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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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Is Pediatric Chiropractic Care Safe?

By |October 5, 2011|Iatrogenic Injury, Pediatrics, Spinal Manipulation|

Is Pediatric Chiropractic Care Safe?

The Chiro.Org Blog

SOURCE:   Clinical Chiropractic 2011 (Sep); 14 (3): 97–105

Matthew F. Doyle

This new “best evidence” literature review explored reported adverse events and the overall safety of chiropractic pediatric care, as well as other forms of care for the same complaints routinely treated in a chiropractic office.

The results were quite interesting:

  • The chiropractic literature reports incidence between 0.53% and 1% for mild adverse events (AE) associated with chiropractic pediatric manipulative therapy (PMT). Put in terms of individual patients, this means that somewhere between one in 100-200 patients presenting for chiropractic care may experience a mild adverse event; in terms of total patient visits, this means that one mild AE may occur every 1310 to 1812 visits.This incidence rate compares favorably with: (more…)
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Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

By |October 2, 2011|Cervicogenic, Dizziness, Spinal Manipulation|

Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

The Chiro.Org Blog

SOURCE:   Chiropractic & Manual Therapies 2011 (Sep 18)

Reidar P Lystad, Gregory Bell, Martin Bonnevie-Svendsen
and Catherine V Carter

Department of Chiropractic,
Macquarie University,
Sydney, Australia.
reidar.lystad@mq.edu.au

BACKGROUND:   Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy, in conjunction with or without vestibular rehabilitation, in the management of cervicogenic dizziness.

METHODS:   A comprehensive search was conducted in the databases Scopus, Mantis, CINHAL and the Cochrane Library for terms related to manual therapy, vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria.

RESULTS:   A total of fifteen articles reporting findings from thirteen unique investigations, including five randomised controlled trials and eight prospective, non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability, joint positioning, range of motion, muscle tenderness, neck pain and vertebrobasilar artery blood flow velocity.

(more…)

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Chiropractic Management for Veterans with Neck Pain: A Retrospective Study of Clinical Outcomes

By |September 27, 2011|Outcome Assessment, Veterans|

Chiropractic Management for Veterans with Neck Pain:
A Retrospective Study of Clinical Outcomes

The Chiro.Org Blog

SOURCE:   J Manipulative Physiol Ther. 2011 (Oct); 34 (8): 533–538

Andrew S. Dunn, DC, MEd, MS, Bart N. Green, DC, MSEd, Lance R. Formolo, DC, MS, David R. Chicoine

Chiropractic Department, Medical Care Line, VA Western New York, Buffalo, NY, USA. andrew.dunn@va.gov

OBJECTIVE:   The purpose of this study was to report demographic characteristics, chiropractic treatment methods and frequency, and clinical outcomes for chiropractic management of neck pain in a sample of veteran patients.

METHODS:   This is a retrospective case series of 54 veterans with a chief complaint of neck pain who received chiropractic care through a Veterans Health Administration medical center. Descriptive statistics and paired t tests were used with the numeric rating scale and Neck Bournemouth Questionnaire serving as the outcome measures. A minimum clinically important difference was set as 30% improvement from baseline for both outcomes. (more…)

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Dump Subluxation? Give Me a Break!

By |September 25, 2011|Subluxation|

Dump Subluxation? Give Me a Break!

The Chiro.Org Blog

SOURCE:   Dynamic Chiropractic

By William Meeker, DC, MPH, FICC

President of Palmer College of Chiropractic West,
and former director of the Palmer Center for Chiropractic Research

The front-page headline of the September issue (volume 13, no. 12) of the Chiropractic Journal reads “Research Conference Urges Profession to Dump Subluxation.” (Ed: No longer available online) Well, I’m here to tell you that nothing even remotely of the kind happened, and I still find it hard to understand why one person, Matthew McCoy, chose to spin the story so inaccurately, especially after (silently) sitting through only one morning of an extensive three-day meeting (the Research Agenda Conference, aka RAC 4) at my invitation (and Palmer’s expense). A responsible journalist who didn’t hear the whole story would have checked not only his facts, but his context as well.

For example, McCoy took me to task for not defending a “hapless Palmer grad.” This person turned out to be Dr. Chuck Henderson, a graduate of Western States Chiropractic College and a member of the faculty at the Palmer Center for Chiropractic Research. Dr. Henderson doesn’t need my help; he does quite well on his own, thank you. Dr. Henderson is currently being funded by the Foundation for Chiropractic Education and Research for a $250,000 study of the effects of spinal subluxation in rats. (Ed. NOTE: This FCER grant led to the publication of 4 very important subluxation studies.) [1-4] The Palmer Center for Chiropractic Research has many other projects that focus on subluxation, health and adjustments, but I’ll save those descriptions for another column.

We’re not talking responsibility here, and we certainly aren’t talking journalism. What we are talking about is the artificial creation of intraprofessional fighting. If external forces seem beyond our control, why not start some altercations closer to home? It’s a heck of a lot easier, but why? What I have come to understand, after my first shock of disbelief at being so thoroughly and deliberately misrepresented, and after having so many of my colleagues assume that McCoy’s version was accurate, is that one easy way to build up a position is with negativity. Henry Kissinger’s memoirs make the point that Nixon knew very well how to politically help himself by defining his enemies’ positions for them, regardless of their true positions. (more…)

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Neurophysiologic Effects of Spinal Manipulationin Patients With Chronic Low Back Pain

By |September 22, 2011|Chiropractic Care, Low Back Pain, Neurology|

Neurophysiologic Effects of Spinal Manipulation in Patients With Chronic Low Back Pain

The Chiro.Org Blog

SOURCE:   Musculoskelet Disord. 2011 (Jul 22); 12: 170

Brian C Clark, David A Goss Jr,
Stevan Walkowski, Richard L Hoffman,
Andrew Ross, and James S Thomas

Ohio Musculoskeletal and Neurological Institute (OMNI),
Ohio University,
236 Irvine Hall,
Athens, OH 45701, USA.

 

Background

Low back pain (LBP) is one of the most common reasons for seeking medical care and accounts for over 3.7 million physician visits per year in the United States alone. Ninety percent of adults will experience LBP in their lifetime, 50% will experience recurrent back pain, and 10% will develop chronic pain and related disability [1-4]. According to the most recent national survey more than 18 million Americans over the age of 18 years received manipulative therapies in 2007 at a total annual out of pocket cost of $3.9 billion with back pain being the most common clinical complaint of these individuals [5].

Over the past decade there has been growing scientific evidence supporting the clinical efficacy [6-10] and effectiveness [11,12] of manual therapies in treating LBP. While clinical evidence supporting the efficacy and effectiveness of manual therapies has emerged, less scientific evidence has been offered to explain the effects and mechanisms underlying these treatments. The lack of a mechanistic underpinning hinders acceptance by the wider scientific and health-care communities, and it also limits the development of rational strategies for using manipulative therapies.

You may also enjoy the
Low Back Pain and Chiropractic Page

(more…)

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The Chiropractic Identity: Charting Our Future Roles

By |September 21, 2011|Philosophy|

The Chiropractic Identity: Charting Our Future Roles

The Chiro.Org Blog

SOURCE:   Health Insights Today

By Daniel Redwood, DC

For at least as long as any living doctor of chiropractic can remember, our profession has engaged in ongoing and sometimes heated debate about the proper role of its practitioners. Should our primary or sole focus be the spine? The nervous system? Vertebral subluxation? Back and neck pain? Should we be musculoskeletal pain specialists? Complementary care generalists? Primary care physicians?

Two new papers, one by Donald Murphy and colleagues in Chiropractic and Manual Therapies [1] and the other by Jan Hartvigsen and colleagues in British Medical Journal, [2] simultaneously point in the same direction—toward the role of primary spine care practitioner. The lead authors of both articles are chiropractors, Murphy from the United States and Hartvigsen from Denmark. Neither proposes the primary spine care practitioner role as the only option for DCs; both make a persuasive case that developing this role on a much more widespread basis will significantly enhance the effectiveness of the health care system’s neuromusculoskeletal (NMS) care delivery. In the process, they demonstrate why many practitioners may find work as a primary spine care practitioner attractive. To the extent that deeper integration of chiropractic is one of the profession’s primary goals, this may be one of the best vehicles for its achievement. At the very least, it’s a possibility worthy of serious examination.

World Federation of Chiropractic Identity Statement

The Murphy and Hartvigsen proposals are wholly consistent with the 2005 professional identity statement from the World Federation of Chiropractic, which grew out of an extensive consultation and consensus building process among the WFC’s membership, comprised of the national chiropractic associations of over 80 nations, including both ACA and ICA from the United States. (more…)

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