MedWorm.com provides a medical RSS filtering service. Thousands RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinical Chiropractic' source. Sun, 23 Jan 2022 22:40:18 +0100 https://dev.medworm.com/7611656/immediate-effect-of-muscle-energy-technique-on-latent-trigger-point-of-upper-trapezius-muscle/ Conclusions: Our results suggest that muscle energy technique induced changes in pressure pain sensitivity in latent MTrPs in the upper trapezius muscle. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611656 https://dev.medworm.com/7611662/chiropractic-in-the-netherlands-the-perspective-of-dutch-medical-students/ Conclusions: Dutch medical students’ knowledge of chiropractic is generally poor. This study suggests improving medical students’ knowledge of chiropractic by providing them with information of the profession as part of their medical course. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611662 https://dev.medworm.com/7611657/improving-posture-comparing-segmental-stretch-and-muscular-chains-therapy/ Summary: Muscular Chains Therapy (MCT), which uses postural positions for global stretching, and Segmental Stretch Technique (SST), which stretches one muscle at a time, are two static stretching techniques currently used to improve, correct and treat postural imbalances. Aiming to identify which of these two techniques is most effective in order to improve standing posture, 30 women between 21 and 30 years old were evaluated and divided into three groups of 10 participants each: The SST group, the MCT Group and the Control Group (CG). Postures were evaluated before and after treatment through digital photographs. After transferring the images to the computer, tracings were made with Corel Draw software using six marked anatomical points: intertragic notch; anterior part of the lateral bor... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611657 https://dev.medworm.com/7092836/chiropractic-in-the-netherlands-the-perspective-of-dutch-medical-students/ Conclusions: Dutch medical students’ knowledge of chiropractic is generally poor. This study suggests improving medical students’ knowledge of chiropractic by providing them with information of the profession as part of their medical course. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092836 https://dev.medworm.com/7092831/improving-posture-comparing-segmental-stretch-and-muscular-chains-therapy/ Summary: Muscular Chains Therapy (MCT), which uses postural positions for global stretching, and Segmental Stretch Technique (SST), which stretches one muscle at a time, are two static stretching techniques currently used to improve, correct and treat postural imbalances. Aiming to identify which of these two techniques is most effective in order to improve standing posture, 30 women between 21 and 30 years old were evaluated and divided into three groups of 10 participants each: The SST group, the MCT Group and the Control Group (CG). Postures were evaluated before and after treatment through digital photographs. After transferring the images to the computer, tracings were made with Corel Draw software using six marked anatomical points: intertragic notch; anterior part of the lateral bor... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092831 https://dev.medworm.com/7611661/patient-satisfaction-and-chiropractic-clinic-style-a-cross-sectional-survey/ Conclusion: The results would imply more emphasis is placed on patient choice for treatment frequency. This element, along with less frequency, may optimise satisfaction. The results of this study have shown that patient satisfaction is influenced by different chiropractic styles, but further studies are required to clarify a wider range of variables. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611661 https://dev.medworm.com/7611658/a-cross-sectional-real-time-ultrasound-study-into-the-size-differences-in-the-semispinalis-capitis-m/ Summary: Research into the rugby scrummage has centred on the rate and mechanisms of injury, with very little being done into the effects of the scrum on the cervical musculature. Marked increases in the cross sectional area of the neck extensor semi-spinalis capitis (SECM) in elite wrestlers was previously found and attributed to the increased demands on cervical musculature. Scrummaging causes a similar increase in demands on the cervical musculature and the study aim of this cross sectional study was to investigate the effects of those demands on the semi-spinalis capitis. Five props and second rows from the AECC Rugby Club and five controls who did not participate in contact sports were selected to participate in the study. All subjects were injury free and regularly participated in ex... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611658 https://dev.medworm.com/7611655/increasing-compliance-toward-home-exercise-in-chiropractic-patients-using-sms-texting-a-pilot-study/ Conclusions: This pilot study indicates that SMS messaging to patients increases self reported compliance. This is in line with other areas of compliance research and warrants further development. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611655 https://dev.medworm.com/7611663/pain-and-pain-related-disability-in-patients-with-multiple-sclerosis-a-case-series-of-two-patients-/ We present two cases of MS patients presenting to chiropractors with musculoskeletal pain, highlighting the impact pain can have on function and quality of life. A review of the MS literature highlights the prevalence and severity of pain in this population, the impact that pain can have on quality of life, and the biopsychosocial correlates of pain and disability among these patients. Pain management strategies are discussed based on key themes and outcomes identified in the literature. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611663 https://dev.medworm.com/7611653/a-fond-farewell/ After sixteen years, it seems strange to be putting pen to paper (or finger to keyboard) for the final time; not every issue of Clinical Chiropratic has had an editorial – I have always shared Abraham Lincoln's feeling that it is better at times to remain silent and perhaps be thought foolish then to open one's mouth and remove all doubt! If there has been nothing to say, then I have tried to avoid vacuous flannel. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611653 https://dev.medworm.com/7611659/accuracy-and-repeatability-of-sagittal-translation-of-lumbar-vertebrae-in-vitro-and-in-vivo-using-qu/ Conclusions: OSMIA successfully measures inter-vertebral translation in vivo and in vitro in passive recumbent motion of the lumbar spine with greater repeatability and accuracy than previously reported studies using fluoroscopy. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611659 https://dev.medworm.com/7611697/chronic-low-back-pain-in-a-24-year-old-rugby-player-case-discussion/ Mr C, an extremely fit 24-year-old rugby player presented complaining of a long history of chronic low back pain, which had worsened in the last 9 months following an awkward scrum during a rugby game. The patient described “burning pain” across both sacroiliac joints, which was constant but seemed to “move around,” he also complained of pain in both hamstrings – worse on the left – and some pins and needles in both lateral thighs. Although the pain had stopped him playing competitive rugby, Mr C was still undertaking weights sessions in the gym four times a week and also running 4–8miles weekly, but he did report that exercise appeared to aggravate his symptoms. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611697 https://dev.medworm.com/7611654/chronic-low-back-pain-in-a-24-year-old-rugby-player-case-presentation/ Mr C, an extremely fit 24-year-old rugby player presented complaining of a long history of chronic low back pain, which had worsened in the last 9 months following an awkward scrum during a rugby game. The patient described “burning pain” across both sacroiliac joints, which was constant but seemed to “move around” and he also complained of pain in both hamstrings – worse on the left - and some pins and needles in both lateral thighs. Although the pain had stopped him playing competitive rugby, Mr C was still undertaking weights sessions in the gym four times a week and also running 4–8 miles weekly, but he did report that exercise appeared to aggravate his symptoms. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611654 https://dev.medworm.com/7092871/chronic-low-back-pain-in-a-24-year-old-rugby-player-case-discussion/ Mr C, an extremely fit 24-year-old rugby player presented complaining of a long history of chronic low back pain, which had worsened in the last 9 months following an awkward scrum during a rugby game. The patient described “burning pain” across both sacroiliac joints, which was constant but seemed to “move around,” he also complained of pain in both hamstrings – worse on the left – and some pins and needles in both lateral thighs. Although the pain had stopped him playing competitive rugby, Mr C was still undertaking weights sessions in the gym four times a week and also running 4–8miles weekly, but he did report that exercise appeared to aggravate his symptoms. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092871 https://dev.medworm.com/7092828/chronic-low-back-pain-in-a-24-year-old-rugby-player-case-presentation/ Mr C, an extremely fit 24-year-old rugby player presented complaining of a long history of chronic low back pain, which had worsened in the last 9 months following an awkward scrum during a rugby game. The patient described “burning pain” across both sacroiliac joints, which was constant but seemed to “move around” and he also complained of pain in both hamstrings – worse on the left - and some pins and needles in both lateral thighs. Although the pain had stopped him playing competitive rugby, Mr C was still undertaking weights sessions in the gym four times a week and also running 4–8 miles weekly, but he did report that exercise appeared to aggravate his symptoms. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092828 https://dev.medworm.com/7611693/an-investigation-of-the-incidence-of-non-specific-low-back-pain-in-competitive-show-jumping-horse-ri/ Rationale: Show jumping is the most favoured and most injury prone of the disciplines within competitive horse riding. The influence of participating in show jumping competitions on the spine back pain have to date rarely been explored. The study was undertaken to highlight the incidence of non-specific low back pain (NSLBP) within a competitive German show jumping population. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611693 https://dev.medworm.com/7611692/an-exploratory-study-into-the-ethos-of-osteopaths-working-in-animal-practice/ Rationale: The treatment of animals with manual therapy has been seen to improve musculoskeletal function. This investigation attempted to provide insight into the experiences of osteopaths treating animals and addresses the scarcity of studies within this milieu. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611692 https://dev.medworm.com/7611691/long-term-chiropractic-care-in-the-elderly-population-a-mixed-methods-approach-to-understanding-and/ Rationale: Long-term chiropractic maintenance treatment is a common practice. Preventive chiropractic care could be a valuable adjunct to standard medical care in the over-65 age group. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611691 https://dev.medworm.com/7611690/is-vitamin-d-deficiency-related-to-osteoarthritis/ Rationale: Osteoarthritis (OA) is a common presentation to osteopaths. Identifying a link between serum vitamin D (25OHD) deficiency and conditions such as OA has important prevention as well as treatment implications. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611690 https://dev.medworm.com/7611689/complementary-therapies-and-sports-injuries-a-retrospective-survey-of-uk-triathletes/ Rationale: The triathlon is one of the fastest growing sports in the UK. Although the various health benefits are well documented, there are significant injury statistics in the sport. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611689 https://dev.medworm.com/7611688/an-investigation-to-explore-personality-profiles-and-practice-characteristics-of-registered-uk-osteo/ Rationale: No study on osteopathic personality has been published (to date), so this research begins analysing osteopathic personalities. Recent research with MDs has demonstrated that personality can predispose to patient communication issues and burnout, which are relevant to osteopathy. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611688 https://dev.medworm.com/7611687/examining-the-effects-of-osteopathic-treatment-on-the-symptoms-of-chronic-functional-constipation-/ Rationale: Conventional medical approaches to chronic constipation focus initially on lifestyle modifications, such as dietary changes, ensuring adequate hydration and physical exercise and attention to defecation habits. When patients fail to respond to lifestyle modifications, pharmaceutical interventions, such as laxatives and stool softeners are often used, but have been associated with substantial morbidity and a variable outcome. It is suggested that osteopathic treatment may improve the symptoms, severity and transit time of constipated patients by influencing the function of the digestive tract. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611687 https://dev.medworm.com/7611686/the-effect-of-touch-on-pain-pressure-threshold-an-algometric-study/ Rationale: Most techniques used in manual therapy are “hands-on” and involve touch. Therefore, it is relevant to question whether touch itself, has an effect on pain perception. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611686 https://dev.medworm.com/7611685/measurement-of-lumbar-multifidus-in-asymptomatic-males-using-ultrasound-during-isometric-contraction/ Rationale: The lumbar paraspinal musculature plays a key role in providing stability during dynamic tasks. The lumbar multifidus (LM) muscle has been of particular interest amongst health care professionals and in the literature, and is the most widely studied paraspinal muscle in both healthy populations and in those who suffer from low back pain (LBP). Studies have demonstrated that the use ultrasound imaging (USI) of the LM can provide measurements of muscle size and compare different populations. It is known that muscle thickness changes when the muscle is activated. Kiesel et al. (2007) found that rehabilitative ultrasound imaging (RUSI) is a valid non-invasive method to measure the LM muscle activation in a limited range (19–34% of maximum voluntary isometric contraction (MVIC)) ba... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611685 https://dev.medworm.com/7611684/joint-hypermobility-syndrome-patients-experiences-of-the-diagnostic-process/ Rationale: Joint hypermobility syndrome (JHS) is underdiagnosed, misdiagnosed and diagnosed late in the patient experience. Furthermore, it is commonly confused with generalised joint hypermobility (GJH). Qualitative research concerning the diagnostic process is currently not available. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611684 https://dev.medworm.com/7611683/a-critical-narrative-review-of-aetiological-theories-for-sports-related-groin-pain/ Rationale: ‘Sports-related groin pain’ is a condition characterised by persistent, intense, unexplained groin pain in healthy adults, predominantly athletes and manual labourers; however, there is no consensus regarding its aetiology, diagnosis and treatment. Its aetiology, in particular, is poorly understood. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611683 https://dev.medworm.com/7611682/do-we-have-any-control-the-practitioners-influence-on-the-placebo-effect-and-therapeutic-out/ Rationale: Despite rigorous research surrounding the ‘placebo effect’ and therapeutic outcomes, authors have concluded that misunderstanding of the practitioner's influence on the process remains prevalent. Further understanding could give therapists direction in how to accentuate certain aspects of the treatment process to increase positive therapeutic outcomes. The research presented here is therefore potentially valuable for a broad range of healthcare practitioners. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611682 https://dev.medworm.com/7611681/cognitive-influences-on-emg-activity-a-pilot-study/ Rationale: There are numerous links between cognitive affectations and physiology that occur in the human body; which can have direct, adverse effects, such as anxiety disorders and depression. Furthermore, stress mediated cortisol release has been shown to lead to an increase of many diseases, a lot of which, are musculoskeletal in nature. This has led to the development of the biopsychosocial model of health, on which many chiropractors base their work. To explain these observable changes, it was hypothesized that there is a direct link between cognition and muscle activity. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611681 https://dev.medworm.com/7611680/oncologists-and-cancer-specialists-expert-opinion-on-the-role-of-osteopathic-treatment-on-patient/ Rationale: One in three people in the UK are affected by cancer according to Sasieni et al. (2010). Despite this Walters et al. (2011) report improving cancer survivorship, whilst Mallik and Leonard (2009) predict increasing numbers of these patients presenting to manual therapists with musculoskeletal problems. Hann et al. (2004) suggest little is known about cancer specialists’ views on manual therapy. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611680 https://dev.medworm.com/7611679/hypochondria-in-healthcare-education/ Rationale: Students on healthcare courses experience periods of hypochondria. There is a clear need to gain a better understanding of these feelings and whether they increase as the students’ learning deepens. In recognising any underlying factors, it is necessary to explore relationships between the type of hypochondriacal concerns and increasing learning. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611679 https://dev.medworm.com/7611678/manipulative-therapy-and-the-immune-response-a-literature-review-of-the-chiropractic-osteopathic-/ Rationale: To date no review has been conducted regarding SMT and immune effects. Objective: This paper outlines the theoretical concepts of the adjustment in manipulative therapy, the neurophysiologic effects and the various hypotheses in the literature concerning the affect upon the immune system. Components of the nervous system and immune system will be outlined along with the evidence of their interdependence through neural modulation. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611678 https://dev.medworm.com/7611677/risk-factors-and-prognostic-factors-associated-with-neck-pain/ Rationale: Neck pain and disability is a common complaint with a high prevalence and considerable impact on personal and societal cost. Most neck pain falls into a non specific diagnosis category. It is still difficult to explain the aetiology, which appears to be multi-factorial in origin, although certain risk factors both for occurrence and prognosis of neck pain are reported in the literature. To date, a review of this literature is not available. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611677 https://dev.medworm.com/7611676/randomized-control-trial-investigating-the-effects-of-a-structured-weight-training-regime-for-increa/ Rationale: There are different theories regarding which exercises are most effective in increasing muscle mass. There are a large number of different articles in various magazines recommending the correct way to increase muscle mass but little evidence to suggest one is better than another. There is a lack of RCTs investigating structured gym regimes compared to a non-structured regime and whether or not there is any increased benefit from one compared with the other with regard to increase in muscle diameter. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611676 https://dev.medworm.com/7611675/does-the-credibility-of-the-explained-treatment-and-the-expectancy-of-success-held-by-patients-prese/ Rationale: In patients with more adverse levels of fear avoidance beliefs (FAB), catastrophisation (CAT), and pain-related self-efficacy (PSE) presenting for chiropractic care with low back pain (LBP), lack of early improvement in these variables has been linked to poor outcome. It is not currently understood why these variables change in some individuals and not in others. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611675 https://dev.medworm.com/7611674/evaluation-of-adductor-and-abductor-muscle-strength-pre-and-post-chiropractic-intervention-a-random/ Rationale: The practice of manipulation as the mainstay of chiropractic practise should be evaluated to assess the relative clinical effectiveness of providers of manipulative therapies and to benchmark performance. There is a dearth of data evaluating and assessing the clinical effectiveness of chiropractic adjustment, especially in relation to more specialist approaches. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611674 https://dev.medworm.com/7611673/a-qualitative-study-of-perceptions-of-access-and-benefits-of-chiropractic/ Rationale: Patient engagement in discussions and decisions concerning treatment and care is an increasing expectation of commissioners of healthcare services and regulators. There is a need to explore whether there is experiential evidence to support wider benefits of chiropractic that could potentially influence development of further guidelines for its inclusion in mainstream healthcare provision. Also, it is important to explore patients’ perceptions regarding the reason for positive health outcomes. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611673 https://dev.medworm.com/7611672/is-there-a-difference-in-how-sedentary-and-sports-active-patients-present/ Rationale: Interest in recreational sport is at its most topical. Media and policy makers are increasingly concerned about the public health and financial implications of an increasingly sedentary society. The purpose of this study was to establish whether there are any differences in the conditions presented to chiropractors from recreational sports patients and those who lead sedentary lifestyles. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611672 https://dev.medworm.com/7611671/consent-and-communication-a-correlational-study/ Rationale: Effective communication is essential to ensure mutual understanding so that the patient is in a position to give valid consent. There appears to be a lack of research investigating whether the combined elements of valid consent, communication and assumption are inter-linked or inter-related. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611671 https://dev.medworm.com/7611670/attitudes-and-compliance-to-strengthening-exercises-for-chronic-non-specific-low-back-pain/ Rationale: When patients have been suffering from chronic back pain for a prolonged period they may become negative and distrustful of professionals with a detrimental effect on their recovery. Often medical guidance is sought for pain relief and options on reducing the symptoms of pain. However are patients willing to take some responsibility on ways of alleviating rather than masking their pain? (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611670 https://dev.medworm.com/7611669/an-audit-of-the-accuracy-of-medication-documentation-in-a-united-kingdom-osteopathic-training-clinic/ Rationale: There are potential clinical consequences and medicolegal implications related to inadequacies in medication documentation in osteopathic practice but there is limited information about accuracy of medication recording by osteopaths or osteopathic students. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611669 https://dev.medworm.com/7611668/variables-influencing-the-lumbar-gravity-line-lordosis-inter-vertebral-disc-plane-angles-and-sacra/ Rationale: To further inform practitioners on the factors influencing, and pertinent analyses of sagittal lumbo-pelvic balance. Objective: To analyse recognised and novel radiographic measurements in a cohort of Chiropractic patients, determining variables associated with the lumbar gravity line (LGL), lumbar lordosis (LL), sacral slope (SS) and inter-vertebral disc plane angle (IVDPA). (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611668 https://dev.medworm.com/7611667/diagnostic-ultrasound-of-the-cervical-multifidus-a-literature-review/ Objective: This project presents a review of literature concerning size measurement of the cervical multifidus (MF) muscle using real-time ultrasound imaging (RUSI) in patients with and without neck pain. It discusses whether RUSI is a useful tool in doing this and where there are gaps in data and further research is needed. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611667 https://dev.medworm.com/7611666/perceived-barriers-to-and-facilitators-of-adherence-to-treatment-recommendations-in-outpatient-musc/ Rationale: Poor adherence has a negative impact on treatment outcomes and healthcare costs. Several qualitative studies have explored the perceptions of stakeholders towards the factors which act as barriers to adherence in musculoskeletal physiotherapy (MSPT) but no qualitative review analysing the results of individual studies has been undertaken. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611666 https://dev.medworm.com/7611665/is-there-a-correlation-of-bone-mineral-density-measurement-in-premenopausal-women-and-their-socio-de/ Rationale: There are gaps in the knowledge concerning risks for low bone density in young women. Further research is needed to clarify what lifestyle factors may be involved. Objective: To describe the prevalence of osteopenia/osteoporosis in premenopausal women and whether lifestyle factors influence bone density. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611665 https://dev.medworm.com/7611664/emotional-processing-and-its-relationship-to-chronic-low-back-pain/ Rationale: There is a well-documented association between chronic low back pain (CLBP) and psychological factors such as anxiety, fear-avoidance, depressive mood, catastrophizing and poor coping strategies. However, a comprehensive overview of these factors is lacking, and as they are closely linked with emotional states, it is posited that CLBP patients process their emotions differently to pain-free individuals. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611664 https://dev.medworm.com/7611660/immediate-effects-of-atlas-manipulation-on-cardiovascular-physiology/ Conclusions: The results of this research suggest cardiovascular physiology is not affected by CMT of the atlas in normotensive individuals. These findings in relation to existing research suggest future cervical spine CMT studies should be performed focusing on hypertensive patients. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611660 https://dev.medworm.com/7611651/editorial-board/ (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611651 https://dev.medworm.com/7092867/an-investigation-of-the-incidence-of-non-specific-low-back-pain-in-competitive-show-jumping-horse-ri/ Rationale: Show jumping is the most favoured and most injury prone of the disciplines within competitive horse riding. The influence of participating in show jumping competitions on the spine back pain have to date rarely been explored. The study was undertaken to highlight the incidence of non-specific low back pain (NSLBP) within a competitive German show jumping population. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092867 https://dev.medworm.com/7092866/an-exploratory-study-into-the-ethos-of-osteopaths-working-in-animal-practice/ Rationale: The treatment of animals with manual therapy has been seen to improve musculoskeletal function. This investigation attempted to provide insight into the experiences of osteopaths treating animals and addresses the scarcity of studies within this milieu. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092866 https://dev.medworm.com/7092865/long-term-chiropractic-care-in-the-elderly-population-a-mixed-methods-approach-to-understanding-and/ Rationale: Long-term chiropractic maintenance treatment is a common practice. Preventive chiropractic care could be a valuable adjunct to standard medical care in the over-65 age group. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092865 https://dev.medworm.com/7092864/is-vitamin-d-deficiency-related-to-osteoarthritis/ Rationale: Osteoarthritis (OA) is a common presentation to osteopaths. Identifying a link between serum vitamin D (25OHD) deficiency and conditions such as OA has important prevention as well as treatment implications. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092864 https://dev.medworm.com/7092863/complementary-therapies-and-sports-injuries-a-retrospective-survey-of-uk-triathletes/ Rationale: The triathlon is one of the fastest growing sports in the UK. Although the various health benefits are well documented, there are significant injury statistics in the sport. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092863 https://dev.medworm.com/7092862/an-investigation-to-explore-personality-profiles-and-practice-characteristics-of-registered-uk-osteo/ Rationale: No study on osteopathic personality has been published (to date), so this research begins analysing osteopathic personalities. Recent research with MDs has demonstrated that personality can predispose to patient communication issues and burnout, which are relevant to osteopathy. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092862 https://dev.medworm.com/7092861/examining-the-effects-of-osteopathic-treatment-on-the-symptoms-of-chronic-functional-constipation-/ Rationale: Conventional medical approaches to chronic constipation focus initially on lifestyle modifications, such as dietary changes, ensuring adequate hydration and physical exercise and attention to defecation habits. When patients fail to respond to lifestyle modifications, pharmaceutical interventions, such as laxatives and stool softeners are often used, but have been associated with substantial morbidity and a variable outcome. It is suggested that osteopathic treatment may improve the symptoms, severity and transit time of constipated patients by influencing the function of the digestive tract. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092861 https://dev.medworm.com/7092860/the-effect-of-touch-on-pain-pressure-threshold-an-algometric-study/ Rationale: Most techniques used in manual therapy are “hands-on” and involve touch. Therefore, it is relevant to question whether touch itself, has an effect on pain perception. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092860 https://dev.medworm.com/7092859/measurement-of-lumbar-multifidus-in-asymptomatic-males-using-ultrasound-during-isometric-contraction/ Rationale: The lumbar paraspinal musculature plays a key role in providing stability during dynamic tasks. The lumbar multifidus (LM) muscle has been of particular interest amongst health care professionals and in the literature, and is the most widely studied paraspinal muscle in both healthy populations and in those who suffer from low back pain (LBP). Studies have demonstrated that the use ultrasound imaging (USI) of the LM can provide measurements of muscle size and compare different populations. It is known that muscle thickness changes when the muscle is activated. Kiesel et al. (2007) found that rehabilitative ultrasound imaging (RUSI) is a valid non-invasive method to measure the LM muscle activation in a limited range (19–34% of maximum voluntary isometric contraction (MVIC)) ba... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092859 https://dev.medworm.com/7092858/joint-hypermobility-syndrome-patients-experiences-of-the-diagnostic-process/ Rationale: Joint hypermobility syndrome (JHS) is underdiagnosed, misdiagnosed and diagnosed late in the patient experience. Furthermore, it is commonly confused with generalised joint hypermobility (GJH). Qualitative research concerning the diagnostic process is currently not available. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092858 https://dev.medworm.com/7092857/a-critical-narrative-review-of-aetiological-theories-for-sports-related-groin-pain/ Rationale: ‘Sports-related groin pain’ is a condition characterised by persistent, intense, unexplained groin pain in healthy adults, predominantly athletes and manual labourers; however, there is no consensus regarding its aetiology, diagnosis and treatment. Its aetiology, in particular, is poorly understood. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092857 https://dev.medworm.com/7092856/do-we-have-any-control-the-practitioners-influence-on-the-placebo-effect-and-therapeutic-out/ Rationale: Despite rigorous research surrounding the ‘placebo effect’ and therapeutic outcomes, authors have concluded that misunderstanding of the practitioner's influence on the process remains prevalent. Further understanding could give therapists direction in how to accentuate certain aspects of the treatment process to increase positive therapeutic outcomes. The research presented here is therefore potentially valuable for a broad range of healthcare practitioners. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092856 https://dev.medworm.com/7092855/cognitive-influences-on-emg-activity-a-pilot-study/ Rationale: There are numerous links between cognitive affectations and physiology that occur in the human body; which can have direct, adverse effects, such as anxiety disorders and depression. Furthermore, stress mediated cortisol release has been shown to lead to an increase of many diseases, a lot of which, are musculoskeletal in nature. This has led to the development of the biopsychosocial model of health, on which many chiropractors base their work. To explain these observable changes, it was hypothesized that there is a direct link between cognition and muscle activity. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092855 https://dev.medworm.com/7092854/oncologists-and-cancer-specialists-expert-opinion-on-the-role-of-osteopathic-treatment-on-patient/ Rationale: One in three people in the UK are affected by cancer according to Sasieni et al. (2010). Despite this Walters et al. (2011) report improving cancer survivorship, whilst Mallik and Leonard (2009) predict increasing numbers of these patients presenting to manual therapists with musculoskeletal problems. Hann et al. (2004) suggest little is known about cancer specialists’ views on manual therapy. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092854 https://dev.medworm.com/7092853/hypochondria-in-healthcare-education/ Rationale: Students on healthcare courses experience periods of hypochondria. There is a clear need to gain a better understanding of these feelings and whether they increase as the students’ learning deepens. In recognising any underlying factors, it is necessary to explore relationships between the type of hypochondriacal concerns and increasing learning. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092853 https://dev.medworm.com/7092852/manipulative-therapy-and-the-immune-response-a-literature-review-of-the-chiropractic-osteopathic-/ Rationale: To date no review has been conducted regarding SMT and immune effects. Objective: This paper outlines the theoretical concepts of the adjustment in manipulative therapy, the neurophysiologic effects and the various hypotheses in the literature concerning the affect upon the immune system. Components of the nervous system and immune system will be outlined along with the evidence of their interdependence through neural modulation. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092852 https://dev.medworm.com/7092851/risk-factors-and-prognostic-factors-associated-with-neck-pain/ Rationale: Neck pain and disability is a common complaint with a high prevalence and considerable impact on personal and societal cost. Most neck pain falls into a non specific diagnosis category. It is still difficult to explain the aetiology, which appears to be multi-factorial in origin, although certain risk factors both for occurrence and prognosis of neck pain are reported in the literature. To date, a review of this literature is not available. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092851 https://dev.medworm.com/7092850/randomized-control-trial-investigating-the-effects-of-a-structured-weight-training-regime-for-increa/ Rationale: There are different theories regarding which exercises are most effective in increasing muscle mass. There are a large number of different articles in various magazines recommending the correct way to increase muscle mass but little evidence to suggest one is better than another. There is a lack of RCTs investigating structured gym regimes compared to a non-structured regime and whether or not there is any increased benefit from one compared with the other with regard to increase in muscle diameter. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092850 https://dev.medworm.com/7092849/does-the-credibility-of-the-explained-treatment-and-the-expectancy-of-success-held-by-patients-prese/ Rationale: In patients with more adverse levels of fear avoidance beliefs (FAB), catastrophisation (CAT), and pain-related self-efficacy (PSE) presenting for chiropractic care with low back pain (LBP), lack of early improvement in these variables has been linked to poor outcome. It is not currently understood why these variables change in some individuals and not in others. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092849 https://dev.medworm.com/7092848/evaluation-of-adductor-and-abductor-muscle-strength-pre-and-post-chiropractic-intervention-a-random/ Rationale: The practice of manipulation as the mainstay of chiropractic practise should be evaluated to assess the relative clinical effectiveness of providers of manipulative therapies and to benchmark performance. There is a dearth of data evaluating and assessing the clinical effectiveness of chiropractic adjustment, especially in relation to more specialist approaches. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092848 https://dev.medworm.com/7092847/a-qualitative-study-of-perceptions-of-access-and-benefits-of-chiropractic/ Rationale: Patient engagement in discussions and decisions concerning treatment and care is an increasing expectation of commissioners of healthcare services and regulators. There is a need to explore whether there is experiential evidence to support wider benefits of chiropractic that could potentially influence development of further guidelines for its inclusion in mainstream healthcare provision. Also, it is important to explore patients’ perceptions regarding the reason for positive health outcomes. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092847 https://dev.medworm.com/7092846/is-there-a-difference-in-how-sedentary-and-sports-active-patients-present/ Rationale: Interest in recreational sport is at its most topical. Media and policy makers are increasingly concerned about the public health and financial implications of an increasingly sedentary society. The purpose of this study was to establish whether there are any differences in the conditions presented to chiropractors from recreational sports patients and those who lead sedentary lifestyles. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092846 https://dev.medworm.com/7092845/consent-and-communication-a-correlational-study/ Rationale: Effective communication is essential to ensure mutual understanding so that the patient is in a position to give valid consent. There appears to be a lack of research investigating whether the combined elements of valid consent, communication and assumption are inter-linked or inter-related. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092845 https://dev.medworm.com/7092844/attitudes-and-compliance-to-strengthening-exercises-for-chronic-non-specific-low-back-pain/ Rationale: When patients have been suffering from chronic back pain for a prolonged period they may become negative and distrustful of professionals with a detrimental effect on their recovery. Often medical guidance is sought for pain relief and options on reducing the symptoms of pain. However are patients willing to take some responsibility on ways of alleviating rather than masking their pain? (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092844 https://dev.medworm.com/7092843/an-audit-of-the-accuracy-of-medication-documentation-in-a-united-kingdom-osteopathic-training-clinic/ Rationale: There are potential clinical consequences and medicolegal implications related to inadequacies in medication documentation in osteopathic practice but there is limited information about accuracy of medication recording by osteopaths or osteopathic students. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092843 https://dev.medworm.com/7092842/variables-influencing-the-lumbar-gravity-line-lordosis-inter-vertebral-disc-plane-angles-and-sacra/ Rationale: To further inform practitioners on the factors influencing, and pertinent analyses of sagittal lumbo-pelvic balance. Objective: To analyse recognised and novel radiographic measurements in a cohort of Chiropractic patients, determining variables associated with the lumbar gravity line (LGL), lumbar lordosis (LL), sacral slope (SS) and inter-vertebral disc plane angle (IVDPA). (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092842 https://dev.medworm.com/7092841/diagnostic-ultrasound-of-the-cervical-multifidus-a-literature-review/ Objective: This project presents a review of literature concerning size measurement of the cervical multifidus (MF) muscle using real-time ultrasound imaging (RUSI) in patients with and without neck pain. It discusses whether RUSI is a useful tool in doing this and where there are gaps in data and further research is needed. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092841 https://dev.medworm.com/7092840/perceived-barriers-to-and-facilitators-of-adherence-to-treatment-recommendations-in-outpatient-musc/ Rationale: Poor adherence has a negative impact on treatment outcomes and healthcare costs. Several qualitative studies have explored the perceptions of stakeholders towards the factors which act as barriers to adherence in musculoskeletal physiotherapy (MSPT) but no qualitative review analysing the results of individual studies has been undertaken. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092840 https://dev.medworm.com/7092839/is-there-a-correlation-of-bone-mineral-density-measurement-in-premenopausal-women-and-their-socio-de/ Rationale: There are gaps in the knowledge concerning risks for low bone density in young women. Further research is needed to clarify what lifestyle factors may be involved. Objective: To describe the prevalence of osteopenia/osteoporosis in premenopausal women and whether lifestyle factors influence bone density. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092839 https://dev.medworm.com/7092838/emotional-processing-and-its-relationship-to-chronic-low-back-pain/ Rationale: There is a well-documented association between chronic low back pain (CLBP) and psychological factors such as anxiety, fear-avoidance, depressive mood, catastrophizing and poor coping strategies. However, a comprehensive overview of these factors is lacking, and as they are closely linked with emotional states, it is posited that CLBP patients process their emotions differently to pain-free individuals. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092838 https://dev.medworm.com/7092834/immediate-effects-of-atlas-manipulation-on-cardiovascular-physiology/ Conclusions: The results of this research suggest cardiovascular physiology is not affected by CMT of the atlas in normotensive individuals. These findings in relation to existing research suggest future cervical spine CMT studies should be performed focusing on hypertensive patients. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092834 https://dev.medworm.com/7092825/editorial-board/ (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092825 https://dev.medworm.com/7611696/-/ Muscle energy techniques (METs) are a class of soft tissue manipulation methods originating from osteopathic medicine. They involve active isometric contractions in a specific position followed by passive stretching to improve musculoskeletal function via the release of tight musculature and through normalizing restricted ranges of motion. John Gibbons, a registered osteopath, has authored this basic yet comprehensive guide to assessing muscle length and illustrating how to treat these muscular imbalances using METs. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611696 https://dev.medworm.com/7611652/editorial/ The Council of the College of Chiropractors has taken the difficult decision to cease publication of Clinical Chiropractic. There will be no new issues after Volume 15 but all published volumes will continue to be accessible on Science Direct in perpetuity. The Council would like to express sincere thanks to all readers, subscribers, contributors, reviewers, editors and, in particular, the Editor-in-Chief, Martin Young, who has dedicated countless hours over many years to the task. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7611652 https://dev.medworm.com/7092869/-/ Essential Values-Based Practice is the first in a new book series on values-based practice and the series begins with a “bold claim”: “The most likely reason why things go wrong [in a doctor-patient consultation] is a failure of values-based practice”. Sounds intriguing, but what is meant by values-based practice (VBP)? As pointed out in the prologue, there is nothing new as such about the role of values in health care – whenever there are people confronted with decisions to make, especially where life and death are in the balance, those decisions are made through the prism of an individual's values. For example, when addressing the same disease, the treatment that is ‘right’ for me might not be ‘right’ for you. The most important message I take from this book, is that eq... Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092869 https://dev.medworm.com/7092826/editorial/ The Council of the College of Chiropractors has taken the difficult decision to cease publication of Clinical Chiropractic. There will be no new issues after Volume 15 but all published volumes will continue to be accessible on Science Direct in perpetuity. The Council would like to express sincere thanks to all readers, subscribers, contributors, reviewers, editors and, in particular, the Editor-in-Chief, Martin Young, who has dedicated countless hours over many years to the task. (Source: Clinical Chiropractic) Clinical Chiropractic journals Sun, 23 Jan 2022 22:40:18 +0100 7092826