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Listen as Dr. Pierre Côté and I discuss his involvement in hugely impactful research on stroke, lumbar disc herniations and neck pain. He provides chiropractors with key information that helps de-mystify these topics. Pierre Côté DC, PhD is an epidemiologist. In 2013, he was awarded the prestigious Canada Research Chair in Disability Prevention and Rehabilitation from the Canadian Government. He is currently an Associate Professor in the Faculty of Health Sciences at the University of Ontario Institute of Technology, director of the UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation and an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto. Dr. Côté graduated from the Canadian Memorial Chiropractic College in 1989. In 1996, he obtained a Master’s Degree in Surgery from the University of Saskatchewan. He completed his PhD in epidemiology at the University of Toronto in 2002. In 2003, he received a New Investigator Award from the Canadian Institutes of Health Research.
Dr. Côté was a member of the scientific secretariat of the 2000-2010 Bone and Joint Task Force on Neck Pain and its Associated Disorders; a large international collaboration aimed at synthesizing the scientific evidence on the problem of neck pain. In 2010, he reviewed and proposed modifications to the definition of catastrophic impairment related to traffic collision for the Financial Services Commission of Ontario. More recently in 2012, he was mandated by the Government of Ontario to develop evidence- based Clinical Practice Guidelines for the management of traffic injuries. He submitted his report on the management of Common Traffic injuries to the Ontario Government in 2015. Dr. Côté’s research focuses on understanding the etiology, prognosis and evidence-based management of musculoskeletal pain and disability and mental health. Dr. Côté has published more than 200 scientific papers in prestigious peer-reviewed journals such as the New England Journal of Medicine, the Annals of Internal Medicine, Pain and the American Journal of Epidemiology. His 2017 Google Scholar h-index is 56 and it is 48 according to Scopus.
You can find a listing of Dr. Côté’s research at researchgate.
Below are the articles we discuss in this interview:
|1.||Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study.|
|Hincapié CA, Tomlinson GA, Côté P, Rampersaud YR, Jadad AR, Cassidy JD.|
|Eur Spine J. 2017 Oct 16. doi: 10.1007/s00586-017-5325-y. [Epub ahead of print]|
|PMID: 29038870 [PubMed – as supplied by publisher]|
|2.||Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.|
|Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ.|
|Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83. doi: 10.1097/BRS.0b013e3181644600. Erratum in: Spine (Phila Pa 1976). 2010 Mar 1;35(5):595.|
|PMID: 18204390 [PubMed – indexed for MEDLINE]|
|3.||Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.|
|Côté P, Wong JJ, Sutton D, Shearer HM, Mior S, Randhawa K, Ameis A, Carroll LJ, Nordin M, Yu H, Lindsay GM, Southerst D, Varatharajan S, Jacobs C, Stupar M, Taylor-Vaisey A, van der Velde G, Gross DP, Brison RJ, Paulden M, Ammendolia C, David Cassidy J, Loisel P, Marshall S, Bohay RN, Stapleton J, Lacerte M, Krahn M, Salhany R.|
|Eur Spine J. 2016 Jul;25(7):2000-22. doi: 10.1007/s00586-016-4467-7. Epub 2016 Mar 16. Review.|
|PMID: 26984876 [PubMed – in process]|
|4.||The annual incidence and course of neck pain in the general population: a population-based cohort study.|
|Côté P, Cassidy JD, Carroll LJ, Kristman V.|
|Pain. 2004 Dec;112(3):267-73.|
|PMID: 15561381 [PubMed – indexed for MEDLINE]|
In this interview, Dr. Axén and I discuss the trajectories of low back pain, the characteristics of chiropractic patients with low back pain and practice based research. Iben Axén is a chiropractor in private practice in Stockholm, Sweden, who started to engage in practice-based research in the 1990’s. In 2011, she earned her PhD at Karolinska Institutet (KI) in Stockholm. She previously held a post-doc position shared between KI and the University of Southern Denmark. Currently she is an Associate professor in Musculoskeletal Health at the Karolinska Institutet. Her research centers on chiropractic care for low back pain (LBP). She has published work regarding predictors of treatment outcome, the clinical course and episodes of LBP and of subgrouping patients. Further, she is involved in the Nordic Maintenance Care Program, including the use of, indications for and outcomes of prevention. Iben Axen’s work is mainly based ondata from multicentre longitudinal studies. She is a firm believer in engaging chiropractic clinicians in data collection as part of the implementation process. In several studies, she has used a novel way of frequently measuring outcome using mobile phones and text messages, which allow for detailed studies of conditions that vary over time, for instance LBP.
View Dr. Axen’s research here.
Below are the articles discussed in this episode:
|1.||“Typical” chiropractic patients- can they be described in terms of recovery patterns?|
|Axén I, Leboeuf-Yde C.|
|Chiropr Man Therap. 2017 Aug 9;25:23. doi: 10.1186/s12998-017-0152-0. eCollection 2017.|
|PMID: 28804617 [PubMed] Free PMC Article|
|2.||What have we learned from ten years of trajectory research in low back pain?|
|Kongsted A, Kent P, Axen I, Downie AS, Dunn KM.|
|BMC Musculoskelet Disord. 2016 May 21;17:220. doi: 10.1186/s12891-016-1071-2.|
|PMID: 27209166 [PubMed – in process] Free PMC Article|
|3.||Trajectories of low back pain.|
|Axén I, Leboeuf-Yde C.|
|Best Pract Res Clin Rheumatol. 2013 Oct;27(5):601-12. doi: 10.1016/j.berh.2013.10.004. Epub 2013 Oct 10. Review.|
|PMID: 24315142 [PubMed – indexed for MEDLINE]|
|4.||Conducting practice-based projects among chiropractors: a manual.|
|Axén I, Leboeuf-Yde C.|
|Chiropr Man Therap. 2013 Feb 1;21(1):8. doi: 10.1186/2045-709X-21-8.|
|PMID: 23369259 [PubMed] Free PMC Article|
|5.||The Nordic maintenance care program: the clinical use of identified indications for preventive care.|
|Axén I, Bodin L.|
|Chiropr Man Therap. 2013 Mar 6;21(1):10. doi: 10.1186/2045-709X-21-10.|
|PMID: 23497707 [PubMed] Free PMC Article|
Dr. Eklund and I discuss topics such as: the effect and cost-effectiveness of Chiropractic Maintenance Care (MC) in a population with recurrent and persistent LBP, the demarcation of a LBP episode, psychological and behavioral characteristics of chiropractic patients compared to the other primary care patients, and predictive properties of the West-Haven Yale Multidimensional Pain Inventory (MPI-S) among patients with recurrent and persistent LBP receiving chiropractic care.
Andreas Eklund, DC, PhD graduated from the Anglo European College of Chiropractic 2002 and was in full time Chiropractic practice up until 2012 when he was enrolled in a PhD program at Karolinska Institutet.
In 2015 he was a co-founder of a multidisciplinary rehab unit, which today employs 23 persons working as an integrated team of health professionals, Chiropractors, Physiotherapists, Occupational therapists, Dietitians, and massage therapists.
He earned his PhD degree in 2016, and the title of his thesis was “Recurrent and persistent low back pain – course and prevention”. He currently works as a post Doc at Karolinska Institutet along with his clinical duties. At the moment he also serves as the chair of the scientific committee of the Swedish Chiropractic Association.
See Dr. Eklund’s profile at researchgate.
Below are the articles we discussed in this interview:
|1.||Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care.|
|Eklund A, Jensen I, Lohela-Karlsson M, Leboeuf-Yde C, Axén I.|
|Chiropr Man Therap. 2016 Feb 18;24:3. doi: 10.1186/s12998-016-0085-z. eCollection 2016.|
|PMID: 26893824 [PubMed] Free PMC Article|
|2.||Do psychological and behavioral factors classified by the West Haven-Yale Multidimensional Pain Inventory (Swedish version) predict the early clinical course of low back pain in patients receiving chiropractic care?|
|Eklund A, Bergström G, Bodin L, Axén I.|
|BMC Musculoskelet Disord. 2016 Feb 12;17:75. doi: 10.1186/s12891-016-0933-y.|
|PMID: 26867930 [PubMed – indexed for MEDLINE] Free PMC Article|
|3.||Psychological and behavioral differences between low back pain populations: a comparative analysis of chiropractic, primary and secondary care patients.|
|Eklund A, Bergström G, Bodin L, Axén I.|
|BMC Musculoskelet Disord. 2015 Oct 19;16:306. doi: 10.1186/s12891-015-0753-5.|
|PMID: 26483193 [PubMed – indexed for MEDLINE] Free PMC Article|
|4.||Prevention of low back pain: effect, cost-effectiveness, and cost-utility of maintenance care – study protocol for a randomized clinical trial.|
|Eklund A, Axén I, Kongsted A, Lohela-Karlsson M, Leboeuf-Yde C, Jensen I.|
|Trials. 2014 Apr 2;15:102. doi: 10.1186/1745-6215-15-102.|
|PMID: 24690201 [PubMed – indexed for MEDLINE] Free PMC Article|
I am really excited that in this interview, we’ll discuss topics such as: spine care as a framework for the chiropractic identity (as well as primary spine care), psychologic factors in spinal pain, lumbar spinal stenosis and, the Clinical Reasoning in Spine Pain (CRISP) protocols.
Dr. Donald Murphy is Medical Director of the Spine Care Program for Care New England, a large multi-hospital system in Rhode Island where he oversees the development and implementation of an integrated spine care pathway. He is also Clinical Assistant Professor in the Department of Family Medicine at Alpert Medical School of Brown University. His other faculty appointments include Professor, Part-Time University Faculty at Southern California University of Health Sciences and Adjunct Associate Professor of Research at New York Chiropractic College. Dr. Murphy has been admitted as a Fellow of the Royal College of Chiropractors in the United Kingdom. Dr. Murphy has served on the Expert Panel for several spine care guidelines, including those of the American College of Environmental and Occupational Medicine, American College of Physicians and American Pain Society.
Dr. Murphy has 29 years’ experience practicing and teaching primary spine care and has nearly 100 publications in peer-reviewed scientific journals and book chapters. He is the lead instructor for the certification course for Primary Spine Practitioners offered by the University of Pittsburgh. His recent books, Clinical Reasoning in Spine Pain, Volume I and II serve as the required texts for that course. His consulting activities include assisting hospitals, healthcare systems and insurers implement high-value spine care services through Spine Care Partners, LLC.
Here are Dr. Murphy’s textbooks that were discussed in the interview. Click on the books to examine and purchase.
See Dr. Murphy’s scientific articles on researchgate.
Articles that we discuss in this interview are below:
Dr. Cynthia Long and I discuss the importance of statistics in chiropractic science. We talk about the role of statistics in research, when to involve a biostatistician into the research process, and the top statistical terms (such as power, effect size, significance, confidence intervals and many more). Dr. Long is Professor and Director of Research at Palmer College of Chiropractic, Davenport, IA, and Director of the Office of Data Management & Biostatistics (ODM) at the Palmer Center of Chiropractic Research (PCCR). She holds an M.S. degree in statistics from Iowa State University and a Ph.D. in biostatistics from the University of Iowa. Dr. Long joined the faculty of the PCCR at its inception in 1995 and contributed to developing PCCR’s research infrastructure, in particular creating the ODM to support the research design, data management and data analysis needs of PCCR research investigators. Since 2000, she has directed the ODM staff as data coordinating centers for 15 on-site, off-site and multi-site federally-funded clinical trials of chiropractic care. Dr. Long is the principal investigator of “Expanding Evidence-Based Clinical Practice and Research Across the Palmer College of Chiropractic”, a grant awarded by the National Center of Complementary and Integrative Health of the National Institutes of Health. She is also the director of Palmer’s MS in Clinical Research where she teaches 10 credit hours of biostatistics. She is on the editorial boards of JMPT and JCCA and has just completed a 3-year term as an elected member of the American Statistical Association board of directors.
Take a look at Dr. Long’s publications at researchgate.
Here is a link to Dr. Long’s webpage at Palmer Center for Chiropractic Research.
Dr. Long mentioned the following paper in the show “Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache“.
Dr. Martin Descarreaux and I discuss his research regarding learning to perform chiropractic adjustments, neuromuscular responses following spinal manipulation and several other studies. Dr. Descarreaux graduated from the UQTR’s first cohort of the chiropractic program in 1998, and completed a PhD in kinesiology at the Université Laval 6 years later. He is now a full professor in the Human Kinetics Department (UQTR), and an invited professor and researcher at the Institut Franco-Européen de Chiropraxie, in Paris and Toulouse. His current research projects involve the characterization of the neurophysiological and biomechanical effects of spinal manipulation, the various effects of pain and pain-related psychological components on trunk neuromuscular strategies, as well as spinal manipulation learning, as can attest the numerous articles he has published on these topics. Over the years, he has developed several strategies to better integrate motor learning principles, which have been shared with students, professors and those responsible for clinical training within chiropractic teaching institutions not only in Canada, but also in Europe. His work in this specific area has contributed to the characterization of the adjustment learning sequence, and showed the importance of augmented feedback in the technical training of future chiropractors. He is currently the Director of graduate studies in human kinetics and director of the Groupe de recherche sur les affections neuromusculosquelettiques at UQTR.
Take a look at Dr. Descarreaux’s publications at researchgate.
Here are the links to the articles we discussed in this interview:
|1.||Effects of practice variability on spinal manipulation learning.|
|Marchand AA, Mendoza L, Dugas C, Descarreaux M, Pagé I.|
|J Chiropr Educ. 2017 Jan 25. doi: 10.7899/JCE-16-8. [Epub ahead of print]|
|PMID: 28121458 [PubMed – as supplied by publisher]|
|2.||Influence of Lumbar Muscle Fatigue on Trunk Adaptations during Sudden External Perturbations.|
|Abboud J, Nougarou F, Lardon A, Dugas C, Descarreaux M.|
|Front Hum Neurosci. 2016 Nov 14;10:576.|
|PMID: 27895569 [PubMed – in process] Free PMC Article|
|3.||Physiological and Psychological Predictors of Short-Term Disability in Workers with a History of Low Back Pain: A Longitudinal Study.|
|Dubois JD, Cantin V, Piché M, Descarreaux M.|
|PLoS One. 2016 Oct 26;11(10):e0165478. doi: 10.1371/journal.pone.0165478.|
|PMID: 27783666 [PubMed – in process] Free PMC Article|
|4.||Neuromechanical response to spinal manipulation therapy: effects of a constant rate of force application.|
|Nougarou F, Pagé I, Loranger M, Dugas C, Descarreaux M.|
|BMC Complement Altern Med. 2016 Jun 2;16:161. doi: 10.1186/s12906-016-1153-6.|
|PMID: 27249939 [PubMed – indexed for MEDLINE] Free PMC Article|
|5.||Systematic Augmented Feedback and Dependency in Spinal Manipulation Learning: a Randomized Comparative Study.|
|Lardon A, Cheron C, Pagé I, Dugas C, Descarreaux M.|
|J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):185-91. doi: 10.1016/j.jmpt.2016.02.002.|
|PMID: 27016338 [PubMed – in process]|
|6.||Effects of a prehabilitation program on patients’ recovery following spinal stenosis surgery: study protocol for a randomized controlled trial.|
|Marchand AA, Suitner M, O’Shaughnessy J, Châtillon CÉ, Cantin V, Descarreaux M.|
|Trials. 2015 Oct 27;16:483. doi: 10.1186/s13063-015-1009-2.|
|PMID: 26507388 [PubMed – indexed for MEDLINE] Free PMC Article|
Dr. Michele Maiers and I discuss the patient perspective in chiropractic clinical trials, integrative care and leveraging research to inform health care policy.
“We’re drowning in information and starving for knowledge.” ~Rutherford Rogers
This axiom aptly characterizes how many see research as it relates to health care delivery. Dr. Maiers’ professional goal is to facilitate the pragmatic use of research to both inform clinical practice and shape public health policy. Her research has focused on clinical trials that answer practical questions, including, are patient outcomes improved with co-management by different provider types? Is short term treatment or long term management a better approach for chronic musculoskeletal conditions? What aspects of care matter most to patients? It is essential that the information gained in these and other studies is translated into knowledge that improves patient care, policy guidelines, access and reimbursement. Dr. Maiers is excited about her work because she believes in the capacity for integrative and complementary professions to be a positive force to improving the landscape of health care. When not at work, she enjoys traveling, reading, running and baking pies.
See Dr. Maiers publications on researchgate.
Here are the links to the articles we discussed in this interview:
|1.||What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial.|
|Maiers M, Hondras MA, Salsbury SA, Bronfort G, Evans R.|
|Man Ther. 2016 Dec;26:183-191. doi: 10.1016/j.math.2016.09.008.|
|PMID: 27705840 [PubMed – in process]|
|2.||Adverse events among seniors receiving spinal manipulation and exercise in a randomized clinical trial.|
|Maiers M, Evans R, Hartvigsen J, Schulz C, Bronfort G.|
|Man Ther. 2015 Apr;20(2):335-41. doi: 10.1016/j.math.2014.10.003.|
|PMID: 25454683 [PubMed – indexed for MEDLINE]|
|3.||Perceived value of spinal manipulative therapy and exercise among seniors with chronic neck pain: a mixed methods study.|
|Maiers M, Vihstadt C, Hanson L, Evans R.|
|J Rehabil Med. 2014 Nov;46(10):1022-8. doi: 10.2340/16501977-1876.|
|PMID: 25258045 [PubMed – indexed for MEDLINE] Free Article|
|4.||Spinal manipulative therapy and exercise for seniors with chronic neck pain.|
|Maiers M, Bronfort G, Evans R, Hartvigsen J, Svendsen K, Bracha Y, Schulz C, Schulz K, Grimm R.|
|Spine J. 2014 Sep 1;14(9):1879-89. doi: 10.1016/j.spinee.2013.10.035.|
|PMID: 24225010 [PubMed – indexed for MEDLINE]|
|5.||Integrative care for the management of low back pain: use of a clinical care pathway.|
|Maiers MJ, Westrom KK, Legendre CG, Bronfort G.|
|BMC Health Serv Res. 2010 Oct 29;10:298. doi: 10.1186/1472-6963-10-298.|
|PMID: 21034483 [PubMed – indexed for MEDLINE] Free PMC Article|
Dr. Alan Breen and I discuss spine dynamics and spine control along with quantitative fluoroscopy in chiropractic research and practice. Dr. Alan Breen graduated from the Canadian Memorial Chiropractic College in 1967, then travelled in North America, Australia and Europe before starting a part time teaching post at the Anglo-European College of Chiropractic (AECC) in Bournemouth UK in 1971, he established a practice in Salisbury in 1974, which continues. In 1986 Dr. Breen became Director of Research at AECC and focussed on musculoskeletal research and epidemiology, encouraging staff to undertake doctoral studies. In 1999 he became director of a new musculoskeletal research institute – the Institute for Musculoskeletal Research and Clinical Implementation, where he continues to work. Dr. Breen is also Professor of Musculoskeletal Research in the Faculty of Science and Technology at Bournemouth University.
Dr. Breen published the first epidemiology paper by a chiropractor in a medical journal in 1977 then built a collaboration that resulted in a trial by the Medical Research Council in the UK. This was published in 1991 and had a positive outcome for chiropractors. His PhD project, which was completed in 1991, involved the invention of Quantitative Fluoroscopy, a technology that measures inter-vertebral motion in living subjects and which has now entered clinical use. He is a former member of the World Federation of Chiropractic’s Research Council.
Here is the link to Dr. Alan Breen’s website at the Institute for Musculoskeletal Research and Clinical Implementation.
To view Dr. Breen’s research publications please visit researchgate.
Here are the links to the articles we discussed in this interview:
|1.||Relationships between Paraspinal Muscle Activity and Lumbar Inter-Vertebral Range of Motion.|
|du Rose A, Breen A.|
|Healthcare (Basel). 2016 Jan 5;4(1). pii: E4. doi: 10.3390/healthcare4010004.|
|PMID: 27417592 [PubMed] Free PMC Article|
|2.||Proportional lumbar spine inter-vertebral motion patterns: a comparison of patients with chronic, non-specific low back pain and healthy controls.|
|Mellor FE, Thomas PW, Thompson P, Breen AC.|
|Eur Spine J. 2014 Oct;23(10):2059-67. doi: 10.1007/s00586-014-3273-3.|
|PMID: 24676852 [PubMed – indexed for MEDLINE]|
|3.||Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study.|
|Branney J, Breen AC.|
|Chiropr Man Therap. 2014 Jul 1;22:24. doi: 10.1186/s12998-014-0024-9.|
|PMID: 25035795 [PubMed] Free PMC Article|
|4.||Measurement of intervertebral motion using quantitative fluoroscopy: report of an international forum and proposal for use in the assessment of degenerative disc disease in the lumbar spine.|
|Breen AC, Teyhen DS, Mellor FE, Breen AC, Wong KW, Deitz A.|
|Adv Orthop. 2012;2012:802350. doi: 10.1155/2012/802350.|
|PMID: 22666606 [PubMed] Free PMC Article|
Dr. Mitch Haas and I discuss the dose-response relationship between chiropractic and health outcomes as well as chiropractors in public health. Dr. Haas has been an integral member of the research division at the University of Western States (UWS) since joining the faculty in 1987. He is now the associate vice president of research at UWS. Dr. Haas also serves as an adjunct associate professor in the neurology department at Oregon Health & Science University (OHSU). Dr. Haas has been either principal investigator or co-investigator on more than 30 extramurally funded grants bringing more than $7 million in research funding to UWS. In 1994, he was a co-investigator on the first federal research grant ever awarded to a chiropractic college.
Dr. Haas has since become the principal investigator (PI) for a number of large federal grants awarded by the U.S. Department of Health and Human Services (U.S.D.H.H.S.) Health and Resources Services Administration and the National Center for Complementary and Alternative Medicine at the National Institutes of Health. These collaborative projects with OHSU and other institutions were designed to evaluate pain and disability outcomes and cost-effectiveness of chiropractic and medical treatment for low back pain, a chronic pain self-management program in the elderly, the relationship of the number of chiropractic treatments with health outcomes for low back pain and headaches and care of low back pain in adolescents.
Dr. Haas has been active in state and national public health associations. He was the founding chair of the Chiropractic Healthcare Section of the American Public Health Association (APHA) and has since served as chair of the APHA Intersection Council, a governing councilor, member of the APHA Executive Board and chair of the APHA Bylaws Committee. He was also the 2007 president of the Oregon Public Health Association (OPHA).
Check out Dr. Mitch Haas’s publications on researchgate.
Here are the articles we discuss in this podcast episode:
|1.||Dose-response of spinal manipulation for cervicogenic headache: study protocol for a randomized controlled trial.|
|Hanson L, Haas M, Bronfort G, Vavrek D, Schulz C, Leininger B, Evans R, Takaki L, Neradilek M.|
|Chiropr Man Therap. 2016 Jun 8;24:23. doi: 10.1186/s12998-016-0105-z.|
|PMID: 27280016 [PubMed] Free PMC Article|
|2.||Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial.|
|Haas M, Vavrek D, Peterson D, Polissar N, Neradilek MB.|
|Spine J. 2014 Jul 1;14(7):1106-16. doi: 10.1016/j.spinee.2013.07.468.|
|PMID: 24139233 [PubMed – indexed for MEDLINE] Free PMC Article|
|3.||Cost analysis related to dose-response of spinal manipulative therapy for chronic low back pain: outcomes from a randomized controlled trial.|
|Vavrek DA, Sharma R, Haas M.|
|J Manipulative Physiol Ther. 2014 Jun;37(5):300-11. doi: 10.1016/j.jmpt.2014.03.002.|
|PMID: 24928639 [PubMed – indexed for MEDLINE] Free PMC Article|
|4.||A path analysis of the effects of the doctor-patient encounter and expectancy in an open-label randomized trial of spinal manipulation for the care of low back pain.|
|Haas M, Vavrek D, Neradilek MB, Polissar N.|
|BMC Complement Altern Med. 2014 Jan 13;14:16. doi: 10.1186/1472-6882-14-16.|
|PMID: 24410959 [PubMed – indexed for MEDLINE] Free PMC Article|
James DeVocht, DC, PhD and I discuss research regarding the effect of chiropractic care on special operations forces reaction and response times, the biomechanical aspects of chiropractic care on patients, the cervical flexion-relaxation phenomenon and chiropractic treatment of temporomandibular disorders.
Dr. James DeVocht is an associate professor in the Palmer Center for Chiropractic Research at Palmer College of Chiropractic. He has a BS in physics (Brigham Young University, 1972), a DC (Palmer College of Chiropractic, 1983), a MS in mechanical engineering, with emphasis in biomedical engineering (Michigan Technological University, 1992), and a PhD in biomedical engineering (University of Iowa, 1996). He was in private practice in New Mexico (1984-1985). He has spent 11 years on active duty as an officer in the US Army, including 2 years as a research physicist. For the last 19 years he has been a research scientist at Palmer and is going to retire this year.
He has been a peer reviewer for several journals including Clinical Biomechanics, Journal of Electromyography and Kinesiology, and Journal of Manipulative and Physiological Therapeutics (JMPT). He has also been an examiner of the PhD thesis of a research student at Macquarie University, Australia. His research interests include the use of electromyography (EMG) to quantify the effect of chiropractic treatment, descriptive studies of chiropractic adjustments, and chiropractic treatment of temporomandibular disorders.
Here is a link to Dr. DeVocht’s publications on researchgate.
Articles Discussed in the Podcast:
|1.||Novel Electromyographic Protocols Using Axial Rotation and Cervical Flexion-Relaxation for the Assessment of Subjects With Neck Pain: A Feasibility Study.|
|DeVocht JW, Gudavalli K, Gudavalli MR, Xia T.|
|J Chiropr Med. 2016 Jun;15(2):102-11. doi: 10.1016/j.jcm.2016.04.013.|
|PMID: 27330512 [PubMed] Free PMC Article|
|2.||A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder.|
|DeVocht JW, Goertz CM, Hondras MA, Long CR, Schaeffer W, Thomann L, Spector M, Stanford CM.|
|J Am Dent Assoc. 2013;144(10):1154-63.|
|PMID: 24080932 [PubMed – indexed for MEDLINE] Free PMC Article|
|3.||Chiropractic treatment of temporomandibular disorders using the activator adjusting instrument and protocol.|
|DeVocht JW, Schaeffer W, Lawrence DJ.|
|Altern Ther Health Med. 2005 Nov-Dec;11(6):70-3.|
|PMID: 16320863 [PubMed – indexed for MEDLINE]|
|4.||Spinal manipulation alters electromyographic activity of paraspinal muscles: a descriptive study.|
|DeVocht JW, Pickar JG, Wilder DG.|
|J Manipulative Physiol Ther. 2005 Sep;28(7):465-71.|
|PMID: 16182019 [PubMed – indexed for MEDLINE]|
|5.||Experimental validation of a finite element model of the temporomandibular joint.|
|Devocht JW, Goel VK, Zeitler DL, Lew D.|
|J Oral Maxillofac Surg. 2001 Jul;59(7):775-8.|
|PMID: 11429739 [PubMed – indexed for MEDLINE]|
- 065- Dr. Clinton Daniels Discusses Manipulation and Prior Spine Surgery, Medications for Back Pain and More June 15, 2023
- 064- Dr. Matt Fernandez Discusses Physical Activity, Exercise and Chiropractic May 11, 2023
- 063- Dr. Robert Trager Discusses Spinal Manipulation, Lumbar Discectomy and Case Reports January 9, 2023
- 062- Dr. Lindsay Gorrell Discusses Spinal Manipulation, the Vertebral Artery, Reporting of Adverse Events January 3, 2023
- 061- Questioning the Relationship Between Chiropractic and ED Visits December 13, 2022
- 060- Dr. Brian Anderson Discusses Chiropractic, Treatment Escalation, Medical Services November 17, 2022
- 059- Dr. Frank Scali – Upper Cervical Spine and Myodural Bridge July 5, 2022
- 058- Dr. Carlos Gevers – Mechanisms of Spinal Manipulation, Pain, TNF-Alpha June 23, 2022
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