JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne (J Can Chiropract Assoc)

Publisher: Canadian Chiropractic Association, Canadian Chiropractic Association

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Other titles Journal of the Canadian Chiropractic Association (Online), Journal de l'Association chiropratique canadienne., JCCA
ISSN 0008-3194
OCLC 60628187
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Canadian Chiropractic Association

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Publisher copyright and source must be acknowledged
    • Publisher's version/PDF may be used
    • Publisher last contacted on 01/03/2013
  • Classification
    green

Publications in this journal


  • No preview · Article · Jan 2016 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Background: The burden of fees for chiropractic services rendered often falls on the patient and must be provided out-of-pocket regardless of their socioeconomic status and clinical need. Universal healthcare coverage reduces the financial barrier to healthcare utilization, thereby increasing the opportunity for the financially disadvantaged to have access to care. In 2011 the Canadian Province of Manitoba initiated a pilot program providing access to chiropractic care within the Mount Carmel Clinic (MCC), a non-secular, non-profit, inner city community health centre. Objective: To describe the initial integration of chiropractic services into a publically funded healthcare facility including patient demographics, referral patterns, treatment practices and clinical outcomes. Method: A retrospective database review of chiropractic consultations in 2011 (N=177) was performed. Results: The typical patient referred for chiropractic care was a non-working (86%), 47.3(SD=16.8) year old, who self-identified as Caucasian (52.2%), or Aboriginal (35.8%) and female (68.3%) with a body mass index considered obese at 30.4(SD=7.0). New patient consultations were primarily referrals from other health providers internal to the MCC (71.2%), frequently primary care physicians (76%). Baseline to discharge comparisons of numeric rating scale scores for the cervical, thoracic, lumbar, sacroiliac and extremity regions all exceeded the minimally clinically important difference for reduction in musculoskeletal pain. Improvements occurred over an average of 12.7 (SD=14.3) treatments, and pain reductions were also statistically significant at p<0.05. Conclusion: Chiropractic services are being utilized by patients, and referring providers. Clinical outcomes indicate that services rendered decrease musculoskeletal pain in an inner city population.
    No preview · Article · Jan 2016 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Objective: To describe a case of chronic Little Leaguer's Shoulder in reference to pain presentation, physical capabilities, and recovery time. Clinical features: A 17-year-old, junior baseball pitcher presented with shoulder pain when performing high velocity pitching. Conservative treatment for an assumed soft tissue injury failed to resolve the pain, which was regularly aggravated by pitching, and which subsequently prompted further evaluation, and eventual confirmation of Little Leaguer's Shoulder on subsequent computerized tomography (CT) imaging. Intervention and outcome: Prior to proper diagnosis, conservative treatment had consisted of activity modification, spinal adjusting, laser therapy, shockwave therapy, Active Release Techniques(®), Kinesiotape,(®) and rehabilitation. Later, rehabilitation, consisting of general muscle and core strengthening, continued for a further six months under the supervision of college athletic trainers. The athlete was able to return to normal pitching duties approximately 12 months later. Summary: In this case, a potentially damaging bone injury masquerading as a simple musculo-tendinous injury created a diagnostic challenge. The patient eventually recovered with rest, time, strengthening, and eventual compliance to prescribed activity modification.
    No preview · Article · Jan 2016 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Objectives: To discuss the diagnosis and management of a Salter-Harris type II fracture in a nine-year-old girl who was managed conservatively. Clinical features: A nine-year-old girl fell while playing in bare feet in the grass. She experienced pain when she walked or moved her toe. There was minor swelling and bruising. Intervention and outcome: Plain film radiographs revealed a Salter-Harris type II fracture of the 2(nd) proximal phalanx. Her toe was stabilized and she was referred to an orthopedist. Orthopedic management involved a taping procedure. After three weeks, her fracture healed and she was pain free. Summary: Chiropractors may consider radiography of post-traumatic injury sites even with equivocal examination findings despite histories suggesting seemingly innocuous mechanisms of injury.
    No preview · Article · Jan 2016 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Objective: To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management. Clinical features: A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey. Intervention: The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks. Discussion: This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain. Summary: Research quality concerning the non-surgical management of inguinal disruption remains low. This case adds evidence that PRP, with the addition of manual therapy and exercise may serve as a relatively quick and effective non-surgical management strategy.
    No preview · Article · Jan 2016 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Cancers of the breast, kidney, lungs, prostate and thyroid metastasize to the musculoskeletal system in the majority of patients with malignancy. This report chronicles the case of a 65-year-old female with a known history of breast cancer who presented to a chiropractic clinic. Once metastasis was ruled out as the cause of her complaint, the patient was treated with manual therapies and exercises. As the patient's treatments progressed and her pain improved, she presented with a new complaint of 'pressure' in her head. Advanced imaging revealed metastasis to the brain and subsequently to the spine. The aim of this case is to heighten awareness of the presentation of metastasis to the brain and the spine in a chiropractic patient, and to demonstrate the benefit of chiropractic care in the management of such patients.
    No preview · Article · Oct 2015 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: This study documents the existence and topographic anatomy of a rare case of variant forearm arteries found in the left upper limb of a 68-year-old male cadaver. The arteries of the arm followed typical courses, but both the radial and ulnar arteries in the forearm followed a superficial course. The common interosseous artery and recurrent ulnar arteries branched from the radial, not the ulnar, artery. The radial artery was larger than the ulnar artery and was the major source of blood supply to the forearm. Clinical implications for single superficial forearm arteries are reviewed. A person with both superficial radial and superficial ulnar arteries would be at a substantially increased risk of injury or iatrogenic effects that could compromise blood supply to the hand. This study will enhance clinician's awareness of potential arterial variations, so they can provide adequate assessment, diagnosis and treatment of upper limb lesions.
    No preview · Article · Oct 2015 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne

  • No preview · Article · Oct 2015 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne
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    ABSTRACT: Purpose: The goal of this review is to evaluate the effects of whole body vibration on outcomes in patients with cerebral palsy. The findings in this review may help clinicians make evidence informed decisions on the use of whole body vibration for cerebral palsy. Methods: A systematic search was conducted on April 29, 2014.The following search terms were used to search of several databases: (whole body vibration OR whole-body vibration OR whole body-vibration OR WBV) AND (cerebral palsy). Articles that met the inclusion criteria were assessed using the Scottish intercollegiate guidelines network (SIGN) rating system to assess the methodology and bias of the articles for randomized control trials. Results: The search produced 25 articles, of which 12 duplicates were identified and removed. Another seven articles were not considered since they did not fit the inclusion criteria, leaving a total of five studies for review. Four of the articles analyzed the effects of WBV in children while the other study focused on adults with cerebral palsy. There was one low quality article, four acceptable quality articles and one high quality article when assessed using the SIGN criteria. Conclusions: It appears that whole body vibration has the potential to provide symptomatic relief for patients with cerebral palsy. Whole body vibration may improve spasticity, muscle strength and coordination. There is a lack of research to conclusively determine whether it does alter bone mineral density.
    No preview · Article · Oct 2015 · JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique canadienne