ArticleDose-response : a publication of International Hormesis Society
Repeat Radiography in Monitoring Structural Changes in the Treatment of Spinal Disorders in Chiropractic and Manual Medicine Practice: Evidence and Safety.
Article in Dose-response : a publication of International Hormesis Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Patient safety culture of chiropractors and variables predictive of overall patient safety rating: Response to an adapted version of the Survey on Patient Safety Culture Medical Office Survey.Journal of chiropractic medicine · 2026Article
- Failed back surgery syndrome successfully ameliorated with Chiropractic BiophysicsJournal of physical therapy science · 2024Article
- An investigation into the chiropractic practice and communication of routine repetitive radiographic imaging for the location of postural misalignments.Journal of clinical imaging science · 2024Review
- An investigation into the chiropractic practice and communication of routine, repetitive radiographic imaging for the location of postural misalignments.Journal of clinical imaging science · 2024Review
- The Importance of Early Detection of Spinal Tumors Through Magnetic Resonance Imaging in Chiropractic Practices.Cureus · 2024Article
- Comparison of Concordance between Chuna Manual Therapy Diagnostic Methods (Palpation, X-ray, Artificial Intelligence Program) in Lumbar Spine: An Exploratory, Cross-Sectional Clinical Study.Diagnostics (Basel, Switzerland) · 2022Article
- Is the cervical lordosis a key biomechanical biomarker in cervicogenic headache?: a Chiropractic BiophysicsJournal of physical therapy science · 2022Article
- Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systematic review of controlled trials.Journal of physical therapy science · 2021Review
- Correction of a double spondylolisthesis of the lumbar spine utilizing Chiropractic BioPhysicsJournal of physical therapy science · 2021Article
- Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio PhysicsJournal of physical therapy science · 2020Review
- The Rationale and Safety of Routine Imaging in Rehabilitative Spine Care: Delayed Radiographs for Patients Presenting With Spine Disorders is Debatable.Dose-response : a publication of International Hormesis SocietyArticle
- Death of the ALARA Radiation Protection Principle as Used in the Medical Sector.Dose-response : a publication of International Hormesis SocietyArticle
- 5 Reasons Why Scoliosis X-Rays Are Not Harmful.Dose-response : a publication of International Hormesis SocietyArticle
- X-ray Hesitancy-Response to Jargin and Sohrabi.Dose-response : a publication of International Hormesis SocietyArticle
- Radiophobic Fear-Mongering, Misappropriation of Medical References and Dismissing Relevant Data Forms the False Stance for Advocating Against the Use of Routine and Repeat Radiography in Chiropractic and Manual Therapy.Dose-response : a publication of International Hormesis SocietyArticle
- Radiophobia Overreaction: College of Chiropractors of British Columbia Revoke Full X-Ray Rights Based on Flawed Study and Radiation Fear-Mongering.Dose-response : a publication of International Hormesis SocietyArticle
- Radiography and Clinical Decision-Making in Chiropractic.Dose-response : a publication of International Hormesis SocietyReview
- Are Restrictive Medical Radiation Imaging Campaigns Misguided? It Seems So: A Case Example of the American Chiropractic Association's Adoption of "Choosing Wisely".Dose-response : a publication of International Hormesis SocietyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is substantial evidence for normal relationships between spine and postural parameters, as measured from radiographs of standing patients. Sagittal balance, cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic tilt, and the more complex understanding of the interrelations between these essential components of normal stance have evolved to where there are known, established thresholds for normalcy. These spinal parameters are reliably measured from X-ray images and serve as goals of care in the treatment of spine and postural disorders. Initial and follow-up spinal imaging by X-ray is thus crucial for the practice of contemporary and evidence-based structural rehabilitation. Recent studies have demonstrated that improvement in the spine and posture by nonsurgical methods offers superior long-term patient outcomes versus conventional methods that only temporarily treat pain/dysfunction. Low-dose radiation from repeated X-ray imaging in treating subluxated patients is substantially below the known threshold for harm and is within background radiation exposures. Since alternative imaging methods are not clinically practical at this time, plain radiography remains the standard for spinal imaging. It is safe when used in a repeated fashion for quantifying pre-post spine and postural subluxation and deformity patterns in the practice of structural correction methods by chiropractic and other manual medicine practices.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.