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Frank M. Painter

About Frank M. Painter

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.
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An Investigation of Musculoskeletal Dysfunctions in Infants

By |February 5, 2016|Pediatrics|

An Investigation of Musculoskeletal Dysfunctions in Infants Including a Case Series of KISS Diagnosed Children

The Chiro.Org Blog

SOURCE:   J Clin Chiro Peds 2012 (Jun); 13 (1): 958–967

Josefa Langkau and Joyce Miller BS, DC , DABCO, FCC (UK), FEAC, FACO(US)

Josefa Langkau
34 Morley Road,
BH5 2JL, Bournemouth, United Kingdom

Joyce Miller, BS, DC, DABCO, FCC (UK), FEAC, FACO(US)
Associate Professor, Anglo-European College of Chiropractic,
Bournemouth, United Kingdom

Objective:   The purpose of this study was to describe etiology, presentation and treatment of musculoskeletal issues in early infancy by integrating a case series of infants diagnosed with kinematic imbalance due to suboccipital sprain (KISS) and treated in a teaching clinic in the United Kingdom with a critical review of the concept of KISS. The concept has been developed by Heiner Biedermann and medical doctors in Germany and contributed significantly to the development of manual therapy in
children in that country.

Methods:   A literature review was conducted. The search was focused on German studies about KISS syndrome and English studies about musculoskeletal issues in infants. Search strategy: ZDB, ZB MED and PubMed and hand search in German libraries. The data were collected by survey via a data collection system and files in the Anglo European College of Chiropractic (AECC)
teaching clinic.

Results:   The primary differences between the diagnosis and treatment recommended by Biedermann and that in the AECC clinic are 1) the recommended use of x-ray prior to treatment by Biedermann and 2) recommended force used in treatment (4 N at AECC versus 70 N with Biedermann).

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A Survey of Parent Satisfaction with Chiropractic Care of the Pediatric Patient

By |February 4, 2016|Patient Satisfaction, Pediatrics|

A Survey of Parent Satisfaction with Chiropractic Care of the Pediatric Patient

The Chiro.Org Blog

SOURCE:   J Clinical Chirop Peds 2014 (Nov); 14 (3): 1167–1171

Ida Marie Navrud, DC, Joyce Miller, BSc, DC, DABCO, PhD,
Maja Eidsmo Bjørnli, DC, Cathrine Hjelle Feier, DC,
Tale Haugse, DC

Private practice, Norway

Introduction:   Chiropractic is a common parental choice as a therapeutic intervention for numerous pediatric conditions. No studies investigating parent satisfaction with pediatric chiropractic care have been published to date.

Method:   All infants aged 0-36 weeks and presenting to a chiropractic teaching clinic on the south coast of England between January 2011 and October 2013 were eligible for inclusion. Parents completed questionnaires, which rated their own and their infant’s characteristics prior to, and at the end of, a course of chiropractic care. Non-parametric tests were used to analyze before and after care scores.

Results:   A total of 395 results were collected in this study. Satisfaction scores of 10/10 (“completely satisfied”) were reported by 75.1% (n=295) of the parents. There was a significant
improvement in parental distress (Median=5.0 before care, Median=2.0 after care, Z=-13.7, p<.001, r =-.49)
and infants’ sleep quality (Median=5.0 before care, Median=3.0 after care, Z=-10.5, p<.001, r =-.38). Satisfaction scores were found to have a small correlation with sleep quality (rs =-.21) after care, as well as a moderate correlation with distress (rs =-.31) and improvement scores (rs =.42), p<.01.

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Pregnancy and Chiropractic: A Narrative Review of the Literature

By |February 3, 2016|Pediatrics|

Pregnancy and Chiropractic: A Narrative Review of the Literature

The Chiro.Org Blog

SOURCE:   J Chiropractic Med 2007 (Jun); 6 (2): 70–74

Cara L. Borggren

Chiropractic Clinical Resident,
Northwestern Health Sciences University,
College of Chiropractic,
Bloomington, MN.

 

OBJECTIVE:   The purpose of this article is to review the literature on the topic of chiropractic care during pregnancy.

METHODS:   A PubMed search was performed using the terms pregnancy and chiropractic. Sources were cross-referenced to obtain further articles and research information after reviewing the articles obtained through the search.

RESULTS:   Thirty-three references were used for this review. The current literature reports favorable results on the use of chiropractic care throughout pregnancy.

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Recognition of Perinatal Stroke in a Chiropractic Practice

By |February 2, 2016|Pediatrics, Stroke|

Recognition of Perinatal Stroke in a Chiropractic Practice: Case Report and Clinical Challenges Related to a Late Diagnosis

The Chiro.Org Blog

J Clin Chiro Peds 2012 (Jun); 13 (1): 958–967 ~ FULL TEXT

Lise Hestbaek, PhD, Annette Jørgensen, DC, and
Jan Hartvigsen, PhD

Nordic Institute of Chiropractic and Clinical Biomechanics,
Odense, Denmark

Introduction:   In recent years, improvements in medical techniques and technology have enabled primary health care practitioners to diagnose perinatal strokes in infants far earlier than ever before. This new technology can also support chiropractors, especially those working with pediatric patients, in order to validate their diagnosis when they recognize these initial symptoms.

Objective:   The aim of this paper is to raise awareness and assist doctors of chiropractic in recognizing the physical and behavioral signs of perinatal stroke as they present in a chiropractic office for assessment and treatment. The paper will relate the case of a 7-month-old infant who, after visiting a chiropractic office with apparent hemiparesis and delayed developmental milestones, was post-medically diagnosed as having suffered a presumed perinatal stroke.

Discussion:   Early recognition of perinatal stroke is vital since late diagnosis can lead to a lifetime of debilitating neurological conditions as well as potential increased direct and indirect costs to society. For those who receive a late diagnosis, a chiropractor, as a member of a multidisciplinary team, can play a major role in rehabilitation by supporting the function of the nervous system,
reducing muscle and joint rigidity and optimizing neuronal plasticity.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part V: Maladaptive Coping

By |February 1, 2016|Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment.
Part V: Maladaptive Coping

The Chiro.Org Blog

SOURCE:   Pain Medicine 2016 (Jan); 17 (1): 64-73 ~ FULL TEXT

Elizabeth A. DiNapoli, Michael Craine, Paul Dougherty,
Angela Gentili, Gary Kochersberger, Natalia E. Morone,
Jennifer L. Murphy, Juleen Rodakowski, Eric Rodriguez,
Stephen Thielke, Debra K. Weiner

Mental Illness Research, Education & Clinical Center,
VA Pittsburgh Healthcare System, Pittsburgh,
Pennsylvania Geriatric Research,
Education & Clinical Center,
VA Pittsburgh Healthcare System, Pittsburgh, PA


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   As part of a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults, this article focuses on maladaptive coping – a significant contributor of psychological distress, increased pain, and heightened disability in older adults with CLBP.

METHODS:   A modified Delphi technique was used to develop a maladaptive coping algorithm and table providing the rationale for the various components of the algorithm. A seven-member content expert panel and a nine-member primary care panel were involved in the iterative development of the materials. While the algorithm was developed keeping in mind resources available within the Veterans Health Administration (VHA) facilities, panelists were not exclusive to the VHA, and therefore, materials can be applied in both VHA and civilian settings. The illustrative clinical case was taken from one of the contributors’ clinical practice.

RESULTS:   We present a treatment algorithm and supporting table to be used by providers treating older adults who have CLBP and engage in maladaptive coping strategies. A case of an older adult with CLBP and maladaptive coping is provided to illustrate the approach to management.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part IV: Depression

By |January 31, 2016|Depression Screening, Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment.
Part IV: Depression

The Chiro.Org Blog

SOURCE: Pain Medicine 2015 (Nov); 16 (11): 2098-2108 ~ FULL TEXT

Joseph A. Carley, Jordan F. Karp, Angela Gentili,
Zachary A. Marcum, M. Carrington Reid, Eric Rodriguez,
Michelle I. Rossi, Joseph Shega, Stephen Thielke,
Debra K. Weiner

Departments of Psychiatry,
University of Pittsburgh,
Pittsburgh, PA, USA


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   To present the fourth in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of twelve important contributors to pain and disability in older adults with CLBP. This article focuses on depression.

METHODS:   The evaluation and treatment algorithm, a table articulating the rationale for the individual algorithm components, and stepped-care drug recommendations were developed using a modified Delphi approach. The Principal Investigator, a three-member content expert panel, and a nine-member primary care panel were involved in the iterative development of these materials. The algorithm was developed keeping in mind medications and other resources available within Veterans Health Administration (VHA) facilities. As panelists were not exclusive to the VHA, the materials can be applied in both VHA and civilian settings. The illustrative clinical case was taken from one of the contributor’s clinical practice.

RESULTS:   We present an algorithm and supportive materials to help guide the care of older adults with depression, an important contributor to CLBP. The case illustrates an example of a complex clinical presentation in which depression was an important contributor to symptoms and disability in an older adult with CLBP.

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