013- Patient Centered Chiropractic Care with Dr. Kent Stuber

Dr. Kent StuberDr. Kent Stuber discusses his research interests, his role as editor of the Journal of the Canadian Chiropractic Association and how chiropractors can get involved in research. Kent Stuber has been in practice in Calgary, Alberta, Canada for nearly 14 years. He did his chiropractic training at CMCC. He completed a Master of Science degree in Health and Social Care Research from the University of Sheffield in 2008. He is currently a MPhil/PhD student at the University of South Wales, studying patient-centeredness in chiropractic.

Kent is an Adjunct Professor in CMCC’s Division of Graduate Education and Research. He has published over 30 articles in over a dozen different peer-reviewed scientific journals. His research interests include patient-centered care, sports injuries, spinal stenosis, the psychometric properties and use of orthopaedic testing, as well as the treatment of pregnancy-related musculoskeletal conditions.

Kent is a member of the International Task Force on Diagnosis and Management of Lumbar Spinal Stenosis as well as the Guideline Implementation Group (GIG) of the Canadian Chiropractic Association’s Clinical Practice Guideline Initiative. In July 2015, Kent became the fifth Editor-in-Chief of the Journal of the Canadian Chiropractic Association, a peer-reviewed journal now in its 60th year of publication.

Dr. Stuber was born and raised in Calgary. He obtained a Bachelor of Science degree in Cellular, Molecular & Microbial Biology from the University of Calgary before moving to Toronto where he graduated Magna Cum Laude with Clinic Honours from the Canadian Memorial Chiropractic College (CMCC) in 2002.  Dr. Stuber’s post graduate education courses have included Graston Technique®, Active Release Techniques®, Kinesiotaping, Low-Tech Lumbar Spinal Stabilization Training, Managing Neck Pain Conditions, Evaluation and Management of Neck and Arm Pain, courses from the Titleist Performance Institute, and Taping and Support Techniques for Sports Practitioners.  You can visit Dr. Stuber’s practice at: http://www.momentumhealth.ca.

Visit the Journal of the Canadian Chiropractic Association.  The Journal of the Canadian Chiropractic Association (JCCA) is the official, peer reviewed, quarterly research publication of the Canadian Chiropractic Association (CCA). Published since 1957 and searchable from 1986 on this site and from 1978 in PubMed, the JCCA publishes research papers, commentaries and editorials relevant to the practice of chiropractic.

View Dr. Stuber’s publications on researchgate.com.

Here are the articles we discuss during the interview:

1. Assessing patient-centered care in patients with chronic health conditions attending chiropractic practice: protocol for a mixed-methods study.
Stuber KJ, Langweiler M, Mior S, McCarthy PW.
Chiropr Man Therap. 2016 May 9;24:15. doi: 10.1186/s12998-016-0095-x.
PMID: 27162609 [PubMed] Free PMC Article
Similar articles
2. ISSLS Prize Winner: Consensus on the Clinical Diagnosis of Lumbar Spinal Stenosis: Results of an International Delphi Study.
Tomkins-Lane C, Melloh M, Lurie J, Smuck M, Battié MC, Freeman B, Samartzis D, Hu R, Barz T, Stuber K, Schneider M, Haig A, Schizas C, Cheung JP, Mannion AF, Staub L, Comer C, Macedo L, Ahn SH, Takahashi K, Sandella D.
Spine (Phila Pa 1976). 2016 Aug 1;41(15):1239-46. doi: 10.1097/BRS.0000000000001476.
PMID: 26839989 [PubMed – in process]
Similar articles
3. Chiropractic treatment of lumbar spinal stenosis: a review of the literature.
Stuber K, Sajko S, Kristmanson K.
J Chiropr Med. 2009 Jun;8(2):77-85. doi: 10.1016/j.jcm.2009.02.001.
PMID: 19646390 [PubMed] Free PMC Article
Similar articles
4. Core stability exercises for low back pain in athletes: a systematic review of the literature.
Stuber KJ, Bruno P, Sajko S, Hayden JA.
Clin J Sport Med. 2014 Nov;24(6):448-56. doi: 10.1097/JSM.0000000000000081. Review.
PMID: 24662572 [PubMed – indexed for MEDLINE]
Similar articles
5. Chiropractic treatment of pregnancy-related low back pain: a systematic review of the evidence.
Stuber KJ, Smith DL.
J Manipulative Physiol Ther. 2008 Jul-Aug;31(6):447-54. doi: 10.1016/j.jmpt.2008.06.009. Review.
PMID: 18722200 [PubMed – indexed for MEDLINE]
Similar articles
6. The treatment experience of patients with low back pain during pregnancy and their chiropractors: a qualitative study.
Sadr S, Pourkiani-Allah-Abad N, Stuber KJ.
Chiropr Man Therap. 2012 Oct 9;20(1):32. doi: 10.1186/2045-709X-20-32.
PMID: 23046615 [PubMed] Free PMC Article
Similar articles
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012- Life Course of Back Pain and Pediatric Chiropractic with Dr. Lise Hestbæk

Dr. Lise Hestbaek

In this episode Dr. Hestbæk discusses her research involving the life course of back pain and her focus on pediatric chiropractic.  Lise Hestbæk, DC, PhD, received her chiropractic degree in 1990 from Palmer College of Chiropractic. She was a practising chiropractor from 1991-2007 and from 1997 to 2007 was involved in part-time research, mostly at the Back Research Center in Ringe, Denmark. She received her Ph.D. in 2003 on a thesis about high-risk groups and risk factors for low back pain in children and adolescents. Since 2008 she has been an associate professor at University of Southern Denmark and senior researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics. Her research focuses on two specific areas: 1. Musculoskeletal health in children and adolescence and; 2. Lifetime epidemiology of back pain.

See Lise’s publications here.

Here is the link to one of Lise’s free full text publications on musculoskeletal pain in children and adolescents as mentioned in the podcast.

“Results: Rates of self-reported MSK pain in adolescents are similar to those in adult populations and they are typically higher in teenage girls than boys. Epidemiological research has identified conditions such as back and neck pain as major causes of disability in adolescents, and in up to a quarter of cases there are impacts on school or physical activities. A range of physical, psychological and social factors have been shown to be associated with MSK pain report, but the strength and direction of these relationships are unclear. There are few validated instruments available to quantify the nature and severity of MSK pain in children, but some show promise. Several national surveys have shown that adolescents with MSK pain commonly seek care and use medications for their condition. Some studies have revealed a link between MSK pain in adolescents and chronic pain in adults.

BULLET POINTS

• The prevalence of MSK pain approaches adult levels by the end of adolescence.
• Persistent adolescent MSK pain is a risk factor for chronic pain in adulthood.
• MSK pain has substantial impacts in up to 1/4 of cases.
• The relationship of other adverse health risk factors and MSK pain is unclear.
• There is little research to inform clinical management of childhood MSK pain”

Musculoskeletal pain conditions are often recurrent in nature, occurring throughout the life-course. Attempts to understand these conditions at a time close to their initial onset may offer a better chance of developing effective prevention and treatment strategies.”

Click here to find a list of Dr. Hestbæk’s publications on researchgate.

Here is a list of the publications we discuss during this interview:

1. Validity of Commonly Used Clinical Tests to Diagnose and Screen for Spinal Pain in Adolescents: A School-Based Cohort Study in 1300 Danes Aged 11-15 Years.
Aartun E, Hartvigsen J, Hestbaek L.
J Manipulative Physiol Ther. 2016 Feb;39(2):76-87. doi: 10.1016/j.jmpt.2016.01.007.
PMID: 26896035 [PubMed – indexed for MEDLINE]
Similar articles
2. Clinical examination findings as prognostic factors in low back pain: a systematic review of the literature.
Hartvigsen L, Kongsted A, Hestbaek L.
Chiropr Man Therap. 2015 Mar 23;23:13. doi: 10.1186/s12998-015-0054-y.
PMID: 25802737 [PubMed] Free PMC Article
Similar articles
3. Patients with low back pain had distinct clinical course patterns that were typically neither complete recovery nor constant pain. A latent class analysis of longitudinal data.
Kongsted A, Kent P, Hestbaek L, Vach W.
Spine J. 2015 May 1;15(5):885-94. doi: 10.1016/j.spinee.2015.02.012.
PMID: 25681230 [PubMed – indexed for MEDLINE] Free Article
Similar articles
4. Low back pain across the life course.
Dunn KM, Hestbaek L, Cassidy JD.
Best Pract Res Clin Rheumatol. 2013 Oct;27(5):591-600. doi: 10.1016/j.berh.2013.09.007. Review.
PMID: 24315141 [PubMed – indexed for MEDLINE]
Similar articles
5. Musculoskeletal pain in children and adolescents.
Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM.
Braz J Phys Ther. 2016 Feb 16;20(3):275-84. doi: 10.1590/bjpt-rbf.2014.0149.
PMID: 27437719 [PubMed – in process] Free PMC Article
Similar articles
6. The evidence base for chiropractic treatment of musculoskeletal conditions in children and adolescents: The emperor’s new suit?
Hestbaek L, Stochkendahl MJ.
Chiropr Osteopat. 2010 Jun 2;18:15. doi: 10.1186/1746-1340-18-15.
PMID: 20525199 [PubMed] Free PMC Article
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011- Health Promotion, Wellness and Chiropractic Guidelines with Dr. Cheryl Hawk

Cheryl-Hawk-thumbnailIn this episode Cheryl Hawk, DC, PhD, CHES discusses chiropractic maintenance vs. wellness care, various chiropractic guidelines on low back pain, health promotion and pediatric care as well as her two new books. Dr. Cheryl Hawk is an author of over 100 publications in peer-reviewed scientific journals. She has designed and taught courses on wellness and health promotion to health professions students and in post-graduate education. She has also collaborated on the design and implementation of an online wellness certification program for health professionals, with Will Evans, DC, PhD, MCHES, and Michael Perko, PhD, CHES, FAAHE, offered by the National Wellness Institute. She received her Doctor of Chiropractic degree in 1976 from the National University of Health Sciences and practiced full-time for 12 years. In 1991, she earned a PhD in Preventive Medicine from the University of Iowa and also became a Certified Health Education Specialist (CHES). She is the author, with Will Evans, DC, PhD, MCHES, of Health Promotion and Wellness: An Evidence-Based Guide to Clinical Preventive Services. She is currently co-chair of the Research Working Group of the Academic Consortium for Complementary and Alternative Health Care. She has been named “Researcher of the Year” by both the American Chiropractic Association (2003) and the Foundation for Chiropractic Education and Research (2005). Her areas of interest are health promotion and prevention, practice-based research and health services research.

And…Dr. Hawk is also working on two upcoming books, Evidence-based Chiropractic Practice and Careers in Chiropractic. Although they won’t be published until 2017, there’s never been anything like it for chiropractic. This will be 2 entire volumes written NOT for chiropractors, but for potential patients, other providers, and potential chiropractic students!

As mentioned in the interview,  please find a link to the link to the CCGPP/Clinical Compass website and materials at http://clinicalcompass.org/

After CCGPP teams with specific skills review and rate all information gathered from multiple databases (synthesis), this information is then translated into easily usable tools (the “Chiropractic Clinical Compass©”). The synthesis is not the Compass©, it is merely an evidence stratification for the most common conditions seen by chiropractic doctors. CCGPP recognizes that information in this format is difficult to digest and implement. To assist comprehension and ease of application, the synthesis will be translated for use in the treatment room via a DIER (Dissemination, Implementation, Evaluation, and Revision) process (see Powerpoint presentation on the Introduction page of this website for more details on this process). This process will ultimately produce the Chiropractic Clinical Compass©. In addition, in today’s ever-changing health care environment, the literature synthesis can be used for many purposes and CCGPP is flexible and responsive to rapidly changing trends and needs.

The goals of CCGPP/Clinical Compass are:

  • To promote the improvement of the quality of chiropractic services and of the professional reputation of doctors of chiropractic
  • To promote the intellectual, academic, and clinical integrity of chiropractic practice
  • To promote the intellectual, academic, and clinical integrity of practice guidelines and PR

Please support CCGPP/Clinical Compass by donations at http://clinicalcompass.org/donate

For a list of Dr. Hawk’s scientific publications please click here.

Here is a list of the publications we discuss during this interview:

1. The Role of Chiropractic Care in the Treatment of Dizziness or Balance Disorders: Analysis of National Health Interview Survey Data.
Ndetan H, Hawk C, Sekhon VK, Chiusano M.
J Evid Based Complementary Altern Med. 2016 Apr;21(2):138-42. doi: 10.1177/2156587215604974.
PMID: 26362851 [PubMed – indexed for MEDLINE]
Similar articles
2. Consensus process to develop a best-practice document on the role of chiropractic care in health promotion, disease prevention, and wellness.
Hawk C, Schneider M, Evans MW Jr, Redwood D.
J Manipulative Physiol Ther. 2012 Sep;35(7):556-67. doi: 10.1016/j.jmpt.2012.05.002.
PMID: 22742964 [PubMed – indexed for MEDLINE]
Similar articles
3. Chiropractic and public health: current state and future vision.
Johnson C, Baird R, Dougherty PE, Globe G, Green BN, Haneline M, Hawk C, Injeyan HS, Killinger L, Kopansky-Giles D, Lisi AJ, Mior SA, Smith M.
J Manipulative Physiol Ther. 2008 Jul-Aug;31(6):397-410. doi: 10.1016/j.jmpt.2008.07.001.
PMID: 18722194 [PubMed – indexed for MEDLINE]
Similar articles
4. A framework for chiropractic training in clinical preventive services.
Hawk C, Evans MW Jr.
Chiropr Man Therap. 2013 Aug 20;21(1):28. doi: 10.1186/2045-709X-21-28.
PMID: 23962353 [PubMed] Free PMC Article
Similar articles
5. Clinical Practice Guideline: Chiropractic Care for Low Back Pain.
Globe G, Farabaugh RJ, Hawk C, Morris CE, Baker G, Whalen WM, Walters S, Kaeser M, Dehen M, Augat T.
J Manipulative Physiol Ther. 2016 Jan;39(1):1-22. doi: 10.1016/j.jmpt.2015.10.006.
PMID: 26804581 [PubMed – indexed for MEDLINE]
Similar articles
6. Best Practices for Chiropractic Care of Children: A Consensus Update.
Hawk C, Schneider MJ, Vallone S, Hewitt EG.
J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):158-68. doi: 10.1016/j.jmpt.2016.02.015.
PMID: 27040034 [PubMed – in process] Free Article
Similar articles

 

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010- Assessing Spinal Structure, Function and Intervention with Dr. Greg Kawchuk

greg0483

In this episode, we learn about Dr. Kawchuk’s goal to develop new strategies and technologies for the prevention, diagnosis, and treatment of spinal disorders and back pain – the most common of all musculoskeletal health problems.  Greg Kawchuk, DC, PhD has research interests that focus on defining the mechanisms that initiate and sustain spinal disorders so that clinically relevant strategies can be developed toward their prevention or resolution. A major component of his research involves developing new technologies to assess spinal structure and function, then using those technologies to evaluate various clinical interventions.  Dr. Kawchuk is clinically trained as a chiropractor (Canadian Memorial Chiropractic College).  His academic training began in molecular, microbial and cellular biology (BSc, University of Calgary) and then progressed to biomechanics and bioengineering (MSc, PhD, University of Calgary). He completed postdoctoral work at the State University of New York and the University of Calgary, and then joined the Faculty of Kinesiology at the University of Calgary as an Assistant Professor with an additional clinical appointment in Student Health Services.  He was recruited by the University of Alberta in 2004 to join the Faculty of Rehabilitation Medicine as an Assistant Professor and the Canada Research Chair in Spinal Function. Dr. Kawchuk is currently Professor of Rehabilitation Medicine at the University of Alberta.

In March of 2016 Dr. Kawchuk was awarded the American Chiropractic Association (ACA) George B. McClelland, DC, Researcher of the Year Award, which recognizes an individual for developing, refining and/or expanding the body of knowledge in chiropractic.

 For a list of Dr. Kawchuk’s scientific publications please click here.

Here is a list of the publications we discuss during this interview:

1. Do participants with low back pain who respond to spinal manipulative therapy differ biomechanically from nonresponders, untreated controls or asymptomatic controls?
Wong AY, Parent EC, Dhillon SS, Prasad N, Kawchuk GN.
Spine (Phila Pa 1976). 2015 Sep 1;40(17):1329-37. doi: 10.1097/BRS.0000000000000981.
PMID: 26020851 [PubMed – indexed for MEDLINE]
Similar articles
2. The effect of application site of spinal manipulative therapy (SMT) on spinal stiffness.
Edgecombe TL, Kawchuk GN, Long CR, Pickar JG.
Spine J. 2015 Jun 1;15(6):1332-8. doi: 10.1016/j.spinee.2013.07.480.
PMID: 24139864 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles
3. Real-time visualization of joint cavitation.
Kawchuk GN, Fryer J, Jaremko JL, Zeng H, Rowe L, Thompson R.
PLoS One. 2015 Apr 15;10(4):e0119470. doi: 10.1371/journal.pone.0119470.
PMID: 25875374 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles
4. The effect of duration and amplitude of spinal manipulative therapy (SMT) on spinal stiffness.
Vaillant M, Edgecombe T, Long CR, Pickar JG, Kawchuk GN.
Man Ther. 2012 Dec;17(6):577-83. doi: 10.1016/j.math.2012.06.006.
PMID: 22809745 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles
5. Effect of cervical spine manipulation on a pre-existing vascular lesion within the canine vertebral artery.
Wynd S, Anderson T, Kawchuk G.
Cerebrovasc Dis. 2008;26(3):304-9. doi: 10.1159/000149578.
PMID: 18667811 [PubMed – indexed for MEDLINE]
Similar articles
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009- Scott Haldeman, DC, PhD, MD: Pioneering and Contemporary Chiropractic Science

Haldeman1In this episode, it is my great privilege to interview Scott Haldeman, DC, PhD, MD.  Dr. Haldeman is a pioneer of chiropractic science and a world leader in spine research. Dr. Haldeman holds the positions of Adjunct Professor, Department of Epidemiology, School of Public Health, University of California, Los Angeles, and Clinical Professor, Department of Neurology, University of California, Irvine.

He is Past President of the North American Spine Society, the American Back Society, the North American Academy of Manipulative Therapy, and the Orange County Neurological Society, and is currently Chairman Emeritus of the Research Council of the World Federation of Chiropractic. He is certified by the American Board of Neurology and Psychiatry and is a Fellow of the Royal College of Physicians of Canada and a Fellow of the American Academy of Neurology. He is a Diplomat of the American Board of Electrodiagnostic Medicine, the American Board of Electroencephalography and Neurophysiology and the American Board of Clinical Physiology. He also served on the US department of Health AHCPR Clinical Guidelines Committee on Acute Low Back Problems in Adults as well as four other Clinical Guidelines Committees. He presided over The Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders.

Scott Haldeman sits on the editorial boards of six journals, and has published over 200 articles or book chapters, over 70 scientific abstracts, and has authored or edited seven books. He was awarded an honorary Doctor of Humanities degree from the Southern California University of Health Sciences and an honorary Doctor of Science degree from the Western States Chiropractic College. He received the David Selby Award from the North American Spine Society. A resident of Santa Ana, California, he maintains an active clinical practice.

World Spine Care is a global charity on a mission to treat the disease with the greatest economic impact in the developing world: Spinal Disorders. To donate or volunteer to the project, please click below.

 

World Spine Care

 

For a list of Dr. Haldeman’s scientific publications please click here.

Here is a list of the publications we discuss during this interview:

1. The McAndrews Leadership Lecture: February 2015, by Dr Scott Haldeman. Challenges of the Past, Challenges of the Present.
Haldeman S, McAndrews GP, Goertz C, Sportelli L, Hamm AW, Johnson C.
J Chiropr Humanit. 2015 Nov 18;22(1):30-46. doi: 10.1016/j.echu.2015.09.001.
PMID: 26770177 [PubMed] Free PMC Article
Similar articles
2. A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States.
Dagenais S, Brady O, Haldeman S, Manga P.
BMC Health Serv Res. 2015 Oct 19;15:474. doi: 10.1186/s12913-015-1140-5. Review.
PMID: 26482271 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles
3. Commentary: we can tell where it hurts, but can we tell where the pain is coming from or where we should manipulate?
Brady O, Haldeman S.
Chiropr Man Therap. 2013 Oct 21;21(1):35. doi: 10.1186/2045-709X-21-35.
PMID: 24499590 [PubMed] Free PMC Article
Similar articles
4. Advancements in the management of spine disorders.
Haldeman S, Kopansky-Giles D, Hurwitz EL, Hoy D, Mark Erwin W, Dagenais S, Kawchuk G, Strömqvist B, Walsh N.
Best Pract Res Clin Rheumatol. 2012 Apr;26(2):263-80. doi: 10.1016/j.berh.2012.03.006. Review.
PMID: 22794098 [PubMed – indexed for MEDLINE]
Similar articles
5. Is it time to discard the term “diagnosis” when examining a person with uncomplicated axial neck pain?
Haldeman S.
Spine J. 2011 Mar;11(3):177-9. doi: 10.1016/j.spinee.2011.01.032. No abstract available.
PMID: 21377599 [PubMed – indexed for MEDLINE]
Similar articles
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008- Spine Care Research with Dr. Michael Schneider

Dr. Michael Schneider - Chiropractic Science Podcast
Learn about Dr. Michael Schneider’s chiropractic research on this episode of Chiropractic Science.  Dr. Schneider is a 1982 graduate of Palmer College of Chiropractic and obtained a PhD in Rehabilitation Science from the University of Pittsburgh in 2008. Dr. Schneider has published over 40 peer-reviewed articles on various musculoskeletal topics, and has received over $3 million in US research grant funding from the National Institutes of Health (NIH) and Patient Centered Outcomes Research Institute (PCORI). Dr. Schneider is currently implementing a large randomized clinical trial comparing various types of non-surgical treatment options, including chiropractic care, for patients with lumbar spinal stenosis. We will discuss the clinical significance of his past and present chiropractic research efforts.

Topics for this episode include:

  • A paper published in the journal Spine comparing spinal manipulation and usual medical care for acute and subacute low back pain: a randomized clinical trial
  • Evidence and the chiropractic identity
  • An article regarding US chiropractors’ attitudes, skills and use of evidence-based practice: A cross-sectional national survey
  • A paper in Chiropractic and Manual Therapies describing on ongoing study consisting of 180 older adults (>60 years) who have both an anatomic diagnosis of stenosis confirmed by diagnostic imaging, and signs/symptoms consistent with a clinical diagnosis of lumbar spinal stenosis confirmed by clinical examination. Treatment is randomized into 3 groups: 1) usual medical care; 2) individualized manual therapy and rehabilitative exercise; or 3) community-based group exercise.
  • Three consensus documents for the chiropractic profession including: 1) chiropractic care in health promotion, disease prevention, and wellness; 2) chiropractic care of older adults and; 3) chiropractic care for infants, children, and adolescents.
  • An observational intervention study dealing with a hospital-based standardized spine care pathway. The study looked at implementing a multidimensional spine care pathway (SCP) using the National Center for Quality Assurance (NCQA) Back Pain Recognition Program (BPRP) as its foundation. In the study, chiropractors were the main providers.

Here’s the link to the Foundations of Evidence Informed Practice modules that Dr. Schneider mentions in this podcast.  The course is hosted at the the University of Minnesota Center for Spirituality & Healing – Advancing the health and wellbeing of individuals, organizations and communities.

http://www.csh.umn.edu/research/foundations-evidence-informed-practice-modules

 

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007- Advancing Chiropractic Research with Dr. Christine Goertz

Dr. Goertz
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Learn about the largest study of chiropractic to date, chiropractic effectiveness and cost studies and why there is so much heterogeneity in chiropractic research.  My guest on this episode of chiropractic science is Christine Goertz, D.C., Ph.D.  Dr, Goertz is Vice Chancellor of Research and Health Policy at Palmer College of Chiropractic. Dr. Goertz has extensive experience in the administration of both Federal and non-Federal grants, serving as both a PI (Palmer College of Chiropractic and the Samueli Institute) and as a funding official (NCCIH/NIH, Samueli Institute and PCORI).  She is a veteran integrative healthcare researcher, author and speaker.  Dr. Christine Goertz has served as a principal investigator or co-principal investigator for a number of large-scale, federally funded research studies including a $7 million, Department of Defense-funded collaboration with RAND and the Samueli Institute conducting the largest study of chiropractic to date (currently ongoing).  For over 20 years, she has addressed multidisciplinary science and health policy issues at the state and federal levels, serving as a member of the American Medical Association’s Measures Implementation and Evaluation Advisory Committee, Chair of the American Chiropractic Association’s Performance Measurement Task Force, and a program officer of the NIH National Center for Complementary and Alternative Medicine managing a portfolio focused on musculoskeletal disease, pain and health services research. She is a Fellow of the International College of Chiropractors. She received her doctor of chiropractic from Northwestern Health Sciences University and a PhD in Health Services Research Policy and Administration from the University of Minnesota.

20 for 20 Campaign to benefit chiropractic research

With $20, We can #ChangeLives.

We can be part of a small effort that will have a big impact. We can use research to help children with headaches or middle ear infections. We can improve access to chiropractic care nationwide. We can help train the chiropractic researchers of the future.

We’re in! Are You?

1995 – 2015: The Palmer Center for Chiropractic (PCCR) has significantly impacted the science of chiropractic for two decades, and has grown to become the largest and most productive chiropractic research center in the world.

Our goal is to celebrate 20 years of chiropractic research at Palmer by connecting with 20,000 friends who are willing to donate $20 each year toward the following key research efforts at the PCCR:

  • Initiate pilot studies in new areas of research that could lead to federal funding opportunities, such as studies on chiropractic for headaches in adolescents
  • Conduct research on how to improve access to chiropractic care within patient centered medical homes and accountable care organizations
  • Study the cost-effectiveness of chiropractic care in a rigorous manner
  • Provide training grants to help chiropractic students and professionals to become skilled chiropractic researchers
  • Develop studies focusing on chiropractic co-management for conditions for which antibiotics are no longer considered the first line of defense, such as chiropractic/pediatric co-management of otitis media in children, or chiropractic/primary care co-management of chronic bronchitis

Your support enables us to conduct rigorous clinical studies designed to provide evidence that lends validity, reliability, and continuity to the work of chiropractors worldwide.

Are you in?

Give Now!

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006- Brain Adjustments with Dr. Heidi Haavik

HeidiHaavik
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Learn what happens in your brain when a chiropractor adjusts your spine.  Dr Heidi Haavik is a chiropractor and a neurophysiologist who has worked in the area of human neurophysiology for over 15 years. Heidi has a PhD in human neurophysiology from the University of Auckland. Her work has been instrumental in building the base of scientific evidence demonstrating the efficacy of chiropractic care in improving people’s health and wellbeing. As a researcher, she has investigated the effects of chiropractic adjustments of dysfunctional spinal segments (vertebral subluxations) on somatosensory processing, sensorimotor integration and motor cortical output.

Dr Haavik is the Director of Research at the New Zealand College of Chiropractic where she has established the Centre for Chiropractic Research. Dr Haavik is also an Adjunct Professor at the University of Ontario, Institute of Technology in Oshawa, Canada and is a member of the World Federation of Chiropractic’s Research Council. Dr Haavik has received numerous research awards and has published a number of papers in chiropractic and neurophysiology journals. She has presented her work to both chiropractic and neuroscience communities around Australasia, North America and Europe. She is on the Editorial Board of the Journal of Manipulative and Physiological Therapeutics and Journal of Chiropractic Education. She was named Chiropractor of the year in 2007 by both the New Zealand Chiropractic Association and the New Zealand College of Chiropractic Alumni Association.  She is also the author of a textbook – The Reality Check which describes in easy to understand language what happens in the brain when a chiropractor adjusts dysfunctional segments in your spine.

Read about Dr Haavik at her website, and get her book and posters at heidihaavik.com.  Subscribe to Dr Haavik’s research service at haavikresearch.com to get great evidence-informed marketing material for chiropractic practices including among other things, videos for your website that explain how chiropractic works.  Interested in donating toward her research efforts?  Contact her at haavikresearch.com.

HeidiDean2015

Dr. Haavik and Dr. Smith at the Ohio State Chiropractic Association Convention, 2015

reality check

Dr. Haavik’s book: The Reality Check

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005- Human Performance with Dr. Steven Passmore

Passmore Headshot 2012

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Listen to Dr. Dean Smith interview Dr. Passmore regarding the science relating chiropractic to human performance. Dr. Passmore is Assistant Professor in the Faculty of Kinesiology & Recreation Management at the University of Manitoba.  He also holds adjunct appointments in the College of Rehabilitation Sciences at the University of Manitoba, the Research Department at New York Chiropractic College, and the University of Ontario Institute of Technology.  His expertise deals with human perceptual learning and motor control.  Dr. Passmore utilizes his theoretical and applied background in perceptual motor behaviour to explore performance-based outcome measures in an attempt to objectively determine population characteristics, movement outcomes and sustainability of interventions.  Dr. Passmore practiced as a chiropractor in the Buffalo Veterans Affairs Medical Center (2007-09), and is currently in practice in Manitoba. He has held competitive grants from the Canadian Institutes for Health Research (CIHR), the Worker’s Compensation Board of Manitoba (WCB), Research Manitoba (RM), the Manitoba Medical Service Foundation (MMSF), and the Alexander Gibson Fund.

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004- Myofascial and Chiropractic Research with Dr. Srbely

Dr. John SrbelyListen to this great interview with Dr. John Srbely as we talk about his research interests in chiropractic, myofascial pain, myofascial trigger points and central sensitization.  Dr. Srbely is a researcher and Assistant Professor at the University of Guelph in the Department of Human Health and Nutritional Sciences.  He studies the physiologic mechanisms of myofascial trigger points and their role in the clinical expression and treatment of pain and joint/muscle dysfunction in chronic disease. A core theme to his research is the study of central sensitization which is a fundamental neuradaptive process associated with the pathophysiology of pain and disease.

Dr. Srbely’s research expertise and interests lie in the fields of clinical biomechanics and neurophysiology. He has a specific interest in the study of pain and joint function associated with aging and chronic disease such as osteoarthritis, myofascial pain and fibromyalgia. To this extent, he studies the physiologic mechanisms of myofascial trigger points and their role in the clinical expression and treatment of pain and joint/muscle dysfunction in chronic disease. A core theme to his research is the study of central sensitization. Central sensitization is a fundamental neuradaptive process associated with the pathophysiology of pain and disease, however, the impact of central sensitization on the physiologic expression of chronic myofascial pain and human mechanics/pathomechanics in chronic degenerative diseases such as osteoarthritis is poorly understood. Dr. Srbely’s research initiatives aim to develop novel/enhance existing treatment approaches in clinical pain management (diagnosis and treatment) and musculoskeletal biomechanics/pathomechanics associated with chronic diseases and aging.

View Dr. Srbely’s research at researchgate.net.

Here are some of the articles we discuss in this episode:

1.
Knowledge Transfer within the Canadian Chiropractic Community. Part 1: Understanding Evidence-Practice Gaps.

Kawchuk G, Bruno P, Busse JW, Bussières A, Erwin M, Passmore S, Srbely J.
J Can Chiropr Assoc. 2013 Jun;57(2):111-5.

PMID: 23754855 Free PMC article. No abstract available.
2.
Immediate effects of spinal manipulative therapy on regional antinociceptive effects in myofascial tissues in healthy young adults.

Srbely JZ, Vernon H, Lee D, Polgar M.
J Manipulative Physiol Ther. 2013 Jul-Aug;36(6):333-41. doi: 10.1016/j.jmpt.2013.01.005. Epub 2013 Jul 3.

PMID: 23830709 Clinical Trial.
3.
Spinal manipulative therapy and its role in the prevention, treatment and management of chronic pain.

Srbely J.
J Can Chiropr Assoc. 2012 Mar;56(1):5-7.

PMID: 22457535 Free PMC article. No abstract available.
4.
Chiropractic science: a contemporary neurophysiologic paradigm.

Srbely J.
J Can Chiropr Assoc. 2010 Sep;54(3):144-6.

PMID: 20808613 Free PMC article. No abstract available.
5.
Capsaicin-induced central sensitization evokes segmental increases in trigger point sensitivity in humans.

Srbely JZ, Dickey JP, Bent LR, Lee D, Lowerison M.
J Pain. 2010 Jul;11(7):636-43. doi: 10.1016/j.jpain.2009.10.005. Epub 2009 Dec 16.

PMID: 20015704 Clinical Trial.
6.
Knowledge Transfer within the Canadian Chiropractic Community. Part 2: Narrowing the Evidence-Practice Gap.

Kawchuk G, Newton G, Srbely J, Passmore S, Bussières A, Busse JW, Bruno P.
J Can Chiropr Assoc. 2014 Sep;58(3):206-14.

PMID: 25202148 Free PMC article. No abstract available.
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