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Impact of Musculoskeletal Pain on Balance and Concerns of Falling in Mobility-limited, Community-dwelling Danes over 75 Years of Age

By |December 28, 2017|Low Back Pain|

Impact of Musculoskeletal Pain on Balance and Concerns of Falling in Mobility-limited, Community-dwelling Danes over 75 Years of Age: A Cross-sectional Study

The Chiro.Org Blog


SOURCE:   Aging Clin Exp Res. 2017 (Dec 11) [Epub]

Julie C. Kendall, Lars G. Hvid, Jan Hartvigsen,
Azharuddin Fazalbhoy, Michael F. Azari,
Mathias Skjødt, Stephen R. Robinson, Paolo Caserotti

School of Health and Biomedical Sciences,
RMIT University,
PO Box 71,
Bundoora, Melbourne, 3083, VIC, Australia.


BACKGROUND:   In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain.

OBJECTIVE:   This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain.

METHODS:   48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain.

RESULTS:   Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling.

There are more articles like this @ our:

Chiropractic and Senior Care Page

and the:

Low Back Pain and Chiropractic Page

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The Use of the RAND VSQ9 to Measure the Quality of Life and Visit-Specific Satisfaction of Pregnant Patients

By |December 25, 2017|Pediatrics|

The Use of the Patient Reported Outcomes Measurement Information System and the RAND VSQ9 to Measure the Quality of Life and Visit-Specific Satisfaction of Pregnant Patients Under Chiropractic Care Utilizing the Webster Technique

The Chiro.Org Blog


SOURCE:   J Altern Complement Med. 2017 (Dec 20) [Epub]

Joel Alcantara, Andrea Lamont Nazarenko,
Jeanne Ohm, and Junjoe Alcantara

The International Chiropractic Pediatric Association,
Media, PA.


OBJECTIVE:   To quantify the quality of life (QoL) and visit-specific satisfaction of pregnant women.

DESIGN:   A prospective cohort within a practice-based research network (PBRN). Setting/locations: Individual chiropractic offices.

SUBJECTS:   Pregnant women (age ≥18 years) attending chiropractic care.

INTERVENTION(S):   Chiropractic care (i.e., The Webster Technique, spinal adjustments, and adjunctive therapies).

MAIN OUTCOME MEASURES:   The RAND VSQ9 to measure visit-specific satisfaction and the Patient Reported Outcomes Measurement Information System (PROMIS®)-29 to measure QoL.

There are more articles like this @ our:

Chiropractic Pediatrics Section and the:

Outcome Assessment Page

(more…)

Research Priorities of the Canadian Chiropractic Profession

By |December 14, 2017|Chiropractic Research|

Research Priorities of the Canadian Chiropractic Profession: A Consensus Study Using a Modified Delphi Technique

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2017 (Dec 12); 25: 38

Simon D. French, Peter J. H. Beliveau, Paul Bruno, Steven R. Passmore, Jill A. Hayden, John Srbely and Greg N. Kawchuk

School of Rehabilitation Therapy,
Queen’s University


Background   Research funds are limited and a healthcare profession that supports research activity should establish research priority areas. The study objective was to identify research priority areas for the Canadian chiropractic profession, and for stakeholders in the chiropractic profession to rank these in order of importance.

Methods   We conducted a modified Delphi consensus study between August 2015 and May 2017 to determine the views of Canadian chiropractic organisations (e.g. Canadian Chiropractic Association; provincial associations) and stakeholder groups (e.g. chiropractic educational institutions; researchers). Participants completed three online Delphi survey rounds. In Round 1, participants suggested research areas within four broad research themes:

1)   Basic science;
2)   Clinical;
3)   Health services; and
4)   Population health.

In Round 2, researchers created sub-themes by categorising the areas suggested in Round 1, and participants judged the importance of the research sub-themes. We defined consensus as at least 70% of participants agreeing that a research area was “essential” or “very important”. In Round 3, results from Round 2 were presented to the participants to re-evaluate the importance of sub-themes. Finally, participants completed an online pairwise ranking activity to determine the rank order of the list of important research sub-themes.

Results   Fifty-seven participants, of 85 people invited, completed Round 1 (response rate 67%). Fifty-six participants completed Round 2, 55 completed Round 3, and 53 completed the ranking activity. After three Delphi rounds and the pairwise ranking activity was completed, the ranked list of research sub-themes considered important were:

1)   Integration of chiropractic care into multidisciplinary settings;
2)   Costs and cost-effectiveness of chiropractic care;
3)   Effect of chiropractic care on reducing medical services;
4)   Effects of chiropractic care;
5)   Safety/side effects of chiropractic care;
6)   Chiropractic care for older adults;
7)   Neurophysiological mechanisms and
       effects of spinal manipulative therapy;
8)   General mechanisms and effects of spinal manipulative therapy.

There are more articles like this @ our:

Chiropractic Research Agenda Page

(more…)

$14 Million Research Grant Puts SMT in the Spotlight

By |December 9, 2017|Chiropractic Research|

$14 Million Research Grant Puts SMT in the Spotlight

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic 2017 (Nov); 35 (11)


  Landmark study could solidify DCs as the
  first line of care for acute LBP.  

The National Institutes of Health has awarded a $14 million grant to the University of Minnesota and University of Washington to study the benefits of spinal manipulation for back pain vs. standard medical care (including prescription medication).

Touted as one of the largest back pain studies ever funded by the NIH’s National Center for Complementary and Integrative Health, the national, multi-site clinical trial will feature a multidisciplinary research team from the chiropractic, medical, osteopathic, physical therapy and psychology fields, representing a half-dozen universities.

Participating researchers hail from the University of Minnesota (whose
Earl E. Bakken Center for Spirituality & Healing received the bulk of the NIH award for the clinical trial, which will be conducted at the University of Minnesota and the University of Pittsburgh – two of the leading research-based universities in the U.S.), the University of Washington (which received the remaining funds for data management / statistical support), Oregon Health and Sciences University, Duke University, and the University of North Texas.

The “Spinal Manipulation and Patient Self-Management for Preventing Acute to Chronic Back Pain Trial” will compare spinal manipulative therapy and supported self-management vs. usual medical care (including prescription medications). Supported self-care includes behavioral and copies strategies, mind-body approaches, lifestyle advice, and pain education – all designed to address the biopsychosocial aspects of back pain. Nearly 1,200 patients will be enrolled in the study beginning next spring.

Gert Brontfort, DC, PhD, a professor in the Bakken Center’s Integrative Health and Wellbeing Research Program, will serve as lead investigator on the study. Other doctors of chiropractic involved in the study include the University of Pittsburgh’s Michael Schneider, DC, PhD (co-principal investigator for the Clinical Coordinating Center, which will conduct the clinical trial) and Joel Stevens, DC, PhD; Roni Evans, DC, PhD (who directs the Integrative Health and Wellbeing Research Program at the University of Minnesota Bakken Center), and Brent Leininger, DC, MS, also from the U. of Minnesota.

The Earl E. Bakken Center for Spirituality & Healing is partially funded by the NCMIC Foundation. According to Mary Jo Kreitzer, PhD, RN, FAAN, a professor in the School of Nursing at the U. of Minnesota and director of the Bakken Center, “The support of NCMIC Foundation has been pivotal to helping the Center establish a world-class research program in chiropractic and integrative health from the influential platform of a prestigious land-grant university. It has also helped us to advance future research affiliations.”


The Chiropractic Perspective:
Q&A With Drs. Brontfort and Evans

(more…)

Harvard Endorses Chiropractic

By |December 8, 2017|Uncategorized|

Harvard Endorses Chiropractic

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic 2017 (Dec); 35 (12)

By Donald M. Petersen Jr., BS, HCD(hc), FICC(h)


Harvard Health Publishing is an arm of the prestigious Harvard Medical School. The publisher’s tag line is “Trusted advice for a healthier life.” Probably the most popular Harvard Health publication is the Harvard Health Letter, which you’ve probably seen or heard referenced.

The Harvard Medical School is one of the more notable exceptions to the rule that medical establishments are generally anti-chiropractic. You may have seen its Special Health Report “Pain Relief: Natural and Alternative Remedies Without Drugs or Surgery,” published in 2015. [1]

While certainly not as all-encompassing as one would have hoped for, the report not only features a section on chiropractic, but also includes chiropractic in the low back pain section, as well as two patient “stories.” The first story (“Gary’s Story: A Journey to Pain Relief”) talks about Gary’s primary MD referring him to a chiropractor. The second story (“Alice’s Story: A Comprehensive Approach to Pain Relief”) talks about how Alice has been using chiropractic, along with other nondrug interventions, for years with positive results.

Last month the Harvard Health Letter featured an article: “Where to Turn for Low Back Pain Relief.” The article’s deck answers the question: “In most cases, a primary care doctor or chiropractor can help resolve the problem.” [2]

Under the section titled “Where to Turn,” we read that for people suffering from back pain, their first call should be to a primary care physician or a chiropractor. Dr. Matthew Kowalski, a DC at Harvard’s Osher Center for Integrative Medicine, is quoted as saying that 35-42 percent of people experiencing their first episode of back pain consult a doctor of chiropractic.

The report concludes by reminding patients that most common back pain issues will be effectively addressed by a primary care MD or a chiropractor. It also references Harvard’s 2014 report on back pain (which also includes information about chiropractic).

There are many observations that immediately come to mind when reading this 2017 report.

Here are my top three:

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Plasmacytoma of the Cervical Spine

By |December 7, 2017|Diagnosis|

Plasmacytoma of the Cervical Spine: A Case Study

The Chiro.Org Blog


SOURCE:   J Chiropractic Medicine 2017 (Jun); 16 (2): 170–174

Richard Pashayan, DC, DABCO, CCSP,
Wesley M. Cavanaugh, DC,
Chad D. Warshel, DC, DACBR, and
David R. Payne, MD

Private Practice,
Flushing, NY.


OBJECTIVE:   The purpose of this case study is to describe the presentation of a patient with plasmacytoma.

CLINICAL FEATURES:   A 49-year-old man presented with progressive neck pain, stiffness, and dysphagia to a chiropractic office. A radiograph indicated a plasmacytoma at C3 vertebral body. The lesion was expansile and caused a mass effect anteriorly on the esophagus and posteriorly on the spinal cord. Neurologic compromise was noted with fasciculations and hypesthesia in the right forearm. The patient was referred to a neurosurgeon.

INTERVENTION AND OUTCOME:   Surgical resection of the tumor was performed with a vertebral body spacer and surrounding titanium cage. Bony fusion was initiated by inserting bone grafts from the iliac crests into the titanium cage. Additional laboratory analysis and advanced imaging confirmed that the plasmacytoma had progressed to multiple myeloma and radiation and chemotherapy were also necessary.

There are other articles like this @ our:

Case Reports Section

(more…)