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Monthly Archives: October 2014

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The Evidence Informed Chiropractic Challenge

By |October 30, 2014|Philosophy|

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.

Effects of Chiropractic Care on Dizziness,Neck Pain, and Balance

By |October 21, 2014|Vertigo|

Effects of Chiropractic Care on Dizziness, Neck Pain,
and Balance: A Single-group, Preexperimental, Feasibility Study

The Chiro.Org Blog


SOURCE:   J Chiropractic Medicine 2009 (Dec);   8 (4):   156–164

Richard G. Strunk, DC, & Cheryl Hawk, DC, PhD

Assistant Professor,
Clinical Sciences/Research,
Cleveland Chiropractic College,
Overland Park, KS.


OBJECTIVE:   This feasibility study was conducted to further the development of a line of investigation into the potential effects of spinal manipulation/manual therapy on cervicogenic dizziness, balance, and neck pain in adults.

METHODS:   A single-group, preexperimental, feasibility study was conducted at a chiropractic college health center and a senior fitness center with a target sample size of 20 patients (40 years or older). Patients were treated by either a clinician or a chiropractic student intern for 8 weeks. The Dizziness Handicap Inventory was the primary outcome measurement, with the Short Form Berg Balance Scale (SF-BBS) and the Neck Disability Index used as secondary outcome measurements.

RESULTS:   Twenty-seven patients were recruited over a period of 13 months. Twenty-one patients enrolled in the study; but because of 2 dropouts, 19 patients completed the treatment. A median Dizziness Handicap Inventory change score of +7 points was calculated for those dizziness patients, with 3 patients improving by at least 18 points, indicating a clinically meaningful change. Seven of the 15 patients who performed the SF-BBS attained at least a 4-point improvement with an effect size of 1.2. A median Neck Disability Index change score of +1 was calculated for those patients with neck pain. Twelve minor adverse reactions were reported by 8 patients, with 3 of those reactions lasting longer than 24 hours.

There are more articles like this @ our:

Vertigo, Balance and Chiropractic Page

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Straighten Up for World Spine Day: New Free App Launches to Help All Ages Improve Posture and Spinal Health

By |October 20, 2014|Posture|

SUp-webbanner-EN

Source Newswire

Musculoskeletal issues are the cause of one-third of missed work − second only to the common cold; poll reveals almost half of Canadians suffered from four or more MSK conditions in the last year.

TORONTO, Oct. 16, 2014 /CNW/ – The Canadian Chiropractic Association (CCA), in partnership with the 10 provincial chiropractic associations, has launched a new app today to mark World Spine Day. The 2014 World Spine Day theme is “Straighten Up and Move”, and the aptly named Straighten Up Canada app aims to accomplish just that—improve posture and spinal health through simple preventative posture exercises. It is the first free Canadian app of its kind.

The Straighten Up Canada app provides users with 12 short exercise videos as well as a tracking feature to monitor progress and share with others through social media. It also includes a “Find a Chiropractor” search function to locate musculoskeletal (MSK) experts nearby.

“Canadians are becoming more sedentary and are experiencing postural issues at an earlier age, due to the increased use of technology in both their personal and professional lives,” explains Dr. Robert David, Chair, Canadian Chiropractic Association. “What most people don’t know is that practising simple exercises daily to adjust poor posture habits is one of the best ways to reduce aches and pains.”

Musculoskeletal conditions account for one-third of missed work in Canada.
Each year, over 11 million Canadians suffer from at least one musculoskeletal condition.1 In fact, low back pain and other MSK conditions account for one-third of missed work in Canada − second only to the common cold. Many MSK problems are the product of poor posture, resulting from using poor body mechanics while engaging in everyday activities, like hunching over computers, tablets or smartphones, lifting children, slouching at a desk or even carrying heavy purses, laptop bags and groceries. Sitting for prolonged periods at work and heavy manual labour can put further strain on the body’s MSK system.

Alison Dantas, Chief Executive Officer, Canadian Chiropractic Association, explains that adopting good posture habits early on is key to minimizing and even avoiding chronic MSK pain in some cases. “As a vital part of every Canadian’s healthcare team, chiropractors are experts in musculoskeletal health and can provide people with preventative measures to promote and maintain a healthy spine. The posture exercises in the Straighten Up Canada app are not only fast and easy, they will help people of all ages prevent, and in some cases even eliminate, their habits around poor posture.”

Almost half of Canadians were afflicted by more than four MSK ailments in the last 12 months; leading symptoms are back pain, stiffness, headaches/migraines, neck and joint pain.
According to research conducted by Ipsos Reid on behalf of the CCA, 43% of Canadians have suffered from four or more MSK issues within the last year. The leading health concerns are back pain and stiffness (53 per cent), headaches and migraines (44 per cent), neck pain (35 per cent) and joint pain (35 per cent). In fact, MSK disorders account for the highest disability costs among all chronic conditions in Canada ($15 billion). 2

“The main goal of the Straighten Up Canada app is to help people become regularly aware of their posture so they can start to correct it themselves,” explains Dr. David. “Another advantage of this app is these exercises can take as little as three minutes to help you reset and become more mindful of your posture. Everyone can find three minutes in their day, and if they do, it may just help them lead a more active and healthy lifestyle resulting in a wide range of long-term health benefits.”

The Straighten Up Canada app is available for free download through the Apple App Store, Google Play Store and on www.straightenupcanada.ca.

Assessment of Patients With Neck Pain

By |October 20, 2014|Diagnosis, Outcome Assessment|

Assessment of Patients With Neck Pain: A Review of Definitions, Selection Criteria, and Measurement Tools

The Chiro.Org Blog


SOURCE:   J Chiropractic Medicine 2010 (Jun);   9 (2):   49–59 ~ FULL TEXT

Victoria Misailidou, Paraskevi Malliou, Anastasia Beneka,
Alexandros Karagiannidis, and Georgios Godolias

Laboratory Instructor, Department of Physical Therapy,
Technological Educational Institute of Thessaloniki,
57400, Thessaloniki, Greece


OBJECTIVE:   The purpose of this literature review was to synthesize the existing literature on various definitions, classifications, selection criteria, and outcome measures used in different studies in patients with neck pain.

METHODS:   A literature search of MEDLINE and CINAHL through September 2008 was performed to gather articles on the reliability, validity, and utility of a wide variety of outcome measurements for neck pain.

RESULTS:   Different types of definitions appear in the literature based on anatomical location, etiology, severity, and duration of symptoms. Classifications according to severity and duration of pain and the establishment of selection criteria seem to play a crucial role in study designs and in clinical settings to ensure homogeneous groups and effective interventions. A series of objective tests and subjective self-report measures are useful in assessing physical abilities, pain, functional ability, psychosocial well-being, general health status, and quality of life in patients with neck pain. Self-administered questionnaires are commonly used in clinical practice and research projects.

There are more articles like this @ our:

Outcome Assessment Questionnaires Page

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Outcomes For Adult Scoliosis Patients Receiving Chiropractic Rehabilitation

By |October 19, 2014|Scoliosis|

Outcomes For Adult Scoliosis Patients
Receiving Chiropractic Rehabilitation:
A 24-month Retrospective Analysis

The Chiro.Org Blog


SOURCE:   J Chiropractic Medicine 2011 (Sep);   10 (3):   179–184

Mark W. Morningstar, DC

Private Practice, Grand Blanc, MI


OBJECTIVES:   The purpose of this study was to retrospectively report the results of patients who completed an exercise-based chiropractic program and its potential to alter the natural progression of adult scoliosis at 24 months after the clinic portion of treatment was concluded.

METHODS:   A retrospective chart review was conducted at 2 spine clinics in Michigan, USA. Each clinic uses the same chiropractic rehabilitation program to treat patients with adult scoliosis. Multidimensional patient outcomes included radiographic, respiratory, disability, and pain parameters. Outcomes were measured at baseline, at end of active treatment, and at long-term follow-up.

RESULTS:   A total of 28 patients fit the inclusion criteria for the study. The average beginning primary Cobb angle was 44° ± 6°. Patients received the same chiropractic rehabilitation program for approximately 6 months. At the end of active treatment, improvements were recorded in Cobb angle, pain scores, spirometry, and disability rating. All radiographic findings were maintained at 24-month follow-up.

There are more articles like this @ our:

Scoliosis and Chiropractic Page

(more…)

Vertebral Artery Dissection in a Patient Practicing Self-manipulation of the Neck

By |October 17, 2014|Vertebral Artery|

Vertebral Artery Dissection in a Patient Practicing Self-manipulation of the Neck

The Chiro.Org Blog


SOURCE:   J Chiropractic Medicine 2011 (Dec);   10 (4):   283–287

John S. Mosby, DC, MD, Stephen M. Duray, PhD

Division of Clinics,
Palmer College of Chiropractic,
Davenport, IA 52803, USA


OBJECTIVE:   The purpose of this case report is to describe a patient who regularly practiced self-manipulation of her neck who presented with shoulder and neck pain and was undergoing a vertebral artery dissection.

CLINICAL FEATURES:   A 42-year-old female patient sought care for left shoulder pain with a secondary complaint of left lower neck pain. Twelve days prior, she had had “the worst headache of her life,” which began in her left lower cervical spine and extended to her left temporal region. The pain was sudden and severe, was described as sharp and burning, and lasted 3 hours. She reported nausea, vomiting, and blurred vision.

INTERVENTION AND OUTCOME:   Initial history and examination suggested that the patient’s head and neck pain was not musculoskeletal in origin, but vascular. She repeatedly requested that an adjustment be performed, but instead was referred to the local emergency department for further evaluation. Magnetic resonance angiogram revealed a dissection of the left vertebral artery from C6 to the C2-C3 interspace and a 3-mm dissecting pseudoaneurysm at the C3 level. She underwent stent-assisted percutaneous transluminal angioplasty combined with antiplatelet therapy (clopidogrel) and experienced a good outcome.

There are more articles like this @ our:

Stroke and Chiropractic Page

(more…)