The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.

The Journal of the Canadian Chiropractic Association (JCCA) is a journal dedicated to the practice of chiropractic, publishing research papers, commentaries, and editorials relevant to the field.

《Journal of the Canadian Chiropractic Association》是一本专注于脊椎按摩疗法实践的期刊，发表与脊椎按摩相关的研究论文、评论和社论。

Journal of the Canadian Chiropractic Association

Les auto questionnaires font partie integrante de l’evaluation des patients ayant des douleurs cervicales. Le Questionnaire de Bournemouth integre la realite biopsychosociale dans l’evaluation des douleurs cervicales et sa version anglais (QBc-a) est validee et
presente des proprietes psychometriques de moderees a excellentes. L’objectif de cette etude est de traduire et valider une version francaise de ce questionnaire. La traduction et l’adaptation a ete completee en utilisant la methode de traduction contre-traduction qui a permis d’obtenir un consensus entre les deux versions. L’etude
de validation impliquait 68 sujets (âge moyen 41 ans) qui participaient a un essai clinique randomise concernant l’efficacite des therapies manuelles pour les douleurs cervicales. Le protocole experimental permettait d’obtenir des donnees pour evaluer la validite conceptuelle, la validite conceptuelle longitudinale, la
fidelite test-retest et la sensibilite au changement. Les donnees de validite conceptuelle (r = 0,67 et 0,61 et 0,42 respectivement pour la validite conceptuelle pre, post traitement et longitudinale), de fidelite test-retest (r =0,97) et de sensibilite au changement (taille de l’effet =0,56 et reponse moyenne normalisee = 0,61) sont adequates pour suggerer une utilisation de cet auto questionnaire pour la gestion des patients ayant des douleurs cervicales.

Johanne Martel

Claude Dugas

D. Lafond

M. Descarreaux

Validation de la version française du Questionnaire de Bournemouth

Bournemouth问卷法语版的验证

The latest edition of Warren Hammer’s text provides a comprehensive and integrative approach to assessing and treating soft tissue disorders. It was written as a practical reference for health professionals involved in using manual methods of diagnosis and treatment.

The author’s narrative style and obvious enthusiasm for his subject is effective at keeping the reader engaged. The contribution of 24 authors representing physiotherapy, massage therapy, physical therapy, osteopathy, chiropractic and medicine enhances the credibility of this compendious text.

The book contains 24 chapters, including 13 new chapters, divided into 3 sections: Introduction to Soft Tissue Examination; Extremities and Lumbar Spine; and Manual Treatment Methods. The first section includes a chapter on the effects of mechanical loading on soft connective tissues, which effectively incorporates apposite neurobiology and physics into our understanding of these disorders at a cellular level. The second section clearly outlines neuromusculoskeletal conditions by region, highlighting etiology, signs and symptoms, functional tests, differential diagnoses and treatment, as well as functional anatomy and pertinent biomechanics.

Throughout, this text is effectually illustrated with well referenced photographs, drawings and diagrams, including easy-to-use regional functional diagnosis charts in the appendix. In the third section the diverse selection of contributors chosen based on areas of expertise renders this text excellent in providing the relevant preliminary information regarding various manual treatment methods.

Overall, this is a well organized, well referenced text effectively reviewing functional anatomy and biomechanics while providing a pragmatic approach to assessing and treating neuromusculoskeletal conditions using up-to-date soft tissue techniques.

Despite a minor concern with editing that doesn’t seem to affect readability, I highly recommend this thorough, well written text for both the student and clinical practitioner of any health care profession that utilizes manual treatment techniques.

Suzanne Bober

Functional Soft Tissue Assessment and Treatment

功能性软组织评估与治疗

This is a comprehensive, much needed textbook. As evidence-based therapeutics now clearly provides the framework of our practices, we are constantly searching for better, clearer, and fully supported “evidence” to incorporate into our therapeutic protocols.

This book is a superb integration of the body of knowledge from orthopaedics, rheumatology, pain control, physical medicine and rehabilitation, osteopathic medicine, psychology, physiotherapy, regretfully leaving out the now broad evidence-based chiropractic therapeutics. This is not necessarily a shortcoming of the book, just another fact-of-life, where the interdisciplinary iron curtain still surrounds chiropractic sciences. Where the strength of this book lies is drawing out the similarities and the effectiveness of dissimilar methods of evaluation and treatment methods of each discipline. Sometimes we just have to admit that the treatment advocated is only a conceptual framework and have to be weary of excessive enthusiasms for the belief system without supporting evidence.

The book is cleverly divided into four (4) conceptual Parts: Part 1 is Introduction, while Part 2 deals with Morphology; Dysfunction and Pain; Part 3 then contains Regional Disorders and finally Part 4 Management Strategies.

This text then is a comprehensive account, as the editors established in the preface, “of both structural and functional disorders of the spine, and of the extremities.” The theoretical framework of the book is the differentiation of “early pathomorphological changes (which) reflect adaptive process to biomechanical stresses” and is manifested in “reversible dysfunction states” and “advanced structural pathology (which are) consequences of the failure of adaptation of the soft tissues to postural and dynamic stresses.”

The chapter titled Fundamentals incorporate concepts such as the Biosocial Model, Distinctiveness of Musculoskeletal Medicine, Models of Neuromusculoskeletal Medicine, Pragmatism and Complexity, The Value of Evidence-based Medicine and its Applicability to Manual/Musculoskeletal Medicine, Reproducibility and Validity of Diagnostic Procedures and RCTs in Manual/Musculoskeletal Medicine. This chapter then sets the tone and framework of what will follow in the next 47 chapters.

Within the context of Physical Examination authored by Drs. Richard Ellis and Cyrus Cooper, both from the University Hospital of Southampton, UK, they refer to two systems used in musculoskeletal examination; selective tissue tension, originally developed by Cyriax, always used in chiropractic premanipulative manoeuvres, and functional examination. In selective tissue tension, as the authors describe “the examiner puts strain sequentially on the possible structures at fault: when the person’s pain is reproduced, the structure under test is identified as the likely cause.” In addition to identifying specific tissues at fault, the authors encourage “examining the whole person” with their specific sensitivities, over-reactivity and abnormal levels of anxiety associated with their condition. A neat pictorial review captures a clinical musculoskeletal examination incorporating Focus of Examination, a picture depicting the actual test procedure, a short description of the procedure, including patient instructions and typical findings and interpretation. This is a very comprehensive “table,” over 35 pages, a most valuable quick compendium. These could formulate a “standardized” musculoskeletal examination.

In summary, this superb textbook is a must-read for anyone interested in diagnosis and management of musculoskeletal pain.

Peter Kissel

Baxter’s The Foot and Ankle in Sport: 2nd edition, 2008

《贝克斯特的运动足踝：第二版，2008年》

The second edition of Conservative Management of Sports Injuries provides the sports clinician with an expansive reference for diagnosing, treating and preventing sports injuries in one complete volume. A multidisciplinary team approach to the care of the athlete is strongly encouraged throughout the text.

The extensive list of contributors represents a diverse, international group of specialized chiropractors along with medical doctors and physical therapists with a definitive area of expertise.

The book contains 25 chapters divided into 4 sections: A Conservative Approach to Sports-Related Injuries; Site& System-Specific Sports Injuries; Age, Gender & Sport Considerations; and Special Issues in Sports Medicine. The first section includes chapters on medicolegal issues in sports medicine and physiological principles of exercise, with a clear focus on rehabilitation and soft tissue techniques specific for athletic injuries. The second section encompasses a very thorough regional approach to understanding anatomy, diagnosis and treatment for specific sports injuries. It is inclusive of a chapter on head trauma, which is particularly relevant for emergency sideline care for the sports physician. The third section gives a pragmatic method to incorporating the special considerations of the female athlete, the pediatric, adolescent and senior athlete, as well as the extreme athlete. An outline of the most prevalent injuries in various extreme sports is integrated well into this edition. The fourth section assimilates sports nutrition and the use of performance-enhancing drugs in sport, and includes a comprehensive chapter on imaging incorporating multiple, well-referenced images. It effectually outlines a logical flow to the requisitioning of studies for each type of injury.

The prevention of catastrophic injuries in sports, particularly in the head and cervical spine, as well as the ongoing emergency care information provided throughout this text, renders it excellent as a global volume for any sports clinician. The addendum pertaining to athletic shoes also attunes to the preventative tone of this text.

There is a notable amount of redundancy in the site-specific section for the anatomy and pathology of the injury that could be revised to condense the text more, however, overall this is an efficaciously illustrated and well referenced text essential for all sports medicine practitioners.

Conservative Management of Sports Injuries 2nd Edition

《运动损伤保守治疗 第二版》

Dr. Tiidus, professor and chair of the department of kinesiology and physical education at Wilfred Laurier University in Waterloo, Ontario, Canada, has constructed a text book to convey topics related to exercise and overuse induced skeletal muscle damage and repair mechanisms and their application. This text book contains 21 chapters, divided into 3 main sections reviewing current research related to the mechanism and repair of muscle damage, muscle damage and repair as it relates to issues in specific populations and critical appraisal of specific interventions that have been utilized for the treatment of muscle damage. Each chapter was well represented and closed with summaries to consolidate the material presented.

Section one focused on the physiology of muscle damage and repair. Each chapter effectively described the pathophysiology and histology of muscle damage and repair. However, it is important to note that the majority of research presented focused on animal models and one should take caution when trying to extrapolate this information to humans.

Section two described the correlation between muscle damage and repair as it relates to diabetes, hormonal influences, Duchenne muscular dystrophy, changes with aging and workplace injuries. It provided a thorough understanding of the types of pathological and muscular overuse conditions which, can be applied clinically to help identify the mechanism of muscle injury.

Section three provided information regarding specific interventions used to treat muscle damage. It provided health practitioners with recent research regarding theory, application and effectiveness of interventions to guide treatment and rehabilitation protocols.

This text book provided a suitable description of muscle damage and repair in the format of a narrative literature review. It is advised that the reader should have a background in the topics of cellular biology, histology, immunology, muscle physiology and pathology as the authors assume readers possess basic science knowledge.

In conclusion, I would recommend this text to students and health practitioners as it is an efficient reference in understanding the pathophysiology of skeletal muscle damage and repair. However, in terms of treatment modalities I would recommend using a different source as it does not include all aspects of conservative care.

Jaclyn A Durante

Skeletal Muscle Damage and Repair

骨骼肌损伤与修复

Mohsen Kazemi

J Can Chiropr Assoc

JCCA December 2023 Sports Chiropractic Special Issue: 15

JCCA 2023年12月运动脊骨神经医学特刊：15

Stephanie Alexopulos

Carol Cancelliere

Pierre Côté

Silvano Mior

Reconciling evidence and experience in the context of evidence-based practice.

在循证实践背景下调和证据与经验。

Whiplash-associated disorder (WAD) is the most common complaint and purported cause of chronic disability associated with motor vehicle collisions in North America. However, its construct validity remains controversial. This narrative review of the literature summarises the evidence underlying the most commonly theorised biological and psychosocial mechanisms of WAD pathogenesis. While the face validity of WAD is good, empirical evidence supporting the various constructs suggesting a causal link between a trauma mechanism and the development of symptoms is poor. Because individual expectations of recovery are outcome-predictive, future research is necessary to develop a better understanding of how to enhance expectancies in order to help affected motorists gain a greater sense of control over their health and wellbeing.

Joe H. Ghorayeb

The nosological classification of whiplash-associated disorder: a narrative review.

颈源性相关疾病的分类：叙述性综述。

Objective To illustrate the conservative clinical management of Morel-Lavallee lesion. Clinical features A 34 year-old male presented with a forced flexion induced right knee injury that was diagnosed as a Morel-Lavallee lesion by way of Magnetic Resonance Imaging (MRI). Intervention and outcome The patient was co-managed by a sports medicine physician and a chiropractor with a combination of percutaneous aspiration, dry needling, soft tissue therapy, extracorporeal shockwave therapy (ESWT), and corrective exercise. Summary The patient experienced improved function throughout chiropractic care. Almost complete resolution was achieved at 18 weeks after injury and maintained at 35 weeks after injury. Further research is needed to understand if this improvement in function is better than the natural history of this condition.

Trevor Vander Doelen

Adam Manis

Conservative management of Morel-Lavallée lesion: a case study.

Morel-Lavallée损伤的保守治疗：一个案例研究。

Objective To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis. Clinical features A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Pain was constant but exacerbated with training and assuming the en pointe and demi-pointe dance positions. Plantar flexion of the great toe was pain provoking. Triggering of the great toe and audible and palpable crepitus were noted with active and passive great toe range of motion. A diagnosis of a chronic recurrent FHL stenosing tenosynovitis was made based on the history and physical exam. Intervention and outcome Soft tissue and joint mobilization and manipulation, laser therapy, kinesiology tape application and rehabilitative exercise was used over 4 months. The patient reported an 8-point decrease in her numeric pain rating scale score and a 15-point improvement in her Lower Extremity Functional Scale score.

ISSN	0008-3194, 1715-6181
h-index	19

Publication Information	Publisher: Canadian Chiropractic Association，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2014，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%

Journal of the Canadian Chiropractic Association

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