Research Review Corner Continued from page 12 CONCLUSIONS AND pRACTICAL AppLICATION: Drawing conclusions for practice, based on this literature review, may be pre- mature. That being said, this review of passive cervical joint mobilization has two main findings. Overall, there is enough evidence to suggest that CJM can produce changes that are thought to be indicators of sympathetic nervous system function, and that these changes can extend beyond the treated area. Further, there appears to be con- current activation of pain modulation systems, suggesting that higher brain function is involved in integrating these responses. This includes mechanical, but not thermal hypoalgesia. Although this review did not in- clude literature on high velocity ma- nipulation techniques, it is important for all chiropractors to be aware of the potential benefits of CJM, as it repre- sents a viable treatment alternative to high velocity manipulation. STUDy METHODS: The authors conducted a comprehensive literature search (search strategy borrowed from the Cochrane Collaboration) of rel- evant databases up to the end of 2007. Studies were included only if they met the following criteria: • randomized controlled trial design on subjects > 18 years of age • investigated the immediate effect of passive accessory cervical joint mobilization in healthy humans or those with neck or upper limb pain Trials on animals were excluded, as well as those investigating high velocity manipu- lation techniques, or mobilization to any other part of the spine except the neck. Methodological quality was assessed using guidelines outlined by the Cochrane Collaboration Back Review Group. CMCC pRACTICE OppORTUNITy ’09 In 2009, Canadian Memorial Chiropractic College (CMCC) will be holding its an- nual Practice Opportunity event on Friday, March 27. This year, the event will be taking on a new and exciting format! Now called “Practice OpportUnity,” it is being expanded to include an interactive daytime program for all current CMCC students. The daytime program will feature a keynote address by Dr. Donald R. Murphy of the Rhode Island Spine Center. Following the keynote presentation, students will attend panel presentation/discussion groups led by industry professionals. The evening program, a trade show format, will provide exhibitors – as well as chiropractors selling their practices, and those looking for an associate – with an opportunity to speak to graduating CMCC students and to display their products to future chiropractors. The Practice OpportUnity event will be held at CMCC. For more information about Practice OpportUnity, and to obtain a registration form, please visit www. cmcc.ca or email [email protected]. STUDy STRENGTHS/WEAKNESSES: One of the main drawbacks in this body of literature is that its has been conducted primarily by the same group of research- ers. This could contribute to publication bias leading to an inflation of the agree- ment between studies. Regarding this review in particular, the reader must remember that it did not include any literature on high velocity manipulation techniques. • References: 1. McGuiness J, Vicenzino B, Wright A. Influence of a cervical mobilization on respiratory and cardiovascular function. Manual Therapy 1997; 2(4): 216-220. 2. Vicenzino B, Cartwright T, Collins D, Wright A. Cardiovascular and respira- tory changes produced by lateral glide mobilization of the cervical spine. Manual Therapy 1998; 3(2): 67-71. CCRf WINS CIHR AWARD The Canadian Chiropractic Research Foundation (CCRF) has won a Cana- dian Institutes of Health Research (CIHR) peer-reviewed award. CCRF has been awarded $25,000 to support a proposal entitled “Workshop to advance the Ca- nadian Chiropractic Research Agenda. Matching funds are being provided by the Canadian Chiropractic Association (CCA) and the Canadian Chiropractic Protective Association (CCPA). The CCRF proposal was ranked number 1 in the competition by CIHR reviewers. The proposal was submitted by Dr. Kent Stuber DC, MSc, Calgary, Alberta; Dr. André Bussières DC, FCCS (C), MSc, PhD(s), Population Health PhD program, University of Ottawa; and Dr. Allan Gotlib, DC. The workshop will see the members of the Canadian Consortium of Chiroprac- tic Researchers present their research ar- eas and expertise, and will showcase the research capacity in Canada. It will take place in 2009 at a leading university in Canada. Congratulations to Drs. Gotlib, Stuber and Bussières and the CCRF for achiev- ing this award. 16 • CANADIAN CHIROPRACTOR | FEBRUARY 2009 www.canadianchiropractor.ca news
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