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Ontario Tech acknowledges the lands and people of the Mississaugas of Scugog Island First Nation.

We are thankful to be welcome on these lands in friendship. The lands we are situated on are covered by the Williams Treaties and are the traditional territory of the Mississaugas, a branch of the greater Anishinaabeg Nation, including Algonquin, Ojibway, Odawa and Pottawatomi. These lands remain home to many Indigenous nations and peoples.

We acknowledge this land out of respect for the Indigenous nations who have cared for Turtle Island, also called North America, from before the arrival of settler peoples until this day. Most importantly, we acknowledge that the history of these lands has been tainted by poor treatment and a lack of friendship with the First Nations who call them home.

This history is something we are all affected by because we are all treaty people in Canada. We all have a shared history to reflect on, and each of us is affected by this history in different ways. Our past defines our present, but if we move forward as friends and allies, then it does not have to define our future.

Learn more about Indigenous Education and Cultural Services

Canadian Armed Forces (CAF) Project – Phase II Development of the “Operational Readiness Evidence-based Care Pathway” for chiropractors managing spinal pain in the Canadian Armed Forces

Objectives

  1. Develop a PBRN of chiropractors who are consulted by CAF personnel to deliver the care pathway.
  2. Develop the care pathway in collaboration with the CFHS. The proposed care pathway will include:
  1. data collection tools
  2. evidence-based treatments for spinal pain
  3. CFHS communication tool kit
  1. Develop an educational module to train PBRN chiropractors on the delivery of the care pathway.
  2. Implement and assess a model of chiropractic care on a CAF base within the existing team-based, patient-centred CFHS for the management of MSK conditions for the management of MSK conditions among CAF military personnel.

 Project Status

  • Project is ongoing
  • Objectives 1-4 have been completed and introduced to two PBRN sites for the management of LBP in soldiers referred to chiropractors from CFB Trenton and CFB Comox.
  • PBRN Trenton: study closed and data has been collected and currently being analyzed. We invited 12 chiropractors to join the PBRN, 4 (33%) agreed to participate and received nine CAF referrals over 4 months. Six chiropractors declined for personal reasons, five because of work demands and one relocated his office.
  • PBRN Comox: study closed early due to covid-19 pandemic. We invited 8 chiropractors to join the PBRN, 6 (75%) agreed to participate and received 18 CAF referrals over 3 months. Data collected except for interviews, which are currently underway.
  • Based upon feedback from participants, we learned that there some soldiers self-refer for chiropractic care. Therefore, we have added another component to our Phase II study that will seek to better understand the reasons behind such self-referrals. We will recruit active soldiers who self-refer to off-base chiropractors for the treatment of MSK conditions to better understand their motivations and experiences. The start of this project has been delayed due to the covid-19 pandemic. We have submitted change requests to both institutional REBs and received approval to proceed. We are now planning the start of our project.

Publications

 External Funding

  • The Canadian Chiropractic Association and the Ontario Chiropractic Association have committed funding for a project to address the barriers and challenges identified in Phase I to ultimately improve health and work outcomes for CAF personnel, by developing the “CAF Operational Readiness Evidence-based Care Pathway” with the intent of delivering care to CAF personnel with spinal pain by a practice-based research network (PBRN) of chiropractors. 
  • The Canadian Chiropractic Guideline Initiative has committed funding for a project to develop a practice-based research network (PBRN) of chiropractors who deliver care to Canadian Armed Forces personnel with spinal pain. 

Research Team

  • Silvano Mior (Project Lead)
  • Carol Cancelliere (Co-Principal Investigator)
  • Pierre Côté (Co-Principal Investigator)
  • Simon French (Co-Principal Investigator)
  • Patrick Loisel (Co-Investigator)
  • Margareta Nordin (Co-Investigator)
  • Audrey Laporte (Co-Investigator)
  • Ellen Vogel (Co-Investigator)
  • Corey Hofkirchner (Clinical Sciences Resident)
  • Deborah Sutton (Project Manager)
  • Gaelan Connell (Project Manager)
  • Poonam Cardoso (Finance Officer)