Welcome to the research projects page, your access point for a list of projects taking place in CMCC’s research department.
To conduct clinically oriented and mechanistic studies assessing the development of musculoskeletal injuries and the biological basis of manual therapies. Primary areas of study include cellular and molecular biology, immunology, biomechanics, ergonomics, mechanobiology, morphology, neurophysiology and ultrasonography.
Pain during Setup of Side Posture Lumbar Manipulation.
|Research on treatments for people with low back pain (LBP) has demonstrated that not all back pain is the same and that some people will respond better to particular treatments versus others. Some people with LBP experience more pain during extension of the lumbar spine, which can be categorized as extension-related LBP. People who seek spinal manipulation for treatment of their LBP can experience pain during setup for manipulation. One reason for this may be because the standard setup position for side posture lumbar manipulation can inadvertently extend the lumbar spine. This study looks at pain during the setup of side posture lumbar manipulation, in two lumbopelvic positions.|
Hip, Pelvis, and Thoracic Spine PROM Related to Developmental and Chronological Age: A Cross-Sectional Study of Adolescent Baseball Players
|When attempting to help maximize the athletic potential for youth baseball players, a distinction between how old and how physically developed they are is important. This distinction is important to help coaches and trainers better design workout and practice plans. Therefore, the available range of motion of various joints in these athletes must be determined to better allow safe and effective development.|
The Effect of IA-HVLA Manipulation to the Midfoot of Asymptomatic Adult Sprinters on Performance During a Unilateral Horizontal Drop Jump Test: A Pilot Project
|Recent lab-based findings suggest acute neurophysiological benefits following high-velocity low-amplitude (HVLA) manipulation. Anecdotal claims of enhanced athletic performance following HVLA manipulation by coaches and athletes have yet to be explored. The proposed study investigates the effect of instrument-assisted extremity HVLA manipulation applied to the mid-foot on performance of the unilateral horizontal drop-jump (U-HDJ) test in a population of elite sprinters. The U-HDJ test has been suggested as a low threshold realistic clinical representation of sprinting performance.|
Quantification of the forces retained in the body during thoracic spinal mobilization and manipulation of asymptomatic adults.
|Thoracic spine pain is a common condition frequently treated with forces that are manually applied to the spine as either spinal mobilization (MOB) or manipulation (SMT). Currently, it is not known how much force stays within the body after the application of these techniques. This study will measure how much force stays in the body during MOB and SMT by measuring forces that are applied to, and transmitted through the body. The forces that stay in the body will be determined by calculating the difference between the applied and transmitted forces.|
Creating an animal model of lumbar stenosis - pilot study
|Lumbar stenosis is an uncommon disorder which causes significant disability in older adults. Currently, there is no widely accepted animal model of this disease, and so researchers have difficulty exploring treatments. The project currently being conducted at CMCC seeks to develop a convenient animal model of the disease in order to enable studies of new treatments. Through key-hole surgery a small inflatable balloon is inserted and inflated gently over time to compress the spinal cord and mimic the natural development of spinal stenosis. Animals are then monitored to measure the development of symptoms as compression develops.|
Characterization of the forces applied and quantification of the forces retained in the body during thoracic spinal mobilization and manipulation in older adults: an exploratory study
|Back pain is a common condition across all ages and frequently treated with spinal manipulation (SMT) and spinal mobilization (MOB). Currently, it is not known how much force is applied during those techniques in older adults. Additionally, it is also not known how much force stays within the body after the application of these techniques in older adults. This study will describe the forces applied during thoracic SMT and MOB in older adults, measure how much force stays in the body during these techniques and compare if forces that stay in older adults’ bodies are greater or smaller compared to young adults. The forces that stay in the older adult body will be determined by calculating the difference between the applied force (measured by a load cell) and transmitted forces (measured by a force plate).|
Quantification of the forces retained in the human analogue mannequin (HAM®) during thoracic spinal mobilization and manipulation
|The CMCC Human Analogue Mannequin (HAM®) was developed for training and evaluation of manual therapy skills, including spinal mobilization (MOB) and manipulation (SMT). Currently, it is not known how the characteristics of materials used in HAM® models differ from human bodies. This study will measure how much force stays in the HAM® model during MOB and SMT by measuring forces that are applied to and transmitted through HAM®. The forces that stay in the HAM® model will be determined by calculating the difference between the applied and transmitted forces.|
Discomfort during Setup of Side Posture PSIS (Upper SI) Manipulation: Effects of a modified flexed lumbopelvic position.
|Research on treatments for people with low back pain (LBP) has demonstrated that not all back pain is the same and that some people will respond better to a particular treatment versus others. Some people with LBP experience more pain during extension or flexion of the lumbar spine, which can be categorized as extension-related or flexion-related LBP. People who seek spinal manipulation for treatment of their LBP can experience discomfort during setup for manipulation. One reason for this may be because the standard setup position for side posture lumbar manipulation can inadvertently extend the lumbar spine. This study looks at discomfort during the setup of side posture lumbar manipulation, in two lumbopelvic positions.|
Proinflammatory and Anti-infammatory cytokines expression in Low Back Pain patients and Exploring the Role of miRNAs in Low Back Pain Pathogenesis
|Low back pain (LBP) is one of the most common health problems. Previous studies have shown levels of inflammatory markers to be altered in such patients relative to controls. The aim of this study is to identify which molecules are genetically expressed differentially (i.e. increased or decreased) in patients with low back pain. This will be done by measuring the amount of these molecules in white cells isolated from patients’ blood. This will allow us to understand the reason for developing LBP and help clinicians to provide the best treatment for those patients.|
Effects of a controlled force magnitude spinal manipulative therapy on blood mediators of inflammation and neuroglia injury in asymptomatic population: A pilot study
|Spinal manipulation therapy (SMT) is a type of manual therapy used by chiropractors that includes the application of a mechanical force to the back of the patient. Blood biomarkers have the potential to track injury and inflammation associated with pain. Studies demonstrated that SMT can modulate blood biomarkers of inflammation, providing an objective measure of the effects of SMT on the biologic system. It remains unknown whether SMT force magnitude has implications on blood born biomarkers. The present study aims to determine whether lower and higher SMT force magnitude impact blood biomarkers of inflammation and neuroglia injury in a different way.|
Establishing inter- and intra- observer reliability for intervertebral motion sharing using quantitative fluoroscopy
|Static imaging of the spine at the end ranges of motion is commonly performed for people with low back pain; however, this type of imaging is limited in its relationship to low back pain and is unable to capture dynamic characteristics of movement between the spine’s vertebrae throughout the range of motion. Quantitative fluoroscopy continuously images the spine throughout its range of motion. Quantitative fluoroscopy has been used to examine motion sharing between segmental levels of the lower back, which can distinguish healthy people from those with low back pain. This study will establish reliability for these motion sharing properties.|
Investigation of thoracic spinal manipulative therapy (SMT) force-time profiles and participant outcomes: A pilot study with people presenting neck pain
|Neck pain is a common condition frequently treated with forces that are manually applied to the spine such as spinal manipulation (SMT). Currently, it is not known if the SMT characteristics (force, duration, etc.) is related to patient outcomes. This study will initiate the investigation of the potential influence SMT characteristics might have on pain and stiffness in people with neck pain receiving a mid-back SMT.|
To improve patient centered care for musculoskeletal conditions through studies focusing on clinical assessment and interventions. Primary areas of study include clinical guideline development, systematic reviews, studies of assessment and diagnosis, clinical and cost-effectiveness trials, prognosis, disability, rehabilitation, and health services.
Multimodal non-surgical intervention for individuals with knee osteoarthritis: a retrospective case series protocol
|Knee OA is a highly prevalent condition and a leading cause of global disability. If better management strategies are not developed and implemented, a large burden will be placed on the Canadian health care system. The effectiveness of interventions such as exercise and self-management strategies is well established. However, little is known regarding the effectiveness of manual therapy, alone or in combination with other interventions, for the management of knee OA. The findings of this retrospective case series may be useful in the formulation of further, more robust research studies of multimodal non-surgical interventions for knee OA. It may also provide clinicians with a framework by which to non-surgically manage patients with knee OA in the clinical setting, as the intervention used here was developed based on the best current available evidence.|
Survey to Support Patient Safety and Quality Improvement
|It is estimated that 50% of Canadians have received spinal manipulation therapy (SMT), most commonly for back and neck pain. Despite its popularity, a culture of patient safety is still under development within the chiropractic profession. This study will initiate a series of studies focusing on patient safety and SMT. By assessing CMCC’s clinical personnel’s attitudes and opinions towards patient safety, areas of improvement will be identified and strategies can be developed and implemented.|
Consensus statements on “best practices” for chiropractic care for pregnant and postpartum women with low back and/or pelvic girdle pain
|To date there has been much discussion about the role of chiropractic care in the pregnant and postpartum populations. Unfortunately, there are no specific guidelines to address the "best care" from the available research. As such, the purpose of this project is to develop recommendations on "best practices" related to the care of pregnant and postpartum patients. Practicing chiropractors who volunteer, will be asked to vote on recommendations about care for these 2 populations. Once an agreement of 80% is reached, these recommendations will help to develop a best practices paper.|
Establishing the extent of correlation between biomechanical measures obtained from a single cycle sit-to-stand movement and individual cycles of the 5 cycle sit-to-stand test in people without low back pain
|Rising from a chair, also referred to as sit-to-stand, is a functional task that people perform dozens of times each day and is reportedly difficult for many people with low back pain. Clinical evaluation of sit-to-stand requires a patient to perform 5 consecutive cycles of the movement with the time to complete the task recorded as the outcome. This study will be the first to quantify the biomechanical performance of the 5 cycle sit-to-stand test and the associations of these measures with the same measures obtained from a single cycle of the sit-to-stand movement.|
Intra- and Inter-Rater Reliability of the CMCC Clinic Audit Process Using Praefectus
|The Clinic Management Team (CMT) of the Canadian memorial Chiropractic College (CMCC) uses a file audit instrument, Praefectus, for the purpose of Quality Assurance and providing feedback to clinicians. However, the reliability of Praefectus as an audit instrument has not been determined. It is the purpose of this proposed study to determine the intra- and inter-rater reliability of Praefectus. Praefectus consists of 60 elements (questions) designed to gather data on all aspects of the clinical encounter. Responses to audit elements are currently tagged to two domains: standards of practice, and accreditation standards. The instrument effectively generates immediate data assigning an overall score for the file audit, as well as scores pertaining to the two domains of the audit. Audits are performed twice a year on randomly drawn files, 6 from each of 22 clinic pods per rotation. Three auditors who are trained to use Praefectus to perform audits regularly have been recruited for this study. Of a total of 132 files randomly selected by CMT for audits, 24 will be randomly designated for the study. To determine inter-rater reliability of the instrument each auditor will be assigned 8 different files (convenience samples of 3 “buckets”) to audit at their own pace, in the span of a week. The same set of 8 files will then be passed to an alternate auditor to complete within a week. Thus all 3 auditors will have completed all 24 files by the end of 3 weeks. At the completion of this phase of the study, in order to obtain a measure of intra-rater reliability auditors will be given the same 8 files they audited at the outset of the study to audit again (i.e. after a wash-out period of 3 weeks). Each auditor will have reviewed a total of 24 patient files. All files audited in the study will have been drawn randomly according to a randomization algorithm utilized by the IT department. Appropriate statistical analysis will be used to compare each of 60 elements contained within Praefectus between each of the 3 auditors to obtain a measure of inter-rater reliability. Pre- and post-washout period repeat-audit data (i.e. time 1 vs time 2) generated by each auditor will be used to obtain a statistical measure of intra-rater reliability. All patient file data will be anonymized by IT professionals and submitted for analysis in Excel spreadsheets. To maintain confidentiality of the auditors their names will be coded by the audit administrator and not revealed to investigators involved in data analysis.|
Lessons learned from cases of rib fractures after manual therapy: a case series
|Spinal manipulation therapy (SMT) is effective and commonly used to treat musculoskeletal conditions, including spinal pain. Most adverse events that happen after SMT are mild and temporary, but can affect a patient’s activities. Rib fractures, while uncommon, are one risk related with mid-back and/or low back SMT and are described during the informed consent process. This study will explore cases of rib fractures occurring after SMT or related manual therapy in chiropractic clinics. The study will assist with finding some common features amongst these cases and support the development of strategies for prevention of future cases.|
Investigating force-time profiles of prone thoracic SMT and self-reported patient outcome measures: A feasibility study
|Controlling force and speed during spinal manipulation is taught as a core part of the CMCC technique curriculum and in continuing education courses for field practitioners. The basis for modulation has been based on basic science studies that examined the effects of force-time profiles and their association with neurophysiological responses. However, there has been no large-scale studies to date that examine the relationship between force-time profiles and clinical outcome measures. The goal of this study is to study the feasibility of studying force-time profiles in a clinical setting, to help inform future studies by examining the variance in force-time profiles and clinical outcome measures in a clinical population, and to determine the impact of data collection on patient management.|
Epidemiological evaluation and expectations of patients consulting for a chiropractic evaluation in Toulouse University Hospital in France from September 2019 to March 2020.
|Our study will help clinicians describe and understand patients that are received in a hospital environment for chiropractic care and evaluation. This will be a first step to build further research about chiropractic patient’s clinical profile and management in a French hospital environment. This will also help to strengthen the partnership between the Institut Franco-Européen de Chiropraxie (IFEC) and the University Hospital in Toulouse. This may also help to inform the implementation of chiropractic care in other French hospitals.|
Baseline characteristics of athletes with sport-related concussion seeking multi-modal care: A cross-sectional study
|Sport-related concussions (SRCs) are common in young athletes and are a significant public health concern. Emerging evidence suggests that initiating therapy earlier in the recovery process may be beneficial for these young athletes. An important first step is to describe characteristics of athletes who seek care earlier versus later. We aim to describe the patient characteristics of young athletes with SRC who present to concussion clinics to initiate multimodal care at two different time points during recovery.|
The effect of artificially induced leg length discrepancy on pelvic torsion: A before-after experimental study.
|Minor movement compensations of the pelvis are thought to occur in people with leg length inequality (LLI). This study will explore the possibility of evaluating the effect of artificially induced LLI on pelvic movement. Using a series of heel lifts to create LLI, pelvic compensations will be measured during sit-to-stand movement. This study will be the first to measure the biomechanical changes associated with induced LLI on pelvis mechanics during sit-to-stand functional movement.|
The Adherence to Spinal Imaging Guidelines and the Utilization of Lumbar Spine Diagnostic Imaging at the Canadian Memorial Chiropractic College
|Diagnostic imaging is useful for assessing low back pain (LBP) when a clinician is suspicious of a specific underlying pathology. However, primary healthcare professionals recommending diagnostic imaging when there is no clinical indication can lead to inappropriate use and potentially negative patient outcomes. Our study evaluates the adherence rate of current imaging guidelines, and the utilization rate of diagnostic imaging in patients with a new episode of LBP, presenting to Canadian Memorial Chiropractic College outpatient clinics. Our study is important as it will inform the appropriate use of radiography in chiropractic practice, which impacts the safety of patients and training of students.|
Quantifying the research capacity and productivity of Canadian sports chiropractors: the development of a chiropractic sports-focused research monitoring system
|To our knowledge, this is the first study that will quantify the research capacity and productivity of Canadian sports chiropractors. Upon completion of this study, these methods will be implemented as an ongoing research monitoring system to monitor the Canadian chiropractic sports-focused research environment and its productivity. A research monitoring system is an important component of a research establishment, as it facilitates the oversight of the research infrastructure - the human, physical and technological research resources available - and monitors its output. The information obtained from an ongoing monitoring system will help facilitate strategic planning, prioritize research, guide resource allocation and direct investments within the sports chiropractic field in Canada.|
Conservative management of neurogenic claudication secondary to congenital lumbar spinal stenosis: A case series
|The objective of this case report is to describe the conservative management of two young patients with neurogenic claudication secondary to congenital lumbar spinal stenosis, as well as the importance of patient education, reassurance and goal setting in the management of chronic conditions. Two patients presented to chiropractic offices with MRI-confirmed congenital lumbar spinal stenosis and symptoms of neurogenic claudication. A multimodal approach consisting of soft tissue therapy, spinal mobilization/manipulation, core strengthening, and an emphasis on patient education and reassurance was provided. Both patients reported significant improvements in pain and function, as well as a better understanding of their underlying condition and prognosis. As primary contact providers, chiropractors have an important role in providing patient education and empowering patients to play an active role in their own health care, which may lead to improvements in self-efficacy, symptoms, health status, behaviour change, and health-related quality of life.|
Patient Safety and Mitigation Strategies Investigation for Spinal Manipulation Treatments Phase I: Active Surveillance Reporting System
|Investigators from CMCC and Parker University are working together to increase patient safety within the chiropractic profession. This study will investigate how patients' symptoms change after receiving chiropractic care at one of the CMCC clinics. We will also investigate if the questions used in the questionnaires currently used are good for identifying adverse events. This is an important study that will pave the way to increased safety and quality of care.|
The "Operational Readiness Evidence-based Care Pathway" for chiropractors managing spinal pain in the Canadian Armed Forces: A pilot study to explore recovery and quality of care
|Spinal pain such as low back and neck pain is responsible for a large proportion of pain and disability in the Canadian Armed Forces (CAF). We aim to develop a practice-based research network (PBRN) of chiropractors to deliver an evidence-based care pathway to CAF personnel with spinal pain. This may help to improve patient outcomes, maintain operational readiness of CAF personnel, reduce interprofessional collaboration barriers for chiropractors, and reduce healthcare costs of spinal pain. Successful implementation of a PBRN model could provide guidance for a national PBRN and support further CAF-related research.|
Selecting indicators of the status of the chiropractic profession in Canada: A modified Delphi Study
|The chiropractic profession is more than 120 years old and it is unclear if the state of the profession is better, stable or worse now than it was in the past. Our primary aim is to develop a list of indicators for assessing the status of the chiropractic profession in Canada using a modified Delphi technique to reach national scientific consensus. This study will be a first step toward a more rigorous and consensus-based evaluation of the status of the chiropractic profession in Canada. We believe that a rigorous and credible assessment of the profession is essential to promote evidence-based use of the profession’s resources and sustainable growth. The use of such an evaluation could facilitate decision-making processes toward strategic professional status improvement.|
The relationship between low back pain, pelvic girdle pain and combined pain and activity restrictions, absence from work and psychosocial issues during pregnancy (Ontario)
|Low back pain (LBP) during pregnancy is a common clinical condition that is frequently dismissed by health care providers as trivial and unavoidable. LBP has been shown to affect activities of daily living, lower the quality of life, require more bed rest and perhaps cause absence from work. Often LBP is a general term used to describe pregnancy-related back pain however, in order to fully understand this condition, pregnancy-related back pain should be divided into three types of pain: 1. Pain from the lumbar spine (LBP) which is defined as pain between the costal margins and the top of the iliac crest; 2. Pelvic girdle pain (PGP) defined as pain in the symphysis and/or between the iliac crest and gluteal folds or 3. A combination of the two (Combo pain). Besides better understanding these condition, it is also important to examine how these types of pain interfere with the activities of daily living, including absence from work and psychosocial stress during pregnancy.|
The short-term effects of taping during pregnancy-related low back pain, pelvic girdle pain or combined pain
|The literature shows that up to 90% of pregnant women experience low back pain (LBP), pelvic girdle pain (PGP), or a combination of both pains. This pain can lead to a decreased quality of life affecting activities of daily living. Unfortunately, many allopathic practitioners do not offer treatment recommendations as it is thought that pregnancy-related back pain is normal and self-limiting. Pregnant women have used different treatment approaches to relieve their pain. There has been increasing use of kinesiotape for musculoskeletal injuries; however, there is limited evidence to date to support its effectiveness. This study aims to assess the effectiveness of kinesiotape in the pregnant population.|
Knowledge and attitudes toward concussion among Canadian junior level ice hockey players: an exploratory study
|Knowledge and attitudes toward concussion among Canadian junior level ice hockey players: an exploratory study Concussion is a common injury in ice hockey and is clouded with numerous misconceptions among players. Effective educational interventions need to be developed in order to better address these misconceptions, improve the management of concussion in ice hockey, and potentially reduce the incidence of concussion-related ailments. To date, the knowledge and attitudes regarding concussions among elite hockey players is largely unknown. The purpose of this study is to assess the knowledge about and attitude towards concussions amongst elite junior level male ice hockey players in Canada.|
Beliefs, Practice and Preference on Benign Adverse Response Mitigation
|It is estimated that 50% of Canadians have received spinal manipulation therapy (SMT), most commonly for back and neck pain. Despite its popularity, it is estimated that about 50% of patients who receive SMT will experience some kind of adverse response, mostly benign and transient. Regardless of their severity, adverse responses still interfere with patient’s well-being and quality of life. This study will initiate a series of studies focusing on mitigation strategies for benign adverse responses following SMT. By assessing CMCC’s clinicians and patients’ preferences and practice regarding strategies to mitigate benign adverse response following SMT, further investigations can be conducted using the preferred strategies so that the number of benign adverse responses following SMT can be reduced.|
To enhance the development of curriculum, explore novel methods for content delivery and assessment, improve collaborative learning, and the utilization of innovative technologies, techniques and learning strategies within the context of healthcare education. Primary areas of study include simulation education, interprofessional education, competency based education, elearning, blended learning, clinical education, active learning strategies, professional development, and problem based learning.
Evaluating the baseline abilities of second year chiropractic students to identify cardiac and lung sounds at the Canadian Memorial Chiropractic College using high fidelity manikin simulators: a pilot study.
|182032 da Silva-Oolup|
|Currently, as a component of the Canadian Memorial Chiropractic College (CMCC) clinical diagnosis curriculum, students are taught to perform complete diagnostic assessments of the non-musculoskeletal systems. Students are not formally tested on their ability to accurately perform an assessment and identify normal from abnormal auscultation findings. CMCC has patient simulator manikins that can be used to simulate various health care conditions. Presently, these simulators are rarely used for the education of core diagnostic skills. The aim of this study is to assess the current ability of second year chiropractic students to identify abnormal and normal auscultation findings during cardiac and lung examination.|
Survey of students' perception of the Jurisprudence, Ethics and Business Management course at CMCC.
|There is no 'model curriculum' in chiropractic to use when designing course content for jurisprudence, ethics and business management (JEB) courses. At CMCC, this content was previously provided in three distinct courses at CMCC; however, following a series of working group recommendations a single, new course was designed to teach this content. A number of new innovations were implemented for this course. The inaugural launch of the CP 3305 course was during the 2017-18 academic year. Using a specially-designed survey students will be asked what their perception are with respect to the relevance, applicability, usefulness and their level of interest of the different components and topics of the course. Components of the course include lectures, facilitated small group discussions, online Business Modules, attendance at a Discipline Hearing and an ePortfolio. This information will be used not only to improve future versions of this course but also, when combined with other investigations being conducted contemporaneously by the PI, to design and propose a Model Curriculum for teaching JEB|
Profiling the variability in force time parameters of students performing extremity manipulations.
|The purpose of this work is to gain a better understanding for the use of force sensing technology when 2nd, 3rd and 4th year interns are performing extremity manipulations. Research of this type is a necessary first step in order to establish the ground work for future studies and ultimately incorporating this technology into the curriculum of extremity manipulations at Chiropractic schools around the world. The findings of this research will provide valuable information on the types of adjustments this technology works well with and the feasibility of using a hand-held load cell for teaching and practice purposes.|
Discomfort from manipulative procedures during a chiropractic skills lab
|192037 Wang, Simon|
|Back and neck pain are the leading cause of disability in the world for adults between 25-64 and a treatment for these problems that is both common and recommended by scientific evidence is spinal manipulation. One of the common side effects of spinal manipulation is discomfort, but there is little known about which specific spinal manipulation procedure creates the most discomfort and why. This study will survey young adult students at a chiropractic college to better understand the details around discomfort and spinal manipulation.|
Determining the feasibility of using a hand held load cell as an objective measure of extremity manipulations
|The purpose of this work is to gain a better understanding for the use of force sensing technology when performing extremity manipulations. Research of this type is a necessary first step in order to establish the ground work for future studies and ultimately incorporating this technology into the curriculum of extremity manipulations at Chiropractic schools around the world. The findings of this research will provide valuable information on the types of adjustments this technology works well with and the feasibility of using a hand held load cell for teaching and practice purposes.|
Evaluation of educational resources in the CMCC curriculum: a descriptive study
|Evidence-based chiropractic practice is continuously changing with new, emerging research. As such, there is a need to also implement the most recent evidence into the curriculum at the Canadian Memorial Chiropractic College (CMCC). This study is aimed at describing and evaluating the types of educational resources that were listed in the course syllabi and supplemental reading lists of all courses offered at CMCC during the 2017-2018 academic year.|
Assessing the Change in Knowledge of Pregnancy Related Care in Chiropractors after a 4-hour Educational intervention.
|There is an increased prevalence of low back pain in pregnancy, and prenatal treatment options are limited, as pain medication use while pregnant is not recommended. Alternative forms of therapy, such as chiropractic care, may provide relief. As the evidence is lacking, manual therapists may be unsure of the most effective way to provide pre- and postnatal care. Therefore, the purpose of this study is to determine if there is an increase in knowledge of chiropractic care in pre and postnatal populations following a 4-hour educational intervention.|
Survey of Basic Science Education in Chiropractic Colleges
|Medical schools and other healthcare professional schools are changing the way basic science materials are being delivered in the classroom and laboratory and many studies are documented in the literature. With novel technologies, including the internet, specialized instruments and software, there are now many options that were not previously available. This survey is to determine the current laboratory practices and methods of instructional delivery in the Colleges of Chiropractic and to evaluate how these practices are related to current trends in medical schools and other healthcare professional schools. The conclusions of this survey will help guide the curriculum development at Parker University.|
Concussion Knowledge among North American Chiropractors
|The results from this study will allow us to assess the knowledge of concussions among North American chiropractors, which will identify the gaps in knowledge throughout the profession. Identifying these areas will improve patient care and treatment. The results of this study will also inform the public of North American chiropractors’ knowledge of concussions.|
To produce evidence that further promotes healthy living of patients and the public. Primary areas of study include physical activity, mental health, dietetics and nutrition.
The influence an Exercise is Medicine workshop has on recording exercise minutes per week as a vital sign in CMCC clinics
|Primary health care professionals using exercise as a vital sign can better: introduce new opportunities for physical activity counselling, increase lifestyle related referrals, and influence the decision-making process towards developing a healthier lifestyle. As primary health care providers, chiropractors are well positioned to incorporate exercise as a vital sign in every patient interaction to assess, monitor, and promote healthy lifestyles and to further prevent and manage chronic diseases. Understanding how to improve the uptake of knowledge such as Exercise is Medicine by clinicians and how that drives health information collection by interns may improve strategies that enhance healthcare education.|
The Period Prevalence and Associated Factors for Back Pain among Swedish Junior Elite Tennis Players
|In collaboration with the Karolinska Institutet and Swedish Tennis Association this project has been designed to investigate the period prevalence and associated factors for back pain among junior elite tennis players. Injuries to the low back account for the greatest loss of playing time in adolescent tennis players. The results of this study will help better inform players, coaches and parents about training volumes and loads and may lead to broader research investigations regarding preventive measures.|
Senior Community Activity Program Study
|Group exercise classes improve physical, emotional, and quality of life outcomes in seniors.The Ministry of Seniors Affairs outlined a series of objectives in their plan “Aging with Confidence: Ontario’s Action Plan for Seniors” (Plan). The Plan focuses on initiatives that provide opportunities for seniors to be part of the social fabric of their communities. This includes use of senior group exercise classes to improve the health and wellness of seniors in the community. One such program is Staying Well, Independent and Fit Together or SWIFT. The SWIFT program was developed by CMCC in collaboration with Tri-Congregational Churches Parish Nurse. Preliminary empirical evidence of the SWIFT program suggests it has a positive impact on seniors’ quality of life. Our study will assess if seniors’ participating in SWIFT program have improved physical, mental and social well-being outcomes compared to non-participants.|
The association between low back pain, fatigue, and physical function in community-dwelling Danish citizens over 75 years of age: A cross-sectional study
|The geriatric population is noticeably under-represented in low back pain literature, however back pain is amongst the most important factors affecting physical health status in old age. In addition, fatigue is a common complaint amongst older adults and associated with decreased physical function, disability, and increased mortality rates. Using previously collected data from the Health Ageing Network of Competences dataset in Odense, Denmark; this study aims to examine the associations between low back pain, fatigue, and physical function in a cohort of community-dwelling Danish citizens over the age of 75.|
Determining the prevalence and corresponding risk factors for musculoskeletal pain in healthcare and non-healthcare students
|Musculoskeletal disorders/pain is a prevalent health issue. Studies suggest that people with an early onset of musculoskeletal pain are likely to experience recurrent or chronic pain in future. Therefore, studies have investigated risk factors for musculoskeletal pain in occupations that require high physical demand, including healthcare students (e.g. nursing students). However, no studies have investigated and compared the prevalence of musculoskeletal pain and its corresponding risk factors in healthcare and non-healthcare students over time. Given the globalization of higher education, many college-aged students are studying abroad and differences in cultures, education systems and healthcare resources may affect the prevalence of musculoskeletal disorders among local and overseas university students in different countries. A better understanding of this issue can help develop more effective prevention strategies for university students in different countries.|
Chiropractic Clinicians confidence and exercise prescription practices
|The number of minutes of moderate exercise one engages in each week is an excellent indicator of a person’s health and likely longevity. Primary health care professionals using exercise as a vital sign can better: introduce new opportunities for physical activity counselling, increase lifestyle related referrals, and influence the decision making process towards developing a healthier lifestyle. As primary health care providers, chiropractors are well positioned to incorporate exercise as a vital sign in every patient interaction to assess, monitor, and promote healthy lifestyles and to further prevent and manage chronic diseases.|
To improve the uptake, delivery, and continuity of health care based on research evidence, patient oriented outcomes, and informed decision making. Primary areas of study include knowledge translation, health policy, health economics, health services organization and management, and implementation science.
Development of an evidence-informed self-management toolkit for low back pain adapted for the Tobique First Nation, Canada: a pre-implementation qualitative case study
|First Nations communities are underserved with respect to healthcare services and have poorer health compared to the general population. Low back pain (LBP) is the largest cause of disability worldwide. In partnership with the New Brunswick Chiropractors Association, and the UOIT-CMCC Centre for Disability Prevention and Rehabilitation, the Canadian Chiropractic Guideline Initiative aims to help alleviate the burden of LBP in the Tobique First Nation community by developing a tailored self-management toolkit for LBP. This study may help facilitate community engagement, reduce reliance on pharmacological interventions and emergency care, and empower residents to take greater control over their own health.|
Determining consensus on sports-focused research priorities for Canadian sports chiropractors: a Delphi study.
|To date, a research agenda has not been published for the sports chiropractic field from any country. Research agendas identify knowledge gaps, prioritize future research, ensure that research is clinically relevant, and facilitate strategic planning. Our group has developed a three-phase plan to create a sports-focused research agenda for Canadian sports chiropractors. This Phase III Delphi study will determine consensus on sports-focused research priorities for chiropractors in Canada.|
Evaluation of a patient-centered online care pathway for the management of soft-tissue shoulder injuries among chiropractors and physiotherapists
|Patient-centered care pathways align decision-making with the clinical and non-clinical patient needs, including their preferences, values, lifestyle factors, environmental issues, social determinants of health, and goals for care. This is important for patient satisfaction, personalized healthcare, patient engagement, patient adherence, and quality of health care from the patients’ perspective. Chiropractors and physiotherapists are regulated healthcare providers in Canada whose primary focus is the assessment and management of people with musculoskeletal disorders; this includes soft-tissue shoulder injuries. Therefore, we aim to develop an online, interactive evidence-based care pathway tailored to chiropractors’ and physiotherapists’ scopes of practice for soft-tissue shoulder injuries, and evaluate the acceptability, appropriateness, feasibility, and usability among Canadian chiropractors and physiotherapists.|
The relationship between Taekwondo (TKD) height classification and weight classification.
|This project is intended to investigate the current weight classification system that is being used in Taekwondo in comparison to a proposed height classification. This study will look into the correlation of athlete’s weight and height compared to CDC (Centers for Disease Control and Prevention) height/weight growth charts by age. By changing the classification system to be based on height and weight, the competitors will not be engaging in rapid weight loss prior to competition which will allow athletes to maintain a healthy body weight and focus on physical and skill development that will improve the level of performance and progress the advancement of the sport.|