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A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

By Frank M. Painter|December 28, 2023|Chiropractic Management, Veterans|

A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

SOURCE: J Manipulative Physiol Ther 2023 (Dec 22) [EPUB]

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Ryan D. Muller, DC, MS • Sarah E. Graham, DC • Xiwen Zhao, MSPH • Anna R. Sites, MSN, RN • Kelsey L. Corcoran, DC • Anthony J. Lisi, DC

VA Connecticut Healthcare System,
West Haven, Connecticut;
Yale School of Medicine,
Yale University,
New Haven, Connecticut.

Objective: The purpose of this study was to explore a systemwide process for assessing components of low back pain (LBP) care quality in Veterans Health Administration (VHA) chiropractic visits using electronic health record (EHR) data.

thods: MeWe performed a cross-sectional quality improvement project. We randomly sampled 1000 on-station VHA chiropractic initial visits occurring from October 1, 2017, to September 30, 2018, for patients with no such visits within the prior 12 months. Characteristics of LBP visits were extracted from VHA national EHR data via structured data queries and manual chart review. We developed quality indicators for history and/or examination and treatment procedures using previously published literature and calculated frequencies of visits meeting these indicators.

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LOW BACK PAIN Section and

CHIROPRACTIC CARE FOR VETERANS Section

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The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

By Frank M. Painter|December 27, 2023|Chiropractic Management, Chiropractic Research, Headache, Migraine|

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

The Chiro.Org Blog

SOURCE: Health SA 2023 (Oct 25): 28: 2283

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Ashalya Pirthiraj and Raisuyah Bhagwan

Department of Chiropractic,
Faculty of Health Sciences,
Durban University of Technology,
Durban, South Africa.

Background: Migraines are highly prevalent among the female population and have a significant burden on one’s quality of life and physical functioning.

Aim: The study explored the physical impact and contributory factors of migraines on women and their experience of chiropractic treatment for migraine pain management.

Setting: The study was conducted in the eThekwini region of KwaZulu-Natal, South Africa.

Methods: The study used a qualitative descriptive design and adopted purposive sampling. The data were collected through 12 semi-structured interviews, between March and September 2021, and analysed using thematic analysis.

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Joint Assessment – P.A.R.T.S.

By Frank M. Painter|November 12, 2023|Joint Dysfunction, Motion Palpation, Subluxation|

Joint Assessment – P.A.R.T.S.

The Chiro.Org Blog

SOURCE: Topics in Clinical Chiropractic 2000; 7 (3): 1–10
Thomas F. Bergmann, DC, Bradley A. Finer, DC, DACAN

Professor, Clinical Science Division
Northwestern Health Sciences University
College of Chiropractic
Bloomington, Minnesota

Purpose: An approach to systematically perform clinical work-up for chiropractic subluxation is proposed. Literature on assessment approaches is reviewed and a discussion is presented.

Method: A qualitative review of clinical and scientific literature related to assessment methodologies for subluxation was performed.

Summary: Variation in assessment techniques exists for identification of spinal and other articular joint dysfunction. Useful scientific data also are limited to only a few approaches, and there is a need for a more systematic assessment approach profession wide.

Key words: Articular range of motion, chiropractic, Medicare, palpation, physical examination, subluxation

From the FULL TEXT Article

Background

Doctors of chiropractic are portals of entry to the health care system for many patients seeking health care services. As such, they must maintain broad and thorough assessment/diagnostic skills. Before employing any therapy, a clinician must first determine if there is a need for treatment. Therefore, the clinical information that any primary contact provider would want, including a case history, physical examination, clinical laboratory findings, radiographic findings, and any other tests necessary to check for suspected health problems, is needed. Having gathered and interpreted this information, it must be processed in order to arrive at a sound clinical conclusion.

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The Association Between Cervical Degenerative MRI Findings and Self-reported Neck Pain, Disability and Headache: A Cross-sectional Exploratory Study

By Frank M. Painter|October 12, 2023|Cervical Spine, Chronic Neck Pain|

The Association Between Cervical Degenerative MRI Findings and Self-reported Neck Pain, Disability and Headache: A Cross-sectional Exploratory Study

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2023 (Oct 11); 31: 45
Rikke K Jensen • Kristina B Dissing • Tue S Jensen • Stine H Clausen • Bodil Arnbak

Department of Sports Science and Clinical Biomechanics,
Center for Muscle and Joint Health,
University of Southern Denmark,
Odense, Denmark.

FROM: J. Clin. Med. 2021

Background: Neck pain and headache are highly prevalent conditions and leading causes of disability worldwide. Although MRI is widely used in the management of these conditions, there is uncertainty about the clinical significance of cervical MRI findings in patients with neck pain or headache. Therefore, this study aims to investigate the association between cervical degenerative MRI findings and self-reported neck pain, neck disability, and headache.

Methods: This study was a secondary analysis of a cohort of patients with low back pain aged 18-40 years recruited from a non-surgical outpatient spine clinic. The cervical MRI and outcome measures used in this analysis were collected at a four-year follow-up (2014-2017). Self-reported outcome measures included neck pain intensity, neck disability as measured by the Neck Disability Index, and headache as measured by a single NDI item. Cervical MRI findings included disc degeneration, disc contour changes, and vertebral endplate signal changes (VESC). Multivariable logistic regression analyses, adjusted for age and sex, were used to analyse the associations between MRI findings and neck pain, neck disability, and headache.

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CHRONIC NECK PAIN Section

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Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial

By Frank M. Painter|July 8, 2023|Acute Low Back Pain, Clinical Guidelines|

Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial

The Chiro.Org Blog

SOURCE: JAMA Neurol 2019 (Feb 1); 76 (2): 161–169
Adrian C. Traeger, PhD; Hopin Lee, PhD; Markus Hübscher, PhD; Ian W. Skinner, PhD; G. Lorimer Moseley, PhD; Michael K. Nicholas, PhD; Nicholas Henschke, PhD; Kathryn M. Refshauge, PhD; Fiona M. Blyth, PhD; Chris J. Main, PhD; Julia M. Hush, PhD; Serigne Lo, PhD; James H. McAuley, PhD

Neuroscience Research Australia,
Sydney, New South Wales, Australia.

Sydney School of Public Health,
Faculty of Medicine and Health,
The University of Sydney,
Sydney, New South Wales, Australia.

FROM: Pain 2019 (Dec)

FROM: Cochrane Database 2020 (Apr)

FROM: European Journal of Pain 2017 (Feb)

FROM: American Family Physician 2019 (Mar 15)

FROM: Pain 2013 (Jul)

Importance: Many patients with acute low back pain do not recover with basic first-line care (advice, reassurance, and simple analgesia, if necessary). It is unclear whether intensive patient education improves clinical outcomes for those patients already receiving first-line care.

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Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors,
and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

By Frank M. Painter|May 24, 2023|Global Burden of Disease, Global Spine Care Initiative, Low Back Pain|

Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

The Chiro.Org Blog

SOURCE: Lancet Rheumatology 2023 (May 23); 5 (6): E316-E329
Manuela L Ferreira, Katie de Luca, Lydia M Haile, Jaimie D Steinmetz, Garland T Culbreth, et al.

Faculty of Medicine and Health,
Institute of Bone and Joint Research,
The Kolling Institute, Northern Clinical School,
University of Sydney,
Sydney, NSW 2064, Australia.

Background Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021.

Methods Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates.

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A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

Joint Assessment – P.A.R.T.S.

Joint Assessment – P.A.R.T.S.

The Association Between Cervical Degenerative MRI Findings and Self-reported Neck Pain, Disability and Headache: A Cross-sectional Exploratory Study

The Association Between Cervical Degenerative MRI Findings and Self-reported Neck Pain, Disability and Headache: A Cross-sectional Exploratory Study

Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial

Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial

Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors,and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors,
and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021