-year-old male presented himself for examination and treatment. He relayed that the weekend before he had been playing with his nephews in the swimming pool, where they were standing on his shoulders and jumping off into the pool. One of the boys slipped and fell on his head, where he reported that he heard several cracking noises and immediately felt pain in his neck. He had severe muscle spasms from the back of his head down to the middle of his shoulder blades. He could not turn his head to the left, right, nor up or down. He reported the pain worsened upon standing and eating.

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Friday, January 12, 2018/Author: James Cox/Number of views (4)/Comments (0)/ Article rating: No rating

Research Review: Clinical Practice Guideline: Chiropractic Care for Low Back Pain

It is now well known that low back pain (LBP) is the leading cause of disability worldwide and that chiropractors can play a pivotal role in the management of this condition. However, the chiropractic profession can achieve wider acceptance and improved cultural authority, particularly within integrated health care delivery systems, by embracing and integrating current scientific research into our approach to evidence-based health care. It is in this context that this Clinical Practice Guideline (CPG) was developed. The aim of this systematic review was to update and combine three previously published clinical guidelines, while answering this question: “What is the effectiveness of chiropractic care, including spinal manipulation (SMT), for nonspecific low back pain?” 

Thursday, December 28, 2017/Author: Shawn Thistle/Number of views (2378)/Comments (1)/ Article rating: 5.0

Does Spinal Manipulation Affect Central Nervous System Pain Mechanisms?

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

Clinical guidelines for adults with acute, subacute, and chronic low back pain support conservative management with spinal manipulative therapy (SMT). Research shows SMT is comparable to other noninvasive treatments in reducing low back pain and disability with relatively low risk for adverse events. However, the mechanisms leading to pain relief from SMT are poorly understood. Identifying therapeutic mechanisms of SMT can inform treatment strategies and lead to more effective care. 

Friday, December 08, 2017/Author: Zac Shannon/Number of views (2230)/Comments (0)/ Article rating: No rating
Categories: Research

Research Review: Best Practices for Chiropractic Care of Children

Integrating high-quality evidence into our clinical acumen is a crucial aspect of the evolution of the chiropractic profession. However, we must also continue to respect and include expert consensus, based on years of clinical experience. Papers like this help us achieve this valuable combination! Dr. Cheryl Hawk and colleagues give us a great overview of the literature pertaining to chiropractic care for children, incorporating evidence and consensus-based advice you can apply in your practice…enjoy! -- Shawn Thistle, DC, RRS Education 

Thursday, November 30, 2017/Author: Shawn Thistle/Number of views (2651)/Comments (0)/ Article rating: No rating
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