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Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66-99

Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66-99

The Chiro.Org Blog


SOURCE:   Spine (Phila Pa 1976). 2014 (Dec 9) [Epub ahead of print]

James M Whedon, DC, MS; Todd A Mackenzie, PhD;
Reed B Phillips, DC, PhD; Jon D Lurie, MD, MS

The Dartmouth Institute for Health Policy and Clinical Practice,
Lebanon, NH

Southern California University of Health Sciences,
Whittier, CA


Study Design.   Retrospective cohort study

Objective.   In older adults with a neuromusculoskeletal complaint, to evaluate risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation, as compared to office visit for evaluation by primary care physician

Summary of Background Data.   The risk of physical injury due to spinal manipulation has not been rigorously evaluated for older adults, a population particularly vulnerable to traumatic injury in general.

Methods.   We analyzed Medicare administrative data on Medicare B beneficiaries aged 66-99 with an office visit in 2007 for a neuromusculoskeletal complaint. Using a Cox proportional hazards model, we evaluated for adjusted risk of injury within 7 days, comparing two cohorts: those treated by chiropractic spinal manipulation vs. those evaluated by a primary care physician. We used direct adjusted survival curves to estimate the cumulative probability of injury. In the chiropractic cohort only, we used logistic regression to evaluate the effect of specific chronic conditions on likelihood of injury.

Results.   The adjusted risk of injury in the chiropractic cohort was lower as compared to the primary care cohort (hazard ratio 0.24; 95% CI 0.23-0.25). The cumulative probability of injury in the chiropractic cohort was 40 injury incidents per 100,000 subjects, as compared to 153 incidents per 100,000 subjects in the primary care cohort. Among subjects who saw a chiropractic physician, the likelihood of injury was increased in those with a chronic coagulation defect, inflammatory spondylopathy, osteoporosis, aortic aneurysm and dissection, or long-term use of anticoagulant therapy.

There are more articles like this @ our:

Stroke and Chiropractic Page

Continue reading Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66-99

The Medical Monopoly:
Protecting Consumers Or Limiting Competition?

The Medical Monopoly:
Protecting Consumers Or Limiting Competition?

The Chiro.Org Blog


SOURCE:   The Cato Institute Policy Analysis No. 246

by Sue A. Blevins

Sue A. Blevins is a writer and health policy consultant based in Boston.


Executive Summary

Nonphysician providers of medical care are in high demand in the United States. But licensure laws and federal regulations limit their scope of practice and restrict access to their services. The result has almost inevitably been less choice and higher prices for consumers.

Safety and consumer protection issues are often cited as reasons for restricting nonphysician services. But the restrictions appear not to be based on empirical findings. Studies have repeatedly shown that qualified nonphysician providers–such as midwives, nurses, and chiropractors — can perform many health and medical services traditionally performed by physicians — with comparable health outcomes, lower costs, and high patient satisfaction.

Licensure laws appear to be designed to limit the supply of health care providers and restrict competition to physicians from nonphysician practitioners. The primary result is an increase in physician fees and income that drives up health care costs.

At a time government is trying to cut health spending and improve access to health care, it is imperative to examine critically the extent to which government policies are responsible for rising health costs and the unavailability of health services. Eliminating the roadblocks to competition among health care providers could improve access to health services, lower health costs, and reduce government spending.

Introduction

There are more articles like this @ our:

Alternative Medicine Articles Collection

Continue reading The Medical Monopoly:
Protecting Consumers Or Limiting Competition?

The Chiropractic Profession in Norway

The Chiropractic Profession in Norway

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2014 (Dec 8)   22   44

Ole C Kvammen and Charlotte Leboeuf-Yde

Private practice,
Fokus Helse og Trening,
Aagaards pl. 5,
Sandefjord 3211, Norway


Background   The chiropractic profession in Norway has increased five-fold in the last two decades. As there is no academic graduate program in Norway, all chiropractors have been trained outside of Norway, in either Europe, America or Australia. This might have given Norwegian chiropractors heterogenic characteristics concerning practice routines and clinical settings. However, little is known about what characterizes this profession and how it compares to other chiropractic professions in Europe. The aim of this survey was to describe major characteristics of the chiropractic profession in Norway.

Method   Two surveys were distributed to all 530 registered chiropractors in Norway in 2011. One survey was for all chiropractors (Survey 1) and the other for clinic owners (Survey 2). Results have been reported as tables and as approximate percentages in the text for ease of reading.

Result   Response rates were 61% (Survey 1, N = 320) and 71% (Survey 2, N = 217). More than two-thirds of the chiropractors in Norway had been in practice for under a decade. Only one in four chiropractors worked in solo practice and the majority shared premises with at least one colleague, typically at least one physiotherapist and one additional health practitioner. Today, only one in five clinics possessed radiologic equipment and one in ten had access to diagnostic ultrasound equipment. The majority of the chiropractors reported to apply mainly similar treatment modalities. More than 90% reported to use manipulation techniques on most patients, with soft tissue techniques and exercise modalities being almost as common. More than 3/4 of the profession reported that their clinical practice was in accordance with available clinical guidelines and about one third were positive about participating in future clinical research.

Continue reading The Chiropractic Profession in Norway

Low Vitamin D Levels and the Risk of Dementia and Alzheimer Disease

Vitamin D and the Risk of Dementia and Alzheimer Disease

The Chiro.Org Blog


SOURCE:   Neurology 2014 (Sep 2);   83 (10):   920–928 ~ FULL TEXT


This new Vitamin D study, published online in Neurology, tracked 1,658 elderly men and women for 5 years. At the start of the study, none of them suffered from dementia. The researchers controlled for many dementia risk factors — including age, education, sex, body mass index, smoking, alcohol use, diabetes and hypertension. They found that those individuals with vitamin D levels BELOW 50 (nanomoles per liter) experienced a 53 percent increased risk for all-cause dementia, and a 69 percent increased risk for Alzheimer’s disease. People with readings of 25 or less were more than twice as likely to have Alzheimer’s or another form of dementia.

As Christmas Approaches

As Christmas Approaches

The Chiro.Org Blog


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Thanks to ALL of you, from all of us here at Chiro.Org.

Happy Holidays!


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Occupational Low Back Pain in
Primary and High School Teachers

Occupational Low Back Pain in Primary and High School Teachers: Prevalence and Associated Factors

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2014 (Nov);   37 (9):   702–708

Mohammad A. Mohseni Bandpei, PhD, Fatemeh Ehsani, MSc,
Hamid Behtash, MD, Marziyeh Ghanipour, BSc

Professor, Iranian Research Centre on Aging,
Department of Physiotherapy,
University of Social Welfare and Rehabilitation Sciences,
Evin, Tehran, Iran.
Fatemehehsani59@yahoo.com


OBJECTIVE:   The purposes of this study were to investigate the prevalence of and risk factors for low back pain (LBP) in teachers and to evaluate the association of individual and occupational characteristics with the prevalence of LBP.

METHODS:   In this cross-sectional study, 586 asymptomatic teachers were randomly selected from 22 primary and high schools in Semnan city of Iran. Data on the personal, occupational characteristics, pain intensity, and functional disability as well as the prevalence and risk factors of LBP were collected using different questionnaires.

RESULTS:   Point, last month, last 6 months, annual, and lifetime prevalence rates of LBP were 21.8%, 26.3%, 29.6%, 31.1%, and 36.5%, respectively. The highest prevalence was obtained for the high school teachers. The prevalence of LBP was significantly associated with age, body mass index, job satisfaction, and length of employment (P < .05 in all instances). Prolonged sitting and standing, working hours with computer, and correcting examination papers were the most aggravating factors, respectively. Rest and participation in physical activity were found to be the most relieving factors.

There are more articles like this @ our:

Low Back Pain and Chiropractic Page

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Primary and High School Teachers

Improving Our Nation’s Health Care System

Improving Our Nation’s Health Care System: Inclusion of Chiropractic in Patient-Centered Medical Homes and Accountable Care Organizations

The Chiro.Org Blog


SOURCE:   Journal of Chiropractic Humanities 2014 (Dec);   21 (1);   49–64

William C. Meeker, DC, MPH,
R.W. Watkins, MD, MPH,
Karl C. Kranz, DC, JD,
Scott D. Munsterman, DC,
Claire Johnson, DC, MSEd

President,
Palmer College of Chiropractic West,
90 E Tasman Dr,
San Jose, CA 95134
+1 408 944 6005


Objective   This report summarizes the closing plenary session of the Association of Chiropractic Colleges Educational Conference—Research Agenda Conference 2014. The purpose of this session was to examine patient-centered medical homes and accountable care organizations from various speakers’ viewpoints and to discuss how chiropractic could possibly work within, and successfully contribute to, the changing health care environment.

Discussion   The speakers addressed the complex topic of patient-centered medical homes and accountable care organizations and provided suggestions for what leadership strategies the chiropractic profession may need to enhance chiropractic participation and contribution to improving our nation’s health.

Continue reading Improving Our Nation’s Health Care System

Who Do You Think You Are?
Your Perception Creates Your Reality

Who Do You Think You Are?
Your Perception Creates Your Reality

The Chiro.Org Blog


SOURCE:   The Chiropractic Assistants Page

By Phil Mancuso, D.C.


“You are today where your thoughts have brought you;
you will be tomorrow where your thoughts take you.”
— James Allen

You and your buddy down the street have gone to all the same seminars,
taken the same busines management programs, learned the same techniques and formulae for success. Yet, his business is going like a Carnival Cruise liner full of MTV Spring Break revelers and yours is going ‘Titanic.’

Most times, the difference isn’t in the procedures, but in the person performing them.

Your friend down the street already knows the secret to practice and personal success.

What’s your buddy’s secret? Is he smarter than you? Is he a better person
than you? Did he go to a better school than you? Most likely not—he’s just
learned how to harness his personal power to allow him to become the
successful, self-empowered person he is. He’s learned how to create his own
breakthroughs, to allow him to move beyond his fears and limiting beliefs. He is accomplishing goals and realizing his true desires, turning dreams into reality, creating fulfilling relationships, and modeling the strategies of peak performers to produce a quantum difference in his life.

“Just what does it take to get ahead these days?

Why can’t I get motivated?

Why aren’t my personal life and career turning out the way I want?”

So, what gives? Who succeeds and why? What does it take to become the
best version of yourself possible? Is it the quality of the school you attended? Is it that grade you got on your licensing exam? The number of letters after your name?

Sometimes.

Many of us know stories about people who were at the top of their class, yet,
somehow, never achieved success. In other instances, there are those who got mediocre grades, or didn’t go to the top schools, who become leaders in their chosen fields. It got me thinking:

Continue reading Who Do You Think You Are?
Your Perception Creates Your Reality

Happy Thanksgiving! (2014)

Happy Thanksgiving! (2014)

The Chiro.Org Blog



Happy Thanksgiving To ALL Our Friends!!!


Continue reading Happy Thanksgiving! (2014)

Improved Behavior and a Reduction in Violent Outbreaks in a 10-year-old Boy With Chiropractic Care

A Case Report of Improved Behavior and a Reduction in Violent Outbreaks in a 10-year-old Boy With Chiropractic Care

The Chiro.Org Blog


SOURCE:   Journal on Clinical Chiropractic Pediatrics 2014; 14 (3)

Jonathan R Cook, MChiro, DC, LRCC

Private chiropractic practice,
United Kingdom Author
jon.chiro@gmail.com


Objective:   To present a single case study in which a reduction in violent behavior with a 10-year old boy was achieved when the patient underwent chiropractic treatment.

Design:   A case report. Setting: Private chiropractic practice.

Subjects:   This case involved a 10-year-old male who presented with behavioral issues, including dramatic changes from a calm manner, to suddenly becoming violent. He was also reported to have difficulty sleeping due to emotional detachment disorder and frequently suffered from panic attacks. His mother also reported that he had difficulty noticing when he was sufficiently full following eating. His behavioral changes caused him to be suspended from school. Upper cervical, thoracic and lumbopelvic dysfunction were recorded in this case.

Methods:   The patient received diversified low-force chiropractic manipulation to the spinal areas noted, including toggle-recoil and drop piece technique. His changes were recorded through the Measure Yourself Medical Outcome Profile (MYMOP) questionnaires over the course of his treatment. Treatment was provided over a 4-week, twice weekly period, with a MYMOP questionnaire being filled out after his 3rd, 6th and 8th adjustment.

Results:   A reduction in a MYMOP score of 6/6 to 1.6/6 for behavior and violent outbreaks after 8 chiropractic adjustments. Further improvements were noticed with sleep and anxiety, as well as a dramatically improved awareness of feeling full after eating.

There are similar articles like this @ our:

Chiropractic Pediatrics Page

Continue reading Improved Behavior and a Reduction in Violent Outbreaks in a 10-year-old Boy With Chiropractic Care

Assessing the Oracle at the Fountain Head: BJ Palmer and His Times, 1902-1961

Source Journal of the Association for the History of Chiropractic

bjThis article is from Volume 7, No. 1 of the Journal of the Association for the History of Chiropractic, 1987. From the text of the article, “It may be an understatement to observe that while it is quickly apparent that the opinions, writings, influence and impact of B.J. Plamer have blanketed the history and evolution of chiropractic, few objective studies have explored the inner workings of its “Developer”.

The article contains some fascinating insights . It mentions that the only in-depth interview and study of the early years comes from the research of a New York lawyer by the name of Cyrus Lerner. Lerner was a well-respected attorney and at one time had been personal counsel to Joseph Kennedy, the father of JFK. The manuscript produced in 1952 was massive, some 780 pages in length and provides insights not only into Palmer but into the state of chiropractic through the first half of the 20th century.

You can read the original paper here.

Mr. Lerner’s report as reproduced by Joseph C. Keating, Jr., Ph.D. for the Association for the History of Chiropractic can be read here.

Dr Keating’s notes for his many articles on chiropractic history are archived here at chiro.org.

 

Coenzyme Q10 Relieves Symptoms in Gulf War Veterans

Coenzyme Q10 Benefits Symptoms in Gulf War Veterans: Results of a Randomized Double-blind Study

The Chiro.Org Blog


SOURCE:   Neural Computation 2014 (Nov);   26 (11):   2594–2651

Beatrice A. Golomb, Matthew Allison, Sabrina Koperski,
Hayley J. Koslik, Sridevi Devaraj, Janis B. Ritchie

Departments of Medicine and of Family and Preventive Medicine,
University of California,
San Diego, La Jolla, CA 92093, U.S.A.
bgolomb@ucsd.edu.


GULF WAR SYNDROME

Gulf War syndrome (GWS), also known as Gulf War illness (GWI), is a chronic multi-symptom disorder affecting one-quarter to one-third of 1990-1 Gulf War veterans.   A wide range of acute and chronic symptoms have been linked to it, including fatigue, muscle pain, cognitive problems, rashes and diarrhea.

This newly published study on Gulf War veterans shows that Co-Q 10 supplementation significantly improved many symptoms of Gulf War Illness, including word recall, fatigue, and irritability.

We sought to assess whether coenzyme Q10 (CoQ10) benefits the chronic multisymptom problems that affect one-quarter to one-third of 1990-1 Gulf War veterans, using a randomized, double-blind, placebo-controlled study.

Participants were 46 veterans meeting Kansas and Centers for Disease Control criteria for Gulf War illness.

There are more articles like this @ our:

Coenzyme–Q10 (Co–Q10) Page

Continue reading Coenzyme Q10 Relieves Symptoms in Gulf War Veterans

Chiropractic Use in the Medicare Population

Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations With 1-Year Changes in Health and Satisfaction With Care

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2014 (Oct); 37 (8): 542-551

Paula A.M. Weigel, PhD, Jason M. Hockenberry, PhD, Fredric D. Wolinsky, PhD

Research Associate,
Department of Health Management and Policy,
College of Public Health,
The University of Iowa, Iowa City, IA.
Paula-Weigel@uiowa.edu


OBJECTIVE:   The purpose of this study was to examine how chiropractic care compares to medical treatments on 1-year changes in self-reported function, health, and satisfaction with care measures in a representative sample of Medicare beneficiaries.

METHODS:   Logistic regression using generalized estimating equations is used to model the effect of chiropractic relative to medical care on decline in 5 functional measures and 2 measures of self-rated health among 12170 person-year observations. The same method is used to estimate the comparative effect of chiropractic on 6 satisfaction with care measures. Two analytic approaches are used, the first assuming no selection bias and the second using propensity score analyses to adjust for selection effects in the outcome models.

RESULTS:   The unadjusted models show that chiropractic is significantly protective against 1-year decline in activities of daily living, lifting, stooping, walking, self-rated health, and worsening health after 1 year. Persons using chiropractic are more satisfied with their follow-up care and with the information provided to them. In addition to the protective effects of chiropractic in the unadjusted model, the propensity score results indicate a significant protective effect of chiropractic against decline in reaching.

Continue reading Chiropractic Use in the Medicare Population

The Stress Test

The Stress Test

The Chiro.Org Blog



I’m not sure exactly how it works, but this is an amazingly accurate test.
The attached photo (see below) has 2 virtually identical dolphins in it.

It was used in a case study on stress levels at St. Mary’s Hospital.

Look at both dolphins jumping out of the water.

The dolphins are identical.

A closely monitored, scientific study of a group revealed that in spite of the fact that the dolphins are identical, a person under stress would observe some differences between the two dolphins.

If there are many differences found between both dolphins, it means that the person is experiencing a greater amount of stress.

Look at the photograph, and if you find more than one or two differences, you may need to take a vacation. (Keep scrolling down)

Continue reading The Stress Test

The Evidence Informed Chiropractic Challenge

Source The Evidence Informed Chiropractic Challenge

What’s the Buzz

A recent social media posting has generated a bit of a buzz in the world of chiropractic. It seems that a short essay by chiropractor Rob Sinnott on October 16th elucidating the role that chiropractic and the subluxation play in the regulation of the immune system created some disagreement among the ranks. To demonstrate his thesis Dr Sinnott chose a timely example. Ebola. As you read his piece you may have some doubts as to the wisdom of this choice. You can read his original post here.

At any rate, Dr Dave Newell, Director of Research at the AECC and long time chiropractic academic with over 25 years experience in the sciences and clinical research, felt the need to protest the claims presented by Dr Sinnott. Dr Newell expressed his concerns regarding Sinnott’s post in an email to the Annals of Vertebral Subluxation Research (AVSR), which is published by the Foundation for Vertebral Subluxation, where Sinnott is an advisory board member. You can read that letter here.

The Sinnott piece was then, in turn, defended by Dr Matthew McCoy in an article on his website, The Chronicles of Chiropractic – The source for news on conservative, traditional chiropractic. You can read that reply here.

The Evidence Informed Chiropractic Challenge

And so, the evidence-based group is convinced that the view expressed by Drs McCoy and Sinnott is a minority position and are challenging chiropractors to take a stand. Are you for or against the original article that they claim damages the profession as a whole.

You can cast your vote here.