Frank M. Painter

Effect of Chiropractic Manipulative Therapy on Reaction Time

By Frank M. Painter|January 6, 2019|Chiropractic Research, Veterans|

Effect of Chiropractic Manipulative Therapy on Reaction Time in Special Operations Forces Military Personnel

SOURCE: Trials. 2019 (Jan 3); 20 (1): 5

James W. DeVocht, Robert Vining, Dean L. Smith, Cynthia R. Long, Thomas M. Jones and Christine M. Goertz

Palmer Center for Chiropractic Research,
741 Brady St,
Davenport, IA, 52803, USA.

BACKGROUND: Chiropractic manipulative therapy (CMT) has been shown to improve reaction time in some clinical studies. Slight changes in reaction time can be critical for military personnel, such as special operation forces (SOF). This trial was conducted to test whether CMT could lead to improved reaction and response time in combat-ready SOF-qualified personnel reporting little or no pain.

METHODS: This prospective, randomized controlled trial was conducted at Blanchfield Army Community Hospital, Fort Campbell, KY, USA. Active-duty US military participants over the age of 19 years carrying an SOF designation were eligible. Participants were randomly allocated to CMT or wait-list control. One group received four CMT treatments while the other received no treatment within the 2-week trial period. Assessment included simple hand/foot reaction time, choice reaction time, and Fitts’ Law and whole-body response time. On visits 1 and 5, the same five assessments were conducted immediately pre- and post-treatment for the CMT group and before and after a 10-min wait period for the wait-list group. Primary outcomes included between-group differences for the pre-CMT/wait-list period at visit 1 and visit 5 for each test. Secondary outcomes included between-group differences in immediate pre- and post-(within visit) changes. Analysis of covariance was used for all data analysis.

RESULTS: One hundred and seventy-five SOF-qualified personnel were screened for eligibility; 120 participants were enrolled, with 60 randomly allocated to each group. Due to technical problems resulting in inconsistent data collection, data from 77 participants were analyzed for simple hand/foot reaction time. The mean ± standard deviation (SD) age was 33.0 ± 5.6 years and all participants were male. No between-group statistically significant differences were found for any of the five biomechanical tests, except immediate pre- and post-changes in favor of the CMT group in whole-body response time at both assessment visits. There were four adverse events, none related to trial participation.

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Sagittal Standing Posture and its Association with Spinal Pain

By Frank M. Painter|December 31, 2018|Posture|

Sagittal Standing Posture and its Association with Spinal Pain: A School-based Epidemiological Study of 1196 Flemish Adolescents Before Age at Peak Height Velocity

The Chiro.Org Blog

SOURCE: Spine (Phila Pa 1976). 2012 (Sep 1); 37 (19): 1657-1666

Mieke Dolphens; Barbara Cagnie; Pascal Coorevits; Guy Vanderstraeten; Greet Cardon; Roseline D’hooge; Lieven Danneels

Department of Rehabilitation Sciences and Physiotherapy,
Faculty of Medicine and Health Sciences,
Ghent University, Artevelde University College, Ghent, Belgium.

STUDY DESIGN: Cross-sectional baseline data set on the sagittal standing posture of 1196 adolescents.

OBJECTIVE: To describe and quantify common variations in the sagittal standing alignment in boys and girls who are in the same phase of growth and to explore the association between habitual standing posture and measures for spinal pain.

SUMMARY OF BACKGROUND DATA: Data on postural characteristics and spinal pain measures in adolescence are sparse, especially when somatic and biological maturity status is to be considered. Our understanding of the relationship between standing posture in the sagittal plane and spinal pain is also deficient.

METHODS: A total of 639 boys (age [mean ± SD], 12.6 ± 0.54 yr) and 557 girls (10.6 ± 0.47 yr), with predicted years from peak height velocity (PHV) being 1.2 ± 0.71 and 1.2 ± 0.59 pre-PHV, respectively, were studied. Postural examination included the assessment of global alignment and local spinopelvic characteristics, using post hoc analyses of digital images and direct body measurements (palpation, digital inclinometry, and wheeled accelerometry). Spinal pain experience was assessed by questionnaire.

RESULTS: A wide interindividual variation in sagittal posture characteristics was observed. Logistic regression analyses yielded global alignment parameters to be associated with low back pain (lifetime prevalence), neck pain (lifetime prevalence, 1–mo prevalence, and doctor visit), and thoracic spine pain (doctor visit) outcome measures. None of the included local spinopelvic parameters could be identified as an associated factor with measures of spinal pain.

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Absence of Low Back Pain to Demarcate an Episode

By Frank M. Painter|December 27, 2018|Low Back Pain|

Absence of Low Back Pain to Demarcate an Episode: A Prospective Multicentre Study in Primary Care

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SOURCE: Chiropractic & Manual Therapies 2016 (Feb 18); 24: 3

Andreas Eklund, Irene Jensen, Malin Lohela-Karlsson, Charlotte Leboeuf-Yde, and Iben Axén

Unit of Intervention and Implementation Research,
Karolinska Institutet,
Institute of Environmental Medicine,
Nobels v 13, S-171 77
Stockholm, Sweden.

BACKGROUND: It has been proposed that an episode of low back pain (LBP) be defined as: “a period of pain in the lower back lasting for more than 24 h preceded and followed by a period of at least 1 month without LBP”. Previous studies have tested the definition in the general population and in secondary care populations with distinctly different results. The objectives of this study (in a primary care population) were to investigate the prevalence of 1) the number of consecutive weeks free from bothersome LBP, 2) the prevalence of at least four consecutive weeks free from bothersome LBP at any time during the study period, and 3) the prevalence of at least four consecutive weeks free from bothersome LBP at any time during the study period among subgroups that reported >30 days or ≤30 days of LBP the preceding year.

METHOD: In this prospective multicentre study subjects with LBP (n = 262) were consecutively recruited from chiropractic primary care clinics in Sweden. The number of days with bothersome LBP was collected through weekly automated text messages. The maximum number of weeks in a row without bothersome LBP and the number of periods of at least four consecutive weeks free from bothersome LBP was counted for each individual and analysed as proportions.

RESULTS: Data from 222 recruited subjects were analysed, of which 59 % reported at least one period of four consecutive weeks free from bothersome LBP. The number of consecutive pain free weeks ranged from 82 (at least one) to 31 % (9 or more). In subjects with a total duration of LBP of ≤30 days the previous year, 75 % reported a period of 4 consecutive weeks free from bothersome LBP during the study period whereas this was reported by only 48 % of subjects with a total duration of LBP of >30 days the previous year.

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Spinal Pain and Co-occurrence with Stress

By Frank M. Painter|December 26, 2018|Pediatrics|

Spinal Pain and Co-occurrence with Stress and General Well-being Among Young Adolescents: A Study Within the Danish National Birth Cohort

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SOURCE: European Journal of Pediatrics 2017 (Jun); 176 (6): 807–814

Sandra Elkjær Stallknecht & Katrine Strandberg-Larsen & Lise Hestbæk & Anne-Marie Nybo Andersen

Department of Public Health, Section of Social Medicine,
University of Copenhagen,
Øster Farimagsgade 5, 1014, Copenhagen, Denmark.

This study aims to describe the patterns in low back, mid back, and neck pain complaints in young adolescents from the Danish National Birth Cohort (DNBC) and to investigate the co-occurrence of spinal pain and stress and general well-being, respectively. Cross-sectional data from the 11-year follow-up of DNBC were used. As part of a web-based survey, a total of 45,371 young adolescents between 10 and 14 years old completed the Young Spine Questionnaire, the Stress in Children Questionnaire, and a one-item question on general well-being. Associations between spinal pain and, respectively, stress and general well-being were estimated by means of multiple logistic regression models. Almost one fifth of boys and one quarter of girls reported spinal pain. Compared with adolescents who reported no stress, adolescents reporting medium and high values of stress had odds ratios (OR) of 2.19 (95% CI 2.08-2.30) and 4.73 (95% CI 4.28-5.23), respectively, of reporting spinal pain (adjusted for age, gender, and maternal education). Adolescents who reported poor general well-being had an OR of 2.50 (95% CI 2.31-2.72) for reporting spinal pain compared to adolescents with good general well-being.

CONCLUSION: Spinal pain in childhood and adolescence is strongly associated with spinal pain and generalized pain in adulthood. [2, 7, 11]. Therefore, it is of great importance to seek to treat and prevent spinal pain in children both to prevent discomfort for the child but also to reduce the individual and social costs of spinal pain in adulthood. If spinal pain among children and adolescents involves psychosocial well-being, then treatment as well as preventive initiatives might include psychosocial approaches, e.g., psycho education and development of appropriate coping strategies.

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Neck-tongue Syndrome

By Frank M. Painter|December 23, 2018|Neck-Tongue Syndrome|

Neck-tongue Syndrome

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SOURCE: BMJ Case Rep. 2018 (Dec 4); 11 (1). pii: e227483

Eric Chun Pu Chu and Andy Fu Chieh Lin

Chiropractic and Physiotherapy Department,
New York Medical Group,
Mong Kok, Hong Kong, Hong Kong.

Neck-tongue syndrome (NTS) is a rarely reported disorder characterised by paroxysmal episodes of intense pain in the upper cervical or occipital areas associated with ipsilateral hemiglossal dysaesthesia brought about by sudden neck movement. The most likely cause of this clinical entity is a temporary subluxation of the lateral atlantoaxial joint with impaction of the C2 ventral ramus against the articular processes on head rotation. NTS is an under-recognised condition that can be debilitating for patients and challenging for the treating physicians. Here, we report a 47-year-old man who fulfilled the International Classification of Headache Disorders, third edition criteria for a diagnosis of NTS was treated successfully with a chiropractic approach. There are currently no consensus guidelines for dealing with this disorder. Reassuringly, chiropractic care for uncomplicated NTS appears highly effective.

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Evidence Based Chiropractic Care For Lower Back Pain

By Frank M. Painter|December 3, 2018|Chiropractic Research|

Evidence Based Chiropractic Care For Lower Back Pain

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SOURCE: Texas Chiropractic Association 2018

Our thanks to the TCA, Andrea Howard and Chris Dalrymple, D.C., F.I.C.C. for giving us permission to display their PowerPoint in an interactive fashion on Chiro.Org.

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About Frank M. Painter

Effect of Chiropractic Manipulative Therapy on Reaction Time

Effect of Chiropractic Manipulative Therapy on Reaction Time in Special Operations Forces Military Personnel

Sagittal Standing Posture and its Association with Spinal Pain

Sagittal Standing Posture and its Association with Spinal Pain: A School-based Epidemiological Study of 1196 Flemish Adolescents Before Age at Peak Height Velocity

Absence of Low Back Pain to Demarcate an Episode

Absence of Low Back Pain to Demarcate an Episode: A Prospective Multicentre Study in Primary Care

Spinal Pain and Co-occurrence with Stress

Spinal Pain and Co-occurrence with Stress and General Well-being Among Young Adolescents: A Study Within the Danish National Birth Cohort

Neck-tongue Syndrome

Neck-tongue Syndrome

Evidence Based Chiropractic Care For Lower Back Pain

Evidence Based Chiropractic Care For Lower Back Pain