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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] | |
| Similar articles |
| 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 | |
| Similar articles |
| 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 | |
| Similar articles |
| 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 | |
| Similar articles |
| 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] | |
| Similar articles |
| 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 | |
| Similar articles |
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] | |
| Similar articles |
| 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] | |
| Similar articles |
| 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 | |
| Similar articles |
| 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] | |
| Similar articles |
| 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 | |
| Similar articles |
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 | |
| Similar articles |
| 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] | |
| Similar articles |
| 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 | |
| Similar articles |
| 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 | |
| Similar articles |
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 | |
| Similar articles |
| 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 | |
| Similar articles |
| 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 | |
| Similar articles |
| 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 | |
| Similar articles |
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 | |
| Similar articles |
| 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 | |
| Similar articles |
| 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] | |
| Similar articles |
| 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] | |
| Similar articles |
| 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] | |
| Similar articles |
William Weeks MD, PhD, MBA and I discuss topics such as: how doctors of chiropractic supply health care services, how patients use such services, and how best to integrate chiropractic with other health care providers; health care delivery science; value in spine care and; opioid overuse in back pain. Dr. Weeks is Professor of Psychiatry and of Community and Family Medicine at The Geisel School of Medicine at Dartmouth. There, he works at The Dartmouth Institute for Health Policy and Clinical Practice as a Senior Research Scientist, where he teaches in Masters programs and conducts research on health economics, healthcare value, the complementary and alternative medicine market, and geographic variation in health services utilization in France. Dr. Weeks has published over 150 peer-reviewed manuscripts examining economic and business aspects of health care services utilization and delivery, physicians’ return on educational investment, health care delivery science, and healthcare value. He received his MD from the University of Texas Medical Branch at Galveston, his MBA from Columbia University, and his PhD in Economics from the Aix-Marseille School of Economics and Management. Dr. Weeks has been honored with the 2009 National Rural Health Association Outstanding Researcher Award and the 2016 Jerome F McAndrews award for excellence in research from the National Chiropractic Mutual Insurance Corporation Group. During 2016, Dr. Weeks holds the Fulbright-Toqueville Distinguished Chair at Aix-Marseille University.
Areas of Expertise:
Healthcare delivery science; healthcare value; health economics; physician incomes; the complementary and alternative medicine market
Awards:
2015-16 Fulbright-Tocqueville Distinguished Chair 2015-2016 at Aix-Marseille University
2009 Researcher of the Year, National Rural Health Association
Professional Achievements:
Consulting
•Provided strategic consultative services, partnering opportunities, to a variety of healthcare organizations
•Reviewed operations and provided strategic advice to Maine Medical Center, Dupont/Nemours Children’s Hospital, and Christiana Care around enhancing value, leveraging research efforts, and moving toward becoming an Accountable Care Organization
•Conducted analytics and provided strategic advice to Community Health Network of Washington around performance variation, identification of best practices, and the development of a comprehensive plan to improve quality and reduce costs.
•Provided consulting services and policy updates to Amerinet, a group purchasing organization around accountable care and organization of healthcare services.
•Provided on-site and distance quality improvement and research education followed by ongoing coaching teams at Eastern Maine Medical Center and Central Maine Medical Center.
Professor and Senior Research Scientist
•Wrote research proposals, obtained grant funding, conducted original research, and published findings
•For The High Value Healthcare Collaborative, a CMMI ($26.1 million) and member funded (approximately $2.5 million per year) effort to examine and leverage variation in care quantity, understand and reduce healthcare costs, and enhance value of care delivered across 15 US healthcare systems, with considerable work focused on bundled payments.
•On the performance of physician practices and medical groups in the United States, funded by Commonwealth Fund and Kaiser Foundation ($536,254)
•Examining the association between public reporting of quality of care on care quality in Wisconsin, funded by Commonwealth Fund ($295,889)
•On chiropractic and alternative medicine care markets in the US, funded by NIH, Bernard Osher Foundation, and National Chiropractic Medicine Insurance Corporation ($1,170,451).
•In an effort to examine and select patient safety indicators for emerging and developing countries, funded by WHO ($35,000)
•Between 1992 – 2008 obtained over $10 million in grant funding as PI or Co-PI while working within the VA system.
Core Faculty and Course Director
•Designed, developed, directed, and taught masters level courses
•Leveraging Data to Inform Decision Making, Dartmouth’s Master in Healthcare Delivery Science program. Provides methods for examining, understanding, and using data from a variety of sources to inform managerial decision-making. 50 students per year.
•Critical Issues in Health and Health Care, Geisel School of Medicine’s MS and MPH programs. Required survey course designed to provide a foundation in and overview of current healthcare issues. 60-70 students per year.
•Strategic and Financial Management of Health Care Organizations, Geisel School of Medicine’s MS and MPH programs. Provided an overview of managerial and financial accounting practices and strategic frameworks in order to prepare students for managerial roles in healthcare environments. 50-60 students per year. Required course for MPH.
•Financial Management for Non-Financial Managers, TDI’s Office for Professional Education and Outreach. Online course providing basic financial and managerial accounting practices in healthcare settings.
http://tdi.dartmouth.edu/faculty/william-weeks-md-mba
Discover more of Dr. Hartvigsen’s publications on researchgate.
Links to articles mentioned in the podcast:
| 1. | Multistakeholder recommendations for improving value of spine care: Key themes from a roundtable discussion at the 2015 NASS Annual Meeting. |
| Weeks WB, Ventura J, Justice B, Hsu E, Milstein A. | |
| Spine J. 2016 Jul;16(7):801-4. doi: 10.1016/j.spinee.2016.02.031. No abstract available. | |
| PMID: 27045250 [PubMed – in process] | |
| Similar articles |
| 2. | Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare Beneficiaries. |
| Weeks WB, Goertz CM. | |
| J Manipulative Physiol Ther. 2016 May;39(4):263-6. doi: 10.1016/j.jmpt.2016.02.016. | |
| PMID: 27034107 [PubMed – in process] Free Article | |
| Similar articles |
| 3. | Characteristics of US Adults Who Have Positive and Negative Perceptions of Doctors of Chiropractic and Chiropractic Care. |
| Weeks WB, Goertz CM, Meeker WC, Marchiori DM. | |
| J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):150-7. doi: 10.1016/j.jmpt.2016.02.001. | |
| PMID: 26948180 [PubMed – in process] Free Article | |
| Similar articles |
| 4. | The Association Between Use of Chiropractic Care and Costs of Care Among Older Medicare Patients With Chronic Low Back Pain and Multiple Comorbidities. |
| Weeks WB, Leininger B, Whedon JM, Lurie JD, Tosteson TD, Swenson R, O’Malley AJ, Goertz CM. | |
| J Manipulative Physiol Ther. 2016 Feb;39(2):63-75.e1-2. doi: 10.1016/j.jmpt.2016.01.006. | |
| PMID: 26907615 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
Dr. Hartvigsen and I discuss some important issues facing the profession including: 1) What is Evidence Based Practice?; 2) How do we build chiropractic’s academic capacity (and what are the barriers)?; 3) The Chiropractic Profession in the Mainstream; 4) How can we get the research out to chiropractors and the public?; 5) Musculoskeletal health in the context of general health; 6) The current situation in Australia (pediatric chiropractic).
Professor Hartvigsen is Full Professor and Head of Research at the Department of Sports Science and Clinical Biomechanics at the Faculty of Health, University of Southern Denmark (SDU). He is also leading the Graduate Program for Physical Activity and Musculoskeletal Health and is co-founder of the Center for Muscle and Joint Health. He has published 136 scientific publications (67 in the past five years) including 26 systematic reviews, 13 editorials and commentaries and 10 book chapters and commissioned reports. His h-index is 26 and his work has received 1806 citations in the past five years. He has published as lead and senior author in leading general and musculoskeletal specialty journals such as BMJ, Spine, Pain, Osteoarthritis and Cartilage and Archives of Physical Medicine and Rehabilitation.
Invited Keynote Presentations:
Jan Hartvigsen has given 104 keynotes or invited presentations at meetings and multidisciplinary conferences in the fields of chiropractic, physiotherapy, back pain, and orthopaedics. Noticeably he has been invited to speak at the Forum for Research on Back Pain in Primary Care, World Congress on Low Back and Pelvic Pain (2x), World federation of Chiropractic Biennial Conference (4x), Forum on Manual Medicine, and The Nordic Congress on Musculoskeletal Physiotherapy and Musculoskeletal Medicine.
Research:
Jan Hartvigsen has received research support from numerous sources including from The Danish Regions 2001-2015, European Chiropractors Union 2012, Ontario Neurotrauma Foundation 2012, IMK General Foundation 2006-2015, Danish League Against Rheumatism 2011, Danish Agency for Science, Technology, and Innovation 2008, Danish Enterprise and Construction Authority 2008, Danish Board of Health 2005, Health Ressources and Service Administration (USA) 2009-2012. In total he has received over 50 million DKK in research support as lead or co-applicant since 2005.
Jan Hartvigsen has supervised 70+ MSc students during thesis work. He has completed supervision of 13 PhD students and is currently supervising 6 PhD students.
Prof Hartvigsen has peer reviewed 200+ manuscripts for 38 scientific journals including BMJ, Annals of Internal Medicine, Pain, Brain, and Annals of Rheumatic Diseases. He has reviewed submissions for 17 international conferences since 2007. He has reviewed grant applications from 13 agencies since 2005 including Canadian Institutes for Health Research, National Institutes for Health Research (UK), Arthritis Research UK, The BUPA Foundation (UK), WorkSafe BC (Canada), and The Wellcome Trust (UK). He has been examiner on 13 PhD theses in Denmark, Norway, Sweden, UK, Canada, Holland and Australia. Jan Hartvigsen has evaluated candidates for scientific positions at University of Sydney (AU), MacQuarie University (AU), Curtin University (AU), Keele University (UK), University of Toronto (Canada), University of Alberta (Canada), and all major Danish universities.
Teaching:
He has extensive teaching experience in the areas of research methodology, biostatistics, clinical examination and treatment of spine problems, and epidemiology. He has been responsible for establishing and coordinating courses in all of these areas.
Discover more of Dr. Hartvigsen’s publications on researchgate.
Links to Articles mentioned in the podcast:
| 1. | Beyond the spine: a new clinical research priority. |
| Donovan J, Cassidy JD, Cancelliere C, Poulsen E, Stochkendahl MJ, Kilsgaard J, Blanchette MA, Hartvigsen J. | |
| J Can Chiropr Assoc. 2015 Mar;59(1):6-12. | |
| PMID: 25729080 [PubMed] Free PMC Article | |
| Similar articles |
| 2. | Is it all about a pain in the back? |
| Hartvigsen J, Natvig B, Ferreira M. | |
| Best Pract Res Clin Rheumatol. 2013 Oct;27(5):613-23. doi: 10.1016/j.berh.2013.09.008. Review. | |
| PMID: 24315143 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 3. | Musculoskeletal disorders and work disability. |
| Hartvigsen J. | |
| Pain. 2013 Oct;154(10):1904-5. doi: 10.1016/j.pain.2013.06.036. Review. No abstract available. | |
| PMID: 23810853 [PubMed – indexed for MEDLINE] | |
| Similar articles |
Dr. 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 | |
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| 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] | |
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| 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 | |
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| 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] | |
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| 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] | |
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| 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 | |
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In 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] | |
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| 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] | |
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| 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 | |
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