For several decades, high-velocity low-amplitude cervical spine manipulation has been associated with rare instances of vertebrobasilar dissection and stroke. A simplified summary posits one view pointing to case reports and media stories describing instances of stroke after cervical manipulation. The...
ACA Research
Unpacking a Clinical Guideline
High-quality clinical guidelines are summaries of scientific literature designed to assist practitioner and patient decisions about health and healthcare.(1) These guidelines are developed through a systematic process of reviewing and consolidating scientific evidence. Because scientific knowledge evolves over time, guidelines...
Medical Informatics: Researchers Explore Improving Patient Care by Analyzing EHR Data
Computers and technology are becoming more and more ubiquitous, with applications in every aspect of life and work. It’s no different in health care, where doctors use electronic health records (EHRs) and other technology every day to document patient visits...
What Do Chiropractors Offer Athletes Who Sustain a Sport Concussion?
After a long scamper this past season in a Denver Broncos vs. Kansas City Chiefs matchup, Denver QB Russell Wilson struck the turf hard, taking a shot to the right temple – a lateral impact – as his helmet hit...
Body Language and Person-centered Care
Patient, or person-centered care, has several definitions. Two examples include: “Integrated health care services delivered in a setting and manner that is responsive to the individual and their goals, values and preferences, in a system that empowers patients and providers...
Exercise for Low Back Pain: What Works Best?
For a given, well-defined musculoskeletal disorder, what works best? Is a question like this even fair to ask? More to the point, is such a question answerable? As practicing chiropractors, we get asked this “what works best” question for any...
2022 Opioid Prescribing Guideline Acknowledges Value and Barriers to Non-drug Treatments for Pain
The Centers for Disease Control and Prevention (CDC) last week released its 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain. CDC offers clinicians 12 recommendations for treating acute, subacute and chronic pain, providing specific guidance for the use...
Why Do Patients Think We Are Good at Managing Low Back Pain?
A recent tweet from a research colleague in The Netherlands gave me new appreciation for a paper titled: “What does the patient with back pain want? A comparison of patient preferences and physician assumptions” (Smuck M, Barrette K, Martinez-Ith A...
International Study on Adolescent Spinal Pain Seeks to Fill Gaps in Research
The American Chiropractic Association (ACA) Council on Chiropractic Pediatrics (CCP) is participating in an international study that seeks to fill knowledge gaps in research relating to pediatric chiropractic treatment. The COURSE Study is the first study to focus on the...
The Habit of Learning: Why Your Best Clinical Days Are Still Ahead of You
The only day I played hooky at Logan College was when I learned that special visitors to campus were in town the day after lecturing on campus – and they had no definite plans. OMG! The pair were Belgians, a...
