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Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain

Chiro.Org Blog: “Among patients with acute low back pain, spinal manipulative therapy was associated with improvements in pain and function with only transient minor musculoskeletal harms.” […]

Alternative Medicine, Worker Health, and Absenteeism in the United States

Chiro.Org Blog: Estimates suggest that some CAM modalities correlate with lower absenteeism, and many correlate with improved health. Two limitations of this study are worth noting. First, a small proportion of the sample uses CAM, limiting the generalizability of results. Second, if health conscious individuals are more likely to use CAM, then health attitudes may be contributing to lower absenteeism among the treated. Further research is needed to identify a causal relationship between CAM treatment, health, and absenteeism. […]

Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model

Chiro.Org Blog: This study demonstrates that recording in vivo muscle spindle response using clinical MA-SM devices in an animal model is feasible. Extremely short duration MA-SM thrusts (<5ms) can have an immediate and/or a prolonged (> 40s) effect on muscle spindle discharge. Greater peak forces during MA-SM thrusts may not necessarily yield greater muscle spindle responses. Determining peripheral response during and following spinal manipulation may be an important step in optimizing its’ clinical efficacy. Future studies may investigate the effect of thrust dosage and magnitude. […]

Characteristics of Paraspinal Muscle Spindle Response to Mechanically Assisted Spinal Manipulation

Chiro.Org Blog: Short duration (<10 ms) MAM thrusts decrease muscle spindle discharge with a majority of afferents requiring prolonged periods (>6 seconds) to return to baseline MF activity. Physiological consequences and clinical relevance of described MAM mechanoreceptor responses will require additional investigation. […]

Neural Responses to the Mechanical Characteristics of High Velocity, Low Amplitude Spinal Manipulation: Effect of Specific Contact Site

Chiro.Org Blog: This animal study showed that contact site for an HVLA-SM can have a significant effect on the magnitude of sensory input arising from muscle spindles in the back. […]

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation

Chiro.Org Blog: Substantial decrease in spasticity was noted in all patient groups after SM. The average NC values decreased by 1.65 newtons (from 7.6 ± 6.2 to 5.9 ± 6.5) after 1 SM. Another slight decrease of 0.5 newtons was noted after a 2-week course of treatment. In the group of patients with minimal spasticity, the decrease in NC after the first SM was almost twofold-from 3.93 ± 2.9 to 2.01 ± 1.0. In cases of moderate spasticity, NC reduction was noted only after the 2-week course of intensive treatment.   In this sample of patients with cerebral palsy, a decrease in wrist muscle spasticity was noted after SM. Spasticity reduction was potentiated during the 2-week course of treatment. […]

Chiropractic Management of a Patient With Chronic Fatigue

Chiro.Org Blog: The patient was placed on an anti-inflammatory ancestral diet and given recommendations to decrease the aerobic intensity of her exercise routine. On the basis of the result of conventional and functional laboratory tests, she was prescribed a treatment plan of targeted supplementation. After 12 weeks of application of dietary, lifestyle, and supplementation recommendations, the patient reported experiencing increased energy and weight loss of 15 pounds. Her thyroglobulin antibodies returned within reference range, salivary cortisol increased and closely followed the proper circadian rhythm, and dehydroepiandrosterone-sulfate increased. […]

Happy Father’s Day! (2017)

Chiro.Org Blog: Happy Father’s Day! […]

Chiropractic Management of a Patient With Neck-Tongue Syndrome

Chiro.Org Blog: Neck-tongue syndrome (NTS) presents with unilateral upper neck or occipital pain and altered sensation in the ipsilateral half of the tongue that is aggravated by neck movement. [1] The prevalence of NTS in adults is estimated to be 2.2 individuals out of 1,000. [2] The paper that reported this figure was based on examination of 1,838 individuals aged 18–64 and not on individuals who sought care. The number of patients seeking care for NTS is likely to be lower than 2.2 out of 1,000. The low number of case studies reported in the literature (approximately 50 cases involving individuals aged 6–65 years have been described in the literature [3]) and the lack of mention of the syndrome in common orthopedic texts attest to this. […]

Rethinking the Fear Avoidance Model

Chiro.Org Blog: Nearly 20 years ago the Fear Avoidance Model (FAM) was advanced to explain the development and persistence of disabling low back pain. The model has since inspired productive research and has become the leading paradigm for understanding disability associated with musculoskeletal pain conditions. The model has also undergone recent expansion by addressing learning, motivation and self-regulation theory [10, 34]. In contrast to these extensions, however, one relatively constant aspect of the model is the recursive series of fear-related cognitive, affective, and behavioral processes shown in Figure 1 [31, 32, 34]. […]

The Biopsychosocial Model and Chiropractic

Chiro.Org Blog: There is an increasing awareness, interest and acceptance of the biopsychosocial (BPS) model by all health care professionals involved with patient care. The areas of spine care and pain medicine are no exception, and in fact, these areas of health care are a major centerpiece of the movement from the traditional biomedical model to a BPS model of patient assessment and delivery of care. The chiropractic approach to health care has a history that is grounded in key aspects of the BPS model. […]

Food Groups and Risk of All-cause Mortality

Chiro.Org Blog: The associations between 12 food groups defined a priori and risk for all-cause mortality were systematically assessed in this meta-analysis through comparison of extreme categories and dose-response analyses both for linear and nonlinear relations. Nine of the 12 food groups showed an association with all-cause mortality in the categorical or continuous dose-response analyses; an inverse association was present for whole grain, vegetable, fruit, nut, legume, and fish consumption, whereas a positive association was present for red meat, processed meat, egg, and SSB consumption. […]

Quantifying the Impact of NSAID-associated
Adverse Events

Chiro.Org Blog: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used among patients experiencing many different types of pain, including inflammatory, acute pain (eg, injury, low back pain, headache, postoperative pain), and chronic pain (eg, rheumatoid arthritis, osteoarthritis). However, both traditional NSAIDs and second-generation NSAIDs (cyclooxygenase-2 inhibitors) can lead to very expensive and serious adverse events. Gastrointestinal, cardiovascular, and renal complications associated with NSAIDs have been shown to be dose-dependent. In 2005, to help minimize these risks, the US Food and Drug Administration issued a public health advisory stating that “NSAIDs should be administered at the lowest effective dose for the shortest duration consistent with individual patient treatment goals.” […]

Chiropractic Gains Ground During Texas Legislative Session

Chiro.Org Blog: Texas Gov. Greg Abbott signed into law Senate Bill 304, continuing the Texas Board of Chiropractic Examiners (TBCE) and upholding the right of licensed doctors of chiropractic in Texas to diagnose patients. It caps a historic legislative session for the chiropractic profession in Texas. […]