112 East First Street
Crossville TN 38555
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: DS3244
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Essential literature for the chiropractic profession: a survey of chiropractic research leaders. - Chiropractic & manual therapies
Evidence-based clinical practice (EBCP) is an accepted practice for informed clinical decision making in mainstream health care professions. EBCP augments clinical experience and can have far reaching effects in education, policy, reimbursement and clinical management. The proliferation of published research can be overwhelming-finding a mechanism to identify literature that is essential for practitioners and students is desirable. The purpose of this study was to survey leaders in the chiropractic profession on their opinions of essential literature for doctors of chiropractic, faculty, and students to read or reference.Deployment of an IRB exempted survey occurred with 68 academic and research leaders using SurveyMonkeyÂ®. Individuals were solicited via e-mail in August of 2011; the study closed in October of 2011.Forty-three (43) individuals consented to participate; seventeen (17) contributed at least one article of importance. A total of 41 unique articles were reported. Of the six articles contributed more than once, one article was reported 6 times, and 5 were reported twice.A manageable list of relevant literature was created. Shortcomings of methods were identified, and improvements for continued implementation are suggested. A wide variety of articles were reported as "essential" knowledge; annual or bi-annual surveys would be helpful for the profession.
Chiropractic care and public health: answering difficult questions about safety, care through the lifespan, and community action. - Journal of manipulative and physiological therapeutics
The purpose of this collaborative summary is to document current chiropractic involvement in the public health movement, reflect on social ecological levels of influence as a profession, and summarize the relationship of chiropractic to the current public health topics of: safety, health issues through the lifespan, and effective participation in community health issues. The questions that are addressed include: Is spinal manipulative therapy for neck and low-back pain a public health problem? What is the role of chiropractic care in prevention or reduction of musculoskeletal injuries in children? What ways can doctors of chiropractic stay updated on evidence-based information about vaccines and immunization throughout the lifespan? Can smoking cessation be a prevention strategy for back pain? Does chiropractic have relevance within the VA Health Care System for chronic pain and comorbid disorders? How can chiropractic use cognitive behavioral therapy to address chronic low back pain as a public health problem? What opportunities exist for doctors of chiropractic to more effectively serve the aging population? What is the role of ethics and the contribution of the chiropractic profession to public health? What public health roles can chiropractic interns perform for underserved communities in a collaborative environment? Can the chiropractic profession contribute to community health? What opportunities do doctors of chiropractic have to be involved in health care reform in the areas of prevention and public health? What role do citizen-doctors of chiropractic have in organizing community action on health-related matters? How can our future chiropractic graduates become socially responsible agents of change?Copyright Â© 2012 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.
A case report of an unstable cervical spine fracture: parallels to the thoracolumbar chance fracture. - Journal of manipulative and physiological therapeutics
To discuss the case of a 40-year-old woman who had a cervical spine fracture similar in appearance to a Chance fracture and to discuss its radiographic appearance.A 40-year-old woman sought chiropractic care for neck pain and weakness in both arms after a motor vehicle accident. Neck flexion worsened the weakness in her upper extremities, her radiating neck pain, and upper extremity pain. A transverse fracture through the spinous process of C6 and narrowed C6 disk space was noted on plain film radiographs. Magnetic resonance imaging findings were consistent with a large midline extruded disk herniation at the C6-7 level with marked extrinsic compression on the cervical cord in addition to the fracture. These findings were similar to a lumbar spine Chance fracture.The patient was referred for surgical consultation, and discectomy with fusion of C6-7 was performed. After the surgery, the upper extremity pain and weakness subsided. Postsurgical care included chiropractic adjustments with a handheld spring-loaded adjusting instrument and physiotherapy.The radiographic features of an unusual cervical spine fracture with the characteristics of a Chance-type fracture are discussed.
Do chiropractic colleges' off-campus clinical sites offer diverse opportunities for learning? A preliminary study. - Journal of manipulative and physiological therapeutics
This study involved the collection of data on the demographic characteristics and chief complaints of patients of chiropractic college teaching clinics to study whether patients who visited different types of teaching clinics were demographically or clinically dissimilar. It represents a first step toward our ability to collect data from teaching clinics to test for differences between specific clinic populations.Descriptive cross-sectional study, implemented through a survey of patients. A survey form and a data collection infrastructure already in place for an established practice-based research program allowed the application of existing resources in the teaching clinic environment.Participating clinics included on-campus, off-campus, and outreach teaching clinics of four chiropractic colleges. Recruitment took place by word of mouth; clinic directors volunteered to participate in the 1-week survey. The study population consisted of all patients, new and established and of any age, who came to participating clinics during the week of March 16-21, 1998.Fourteen participating clinics returned surveys on 1612 patients. The age, sex, and race of patients, and the nature, onset, and duration of their chief complaints were significantly different among the categories of teaching clinics. Salient dissimilarities occurred in racial distribution, types of chief complaint, and duration of chief complaint among the patient populations of different clinics.Different types of teaching clinics may facilitate greater diversity in the patient population seen by chiropractic students, broadening the clinical training of chiropractic students by providing diversity in clinical settings and patient populations.
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112 East First Street Crossville, TN 38555