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Successful evidence-based chiropractors continually leverage new studies to improve their clinical decision-making. ChiroUp helps by scouring fresh literature to mine out useful best practice data. This month, we’ve summarized more than 30 new studies and have already updated ChiroUp protocols with this information. We are showcasing eleven articles here. Be sure to follow our Facebook page for synopses of all significant new chiropractic-related research.

chiropractic research update


1.A systematic review of 51 trials concluded: “manipulation and mobilization are likely to reduce pain and improve function for patients with chronic low back pain; manipulation appears to produce a larger effect than mobilization.”

Coulter, Ian D. et al. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The Spine Journal , Volume 18 , Issue 5 , 866 – 879


2.JMPT: “The addition of Interferential Current (IFC) does not generate greater clinical effects in an exercise and manual therapy program for individuals with unilateral shoulder impingement syndrome.”<

Gomes, Cid André Fidelis de Paula et al. Effect of Adding Interferential Current in an Exercise and Manual Therapy Program for Patients With Unilateral Shoulder Impingement Syndrome: A Randomized Clinical Trial Journal of Manipulative & Physiological Therapeutics , Volume 41 , Issue 3 , 218 – 226


3.When compared to asymptomatic individuals, patients with non-specific neck pain exhibit increased median nerve mechanosensitivity during the upper limb neurodynamic test (ULNT1). This test is the upper extremity equivalent of the straight leg raise. Review it here:


Yılmaz, Seval et al. Comparison of Median Nerve Mechanosensitivity and Pressure Pain Threshold in Patients With Nonspecific Neck Pain and Asymptomatic Individuals. Journal of Manipulative & Physiological Therapeutics , Volume 41 , Issue 3 , 227 – 233


4.World Neurosurgery Journal: “Studies found that cervical vertigo seems to originate from diseased cervical intervertebral discs. Abnormal neck proprioceptive input integrated from the signals of disproportionate Ruffini corpuscles in diseased cervical discs and muscle spindles in tense neck muscles is transmitted to the CNS and leads to a sensory mismatch with vestibular and other sensory information, resulting in a subjective feeling of vertigo and unsteadiness.”

Peng B. Cervical Vertigo: Historical Reviews and Advances. World Neurosurgery, Volume 109 , 347 – 350


5.Clinical Journal of Pain: Whiplash patients who have a positive expectation to improve tend to recover better and report less pain than those who harbor negative beliefs like fearing movement and re-injury.

Elphinston RA et al. Cross-sectional and Prospective Correlates of Recovery Expectancies in the Rehabilitation of Whiplash Injury. The Clinical Journal of Pain. 34(4):306–312, Apr 2018

6.The European Spine Journal published new guidelines for treating acute LBP and radiculopathy:


  • Employ: Manual therapy, exercise and patient education about prognosis, warning signs, and advice to remain active.
  • Avoid: routine use of imaging, extra-foraminal steroid injection, acetaminophen, NSAIDs, and opioids.

Stochkendahl, M.J., Kjaer, P., Hartvigsen, J. et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J (2018) 27: 60. 


7.A comparative study of patients with lumbar spine stenosis found that acupuncture was significantly more effective than medication.

Oka H, Matsudaira K, Takano Y, et al. A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study). BMC Complementary and Alternative Medicine. 2018;18:19.

8.A Spine Journal study found that greater coronal (forward) orientation of lumbar facet joints directly increases contact forces.

Liu X, Huang Z, Zhou R, Zhu Q, Ji W, Long Y, Wang J. The Effects of Orientation of Lumbar Facet Joints on the Facet Joint Contact Forces: An In Vitro Biomechanical Study. Spine (Phila Pa 1976). 2018 Feb 15;43(4):E216-E220


9.AJSM: “Patients with chronic gluteal tendinopathy >4 months, diagnosed with both clinical and radiological examinations, achieved greater clinical improvement at 12 weeks when treated with a single PRP injection than those treated with a single corticosteroid injection.“

Fitzpatrick J, Bulsara MK, O’Donnell J, McCrory PR, Zheng MH. The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection. Am J Sports Med. 2018 Mar;46(4):933-939.


10.A study of 140 patients found that those with a history of migraine headache demonstrated changes in the performance of functional tasks, suggesting early motor control deterioration

Carvalho GF, Florencio LL, Pinheiro CF, Dach F, Bigal ME, Bevilaqua-Grossi D. Functional Balance Deterioration on Daily Activities in Patients With Migraine: A Controlled Study. Am J Phys Med Rehabil. 2018 Feb;97(2):90-95


11.Rotator cuff surgery patients who undergo concurrent biceps tendon repair demonstrate lower effectiveness and efficiency scores: “concomitant tendon biceps surgery negatively affects functional outcome of patients who underwent rotator cuff repair.”

Gialanella B, Grossetti F, Mazza M, Danna L, Comini L. Functional Recovery After Rotator Cuff Repair: The Role of Biceps Surgery. J Sport Rehabil. 2018 Jan 1;27(1):83-93


Rotator cuff problems affect almost two million people every year. Fortunately, most injuries can be resolved with surgery. Evidence-based management focuses on exercises to restore scapular function. Do you know the BEST exercises? ChiroUp does! And we allow you to deliver that “best practice” advice and exercises almost instantly…with video demonstrations…and outcome tracking…and Google reviews…and the pride of being part of a team that is changing the chiropractic landscape. ChiroUp is simple- you make the diagnosis, and we help with the rest. Start your free trial today!

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