A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research

Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropra...
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Autor*in:	Grabowska, Weronika [verfasserIn] Burton, Wren Kowalski, Matthew H. Vining, Robert Long, Cynthia R. Lisi, Anthony Hausdorff, Jeffrey M. Manor, Brad Muñoz-Vergara, Dennis Wayne, Peter M.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Chiropractic Chiropractic care Falls Fall prevention Gait Balance

Anmerkung:	© The Author(s) 2022

Übergeordnetes Werk:	Enthalten in: BMC musculoskeletal disorders - London : BioMed Central, 2000, 23(2022), 1 vom: 05. Sept.
Übergeordnetes Werk:	volume:23 ; year:2022 ; number:1 ; day:05 ; month:09

Links:	Volltext

DOI / URN:	10.1186/s12891-022-05783-y

Katalog-ID:	SPR050967584

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520			\|a Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps.
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allfields	10.1186/s12891-022-05783-y doi (DE-627)SPR050967584 (SPR)s12891-022-05783-y-e DE-627 ger DE-627 rakwb eng Grabowska, Weronika verfasserin aut A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213 Burton, Wren aut Kowalski, Matthew H. aut Vining, Robert aut Long, Cynthia R. aut Lisi, Anthony aut Hausdorff, Jeffrey M. aut Manor, Brad aut Muñoz-Vergara, Dennis aut Wayne, Peter M. aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 23(2022), 1 vom: 05. Sept. (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:23 year:2022 number:1 day:05 month:09 https://dx.doi.org/10.1186/s12891-022-05783-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2022 1 05 09
spelling	10.1186/s12891-022-05783-y doi (DE-627)SPR050967584 (SPR)s12891-022-05783-y-e DE-627 ger DE-627 rakwb eng Grabowska, Weronika verfasserin aut A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213 Burton, Wren aut Kowalski, Matthew H. aut Vining, Robert aut Long, Cynthia R. aut Lisi, Anthony aut Hausdorff, Jeffrey M. aut Manor, Brad aut Muñoz-Vergara, Dennis aut Wayne, Peter M. aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 23(2022), 1 vom: 05. Sept. (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:23 year:2022 number:1 day:05 month:09 https://dx.doi.org/10.1186/s12891-022-05783-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2022 1 05 09
allfields_unstemmed	10.1186/s12891-022-05783-y doi (DE-627)SPR050967584 (SPR)s12891-022-05783-y-e DE-627 ger DE-627 rakwb eng Grabowska, Weronika verfasserin aut A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213 Burton, Wren aut Kowalski, Matthew H. aut Vining, Robert aut Long, Cynthia R. aut Lisi, Anthony aut Hausdorff, Jeffrey M. aut Manor, Brad aut Muñoz-Vergara, Dennis aut Wayne, Peter M. aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 23(2022), 1 vom: 05. Sept. (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:23 year:2022 number:1 day:05 month:09 https://dx.doi.org/10.1186/s12891-022-05783-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2022 1 05 09
allfieldsGer	10.1186/s12891-022-05783-y doi (DE-627)SPR050967584 (SPR)s12891-022-05783-y-e DE-627 ger DE-627 rakwb eng Grabowska, Weronika verfasserin aut A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213 Burton, Wren aut Kowalski, Matthew H. aut Vining, Robert aut Long, Cynthia R. aut Lisi, Anthony aut Hausdorff, Jeffrey M. aut Manor, Brad aut Muñoz-Vergara, Dennis aut Wayne, Peter M. aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 23(2022), 1 vom: 05. Sept. (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:23 year:2022 number:1 day:05 month:09 https://dx.doi.org/10.1186/s12891-022-05783-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2022 1 05 09
allfieldsSound	10.1186/s12891-022-05783-y doi (DE-627)SPR050967584 (SPR)s12891-022-05783-y-e DE-627 ger DE-627 rakwb eng Grabowska, Weronika verfasserin aut A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213 Burton, Wren aut Kowalski, Matthew H. aut Vining, Robert aut Long, Cynthia R. aut Lisi, Anthony aut Hausdorff, Jeffrey M. aut Manor, Brad aut Muñoz-Vergara, Dennis aut Wayne, Peter M. aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 23(2022), 1 vom: 05. Sept. (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:23 year:2022 number:1 day:05 month:09 https://dx.doi.org/10.1186/s12891-022-05783-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2022 1 05 09
language	English
source	Enthalten in BMC musculoskeletal disorders 23(2022), 1 vom: 05. Sept. volume:23 year:2022 number:1 day:05 month:09
sourceStr	Enthalten in BMC musculoskeletal disorders 23(2022), 1 vom: 05. Sept. volume:23 year:2022 number:1 day:05 month:09
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Chiropractic Chiropractic care Falls Fall prevention Gait Balance
isfreeaccess_bool	true
container_title	BMC musculoskeletal disorders
authorswithroles_txt_mv	Grabowska, Weronika @@aut@@ Burton, Wren @@aut@@ Kowalski, Matthew H. @@aut@@ Vining, Robert @@aut@@ Long, Cynthia R. @@aut@@ Lisi, Anthony @@aut@@ Hausdorff, Jeffrey M. @@aut@@ Manor, Brad @@aut@@ Muñoz-Vergara, Dennis @@aut@@ Wayne, Peter M. @@aut@@
publishDateDaySort_date	2022-09-05T00:00:00Z
hierarchy_top_id	326643745
id	SPR050967584
language_de	englisch
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author	Grabowska, Weronika
spellingShingle	Grabowska, Weronika misc Chiropractic misc Chiropractic care misc Falls misc Fall prevention misc Gait misc Balance A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
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topic_title	A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research Chiropractic (dpeaa)DE-He213 Chiropractic care (dpeaa)DE-He213 Falls (dpeaa)DE-He213 Fall prevention (dpeaa)DE-He213 Gait (dpeaa)DE-He213 Balance (dpeaa)DE-He213
topic	misc Chiropractic misc Chiropractic care misc Falls misc Fall prevention misc Gait misc Balance
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title	A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
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title_full	A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
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author_browse	Grabowska, Weronika Burton, Wren Kowalski, Matthew H. Vining, Robert Long, Cynthia R. Lisi, Anthony Hausdorff, Jeffrey M. Manor, Brad Muñoz-Vergara, Dennis Wayne, Peter M.
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title_sort	systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
title_auth	A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
abstract	Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. © The Author(s) 2022
abstractGer	Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. © The Author(s) 2022
abstract_unstemmed	Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. © The Author(s) 2022
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title_short	A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
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A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research

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