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Daily Archives: April 19, 2011

Advising on Prevention in Chiropractic: A Look at Public Health Promotion

By |April 19, 2011|Chiropractic Technique, Education, Prevention|

Advising on Prevention in Chiropractic:
A Look at Public Health Promotion

The Chiro.Org Blog

SOURCE:   Topics in Integrative Health Care 2011: 2 (1)

Harrison Ndetan, M.Sc., MPH, DrPH, Michael Ramcharan, DC,
Marion Willard Evans, Jr., DC, PhD, MCHES, CWP

Chiropractic care is among the more commonly used Complementary and Alternative Medical (CAM) therapies. Spinal co-morbidities include many of the most common causes of premature death and disability. Health promotion and disease prevention have been used in the profession and taught in educational settings but not yet fully embraced in usual practice. This manuscript reviews areas in which health promotion has been emphasized in chiropractic education along with instances in which health behavior theories (HBTs) have been applied. Chiropractic clinical and educational programs should consider application of HBTs to move clinicians and interns forward regarding better advising roles with patients related to prevention and health promotion.


The actual causes of death in the United States include many chronic diseases that are attributable to modifiable behavioral risk factors such as tobacco use, physical inactivity or sedentary lifestyle, alcohol consumption, poor nutrition or eating habits. [1]An increased emphasis on prevention, health promotion (HP), and education has been recommended for decades but has failed to reduce many of the threats related to premature morbidity and mortality. [2,3]Complementary and alternative medicine (CAM) use has also increased; in many cases aimed at chronic disease management. [4-7]

Chiropractic care is one of the most frequently used professional CAM health care systems in the U.S. [4,5,7]Musculoskeletal conditions such as low back and neck pain, which are among the most common reasons patients visit medical physicians in the U.S., [8]are also among the conditions most frequently treated with chiropractic care. [7-9]The relative efficacy and cost effectiveness of chiropractic and medical care have emerged as important issues in the broader debate on evidence-based healthcare. [10,11]

Chiropractors and health promotion

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Predictors For Success Of Spinal Manipulation For Neck Pain

By |April 19, 2011|Neck Pain, Research, Spinal Manipulation|

Predictors For Success Of Spinal Manipulation
For Neck Pain

The Chiro.Org Blog

SOURCE:   J Manipulative Physiol Ther. 2011 (Mar); 34 (3): 144–152

Manuel Ssavedra-Hernández, PT, Adelaida M. Castro-Sánchez, PT, PhD, César Fernández-de-las-Peñas, PT, DO, PhD, Joshua A. Cleland, PT, PhD, Ricardo Ortega-Santiago, PT, MS, Manuel Arroyo-Morales, MD, PT, PhD

Department of Nursing and Physical Therapy,
Universidad de Almería, Spain.

This newly published JMPT study attempted to identify those prognostic clinical factors that may potentially identify, a priori, patients with mechanical neck pain who are likely to experience a rapid and successful response to spinal manipulation of the cervical and thoracic spine.

Data from 81 subjects were included in the analysis, of which 50 had experienced a successful outcome (61.7%). Five variables were found to be associated with a positive response:

  • Initial pain intensity greater than 4.5 points
  • Cervical extension less than 46°
  • Hypomobility at T1 vertebra (more…)