Research Trends - Chiropractic Doctor

Research Trends 118
Statins - current reserach, alternatives and side effects

1.0

  • Outline the effect of statins on cardiovascular and mortality outcomes in primary prevention.
  • Critique bias in the literature and understand how it plays out in the statin evidence base.
  • Differentiate statin benefits based on baseline risk and level of prevention.
  • Explain the benefits of statin alternatives in statin intolerant populations.
  • Assess the strength of association between statin medications and commonly ascribed side effects.

Goldenberg, ND

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Research Trends 117
Adverse Events Involving Manual Therapy Providers, Role of the Cervical Spine with PCS, Effects of Chiropractic Treatment of GI Disorders

1.0

  • Review the literature for cases of adverse events in infants and children treated by chiropractors or other manual therapists
  • Analyze provider specialties in the treatment of patients with back and joint problems
  • Review the role of the cervical spine in post-concussion syndrome
  • Assess whether the availability of chiropractic care affects use of primary care physician (PCP) services
  • Describe the effect of chiropractic treatment on gastrointestinal (GI) disorders

Smith, DC, PhD

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Research Trends 116
Current Research on SMT

1.0

  • Assess whether low back pain (LBP) patients who respond to spinal manipulative therapy (SMT) differ biomechanically from non-responders and untreated asymptomatic controls
  • Describe the comparative effectiveness of manipulation versus usual medical care for acute and subacute low back pain
  • Determine the effectiveness of adding upper cervical manipulation to a multimodal program for patients with fibromyalgia
  • Discuss the effects of forward head posture correction in patients with chronic discogenic lumbosacral radiculopathy
  • Summarize US chiropractors' attitudes, skills and use of evidence-based practice

Smith, DC, PhD

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Research Trends 115
Effect of Facet Fixation and Thrust on Muscle Spindal Activity, Contact Site for SMT and Sensory Input to CNS

1.0

  • Describe the effect of intervertebral facet joint fixation and segmental thrust level on paraspinal muscle spindle activity
  • Determine how contact site for high velocity, low amplitude spinal manipulation affects sensory input to the central nervous system
  • Assess the association between low-tech clinical tests commonly used in adult patients with acute, recurrent or chronic LBP and short- and long-term outcome
  • Discuss the role for neck manipulation in elderly falls prevention
  • Summarize North American chiropractic students’ opinions concerning professional identity, role and future

Smith, DC, PhD

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Research Trends 114
Muscle Activity Patterns with Pain, Myofascial Pain Syndrome and Trigger Points

1.0

  • Describe muscle activity patterns in pain development and alleviation
  • Discuss the role of anti-inflammatory interventions and their effect on skeletal muscle injury as they pertain to chiropractic examination/treatment
  • Assess whether the construct of myofascial pain syndrome caused by trigger points is conjecture
  • Review recent fascia research as it pertains to anatomy and biomechanics
  • Summarize anatomical and biomechanical properties of fascial tissue with a special focus on fascial dysfunctions and resulting clinical manifestations

Smith, DC, PhD

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Research Trends 113
Spinal Manipulation - Neural Plastic Changes, Effect on Heart Rate and SEP's

1.0

  • Discuss how spinal manipulation can lead to neural plastic changes involving cortical drive and the H-reflex pathway
  • Assess the impact of cervical spinal manipulation on heart rate variability
  • Assess how somatosensory evoked potentials (SEPs) can be used to elucidate differences in cortical activity associated with a spinal manipulation (SM) intervention
  • Describe alterations in cortical and cerebellar motor processing in subclinical neck pain patients following spinal manipulation
  • Apply the effect of spinal manipulation on somato-sympathetic reflexes

Smith, DC, PhD

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Research Trends 112
Where to manipulate, back pain and decision rules

1.0

  • Review methods used by chiropractors to determine the site for applying manipulation
  • Review clinical decision rules, spinal pain classification and prediction of treatment outcome in rehabilitation literature
  • Describe the trajectories and life course of low back pain
  • Discuss the evidence for multisite musculoskeletal pain being common among people suffering from low back pain
  • Discuss the relative effectiveness of manipulative therapy vs sham manipulation

Smith, DC, PhD

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Research Trends 111
Update on Back Pain, CAD, Whiplash

1.0

  • Discuss recent research on Chiropractic Manipulative Therapy for patients with 'Acute Low Back Pain'
  • Discuss recent research on Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain
  • Review The Quality of Reports on Cervical Arterial Dissection following Cervical Spinal Manipulation
  • Describe the Various Mechanisms of Injury in Whiplash Associated Disorders
  • Review the Mechanisms of Chronic Pain from Whiplash Injury

Smith, DC, PhD

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Research Trends 110
Chiropractic and/or spinal manipulation for pregnancy related low back pain and/or post-partum pain

1.0

  • Review articles addressing the latest information concerning chiropractic and/or spinal manipulation for pregnancy related low back pain and/or post-partum pain
  • Review the published evidence regarding chiropractic care, including spinal manipulation, for pregnancy-related low back pain (LBP)
  • Describe the clinical outcomes of patients with pregnancy-related lumbopelvic pain (PRLP) treated according to a diagnosis-based clinical decision rule
  • Assess osteopathic manipulative treatment of back pain and related symptoms during the third trimester of pregnancy
  • Describe the development a clinical prediction rule (CPR) for identifying postpartum women with low back pain (LBP) and/or pelvic girdle pain (PGP) whose functional disability scores improve with a high-velocity thrust technique (HVTT)

Smith, DC, PhD

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Research Trends 109
Chiropractic and/or spinal manipulation for acute and chronic low back pain

1.0

  • Review articles addressing the latest information concerning chiropractic and/or spinal manipulation of the lower back
  • Assess the current scientific literature related to manipulation for acute low back pain
  • Assess the current scientific literature related to manipulation for chronic low back pain
  • Compare the clinical efficacy of spinal manipulation against microdiskectomy in patients with sciatica secondary to lumbar disk herniation (LDH)
  • Review the Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study
  • Assess maintenance spinal manipulation therapy for chronic non-specific low back pain

Smith, DC, PhD

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Research Trends 108
Chiropractic and/or spinal manipulation for neck pain and/or headaches

1.0

  • Review articles addressing the latest information concerning chiropractic and/or spinal manipulation for neck pain and/or headaches
  • Provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults
  • Determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction
  • Assess whether adjusting dysfunctional cervical segments in people with subclinical neck pain can improve their upper limb joint position sense accuracy
  • Investigate the efficacy of preventive spinal manipulative therapy (SMT) compared to a no treatment group in non-specific neck pain patients
  • Assess the effectiveness of thoracic manipulation (TM) on patients with chronic neck pain
  • Describe a randomized controlled trial comparing manipulation with mobilization for recent onset neck pain

Smith, DC, PhD

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Research Trends 107
Health behavior change: principles, theories, clinical techniques

1.0

  • Describe the principles of health behavior change
  • Detail the factors that promote positive lifestyle changes
  • Discuss current theories and models of behavior change
  • Discuss techniques and processes of how to change health behavior

Smith, DC, PhD

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$22.00 USD

Research Trends 106
Chiropractic care: maintenance care, comparing individuals with and without chiropractic coverage, predictors for successful outcome with low back pain

1.0

  • Determine the effects of maintenance chiropractic care on chronic low back pain
  • Delineate the demographic and clinic-related predictors for successful outcome of chiropractic patients with low back pain
  • Compare individuals with and without chiropractic coverage
  • Summarize the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes
  • Determine the effects of simulated spinal manipulation on facet joint strains

Smith, DC, PhD

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Research Trends 105
Spinal manipulation: dose-response, muscle relaxers vs manipulation for LBP, relationship (or lack thereof) with disc herniations

1.0

  • Summarize the dose-response relationship between chiropractic and LBP
  • Discuss the differences between chiropractic adjustments and muscle relaxants for LBP
  • Assess the relationship between osteopathic manipulation and prenatal outcomes
  • Describe the association (or lack thereof) between spinal manipulation and lumbar disk herniations
  • Analyze the results of a study on active care vs. manual therapy with active care

Smith, DC, PhD

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Research Trends 104
Spinal manipulation: neural plasticity and low back pain, whole spine manipulation in primary care

1.0

  • Summarize the relation between neural plasticity, LBP and spinal manipulation
  • Discuss the concept of intervertebral dysfunction with respect to paraspinal muscle
  • Assess the correlation between back pain, disability and quality of life
  • Describe a study implementing whole spine manipulation in primary care

Smith, DC, PhD

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$22.00 USD

Research Trends 103
Work related musculoskeletal disorders: epidemiology, costs, injury, inflammatory process

1.0

  • Discuss the epidemiologic evidence and debate about work-related musculoskeletal disorders
  • Discuss the costs and financial burden associated with musculoskeletal disorders
  • Discuss the factors involved in strain-induced injury of skeletal muscles
  • Discuss the inflammatory process as related to musculoskeletal disorders

Smith, DC, PhD

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Research Trends 102
Spinal manipulation: neurophysiology, fixation and degeneration, chronic pain, neck pain

1.0

  • Delineate the effects of spinal fixation on degeneration in relation to the chiropractic model of degeneration
  • Determine the benefits of 3 common treatments thought to aid chronic spine pain including chiropractic
  • Outline and categorize the neurophysiology of spinal manipulation
  • Determine the effects of spinal manipulation and exercise on neck pain

Smith, DC, PhD

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$22.00 USD