Shawn Thistle

Starting today - SAVE 15% on all Online Courses & E-Seminars with code: WINTER15 Visit: https://www.rrseducation.com/online-courses/purchase-courses

"Intra-articular saline injection is as effective as corticosteroids, platelet-rich plasma and hyaluronic acid for hip osteoarthritis pain: a systematic review and network meta-analysis of randomised controlled trials" (BJSM 2021) Some serious placebo/contextual effects happening (?)... Conclusion: Evidence suggests that intra-articular hip saline injections performed as well as all other injectable options in the management of hip pain and functional outcomes.... Read more: http://ow.ly/HbP150DPoED

NEW RESEARCH REVIEW POSTED TODAY: Sacroiliac Joint Mobility Tests (MSK Sci Pract 2020) How do you clinically assess a patient for sacroiliac joint pain? Assessment of the SIJ generally includes two categories of clinical tests:... 1. Pain provocation tests: which have shown poor reliability and validity in systematic reviews; and 2. Dysfunction (or mobility) tests: which are designed to assess altered SIJ mobility, although these tests also have not demonstrated satisfactory reliability and validity. Previous reviews have questioned whether SIJ mobility tests are of any value in clinical practice; however, the most recent review was published nearly 20 years ago and any recent studies were therefore not included. Therefore, the objective of this study was to conduct an up-to-date systematic review to verify whether recommendations regarding the use of SIJ mobility tests should be revised regarding clinimetric properties, including reliability, validity and responsiveness, in people with non-specific low back pain, pelvic girdle pain and/or SIJ painenjoy! Log in or subscribe: https://www.rrseducation.com/research-reviews

Checking out the view from the lighthouse at #CARLoquium. Congrats on a cool event and it was great to see so much research either already published or on the way in our chiropractic world. You’re keeping me busy at RRS Education! Avatars are cool, but I think we’re all looking forward to the real thing!

Which treatment is most effective for patients with Achilles tendinopathy? A living systematic review with network meta-analysis of 29 randomised controlled trials (BJSM - open access) Summary: "In our living network meta-analysis no trials were at low risk of bias and there was large uncertainty in the comparative estimates. For midportion Achilles tendinopathy, wait-and-see is not recommended as all active treatments seemed superior at 3-month follow-up. There seems to be no clinically relevant difference in effectiveness between different active treatments at either 3-month or 12-month follow-up. As exercise therapy is easy to prescribe, can be of low cost and has few harms, clinicians could consider starting treatment with a calf-muscle exercise programme." Read more: http://ow.ly/RCoC50DN9Di

NEW RESEARCH REVIEW POSTED TODAY: Restless Legs Syndrome Clinical Review (JMPT 2020) Restless legs syndrome (RLS) is a hyperkinetic movement disorder that can lead to insomnia, impacting one’s sleep and overall quality of life. Many of your patients may have this and ask you about it! Symptoms of RLS typically include paresthesia and an urge to move their limbs, generally following a circadian pattern. Currently, the pathophysiology underlying primary RLS is unclear, and... this diagnosis is classified under the category of other specified extrapyramidal and movement disorders. The objective of this scoping review is to synthesize the evidence regarding non-pharmacological approaches used in the management of RLS. Examples of conservative treatments investigated will include exercises, manual therapy, physical therapy devices, and light therapy. To categorize the efficacy of conservative approaches in reducing RLS symptoms, this study sought to identify and summarize the current evidence on diagnostic criteria and relevant outcome measures, informing researchers and guiding clinical practiceenjoy! Log in or subscribe: https://www.rrseducation.com/research-reviews

Vitamin D and the athletepatient: state of the art (open access in Journal of ISAKOS) A good review on an important topic... Read here: http://ow.ly/pVKI50DqpIC

Great results for chiropractic care of headaches in children! Look for an RRS Review on this one... "Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 714 years - a randomised clinical trial" (Chiropractic and Manual Therapies - 2021 open access) Conclusions: "Chiropractic spinal manipulation resulted in fewer headaches and higher global perceived effect, with only minor side effects. It did not lower the intensity o...f the headaches. Since the treatment is easily applicable, of low cost and minor side effects, chiropractic spinal manipulation might be considered as a valuable treatment option for children with recurrent headaches." Read more: https://chiromt.biomedcentral.com//10.1/s12998-020-00360-3

Our national chiropractic association is offering CCA members complimentary Diversity, Equity and Inclusion training. I have already registered and am looking forward to learning about bias, allyship and tools for change. I encourage you to join me and take advantage of this important opportunity: More info: https://chiropractic.ca/dei/

Distance Management of Spinal Disorders in the COVID-19 pandemic and beyond: Evidence-based Patient and Clinician Guides from the Global Spine Care Initiative "The Patient and Clinician Guides are designed to be sufficiently clear to be useful to all patients and clinicians irrespective of their location, education, professional qualifications, and experience. However, they are comprehensive enough to provide guidance on the management of all spine related symptoms or disorde...rs including triage for serious and specific diseases. They are consistent with widely accepted evidence-based clinical practice guidelines. They also allow for adequate documentation and medical record keeping. These guides should be of value during periods of government mandated physical or social distancing due to infections such as the COVID pandemic. They should also be of value in underserved communities in high, middle, and low-income countries where there is a dearth of accessible trained spine care clinicians." Read more: http://ow.ly/CNAh50Dl9Ts

I really miss speaking at RRS Seminars and conferences...in case you haven't see it, this is a recorded version of a talk I delivered at the Norwegian Chiropractic Association's conference in 2019. It was recently adapted for the British Chiropractic Association's virtual conference (Fall 2020), so I thought I would share it openly in this format. Watch here: https://vimeo.com/467431301

Not often discussed, but an interesting condition: "The prevalence and clinical characteristics of thoracic spinal stenosis: a systematic review" Purpose: "Thoracic spinal stenosis (TSS) is a rare disease secondary to multiple pathological changes that differ in prevalence and clinical characteristics. The epidemiological characteristics of these pathologies are largely unknown due to the limited case samples and regional differences. Therefore, a systematic review was conducted to elucidate the prevalence and clinical characteristics of TSS." Read more: http://ow.ly/C2K250CWWRO

TODAY is the last day to SAVE 15% on all RRS Education Online Courses & new E-Seminars. Use code: NEWYEAR15 If you don't need anymore hours/credits, you can purchase courses now and complete them whenever you like...there are no time restrictions. Visit: https://www.rrseducation.com/online-courses

"Comparative Efficacy and Patient- Specific Moderating Factors of Nonsurgical Treatment Strategies for Frozen Shoulder: An Updated Systematic Review and Network Meta-analysis" (AJSM 2020) Conclusion: "Capsular distension is a highly recommended choice for treatment of frozen shoulder, contributing greatly to pain relief and functional improvement; steroid injection is also a prevailing effective intervention. Among new options, extracorporeal shockwave therapy and laser therapy show potential benefits for multiple outcomes. Individualized optimal intervention should be considered, given that treatment effect is moderated by factors including the disease stage, time of assessment, adjunctive therapies, female sex, and diabetes." Read more: https://journals.sagepub.com/d/abs/10.1177/0363546520956293

Ontario Chiropractors - TODAY is the deadline to complete your Continuing-Education activities for this cycle! RRS Education's Online Courses & E-Seminars count for structured hours, and many also satisfy the 5-hour requirement regarding diagnosis/controlled acts (see our website for details) Reading or listening to our Research Reviews can also be submitted as unstructured activity!... SAVE 15% with COUPON CODE: NEWYEAR15 Visit: https://www.rrseducation.com/online-courses

Let's all make 2021 a year to thrive! 2020, please don't let the door hit you on the way out! ;) This year certainly deserves one more discount on our Online Courses and new E-Seminars...use the code below to SAVE 15%! For those in Ontario - Monday (Jan 4th) is the continuing-education reporting deadline! If you don't need anymore hours/credits, you can purchase courses now and complete them whenever you like...there are no time restrictions.... SAVE 15% NOW with COUPON CODE: NEWYEAR15 Visit: https://www.rrseducation.com/online-courses

Happy 2021...making this year better than 2020 is hopefully a low bar to step over!

There is no new Research Review this week, we'll resume normal posting next week. I have listed our 5 most popular Reviews of 2020 below in case you missed them! MOST POPULAR RESEARCH REVIEWS OF 2020 (log in or subscribe to access): Chiropractic Maintenance Care - Literature Review... Chiropractic Maintenance Care - Selecting the Right Patients Facial Pain Differential Diagnosis Sentinel Headache as a Warning for Stroke Red Flags for Serious Spinal Disorders Visit: www.rrseducation.com Bye bye 2020 and Happy 2021 to you all!