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Effects of Spinal Manipulative Therapy

By |January 9, 2021|Inflammatory Mediators, Low Back Pain|

Effects of Spinal Manipulative Therapy on Inflammatory Mediators in Patients with Non-specific Low Back Pain: A Non-randomized Controlled Clinical Trial

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2021 (Jan 8)

Julita A. Teodorczyk-Injeyan, John J. Triano, Robert Gringmuth, Christopher DeGraauw, Adrian Chow & H. Stephen

Graduate Education and Research Programs,
Canadian Memorial Chiropractic College,
Toronto, Ontario, Canada


 

Background:   The inflammatory profiles of patients with acute and chronic nonspecific low back pain (LBP) patients are distinct. Spinal manipulative therapy (SMT) has been shown to modulate the production of nociceptive chemokines differently in these patient cohorts. The present study further investigates the effect(s) of SMT on other inflammatory mediators in the same LBP patient cohorts.

Methods:   Acute (n = 22) and chronic (n = 25) LBP patients with minimum pain scores of 3 on a 10-point numeric scale, and asymptomatic controls (n = 24) were recruited according to stringent exclusion criteria. Blood samples were obtained at baseline and after 2 weeks during which patients received 6 SMTs in the lumbar or lumbosacral region. The in vitro production of tumor necrosis factor (TNFα), interleukin-1 β (IL-1β), IL-6, IL-2, interferon γ (IFNγ), IL-1 receptor antagonist (IL-1RA), TNF soluble receptor type 2 (sTNFR2) and IL-10 was determined by specific immunoassays. Parametric as well as non-parametric statistics (PAST 3.18 beta software) was used to determine significance of differences between and within study groups prior and post-SMT. Effect size (ES) estimates were obtained using Cohen’s d.

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Experiences With Chiropractic Care for Patients

By |December 14, 2020|Uncategorized|

Experiences With Chiropractic Care for Patients With Low Back or Neck Pain

The Chiro.Org Blog


SOURCE:   J Patient Exp 2020 Jun;   7 (3):   357–364


Ron D Hays, PhD, Cathy D Sherbourne, PhD, Karen L Spritzer, BS, Lara G Hilton, PhD, MPH,
Gery W Ryan, PhD, Ian D Coulter, PhD, and Patricia M Herman, ND, PhD

Division of General Internal Medicine & Health Services Research,
UCLA Department of Medicine,
Los Angeles, CA, USA.



Background:   Musculoskeletal disorders are the second leading cause of disability worldwide.

Objective:   Examine experiences of chiropractic patients in the United States with chronic low back or neck pain.

Method: &nbsp Observational study of 1853 chronic low back pain and neck pain patients (74% female) who completed an online questionnaire at the 3-month follow-up that included Consumer Assessment of Healthcare Providers and Systems (CAHPS) items assessing their experiences with care.

Results:   We found similar reports of communication for the chiropractic sample and patients in the 2016 CAHPS National Database, but 85% in the database versus 79% in the chiropractic sample gave the most positive response to the time spent with provider item. More patients in the CAHPS database rated their provider at the top of the scale (8 percentage points). More chiropractic patients reported always getting answers to questions the same day (16 percentage points) and always being seen within 15 minutes of their appointment time (29 percentage points).

Conclusions:   The positive experiences of patients with chronic back and neck pain are supportive of their use of chiropractic care.

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CHRONIC NECK PAIN Section and our

LOW BACK PAIN Section

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Neck Pain Patterns and Subgrouping

By |December 6, 2020|Chronic Neck Pain|

Neck Pain Patterns and Subgrouping Based on Weekly SMS-derived Trajectories

The Chiro.Org Blog


SOURCE:   BMC Musculoskelet Disord 2020 (Oct 14)

P. Irgens, A. Kongsted, B. L. Myhrvold, K. Waagan, K. B. Engebretsen, B. Natvig, N. K. Vøllestad, and H. S. Robinson

Department of Interdisciplinary Health Sciences,
Institute of Health and Society,
University of Oslo, P.O. Box 1089,
Blindern, 0317, Oslo, Norway.


 

Background: Neck and low back pain represent dynamic conditions that change over time, often with an initial improvement after the onset of a new episode, followed by flare-ups or variations in intensity. Pain trajectories were previously defined based on longitudinal studies of temporal patterns and pain intensity of individuals with low back pain. In this study, we aimed to 1) investigate if the defined patterns and subgroups for low back pain were applicable to neck pain patients in chiropractic practice, 2) explore the robustness of the defined patterns, and 3) investigate if patients within the various patterns differ concerning characteristics and clinical findings.

Methods: Prospective cohort study including 1208 neck pain patients from chiropractic practice. Patients responded to weekly SMS-questions about pain intensity and frequency over 43 weeks. We categorized individual responses into four main patterns based on number of days with pain and variations in pain intensity, and subdivided each into four subgroups based on pain intensity, resulting in 16 trajectory subgroups. We compared baseline characteristics and clinical findings between patterns and between Persistent fluctuating and Episodic subgroups.

Results: All but two patients could be classified into one of the 16 subgroups, with 94% in the Persistent fluctuating or Episodic patterns.

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CHRONIC NECK PAIN Section

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Integrating a Multidisciplinary Pain Team

By |October 25, 2020|Integrative Care|

Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center

The Chiro.Org Blog


SOURCE:   Journal of Primary Care & Community Health 2020 (Sep 10) ~ FULL TEXT

Christopher Prater 1, Melissa Tepe 2, Patrick Battaglia 3

Affiliations
1.   Washington University School of Medicine, St. Louis, MO, USA.

2.   Affinia Healthcare, St. Louis, MO, USA.

3.   Logan University, Chesterfield, MO, USA.


Background:   Chronic spinal pain is one of the most common diseases in the United States. Underserved patients are most affected, and disproportionately may use opioid medications as they lack access to other therapies. It is therefore important to develop systems to treat spinal pain within the primary medical home.

Methods:   We designed a prospective observational pilot study at a community health center to measure the effectiveness of two interventions among an underserved population: a multidisciplinary pain team and chiropractic care. Study outcomes were pain and functional disability measured by the Pain Disability Questionnaire (PDQ), and reduction of opioid dose at baseline and 6–12 months. Multivariate linear regression was used to determine associating factors for change in PDQ scores.

Results:   Thirty-five individuals completed baseline and follow-up PDQs from August 2018 to May 2020. Overall, the mean baseline PDQ was 92.4 +/– 6.1 and the mean follow-up PDQ was 81.9 +/– 7.7, resulting in a mean improvement of 10.6 (95% CI 1.2 – –22.3, P = .08). Participants in the chiropractic team (mean change –25.0, P = .01) and those completing the study before COVID-19 (mean change = –22.6, P < .01) were found to have significantly greater improvement at follow-up.

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Chiropractic Turns 125 Today!

By |September 18, 2020|Announcement|

Chiropractic Turns 125 Today!

The Chiro.Org Blog


SOURCE:   Palmer College


Come to where it all began!

Palmer College of Chiropractic will host the virtual 125th Founder’s Day Celebration today at 5:15 p.m. CDT (Friday, Sept. 18) on Palmer’s Facebook page.

Hear from Palmer College of Chiropractic Chancellor and CEO Dennis Marchiori, D.C., Ph.D.; and the great-granddaughter of D.D. Palmer himself, Vickie Anne Palmer; and also from some current students.

Then, join in a toast to the profession with chiropractic leaders from around the world.


Make sure to click the (more…) link (see it below) to see a humorous picture of the young David Palmer and a friend, practicing their technique at age 8.

One of the school mottos is:

Palmer is to chiropractic
what sterling is to silver



D.D. Palmer, the Father of Chiropractic



B.J. Palmer, the Developer of Chiropractic


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Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain

By |July 30, 2020|Low Back Pain, Veterans|

Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial

The Chiro.Org Blog


SOURCE:   J Altern Complement Med 2020 (Jul)

Robert Vining, Cynthia R. Long, Amy Minkalis, M. Ram Gudavalli, Ting Xia, Joan Walter, Ian Coulter, and Christine M. Goertz

Palmer Center for Chiropractic Research,
Palmer College of Chiropractic,
Davenport, IA, USA.


Objectives:   To investigate whether chiropractic care influences strength, balance, and/or endurance in active-duty United States military personnel with low back pain (LBP).

Design:   This study employed a prospective randomized controlled trial using a pragmatic treatment approach. Participants were randomly allocated to 4 weeks of chiropractic care or to a wait-list control. Interventions: Chiropractic care consisted of spinal manipulation, education, advice, and reassurance.

Settings/Location:   Naval Air Technical Training Center branch clinic at the Naval Hospital Pensacola Florida.

Subjects:   One hundred ten active-duty military personnel 18-40 years of age with self-reported LBP.

Outcome measures:   Isometric pulling strength from a semisquat position was the primary outcome. Secondary outcomes were single-leg balance with eyes open and eyes closed, and trunk muscle endurance using the Biering-Sorensen test. Patient-reported outcomes such as pain severity and disability were also measured. Outcomes were measured at baseline and 4 weeks. Linear mixed-effects regression models over baseline and 4 weeks were used for analysis.

Results:   Participants had mean age of 30 years (18-40), 17% were female, 33% were non-white, and 86% reported chronic LBP.

There are more articles like this @ our:

LOW BACK PAIN page and the:

CHIROPRACTIC CARE FOR VETERANS page

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