ࡱ > aN bjbj 4 ;F % A A A A A U U U 8 I , U rh u " + + + g g g g g g g $ *k m b h A h A A + + ,h L! L! L! A + A + {a v L! g L! L! M R Z + `'Qt j 5W * ga Bh 0 rh _W >n ! F >n T Z ^ >n A oZ L! h h L! rh >n U : Additional File 1. Questionnaire used in a survey on French chiropractic students
Definitely notProbably notDont knowYes, probablyYes, definitelyIn your opinion, can chiropractic spinal adjustmentsprevent disease in general? ADDIN EN.CITE Innes SI201771[1]717117Innes SI, Leboeuf-Yde C, Walker BFSchool of Health Professions, Murdoch University, Murdoch, Australia.0000 0004 0436 6763grid.1025.6
Institut Franco-Europeen de Chiropraxie, Ivry sur Seine, Paris, France.
CIAMS, Univ. Paris-Sud, Universite Paris-Saclay, 91405 Orsay Cedex, France.0000 0004 4910 6535grid.460789.4
CIAMS, Universite d'Orleans, 45067 Orleans, France.0000 0001 0217 6921grid.112485.bThe relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choicesChiropr Man TherapChiropr Man Therap20252017/08/18ChiropracticEducationIntolerance of uncertaintyPractice patterns20172045-709X (Electronic)
2045-709X (Linking)28815014https://www.ncbi.nlm.nih.gov/pubmed/28815014PMC551816310.1186/s12998-017-0150-2[1]Appropriate
answerInappropriate answerhelp the immune system? ADDIN EN.CITE Innes SI201771[1]717117Innes SI, Leboeuf-Yde C, Walker BFSchool of Health Professions, Murdoch University, Murdoch, Australia.0000 0004 0436 6763grid.1025.6
Institut Franco-Europeen de Chiropraxie, Ivry sur Seine, Paris, France.
CIAMS, Univ. Paris-Sud, Universite Paris-Saclay, 91405 Orsay Cedex, France.0000 0004 4910 6535grid.460789.4
CIAMS, Universite d'Orleans, 45067 Orleans, France.0000 0001 0217 6921grid.112485.bThe relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choicesChiropr Man TherapChiropr Man Therap20252017/08/18ChiropracticEducationIntolerance of uncertaintyPractice patterns20172045-709X (Electronic)
2045-709X (Linking)28815014https://www.ncbi.nlm.nih.gov/pubmed/28815014PMC551816310.1186/s12998-017-0150-2[1]improve the health of infants? ADDIN EN.CITE Innes SI201771[1]717117Innes SI, Leboeuf-Yde C, Walker BFSchool of Health Professions, Murdoch University, Murdoch, Australia.0000 0004 0436 6763grid.1025.6
Institut Franco-Europeen de Chiropraxie, Ivry sur Seine, Paris, France.
CIAMS, Univ. Paris-Sud, Universite Paris-Saclay, 91405 Orsay Cedex, France.0000 0004 4910 6535grid.460789.4
CIAMS, Universite d'Orleans, 45067 Orleans, France.0000 0001 0217 6921grid.112485.bThe relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choicesChiropr Man TherapChiropr Man Therap20252017/08/18ChiropracticEducationIntolerance of uncertaintyPractice patterns20172045-709X (Electronic)
2045-709X (Linking)28815014https://www.ncbi.nlm.nih.gov/pubmed/28815014PMC551816310.1186/s12998-017-0150-2[1]help the body function at 100% of its capacity? ADDIN EN.CITE Innes SI201771[1]717117Innes SI, Leboeuf-Yde C, Walker BFSchool of Health Professions, Murdoch University, Murdoch, Australia.0000 0004 0436 6763grid.1025.6
Institut Franco-Europeen de Chiropraxie, Ivry sur Seine, Paris, France.
CIAMS, Univ. Paris-Sud, Universite Paris-Saclay, 91405 Orsay Cedex, France.0000 0004 4910 6535grid.460789.4
CIAMS, Universite d'Orleans, 45067 Orleans, France.0000 0001 0217 6921grid.112485.bThe relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choicesChiropr Man TherapChiropr Man Therap20252017/08/18ChiropracticEducationIntolerance of uncertaintyPractice patterns20172045-709X (Electronic)
2045-709X (Linking)28815014https://www.ncbi.nlm.nih.gov/pubmed/28815014PMC551816310.1186/s12998-017-0150-2[1]prevent degeneration of the spine? ADDIN EN.CITE Innes SI201771[1]717117Innes SI, Leboeuf-Yde C, Walker BFSchool of Health Professions, Murdoch University, Murdoch, Australia.0000 0004 0436 6763grid.1025.6
Institut Franco-Europeen de Chiropraxie, Ivry sur Seine, Paris, France.
CIAMS, Univ. Paris-Sud, Universite Paris-Saclay, 91405 Orsay Cedex, France.0000 0004 4910 6535grid.460789.4
CIAMS, Universite d'Orleans, 45067 Orleans, France.0000 0001 0217 6921grid.112485.bThe relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choicesChiropr Man TherapChiropr Man Therap20252017/08/18ChiropracticEducationIntolerance of uncertaintyPractice patterns20172045-709X (Electronic)
2045-709X (Linking)28815014https://www.ncbi.nlm.nih.gov/pubmed/28815014PMC551816310.1186/s12998-017-0150-2[1]Three clinical casesPrimary prevention of back disorders
A mother wants to bring her 5-yr. old child for regular chiropractic consultations to prevent the onset of spinal disorders in the future. The child has never had back pain before. Are you willing to regularly adjust this child to avoid the onset of back disorders in the future? [Created by the authors in French]
Appropriate
answerInappropriate answerPrimary prevention of diseases
A mother wants to bring her 5-yr. old child for regular chiropractic consultations to prevent the onset of disease in the future. The case history reveals many diseases in the family (breast cancer, diabetes, lipidaemia, etc.). Are you willing to regularly adjust this child to avoid the onset of disease in the future? [Created by the authors in French]
For each statement, choose the box that best corresponds to your opinions
Strongly disagreeSomewhat disagreeI dont knowSomewhat agreeStrongly agreeSubluxations are the cause of all disease ADDIN EN.CITE Gliedt JA201272[2]727217Gliedt JA, Briggs S, Williams JS, Smith DP, Blampied Jprivate practice.Background, expectations and beliefs of a chiropractic student population: a cross-sectional surveyJ Chiropr EducJ Chiropr Educ146-602622013/01/31AttitudeChiropracticCross Sectional SurveyEducationStudents2012Fall1042-5055 (Print)
1042-5055 (Linking)23362362https://www.ncbi.nlm.nih.gov/pubmed/23362362PMC355765010.7899/JCE-11-031[2]Appropriate
answerInappropriate answerSubluxations cause short-circuits of the nervous system [Created by the authors in French]
Subluxations can have a negative effect on the capacity of the nervous system to provide energy to tissues and organs [Created by the authors in French]
It is possible to detect subluxations before symptoms appear [Created by the authors in French]
It is appropriate for every person to receive chiropractic adjustments for their entire life ADDIN EN.CITE Gliedt JA201272[2]727217Gliedt JA, Briggs S, Williams JS, Smith DP, Blampied Jprivate practice.Background, expectations and beliefs of a chiropractic student population: a cross-sectional surveyJ Chiropr EducJ Chiropr Educ146-602622013/01/31AttitudeChiropracticCross Sectional SurveyEducationStudents2012Fall1042-5055 (Print)
1042-5055 (Linking)23362362https://www.ncbi.nlm.nih.gov/pubmed/23362362PMC355765010.7899/JCE-11-031[2]
Cervical clinical cases
A 28-year old man, tennis player by profession, consults you for a right-sided intense neck pain without any radiating pain. You note an antalgic position of the head, no other musculoskeletal signs (no torticollis), no other health problems in particular, normal x-rays for his age, and there are no red flags.
In each of the cases described below, what would you do?
I would treat the patient on my ownI would treat the patient with the assistance of another paramedic (1)I would treat the patient with the assistance of a general practitionerI would treat the patient whilst asking the opinion of a specialist (2)I would not treat the patient but refer him outOther, please explain page 9 (3)Neck pain scenario 1
Physical examination: very tense cervical musculature, no neuro-vascular problems, right C5-6 painful on palpation, pain 7/10 on a visual analogue scaleAppropriate
answerInappropriate answerNeck pain scenario 2
Five days later the patient comes back to you: same clinical signs but the pain now radiates into the right shoulderAppropriate
answerInappropriate answerNeck pain scenario 5
Ten days later: The symptoms and signs are the same as last time but in addition the following is noted: the right leg shows hyperreflexia (graded as 3+), a positive
sign of Babinski on the right and slight hypoaesthesia of the right legInappropriate answerAppropriate
answerInappropriate answer
In this study, these professions are considered to be paramedics: physiotherapist and occupational therapist only.
In this study, these professions are considered to be specialists: neurologist, rheumatologist and surgeons only.
If you decide to refer to another health care professional, please note this in the box other, and explain it on page 9.
Low back pain (LBP) clinical cases
A 40-year-old man who consults with you for low back pain with no additional spinal or musculoskeletal problems, and with no other health problem.
His x-rays are normal for his age. There are no red flags.
The case above could proceed in the following 9 ways described on the next page.
For each of these nine possibilities, you will find six different strategies (A F) and one possibility to define your own strategy (G). In this case, you will be able to detail it on page 12.
ASecond opinionI would refer the patient to another health care practitioner for a second opinion.BExternal help, keep in touchI would advise the patient to seek additional treatment whilst following the patient. CQuick-fixI would tell the patient that the treatment is completed but that he is welcome to make a new appointment if the problem returns. DTry againI would not consider the treatment to be fully completed and would try a few more treatments and perhaps change my treatment strategy, until I am sure that I cannot do any more. ESymptom guided maintenance careI would follow this patient for a while, attempting to prolong the time period between visits until either the patient is asymptomatic or until we have found a suitable time lapse between check-ups to keep the patient symptom-free. FClinical findings-guided maintenance careI would recommend that the patient continues with regular visits, as long as clinical findings indicate treatment (e.g. spinal dysfunction/subluxation), even if the patient is symptom-free. GOtherNone of the above (Please explain on page 12 in legible handwriting).
Scenarios included in this report:
LBP scenario 1
An acute attack of LBP of 2 days duration and no previous history of LBP. The pain is completely gone after 2 visits. The patient seems to be an uncomplicated person and capable to look after himself and his back.
C = appropriate answer
LBP scenario 4
An acute attack of LBP of 1 weeks duration. The patient has had several similar attacks over the past 12 months. The pain is completely gone after 2 weeks of treatment.
E and F = appropriate answers
LBP scenario 8
The patient has had LBP intermittently over the past year. After the 2nd visit the pain was 20% better, but today, after 6 visits, the patient has got gradually worse.
A = appropriate answer
LBP scenario 9
The patient has had LBP intermittently over the past year. After 6 visits the pain is 20% better. The symptoms come and go for no apparent reason. The patient appears tired and moody.
A = appropriate answer
REFERENCES
ADDIN EN.REFLIST 1. Innes SI, Leboeuf-Yde C, Walker BF: The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices. Chiropr Man Therap 2017, 25:20.
2. Gliedt JA, Briggs S, Williams JS, Smith DP, Blampied J: Background, expectations and beliefs of a chiropractic student population: a cross-sectional survey. J Chiropr Educ 2012, 26(2):146-160.
PAGE
PAGE 1
Q R S T U V d e q r | } ڱq^K8K8K8K8K8K $hfZ] h_! CJ OJ QJ aJ mH sH $hfZ] hhq{ CJ OJ QJ aJ mH sH $h^ h CJ OJ QJ aJ mH sH $h^ h CJ OJ QJ aJ mH sH -h^ h'- 5>*CJ OJ QJ \aJ mH sH *h^ h 5CJ OJ QJ \aJ mH sH *h^ h_! 5CJ OJ QJ \aJ mH sH $h{ 5CJ OJ QJ \aJ mH sH $h`k 5CJ OJ QJ \aJ mH sH $he 5CJ OJ QJ \aJ mH sH R S T U V e r } q q $If ]q ^q gdfZ] l $If gd- l gd $d $d N a$gd48 d &d P gd
kd $$If l 4 7ֈ S'!}$ i
t 0 *%6 4 4
l ap<