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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]|
Is sitting killing you? What kind of posture should you have seated or standing? How much time should you sit versus stand at work? How much spine flexion is too much? Can chiropractic manipulation help with seated postures? These are some of the many questions that are addressed in this interview. Dr. Diana De Carvalho is an Assistant Professor at Memorial University of Newfoundland in the Discipline of Medicine, Faculty of Medicine. She holds the Canadian Chiropractic Research Foundation Professorship in Spine Biomechanics and is cross-appointed to the School of Human Kinetics and Recreation.
After completing a BSc in Human Kinetics at the University of Guelph (2002), she attended the Canadian Memorial Chiropractic College graduating with the class of 2006. Concurrent to part-time clinical practice, Dr. De Carvalho completed a Certificate in University Teaching along with her MSc (2008) and PhD (2015) in Kinesiology at the University of Waterloo. She has extensive experience with industry-partnered research involving both automotive and ergonomic office seating.
Directly related to decreased productivity, decreased quality of life and high health care costs, low back pain might be the first of many negative health outcomes experienced by sedentary workers. Dr. De Carvalho’s research program focuses on spine mechanics, especially in response to sustained flexion, in order to better define and direct early diagnosis, prevention and intervention strategies for low back pain.
In addition to numerous peer-reviewed conference presentations both at the national and international level, Dr. De Carvalho has published articles in such journals as JMPT, Applied Ergonomics and Human Factors and she is an editorial board member of the Journal of the Canadian Chiropractic Association.
Here is a link to Dr. De Carvalho’s webpage at Memorial University.
You can find Dr. De Carvalho’s publications here.
Below are the articles we discussed in the podcast:
In this interview, Dr. Ammendolia and I discuss his work regarding chiropractic care and lumbar spinal stenosis including his recent randomized controlled trial in this area of study. Carlo Ammendolia, DC, PhD is the Director of the Spine Clinic and the Spinal Stenosis Program at the Rebecca MacDonald Centre for Arthritis and Autoimmune Diseases at Mount Sinai Hospital. He received his MSc degree in Clinical Epidemiology and Health Care Research his PhD in Clinical Evaluative Sciences from the University of Toronto. Dr. Ammendolia is an Assistant Professor in the Institute of Health Policy, Management and Evaluation, the Department of Surgery and the Institute of Medical Sciences at the University of Toronto. In 2012, Dr. Ammendolia was recipient of the Professorship in Spine Award from the Department of Surgery in the Faculty of Medicine. In 2015 he was award the Chiropractor of the Year Award from the Ontario Chiropractic Association and in 2016 the Researcher of the Year Award from the Canadian Chiropractic Association. Dr. Ammendolia has been in clinical practice for over 30 years and now combines clinical practice and research in the area of non-operative treatment of mechanical, degenerative and inflammatory spinal disorders with a special interest in degenerative lumbar spinal stenosis.
Visit Dr. Carlo Ammendolia’s research profile here.
Visit Dr. Carlo Ammendolia’s website spinemobility.com where you can learn about this Not-for-Profit Research and Resource Centre aimed at developing and testing innovative programs and devices with the goal of maximizing function, improving quality of life and reducing the risk of disability caused by spine and spine related conditions. A key component of what they do is to provide clinicians with the tools, knowledge, skills and self-confidence to implement in their clinics our evidence-based programs.
Below are the articles we discussed in this podcast interview. A link the the abstract from the randomized controlled trial is found here.
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.
Dr. Haavik and Dr. Smith at the Ohio State Chiropractic Association Convention, 2015
Dr. Haavik’s book: The Reality Check
- 057- Low Back Pain, The Brain and Movement with Dr. Michael Meier September 23, 2021
- 056- Issues with Measurement in Science and Clinical Practice – Dr. Samuel Howarth July 6, 2021
- 055- Dr. Michael Freeman Discusses Whiplash, Motor Vehicle Collisions and Forensic Medicine April 6, 2021
- 054- Drs. Chris Malaya and Josh Haworth Discuss Motor Control, Posture and Chiropractic March 9, 2021
- 053- Dr. Joyce Miller and Evidence Based Chiropractic Care for Infants October 29, 2020
- 052- Dr. Ken Weber Discusses Advanced MRI Techniques, Pain & Manual Therapy July 9, 2020
- 051- Dr. William Reed Discusses Mechanisms of Spinal Manual Therapy June 23, 2020
- 050- MRI, Back Pain, Disc Herniations and Modic Changes with Dr. Tue Secher Jensen January 23, 2020
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