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Mightier Than the Sword — Using Research to Promote and Defend Chiropractic

By Frank M. Painter|October 13, 2011|Research, Spinal Manipulation|

Mightier Than the Sword — Using Research to Promote and Defend Chiropractic

SOURCE: ACA News

By Daniel Redwood, DC

If the public is to be better educated about the benefits of chiropractic care, doctors of chiropractic must be the ones to do the educating. Research is the strongest tool we have to promote our healing art to those unfamiliar with its value and to defend it from unwarranted attacks. We owe it to our patients, our profession, ourselves and future generations to know the facts so that we can share them far and wide.

This does not mean that every practicing DC needs to become a full-time scholar, familiar with the details and nuances of the approximately 100 randomized clinical trials on spinal manipulation. It does mean that to be effective chiropractic ambassadors, we all need a good grasp of the overall picture, along with working knowledge of a small number of studies, reviews and guidelines that will allow us to most effectively deliver our message. And we need to stay up-to-date as new studies emerge.

For much of our history, prior to the dawn of the modern era of chiropractic research in the 1970s and 1980s, DCs had no choice but to rely completely on powerful, true stories about the patients we had helped in our offices. These individual stories still matter and can legitimately be shared with others as part of our outreach.But in this evidence-based era, we must use these anecdotes as the spice only, rather than the main course. Otherwise, we risk losing many opportunities to strengthen our case through strategic use of the increasingly broad and deep body of evidence researchers have made available to us. We best honor their work by sharing it widely, forcefully and accurately.

1. Low-Back Pain

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First, Make Rice

By Frank M. Painter|October 12, 2011|Clinical Pearl, Practice Management|

First, Make Rice

The Chiro.Org Blog

Fledgling sushi chefs spend months (sometimes years) doing nothing but making the rice for the head chef.

If the rice isn’t right, it really doesn’t matter what else you do, you’re not going to be able to create and serve great sushi.

The clinical education provided in Chiropractic curricula invariably has to assume that their students already know how to “make the rice”.

They have to assume that you understand the art of asking questions and listening, that you have experience with building rapport, that you have an innate empathy for what your patients want and think, that you know how to make a compelling case that chiropractic can help them, that you know how to enroll them in the concept of a corrective care plan (think orthodontia), that you know the difference between presentation and conversation, and when they say yes, you know exactly what to do to get them started. (more…)

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Pediatric News

By Frank M. Painter|October 8, 2011|Chiropractic Technique, Pediatrics|

Pediatric News

The Chiro.Org Blog

The second edition of Dr. Claudia Anrig’s wonderful textbook “Pediatric Chiropractic” will be available in early November. Pre-order a copy at a discount price on our Amazon Associate page and Amazon will tithe 4% of the proceeds back to chiropractic research.

With its academic and clinical approach, the second edition of Pediatric Chiropractic provides the Family Wellness Chiropractor the tools they need to adjust infants, children and pregnant women with confidence. Through the cooperation of over 40 international experts, this new edition adds several techniques including SOT, Thompson, Logan, Upper Cervical, Craniosacral, instrument assisted adjusting and remains the leading resource for the Gonstead technique as a method for adjusting children and pregnant women. (more…)

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Is Pediatric Chiropractic Care Safe?

By Frank M. Painter|October 5, 2011|Iatrogenic Injury, Pediatrics, Spinal Manipulation|

Is Pediatric Chiropractic Care Safe?

The Chiro.Org Blog

SOURCE: Clinical Chiropractic 2011 (Sep); 14 (3): 97–105

Matthew F. Doyle

This new “best evidence” literature review explored reported adverse events and the overall safety of chiropractic pediatric care, as well as other forms of care for the same complaints routinely treated in a chiropractic office.

The results were quite interesting:

The chiropractic literature reports incidence between 0.53% and 1% for mild adverse events (AE) associated with chiropractic pediatric manipulative therapy (PMT). Put in terms of individual patients, this means that somewhere between one in 100-200 patients presenting for chiropractic care may experience a mild adverse event; in terms of total patient visits, this means that one mild AE may occur every 1310 to 1812 visits.This incidence rate compares favorably with: (more…)

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Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

By Frank M. Painter|October 2, 2011|Cervicogenic, Dizziness, Spinal Manipulation|

Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2011 (Sep 18)

Reidar P Lystad, Gregory Bell, Martin Bonnevie-Svendsen
and Catherine V Carter

Department of Chiropractic,
Macquarie University,
Sydney, Australia.
reidar.lystad@mq.edu.au

BACKGROUND: Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy, in conjunction with or without vestibular rehabilitation, in the management of cervicogenic dizziness.

METHODS: A comprehensive search was conducted in the databases Scopus, Mantis, CINHAL and the Cochrane Library for terms related to manual therapy, vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria.

RESULTS: A total of fifteen articles reporting findings from thirteen unique investigations, including five randomised controlled trials and eight prospective, non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability, joint positioning, range of motion, muscle tenderness, neck pain and vertebrobasilar artery blood flow velocity.

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Chiropractic Management for Veterans with Neck Pain: A Retrospective Study of Clinical Outcomes

By Frank M. Painter|September 27, 2011|Outcome Assessment, Veterans|

Chiropractic Management for Veterans with Neck Pain:
A Retrospective Study of Clinical Outcomes

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther. 2011 (Oct); 34 (8): 533–538

Andrew S. Dunn, DC, MEd, MS, Bart N. Green, DC, MSEd, Lance R. Formolo, DC, MS, David R. Chicoine

Chiropractic Department, Medical Care Line, VA Western New York, Buffalo, NY, USA. andrew.dunn@va.gov

OBJECTIVE: The purpose of this study was to report demographic characteristics, chiropractic treatment methods and frequency, and clinical outcomes for chiropractic management of neck pain in a sample of veteran patients.

METHODS: This is a retrospective case series of 54 veterans with a chief complaint of neck pain who received chiropractic care through a Veterans Health Administration medical center. Descriptive statistics and paired t tests were used with the numeric rating scale and Neck Bournemouth Questionnaire serving as the outcome measures. A minimum clinically important difference was set as 30% improvement from baseline for both outcomes. (more…)

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