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Plantar Fasciitis: Prevention


Medline, CINHAL and MANTIS searches relating to prevention of plantar fasciitis (PF) returned only a handful of references. Plantar fasciitis is a common condition which is responsible for 1% of all visits to orthopedic surgeons and accounts for 15% of adult foot pain complaints. It is known for its recalcitrant nature and lengthy recovery time.
Parker College of Chiropractic Research Institute | 3/9/2011
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Traditional Versus a Modified Problem-based Learning Activity: Is There a Difference in Student Knowledge Retention?

Martha A. Kaeser, MA, DC

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Jeffrey Kamper, DC

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Cheryl Hawk, DC, PhD, CHES

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Objective: This comparative study of a modified problem based learning activity examined the knowledge retention immediately after instruction and at six weeks post-instruction in two groups of students who were presented patient information either through a teacher-led lecture or student-directed patient interaction.

Methods: Eighty-four students were randomly divided into two groups; active participation versus didactic. Students were provided information on a patient with neurological signs and symptoms. This was done either through a teacher-led verbal and written presentation of the case or a collaborative student directed thorough history taking and examination using a standardized patient.

Results: The majority in both groups reported that they would retain information if they were actively involved in the learning process (91% and 94%, respectively). Overall, the group that was able to interact with a patient during a clinical simulation scored statistically significantly higher on both Test 1 (CI, 0.2-1.9) and Test 2 (CI, 0.3-1.7).

Discussion: Problem based learning activities include varying aspects of student participation. Students report higher satisfaction with activities in which they actively participate. There is a paucity of research demonstrating that factual knowledge retention increases when students are actively involved.

Conclusion: Overall, this study suggested that there may be differences in knowledge retention when instruction is provided actively versus didactically.

No Affiliation | 

July 8, 2014
Supportive Pad Impact on Upper Extremity Blood Flow While Wearing a Military Backpack

John Ward, DC, MA, MS

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Jesse Coats, D.C., B.S., D.A.A.P.M.

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Ashley Devers

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Braeden Murphy

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Introduction: The Spine Buddy® supportive pad was developed to be inserted underneath military backpacks to help disperse heavy loads.

Purpose: The purpose of this study was to determine the impact the additional supportive pad has on upper extremity blood flow when wearing a heavy military backpack.

Methods: Forty healthy participants (age= 26.4 + 5.5 yr, height= 1.74 + 0.11 m, body mass= 79.6 + 20.4 kg: mean + SD) were equally randomized into an AB:BA crossover study design. Twenty participants were in the AB group, and twenty were in the BA group. The study involved a 15-minute rest period between each of the 2 conditions: A (wearing a 45.3 kg military backpack) vs B (wearing a 45.3 kg military backpack with an additional ergonomic support pad underneath). Participants wore the backpack for 2 minutes during each condition (A or B) and then upper extremity blood flow measurements were taken. Outcome measures were index finger pulse oximetry and radial artery spectral Doppler Resistance Index (RI) assessed under each condition. An independent samples t-test was used to make comparisons between A and B conditions.

No Affiliation | 

July 8, 2014
Recommendations to the Musculoskeletal Health Network, Health Department of Western Australia related to the Spinal Pain Model of Care made on behalf of the Chiropractors Association of Australia (Western Australian Branch)

Lyndon G. Amorin-Woods, BAppSci(Chiropractic)

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Gregory F. Parkin-Smith, MTech(Chiro), MBBS, MSc, DrHC

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Vern Saboe, DC, DACAN, FACO

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Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC

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The 2009 Spinal Model of Care published by the Western Australian Health Department via the Musculoskeletal Health Network would benefit from an update.

No Affiliation | 

July 8, 2014
The Impact of the Laser Gym® Device on Limits of Stability, Functional Mobility, Standing Balance, and Gait of Older Females

John Ward, DC, MA, MS

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Kimary Farrar, D.C., M.S.

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Amir Pourmoghaddam, PhD

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Stefan Kreuzer, M.D.

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Alham Samani, DC

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Carol Green

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Preliminarily the results suggest that the action of the pelvic exercises performed using the Laser Gym® device may marginally improve limits of stability of older women. The implications of repeated training on the Laser Gym® device compared to other fall prevention training programs on fall incidence are unclear.

No Affiliation | 

January 10, 2014
Diagnostic Imaging Case Report:  A 26-year-old male reports with severe right foot pain

Jack Henry, DC, DACBR

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A 26-year-old male reports with severe right foot pain. There is moderate swelling with redness about the foot, most prominent at the first MTP joint.

Radiology Diagnostics, LLC | 

December 20, 2013
Annals of Internal Medicine "Stop Wasting Money on Vitamins and Mineral Supplements"

ChiroACCESS Editorial Staff

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The December 2013 issue of Annals of Internal Medicine is in large part dedicated to negative studies and a criticism of vitamin and supplement use.  The studies investigate the use of vitamins after myocardial infarction, long term use related to cognitive function in men, and primary prevention of cardiovascular disease and cancer.

ChiroACCESS | 

December 19, 2013
Fibromyalgia Pain Management Update

ChiroACCESS Editorial Staff

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Nearly 600 scientific papers related to fibromyalgia have been published in 2013, yet fibromyalgia remains a complex issue with a weak understanding of its etiology, diagnosis, effective palliative management or cure.

ChiroACCESS | 

December 16, 2013
How Much Drinking Water is too Much?

ChiroACCESS Editorial Staff

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The question of how much drinking water is needed for good health is a complicated one.  The proper amount of fluid required varies depending upon a number of factors.

ChiroACCESS | 

December 6, 2013
Diagnostic Imaging Case Report:  A 71-year-old male reports chronic low back and hip pain

Jack Henry, DC, DACBR

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A 71-year-old male reports chronic low back and hip pain. No history of recent trauma was reported. Physical exam findings were not provided at the time of formal image interpretation.

Radiology Diagnostics, LLC | 

March 27, 2013
What Does the Future Hold for Chiropractic?

ChiroACCESS Editorial Staff

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The ACC/RAC meeting this past weekend (March 15th & 16th) featured a keynote speaker, Clem Bezold, PhD, Chairman and Senior Futurist, at the Institute for Alternative Futures. Dr. Bezold and his organization make educated predictions and alternative futures for professions and organizations.

ChiroACCESS | 

March 21, 2013
Thirdhand Smoke: Understanding a Serious “New” Health Risk

ChiroACCESS Editorial Staff

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Recent studies now describe the risk of environmental pollutants that remain even after the second hand smoke has cleared. These pollutants remain on the surfaces of buildings, furniture, floors, clothing and other items exposed to smokers and are being referred to as third hand (or thirdhand) smoke.

ChiroACCESS | 

March 19, 2013
What Recent Research Tell us about Happiness

ChiroACCESS Editorial Staff

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Historically, happiness has been the subject of commentaries and editorials but not a topic for rigorous research.  Now, there seems to be a relative explosion of “happiness” studies mirroring a biological growth curve.

ChiroACCESS | 

March 7, 2013
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