Title Page [0/0]: Include a title page for the Final Research Submission. As stated in the directions for this assessment, use the Student Title Page format.
[1] Condition to Treat [0/0]: Sciatic in Pregnancy.
[2] Significance [5/10]
(a) The prevalence of the condition was adequately addressed
However, the secondary reference used to support 16% of women with pelvic pain report the pain as persistent needs to be a primary source and correctly referenced in- text and added to the Reference List.
Other Potential References:
Weis CA, Barrett J, Tavares P, Draper C, Ngo K, Leung J, Huynh T, Landsman V. Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Pregnant Ontario Population. J Obstet Gynaecol Can. 2018 Aug;40(8):1038-1043. doi: 10.1016/j.jogc.2017.10.032. PMID: 30103876.
The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study
(b) Biopsychosocial Perspective
The Elaine Stillerman’s reference is a magazine article that does not meet the criteria of a research article. Please find a research article to support mechanism by which pregnancy contributes to sciatic pain. (Refer to my list of potential references with current approach to treatment)
Provide more specific details / clarity of writing for continuous sciatic pain on psychosocial aspects of Sciatic in Pregnancy [Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University Umeå, Sweden- Research Article] Use the APA in-text referencing style (Bergström et al. 2019)
Joelle Petigrew’s reference is a magazine article that does not meet the criteria of a research article. Please remove or find a research article to support common musculoskeletal compliants by pregnant women. (Use one the potential references included in this feedback)
(c) Current Approach to Treatment.
Provide more specific details on the treatments provided by chiropractors, acupuncturist, primary care physicians, and Doula for sciatic in pregnancy.
You need research article(s) to support these current treatment approaches.
Some Potential references to use:
Conner SN, Trudell AS, Conner CA. Chiropractic Care for the Pregnant Body. Clin Obstet Gynecol. 2021 Sep 1;64(3):602-610. doi: 10.1097/ GRF.0000000000000621. PMID: 33882524.
Weis CA, Pohlman K, Draper C, daSilva-Oolup S, Stuber K, Hawk C. Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review. J Manipulative Physiol Ther. 2020 Sep;43(7):714-731. doi: 10.1016/j.jmpt.2020.05.005. Epub 2020 Sep
6. PMID: 32900544.
Gausel AM, Kjærmann I, Malmqvist S, Andersen K, Dalen I, Larsen JP, Økland I. Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial. BMC Pregnancy Childbirth. 2017 Sep 29;17(1):331. doi: 10.1186/s12884-017-1528-9. PMID: 28962596; PMCID: PMC5622492.
Hu J, Jin X, Jiang Y, Li W, Hu J. Ultrasound Image Characteristic Analysis of Sciatic Nerve and Main Branches in Third Trimester. World Neurosurg. 2021 May;149:316-324. doi: 10.1016/j.wneu.2020.09.131. Epub 2020 Sep 28. PMID: 32992062.
Perreault T, Fernández-de-Las-Peñas C, Cummings M, Gendron BC. Needling Interventions for Sciatica: Choosing Methods Based on Neuropathic Pain Mechanisms-A Scoping Review. J Clin Med. 2021 May 19;10(10):2189. doi: 10.3390/jcm10102189. PMID: 34069357; PMCID: PMC8158699.
Hans SL, Edwards RC, Zhang Y. Randomized Controlled Trial of Doula-Home- Visiting Services: Impact on Maternal and Infant Health [published correction appears in Matern Child Health J. 2018 Aug 20;:]. Matern Child Health J. 2018;22(Suppl 1):105-113. doi:10.1007/s10995-018-2537-7
Weis CA, Pohlman K, Barrett J, Clinton S, da Silva-Oolup S, Draper C, Lee J, Kumar R, O’Beirne M, Stuber K, Hawk C. Best-Practice Recommendations for Chiropractic Care for Pregnant and Postpartum Patients: Results of a Consensus Process. J Manipulative Physiol Ther. 2021 Nov 23:S0161-4754(21)00036-1. doi: 10.1016/j.jmpt.2021.03.002. Epub ahead of print. PMID: 34836673.
(d) Economic Costs
Address economic costs of treating musculoskeletal complaints during pregnancy. Below is a potential reference.
Nicolian S, Butel T, Gambotti L, Durand M, Filipovic-Pierucci A, Mallet A, et al. (2019) Costeffectiveness of acupuncture versus standard care for pelvic and low back pain in pregnancy: A randomized controlled trial. PLoS ONE 14(4): e0214195. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214195
[3] Background Literature [4/10]
Compare and Contrast of Mark Allen, Joella Pettigrew and Elaine Stillerman
What is the reference for Mark Allen?
As stated above, references for Joella Pettigrew and Elaine Stillerman are magazine articles that does not meet the criteria of a research article.
The references provided in the Joella Pettigrew’s magazine article are dated and are not potential references for this assignment.
Although your comparison was in alignment with PICOS, references did not meet criteria of research articles.
Remove this information in your Final Research Paper Submission
Comparison of Gausel et al., 2017 and Bergström et al. 2019.
Bergstrom et al. 2019: Bottom page 2: Reference to “persistent pregnancy” in the description of patients is confusing. Please change “persistent pregnancy related lumbopelvic pain to “persistent pregnancy-related lumbopelvic pain 12 years postpartum.
Last line on page 2, delete “what is a cohort study” Last line on page 2, should read “randomized controlled trial of pregnant women who were diagnosed”
This comparison correctly addressed patients and study designs after incorporating the above suggested edits. Please make suggested edits.
The comparison is lacking information on interventions, control/comparison groups, and outcomes.
Include specific information on interventions, control/comparison groups, and outcomes when submitting your Final Research Paper.
Information on interventions and outcomes from Mark Allen, Joella Pettigrew and Elaine Stillerman and Comparison of Gausel et al., 2017 and Bergström et al. 2019 requires better organization and more specific information. Refer to next feedback comment.
Break this section into paragraphs.
My recommendation is one paragraph per study to address PICOS elements and then a summary paragraph highlighting similarities and differences.
[4] Rationale [5/10]
We need more specific details in this section.
In one paragraph, provide a justification (rationale) based upon your summary of the five articles that explains your patient / participant selection, intervention, control, and outcome assessment.
What additional research studies are needed to support including chiropractor as consultants during pregnancy care?
What are the types of chiropractic interventions do we need to include in the research studies that
would support using chiropractor as consultants during pregnancy care?
What are the details of efficient chiropractic care of sciatic throughout pregnancy?
Are the details of efficient chiropractic care of sciatic throughout pregnancy changing?
The control group is no manual therapy, but do they have the option of rehab / postural exercises with advice.
What are the details of advice?
Weekly Outcomes:
What instruments are being used to measure pain, mobility, mood and functionality?
Are these instruments that same throughout pregnancy?
What weeks are we including?
Make the suggested edit for your Final Research Paper Submission:
The purpose of the study is to describe the effects of the chiropractic care on pregnant women experiencing sciatic as compared to pregnant women not receiving chiropractic care for their sciatic symptoms as indicated by changes in self-reported symptom improvement
The rating system for self-reported symptom improvement needs to better defined.
[6] References [5/10]:
Replace the two magazine articles with research articles towards your five required research articles for theses assessments [Midterm and Final Research Paper]
Include a Reference List Section in Final Research Paper Submission.
Below each listed reference, I included the correct in-text referencing style.
Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial. Anne Marie Gausel1, Inger Kjærmann , Stefan Malmqvist, Knut Andersen, Ingvild Dalen, Jan Petter Larsen and Inger Økland. . BMC Pregnancy and Childbirth, 2017, 17:331. [Stavanger University Hospital, Stavanger, Norway]
(Gausel et al., 2017)
Psychosocial and behavioural characteristics in women with pregnancy-related lumbopelvic pain 12 years postpartum. Cecilia Bergström, Margareta Persson and Ingrid Mogren. Chiropractic &
Manual Therapies, 2019, 27:34. [Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University Umeå, Sweden]
(Bergström et al. 2019)
Massage for Moms Sciatica Relief During Pregnancy & Postpartum. Elaine Stillerman. Massage Magazine, February 2020, 61-64.
(Stillerman, 2020)
Utilizing Chiropractic for Optimal Pregnancy and Birth Outcomes. Joella Pettigrew. Midwifery Today, Summer 2014, 56-57. [Family Wellness Chiropractic Office, Port Orchard, Washington].
(Pettigrew, 2014)
Chiropractic care of the pregnant woman and neonate. Erin Curnow and Sadie Geraght. British Journal of Midwifery, 2019, 27:284-287. [King Edward Memorial Hospital, Western Australia and Charles Darwin University & Edith Cowan University, Australia]
(Curnow & Geraght, 2019)
[7] Overall Quality [5/10]:
Overall, your presentation of the information is adequate. However, course description and course objectives indicate that students need to: ✓ demonstrate best practices in information literacy in order to locate, evaluate, and integrate research for discussions on chiropractic philosophy and integrative care. ✓ use scholarly sources to expand their knowledge of Chiropractic topics Although clinical experiences shared by Mark Allen, Joella Pettigrew, and Elaine Stillerman are part of evidence-based medicine, this assessment is addressing research tier of evidence-based medicine. Although a low-level of evidence, a peer-reviewed case report or case series is needed to share clinical experiences within the research tier of evidence-based medicine.
Address my comments when submitting the Final Research Paper.
The direction for references was to used APA style. The in-text referencing style is author, year. Refer to reference section below for correct APA referencing style. Please correct in-text referencing style for the Final Paper submission.
Midterm Grade: 32/50 = 64%
