Supporting Clinical Chiropractic Research

On behalf of our members, we support multiple clinical chiropractic and related research studies to elevate patient care and advance understanding of the chiropractic profession.

We invest directly and indirectly in important chiropractic clinical research studies, as well as provide support through subscriptions, promotion and collaboration with leading chiropractic research entities:

  • The OCA Board of Directors Research Committee
  • Canadian Chiropractic Research Foundation (CCRF)
  • Knowledge Translation Organizations
      • RRS Education
      • Canadian Chiropractic Guideline Initiative (CCGI)
  • Canadian Memorial Chiropractic College (CMCC) Research
  • Relevant third-party initiatives
Dr. Sam Howarth with patient in CMCC's Human Performance Lab
In the Human Performance Lab at the Canadian Memorial Chiropractic College (CMCC), Dr. Samuel (Sam) Howarth works with a patient. (Photo: CMCC)

OCA Board of Directors Research Committee

Our OCA Board Research Committee reviews and funds chiropractic-related studies involving researchers that advance understanding clinical practice and patient care. The committee accepts and reviews submissions, then awards research funding to select studies that will evolve patient care and advance understanding of the chiropractic profession. 

OCA Support:

We review and provide direct funding to support chiropractic clinical studies that the committee selects.

Current Clinical Chiropractic Research Projects:

The role of central sensitization and neurogenic inflammation in the pathophysiology of chronic myofascial pain

Exterior shot of Canadian Memorial Chiropractic College

Lead: Dr. John Srbely, DC, PhD, Associate Professor, University of Guelph

His research program adopts a broad and integrative approach to the study of chronic musculoskeletal pain, incorporating both basic and clinical sciences. A major arm to his research program is investigating the underlying pathophysiologic mechanisms using both animal and human models. His research also aims to advance reliable diagnostic criteria (imaging, biomarkers) and physical assessment techniques (quantitative sensory testing, electromyography) that enable effective and reliable treatment and management strategies. By emphasizing transdisciplinary and multi-institutional collaborations, his research program will continue to inform future clinical and experimental initiatives in the field of chronic musculoskeletal pain.

“Dr. Srbely knows what’s important to chiropractors in the field because he knows what chiropractors observe in practice. His research is looking at a problem that chiropractors see a lot of with their patients – trigger points. I think his research is really worth the profession getting behind. I think he’s going to answer some of the big questions.” 

Dr. Paul Nolet, DC, MSc, MPH, FRCCSS(C), Wellington Ortho & Rehab, Guelph, ON

Background: Dr. Srbely’s research focuses on the study of the neurophysiologic phenomenon called ‘central sensitization,’ which is a neuradaptive state associated with chronic pain. He has a specific interest in the study of chronic pain and joint function associated with aging and chronic musculoskeletal (spine, muscle and joint) diseases, such as osteoarthritis, myofascial pain and fibromyalgia.

Through his research, Dr. Srbely aims to develop novel and/or enhance existing treatment approaches in clinical pain management (diagnosis and treatment), as well as musculoskeletal (spine, muscle and joint) biomechanics/pathomechanics associated with chronic disease and aging.

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Study III Good life with osteoarthritis in Denmark: prevalence and outcomes of patients with co-occurring degenerative lumbar spinal stenosis, and hip and knee osteoarthritis

Exterior shot of Universite du Quebec a Trois-Riveres

Lead: Dr. James J. Young, DC, MSc, PhD Research Fellow, University of Southern Denmark (USD) and Clinical Sciences Resident and Adjunct Professor, Canadian Memorial Chiropractic College (CMCC)

Background: Dr. Young is currently conducting research at SDU before his return to Ontario. He published Skou ST, Koes BW, Grønne DT, Young JJ, Roos EM.

Comparison of three sets of clinical classification criteria for knee osteoarthritis. Osteoarthritis and Cartilage. 2019.

Exterior shot of Universite du Quebec a Trois-Riveres

Thesis Advisor: Dr. Carlo Ammendolia, DC, PhD, Assistant Professor, Institute of Health Policy, Management and Evaluation, Department of Surgery and the Institute of Medical Sciences, University of Toronto

Background: As Director of the Spine Clinic and the Spinal Stenosis Program at the Rebecca MacDonald Centre for Arthritis and Autoimmune Diseases, at Mount Sinai Hospital, Dr. Ammendolia combines research, clinical practice and teaching. His specialty clinic treats about 70 to 100 patients every week and is a training facility for chiropractic and medical residents.

Dr. Ammendolia is actively engaged in clinical research studies of non-operative treatments for degenerative lumbar spinal stenosis, including this study, as well as ankylosing spondylitis and mechanical neck and back pain.

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Canadian Chiropractic Research Foundation (C-C-R-F) logo

Executive Director:  Robert Harris, CCRF
Chair:  Dr. Chad Kulak, DC

“Creating new knowledge is critical to improving patient care. The OCA is proud to support the CCRF as it works to discover the best, evidence–based care for patients living with spinal dysfunction and disease.”  – Caroline Brereton, CEO, Ontario Chiropractic Association

CCRF invests in high-quality, evidence-based research that leads to solutions for people suffering with spine, muscles, joints and related nervous system (neuromusculoskeletal or nMSK) related pain and dysfunction. For more than 40 years, CCRF has been dedicated to advancing patient care, integrated health care models and the chiropractic profession.

CCRF achieves its mandate through a National Research Grant program and new Partnership Committee. Twice a year, CCRF issues Requests for Proposals for grants to Canadian-based nMSK research teams. Since 2019, it has invested more than $700,00 in Canadian-based research projects on a diverse range of subjects.

OCA Support:

On behalf of members, we invest in funding CCRF to support its Canadian-based research projects, which have a local, national and global impact.

“CCRF greatly values the collaborative relationship that’s been forged with OCA and actively participates with OCA’s own Research Committee by bringing ideas and networking opportunities to the table.”  – Robert Harris, Executive Director, CCRF

Current Research Grants to Ontario-based Teams (May 2021):

Our members’ investment supports evidence-based research projects that are expected to advance the profession’s knowledge base and contribute to improved care for patients living with muscular, skeletal and nervous system pain. Click/Tap the button below to learn about these projects.

CCRF Projects and Initiatives

Knowledge Translation Organizations: Integrating Evidence into Clinical Practice

These organizations include: RRS Education (Research Review Service Inc.) and The Canadian Chiropractic Guideline Initiative (CCGI). Each organization provides unique resources to help chiropractors integrate or apply scientific evidence from research studies into their clinical practice.

OCA Support:

Through subscriptions and promotion, we support RRS Education and CCGI’s important work.

RRS Education

Founder and CEO: Dr. Shawn Thistle, B. Kin. (Hons.), D.C., Medical Acupuncture, ART®, C.S.C.S

This online, subscription-based service strives to facilitate knowledge transfer from bench-to-bedside. Through research reviews, informative seminars and e-learning courses, RRS Education helps clinicians integrate current scientific evidence from chiropractic, physiotherapy and exercise sciences research into evidence-informed clinical practice and patient care.

The RRS database contains more than 900 reviews and serves clinicians around the world. An annual subscription to RRS can be submitted as 20 unstructured credit hours for continuing-education (CE) requirements.

Dr. Sean Thistle, Founder and CEO, RRS Education, OCA 2019 Chiropractor of the Year tribute video.

canadian chiropractic guideline initiative (CCGI)

Project Lead: Carol Cancelliere DC, MPH, PhD, University of Ontario Institute of Technology (Ontario Tech University)

CCGI’s mandate is to develop evidence-based clinical practice guidelines and best practice recommendations. Then, it facilitates their dissemination and implementation within the chiropractic profession.

Strategic Goals:

  • Transforming the culture of the chiropractic profession to one that is guided by evidence-informed practice
  • Producing, adapting or adopting recommendations relevant to chiropractic practice to enhance patient care, based on the best available evidence
  • Creating and applying innovative knowledge translation strategies to influence chiropractic practice
  • Engaging stakeholders to assist in disseminating best practice to their members

To learn about CCGI’s current research initiatives click/tap the button below.

CCGI Research Initiatives

CCGI creates varied content for chiropractors, with the goal of advancing excellence in chiropractic care. Its content is available in various digital categories, such as:

Educational Presentations
Whiteboard Videos
Infographics
Podcasts
Learn More/Visit RRS Education Website
Learn More/Visit CCGI Website

Relevant Health Care Initiatives

We collaborate with medical, academic and other partners to support relevant research initiatives that advance the understanding of care for Ontarians. Our members’ expertise complements these initiatives and often aligns directly with the needs of patients.

OCA Support:

Through promotion, member engagement and collaboration, we support select third-party research initiatives.

Select health care initiatives we support include:

Back ON logo

Study on Low Back Pain in Primary Care: “Back ON”

We partnered with a team of investigators from Queen’s University to help recruit chiropractors to participate in this Back ON study, which is funded by the Canadian Institutes of Health Research.

This cohort study (i.e. with no interventions) is investigating the natural course and treatment of patients with low back pain in primary care in Ontario.

Together with family doctors and physiotherapists, chiropractors are part of the 175 primary care practices involved in the study. During the study period, the Back ON team will follow the practitioners’ regular practice patterns. Patient characteristics and their use of our health system will also be determined.

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Heart & Stroke Foundation of Canada: “Activate

We partnered with Heart & Stroke to support Activate – a community-based wellness program designed to prevent the onset of high blood pressure, by moving individuals to a healthier lifestyle.

As Heart & Stroke was seeking health care professionals to help screen and enroll patients in this beneficial program, we promoted this opportunity to our members. Since many chiropractors regularly take and monitor their patients’ blood pressure as part of their care plan, the program was a natural fit and many of our members participated.

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Are you an OCA member? Learn how to get involved

Canadian Memorial Chiropractic College (CMCC)

CMCC has one of the most innovative clinical chiropractic research programs in North America.

Focused on five major areas of research, senior research scientists and clinical faculty members seek to answer vital questions about the changes that chiropractic adjustments make on a micro and macro level, including:

  • How to increase its efficacy and how best to apply it
  • How to integrate it within the health and performance spectrum

OCA Support:

We showcase and promote CMCC’s independent clinical research to advance understanding of the chiropractic profession.

Dr. Sam Howarth working in Human Performance Lab at CMCC

Dr. Sam Howarth with patient in the Human Performance Lab at CMCC. (Photo: CMCC)

CMCC’s major areas of research include:

Biological Basis of Musculoskeletal Injury and Manual Therapies
To conduct clinically oriented and mechanistic studies assessing the development of musculoskeletal injuries and the biological basis of manual therapies. Primary areas of study include cellular and molecular biology, immunology, biomechanics, ergonomics, mechanobiology, morphology, neurophysiology and ultrasonography.

Clinical and Health Sciences Research
To improve patient centered care for musculoskeletal conditions through studies focusing on clinical assessment and interventions. Primary areas of study include clinical guideline development, systematic reviews, studies of assessment and diagnosis, clinical and cost-effectiveness trials, prognosis, disability, rehabilitation and health services. Multimodal non-surgical intervention for individuals with knee osteoarthritis — a retrospective case series protocol.

Education in Health Care
To enhance the development of curriculum, explore novel methods for content delivery and assessment, improve collaborative learning and the utilization of innovative technologies, techniques and learning strategies within the context of healthcare education. Primary areas of study include simulation education, interprofessional education, competency-based education, elearning, blended learning, clinical education, active learning strategies, professional development and problem-based learning. A pilot study entails evaluating the baseline abilities of second year chiropractic students to identify cardiac and lung sounds at the CMCC using high fidelity manikin simulators.

Health and Wellness
To produce evidence that further promotes healthy living of patients and the public. Primary areas of study include physical activity, mental health, dietetics and nutrition. The influence an Exercise is Medicine workshop has on recording exercise minutes per week as a vital sign in CMCC clinics.

Knowledge Translation and Health Policy
To improve the uptake, delivery and continuity of health care, based on research evidence, patient-oriented outcomes and informed decision making. Primary areas of study include knowledge translation, health policy, health economics, health services organization and management, as well as implementation science. A pre-implementation qualitative case study includes development of an evidence-informed self-management toolkit for low back pain, adapted for the Tobique First Nation, Canada.

The Ontario Tech – CMCC Centre for Disability Prevention and Rehabilitation (CDPR)

This centre is dedicated to understanding and improving return to work rates to improve lives and reduce costs to Canadian businesses. It is an internationally recognized centre of excellence focused on collaborative, transdisciplinary work with key stakeholders and knowledge users, which crosses research areas

With offices at Ontario Tech in Oshawa and at CMCC in Toronto, CDPR is able to leverage the academic excellence resident at both institutions. A core team of researchers (including five chiropractors), two international post-doctoral fellows, two PhD students, six Master’s students, three chiropractic residents and 25 national and international collaborators from 23 universities fulfills the centre’s mandate.

Dr. Pierre Côté, Canada Research Chair in Disability Prevention and Rehabilitation and Associate Professor, Faculty of Health Sciences, Ontario Tech, leads the CDPR.
Dr. Silvano Mior, Professor and Senior Research Scientist, CMCC, as well as Adjunct Professor, Ontario Tech. Research interests include clinical outcomes and program evaluation, health services, and assessing interdisciplinary collaborative practice models from the patients’ perspective.
Learn More About CMCC