Dr. Trager and I discuss the study, “Chiropractic Management of Adults with Cervicogenic or Tension-Type Headaches: Development of a Clinical Practice Guideline”. Robert Trager is a chiropractic physician and researcher at Connor Whole Health, University Hospitals, of Cleveland, Ohio. In his clinical role he collaborates with a pain center, working with other specialists to care for those with chronic pain. His research focuses on real-world outcomes related to the integration of chiropractic in large healthcare settings. He is also working towards a Master’s degree in clinical research at Duke University and works at Duke part time as a graduate research assistant.
In this interview Dr. Herzog and I discuss his research including: 1) the biomechanics of spinal manipulation; 2) spinal manipulation and the biomechanics of the vertebral artery; 3) spinal manipulation and gait and; 4) the sarcomere, titin and muscle contraction. Dr. Walter Herzog did his undergraduate training in Physical Education at the Federal Technical Institute in Zurich, Switzerland (1979), completed his doctoral research in Biomechanics at the University of Iowa (USA) in 1985, and completed postdoctoral fellowships in Neuroscience and Biomechanics in Calgary, Canada in 1987.
Currently, he is a Professor of Biomechanics with appointments in Kinesiology, Medicine, Engineering, and Veterinary Medicine, holds the Dr. Benno Nigg Chair in Biomechanics, Mobility and Longevity. He was the Canada Research Chair for Cellular and Molecular Biomechanics from 2001 to 2022 and the Killam Memorial Chair for Inter-Disciplinary Research from 2011 to 2021 at the University of Calgary.
His research interests are in musculoskeletal biomechanics with emphasis on mechanisms of muscle contraction focusing on the role of the structural protein titin, and the biomechanics of joints focusing on mechanisms of onset and progression of osteoarthritis.
Dr. Herzog is the recipient of the Borelli Award from the American Society of Biomechanics, the Career Award from the Canadian Society for Biomechanics, the Dyson Award from the International Society of Biomechanics in Sports, the Muybridge Award from the International Society of Biomechanics, and received the Killam Prize in Engineering from the Canada Council for the Arts for his contributions to biomedical research. He is the past president of the International, American and Canadian Societies for Biomechanics. He was inducted into the Royal Society of Canada in 2013.
Dr. Felipe C. K. Duarte graduated from Feevale University-Brazil in 2008. He has clinical experience as a chiropractor and three other degrees (postgrad dip: Exercise Physiology; MSc: Human Physiology; PhD: Neuroscience). Between 2019 and 2023, he held a research-intensive position at CMCC-Toronto as a postdoctoral fellow and research associate in a rehab research-focused hospital (KITE-Toronto Rehab Institute-UHN, Toronto). Since 2023 Felipe is a senior lecturer at the School of Health, Medical and Applied Sciences, Chiropractic Discipline, Central Queensland University, Australia. He also holds Adjunct professor status at the Canadian Memorial Chiropractic College.
His research interests aim to (1) investigate the neurobiological and neuromechanical mechanisms underlying highly prevalent disabling chronic musculoskeletal conditions, such as chronic spinal pain, neuropathic pain, fibromyalgia, myofascial pain syndrome, and osteoarthritis, which are of great concern to public health systems; (2) Investigate the underlying mechanisms of rehab strategies such as force-based mechanotherapy (e.g., spinal manipulation), focusing on the neurobiological and neuro-immune factors; (3) use these biological determinants to explore their potential for patient stratification in chronic MSK conditions and to spinal manipulation (e.g., responders x non-responders).
Felipe has experience in various methodologies and study designs to address his research interests, which range from molecular biology to neuroimaging and clinical epidemiology. Felipe also possesses direct teaching experience in Biochemistry, Physiology, Neuromusculoskeletal Anatomy, Neuroanatomy, and Clinical Neurological Assessment and Diagnosis at both undergraduate and postgraduate levels.
https://chiropracticscience.com/wp-content/uploads/2024/11/DrDuarte-1.jpg401321Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2024-11-21 23:33:352024-11-21 23:33:38068- Dr. Felipe Duarte – Neurobiology related to chronic musculoskeletal conditions and spinal manipulation
Dr. Caroline Fagundes and I discuss vertebral artery strain, posture and falls in this episode of the chiropractic science podcast. Dr. Fagundes always knew that her professional field would be in healthcare, and when she read about chiropractic, there were no doubts about which profession to choose. She graduated from chiropractic school in 2008 but continued to seek answers, which led her to a graduate degree in kinesiology at the Federal University of Rio Grande do Sul (Brazil). This is where she also had her first contact with the research of Professor Walter Herzog.
In 2017, she was awarded a scholarship for the Master’s Degree in Cultural Diversity and Social Inclusion, in the area of Health and Social Inclusion – Aging. Her research was about the relationship between static posture and falls in elderly. In her PhD, also carried out with a scholarship, she continued to study this relationship and in 2021 she was awarded a scholarship to study abroad. Dr. Fagundes embarked on a trip to Calgary, Canada in September to study the strain caused in the vertebral artery during cervical movements and cSMT with Professor Herzog. She returned to Brazil in February 2022, and then finished her PhD and currently works as a chiropractor and acupuncturist in her own office in the South of Brazil.
Caroline Fagundes, Walter Herzog. Strain of the vertebral artery during passive neck movements and spinal manipulation of the cervical spine: An observational study, Journal of Bodywork and Movement Therapies, Volume 40, 2024, Pages 569-574, ISSN 1360-8592, https://doi.org/10.1016/j.jbmt.2024.05.011. (https://www.sciencedirect.com/science/article/pii/S1360859224002882)
Dr. Daniels and I discuss some of his publications dealing with prior spine surgery, medications for low back pain, suicide prevention, and health promotion. Dr. Clint Daniels is chiropractic section chief at VA Puget Sound Health Care System in Tacoma, Washington where he supervises a team of 9 chiropractors and is a resident director. He serves on the VA chiropractic Field Advisory Committee as the Research Coordinator, is a scientific commission board member for Clinical Compass, and is appointed to the Washington State Health Technology Clinical Committee. He is a 2010 chiropractic graduate from Logan University, where he also received his Master of Science in Sports Science and Rehabilitation. He worked in private practice for 4 years, and then joined VA and was the first graduate of the St. Louis VA chiropractic integrated clinical practice residency program. He has authored and contributed to numerous scientific publications on the topics of chiropractic integration into veteran and military facilities, postsurgical spine pain, suicide prevention, chiropractic best practices, and numerous case reports on a variety clinical presentations.
https://chiropracticscience.com/wp-content/uploads/2023/06/ClintDaniels.jpg439410Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2023-06-15 14:08:472023-06-15 14:17:14065- Dr. Clinton Daniels Discusses Manipulation and Prior Spine Surgery, Medications for Back Pain and More
Dr. Matt Fernandez is a registered chiropractor in Australia and is currently a senior lecturer at Central Queensland University (CQU), where he teaches and supervises students in the Master of Chiropractic program. Prior to his CQU appointment, he was a lecturer at the Department of Chiropractic, Macquarie University. Matt is very passionate about research and following the completion of his PhD at the University of Sydney, he now leads various research projects and supervises research students. He also regularly presents his research at conferences in targeted areas that advances the knowledge and understanding of chiropractic through physical activity, exercise and patient education interventions. Matt is also a member of the inaugural CARL fellows.
In this episode, we discuss physical activity, exercise, practice guidelines, and the chiropractic profession.
Dr. Lindsay Gorrell and I discuss her research regarding spinal manipulation, the vertebral artery and reporting of adverse events. Lindsay Gorrell completed her clinical training in Chiropractic and a Master of Research (The effect of manual and instrument applied cervical spine manipulation on mechanical neck pain) at Macquarie University, Australia. She then completed a PhD (Musculoskeletal Biomechanical and Electromyographical Responses Associated with Spinal Manipulation) under the supervision of Drs Walter Herzog and Jay Triano at The University of Calgary, Canada. She is now working as an International Research Fellow at the Balgrist University Hospital, University of Zurich, Switzerland. Lindsay is also studying a Master of Science in Medical Education at The University of Oxford, England.
Lindsay’s research interests are centered on investigating: i) the delivery of spinal manipulation; ii) the physiological responses and clinical outcomes occurring in response to spinal manipulation; and iii) the safety of the manual therapy. This requires different experimental approaches depending on the research question of interest. Most recently, she has published on the relationship between the amount of strain experienced by the vertebral artery, the 3D movements of the head and neck and the forces applied by clinicians during cervical spine manipulation and physiological responses to cervical and upper thoracic spinal manipulation. Lindsay has maintained part-time clinical practice since graduation.
Dr. Brian Anderson DC, MPH, MS, PhD is an Assistant Professor within the Palmer Center for Chiropractic Research (PCCR) at the Palmer College of Chiropractic, where his research is focused on evaluation of nonpharmacological spine care delivery in the US. His background includes 15 years of clinical experience as a licensed chiropractic physician in a variety of settings, including private practice, a hospital-based integrative medicine center, and a chiropractic academic teaching clinic. He has also been an educator for the past 15 years, teaching courses at the undergraduate, graduate, and post-graduate level. With a passion to better understand and contribute to conservative spine care research, he enrolled in a PhD program in Health Sciences in 2015 with a focus on Health Services Research. His dissertation was titled “A Secondary Analysis Of Insurance Claims Data To Determine The Association Between Provider Type And Treatment Escalation In Musculoskeletal Disorders”, which is a topic he continues to investigate currently. In this interview, we discuss his journey from chiropractor to researcher, and several of his publications.
After graduating with his PhD in 2019, he joined the faculty at the Palmer Center for Chiropractic Research, where he participated in a pilot clinical study as a treating clinician, developed relationships with several research collaborators, and made progress towards developing his own research program.
Dr. Anderson’s research has been presented at many academic conferences, for which he has received several best paper awards. He is currently a co-investigator and primary analyst on a R15 grant titled “Spinal Manipulative Therapy vs Prescription Drug Therapy for Care of Aged Medicare Beneficiaries with Neck Pain”. He was recently awarded a 2-year Loan Repayment Award through the National Center for Complementary & Integrative Health (NCCIH), and also participated in the Fall 2022 cohort of the US Bone & Joint Young Investigators Initiative.
https://chiropracticscience.com/wp-content/uploads/2022/11/DrBrianAnderson.jpg500400Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2022-11-17 16:31:562022-11-17 16:31:57060- Dr. Brian Anderson Discusses Chiropractic, Treatment Escalation, Medical Services
In this interview, Dr. Scali discusses with me the upper cervical spine and myodural bridge (connective tissue between suboccipital muscles and the cervical spinal dura mater). Dr. Frank Scali grew up in Valley Stream, Long Island, New York, and studied Neuroscience at Stony Brook University. In 2009, he received his Doctorate in Chiropractic at Logan University in Chesterfield, Missouri. During his time in medical school, Dr. Frank Scali professionally prosected cadaveric specimens for Gray’s Anatomy and illustrated for multiple journals and textbooks, including the Oxford Handbook of Bariatric Surgery. While attending medical school, he published multiple non-variant anatomical findings in the medical literature and served as an Ad Hoc Reviewer in Journals such as The Spine Journal, The Anatomical Record, Surgical and Radiological Anatomy, and others. In 2018, he graduated with his MD from AUC School of Medicine with fifty-four publications, including textbook contributions and a patent for a medical device.
Dr. Scali is board certified in Chiropractic and Medicine. His current title is Assistant Professor of Medical Education and Anatomy at the California University of Science and Medicine. At CUSM, Dr. Scali serves as the Director of the ATLAS Lab Center, is the Director of the USMLE Board Preparation, and is the Course Director for MSK/Derm, Surgical Anatomy, and the Step 1/2CK Board Prep course. He was inducted into the Sigma Xi Scientific Research & Honor Society in 2020 and serves on the Editorial Board for the Journal of Medicine since 2019. As Assistant Professor of Medical Education, Dr. Scali has achieved dozens of teaching awards in Medical Foundations, MSK/Derm, Neuroscience, Reproductive Medicine, and Medical Board Preparation courses. Because of his innovative teaching style, in 2021, Dr. Scali became the inaugural recipient of the Robert Suskind & Leslie Lewinter-Suskind Pre-Clinical Faculty of the Year award.
Dr. Samuel Howarth is an Associate Professor, Director of Human Performance Research and the McMorland Family Research Chair in Mechanobiology at the Canadian Memorial Chiropractic College. He also holds adjunct positions at Ontario Tech University, University of Toronto, University of Guelph and Memorial University of Newfoundland. Dr. Howarth obtained his PhD in kinesiology from the University of Waterloo in 2011, focusing on biomechanics and more specifically related to the spine. His current research is directed toward biomechanical analysis of human movement focusing on functional tasks used in daily life and clinical practice. A fundamental component of this work, and scientific inquiry in general, is measurement and data handling. Once a topic primarily relevant to researchers, the proliferation of low-cost sensors capable of providing clinicians with a seemingly unimaginable amount data extends the conversation on the acquisition and interpretation of measurements to the clinical environment.
https://chiropracticscience.com/wp-content/uploads/2021/07/DrSamHowarth.jpg451325Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2021-07-06 16:06:412021-07-06 16:06:46056- Issues with Measurement in Science and Clinical Practice – Dr. Samuel Howarth
