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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.

The COMMENTS Section is Back!

By |April 30, 2021|Uncategorized|

The COMMENTS Section is Back!

The Chiro.Org Blog


In the last 7 years, we have relocated to a new (better) server 4 different times.

Even though we moved all the Blog files over, WordPress automatically snaps back to its default (original) settings, so we had to fuss for a few days to get everything to look the way we previously designed it to appear.

UNFORTUNATELY, the one thing we missed (since it’s the one thing we never use) was the COMMENTS Section at the bottom of every full post. Evidently you always have to re-install the Comments section as well. Grrr!

The “Front Page” displays a portion of every post. To see the Full post, you either click the Title, or the Read More link at the bottom.

Below the full post is the COMMENTS Section.

The first time you make a comment, you will have to add your Name and your E-Mail address. After that, you will always be signed in.

You can also check the box(es) to follow future comments on that post, or to ask to be notified every time a new Blog Post is published. Very convenient!

We assure you that your e-mail address will NEVER be shared with anyone.

We also apologize that we missed this in the past, because it suppressed one of our most enjoyable features, discussing current research with friends and fellow DCs.

We are pleased to return full functionality to our Blog, and hope that you too will enjoy discussing these studies with your peers.

Patients Receiving Chiropractic Care in a Neurorehabilitation Hospital: A Descriptive Study

By |April 28, 2021|Chiropractic Care, Neurology|

Patients Receiving Chiropractic Care in a Neurorehabilitation Hospital: A Descriptive Study

The Chiro.Org Blog


SOURCE: J Multidiscip Healthc. 2018 (May 3); 11: 223–231


Robert D Vining, Stacie A Salsbury, W Carl Cooley, Donna Gosselin, Lance Corber, and Christine M Goertz

Palmer Center for Chiropractic Research,
Palmer College of Chiropractic,
Davenport, IA, USA.


OBJECTIVES: Individuals rehabilitating from complex neurological injury require a multidisciplinary approach, which typically does not include chiropractic care. This study describes inpatients receiving multidisciplinary rehabilitation including chiropractic care for brain injury, spinal cord injury (SCI), stroke, and other complex neurological conditions.

DESIGN: Chiropractic services were integrated into Crotched Mountain Specialty Hospital (CMSH) through this project. Patient characteristics and chiropractic care data were collected to describe those receiving care and the interventions during the first 15 months when chiropractic services were available.

SETTING: CMSH, a 62–bed subacute multidisciplinary rehabilitation, skilled nursing facility located in Greenfield, New Hampshire, USA.

RESULTS: Patient mean (SD) age (n=27) was 42.8 (13) years, ranging from 20 to 64 years. Males (n=18, 67%) and those of white race/ethnicity (n=23, 85%) comprised the majority. Brain injury (n=20) was the most common admitting condition caused by trauma (n=9), hemorrhage (n=7), infarction (n=2), and general anoxia (n=2). Three patients were admitted for cervical SCI, 1 for ankylosing spondylitis, 1 for traumatic polyarthropathy, and 2 for respiratory failure with encephalopathy. Other common comorbid diagnoses potentially complicating the treatment and recovery process included myospasm (n=13), depression (n=11), anxiety (n=10), dysphagia (n=8), substance abuse (n=8), and candidiasis (n=7). Chiropractic procedures employed, by visit (n=641), included manual myofascial therapies (93%), mechanical percussion (83%), manual muscle stretching (75%), and thrust manipulation (65%) to address patients with spinal-related pain (n=15, 54%), joint or regional stiffness (n= 14, 50%), and extremity pain (n=13, 46%). Care often required adapting to participant limitations or conditions. Such adaptations not commonly encountered in outpatient settings where chiropractic care is usually delivered included the need for lift assistance, wheelchair dependence, contractures, impaired speech, quadriplegia/paraplegia, and the presence of feeding tubes and urinary catheters.

(more…)

House Reintroduces Bill to Modernize Medicare’s Chiropractic Coverage

By |April 22, 2021|Announcement|

House Reintroduces Bill to Modernize Medicare’s Chiropractic Coverage




Arlington, Va. – The American Chiropractic Association (ACA) is pleased to announce that bipartisan legislation to modernize Medicare coverage of chiropractic services was reintroduced April 19 in the U.S. House of Representatives.

The Chiropractic Coverage Modernization Act (H.R. 2654), introduced by Rep. Brian Higgins (D-N.Y.), would increase Medicare coverage of services provided by doctors of chiropractic within the full extent of their state licensure, enabling chiropractic patients to conveniently and safely access additional covered services that may be medically necessary. The change would also align Medicare with chiropractic coverage offered in many private health and Medicare Advantage plans.

Originally introduced in 2019, the bill gained traction in the last congressional session, picking up over 90 cosponsors. Sixteen of those members have signed on as original cosponsors of H.R. 2654: Reps. Jason Smith (R-Mo.), Brian Fitzpatrick (R-Pa.), John Larson (D-Conn.), Thomas Suozzi (D-N.Y.), Robert Aderholt (R-Ala.), Cynthia Axne (D-Iowa), Debbie Wasserman Schultz (D-Fla.), Jefferson Van Drew (R-N.J.), Mary Gay Scanlon (D-Pa.), Brendan Boyle (D-Pa.), Don Bacon (R-Neb.), Mike Rogers (R-Ala.), Kathleen Rice (D-N.Y.), John Joyce (R-Pa.), Kurt Schrader (D-Ore.) and Chellie Pingree (D-Maine).

“We applaud Rep. Higgins and the cosponsors for their support of modernizing Medicare’s chiropractic coverage to meet the needs of today’s beneficiaries, who should not only be able to choose their provider but also access necessary covered services conveniently and safely during these challenging times,” said ACA President Michele Maiers, DC, MPH, PhD.

The opioid crisis, which has worsened during the COVID-19 pandemic, has further heightened the need for Medicare beneficiaries to have access to the chiropractic profession’s broad-based, nondrug approach to pain management, which includes manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging, and utilization of other nondrug therapies and modalities.

Since 1972, Medicare beneficiaries have been covered for only one chiropractic service—manual manipulation of the spine—forcing them to access additional medically necessary care from other types of providers or to pay out of pocket for the services from their chiropractor. Chiropractors are the only physician-level providers in the Medicare program whose services are restricted in this manner.

To learn more and to urge your member of Congress to support this important legislation, visit www.HR2654.org.


About the American Chiropractic Association

The American Chiropractic Association (ACA) is the largest professional chiropractic organization in the United States. ACA attracts the most principled and accomplished chiropractors, who understand that it takes more to be called an ACA chiropractor. We are leading our profession in the most constructive and far-reaching ways–by working hand in hand with other health care professionals, by lobbying for pro-chiropractic legislation and policies, by supporting meaningful research and by using that research to inform our treatment practices. We also provide professional and educational opportunities for all our members and are committed to being a positive and unifying force for the practice of modern chiropractic. To learn more, visit www.acatoday.org and connect with us on Facebook, Twitter and Instagram

Global Low Back Pain Prevalence and Years Lived with Disability from 1990 to 2017: Estimates from the Global Burden of Disease Study 2017

By |April 9, 2021|Global Burden of Disease, Low Back Pain|

Global Low Back Pain Prevalence and Years Lived with Disability from 1990 to 2017: Estimates from the Global Burden of Disease Study 2017

The Chiro.Org Blog


SOURCE:  Annals of Translational Medicine 2020 (Mar); 8 (6): 299

Aimin Wu, Lyn March, Xuanqi Zheng, Jinfeng Huang, Xiangyang Wang et. al.

Division of Spine Surgery,
Department of Orthopaedics,
Zhejiang Spine Surgery Centre,
The Second Affiliated Hospital of Wenzhou Medical University,
Zhejiang Provincial Key Laboratory of Orthopaedics,
Wenzhou 325027, China.




Background:   Low back pain (LBP) is a common musculoskeletal problem globally. Updating the prevalence and burden of LBP is important for researchers and policy makers. This paper presents, compares and contextualizes the global prevalence and years lived with disability (YLDs) of LBP by age, sex and region, from 1990 to 2017.

Methods:   Data were extracted from the GBD (the Global Burden of Disease, Injuries, and Risk Factors Study) 2017 Study. Age, sex and region-specific analyses were conducted to estimate the global prevalence and YLDs of LBP, with the uncertainty intervals (UIs).

Results:   The age-standardized point prevalence of LBP was 8.20% (95% UI: 7.31-9.10%) in 1990 and decreased slightly to 7.50% (95% UI: 6.75-8.27%) in 2017. The prevalent numbers of people with LBP at any one point in time in 1990 was 377.5 million, and this increased to 577.0 million in 2017. Age-standardized prevalence of LBP was higher in females than males. LBP prevalence increased with age, and peaked around the ages of 80 to 89 years, and then decreased slightly. Global YLDs were 42.5 million (95% UI: 30.2 million-57.2 million) in 1990 and increased by 52.7% to 64.9 million (95% UI: 46.5 million-87.4 million) in 2017. YLDs were also higher in females than males and increased initially with age; they peaked at 35-39 years of age in 1990, before decreasing, whereas in 2017, they peaked at 45-49 years of age, before decreasing. Western Europe had the highest number of LBP YLDs.

There are more articles like this @ our:

LOW BACK PAIN Section and the:

GLOBAL BURDEN OF DISEASE Section

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Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain

By |April 4, 2021|Uncategorized|

Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain

The Chiro.Org Blog


SOURCE:   Journal of Occupational Rehabilitation 2017 (Sep)

Marc-André Blanchette, Michèle Rivard, Clermont E. Dionne, Sheilah Hogg-Johnson, Ivan Steenstra

Public Health PhD Program,
School of Public Health,
University of Montreal,
Montreal, QC, Canada.



Objective   To compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers.

Methods   We analyzed data from a cohort of 5,511 workers who received compensation from the Workplace Safety and Insurance Board for back pain in 2005. Multivariable Cox models controlling for relevant covariables were performed to compare the duration of financial compensation for the patients of each of the three types of first healthcare providers. Logistic regression was used to compare the occurrence of a second episode of compensation over the 2–year follow-up period.

Results   Compared with the workers who first saw a physician (reference), those who first saw a chiropractor experienced shorter first episodes of 100 % wage compensation (adjusted hazard ratio [HR] = 1.20 [1.10–1.31], P value < 0.001), and the workers who first saw a physiotherapist experienced a longer episode of 100 % compensation (adjusted HR = 0.84 [0.71–0.98], P value = 0.028) during the first 149 days of compensation. The odds of having a second episode of financial compensation were higher among the workers who first consulted a physiotherapist (OR = 1.49 [1.02–2.19], P value = 0.040) rather than a physician (reference).

There are more articles like this @ our:

Cost-Effectiveness of Chiropractic Page

(more…)

Exposure to a Motor Vehicle Collision and the Risk of Future Back Pain: A Systematic Review and Meta-Analysis

By |March 16, 2021|Low Back Pain, Motor Vehicle Accident|

Exposure to a Motor Vehicle Collision and the Risk of Future Back Pain: A Systematic Review and Meta-Analysis

The Chiro.Org Blog


SOURCE:   Accident; Analysis and Prevention 2020 (May 18)

Paul S Nolet, Peter C Emary, Vicki L Kristman, Kent Murnaghan, Maurice P Zeegers, Michael D Freeman

Care and Public Health Research Institute,
Maastricht University,
Maastricht, Netherlands


 

Objective:   The purpose of this study is to summarize the evidence for the association between exposure to a motor vehicle collision (MVC) and future low back pain (LBP).

Literature survey:   Persistent low back pain (LBP) is a relatively common complaint after acute injury in a MVC, with a reported 1 year post-crash prevalence of at least 31 % of exposed individuals. Interpretation of this finding is challenging given the high incidence of LBP in the general population that is not exposed to a MVC. Risk studies with comparison control groups need to be examined in a systematic review.

Methodology:   A systematic search of five electronic databases from 1998 to 2019 was performed. Eligible studies describing exposure to a MVC and risk of future non-specific LBP were critically appraised using the Quality in Prognosis Studies (QUIPS) instrument. The results were summarized using best-evidence synthesis principles, a random effects meta-analysis and testing for publication bias.

Synthesis:   The search strategy yielded 1,136 articles, three of which were found to be at low to medium risk of bias after critical appraisal. All three studies reported a positive association between an acute injury in a MVC and future LBP.

There are more articles like this @ our:

LOW BACK PAIN Page

(more…)