Evidence map›Paper›PMID 41648801›Full record

ArticleThe Journal of the Canadian Chiropractic Association2025

Routine medical care for adults with musculoskeletal disorders in the Indigenous community of Pimicikamak, northern Manitoba before and after implementing the Global Spine Care Initiative model: a retrospective chart review with a 10-month post-implementation window: A collaborative research project between World Spine Care Canada (WSCC), Pimicikamack Okimawin, and Cross Lake Nursing Station.

Patricia Tavares, Jennifer Ward, Steven Passmore, Melissa Atkinson-Graham, Randall Smolinski, Muriel Scott, Jean Moss, Deborah Kopansky-Giles, Jacqueline C Ladwig, Jordan Myers and 7 more

Abstract read
PubMed Full text at PMC
In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Patricia TavaresCanadian Memorial Chiropractic College, Toronto, Ontario.
Jennifer WardDepartment of Graduate Studies, Applied Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Steven PassmoreFaculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba.
Melissa Atkinson-GrahamFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario.
Randall SmolinskiCross Lake Nursing Station, Cross Lake, Manitoba.
Muriel ScottCross Lake Health Services, Cross Lake, Manitoba.
Jean MossWorld Spine Care Canada, Concord, Ontario.
Deborah Kopansky-GilesCanadian Memorial Chiropractic College, Toronto, Ontario.
Jacqueline C LadwigFaculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba.
Jordan MyersPrivate Practice, Winnipeg, Manitoba.
Cheryl M GlazebrookFaculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba.
David A MoniasPimicikamak Okimawin, Cross Lake Band of Indians, Cross Lake, Manitoba.
Helga HamiltonCross Lake Health Services, Cross Lake, Manitoba.
Donald Z MckayPimicikamak Okimawin, Cross Lake Band of Indians, Cross Lake, Manitoba.
Scott HaldemanUniversity of California, Irvine, California, USA.
Sheilah Hogg-JohnsonCanadian Memorial Chiropractic College, Toronto, Ontario.
André BussièresUniversité du Québec à Trois-Rivières, Trois-Rivières, Québec.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Indigenous communities in northern Manitoba face a high burden of musculoskeletal (MSK) conditions and limited access to care. In October 2023, a new chiropractic service was launched in Cross Lake, Manitoba, aiming to improve MSK care access. This study explored: (1) the nature of MSK-related care provided at the Cross Lake Nursing Station, and (2) changes in clinical management during the first 10 months post-implementation. Methods: We conducted a retrospective chart review (standardized 14-item form) for two periods: December 2021-2022 (pre-implementation) and October 2023-August 2024 (post-implementation). Data on presentations, imaging, treatments, and referrals were analyzed descriptively. Results: Post-implementation, imaging use declined (63.4% to 44.9%), as did prescription of NSAIDs (80.5% to 53.1%), acetaminophen (63.4% to 32.7%), and opioids (21.9% to 8.2%). Muscle relaxant prescriptions increased, while pregabalin/gabapentin remained stable. Conclusion: The new chiropractic service may be associated with reduced use of imaging and common medications for MSK conditions.

Indexed as

chiropracticIndigenousmedically underserved areamusculoskeletalnon-pharmacologicalopioidretrospective chart reviewspine care

Identifiers

PMID41648801
PMCPMC12871887

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.