32-4 Pregnancy and Pediatrics

Letter from the Editor-in-Chief

Welcome...

For this volume of D.C. Tracts, our contributors outline the evidence-informed chiropractic management of pediatric patients. In recent years, factions from within and outside the chiropractic profession have much debated the appropriate management of pediatric patients. However, according to the National Board of Chiropractic Examiners (NBCE), approximately 40% of chiropractors deliver pediatric care. Scientific literature investigating the effects of chiropractic care for pediatric patients include conditions such as colic, otitis media, autism, ADHD and suboptimal breastfeeding. Yet, the systematic research supporting the efficacy of chiropractic care for treating these pediatric conditions is limited, thereby leaving clinicians with equivocal scientific evidence.

Dr. Brian Gleberzon’s Feature Article examines the clinical effectiveness and technique modifications for chiropractors treating pediatric conditions. Audio Lectures by Drs. Crystal Draper, Carol-Ann Weis and Stephanie O’Neill Bhogul highlight the importance of chiropractic care for pregnancy and colic. Dr. Gleberzon continues his Juris-Proofing series by discussing risk management strategies for chiropractors treating pregnant patients. Lastly, Dr. Yasmeen Khan appraises recent select scientific literature examining the efficacy and safety of chiropractic care for pediatric populations.

I trust that as the reader, you will find this issue of D.C. Tracts both informative and interesting, refining your clinical expertise and patient services.

Best Regards,
Bryan M. Bond, DC, MS, PhD
Editor-in-Chief

In This Issue:

  • FEATURE ARTICLE: The Use of Spinal Manipulative Therapy in Pediatrics: Clinical Effectiveness and Modifications to Care
    Brian J. Gleberzon, DC, MHSc
  • AUDIO LECTURES:
    • Evidence-Based Approach to Chiropractic Care for the Pregnant and Postpartum Populations
      Crystal Draper, BAS, DC and Carol-Ann Weis, MSc, DC
    • Chiropractic Management of Colic
      Stephanie O’Neill Bhogul, DC
  • JURIS-PROOFING: Chiropractic Care of the Pregnant Patient
    Brian J. Gleberzon, DC, MHSc
  • ABSTRACTS AND COMMENTARIES:
    Yasmeen A. Khan, DC, MS, MA and Lisa Z. Killinger, DC

  • Manual Therapy for the Pediatric Population: A Systematic Review
  • Spinal Manual Therapy in Infants, Children and Adolescents: A Systematic Review and Meta-Analysis on Treatment Indication, Technique and Outcomes
  • The Safety of Spinal Manipulative Therapy in Children under 10 Years: A Rapid Review
  • CONTINUING EDUCATION QUESTIONNAIRE
  • 32-3 Complementary Therapies

    Letter from the Editor-in-Chief

    Welcome...

    In this volume of D.C. Tracts, we highlight the clinical relevance of “Complimentary Therapies” for chiropractors. According to a 2020 practice analysis survey reported Board of Chiropractic Examiners (NBCE), many chiropractors incorporate as part of clinical care. Complimentary therapies recommended by chiropractors exercise, physiotherapeutic modalities, nutritional supplements, acupuncture/cognitive behavioral counseling, and soft-tissue techniques. For example, approximately 58% of surveyed chiropractors reported advising in-office exercises on a daily basis, while about 76% described use of soft-tissue procedures. Neuromusculoskeletal conditions that chiropractors manage using complimentary therapies neck pain, low back pain, and myofascial pain.

    I have written the feature article examining the role of dry needling pain, particularly chronic pain syndromes. Dr. Chris Kinslow’s audio importance of physical therapy as an adjunct to chiropractic care, while discusses the significance of regenerative medicine including stem cell In his ongoing Juris-Proofing series, Dr. Brian Gleberzon examines considerations of acupuncture for chiropractors. Finally, Dr. Yasmeen Khan reviews behavioral therapy and complimentary therapies for managing low back pain.

    I trust that as the reader, you will find this issue of D.C. Tracts both informative and interesting, refining your clinical expertise and patient services.

    Best Regards,
    Bryan M. Bond, DC, MS, PhD

    In This Issue:

    • FEATURE ARTICLE: What is Trigger Point Dry Needling?
      Bryan M. Bond, DC, MS, PhD
    • AUDIO LECTURES:
      • Regenerative Medicine: Regenerate, Revitalize, Renew
        Mark Sanna, DC, ACRB Level II, FICC
      • Physical Therapy as a Complement to Chiropractic Care
        Christopher Kinslow, DC, DPT, OCS
    • JURIS-PROOFING: Acupuncture: Regulatory Considerations
      Brian J. Gleberzon, DC, MHSc
    • ABSTRACTS AND COMMENTARIES:
      Yasmeen A. Khan, DC, MS

      • Long-Term Results of an Intensive Cognitive Behavioral Pain Management Program for Patients with Chronic Low Back Pain: A Concise Report of an Extended Cohort with a Minimum of Five-Year Follow-Up
      • Effectiveness of a Multidisciplinary Biopsychosocial Intervention for Non-specific Subacute Low Back Pain in a Working Population: A Cluster Randomized Clinical Trial
      • Use of Complementary Health Approaches for Chronic Low-Back Pain: A Pain Research Registry-Based Study
    • CONTINUING EDUCATION QUESTIONNAIRE

    32-2 Imaging of the Spine

    Letter from the Editor-in-Chief

    Welcome...

    According the World Health Organization, spinal pain represents the major cause of absenteeism from the workplace, worldwide. Chiropractors manage spinal pain on a daily basis, with some within the profession recognizing the demand for a healthcare specialty such as a primary spine care physician. An essential tool available to licensed chiropractors to triage spinal pain includes access to imaging, along with the diagnostic interpretation of images to determine appropriateness of care.

    Based upon the disproportionate incidence of spinal pain along with its extraordinary economic burden, our contributors highlight the role and clinical relevance of imaging for the chiropractor managing spinal pain, with an emphasis on contemporary, evidence-informed best practices. Dr. Daniel Haun’s feature article presents a discussion of the clinical significance of spondylolysis and spondylolisthesis as sources of low back pain. In addition, audio lectures presented by Drs. Patrick Battaglia and Tracey Littrell share the impact of chiropractors furthering their understanding of inflammatory spondyloarthropathy and congenital anomalies.

    Dr. Brian Gleberzon continues his Juris-Proofing series with a commentary about the relationship chiropractors have with X-rays, while Dr. Yasmeen Khan outlines the importance of imaging for chiropractors with her contemporary abstract highlights.

    I trust that as the reader, you will find this issue of D.C. Tracts both informative and interesting, and that it will refine your clinical expertise and patient care.
    Best regards,

    Bryan M. Bond, BSc, BS, DC, MS, PhD
    Editor-in-Chief

    In This Issue:

    • FEATURE ARTICLE: Slipping and Sliding: Spondylolysis, Spondylolisthesis and Lumbar Instability
      Daniel W. Haun, DC, DACBR
    • AUDIO LECTURES:
      • Inflammatory Spondyloarthropathy: A Review
        Patrick J. Battaglia, DC, DACBR
      • Congenital Anomalies: Radiographic Findings and Clinical Significances
        Tracey A. Littrell, DC, DACBR, DACO
    • JURIS-PROOFING: Radiography
      Brian J. Gleberzon, DC, MHSc
    • ABSTRACT AND COMMENTARIES:
      Yasmeen A. Khan,DC, MS, MA

      • Degenerative Findings in Lumbar Spine MRI: An Inter-Rater Reliability Study Involving Three Raters
      • Prevalence of MRI Findings in the Cervical Spine in Patients with Persistent Neck Pain Based on Quantification of Narrative MRI Reports
      • X-Ray Vision: The Accuracy and Repeatability of a Technology that Allows Clinicians to See Spinal X-Rays Superimposed on a Person’s Back
    • CONTINUING EDUCATION QUESTIONNAIRE

    32-1 Management of the Athlete

    Letter from the Editor-in-Chief

    Welcome...

    Welcome to the 2020 opening issue of D.C. Tracts, where we focus on the chiropractic management of sports-related injuries. According to practice analysis surveys, about half chiropractors manage sports injuries, with those who treat athletes more likely to use a multi-modal approach (such as spinal manipulation or rehabilitation) and collaborate with other healthcare providers. Dr. Alicia Yochum’s Feature Article has a radiological emphasis and highlights the importance and relevance of diagnostic ultrasound in sports medicine.

    Dr. Yochum describes the specific role of ultrasound for diagnosing musculoskeletal injuries, along with the unique advantages/disadvantages associated with its use. The Audio Lecture by Dr. Brynne Stainsby outlines the role of energy deficiency in sport injuries, relating the clinical presentation, assessment and management of energy deficiency in the context of a pragmatic clinical case report involving a professional dancer. In his Lecture, Dr. Brad Muir highlights the importance of appropriate diagnosis and management of dorsal scapular nerve dysfunction, which is often poorly or misdiagnosed, particularly among overhead athletes.

    Dr. Brian Gleberzon resumes his “Juris-Proofing” series with a commentary on avoiding inappropriate physical contact with patients. He outlines the significance of risk management for chiropractors managing sports-related injuries including the role of patient education, consent and appropriate patient/doctor boundaries.

    Dr. Yasmeen Khan explores the role of chiropractic for performance athletes with her article reviews, including a study on the prevalence of chiropractors treating athletes, a trial examining the effects of chiropractic on autonomic function and athletic performance, and a study on the frequency of concussions among ice hockey players.

    I trust that you will find this issue of D.C. Tracts both informative, interesting and helpful in refining your clinical expertise and patient care.

    Best regards,

    Bryan M. Bond, BSc, BS, DC, MS, PhD
    Editor-in-Chief

    In This Issue:

    • FEATURE ARTICLE: Diagnosis of Muscular Injuries with Diagnostic Ultrasound
      Alicia M. Yochum, RN, DC, DACBR
    • AUDIO LECTURES:
      • Relative Energy Deficiency in Sport
        Brynne Stainsby, BA, DC, FCCS(C)
      • Dorsal Scapular Nerve and Shoulder Function
        Bradley J. Muir, HBSc(Kin), DC, FRCCSS(C)
    • JURIS-PROOFING: Importance of Professional Boundaries while Managing Athletic Injuries
      Brian J. Gleberzon, DC, MHSc
    • ABSTRACTS AND COMMENTARIES:
      Yasmeen A. Khan, DC, MS, MA

      • Prevalence and Profile of Australian Chiropractors Treating Athletes or Sports People: A Cross-Sectional Study
      • Spinal Manipulative Therapy Effects in Autonomic Regulation and Exercise Performance in Recreational Healthy Athletes: A Randomized Controlled Trial
      • Lifetime Prevalence of Concussion among Canadian Ice Hockey Players Aged 10 to 25 Years Old, 2014 to 2017
    • CONTINUING EDUCATION QUESTIONNAIRE