Welcome to the Chiropractic Australia  Journal Club.

The Journal Club has been established to allow busy clinicians convenient access to the latest research via Dropbox.

  • The Archive consists of approximately 3000 research articles taken primarily from the last 5 years along with some earlier key research sorted into 126 folders in DropBox.
  • The articles in each folder are sorted from newest to oldest (top to bottom).
  • The most recent articles will initially appear in the “Latest Research” folder. This folder will be added to every 2 weeks on the 1st and 15th of each month and with new articles replacing older articles which will be sorted into their relevant folders.
  • As we add new articles or sort them into folders it will automatically do the same to DropBox on your computer!
  • There is a “Submit an Article” folder so members can contribute new articles and fill the gaps with important past articles that are not yet part of the Archive!

Article of the Month: May 2017

Low back pain in older adults: risk factors, management options and future directions

A comments section for discussion on this month’s article can be found at the bottom of the page. Please feel free to contribute to the discussion.

The Journal Club database can be found on the following Dropbox Link

Low back pain in older adults: risk factors, management options and future directions

Interesting paper from Arnold Wong, one of the Chiropractic Research Leadership Fellows (CARL) who recently met in Denmark.

Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may affect the effective LBP management among older adults. Accordingly, the objectives of the current narrative review were to comprehensively summarize common causes and risk factors (modifiable and non-modifiable) of developing severe/chronic LBP in older adults, to highlight specific issues in assessing and treating seniors with LBP, and to discuss future research directions. Existing evidence suggests that prevalence rates of severe and chronic LBP increase with older age. As compared to working-age adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older adults. Collectively, by understanding the impacts of various factors on the assessment and treatment of older adults with LBP, both clinicians and researchers can work toward the direction of more cost-effective and personalized LBP management for older people.”