BLOG – Page 20 – Chiropractic Resource Organization

Revisiting Risk-stratified Whiplash-exposed Patients 12 to 14 Years After Injury

By Frank M. Painter|May 14, 2021|Chronic Low Back Pain, Chronic Neck Pain, Chronic Spinal Pain, Whiplash|

Revisiting Risk-stratified Whiplash-exposed Patients 12 to 14 Years After Injury

The Chiro.Org Blog

SOURCE: Clinical Journal of Pain 2020 (Dec)

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Martin K Rasmussen 1 2, Alice Kongsted 3 4, Tina Carstensen 5 6, Troels S Jensen 1 6, Helge Kasch 6 7

1 Danish Pain Research Centre Aarhus University Hospital.

2 Center for Translational Neuromedicine, Copenhagen University, Copenhagen, Denmark.

3 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark.

Objective: The objective of this study was to evaluate the long-term predictive value of the Danish Whiplash Group Risk Assessment Score (DWGRAS) with 7 risk strata.

Design: E-questionnaire-based follow-up study (n=927) combining 2 cohorts of whiplash-injured patients, 1 observational (n=187) and 1 interventional randomized controlled trial (n=740).

Methods: Nine hundred twenty-seven previously healthy persons exposed to acute whiplash injury during motor vehicle collision were sent letter by postal service asking the addressee if they would respond to an E-questionnaire. Outcome measures were: whiplash-related disability, pain, use of medication/nonmedical treatment, work capacity.

Results: The response rate was 37%. Fifty-five percent reported whiplash-related disability. Fourteen percent reported daily symptoms. A strong relationship was found between risk strata and impact of event and between risk strata and disabling symptoms.

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The Profile of Older Adults Seeking Chiropractic Care: A Secondary Analysis

By Frank M. Painter|May 9, 2021|Low Back Pain, Medicare|

The Profile of Older Adults Seeking Chiropractic Care: A Secondary Analysis

The Chiro.Org Blog

SOURCE: BMC Geriatrics 2021 (Apr 23); 21 (1): 271

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Katie de Luca, Sheilah Hogg-Johnson, Martha Funabashi, Silvano Mior & Simon D. French

Department of Chiropractic,
Faculty of Medicine,
Health and Human Sciences,
Macquarie University,
Sydney, Australia.

Background: Musculoskeletal conditions are the primary reason older adults seek general medical care, resulting in older adults as the highest consumers of health care services. While there is high use of chiropractic care by older adults, there is no recent, specific data on why older adults seek chiropractic care and how chiropractors manage conditions. Therefore, the purpose of this study was to describe the demographic characteristics of older adults seeking chiropractic care, and to report problems diagnosed by chiropractors and the treatment provided to older adults who seek chiropractic care.

Methods: A secondary data analysis from two, large cross-sectional observational studies conducted in Australia (COAST) and Canada (O-COAST). Patient encounter and diagnoses were classified using the International Classification of Primary Care, 2nd edition (ICPC-2), using the Australian ICPC-2 PLUS general practice terminology and the ICPC-2 PLUS Chiro terminology. Descriptive statistics were used to summarize chiropractor, patient and encounter characteristics. Encounter and patient characteristics were compared between younger (< 65 years old) and older (≥65 years old) adults using ?2 tests or t-tests, accounting for the clustering of patients and encounters within chiropractors.

Results: A total of 6,781 chiropractor-adult patient encounters were recorded. Of these, 1,067 encounters were for persons aged > 65 years (16%), from 897 unique older patients. The most common diagnosis within older adult encounters was a back problem (56%), followed by neck problems (10%). Soft tissue techniques were most frequently used for older patients (85 in every 100 encounters) and in 29 of every 100 encounters, chiropractors recommended exercise to older patients as a part of their treatment.

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

By Frank M. Painter|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

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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.

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The COMMENTS Section is Back!

By Frank M. Painter|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.

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

By Frank M. Painter|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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