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Clinical Examination Findings as Prognostic Factors in Low Back Pain

Chiro.Org Blog: For most clinical tests in LBP there is not consistent evidence for an association with outcome. Centralization and non-organic signs are exceptions from that. None of the other clinical tests have been investigated in confirmatory studies and study quality is generally low. There is a need for hypothesis testing studies designed specifically to investigate the prognostic value of the clinical tests, and a need for standardization of the performance and interpretation of tests. […]

Happy Thanksgiving (2017)

Chiro.Org Blog: All of us at Chiro.Org want to wish all our readers and friends a very happy Thanksgiving. […]

The Infant with Dysfunctional Feeding Patterns

Chiro.Org Blog: The World Health Organization recommends exclusive breastfeeding for the first 6 months of an infant’s life, followed by the introduction of complementary foods while breastfeeding for 2 years and beyond. Early and consistent breastfeeding support can often make the difference in a dyad’s ability to establish a functional breastfeeding relationship. While challenged dyads can sometimes accomplish competent breastfeeding given appropriate support, necessary interventions, and an opportunity to learn; timing is critical when a neonate has not been transferring adequate milk volume or is managing feeding in a passive or compensatory manner. Chiropractors should be most familiar with the diagnosis and treatment of musculoskeletal dysfunctions that could result in an inability to feed. They should also recognize and treat the compensatory changes that will develop in a healthy, neurotypical neonate who is challenged by an inability to feed efficiently in order to prevent the evolution of long term physiologic and postural ramifications. […]

Evaluation and Treatment of Breastfeeding Difficulties Associated with Cervicocranial Dysfunction

Chiro.Org Blog: Increasingly, parents are presenting to the chiropractic office with the chief complaint of breastfeeding dysfunction. Early and consistent breastfeeding support is paramount to the dyad’s ability to establish a functional breastfeeding relationship. It is critical that chiropractors treating this population recognize feeding dysfunction and understand the mechanics of breastfeeding, what might alter those mechanics, and the importance of the role of the International Board Certified Lactation Consultant (IBCLC) in supporting the restoration of functional breastfeeding after the chiropractic adjustments have reduced the neuromusculoskeletal (NMSK) dysfunction. This paper outlines some of the mechanical dysfunctions that might interfere with the normal transfer of milk for a neonate. […]

Prevalence of Musculoskeletal Dysfunction in Infants Presenting for Chiropractic Care in Norway

Chiro.Org Blog: This study was designed to specifically look at the prevalence of neck dysfunction, and other biomechanical problems in the infant that may be associated with suboptimal breastfeeding and other key ADLs. The chief goal of this study was to track routine clinical practice of infant care in chiropractic practices in Norway, by documenting and comparing parent report of infant problems and doctor of chiropractor’s clinical findings. […]

Chiropractic Management of Infantile Torticollis With Associated Abnormal Fixation of One Eye

Chiro.Org Blog: The chiropractic treatment consisted of spinal manipulative therapy of the cervical spine in addition to massage and stretching of the neck muscles. Within a period of 4 weeks (3 chiropractic treatments) the torticollis was nearly resolved and the abnormal fixation of the right eye was no longer apparent. No relapse of the symptomatology was observed at a follow-up consultation at 26 months. […]

Pediatric Patients in Swiss Chiropractic Clinics

Chiro.Org Blog: The sample consisted of 144 chiropractors, which represented a 53% response rate, and 98% of the responding practitioners treated patients younger than age 18. The proportion of pediatric patients treated was 8.7%. The most common pediatric age groups were schoolchildren and adolescents, with infants younger than 6 months being the third most common. Musculoskeletal complaints were the most common conditions treated in all age groups. […]

Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

Chiro.Org Blog: Both children were treated with chiropractic care that consisted of light myofascial release, use of an Activator instrument, and home stretching. Patients improved in pain and range of motion immediately posttreatment and returned to normal ranges in 1 or 2 visits. […]

Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases

Chiro.Org Blog: Two male children (ages 6 and 10 years) presented to a chiropractic clinic with a history of congenital torticollis. They showed signs and symptoms of postural deficiency and developmental delay: posterior plagiocephaly, facial scoliosis, head tilt, compensatory thoracic scoliosis, decreased range of motion in the cervical spine, palpable decreased segmental motion of the upper cervical spine, and an age-related delay in throwing and catching a ball and in one-leg standing. […]

Military Report More Complementary and Alternative Medicine Use Than Civilians

Chiro.Org Blog: Thus, three CAM therapies associated with stress management were used by military populations at an estimated 2.5–7 times the rate of civilians. This high degree of use of an uncompensated health care benefit for stress indicates that further research is needed to explore both the factors associated with that stress as well as the effectiveness of CAM in dealing with it. The use of CAM as an alternative therapy for stress as opposed to costly and sometimes addictive drug therapies may have positive long-term consequences for the health and readiness of active duty. [24] […]

Regular Use of Medication for Musculoskeletal Pain and Risk of Long-term Sickness Absence

Chiro.Org Blog: Use of medication due to musculoskeletal pain is prospectively associated with long-term sickness absence, even when adjusted for pain intensity. Use of pain medication can be a red flag to be aware of in the prevention of sickness absence. […]

Use of Integrative Medicine in the
United States Military Health System

Chiro.Org Blog: Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a “whole person” approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature “polytrauma triad” of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS). […]

Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain

Chiro.Org Blog: These results suggest that education about realistic expectations for chronic pain management and therapy options, as well as making acupuncture and chiropractic (A/C) care more easily accessible, might lead to more satisfaction for patients and providers, and provide important input to policy makers. […]

The Amazing Halloween Costume

Enjoy: The Amazing Halloween Costume […]

Feeling Stiffness in the Back

Chiro.Org Blog: Does feeling back stiffness actually reflect having a stiff back? This research interrogates the long-held question of what informs our subjective experiences of bodily state. We propose a new hypothesis: feelings of back stiffness are a protective perceptual construct, rather than reflecting biomechanical properties of the back. This has far-reaching implications for treatment of pain/stiffness but also for our understanding of bodily feelings. Over three experiments, we challenge the prevailing view by showing that feeling stiff does not relate to objective spinal measures of stiffness and objective back stiffness does not differ between those who report feeling stiff and those who do not. […]