I am excited for the opportunity to discuss chiropractic research with Drs. Peterson and Humphreys in the near future. Cynthia Peterson, RN, DC, DACBR, M.Med.Ed. has worked as a chiropractic radiologist, researcher and educator in 4 countries. She retired from her positions as Professor and researcher, Radiology Department, Orthopaedic University hospital Balgrist and Professor, Chiropractic Medicine Programme, University of Zürich in 2017. She is currently a Visiting Professor for the Chiropractic Department in the Faculty of Health at the University of Johannesburg, South Africa and is the Quality Assurance Consultant for the European Council on Chiropractic Education. Barry Kim Humphreys, BSc, DC, PhD, is Professor Emeritus, Faculty of Medicine, University of Zurich. He retired in July 2017, after 9 years as the first Professor for Chiropractic Medicine in Switzerland. During this time, Professor Humphreys was responsible for the development and accreditations of the chiropractic education program, research portfolio and teaching clinic within the university, medical faculty and teaching hospital. He has been active in research including chiropractic clinical outcome studies for back and neck pain, functional MRI studies of chronic pain patients and back pain in various gravitational environments (parabolic flight). Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.
Podcasts are increasingly being used for health professionals’ education. They are utilized by individual practitioners, teaching institutions, and many major journals are adding podcasts to their offerings. To date, there are no evidence-based guidelines for the development of educational podcasts.
Below are some snippets regarding the evidence base for podcasts from the recent literature.
“This study suggests that podcasts and blog posts are useful for extracurricular knowledge acquisition by undergraduate medical students with no significant difference between the two modalities. The usage conditions for each type of media differ.” https://www.ncbi.nlm.nih.gov/pubmed/29552428
“Participants who completed the assessments demonstrated an effect of learning. The top three activities participants were engaged in while listening to the podcasts were driving (46%), completing chores (26%), and exercising (23%).”
How about speeding up the playback on the podcast to 1.5x? Does it make a difference? “These findings suggest that, unlike previously published studies that showed subjective improvement in performance with sped-up video-recorded lectures compared to normal speed, objective performance may be worse.”
“Podcasts are an effective method for medical residents to learn from pharmacy students and may also improve pharmacy students’ confidence in their abilities.”
“There is limited evidence showing the efficacy of podcasts as teaching tools, or regarding best practices in making podcasts. More rigorous studies evaluating efficacy, changes in behavior, and changes in patient outcomes need to be performed in order to prove podcasts‘ value and to justify production costs.”
Dr. Dean Smith will be hosting a podcast interview with Dr. Steven Passmore this Thursday, September 24th at 2 pm (EST).
Steven Passmore, DC, PhD. Dr. Passmore is Assistant Professor in the Faculty of Kinesiology & Recreation Management at the University of Manitoba. His expertise deals with human perceptual learning and motor control. Dr. Passmore utilizes his theoretical and applied background in perceptual motor behaviour to explore performance-based outcome measures in an attempt to objectively determine population characteristics, movement outcomes and sustainability of interventions. We will discuss Dr. Passmore’s chiropractic and performance related research. To hear the podcast live, go to chirocredit.com/chiropracticscience and login for instructions (Not a member? Create an account for free).
Kevin Haussler, DVM, DC, PhD and I discuss his research regarding chiropractic and horses. In particular we discuss four themes in this interview: 1) How chiropractic techniques can be applied to horses; 2) How do you know you are making a difference (objective outcome measures)?; 3) Effects of mobilization versus manipulation in horses; 4)Controlled clinical trials in horses with acute versus chronic back pain.
Dr. Haussler graduated from The Ohio State University, College of Veterinary Medicine in 1988 and completed a small animal internship in Sacramento, CA. To further his training in the conservative management of spinal-related disorders, he pursued human training at Palmer College of Chiropractic-West and completed a veterinary chiropractic certification program in 1993. He attended the University of California-Davis to attain a PhD focusing on spinal pathology and pelvic biomechanics in Thoroughbred racehorses. Post-doctorate training involved evaluation of in-vivo spinal kinematics in horses at Cornell University. While at Cornell, he directed the newly formed Integrative Medicine Service which provided chiropractic, acupuncture and physical therapy services to both small and large animals. Currently, he is an Associate Professor at the Orthopaedic Research Center at Colorado State University and is involved in teaching, clinical duties, and research into the objective assessment of musculoskeletal pain, spinal dysfunction and the application of physical therapy and rehabilitation. Dr. Haussler is a charter diplomate of the American College of Veterinary Sports Medicine and Rehabilitation and is currently a course instructor for the Equine Rehabilitation Certification course co-branded by the University of Tennessee and Colorado State University.
View Dr. Haussler’s research at researchgate.net
Below are the articles we discuss in this interview.
1. Haussler KK. Review of Manual Therapy Techniques in Equine Practice. Journal of Equine Veterinary Science. 2009;29(12):849-69.
2. Haussler KK, Erb HN. Pressure algometry for the detection of induced back pain in horses: a preliminary study. Equine Vet J. 2006;38(1):76-81.
3. Haussler KK, Hill AE, Puttlitz CM, McIlwraith CW. Effects of vertebral mobilization and manipulation on kinematics of the thoracolumbar region. Am J Vet Res. 2007;68(5):508-16.
4. Haussler KK, Manchon PT, Donnell JR, Frisbie DD. Effects of Low-Level Laser Therapy and Chiropractic Care on Back Pain in Quarter Horses. Journal of Equine Veterinary Science. 2020;86:102891.
5. Sullivan KA, Hill AE, Haussler KK. The effects of chiropractic, massage and phenylbutazone on spinal mechanical nociceptive thresholds in horses without clinical signs. Equine Vet J. 2008;40(1):14-20.
To see other chiropractic research on mobilization and manipulation here.
In this episode, Dr. Jeff Hebert discusses back pain in young people, the link between back pain, health behavior and cardiovascular disease & sport participation as a health intervention. Jeff Hebert, DC, PhD is a Professor and the CCRF/NBHRF Chair of Musculoskeletal Health Research at the University of New Brunswick, as well as an Adjunct Professor at Murdoch University in Australia. Jeff’s career to date includes 18 years of experience in faculty, clinical, and administrative positions in Canada, the United States, and Australia. Most recently, he was the Associate Dean (Research) in Murdoch University’s School of Psychology and Exercise Science. Previous appointments include positions as a Senior Lecturer of Rehabilitation Science (Murdoch University) and Assistant Professor of Neurosurgery (University of Utah). He has earned a Bachelor’s degree in Psychology (University of Denver) as well as a Doctorate in Chiropractic (Palmer College) and PhD in Exercise Science (University of Utah). He serves as an Associate Editor for the journal Chiropractic & Manual Therapies. Before pursuing an academic career, Jeff worked as an outpatient and hospital-based clinician in multidisciplinary environments including as pain medicine, sports medicine, and spine surgery.
View Dr. Hebert’s research publications at researchgate.net.
Here are the articles that we discussed in this episode of the chiropractic science podcast.
|1.||Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK).|
|Hebert JJ, Leboeuf-Yde C, Franz C, Lardon A, Hestbæk L, Manson N, Wedderkopp N.|
|Eur Spine J. 2019 Feb 11. doi: 10.1007/s00586-019-05905-6. [Epub ahead of print]|
|PMID: 30740638 [PubMed – as supplied by publisher]|
|2.||The relationship of lumbar multifidus muscle morphology to previous, current, and future low back pain: a 9-year population-based prospective cohort study.|
|Hebert JJ, Kjaer P, Fritz JM, Walker BF.|
|Spine (Phila Pa 1976). 2014 Aug 1;39(17):1417-25. doi: 10.1097/BRS.0000000000000424.|
|PMID: 24859576 [PubMed – indexed for MEDLINE]|
|3.||Physical activity is prospectively associated with spinal pain in children (CHAMPS Study-DK).|
|Franz C, Møller NC, Korsholm L, Jespersen E, Hebert JJ, Wedderkopp N.|
|Sci Rep. 2017 Sep 14;7(1):11598. doi: 10.1038/s41598-017-11762-4.|
|PMID: 28912463 [PubMed – in process] Free PMC Article|
|4.||The Prospective Association of Organized Sports Participation With Cardiovascular Disease Risk in Children (the CHAMPS Study-DK).|
|Hebert JJ, Klakk H, Møller NC, Grøntved A, Andersen LB, Wedderkopp N.|
|Mayo Clin Proc. 2017 Jan;92(1):57-65. doi: 10.1016/j.mayocp.2016.08.013. Epub 2016 Nov 16.|
|PMID: 27865444 [PubMed – indexed for MEDLINE]|
Dr. Rubinstein and I discuss his latest paper that will appear soon in the British Medical Journal regarding his systematic review of spinal manipulative therapy and chronic low back pain. Sidney Rubinstein is an associate professor at the VU University, Amsterdam and adjunct research professor at Southern California University of Health Sciences (SCUHS). He is also a registered epidemiologist in the Netherlands. He has more than 60 publications in international peer-reviewed journals, including three systematic reviews in the Cochrane Library.
His research focuses on effectiveness and cost-effectiveness of interventions in musculoskeletal disorders. His broader goals are to lessen the burden of neck and low-back pain to society by providing high-quality scientific evidence. The projects that he currently supervises are strongly embedded in clinical practice, including the PTED trial, Warrior Trial, an IPD (individual patient data) meta-analysis on spinal manipulative therapy for chronic low-back pain and a large, international observational study in chiropractic care in the elderly (BACE-C cohort study).
One of his passions lies in systematic reviews and meta-analysis as these types of overviews represent a crucial link in the practice of evidence-based health care. He is actively involved in conducting and supervising these reviews, including a position on the Associate Editorial Board of the Cochrane Back and Neck Review Group. His reviews are quite diverse. One of the more recent Cochrane reviews focused on complications of trocar types for laparoscopic surgery, while another has examined the effectiveness of exercise for acute low back pain. An update of the Cochrane review on the effect of spinal manipulative therapy for chronic low-back has been accepted by the BMJ and should be published soon.
Dr. Rubinstein currently supervises 5 PhD students as well as MSc students, and teaches methodology of systematic reviews and meta-analyses at various levels, including BSc, MSc and PhD students. One chiropractor has received his PhD under Sidney’s supervision, while others are completing theirs.
Here is a link to Dr. Rubinstein’s research at researchgate.net.
Here is a link to Dr. Rubinstein’s page at Vrije Universiteit Amsterdam
The article we discuss in this episode is available now at https://www.bmj.com/content/364/bmj.l689
Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l689 (Published 13 March 2019) Cite this as: BMJ 2019;364:l689
Listen as Dr. Cassidy and I discuss his career in chiropractic, research, and hear his thoughts on a variety of important issues including the powerful role of psychosocial factors on health. Dr. Cassidy is a Professor of Epidemiology and Health Policy at the Dalla Lana School of Public Health at the University of Toronto. He is also an Adjunct Globalization Professor at the Faculty of Health at the University of Southern Denmark. He began his career as a chiropractor (CMCC 1975) and later obtained graduate degrees in Surgery (MSc University of Saskatchewan), Pathology (PhD University of Saskatchewan) and Injury Epidemiology (DrMedSc Karolinska Institute, Sweden). His past appointments include Assistant Professor of Surgery and Rehabilitation Medicine at the University of Saskatchewan (1994-1999), Associate Professor of Public Health and Medicine at the University of Alberta (2000-2003), Senior Scientist at the Toronto Western Hospital Research Institute (2003-2017) and Professor of Sport Science and Clinical Biomechanics at the University of Southern Denmark (2011-2016).
His research focus is injury epidemiology, neurotrauma, musculoskeletal disorders and evidence-based health care and policy. He has published over 300 research papers and chapters in textbooks over his career, including papers in the New England Journal of Medicine, the British Medical Journal, Annals of Internal Medicine, JAMA Psychiatry and the Archives of Physical and Rehabilitation Medicine to name a few. He is particularly interested in the psychosocial determinants of injury recovery and long-term consequences of injury.
View Dr. Cassidy’s research at researchgate.net.
We talked about a lot of research articles, too many to list in the show notes. You can see a listing of Dr. Cassidy’s research at pubmed.com.
In this episode, Dr. Anthony Lisi and I discuss the state of chiropractic practice and research in the US Veterans Health Administration. Dr. Anthony Lisi is the Chiropractic Program Director for the US Veterans Health Administration, overseeing all national programmatic issues related to the integration of chiropractic clinical services, education and research. He is also an Associate Research Scientist at the Yale Center for Medical Informatics, Yale University School of Medicine.
He has authored numerous peer-reviewed publications on topics including low back pain management, spinal manipulation, interprofessional education, and chiropractic services. Dr. Lisi received the American Chiropractic Associations’ 2015 Academician of the Year award, and the 2017 Chiropractor of the Year award.
See Dr. Lisi’s research profile at researchgate.net.
Below are the articles we discuss in this episode:
|1.||Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.|
|Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA.|
|Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114.|
|PMID: 30203014 [PubMed – in process]|
|2.||Trends in the Use and Characteristics of Chiropractic Services in the Department of Veterans Affairs.|
|Lisi AJ, Brandt CA.|
|J Manipulative Physiol Ther. 2016 Jun;39(5):381-6. doi: 10.1016/j.jmpt.2016.04.005.|
|PMID: 27288324 [PubMed – indexed for MEDLINE]|
|3.||Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study.|
|Lisi AJ, Salsbury SA, Twist EJ, Goertz CM.|
|J Altern Complement Med. 2018 Aug;24(8):792-800. doi: 10.1089/acm.2018.0218. Epub 2018 Jul 17.|
|PMID: 30016118 [PubMed – indexed for MEDLINE]|
|4.||Variations in the implementation and characteristics of chiropractic services in VA.|
|Lisi AJ, Khorsan R, Smith MM, Mittman BS.|
|Med Care. 2014 Dec;52(12 Suppl 5):S97-104. doi: 10.1097/MLR.0000000000000235.|
|PMID: 25397831 [PubMed – indexed for MEDLINE]|
|5.||Use of Department of Veterans Affairs administrative data to identify veterans with acute low back pain: a pilot study.|
|Lisi AJ, Burgo-Black AL, Kawecki T, Brandt CA, Goulet JL.|
|Spine (Phila Pa 1976). 2014 Jun 15;39(14):1151-6. doi: 10.1097/BRS.0000000000000350.|
|PMID: 24732845 [PubMed – indexed for MEDLINE]|
Join Dr. John Mayer and I as we discuss his extensive clinical and research experience in therapeutic exercise, wellness, chiropractic and first responders. John M. Mayer, DC, PhD, CCRP, FACSM is the Lincoln Endowed Chair in Biomechanical & Chiropractic Research, Executive Director of the Center for Neuromusculoskeletal Research, and Professor of the School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. He is Director of Research and Innovation for U.S. Spine & Sport Foundation, Chief Scientific Officer of Excellcior LLC, and Co-Founder of Pillar of Health LLC
Dr. Mayer obtained a Doctor of Chiropractic (DC) degree from the National College of Chiropractic (currently known as National University of Health Sciences) and a PhD degree in Exercise Science/Science Education from Syracuse University. He is a licensed Chiropractic Physician in the state of Florida, a Fellow of the American College of Sports Medicine (FACSM), and a Certified Clinical Research Professional (CCRP) from the Society of Clinical Research Associates. He has extensive clinical and research experience in occupational health, wellness, and therapeutic exercise. Dr. Mayer has led teams on numerous clinical trials across the country on various aspects of wellness, clinical management, and prevention funded through federal, state, industry, and foundation sources, including the largest single financial commitment by the US Department of Homeland Security on low back injury prevention in firefighters. He serves on the Scientific Secretariat for the Global Spine Care Initiative and Clinical and the Scientific Advisory Board for World Spine Care. Dr. Mayer received the 2012 Safety Award from Tampa Fire Rescue, 2014 “Researcher of the Year” Award by the American Chiropractic Association, and 2015 “Outstanding Research Achievement Award” by USF.
View Dr. Mayer’s research publications on Research Gate.
Here is a listing of the articles we discussed today:
|1.||Effect of Lumbar Progressive Resistance Exercise on Lumbar Muscular Strength and Core Muscular Endurance in Soldiers.|
|Mayer JM, Childs JD, Neilson BD, Chen H, Koppenhaver SL, Quillen WS.|
|Mil Med. 2016 Nov;181(11):e1615-e1622.|
|PMID: 27849497 [PubMed – indexed for MEDLINE]|
|2.||Impact of a supervised worksite exercise program on back and core muscular endurance in firefighters.|
|Mayer JM, Quillen WS, Verna JL, Chen R, Lunseth P, Dagenais S.|
|Am J Health Promot. 2015 Jan-Feb;29(3):165-72. doi: 10.4278/ajhp.130228-QUAN-89.|
|PMID: 24524384 [PubMed – indexed for MEDLINE]|
|3.||Worksite back and core exercise in firefighters: Effect on development of lumbar multifidus muscle size.|
|Mayer JM, Nuzzo JL.|
|Work. 2015;50(4):621-7. doi: 10.3233/WOR-141831.|
|PMID: 24448017 [PubMed – indexed for MEDLINE]|
|4.||Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises.|
|Mayer J, Mooney V, Dagenais S.|
|Spine J. 2008 Jan-Feb;8(1):96-113. doi: 10.1016/j.spinee.2007.09.008. Review.|
|PMID: 18164458 [PubMed – indexed for MEDLINE]|
Learn about the largest study of chiropractic to date, chiropractic effectiveness and cost studies and why there is so much heterogeneity in chiropractic research. My guest on this episode of chiropractic science is Christine Goertz, D.C., Ph.D. Dr, Goertz is Vice Chancellor of Research and Health Policy at Palmer College of Chiropractic. Dr. Goertz has extensive experience in the administration of both Federal and non-Federal grants, serving as both a PI (Palmer College of Chiropractic and the Samueli Institute) and as a funding official (NCCIH/NIH, Samueli Institute and PCORI). She is a veteran integrative healthcare researcher, author and speaker. Dr. Christine Goertz has served as a principal investigator or co-principal investigator for a number of large-scale, federally funded research studies including a $7 million, Department of Defense-funded collaboration with RAND and the Samueli Institute conducting the largest study of chiropractic to date (currently ongoing). For over 20 years, she has addressed multidisciplinary science and health policy issues at the state and federal levels, serving as a member of the American Medical Association’s Measures Implementation and Evaluation Advisory Committee, Chair of the American Chiropractic Association’s Performance Measurement Task Force, and a program officer of the NIH National Center for Complementary and Alternative Medicine managing a portfolio focused on musculoskeletal disease, pain and health services research. She is a Fellow of the International College of Chiropractors. She received her doctor of chiropractic from Northwestern Health Sciences University and a PhD in Health Services Research Policy and Administration from the University of Minnesota.
20 for 20 Campaign to benefit chiropractic research
With $20, We can #ChangeLives.
We can be part of a small effort that will have a big impact. We can use research to help children with headaches or middle ear infections. We can improve access to chiropractic care nationwide. We can help train the chiropractic researchers of the future.
We’re in! Are You?
1995 – 2015: The Palmer Center for Chiropractic (PCCR) has significantly impacted the science of chiropractic for two decades, and has grown to become the largest and most productive chiropractic research center in the world.
Our goal is to celebrate 20 years of chiropractic research at Palmer by connecting with 20,000 friends who are willing to donate $20 each year toward the following key research efforts at the PCCR:
- Initiate pilot studies in new areas of research that could lead to federal funding opportunities, such as studies on chiropractic for headaches in adolescents
- Conduct research on how to improve access to chiropractic care within patient centered medical homes and accountable care organizations
- Study the cost-effectiveness of chiropractic care in a rigorous manner
- Provide training grants to help chiropractic students and professionals to become skilled chiropractic researchers
- Develop studies focusing on chiropractic co-management for conditions for which antibiotics are no longer considered the first line of defense, such as chiropractic/pediatric co-management of otitis media in children, or chiropractic/primary care co-management of chronic bronchitis
Your support enables us to conduct rigorous clinical studies designed to provide evidence that lends validity, reliability, and continuity to the work of chiropractors worldwide.
Are you in?
Listen to this great interview with Dr. Bernadette Murphy. This is an interview that all chiropractors and students will want to listen to! We talk about many interesting concepts such as the current state of neurophysiology research within chiropractic, neural adaptation in humans and the role of chiropractic adjustments in aiding the re-establishment of appropriate neuromuscular connections, how a chiropractic adjustment works and much more. She is at the forefront of research regarding the neurophysiology of chiropractic. Dr. Murphy graduated from Queens University in 1985 and the Canadian Memorial Chiropractic College in 1989 before moving to New Zealand where she completed her MSc (1992) and PhD (1998) in Human Neurophysiology at the University of Auckland. She was a fulltime faculty member in the Department of Sport and Exercise Science from 1999-2007, where she established an MSc in Exercise Rehabilitation. In January 2008, she returned to Canada and took on the role of Head of Kinesiology in the Faculty of Health Sciences at the University of Ontario Institute of Technology (UOIT). She is the Director of the Human Neurophysiology and Rehabilitation Laboratory. The overall theme of her research is neural adaptation in humans and the role of physical interventions such as spinal manipulation and exercise in aiding the re-establishment of appropriate neuromuscular connections. She has previously been awarded the World Federation of Chiropractic best scientific paper award (1995) and 3rd prize in 2007; the New Zealand Chiropractor of the year (2004) and the 2010 Ontario Chiropractic Association award for most significant contributions to research. She has supervised numerous award winning Masters and PhD students and received significant research funding in New Zealand, Australia and Canada.
Dr. Murphy and Dr. Smith at University of Ontario Institute of Technology
- 050- MRI, Back Pain, Disc Herniations and Modic Changes with Dr. Tue Secher Jensen January 23, 2020
- 049- Veterinary Chiropractic, Horses and Research with Dr. Kevin Haussler January 8, 2020
- 048- Drs. Imran Niazi and Kelly Holt Discuss Chiropractic, Neuroplasticity and Falls August 22, 2019
- 047- Drs. Cindy Peterson and Kim Humphreys Discuss Disc Herniations, Neck Pain, Dizziness and Chronic Low Back Pain August 10, 2019
- 046- Dr. Jeffrey Hebert Discusses Back Pain, Cardiovascular Disease, Sport Participation May 30, 2019
- 045- Dr. Martha Funabashi Discusses the Biomechanics and Safety of Spinal Manipulation May 2, 2019
- 044- Dr. Sidney Rubinstein Discusses Chronic Low Back Pain, Spinal Manipulation and Systematic Reviews February 24, 2019
- 043- Dr. Geoff Outerbridge Discusses World Spine Care and the Global Spine Care Initiative January 22, 2019
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