RESUMEN
OBJECTIVES: To identify sports-focused research priorities to inform the development of a research agenda for sports chiropractors. METHODS: A qualitative description study was conducted using semi-structured interviews with 20 sports chiropractic researchers from 8 different countries and focus group interviews with 12 sports chiropractic leaders from Canada. RESULTS: 150 research priorities were identified, and three main themes emerged: area of research, research actions, and research methodology. Six areas of research were identified: basic science and mechanism research, clinical research, health services research, population health, specific conditions and topics in sport, and chiropractic research in sport. Collaboration in research and contributing to the broader sports research effort were two subthemes identified as research actions, and the remaining codes were related to research methodology. CONCLUSIONS: The research priorities identified can be utilized to plan future research prioritization studies to inform a research agenda for the sports chiropractic field.
OBJECTIFS: Identifier les priorités de recherche axées sur le sport pour guider le développement d'un programme de recherche pour les chiropraticiens du sport. MÉTHODOLOGIE: Une étude de description qualitative a été menée à l'aide d'entretiens semi-structurés auprès de 20 chercheurs en chiropratique sportive de huit pays et d'entretiens en groupes de discussion avec 12 dirigeants de la chiropratique sportive du Canada. RÉSULTATS: 150 priorités de recherche ont été identifiées, et trois thèmes principaux sont ressortis : le domaine de recherche, les actions de recherche et la méthodologie de recherche. Six domaines de recherche ont été identifiés : la science fondamentale et la recherche sur les mécanismes, la recherche clinique, la recherche sur les services de santé, la santé de la population, des conditions et des sujets particuliers liés au sport et la recherche en chiropratique sportive. La collaboration dans la recherche et de façon plus générale, la contribution à l'effort de recherche sur le sport sont deux sous-thèmes identifiés comme des actions de recherche, et les autres codes sont liés à la méthodologie de recherche. CONCLUSIONS: Les priorités de recherche identifiées peuvent servir à préparer de futures études sur la priorisation de la recherche et à guider un programme de recherche dans le domaine de la chiropratique sportive.
RESUMEN
OBJECTIVE: The purpose of this case series is to describe the presentation of 2 patients who presented to a chiropractic teaching clinic with Paget-Schroetter syndrome (PSS) and to discuss the potential role for conservative therapy in the management of symptoms. CLINICAL FEATURES: Two patients presented with a vascular and muscular findings suggesting activity-related upper extremity deep vein thrombosis. One patient presented with recent onset of symptoms (pain in the neck with a "pinched nerve sensation" in the left upper trapezius); and the other presented with chronic, low-grade neck pain of 1 year's duration. INTERVENTION AND OUTCOME: The initial treatment approach for the patient with acute symptoms included soft tissue therapy. During the second appointment, he was immediately referred for medical evaluation and management because of worsening symptoms. He was diagnosed with thrombus in the left brachial vein, started immediately on a thrombolytic agent, and referred to a thrombosis clinic. Treatment for the second patient with chronic symptoms included soft tissue therapy, spinal manipulative therapy, and active care. Two months after 3 treatments, she reported improved symptoms. She remains under supportive care and has reported continued relief of her symptoms. CONCLUSION: Although a rare condition, PSS has the potential to result in significant morbidity and potentially fatal complications; thus, it is critical that practitioners recognize the signs and symptoms to facilitate appropriate and timely referrals. Clinicians should be aware of the presentation and proposed pathogenesis of PSS, and consider this diagnosis in patients with unilateral upper limb and/or neck pain.