Effects of Spinal Manipulative Therapy on Inflammatory Mediators in Patients with Non-specific Low Back Pain
Effects of Spinal Manipulative Therapy on Inflammatory Mediators in Patients with Non-specific Low Back Pain: A Non-randomized Controlled Clinical Trial
SOURCE: Chiropractic & Manual Therapies 2021 (Jan 8)
Julita A. Teodorczyk-Injeyan, John J. Triano, Robert Gringmuth, Christopher DeGraauw, Adrian Chow & H. Stephen
Graduate Education and Research Programs,
Canadian Memorial Chiropractic College,
Toronto, Ontario, Canada
Background: The inflammatory profiles of patients with acute and chronic nonspecific low back pain (LBP) patients are distinct. Spinal manipulative therapy (SMT) has been shown to modulate the production of nociceptive chemokines differently in these patient cohorts. The present study further investigates the effect(s) of SMT on other inflammatory mediators in the same LBP patient cohorts.
Methods: Acute (n = 22) and chronic (n = 25) LBP patients with minimum pain scores of 3 on a 10-point numeric scale, and asymptomatic controls (n = 24) were recruited according to stringent exclusion criteria. Blood samples were obtained at baseline and after 2 weeks during which patients received 6 SMTs in the lumbar or lumbosacral region. The in vitro production of tumor necrosis factor (TNFα), interleukin-1 β (IL-1β), IL-6, IL-2, interferon γ (IFNγ), IL-1 receptor antagonist (IL-1RA), TNF soluble receptor type 2 (sTNFR2) and IL-10 was determined by specific immunoassays. Parametric as well as non-parametric statistics (PAST 3.18 beta software) was used to determine significance of differences between and within study groups prior and post-SMT. Effect size (ES) estimates were obtained using Cohen’s d.
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Our Blog is a Tool. Learn How To Use It Now
Our Blog is a Tool. Learn How To Use It Now
A Chiro.Org Editorrial
Every Blog post is an announcement of new material that was just added to one of our many Sections.
I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts, and many hundreds of Full-Text articles on a wide variety of subjects.
When enough material, relating to a particular topic was collected, it was gathered into a new Topical Page in one of our many Sections.
Each Topical page is located in the Section most associated with that topic.
Thus, our Attention Deficit Page is located (is a part of) our Pediatrics Section You get the idea.
Almost ALL of our Sections contain some, or many Topical collections. The LINKS Section is the most extreme example, because it contains 95 different topical pages.
All of the following are “active” Sections that are constantly adding new (and important) materials:
Alternative Healing Abstracts
Case Studies
Chiropractic Assistants
Chiropractic Research
Documentation
The LINKS
Medicare Info
Nutrition
Pediatrics
Radiology
Stroke and Chiropractic
What is the Chiropractic Subluxation?
These other valuable Sections are “archival” in nature, and contain
valuable tools for you to use freely:
Free Images
New DC’s
Office Forms
R.C. Schafer’s Rehab Monographs
Search Section
How Blog Posts Work
The following is a Graphic “screen grab” of a Blog Post from our Home Page.
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Experiences With Chiropractic Care for Patients With Low Back or Neck Pain
Experiences With Chiropractic Care for Patients With Low Back or Neck Pain
SOURCE: J Patient Exp 2020 Jun; 7 (3): 357–364
Ron D Hays, PhD, Cathy D Sherbourne, PhD, Karen L Spritzer, BS, Lara G Hilton, PhD, MPH,
Gery W Ryan, PhD, Ian D Coulter, PhD, and Patricia M Herman, ND, PhD
Division of General Internal Medicine & Health Services Research,
UCLA Department of Medicine,
Los Angeles, CA, USA.
Background: Musculoskeletal disorders are the second leading cause of disability worldwide.
Objective: Examine experiences of chiropractic patients in the United States with chronic low back or neck pain.
Method:   Observational study of 1853 chronic low back pain and neck pain patients (74% female) who completed an online questionnaire at the 3-month follow-up that included Consumer Assessment of Healthcare Providers and Systems (CAHPS) items assessing their experiences with care.
Results: We found similar reports of communication for the chiropractic sample and patients in the 2016 CAHPS National Database, but 85% in the database versus 79% in the chiropractic sample gave the most positive response to the time spent with provider item. More patients in the CAHPS database rated their provider at the top of the scale (8 percentage points). More chiropractic patients reported always getting answers to questions the same day (16 percentage points) and always being seen within 15 minutes of their appointment time (29 percentage points).
Conclusions: The positive experiences of patients with chronic back and neck pain are supportive of their use of chiropractic care.
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CHRONIC NECK PAIN Section and our
Neck Pain Patterns and Subgrouping Based on Weekly SMS-derived Trajectories
Neck Pain Patterns and Subgrouping Based on Weekly SMS-derived Trajectories
SOURCE: BMC Musculoskelet Disord 2020 (Oct 14)
P. Irgens, A. Kongsted, B. L. Myhrvold, K. Waagan, K. B. Engebretsen, B. Natvig, N. K. Vøllestad, and H. S. Robinson
Department of Interdisciplinary Health Sciences,
Institute of Health and Society,
University of Oslo, P.O. Box 1089,
Blindern, 0317, Oslo, Norway.
Background: Neck and low back pain represent dynamic conditions that change over time, often with an initial improvement after the onset of a new episode, followed by flare-ups or variations in intensity. Pain trajectories were previously defined based on longitudinal studies of temporal patterns and pain intensity of individuals with low back pain. In this study, we aimed to 1) investigate if the defined patterns and subgroups for low back pain were applicable to neck pain patients in chiropractic practice, 2) explore the robustness of the defined patterns, and 3) investigate if patients within the various patterns differ concerning characteristics and clinical findings.
Methods: Prospective cohort study including 1208 neck pain patients from chiropractic practice. Patients responded to weekly SMS-questions about pain intensity and frequency over 43 weeks. We categorized individual responses into four main patterns based on number of days with pain and variations in pain intensity, and subdivided each into four subgroups based on pain intensity, resulting in 16 trajectory subgroups. We compared baseline characteristics and clinical findings between patterns and between Persistent fluctuating and Episodic subgroups.
Results: All but two patients could be classified into one of the 16 subgroups, with 94% in the Persistent fluctuating or Episodic patterns.
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Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center
Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center
SOURCE: Journal of Primary Care & Community Health 2020 (Sep 10) ~ FULL TEXT
Christopher Prater 1, Melissa Tepe 2, Patrick Battaglia 3
Affiliations
1. Washington University School of Medicine, St. Louis, MO, USA.
2. Affinia Healthcare, St. Louis, MO, USA.
3. Logan University, Chesterfield, MO, USA.
Background: Chronic spinal pain is one of the most common diseases in the United States. Underserved patients are most affected, and disproportionately may use opioid medications as they lack access to other therapies. It is therefore important to develop systems to treat spinal pain within the primary medical home.
Methods: We designed a prospective observational pilot study at a community health center to measure the effectiveness of two interventions among an underserved population: a multidisciplinary pain team and chiropractic care. Study outcomes were pain and functional disability measured by the Pain Disability Questionnaire (PDQ), and reduction of opioid dose at baseline and 6–12 months. Multivariate linear regression was used to determine associating factors for change in PDQ scores.
Results: Thirty-five individuals completed baseline and follow-up PDQs from August 2018 to May 2020. Overall, the mean baseline PDQ was 92.4 +/– 6.1 and the mean follow-up PDQ was 81.9 +/– 7.7, resulting in a mean improvement of 10.6 (95% CI 1.2 – –22.3, P = .08). Participants in the chiropractic team (mean change –25.0, P = .01) and those completing the study before COVID-19 (mean change = –22.6, P < .01) were found to have significantly greater improvement at follow-up.
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Chiropractic Turns 125 Today!
Chiropractic Turns 125 Today!
SOURCE: Palmer College
Come to where it all began!
Palmer College of Chiropractic will host the virtual 125th Founder’s Day Celebration today at 5:15 p.m. CDT (Friday, Sept. 18) on Palmer’s Facebook page.
Hear from Palmer College of Chiropractic Chancellor and CEO Dennis Marchiori, D.C., Ph.D.; and the great-granddaughter of D.D. Palmer himself, Vickie Anne Palmer; and also from some current students.
Then, join in a toast to the profession with chiropractic leaders from around the world.
Make sure to click the (more…) link (see it below) to see a humorous picture of the young David Palmer and a friend, practicing their technique at age 8.
One of the school mottos is:
Palmer is to chiropractic
what sterling is to silver
D.D. Palmer, the Father of Chiropractic
B.J. Palmer, the Developer of Chiropractic