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Primary Prevention in Chiropractic Practice: A Systematic Review

By |March 23, 2017|Prevention, Wellness Care|

Primary Prevention in Chiropractic Practice: A Systematic Review

The Chiro.Org Blog

SOURCE:   Chiropractic & Manual Therapies 2017 (Mar 14); 25: 9

Guillaume Goncalves, Christine Le Scanff1, and
Charlotte Leboeuf-Yde

University of Paris-Sud,
University of Paris-Saclay

Background   Chiropractors are primarily concerned with musculoskeletal disorders but have the responsibility to deal also with prevention in other areas.

Objectives   To establish the prevalence of chiropractors who have a positive opinion on the use of primary prevention (PP), their actual use of PP, and the proportion of patients who consult for PP in relation to

(i)   musculoskeletal disorders,
(ii)   public health issues, or
(iii)   chiropractic treatment for wellness.

Method   A systematic search for literature was done using PubMed, Embase, Index to Chiropractic Literature, and and updated on February 15th 2017. Inclusion criteria were: surveys on chiropractors and/or chiropractic patients, information had to be present on PP in relation to the percentage of patients who consult for PP in chiropractic practice or in a chiropractic student clinic, and/or the percentage of chiropractors who reported using PP, and/or information on chiropractors’ opinions of the use of PP, in the English, French, or Scandinavian languages. The review followed the PRISMA guidelines. Articles were classified as ‘good’, ‘acceptable’ and ‘unacceptable’ based on scores of quality items. Results from the latter group were not taken into account.

Results   Twenty-five articles were included, reporting on twenty-six studies, 19 of which dealt with wellness. The proportion of chiropractors who stated that they had a positive opinion on primary prevention (PP) was generally higher than the proportion of chiropractors offering PP. Most chiropractors offered some type of PP for musculoskeletal disorders and more than a half stated that they did so in the public health area but also for wellness. For all types of PP, however, it was rarely stated to be the reason for patients consulting. Regardless the type of PP, the proportion of patients who actually consulted specifically for PP was much smaller than the proportion of chiropractors offering PP.

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A Framework For Chiropractic Training In Clinical Preventive Services

By |August 25, 2013|Chiropractic Care, Prevention|

A Framework For Chiropractic Training In Clinical Preventive Services

The Chiro.Org Blog

Chiropractic & Manual Therapies 2013 (Aug 20); 21: 28

Cheryl Hawk and Marion Willard Evans

Cheryl Hawk
Logan College of Chiropractic, 1851 Schoettler Rd, 63017 Chesterfield, MO, USA

The 2010 Patient Protection and Affordable Care Act provides incentives for both patients and providers to engage in evidence-based clinical preventive services recommended by the United States Preventive Services Task Force (USPSTF). Depending upon the application of the new health care act, Doctors of Chiropractic (DC) may be considered to be covered providers of many of these services. It is therefore essential that DCs’ training prepare them to competently deliver them. The aim of this commentary is to describe a framework for training in clinical preventive services, based largely on the USPSTF recommendations, which could be readily integrated into existing DC educational programs.


From the Full-Text Article:


The necessity for preventive care

The United States, despite spending more money on health care than any other country, has a population with shorter life expectancy and greater morbidity than any other wealthy nation [1]. The areas in which the U.S. lags behind its 16 peer nations are all lifestyle-related to a great degree [1]. Clearly this situation requires an approach that engages people in modifying their health behavior, as early as possible, rather than relying on heroic measures once conditions have become chronic and life-threatening. That approach is systematically addressed in the science of health promotion and disease prevention, often simply called “prevention” or “preventive care”. [2]


Can Alzheimer’s Disease Be Prevented?

By |July 27, 2013|Alzheimer's Disease, Prevention|

Can Alzheimer’s Disease Be Prevented?

The Chiro.Org Blog

SOURCE:   Medscape Medical News ~ June 24, 2013

Bret S. Stetka, MD

Reporting from The American Psychiatric Association’s 2013 Annual Meeting


“Do we have any control over our brain health as we age?”, Dr. Gary Small asked the crowd, a packed room of psychiatrists attending his “Brain Health and Alzheimer’s Prevention” talk at the 2013 Annual Meeting of the American Psychiatric Association (APA) in San Francisco, California. [1]Nearly everyone raised their hands. “If the answer is yes,” he followed, “then what can we do to forestall the symptoms of Alzheimer’s disease (AD)?” For the next hour, conference-goers found out or, perhaps, given their line of work, brushed up.

Dr. Small is Professor of Psychiatry and Director of the UCLA Longevity Center at the Semel Institute for Neuroscience & Human Behavior. As session chair Dr. Brent Forester pointed out in his introduction, Small’s list of achievements is humbling: renowned clinician, cutting-edge researcher, author of over 400 scientific publications and 7 popular books, including his latest, The Alzheimer’s Prevention Program. His research has contributed to brain imaging methods capable of detecting AD years before symptoms are present; his healthy lifestyle and memory training programs are widely used throughout the United States. In 2002, Scientific American Magazine named Small one of the world’s top innovators in science and technology.

Up went an image of Madame Jeanne Calment, a French supercentenarian who lived to 122 years. “At 94, Calment sold her apartment to a businessman who agreed to pay her rent for the rest of her life. He died 10 years later,” said Small to the chuckling crowd. He was introducing the idea that certain lifestyles are associated with both longevity and brain health, a term encompassing our various neurologic faculties like memory, thinking, reasoning, mood, and stress responses. There are certain regions in the world — so-called “blue zones” — with abnormally high clusters of centenarians, most notably Sardinia, Italy; Loma Linda, California; and Okinawa, Japan. These regions share a number of characteristics thought to contribute to collective longevity and prolonged brain health on which Small would later expand: Namely, their inhabitants tend to be physically active, socially engaged, and eat a healthy diet high in omega-3 fats, just like the fish-heavy fare most likely enjoyed by Ms. Calment in the south of France.


The Impact of Chiropractic Care On Health ~ Why Maintenance Care Makes Sense

By |March 10, 2013|Maintenance Care, Prevention, Wellness Care|

The Impact of Chiropractic Care On Health
Why Maintenance Care Makes Sense

The Chiro.Org Blog

SOURCE:   A Chiro.Org Editorial

Coulter and researchers at the RAND Corporation [1] performed an analysis of an insurance database, comparing persons receiving chiropractic care with non-chiropractic patients. The study consisted of senior citizens >75 years of age.

Recipients of chiropractic care reported better overall health, spent fewer days in hospitals and nursing homes, used fewer prescription drugs, and were more active than the non-chiropractic patients.

As part of a comprehensive geriatric assessment program, the RAND Corporation studied a subpopulation of patients who were under chiropractic care compared to those who were not and found that the individuals under continuing chiropractic care were:

  • Free from the use of a nursing home [95.7% vs 80.8%];
  • Free from hospitalizations for the past 23 years [73.9% vs 52.4%];
  • More likely to report a better health status;
  • More likely to exercise vigorously;
  • More likely to be mobile in the community [69.6% vs 46.8%].

Although it is impossible to clearly establish causality, it is also reasonably clear that continuing chiropractic care is among the attributes of the cohort of patients experiencing substantially fewer costly healthcare interventions.

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Maintenance Care, Wellness and Chiropractic Page

In another study, Van Breda et al [2] interviewed 200 pediatricians and 200 chiropractors, to determine what, if any, differences were to be found in the health status of their respective children, since their families were being raised under 2 very different health care models.

Read the rest of this Full Text article now!

Regular Vitamin and Mineral Supplementation Lowers Colon Cancer Risk More Than Eighty Percent

By |March 28, 2012|Cancer, Prevention, Supplementation|

Regular Vitamin and Mineral Supplementation Lowers Colon Cancer Risk More Than Eighty Percent

The Chiro.Org Blog

SOURCE:   Natural News

Researchers, just publishing in the Canadian Journal of Physiology and Pharmacology (CJPP), have found that a diet enhanced with vitamin and mineral supplementation can lower the risk of developing precancerous colon cancer lesions by up to 84%. Colon cancer is the second most common form of the disease affecting men and women in the US, with nearly 150,000 new diagnoses each year.

The Full Text article describes how animals that were fed a high-fat, low fiber diet, while also being exposed to a carcinogen, developed pre-cancerous lesions of the colon along a pathway similar to that found in humans.

The group of animals that underwent a similar treatment and diet, but were also provided a daily vitamin and mineral supplement, demonstrated an 84% reduction in the formation of pre-cancerous lesions which did not develop into tumors.


Chiropractic Research & Practice: State of the Art

By |February 24, 2012|Cost-Effectiveness, Evidence-based Medicine, Health Care Reform, Outcome Assessment, Patient Satisfaction, Prevention, Public Health, Research, Spinal Manipulation, Wellness Care|

Chiropractic Research & Practice State of the Art

The Chiro.Org Blog

SOURCE:   Cleveland Chiropractic College

By Daniel Redwood, D.C., professor,
Cleveland Chiropractic College

Peer Reviewers: Carl S. Cleveland III, D.C., J.
Michael Flynn, D.C., Cheryl Hawk, D.C., PhD., and
Anthony Rosner, PhD.

©2010 Cleveland Chiropractic College –
Kansas City and Los Angeles

Chiropractic Research & Practice

State of the Art

Since chiropractic’s breakthrough decade in the 1970s — when the U.S. federal government included chiropractic services in Medicare and federal workers’ compensation coverage, approved the Council on Chiropractic Education (CCE) as the accrediting body for chiropractic colleges, and sponsored a National Institutes of Health (NIH) conference on the research status of spinal manipulation — the profession has grown and matured into an essential part of the nation’s healthcare system.

Chiropractic was born in the United States in the late 19th century and the U.S. is home to approximately 65,000 of the world’s 90,000 chiropractors. [1] The chiropractic profession is the third largest independent health profession in the Western world, after medicine and dentistry. Doctors of chiropractic are licensed throughout the English-speaking world and in many other nations as primary contact providers, licensed for both diagnosis and treatment without medical referral. In 2005, the World Health Organization (WHO) published WHO Guidelines on Basic Training and Safety in Chiropractic, which documented the status of chiropractic education and practice worldwide and sought to ensure high standards in nations where chiropractic is in the early stages of development. [2]

Rigorous educational standards are supervised by government-recognized accrediting agencies in many nations, including CCE in the United States. After fulfilling college science prerequisites similar to those required to enter medical schools, chiropractic students must complete a chiropractic college program of four academic years, which includes a wide range of courses in anatomy, physiology, pathology, and diagnosis, as well as spinal adjusting, physiotherapy, rehabilitation, public health and nutrition. (more…)