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Yearly Archives: 2016

Combining Pain Therapy with Lifestyle: The Role of Personalized Nutrition and Nutritional Supplements

By |December 29, 2016|Nutrition, Pain Relief|

Combining Pain Therapy with Lifestyle: The Role of Personalized Nutrition and Nutritional Supplements According to the SIMPAR Feed Your Destiny Approach

The Chiro.Org Blog

SOURCE:   J Pain Res. 2016 (Dec 8); 9: 1179–1189 ~ FULL TEXT

Manuela De Gregori, Carolina Muscoli, et al

Pain Therapy Service,
Fondazione IRCCS Policlinico San Matteo,
Pavia, Italy

Recently, attention to the lifestyle of patients has been rapidly increasing in the field of pain therapy, particularly with regard to the role of nutrition in pain development and its management. In this review, we summarize the latest findings on the role of nutrition and nutraceuticals, microbiome, obesity, soy, omega-3 fatty acids, and curcumin supplementation as key elements in modulating the efficacy of analgesic treatments, including opioids. These main topics were addressed during the first edition of the Study In Multidisciplinary Pain Research workshop: “FYD (Feed Your Destiny): Fighting Pain”, held on April 7, 2016, in Rome, Italy, which was sponsored by a grant from the Italian Ministry of Instruction on “Nutraceuticals and Innovative Pharmacology”.

The take-home message of this workshop was the recognition that patients with chronic pain should undergo nutritional assessment and counseling, which should be initiated at the onset of treatment. Some foods and supplements used in personalized treatment will likely improve clinical outcomes of analgesic therapy and result in considerable improvement of patient compliance and quality of life. From our current perspective, the potential benefit of including nutrition in personalizing pain medicine is formidable and highly promising.

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Chiropractic and Spinal Pain Management Page and the:

Nutrition Section

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Interprofessional Collaboration in Research, Education, and Clinical Practice

By |December 21, 2016|Chiropractic Research, Interprofessional Collaboration|

Interprofessional Collaboration in Research, Education, and Clinical Practice: Working Together for a Better Future

The Chiro.Org Blog

Journal of Chiropractic Education 2015 (Mar); 29 (1): 1–10 ~ FULL TEXT

Bart N. Green, DC, MSEd and
Claire D. Johnson, DC, MSEd

Department of Physical and Occupational Therapy,
Chiropractic Services, and Sports Medicine
at the Naval Medical Center San Diego

Interprofessional collaboration occurs when 2 or more professions work together to achieve common goals and is often used as a means for solving a variety of problems and complex issues. The benefits of collaboration allow participants to achieve together more than they can individually, serve larger groups of people, and grow on individual and organizational levels. This editorial provides an overview of interprofessional collaboration in the areas of clinical practice, education, and research; discusses barriers to collaboration; and suggests potential means to overcome them.

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About Chiropractic Page

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The Swiss Master in Chiropractic Medicine Curriculum:
Preparing Graduates to Work Together With Medicine to Improve Patient Care

By |December 19, 2016|Chiropractic Education|

The Swiss Master in Chiropractic Medicine Curriculum: Preparing Graduates to Work Together With Medicine to Improve Patient Care

The Chiro.Org Blog

SOURCE:   J Chiro Humanities 2016 (Dec);   23 (1):   53–60

B. Kim Humphreys, DC, PhD,
Cynthia K. Peterson, DC, MMedEd

Chiropractic Medicine Department,
University Hospital Balgrist,
University of Zürich,
Zürich, Switzerland

OBJECTIVE:   In 2007, chiropractic became 1 of the 5 medical professions in Switzerland. This required a new chiropractic program that was fully integrated within a Swiss medical school. The purpose of this article was to discuss the Master in Chiropractic Medicine (MChiroMed) program at the University of Zürich, including advantages, opportunities, and challenges.

DISCUSSION:   In 2008, the MChiroMed program began with its first student cohort. The MChiroMed program is a 6-year Bologna model 2-cycle (bachelor and master) “spiral curriculum,” with the first 4 years being fully integrated within the medical curriculum. A review of the main features of the curriculum revealed the advantages, opportunities, and challenges of this program in comparison with other contemporary chiropractic educational programs. Advantages and opportunities include an integrated curriculum within a university, medical school, and musculoskeletal hospital, with their associated human and physical resources. Many opportunities exist for high-level research collaborations. The rigorous entrance qualifications and small student cohorts result in bright, motivated, and enthusiastic students; appropriate assessments; and timely feedback on academic and clinical subjects. Early patient contact in hospitals and clinical facilities encourages the integration of academic theory and clinical practice. The main challenges faced by this program include difficulty recruiting a sufficient number of students because of the rigorous entrance requirements and curriculum overload resulting from undertaking a full medical curriculum and chiropractic modules.

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A Population-based, Incidence Cohort Study of Mid-back Pain After Traffic Collisions

By |December 11, 2016|Traffic Collisions, Whiplash|

A Population-based, Incidence Cohort Study of Mid-back Pain After Traffic Collisions: Factors Associated with Global Recovery

The Chiro.Org Blog

Eur J Pain. 2015 (Nov); 19 (10): 1486–1495 ~ FULL TEXT

M.S. Johansson, E. Boyle, J. Hartvigsen,
M. Jensen Stochkendahl, L. Carroll, and
J.D. Cassidy

Department of Sports Science and Clinical Biomechanics,
Faculty of Health,
University of Southern Denmark,
Odense, Denmark.

BACKGROUND:   Traffic collisions often result in a wide range of symptoms included in the umbrella term whiplash-associated disorders. Mid-back pain (MBP) is one of these symptoms. The incidence and prognosis of different traffic injuries and their related conditions (e.g. neck pain, low back pain, depression or others) has been investigated previously; however, knowledge about traffic collision-related MBP is lacking. The study objectives were to describe the incidence, course of recovery and prognosis of MBP after traffic collisions, in terms of global self-reported recovery.

METHODS:   Longitudinal data from a population-based inception cohort of all traffic injuries occurring in Saskatchewan, Canada, during a 2-year period were used. Annual overall and age-sex-specific incidence rates were calculated, the course of recovery was described using the Kaplan-Meier technique, and associations between participant characteristics and time-to-self-reported recovery were explored in 3,496 MBP cases using Cox proportional hazards models.

RESULTS:   The yearly incidence rate was 236 per 100,000 population during the study period, and was highest in women and in young persons. The median time-to-first reported recovery was 101 days (95% CI: 99-104) and about 23% were still not recovered after 1 year. Participant’s expectation for recovery, general health, extent of severely affecting comorbidities and having experienced a previous traffic injury were some of the prognostic factors identified.

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The Whiplash Page

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Is EBM Damaging the Social Conscience of Chiropractic?

By |December 7, 2016|Chiropractic Management, Evidence-based Medicine|

Commentary: Is EBM Damaging the Social Conscience of Chiropractic?

The Chiro.Org Blog

Chiropractic J Australia 2016 (Dec); 44 (3): 203–213 ~ FULL TEXT

Phillip Stuart Ebrall, BAppSc(Chiropr), GradCert (Learn&Teach), PhD

Senior Education Advisor,
Tokyo College of Chiropractic;
Faculty of Medicine,
International Medical University,
Kuala Lumpur

Introduction:   One expression of the social conscience of chiropractic is the provision by chiropractic educational institutions of low-cost or free chiropractic care to disadvantaged communities. It is expected that institutions offer to all patients the same full standard of care that is the hallmark of traditional chiropractic.

Objective:   To explore whether an observed schism occurring within chiropractic education, where a minority of institutions are minimising the major premise of the discipline and replacing it with an emphasis on only the science or literature component of the evidence-based triad, has any potential impact on the quality of care provided particularly within the charitable context.

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Chiropractic Subluxation Page

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Clinical Practice Guidelines for the Noninvasive Management of Low Back Pain

By |December 2, 2016|Chiropractic Care, Guidelines, Low Back Pain|

Clinical Practice Guidelines for the Noninvasive Management of Low Back Pain: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

The Chiro.Org Blog

Eur J Pain. 2016 (Oct 6) ~ FULL TEXT

J.J. Wong, P. Côté, D.A. Sutton, K. Randhawa, H. Yu, S. Varatharajan, R. Goldgrub, M. Nordin, D.P.

UOIT-CMCC Centre for the Study of
Disability Prevention and Rehabilitation,
University of Ontario Institute of Technology (UOIT)
Canadian Memorial Chiropractic College (CMCC),
Oshawa, ON, Canada.

BACKGROUND: &nbsp Low back pain (LBP) is a major health problem, having a substantial effect on peoples’ quality of life and placing a significant economic burden on healthcare systems and, more broadly, societies. Many interventions to alleviate LBP are available but their cost effectiveness is unclear.

We conducted a systematic review of guidelines on the management of low back pain (LBP) to assess their methodological quality and guide care. We synthesized guidelines on the management of LBP published from 2005 to 2014 following best evidence synthesis principles. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane, DARE, National Health Services Economic Evaluation Database, Health Technology Assessment Database, Index to Chiropractic Literature and grey literature. Independent reviewers critically appraised eligible guidelines using AGREE II criteria. We screened 2504 citations; 13 guidelines were eligible for critical appraisal, and 10 had a low risk of bias.

According to high-quality guidelines:

(1)   all patients with acute or chronic LBP should receive education, reassurance and instruction on self-management options;

(2)   patients with acute LBP should be encouraged to return to activity and may benefit from paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs), or spinal manipulation;

(3)   the management of chronic LBP may include exercise, paracetamol or NSAIDs, manual therapy, acupuncture, and multimodal rehabilitation (combined physical and psychological treatment); and

(4)   patients with lumbar disc herniation with radiculopathy may benefit from spinal manipulation.

There are more articles like this @ our:

Low Back Pain and Chiropractic Page

and the:

Low Back Pain Guidelines Section

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