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Cervical Spine Disorders and its Association with Tinnitus: The “Triple” Hypothesis

By |January 6, 2017|Tinnitus|

Cervical Spine Disorders and its Association with Tinnitus: The “Triple” Hypothesis

The Chiro.Org Blog


SOURCE:   Med Hypotheses. 2017 (Jan); 98: 2–4 ~ FULL TEXT


Federica Bressi, Manuele Casale, et al

Department of Physical and Rehabilitation Medicine,
Campus Bio-Medico University,
Rome, Italy.


Subjective tinnitus and cervical spine disorders (CSD) are among the most common complaints encountered by physicians. Although the relationship between tinnitus and CSD has attracted great interest during the past several years, the pathogenesis of tinnitus induced by CSD remains unclear.

Conceivably, cervical spine disorders could trigger a somatosensory pathway-induced disinhibition of dorsal cochlear nucleus (DCN) activity in the auditory pathway; furthermore, CSD can cause inner ear blood impairment induced by vertebral arteries hemodynamic alterations and trigeminal irritation.

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Impact of Spinal Manipulation on Cortical Drive to Upper and Lower Limb Muscles

By |January 5, 2017|Neurology|

Impact of Spinal Manipulation on Cortical Drive to Upper and Lower Limb Muscles

The Chiro.Org Blog


SOURCE:   Brain Sci. 2016 (Dec 23); 7 (1). pii: E2 ~ FULL TEXT


Heidi Haavik, Imran Khan Niazi, Mads Jochumsen,
Diane Sherwin, Stanley Flavel, and Kemal S. Türker

Centre for Chiropractic Research,
New Zealand College of Chiropractic,
Auckland 1060, New Zealand.


This study investigates whether spinal manipulation leads to changes in motor control by measuring the recruitment pattern of motor units in both an upper and lower limb muscle and to see whether such changes may at least in part occur at the cortical level by recording movement related cortical potential (MRCP) amplitudes.

In experiment one, transcranial magnetic stimulation input-output (TMS I/O) curves for an upper limb muscle (abductor pollicus brevis; APB) were recorded, along with F waves before and after either spinal manipulation or a control intervention for the same subjects on two different days. During two separate days, lower limb TMS I/O curves and MRCPs were recorded from tibialis anterior muscle (TA) pre and post spinal manipulation. Dependent measures were compared with repeated measures analysis of variance, with p set at 0.05.

Spinal manipulation resulted in a 54.5% ± 93.1% increase in maximum motor evoked potential (MEPmax) for APB and a 44.6% ± 69.6% increase in MEPmax for TA. For the MRCP data following spinal manipulation there were significant difference for amplitude of early bereitschafts-potential (EBP), late bereitschafts potential (LBP) and also for peak negativity (PN).

The results of this study show that spinal manipulation leads to changes in cortical excitability, as measured by significantly larger MEPmax for TMS induced input-output curves for both an upper and lower limb muscle, and with larger amplitudes of MRCP component post manipulation. No changes in spinal measures (i.e., F wave amplitudes or persistence) were observed, and no changes were shown following the control condition. These results are consistent with previous findings that have suggested increases in strength following spinal manipulation were due to descending cortical drive and could not be explained by changes at the level of the spinal cord.

Spinal manipulation may therefore be indicated for the patients who have lost tonus of their muscle and/or are recovering from muscle degrading dysfunctions such as stroke or orthopaedic operations and/or may also be of interest to sports performers.

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Combining Pain Therapy with Lifestyle: The Role of Personalized Nutrition and Nutritional Supplements

By |December 29, 2016|Nutrition, Pain Relief|

Combining Pain Therapy with Lifestyle: The Role of Personalized Nutrition and Nutritional Supplements According to the SIMPAR Feed Your Destiny Approach

The Chiro.Org Blog


SOURCE:   J Pain Res. 2016 (Dec 8); 9: 1179–1189 ~ FULL TEXT


Manuela De Gregori, Carolina Muscoli, et al

Pain Therapy Service,
Fondazione IRCCS Policlinico San Matteo,
Pavia, Italy


Recently, attention to the lifestyle of patients has been rapidly increasing in the field of pain therapy, particularly with regard to the role of nutrition in pain development and its management. In this review, we summarize the latest findings on the role of nutrition and nutraceuticals, microbiome, obesity, soy, omega-3 fatty acids, and curcumin supplementation as key elements in modulating the efficacy of analgesic treatments, including opioids. These main topics were addressed during the first edition of the Study In Multidisciplinary Pain Research workshop: “FYD (Feed Your Destiny): Fighting Pain”, held on April 7, 2016, in Rome, Italy, which was sponsored by a grant from the Italian Ministry of Instruction on “Nutraceuticals and Innovative Pharmacology”.

The take-home message of this workshop was the recognition that patients with chronic pain should undergo nutritional assessment and counseling, which should be initiated at the onset of treatment. Some foods and supplements used in personalized treatment will likely improve clinical outcomes of analgesic therapy and result in considerable improvement of patient compliance and quality of life. From our current perspective, the potential benefit of including nutrition in personalizing pain medicine is formidable and highly promising.

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Chiropractic and Spinal Pain Management Page and the:

Nutrition Section

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Interprofessional Collaboration in Research, Education, and Clinical Practice

By |December 21, 2016|Chiropractic Research, Interprofessional Collaboration|

Interprofessional Collaboration in Research, Education, and Clinical Practice: Working Together for a Better Future

The Chiro.Org Blog


Journal of Chiropractic Education 2015 (Mar); 29 (1): 1–10 ~ FULL TEXT


Bart N. Green, DC, MSEd and
Claire D. Johnson, DC, MSEd

Department of Physical and Occupational Therapy,
Chiropractic Services, and Sports Medicine
at the Naval Medical Center San Diego


Interprofessional collaboration occurs when 2 or more professions work together to achieve common goals and is often used as a means for solving a variety of problems and complex issues. The benefits of collaboration allow participants to achieve together more than they can individually, serve larger groups of people, and grow on individual and organizational levels. This editorial provides an overview of interprofessional collaboration in the areas of clinical practice, education, and research; discusses barriers to collaboration; and suggests potential means to overcome them.

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The Swiss Master in Chiropractic Medicine Curriculum:
Preparing Graduates to Work Together With Medicine to Improve Patient Care

By |December 19, 2016|Chiropractic Education|

The Swiss Master in Chiropractic Medicine Curriculum: Preparing Graduates to Work Together With Medicine to Improve Patient Care

The Chiro.Org Blog


SOURCE:   J Chiro Humanities 2016 (Dec);   23 (1):   53–60


B. Kim Humphreys, DC, PhD,
Cynthia K. Peterson, DC, MMedEd

Chiropractic Medicine Department,
University Hospital Balgrist,
University of Zürich,
Zürich, Switzerland


OBJECTIVE:   In 2007, chiropractic became 1 of the 5 medical professions in Switzerland. This required a new chiropractic program that was fully integrated within a Swiss medical school. The purpose of this article was to discuss the Master in Chiropractic Medicine (MChiroMed) program at the University of Zürich, including advantages, opportunities, and challenges.

DISCUSSION:   In 2008, the MChiroMed program began with its first student cohort. The MChiroMed program is a 6-year Bologna model 2-cycle (bachelor and master) “spiral curriculum,” with the first 4 years being fully integrated within the medical curriculum. A review of the main features of the curriculum revealed the advantages, opportunities, and challenges of this program in comparison with other contemporary chiropractic educational programs. Advantages and opportunities include an integrated curriculum within a university, medical school, and musculoskeletal hospital, with their associated human and physical resources. Many opportunities exist for high-level research collaborations. The rigorous entrance qualifications and small student cohorts result in bright, motivated, and enthusiastic students; appropriate assessments; and timely feedback on academic and clinical subjects. Early patient contact in hospitals and clinical facilities encourages the integration of academic theory and clinical practice. The main challenges faced by this program include difficulty recruiting a sufficient number of students because of the rigorous entrance requirements and curriculum overload resulting from undertaking a full medical curriculum and chiropractic modules.

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