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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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Outcomes For Adult Scoliosis Patients Receiving Chiropractic Rehabilitation: A 24-month Retrospective Analysis

By |September 5, 2011|Rehabilitation, Scoliosis, Spinal Manipulation|

Outcomes For Adult Scoliosis Patients Receiving Chiropractic Rehabilitation: A 24-month Retrospective Analysis

The Chiro.Org Blog

SOURCE:   J Chiropractic Medicine 2011 (Sep); 10 (3): 179–184

By Mark Morningstar DC, FACSP, FRCCM, FAAIM

Objectives:   The purpose of this study was to retrospectively report the results of patients who completed an exercise-based chiropractic program and its potential to alter the natural progression of adult scoliosis at 24 months after the clinic portion of treatment was concluded.

Methods:   A retrospective chart review was conducted at 2 spine clinics in Michigan, USA. Each clinic uses the same chiropractic rehabilitation program to treat patients with adult scoliosis. Multidimensional patient outcomes included radiographic, respiratory, disability, and pain parameters. Outcomes were measured at baseline, at end of active treatment, and at long-term follow-up.

Results: (more…)

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Application of a Diagnosis-Based Clinical Decision Guide in Patients with Neck Pain

By |September 3, 2011|Guidelines, Neck Pain, Spinal Manipulation|

Application of a Diagnosis-Based Clinical Decision Guide in Patients with Neck Pain

The Chiro.Org Blog

SOURCE:   Chiropractic & Manual Therapies 2011 (Aug 27)

Donald R Murphy, DC, DACAN, and
Eric L Hurwitz, DC, PhD

Background: Neck pain (NP) is a common cause of disability. Accurate and efficacious methods of diagnosis and treatment have been elusive. A diagnosis-based clinical decision guide (DBCDG; previously referred to as a diagnosis-based clinical decision rule) has been proposed which attempts to provide the clinician with a systematic, evidence-based guide in applying the biopsychosocial model of care. The approach is based on three questions of diagnosis. The purpose of this study is to present the prevalence of findings using the DBCDG in consecutive patients with NP.

Methods: Demographic, diagnostic and baseline outcome measure data were gathered on a cohort of NP patients examined by one of three examiners trained in the application of the DBCDG.

Results: Data were gathered on 95 patients. Signs of visceral disease or potentially serious illness were found in 1%. Centralization signs were found in 27%, segmental pain provocation signs were found in 69% and radicular signs were found in 19%. Clinically relevant myofascial signs were found in 22%. Dynamic instability was found in 40%, oculomotor dysfunction in 11.6%, fear beliefs in 31.6%, central pain hypersensitivity in 4%, passive coping in 5% and depression in 2%.

Conclusion: The DBCDG can be applied in a busy private practice environment. Further studies are needed to investigate clinically relevant means to identify central pain hypersensitivity, oculomotor dysfunction, poor coping and depression, correlations and patterns among the diagnostic components of the DBCDG as well as interexaminer reliability, validity and efficacy of treatment based on the DBCDG.

The FULL TEXT Article

BACKGROUND

There are more articles like this @ our:

Chronic Neck Pain and Chiropractic Page and the

A Clinical Model for the Diagnosis and Management Page

(more…)

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Leading Pediatric Researcher Appointed Chair of Pediatric Research @ Life Chiropractic College West

By |September 2, 2011|Announcement|

Leading Pediatric Researcher Appointed Chair of Pediatric Research @ Life Chiropractic College West

The Chiro.Org Blog

Hayward, Calif., — On Thursday, September 1, 2011, Joel Alcantara, D.C., a prominent chiropractic researcher, joins the research team at Life Chiropractic College West as the newly appointed Chair of Pediatric Research.

Dr. Alcantara is one of the rising stars in chiropractic pediatric research. He received his Bachelors of Science degree in Chemistry at the University of Calgary and graduated from Palmer College of Chiropractic West in 1995. Prior to his appointment as Research Director of the International Chiropractic Pediatric Association (ICPA), he was on the research faculty at Palmer West and Life West. He lectures internationally on pediatric chiropractic and has numerous peer-reviewed publications and a contributing author in textbooks such as Pediatric Chiropractic, Somatovisceral Aspects of Chiropractic and Fundamentals of Chiropractic. (more…)

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Findings of the Bone and Joint Decade Neck Pain Task Force: Interview with Scott Haldeman, DC, MD, PhD

By |September 1, 2011|Neck Pain, Research|

Findings of the Bone and Joint Decade Neck Pain Task Force: Interview with Scott Haldeman, DC, MD, PhD

The Chiro.Org Blog

SOURCE:   Health Insights Today

An Interview by Daniel Redwood, DC

Scott Haldeman chaired the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Related Disorders, the most comprehensive multidisciplinary review on neck pain ever undertaken.

As with similar projects, the Task Force reviewed and evaluated all existing research on the diagnosis and treatment of neck pain. But it went further, initiating original research in insufficiently explored areas, including the now-renowned study by David Cassidy and colleagues which demonstrated that strokes are no more likely after a visit to a chiropractor than after a visit to a medical doctor. In this Health Insights Today interview, Dr. Haldeman discusses the major findings of the Neck Pain Task Force and their implications for the management of this challenging condition.

Dr. Haldeman holds the positions of Clinical Professor, Department of Neurology, University of California, Irvine; Adjunct Professor, Department of Epidemiology, School of Public Health, University of California, Los Angeles; and Adjunct Professor, Department of Research, Southern California University of Health Sciences. He is Past President of the North American Spine Society, the American Back Society, the North American Academy of Manipulative Therapy, and the Orange County Neurological Society. He served on the Executive Council of the International Society for the Study of the Lumbar Spine. (more…)

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And, Speaking of Professor Edzard Ernst: If The Shoe Fits…

By |August 24, 2011|Editorial|

Double Standards Exist in Judging Traditional and Alternative Medicine

The Chiro.Org Blog

SOURCE:  
British Medical Journal 1998 (Jun 6); 313: 1694

By Hilary Bower

This posting is dedicated to all those evidence-based nay-sayers out there, who love to criticize without contributing anything except negativity.

Dr. Chalmers is the head of the Cochrane group in the UK. He speaks for the REAL evidence people.

 

Dr Iain Chalmers, the director of the UK Cochrane Centre and a vociferous proponent of systematic reviews, told delegates:

“Critics of complementary medicine often seem to operate a double standard, being far more assiduous in their attempts to outlaw unevaluated complementary medical practices than unevaluated orthodox practices.”

He also said:

“These double standards might be acceptable if orthodox medicine was based solely on practices which had been shown to do more good than harm, and if the mechanisms through which their beneficial elements had their effects were understood, but neither of these conditions applies.”

(more…)

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Manipulative Therapy: Just a Placebo?

By |August 24, 2011|Placebo, Spinal Manipulation|

Manipulative Therapy: Just a Placebo?

The Chiro.Org Blog

SOURCE:   Dynamic Chiropractic

By John J. Triano, DC, PhD

Excerpted from: Triano J:  Manipulative Therapy in the Management of Pain.
Clinical Pain Management: A Practical Approach 3rd Edition,
Lippincott, Williams & Wilkins Pub, November 2001.

Chiropractic care, particularly spinal manipulation or adjustment, is an increasingly frequent topic in medicine and health care policy circles. As evidence has accumulated to support use of these services, there is frequent reference to a presumption of placebo effect being the mechanism of favorable responses reported in the literature. These charges are easily refuted by specific data. In my experience, a professional head-on response silences these critiques and allows the discussion to refocus on a much more useful topic: appropriate use the paragraphs that follow were crafted as a part of a book chapter on the role of chiropractic manipulation in management of pain the basis often used to set the stage for a claim of a placebo effect. An effective rejoinder follows.

Discourse on manipulation usually raises the question of placebo effect. A frequent observation is that chiropractic patients are more satisfied by their treatment experience than when they are attended by other proaviders. [1, 2]

A number of elements contribute to this popular contentment, including physician-patient interaction. Manipulation treatment often requires several encounters involving physical contact and direct physician attention over a focused time interval. Can these factors be responsible for the perceived clinical benefits?

There are more articles like this @ our:

The Problem with Placebos/Shams Page

(more…)

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