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Spinal Pain in Pre-adolescence and the Relation with Screen Time and Physical Activity Behavior

By |May 2, 2021|Neck Pain, Pediatrics|

Spinal Pain in Pre-adolescence and the Relation with Screen Time and Physical Activity Behavior

The Chiro.Org Blog


SOURCE:   BMC Musculoskelet Disord 2021 (Apr 26); 22 (1): 7 393


Anne Cathrine Joergensen, Katrine Strandberg-Larsen, Per Kragh Andersen, Lise Hestbaek, Anne-Marie Nybo Andersen

Section of Epidemiology, Department of Public Health,
Faculty of Health and Medical Science,
University of Copenhagen,
Oster Farimagsgade 5, Box 2099,
DK-1014, Copenhagen K, Denmark.


Background:   To investigate how screen time and physical activity behavior were associated with spinal pain in pre-adolescence.

Methods:   This study included 45,555 pre-adolescents who participated in the 11–year follow-up of the Danish National Birth Cohort. The 11–year follow-up included self-reported information on computer and TV behavior, aspects of physical activity, as well as frequency and intensity of spinal pain (neck-, mid back- and low back pain). Data were linked with parental socioeconomic data from Statistics Denmark registers. Associations were estimated using multinomial logistic regression models. To account for sample selection, we applied inverse probability weighting.

Results:   Duration of screen time was stepwise associated with the degree of spinal pain. Compared with those spending < 2 h/day in front of a screen, screen time of ≥6 h/day was associated with a substantially increased relative risk ratio (RRR) of severe pain for both girls (RRR: 2.49, 95% CI: 2.13–2.92) and boys (RRR: 1.95, 95% CI: 1.65–2.32). Being physical inactive was likewise associated with higher likelihood of severe spinal pain (RRR: 1.22, 95% CI: 1.10–1.34) relative to those being moderately active. We observed that being physically active was seemingly associated with lower risk of spinal pain among boys with high frequency of screen time.

There are more articles like this @ our:

Pediatrics Section

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Our Blog is a Tool. Learn How To Use It Now

By |May 1, 2021|Uncategorized|

Our Blog is a Tool. Learn How To Use It Now

The Chiro.Org Blog


A Chiro.Org Editorial


Every Blog post is an announcement of new material that was just added to one of our many Sections.

I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts, and many hundreds of Full-Text articles on a wide variety of subjects.

When enough material, relating to a particular topic was collected, it was gathered into a new Topical Page in one of our many Sections.

Each Topical page is located in the Section most associated with that topic.
Thus, our Attention Deficit Page is located (is a part of) our Pediatrics Section   You get the idea.

Almost ALL of our Sections contain some, or many Topical collections. The LINKS Section is the most extreme example, because it contains 95 different topical pages.

All of the following are “active” Sections that are constantly adding new (and important) materials:

Acupuncture
Alternative Healing Abstracts
Case Studies
Chiropractic Assistants
Chiropractic Research
Chronic Neck Pain
Conditions That Respond Well
Cost-Effectiveness of Chiropractic
Documentation
Global Burden of Disease
Headache and Chiropractic
The LINKS
Low Back Pain and Chiropractic
Medicare Info
Nutrition
Pediatrics
Radiology
The SEARCH Section
Stroke and Chiropractic
What is the Chiropractic Subluxation?
Whiplash and Chiropractic
These other valuable Sections are “archival” in nature, and contain valuable tools:

Chiropractic History
ChiroZine
Free Images
New DC’s
Office Forms
R.C. Schafer’s Rehab Monogaphs
The Wilk Antitrust Lawsuit


How Blog Posts Work

The following is a Graphic “screen grab” of a Blog Post from our Home Page.
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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.

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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