February 2017
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Glucose Metabolic Changes in the Brain and Muscles of Patients with Nonspecific Neck Pain Treated by Spinal Manipulation Therapy

Chiro.Org Blog: Changes in brain activity after SMT included activation of the dorsal anterior cingulate cortex, cerebellar vermis, and somatosensory association cortex and deactivation of the prefrontal cortex and temporal sites. Glucose uptake in skeletal muscles showed a trend toward decreased metabolism after SMT, although the difference was not significant. Other measurements indicated relaxation of cervical muscle tension, decrease in salivary amylase level (suppression of sympathetic nerve activity), and pain relief after SMT. […]

Manipulation of Dysfunctional Spinal Joints Affects Sensorimotor Integration in the Prefrontal Cortex

Chiro.Org Blog: This study resulted in two major findings. Firstly, this study reproduced previous findings of SEPs studies that have shown that adjusting dysfunctional spinal segments alters early sensorimotor integration (SMI) of input from the upper limb (as evidenced with a decrease in N30 SEP complex amplitudes). [3, 6, 21] The second major finding of this study was that we were able to show, using dipole source localization, that this change in SMI that occurs after spinal manipulation predominantly happens in the prefrontal cortex. […]

Clinical Practice Guidelines for the Noninvasive Management
of Low Back Pain

Chiro.Org Blog: Most high-quality guidelines recommend education, staying active/exercise, manual therapy and paracetamol/NSAIDs as first-line treatments for LBP. Recommendation of paracetamol for acute LBP is challenged by recent evidence and needs updating. […]

Cost Analysis Related to Dose-response of Spinal Manipulative Therapy for Chronic Low Back Pain

Chiro.Org Blog: This study shows that manipulation can have a modicum of benefit in LBP-related pain and disability without significantly increasing treatment or societal costs. In the main results paper reporting pain and disability on 100-point scales, Haas et al found an 8.6-point advantage in pain (p=.002) and 7.5-point advantage in disability (p=.011) for SMT 12 compared to the control at 12 weeks. In this study, we found that this benefit may occur without significant increases in costs of treatment or lost productivity. […]

Integration of Chiropractic Services in Military and Veteran Health Care Facilities

Chiro.Org Blog: Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement. […]

Wellness-related Use of Common Complementary Health Approaches Among Adults

Chiro.Org Blog: This report presents national estimates of selected wellness-related reasons for the use of natural product supplements, yoga, and spinal manipulation among U.S. adults in 2012. Self-reported perceived health outcomes were also examined. […]

Immediate Effects of Spinal Manipulative Therapy on
Myofascial Trigger Points

Chiro.Org Blog: Chronic myofascial pain syndrome (MPS) is one of the most commonly encountered pain conditions and represents a significant burden to our health care system. Population-based studies report that chronic regional pain, such as MPS, impacts up to 25% of the population at any given time. [1] The prevalence of MPS among the middle-aged population (30-60 years) is reported at 37% and 65% in men and women, respectively, [2] and increases to 85% in the elderly (>65 years). […]

Acupuncture and Chiropractic Care Utilization

Chiro.Org Blog: Physician referrals within this Kaiser program was tipped in favor of acupuncture, with 55% of them being referred for care, versus only 9% of the chiropractic patients. […]

Chiropractic As Spine Care

Chiro.Org Blog: The primary purpose of this paper is to offer a coherent and defensible professional identity. We argue that chiropractic’s identity is as a provider of spine care. We argue further that such a model is consistent with the best available scientific evidence, is consistent with the current public perception, provides benefit to both the profession and the public, and is capable of gaining for the profession the cultural authority it now lacks. […]

Chiropractic and Complementary and Alternative Medicine

Chiro.Org Blog: This paper is part of the second phase of a project addressing the long-term goal. The first phase was the development of a best practice document in concert with the Council on Chiropractic Guidelines and Practice Parameter; that effort is currently under review by the chiropractic profession. The long-term goal of this study is to review the existing literature, update and develop new and newly revised evidence-based best practice recommendations for the treatment and management of chronic and episodic LBP by chiropractors and other CAM practitioners. […]

Low Back Pain in Primary Care

Chiro.Org Blog: Four out of five patients had had previous episodes, one-fourth were on sick leave, and the LBP considerably limited daily activities. The general practice patients were slightly older and less educated, more often females, and generally worse on all disease-related parameters than chiropractic patients. All differences were statistically significant. […]

Altered Central Integration of Dual Somatosensory InputAfter Cervical Spine Manipulation

Chiro.Org Blog: This study suggests that cervical spine manipulation may alter cortical integration of dual somatosensory input. These findings may help to elucidate the mechanisms responsible for the effective relief of pain and restoration of functional ability documented after spinal manipulation treatment. […]

Do Participants With Low Back Pain Who Respond to Spinal Manipulative Therapy

Chiro.Org Blog: After the first SMT, SMT responders displayed statistically significant decreases in spinal stiffness and increases in multifidus thickness ratio sustained for more than 7 days; these findings were not observed in other groups. Similarly, only SMT responders displayed significant post-SMT improvement in apparent diffusion coefficients. […]

Craniocervical Chiropractic Procedures – A Précis of Upper Cervical Chiropractic

Chiro.Org Blog: Presented here is a narrative review of upper cervical procedures intended to facilitate understanding and to increase knowledge of upper cervical chiropractic care. Safety, efficacy, common misconceptions, and research are discussed, allowing practitioners, chiropractic students, and the general public to make informed decisions regarding utilization and referrals for this distinctive type of chiropractic care. […]

What Effect Does Chiropractic Treatment Have on Gastrointestinal (GI) Disorder

Chiro.Org Blog: To the best of our knowledge, there has not been a narrative review done specifically on the topic of chiropractic treatment and GI disorders, nor has there been a systematic review that has examined chiropractic treatment of gastrointestinal disorders spanning the broad population. One advantage of a narrative review is that it enables practitioners to learn about the effect a wide variety of treatment options have (or do not have) on a condition or group of conditions- in this case GI disorders- published in various article formats, ranging from well designed clinical trials to commentaries. […]