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Chiropractic Management of Benign Paroxysmal Positional Vertigo

By |December 23, 2015|Vertigo|

Chiropractic Management of Benign Paroxysmal Positional Vertigo Using the Epley Maneuver: A Case Series

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2013 (Feb); 36 (2): 119–126 ~ FULL TEXT


Sandy S. Sajko, MSc, Kent Stuber, MSc, DC, Tim N. Welsh, PhD

Maple Grove Chiropractic Clinic,
ON, Canada.
sandysajko@gmail.com


OBJECTIVE:   The purpose of this case series is to describe the management of benign paroxysmal positional vertigo in a chiropractic clinical setting.

CLINICAL FEATURES:   Eight patients (4 women, 4 men) with symptoms of persistent benign paroxysmal positional vertigo presented for chiropractic care. The outcome measures included self-reported resolution of vertigo, a Short Form 12 Health Survey, Measure Yourself Medical Outcome Profile, and the Dix-Hallpike maneuver. Outcome measures were assessed at initial assessment, 6 days, 30 days, and 3 months postintervention.

INTERVENTION AND OUTCOME:   The patients underwent one or more canalith repositioning procedures (Epley maneuver). Scores in each of the categories decreased from the initial to 6-day assessment and then again at the 30-day assessment. The effects of the treatment on the Short Form 12 scores showed changes between the initial assessment and 30 days posttreatment.

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Integration of Chiropractic Services in Military and Veteran Health Care Facilities

By |December 20, 2015|Chiropractic Care|

Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature

The Chiro.Org Blog


SOURCE:   J Evid Based Complementary Altern Med. 2015 (Dec 16)


Green BN, Johnson CD, Daniels CJ, Napuli JG, Gliedt JA, Paris DJ

Naval Medical Center San Diego,
San Diego, CA, USA
National University of Health Sciences,
Lombard, IL, USA


This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility.

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Radiology Undergraduate and Resident Curricula

By |December 12, 2015|Radiology|

Radiology Undergraduate and Resident Curricula: A Narrative Review of the Literature

The Chiro.Org Blog


SOURCE:   J Chiropractic Humanities 2015 (Dec); (22) 1: 1–8 ~ FULL TEXT


Kathleen L. Linaker, DC, DACBR, PhD

Dean, Center for Life and Health Sciences,
Mohawk Valley Community College,
Utica, NY


Objective   The purpose of this study was to examine the literature regarding radiology curricula for both undergraduates and residents.

Methods   A review of the literature was performed using relevant key words. Articles were retrieved through December 2012 using PubMed, ScienceDirect, ERIC, Proquest, and ICL databases along with a manual review of references.

Results   Of the 4716 unique abstracts reviewed by the author, 142 were found to be relevant to the purpose of this study. Undergraduate radiology education, radiology curriculum, and radiology pedagogy vary widely between disciplines and between colleges within disciplines. Formal radiology education is not taught at all medical programs and little radiology training is incorporated into non-radiology residencies. This results in some medical graduates not being taught how to interpret basic radiology images and not learning contraindications and indications for ordering diagnostic imaging tests. There are no definitive studies examining how to incorporate radiology into the curriculum, how to teach radiology to either undergraduates or residents, or how to assess this clinical competency.

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Resolution of Conductive Hearing Loss Due to Otitis Media after Chiropractic Treatment

By |December 10, 2015|Otitis Media, Pediatrics|

Resolution of Conductive Hearing Loss Due to Otitis Media after Chiropractic Treatment

The Chiro.Org Blog


SOURCE:   J Clinical Chiropractic Pediatrics 2011 (Dec);   12 (2)


Peri Dwyer, DC, DICCP and James Boysen, DC

Private practice,
Tallahassee, Florida, USA


Objective:   To describe the chiropractic management of a patient with otitis media and conductive hearing loss.

Clinical Features:   Parents of a 6-year-old male sought chiropractic care for the child’s measured conductive hearing loss on puretone audiometry, fluid in both ears and repeated bouts of otitis media. Prior treatment included several rounds of antibiotics starting at 14 months and myringotomy at age 3.

Intervention And Outcome:   Treatment consisted of cervical, thoracic and pelvic manual manipulative therapy along with cranial manipulation. After 6 chiropractic adjustments, the child was asymptomatic, and remained free of otitis media symptoms on long-term follow-up. Nineteen months after commencement of treatment, a repeat audiogram was performed, showing normal hearing in both ears.

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Prevalence of Pain-free Weeks in Chiropractic Subjects With Low Back Pain

By |December 6, 2015|Low Back Pain|

Prevalence of Pain-free Weeks in Chiropractic Subjects With Low Back Pain – A Longitudinal Study Using Data Gathered With Text Messages

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2011 (Dec 14);   19:   28 ~ FULL TEXT


Nadège Lemeunier, Alice Kongsted, and Iben Axén

Institut Franco-Européen de Chiropratique,
Toulouse, France


INTRODUCTION:   The use of automated text messages has made it possible to identify different courses of low back pain (LBP), and it has been observed that pain often fluctuates and that absolute recovery is rather rare. The purpose of this study was to describe the prevalence of pain-free weeks and pain-free periods in subjects with non-specific LBP treated by chiropractors, and to compare subjects from two different countries in these aspects.

METHODS:   Data were obtained from two practice-based multicentre prospective outcome studies, one Danish and one Swedish, involving subjects being treated by chiropractors for non-specific LBP. Over 18 weeks, subjects answered a weekly automated text message question on the number of days in the past week that they had experienced bothersome LBP, i.e. a number between 0 and 7. The number of weeks in a row without any LBP at all (“zero weeks”) as well as the maximum number of zero weeks in a row was determined for each individual. Comparisons were made between the two study samples. Estimates are presented as percentages with 95% confidence intervals.

RESULTS:   In the Danish and the Swedish populations respectively, 93/110 (85%) and 233/262 (89%) of the subjects were eligible for analysis. In both groups, zero weeks were rather rare and were most commonly (in 40% of the zero weeks) reported as a single isolated week. The prevalence of pain free periods, i.e. reporting a maximum of 0, 1 or 2, or 3-6 zero weeks in a row, were similar in the two populations (20-31%). Smaller percentages were reported for ≥ 7 zero weeks in a row. There were no significant differences between the two study groups.

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Pain Characteristics of Adolescent Spinal Pain

By |December 4, 2015|Pediatrics, Spinal Joint Pain|

Pain Characteristics of Adolescent Spinal Pain

The Chiro.Org Blog


SOURCE:   BMC Pediatr. 2015 (Apr 17);   15 (1):   42 ~ FULL TEXT


Brigitte Wirth and B Kim Humphreys

Institute of Human Movement Sciences and Sport,
ETH Zurich, Wolfgang Pauli Str. 27,
Zurich, 8093, Switzerland


BACKGROUND:   Although adolescent spinal pain increases the risk for chronic back pain in adulthood, most adolescents can be regarded as healthy. The aim of the present study was to provide data on localization, intensity and frequency of adolescent spinal pain and to investigate which physical and psycho-social parameters predict these pain characteristics.

METHOD:   On the occasion of Spine Day, an annual event where children and adolescents are examined by chiropractors on a voluntary basis for back problems, 412 adolescents (10 to 16 years) were tested (by questionnaire and physical examination). Pain characteristics (localization, intensity, and frequency) were identified and evaluated using descriptive statistics. Regression analyses were performed to investigate possible influencing psycho-social and physical influence factors.

RESULTS:   Adolescents who suffered from pain in more than one spinal area reported higher pain intensity and frequency than those with pain in only one spinal area. Sleep disorders were a significant predictor for pain in more than one spinal area (p < 0.01) as well as a trend for frequent pain (p = 0.06). Adolescents with frequent pain showed impaired balance on one leg standing with closed eyes (p = 0.02).

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Chiropractic Pediatrics Page

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