Abstract Title:
Efficacy of chiropractic manual therapy on infant colic: a pragmatic single-blind, randomized controlled trial.
Abstract Source:
J Manipulative Physiol Ther. 2012 Oct ;35(8):600-7. PMID: 23158465
Abstract Author(s):
Joyce E Miller, David Newell, Jennifer E Bolton
Article Affiliation:
Associate Professor, Anglo-European College of Chiropractic, Bournemouth, UK. Electronic address: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract:
OBJECTIVE: The purpose of this study was to determine the efficacy of chiropractic manual therapy for infants with unexplained crying behavior and if there was any effect of parental reporting bias.
METHODS: Infants with unexplained persistent crying (infant colic) were recruited between October 2007 and November 2009 at a chiropractic teaching clinic in the United Kingdom. Infants younger than 8 weeks were randomized to 1 of 3 groups: (i) infant treated, parent aware; (ii) infant treated, parent unaware; and (iii) infant not treated, parent unaware. The primary outcome was a daily crying diary completed by parents over a period of 10 days. Treatments were pragmatic, individualized to examination findings, and consisted of chiropractic manual therapy of the spine. Analysis of covariance was used to investigate differences between groups.
RESULTS: One hundred four patients were randomized. In parents blinded to treatment allocation, using 2 or less hours of crying per day to determine a clinically significant improvement in crying time, the increased odds of improvement in treated infants compared with those not receiving treatment were statistically significant at day 8 (adjusted odds ratio [OR], 8.1; 95% confidence interval [CI], 1.4-45.0) and at day 10 (adjusted OR, 11.8; 95% CI, 2.1-68.3). The number needed to treat was 3. In contrast, the odds of improvement in treated infants were not significantly different in blinded compared with nonblinded parents (adjusted ORs, 0.7 [95% CI, 0.2-2.0] and 0.5 [95% CI, 0.1-1.6] at days 8 and 10, respectively).
CONCLUSIONS: In this study, chiropractic manual therapy improved crying behavior in infants with colic. The findings showed that knowledge of treatment by the parent did not appear to contribute to the observed treatment effects in this study. Thus, it is unlikely that observed treatment effect is due to bias on the part of the reporting parent.
Article Published Date : Sep 30, 2012
Abstract Title:
Chiropractic management of postsurgical lumbar spine pain: a retrospective study of 32 cases.
Abstract Source:
J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):408-12. PMID: 21807265
Abstract Author(s):
Ralph A Kruse, Jerrilyn Cambron
Article Affiliation:
Chiropractic Physician, Private Practice, Homewood and Chicago, IL.
Abstract:
OBJECTIVE: Although chiropractic manipulation is commonly used for low back pain, applying this procedure to the patient with postlumbar spine surgery has not been adequately studied. The purpose of this retrospective chart review is to report on the results of chiropractic management (including Cox flexion distraction technique) of patients with postsurgical lumbar spine pain to determine the change in reported pain based on surgical type.
METHODS: Ten years of patient files from one chiropractic practice were electronically screened for lumbar spine surgery occurring before presenting for chiropractic care. Of the 58 patients with a postsurgical diagnosis, 32 files contained all pertinent components for this study including treatment with Cox flexion distraction manipulation (in addition to adjunct procedures) for at least 2 weeks and pretreatment and posttreatment pain measures using the Numeric Pain Scale (NPS) that ranged from 0 (no pain) to 10 (worst pain imaginable).
RESULTS: A change was observed in the mean pretreatment and posttreatment NPS pain scores of 6.4 to 2.3, a reduction of 4.1 of 10. The mean number of treatments was 14, with a range of 6 to 31. When stratified by surgical type, the mean change in pain was most remarkable in patients who underwent a surgery that combined lumbar discectomy, fusion, and/or laminectomy, with an average NPS pain reduction of 5.7 of 10. No adverse events were reported for any of these postsurgical patients.
CONCLUSIONS: The results of this study showed improvement for patients with low back pain subsequent to lumbar spine surgery who were managed with chiropractic care.
Article Published Date : Jul 01, 2011
Abstract Title:
Spinal manipulative therapy for elderly patients with chronic obstructive pulmonary disease: a case series.
Abstract Source:
J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):413-7. Epub 2011 Jun 24. PMID: 21807266
Abstract Author(s):
Paul E Dougherty, Roger M Engel, Subramanyam Vemulpad, Jeanmarie Burke
Article Affiliation:
Professor, New York Chiropractic College, Seneca Falls, NY; Adjunct Assistant Professor, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Abstract:
OBJECTIVE: The objective of this case series is to report the results of spinal manipulative therapy (SMT) for people with chronic obstructive pulmonary disease (COPD) who were older than 65 years.
METHODS: The study design was a prospective case series. Six patients of a long-term care center who were older than 65 years and having COPD underwent a course of 12 SMT sessions over a 4-week period. Each SMT session consisted of manually applied spinal manipulation and instrument-assisted spinal manipulation delivered by a doctor of chiropractic. Lung function measurements were recorded at baseline and at 2 and 4 weeks. The occurrence and type of any adverse events (AEs) related to SMT were recorded at each SMT session.
RESULTS: One male and 5 female patients took part in the study. The average age was 79.1 years (range, 68-89 years). There was a clinically significant increase in forced expiratory volume in the first second after SMT in 4 of the 6 patients at 2 weeks. This was sustained in only 1 patient at 4 weeks. No clinically significant changes were observed for forced vital capacity at 2 or 4 weeks. One hundred forty-four manually applied spinal manipulations and 72 instrument-assisted spinal manipulations were administered during the intervention period. No major or moderate AEs were reported. Only minor AEs were reported after 29% of the intervention sessions, with 1 AE being reported for each patient. All AEs resolved within 48 hours.
CONCLUSIONS: This case series offers preliminary evidence that SMT may have the potential to benefit lung function in patients with COPD who are older than 65 years.
Article Published Date : Jul 01, 2011
Abstract Title:
Evidence-based guidelines for the chiropractic treatment of adults with headache.
Abstract Source:
J Manipulative Physiol Ther. 2011 Jun ;34(5):274-89. PMID: 21640251
Abstract Author(s):
Roland Bryans, Martin Descarreaux, Mireille Duranleau, Henri Marcoux, Brock Potter, Rick Ruegg, Lynn Shaw, Robert Watkin, Eleanor White
Article Affiliation:
Guidelines Development Committee Chair and Chiropractor, Private Practice, Clarenville, Newfoundland and Labrador, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this manuscript is to provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults.
METHODS: Systematic literature searches of controlled clinical trials published through August 2009 relevant to chiropractic practice were conducted using the databases MEDLINE; EMBASE; Allied and Complementary Medicine; the Cumulative Index to Nursing and Allied Health Literature; Manual, Alternative, and Natural Therapy Index System; Alt HealthWatch; Index to Chiropractic Literature; and the Cochrane Library. The number, quality, and consistency of findings were considered to assign an overall strength of evidence (strong, moderate, limited, or conflicting) and to formulate practice recommendations.
RESULTS: Twenty-one articles met inclusion criteria and were used to develop recommendations. Evidence did not exceed a moderate level. For migraine, spinal manipulation and multimodal multidisciplinary interventions including massage are recommended for management of patients with episodic or chronic migraine. For tension-type headache, spinal manipulation cannot be recommended for the management of episodic tension-type headache. A recommendation cannot be made for or against the use of spinal manipulation for patients with chronic tension-type headache. Low-load craniocervical mobilization may be beneficial for longer term management of patients with episodic or chronic tension-type headaches. For cervicogenic headache, spinal manipulation is recommended. Joint mobilization or deep neck flexor exercises may improve symptoms. There is no consistently additive benefit of combining joint mobilization and deep neck flexor exercises for patients with cervicogenic headache. Adverse events were not addressed in most clinical trials; and if they were, there were none or they were minor.
CONCLUSIONS: Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches. The type, frequency, dosage, and duration of treatment(s) should be based on guideline recommendations, clinical experience, and findings. Evidence for the use of spinal manipulation as an isolated intervention for patients with tension-type headache remains equivocal.
Article Published Date : Jun 01, 2011
Abstract Title:
Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.
Abstract Source:
J Manipulative Physiol Ther. 2011 Jun ;34(5):314-46. PMID: 21640255
Abstract Author(s):
James W Brantingham, Tammy Kay Cassa, Debra Bonnefin, Muffit Jensen, Gary Globe, Marian Hicks, Charmaine Korporaal
Article Affiliation:
Department of Research, Cleveland Chiropractic College, Los Angeles, CA, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to conduct a systematic review on manual and manipulative therapy (MMT) for common shoulder pain and disorders.
METHODS: A search of the literature was conducted using the Cumulative Index of Nursing Allied Health Literature; PubMed; Manual, Alternative, and Natural Therapy Index System; Physiotherapy Evidence Database; and Index to Chiropractic Literature dating from January 1983 to July 7, 2010. Search limits included the English language and human studies along with MeSH terms such as manipulation, chiropractic, osteopathic, orthopedic, musculoskeletal, physical therapies, shoulder, etc. Inclusion criteria required a shoulder peripheral diagnosis and MMT with/without multimodal therapy. Exclusion criteria included pain referred from spinal sites without a peripheral shoulder diagnosis. Articles were assessed primarily using the Physiotherapy Evidence Database scale in conjunction with modified guidelines and systems. After synthesis and considered judgment scoring were complete, with subsequent participant review and agreement, evidence grades of A, B, C, and I were applied.
RESULTS: A total of 211 citations were retrieved, and 35 articles were deemed useful. There is fair evidence (B) for the treatment of a variety of common rotator cuff disorders, shoulder disorders, adhesive capsulitis, and soft tissue disorders using MMT to the shoulder, shoulder girdle, and/or the full kinetic chain (FKC) combined with or without exercise and/or multimodal therapy. There is limited (C) and insufficient (I) evidence for MMT treatment of minor neurogenic shoulder pain and shoulder osteoarthritis, respectively.
CONCLUSIONS: This study found a level of B or fair evidence for MMT of the shoulder, shoulder girdle, and/or the FKC combined with multimodal or exercise therapy for rotator cuff injuries/disorders, disease, or dysfunction. There is a fair or B level of evidence for MMT of the shoulder/shoulder girdle and FKC combined with a multimodal treatment approach for shoulder complaints, dysfunction, disorders, and/or pain.
Article Published Date : Jun 01, 2011
Abstract Title:
Chiropractic manipulative therapy and low-level laser therapy in the management of cervical facet dysfunction: a randomized controlled study.
Abstract Source:
J Manipulative Physiol Ther. 2011 Mar-Apr;34(3):153-63. PMID: 21492750
Abstract Author(s):
Lindie Saayman, Caroline Hay, Heidi Abrahamse
Article Affiliation:
Laser Research Centre, Faculty of Health Sciences, University of Johannesburg, Doornfontein, South Africa.
Abstract:
PURPOSE: The aim of this study was to determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction.
METHODS: Sixty ambulatory women between the ages of 18 and 40 years with cervical facet joint pain of more than 30-day duration and normal neurologic examination were randomized to receive 1 of 3 treatment options: (1) CMT of the cervical spine, (2) LLLT applied to the cervical facet joints, or (3) a combination of CMT and LLLT. Each participant received 6 treatments in 3 weeks. The main outcome measures were as follows: the Numerical Pain Rating Scale, Neck Disability Index, Cervical Range of Motion Instrument, and Baseline Digital Inclinometer. Measurements were taken during weeks 1 (baseline), 2, 3, and 4.
RESULTS: No differences existed between the 3 groups at baseline. A significant difference was seen between groups 1 (CMT) and 2 (LLLT) for cervical flexion, between groups 1 (CMT) and 3 (CMT + LLLT) for cervical flexion and rotation, and between groups 2 (LLLT) and 3 (CMT + LLLT) for pain disability in everyday life, lateral flexion, and rotation.
CONCLUSION: All 3 groups showed improvement in the primary and secondary outcomes. A combination of CMT and LLLT was more effective than either of the 2 on their own. Both therapies are indicated as potentially beneficial treatments for cervical facet dysfunction. Further studies are needed to explore optimal treatment procedures for CMT and LLLT and the possible mechanism of interaction between therapies.
Article Published Date : Mar 01, 2011
Abstract Title:
Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense.
Abstract Source:
J Manipulative Physiol Ther. 2011 Feb ;34(2):88-97. PMID: 21334540
Abstract Author(s):
Heidi Haavik, Bernadette Murphy
Article Affiliation:
New Zealand College of Chiropractic, Auckland, New Zealand. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The objectives of this study were to investigate whether elbow joint position sense (JPS) accuracy differs between participants with a history of subclinical neck pain (SCNP) and those with no neck complaints and to determine whether adjusting dysfunctional cervical segments in the SCNP group improves their JPS accuracy.
METHOD: Twenty-five SCNP participants and 18 control participants took part in this pre-post experimental study. Elbow JPS was measured using an electrogoniometer (MLTS700, ADInstruments, New Zealand). Participants reproduced a previously presented angle of the elbow joint with their neck in 4 positions: neutral, flexion, rotation, and combined flexion/rotation. The experimental intervention was high-velocity, low-amplitude cervical adjustments, and the control intervention was a 5-minute rest period. Group JPS data were compared, and it was assessed pre and post interventions using 3 parameters: absolute, constant, and variable errors.
RESULTS: At baseline, the control group was significantly better at reproducing the elbow target angle. The SCNP group's absolute error significantly improved after the cervical adjustments when the participants' heads were in the neutral and left-rotation positions. They displayed a significant overall decrease in variable error after the cervical adjustments. The control group participants' JPS accuracy was worse after the control intervention, with a significant overall effect in absolute and variable errors. No other significant effects were detected.
CONCLUSION: These results suggest that asymptomatic people with a history of SCNP have reduced elbow JPS accuracy compared to those with no history of any neck complaints. Furthermore, the results suggest that adjusting dysfunctional cervical segments in people with SCNP can improve their upper limb JPS accuracy.
Article Published Date : Feb 01, 2011
Abstract Title:
The chiropractic care of children with "growing pains": a case series and systematic review of the literature.
Abstract Source:
Complement Ther Clin Pract. 2011 Feb ;17(1):28-32. PMID: 21168111
Abstract Author(s):
Joel Alcantara, James Davis
Article Affiliation:
International Chiropractic Pediatric Association, 327 N. Middletown Rd., Media, PA 19063, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: To describe the successful chiropractic care of two pediatric patients with complaints of "growing pain."
CLINICAL FEATURES: A 2¾-yr-old female and 3½-yr-old male were presented by their mothers with complaints of "growing pains" that awakened both patients at night. The girl's problem began 3 months prior to care with awakening due to leg pain at 1-2 nights weekly in the first month and progressed to 5-6 nights per week in the month prior to presentation. The boy's growing pain was of "several months" duration that awakened the patient 2-3 nights per week. The parents of both children denied trauma or an "organic" cause to their children's pain complaints. Spinal segmental dysfunctions were noted in both patients atthe lumbosacral spine.
INTERVENTION AND OUTCOME: Spinal manipulative therapy (SMT) characterized as high velocity, low amplitude thrusts to sites of segmental dysfunction was rendered to both patients. Following a trial of care (i.e., 3 visits scheduled over a 3-week period and 4 visits over a period of 14 weeks), the patient's symptoms resolved and were released from care.
CONCLUSION: This case series provides support on the effectiveness of chiropractic SMT for children with complaints of "growing pain." We support further research in the care of similar patients.
Article Published Date : Feb 01, 2011
Abstract Title:
Upper cervical manipulation combined with mobilization for the treatment of atlantoaxial osteoarthritis: a report of 10 cases.
Abstract Source:
J Manipulative Physiol Ther. 2011 Feb ;34(2):131-7. PMID: 21334546
Abstract Author(s):
Hong Yu, Shuxun Hou, Wenwen Wu, Xiaohua He
Article Affiliation:
Department of Orthopedics, The 1st Affiliated Hospital of the General Military Hospital, Beijing, China.
Abstract:
OBJECTIVE: This study presents the outcomes of patients with idiopathic degenerative and posttraumatic atlantoaxial osteoarthritis who were treated with upper cervical manipulation in combination with mobilization device therapy.
CLINICAL FEATURES: A retrospective case review of 10 patients who were diagnosed with either degenerative or posttraumatic atlantoaxial arthritis based on histories, clinical symptoms, physical examination, and radiographic presentations was conducted at a multidisciplinary integrated clinic that used both chiropractic and orthopedic services. All 10 patients selected for this series were treated with a combination of upper cervical manipulation and mechanical mobilization device therapy. Outcome measures were collected at baseline and at the end of the treatment period. Assessments were measured using patients' self-report of pain using a numeric pain scale (NPS), physical examination, and radiologic changes. Average premanipulative NPS was 8.6 (range, 7-10), which was improved to a mean NPS of 2.6 (range, 0-7) at posttreatment follow-up. Mean rotation of C1-C2 at the end of treatment was improved from 28° (±3.1) to 52° (±4.5). Restoration of joint space was observed in 6 patients. Overall clinical improvement was described as "good" or "excellent" in about 80% of patients. Clinical improvements in pain and range of motion were seen in 80% and 90% of patients, respectively.
CONCLUSION: Chiropractic management of atlantoaxial osteoarthritis yielded favorable outcomes for these 10 patients.
Article Published Date : Feb 01, 2011
Abstract Title:
The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain.
Abstract Source:
Spine J. 2010 Dec ;10(12):1055-64. PMID: 20889389
Abstract Author(s):
Paul B Bishop, Jeffrey A Quon, Charles G Fisher, Marcel F S Dvorak
Article Affiliation:
International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, British Columbia, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND CONTEXT: Evidence-based clinical practice guidelines (CPGs) for the management of patients with acute mechanical low back pain (AM-LBP) have been defined on an international scale. Multicenter clinical trials have demonstrated that most AM-LBP patients do not receive CPG-based treatments. To date, the value of implementing full and exclusively CPG-based treatment remains unclear.
PURPOSE: To determine if full CPGs-based study care (SC) results in greater improvement in functional outcomes than family physician-directed usual care (UC) in the treatment of AM-LBP.
STUDY DESIGN/SETTING: A two-arm, parallel design, prospective, randomized controlled clinical trial using blinded outcome assessment. Treatment was administered in a hospital-based spine program outpatient clinic.
PATIENT SAMPLE: Inclusion criteria included patients aged 19 to 59 years with Quebec Task Force Categories 1 and 2 AM-LBP of 2 to 4 weeks' duration. Exclusion criteria included "red flag" conditions and comorbidities contraindicating chiropractic spinal manipulative therapy (CSMT).
OUTCOME MEASURES: Primary outcome: improvement from baseline in Roland-Morris Disability Questionnaire (RDQ) scores at 16 weeks. Secondary outcomes: improvements in RDQ scores at 8 and 24 weeks; and in Short Form-36 (SF-36) bodily pain (BP) and physical functioning (PF) scale scores at 8, 16, and 24 weeks.
METHODS: Patients were assessed by a spine physician, then randomized to SC (reassurance and avoidance of passive treatments, acetaminophen, 4 weeks of lumbar CSMT, and return to work within 8 weeks), or family physician-directed UC, the components of which were recorded.
RESULTS: Ninety-two patients were recruited, with 36 SC and 35 UC patients completing all follow-up visits. Baseline prognostic variables were evenly distributed between groups. The primary outcome, the unadjusted mean improvement in RDQ scores, was significantly greater in the SC group than in the UC group (p=.003). Regarding unadjusted mean changes in secondary outcomes, improvements in RDQ scores were also greater in the SC group at other time points, particularly at 24 weeks (p=.004). Similarly, improvements in SF-36 PF scores favored the SC group at all time points; however, these differences were not statistically significant. Improvements in SF-36 BP scores were similar between groups. In repeated-measures analyses, global adjusted mean improvement was significantly greater in the SC group in terms of RDQ (p=.0002), nearly significantly greater in terms of SF-36 PF (p=.08), but similar between groups in terms of SF-36 BP (p=.27).
CONCLUSIONS: This is the first reported randomized controlled trial comparing full CPG-based treatment, including spinal manipulative therapy administered by chiropractors, to family physician-directed UC in the treatment of patients with AM-LBP. Compared to family physician-directed UC, full CPG-based treatment including CSMT is associated with significantly greater improvement in condition-specific functioning.
Article Published Date : Dec 01, 2010
Abstract Title:
Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study.
Abstract Source:
J Manipulative Physiol Ther. 2010 Oct ;33(8):576-84. PMID: 21036279
Abstract Author(s):
Gordon McMorland, Esther Suter, Steve Casha, Stephan J du Plessis, R John Hurlbert
Article Affiliation:
Chiropractor, National Spine Care, Calgary, Alberta, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to compare the clinical efficacy of spinal manipulation against microdiskectomy in patients with sciatica secondary to lumbar disk herniation (LDH).
METHODS: One hundred twenty patients presenting through elective referral by primary care physicians to neurosurgical spine surgeons were consecutively screened for symptoms of unilateral lumbar radiculopathy secondary to LDH at L3-4, L4-5, or L5-S1. Forty consecutive consenting patients who met inclusion criteria (patients must have failed at least 3 months of nonoperative management including treatment with analgesics, lifestyle modification, physiotherapy, massage therapy, and/or acupuncture) were randomized to either surgical microdiskectomy or standardized chiropractic spinal manipulation. Crossover to the alternate treatment was allowed after 3 months.
RESULTS: Significant improvement in both treatment groups compared to baseline scores over time was observed in all outcome measures. After 1 year, follow-up intent-to-treat analysis did not reveal a difference in outcome based on the original treatment received. However, 3 patients crossed over from surgery to spinal manipulation and failed to gain further improvement. Eight patients crossed from spinal manipulation to surgery and improved to the same degree as their primary surgical counterparts.
CONCLUSIONS: Sixty percent of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention. Of 40% left unsatisfied, subsequent surgical intervention confers excellent outcome. Patients with symptomatic LDH failing medical management should consider spinal manipulation followed by surgery if warranted.
Article Published Date : Oct 01, 2010
Abstract Title:
Trigeminal neuralgia and chiropractic care: a case report.
Abstract Source:
J Can Chiropr Assoc. 2010 Sep ;54(3):177-86. PMID: 20808617
Abstract Author(s):
Robert J Rodine, Peter Aker
Article Affiliation:
Graduate Student, Graduate Education and Research Programs Canadian Memorial Chiropractic College, Toronto, Ontario Private Practice, Smiths Falls, Ontario.
Abstract:
The following case describes a 68 year-old woman with a 7(1/2) year history of worsening head and neck pain diagnosed as trigeminal neuralgia following surgical resection of a brain tumor. After years of unsuccessful management with medication and physical therapies, a therapeutic trial of chiropractic was carried out. Chiropractic care included ultrasound, manual therapies (manipulation and mobilization), soft tissue therapies, and home stretching exercises. After an initial treatment period followed by 18 months of supportive care the patient reported satisfactory improvement. It became evident that there were at least three sources of her symptoms: mechanical and/or degenerative neck pain, temporomandibular joint syndrome, and trigeminal neuralgia. While never completely pain-free, the patient continued to report that her pains reduced to minimal at times. At the most recent follow-up, the pain had not returned to pre-treatment intractable levels. This case study demonstrates the importance of diagnosing and treating multiple sources of pain and the positive role chiropractic care can have in the management of patients with these clinical conditions. The potential for convergence of sensory input from the upper three cervical segments and the trigeminal nerve via the trigeminocervical nucleus is discussed.
Article Published Date : Sep 01, 2010
Abstract Title:
Chiropractic management of the kinetic chain for the treatment of hip osteoarthritis: an Australian case series.
Abstract Source:
J Manipulative Physiol Ther. 2010 Jul-Aug;33(6):474-9. PMID: 20732585
Abstract Author(s):
Katie de Luca, Henry Pollard, James Brantingham, Gary Globe, Tammy Cassa
Article Affiliation:
Private Practice, 32 Elizabeth St, Parramatta NSW 2150, Australia. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: Osteoarthritis is the most common musculoskeletal disorder, estimated to affect 3 million Australians. Previous studies support structured exercise programs and manipulation for hip osteoarthritis; however, no trials have examined treatment of the lower limb kinetic chain. The purpose of this case series was to report hip range of motion and pain scale outcomes in 4 patients diagnosed with hip osteoarthritis who were treated with chiropractic management of the lower limb kinetic chain.
METHODS: Four subjects (mean age 59.5; SD +/- 6.7) were provided with 9 sessions of chiropractic treatment. This included long-axis traction pulls and pre/post adjustment stretching of the symptomatic hip, with additional manipulation and mobilization of the lumbar spine, sacroiliac, knee, and ankle joints. Outcome measures included range of motion as measured and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
RESULTS: All 4 subjects had improvements in WOMAC scores, with a mean group reduction of 382.5 (SD +/- 115.8) and overall improvement of 68.1%. As a group, there were improvements in internal rotation (51.7%, mean 7.3 degrees; SD +/- 6.2 degrees), adduction (26.7%, mean 5.3 degrees; SD +/- 5.0 degrees), abduction (21.1%, mean 6.8 degrees; SD +/- 5.4 degrees), flexion (15.3%, mean 15 degrees; SD +/- 4.8 degrees) and external rotation (8.5%, mean 8.5 degrees; SD +/- 6.0 degrees).
CONCLUSIONS: Four patients diagnosed with hip osteoarthritis had decreases in WOMAC scores and increases in hip range of motion after chiropractic management. Further research in the form of large scale randomized controlled trials is needed to investigate the effectiveness and clinical significance of chiropractic management for hip osteoarthritis.
Article Published Date : Jul 01, 2010
Abstract Title:
Effects of chiropractic care on pain and function in patients with hip osteoarthritis waiting for arthroplasty: a clinical pilot trial.
Abstract Source:
J Manipulative Physiol Ther. 2010 Jul-Aug;33(6):438-44. PMID: 20732581
Abstract Author(s):
Pernilla Thorman, Alexander Dixner, Tobias Sundberg
Article Affiliation:
Scandinavian College of Chiropractic, Solna, Sweden. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to explore the short-term effects of chiropractic care on pain and function in patients with hip osteoarthritis.
METHODS: A convenience sample of 14 patients waiting to undergo unilateral hip arthroplasty at a large university hospital received either chiropractic care (n = 7) or no additional treatment (n = 7) during a 3-week period. The main outcome was the change in self-rated hip pain on a 100 mm Visual Analogue Scale (VAS, 0-100). Secondary outcomes were the change in the five Hip disability and Osteoarthritis Outcome Subscales (HOOS, 0-100), which include pain, other symptoms, function in daily living, function in sport and recreation and hip related quality of life. Nonparametric statistics were used to explore outcome changes from baseline to follow-up after three weeks within and between the groups.
RESULTS: Patients receiving chiropractic care, on average 4.4 (SD +/-1.0) treatments over 3 weeks, showed a clinically and statistically significant improvement in self-rated hip pain, VAS - 26.0 (SD +/-28.4), P = .043. The chiropractic patients also had clinically important, but not statistically significant, improvement scores in HOOS function in daily living 18.6 (SD +/-18.5), pain 15.4 (SD +/-17.2), and hip-related quality of life 12.4 (SD +/-19.6). The waiting list controls had no statistically significant improvements in any outcome measured, but a clinically relevant improvement in HOOS Pain 12.2 (SD +/-18.2), P = .051 was observed. There were no statistically significant differences between the groups due to the small sample size. Approximately 25 patients per arm would be required to adequately power a full scale randomized controlled trial with VAS for hip pain as the main outcome measure.
CONCLUSIONS: Chiropractic care may provide a short-term benefit in decreasing hip pain for patients with hip osteoarthritis waiting for hip arthroplasty. The pilot findings warrant larger scale randomized controlled trials with longer-term follow-ups.
Article Published Date : Jul 01, 2010
Abstract Title:
Management of a 59-year-old female patient with adult degenerative scoliosis using manipulation under anesthesia.
Abstract Source:
J Chiropr Med. 2010 Jun ;9(2):77-83. PMID: 21629554
Abstract Author(s):
Mark W Morningstar, Megan N Strauchman
Article Affiliation:
Private Chiropractic Practice, Grand Blanc, MI 48439.
Abstract:
OBJECTIVE: Manipulation under anesthesia (MUA) is an outpatient procedure that is performed to restore normal joint kinematics and musculoskeletal function. This article presents a case of a patient with idiopathic lumbar degenerative scoliosis who developed intractable pain as an adult and reports on the outcomes following a trial of MUA.
CLINICAL FEATURES: A 59-year-old female patient presented to a chiropractic office with primary subjective symptoms of lower back and bilateral hip pain. Numerical pain rating scores were reported at 8 of 10 for the lower back and 9 of 10 for the sacroiliac joint/gluteal region. A disability score using a functional rating index demonstrated a score of 26 of 40 (or 64% disability). Over the preceding 5 years, the patient had tried a number of conservative therapies to relieve her pain without success.
INTERVENTION AND OUTCOME: The patient was evaluated for MUA. The patient was scheduled for a serial MUA over 3 days. Numerical pain rating scores 8 weeks after the MUA were 1 of 10 for the lower back and 3 of 10 for the sacroiliac joint. Her disability rating decreased to 11 of 40 (28%). Radiological improvements were also observed. These outcomes were maintained at 6-month follow-up.
CONCLUSION: Pain, functional, and radiographic outcomes demonstrated improvements immediately following treatment for this patient.
Article Published Date : Jun 01, 2010
Abstract Title:
Upper cervical chiropractic care for a 25-year-old woman with myoclonic seizures.
Abstract Source:
J Chiropr Med. 2010 Jun ;9(2):90-4. PMID: 21629556
Abstract Author(s):
Todd A Hubbard, Casey A Crisp, Brett Vowles
Article Affiliation:
Assistant Professor, Academic Health Center, Palmer College of Chiropractic, Davenport, IA 52803.
Abstract:
OBJECTIVE: The purpose of this case report is to describe the chiropractic management using upper cervical techniques of a 25-year-old woman diagnosed with juvenile myoclonic epilepsy (JME).
CLINICAL FEATURES: A 25-year-old woman had a history of JME, which was diagnosed at the age of 14 years. Her seizure episodes began shortly after trauma to her cervical spine and the onset of menarche.
INTERVENTION AND OUTCOME: After case history and physical examination, the patient received high-velocity, low-amplitude chiropractic spinal manipulation to her upper cervical spine using the Blair upper cervical chiropractic technique protocol. There was improvement in her seizure episodes and menstrual cycles following 12 weeks of chiropractic care.
CONCLUSION: This case study demonstrated improvement in a young woman with a seizure disorder after she received upper cervical chiropractic manipulation. This case suggests the need for more rigorous research to examine how upper cervical chiropractic techniques may provide therapeutic benefit to patients with seizure disorders.
Article Published Date : Jun 01, 2010
Abstract Title:
Triad of spinal pain, spinal joint dysfunction, and extremity pain in 4 pediatric cases of "Wii-itis": a 21st century pediatric condition.
Abstract Source:
J Chiropr Med. 2010 Jun ;9(2):84-9. PMID: 21629555
Abstract Author(s):
Drew Rubin
Article Affiliation:
Adjunct Faculty, Departments of Clinical and Chiropractic Sciences, Life University, Marietta, GA 30067.
Abstract:
OBJECTIVE: This article describes 4 pediatric cases of overuse injuries related to playing Nintendo Wii (Nintendo, Redmond, WA). A brief discussion is also presented regarding other 21st century problems found in the literature, such as problems associated with playing the Nintendo DS portable electronic device, text messaging, and Blackberry (Research in Motion, Waterloo, Ontario) thumb.
CLINICAL FEATURES: Four pediatric patients, ranging from 3 to 9 years old, who had injuries causally related to what has been described in the literature as "Wii-itis" (spinal pain, spinal joint dysfunction [chiropractic subluxation], and related extremity pain), presented to a chiropractic clinic.
INTERVENTION AND OUTCOMES: Each of the 4 pediatric cases was evaluated and managed using chiropractic techniques. All patients successfully had their complaints resolve with 1 chiropractic visit.
CONCLUSION: Children in the new era of portable electronic devices are presenting to chiropractic offices with a set of symptoms directly related to overuse or repetitive strain from prolonged play on these systems.
Article Published Date : Jun 01, 2010
Abstract Title:
The chiropractic care of children with attention-deficit/hyperactivity disorder: a retrospective case series.
Abstract Source:
Explore (NY). 2010 May-Jun;6(3):173-82. PMID: 20451152
Abstract Author(s):
Joel Alcantara, James Davis
Article Affiliation:
International Chiropractic Pediatric Association, 327 N. Middletown Road, Media, PA 19063, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: Characterized with hyperactivity, inattention and impulsivity, attention-deficit/hyperactivity disorder (ADHD) has a prevalence in children, ranging from 2.6% to 11.4%. The medical approach is multimodal, with combination therapies of behavioral modification and pharmacotherapy. With growing concerns regarding the safety of both short-term and long-term use of psychotropic medications, the need for investigating alternative approaches to the care of children is warranted.
OBJECTIVE: The aim of this review was to describe the chiropractic care of children with medically diagnosed ADHD.
DESIGN: Retrospective case series were reviewed.
SETTING: The review was conducted in a private practice of chiropractic with a solo practitioner.
PATIENTS/PARTICIPANTS: Pediatric patients (aged
INTERVENTION: The intervention was chiropractic spinal manipulative therapy augmented by nutritional supplements.
RESULTS: Our review found four patient files satisfying the inclusion criteria. All patients were males, ranging in age from nine to 13 years (mean age, 10 years), with three patients having a history of medication use and two patients having prescribed medication at the start of chiropractic care. Using a 15-item parent/teacher ADHD questionnaire, the patients' responses to chiropractic care were monitored. Using the Friedman test to compare observations repeated on the same subjects, our findings found improvement in ADHD symptoms (ie, hyperactivity, impulsivity, and inattentiveness, as well as behavioral, social, or emotional difficulties) and provide supporting evidence on the effectiveness of chiropractic in the treatment of children with ADHD.
CONCLUSION: A retrospective case series of ADHD patients under chiropractic care is described. This provides supporting evidence on the benefits of chiropractic spinal manipulative therapy. We encourage further research in this area.
Article Published Date : May 01, 2010
Abstract Title:
The effects of spinal manipulation on central integration of dual somatosensory input observed after motor training: a crossover study.
Abstract Source:
J Manipulative Physiol Ther. 2010 May ;33(4):261-72. PMID: 20534312
Abstract Author(s):
Heidi Haavik Taylor, Bernadette Murphy
Article Affiliation:
New Zealand College of Chiropractic, Auckland, New Zealand. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: This study sought to investigate the influence of spinal dysfunction and spinal manipulation on the response of the central nervous system to a motor training task.
METHODS: The dual peripheral nerve stimulation somatosensory evoked potential (SEP) ratio technique was used in 11 subjects before and after a 20-minute typing task and again when the typing task was preceded with cervical spine manipulation. Somatosensory evoked potentials were recorded after median and ulnar nerve stimulation at the wrist (1 millisecond square wave pulse, 2.47 Hz, 1x motor threshold). The SEP ratios were calculated for the N9, N11, N13, P14-18, N20-P25, and P22-N30 peak complexes from SEP amplitudes obtained from simultaneous median and ulnar (MU) stimulation divided by the arithmetic sum of SEPs obtained from individual stimulation of the median (M) and ulnar (U) nerves.
RESULTS: There was a significant increase in the MU/M+U ratio for both cortical (ie, N20-P25 and P22-N30) SEP components after the 20-minute repetitive contraction task. This did not occur when the motor training task was preceded with spinal manipulation. Instead, there was a significant decrease in the MU/M+U ratio for the cortical P22-N30 SEP component. The ratio changes appear to be due to changes in the ability to suppress the dual input as concurrent changes in the MU amplitudes were observed.
DISCUSSION: This study suggests that cervical spine manipulation not only alters cortical integration of dual somatosensory input but also alters the way the central nervous system responds to subsequent motor training tasks.
CONCLUSION: These findings may help to clarify the mechanisms responsible for the effective relief of pain and restoration of functional ability documented after spinal manipulation and the mechanism involved in the initiation of overuse injuries.
Article Published Date : May 01, 2010
Abstract Title:
Chiropractic care for patients with asthma: A systematic review of the literature.
Abstract Source:
J Can Chiropr Assoc. 2010 Mar ;54(1):24-32. PMID: 20195423
Abstract Author(s):
Adrienne Kaminskyj, Michelle Frazier, Kyle Johnstone, Brian J Gleberzon
Abstract:
OBJECTIVE: To provide a review of the literature and rate the quality of published studies regarding chiropractic care, including spinal manipulation, for asthmatic patients.
METHODS: A multimodal search strategy was conducted, including multiple database searches, along with reference and journal hand-searching. Studies were limited to those published in English and in peer-reviewed journals or conference proceedings between January 1980 and March 2009. All study designs were considered except personal narratives or reviews. Retrieved articles that met the inclusion criteria were rated for quality by using the Downs and Black checklist. A brief summary was also written for each retrieved study.
RESULTS: Eight articles met the inclusion criteria of this review in the form of one case series, one case study, one survey, two randomized controlled trials (RCTs), one randomized patient and observer blinded cross-over trial, one single blind cross study design, and one self-reported impairment questionnaire. Their quality scores ranged from 5 to 22 out of 27.
CONCLUSION: Results of the eight retrieved studies indicated that chiropractic care showed improvements in subjective measures and, to a lesser degree objective measures, none of which were statistically significant. It is evident that some asthmatic patients may benefit from this treatment approach; however, at this time, the evidence suggests chiropractic care should be used as an adjunct, not a replacement, to traditional medical therapy.
Article Published Date : Mar 01, 2010
Abstract Title:
The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial.
Abstract Source:
BMC Musculoskelet Disord. 2010 ;11:64. Epub 2010 Apr 8. PMID: 20374662
Abstract Author(s):
Wayne Hoskins, Henry Pollard
Article Affiliation:
Macquarie Injury Management Group, Department of Chiropractic, Faculty of Science, Macquarie University, NSW 2109, Australia. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: Hamstring injuries are the most common injury in Australian Rules football. It was the aims to investigate whether a sports chiropractic manual therapy intervention protocol provided in addition to the current best practice management could prevent the occurrence of and weeks missed due to hamstring and other lower-limb injuries at the semi-elite level of Australian football.
METHODS: Sixty male subjects were assessed for eligibility with 59 meeting entry requirements and randomly allocated to an intervention (n = 29) or control group (n = 30), being matched for age and hamstring injury history. Twenty-eight intervention and 29 control group participants completed the trial. Both groups received the current best practice medical and sports science management, which acted as the control. Additionally, the intervention group received a sports chiropractic intervention. Treatment for the intervention group was individually determined and could involve manipulation/mobilization and/or soft tissue therapies to the spine and extremity. Minimum scheduling was: 1 treatment per week for 6 weeks, 1 treatment per fortnight for 3 months, 1 treatment per month for the remainder of the season (3 months). The main outcome measure was an injury surveillance with a missed match injury definition.
RESULTS: After 24 matches there was no statistical significant difference between the groups for the incidence of hamstring injury (OR:0.116, 95% CI:0.013-1.019, p = 0.051) and primary non-contact knee injury (OR:0.116, 95% CI:0.013-1.019, p = 0.051). The difference for primary lower-limb muscle strains was significant (OR:0.097, 95%CI:0.011-0.839, p = 0.025). There was no significant difference for weeks missed due to hamstring injury (4 v 14, chi2:1.12, p = 0.29) and lower-limb muscle strains (4 v 21, chi2:2.66, p = 0.10). A significant difference in weeks missed due to non-contact knee injury was noted (1 v 24, chi2:6.70, p = 0.01).
CONCLUSIONS: This study demonstrated a trend towards lower limb injury prevention with a significant reduction in primary lower limb muscle strains and weeks missed due to non-contact knee injuries through the addition of a sports chiropractic intervention to the current best practice management.
Article Published Date : Jan 01, 2010
Abstract Title:
Interleukin 2-regulated in vitro antibody production following a single spinal manipulative treatment in normal subjects.
Abstract Source:
Chiropr Osteopat. 2010 ;18:26. Epub 2010 Sep 8. PMID: 20825650
Abstract Author(s):
Julita A Teodorczyk-Injeyan, Marion McGregor, Richard Ruegg, H Stephen Injeyan
Article Affiliation:
Professor and Chair, Department of Pathology and Microbiology, Canadian Memorial Chiropractic College, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract:
UNLABELLED:
BACKGROUND: Our recent investigations have demonstrated that cell cultures from subjects, who received a single spinal manipulative treatment in the upper thoracic spine, show increased capacity for the production of the key immunoregulatory cytokine, interleukin-2. However, it has not been determined if such changes influence the response of the immune effector cells. Thus, the purpose of the present study was to determine whether, in the same subjects, spinal manipulation-related augmentation of the in vitro interleukin-2 synthesis is associated with the modulation of interleukin 2-dependent and/or interleukin-2-induced humoral immune response (antibody synthesis).
METHODS: A total of seventy-four age and sex-matched healthy asymptomatic subjects were studied. The subjects were assigned randomly to: venipuncture control (n = 22), spinal manipulative treatment without cavitation (n = 25) or spinal manipulative treatment associated with cavitation (n = 27) groups. Heparinized blood samples were obtained from the subjects before (baseline) and then at 20 minutes and 2 hours post-treatment. Immunoglobulin (antibody) synthesis was induced in cultures of peripheral blood mononuclear cells by stimulation with conventional pokeweed mitogen or by application of human recombinant interleukin-2. Determinations of the levels of immunoglobulin G and immunoglobulin M production in culture supernatants were performed by specific immunoassays.
RESULTS: The baseline levels of immunoglobulin synthesis induced by pokeweed mitogen or human recombinant interleukin-2 stimulation were comparable in all groups. No significant changes in the production of pokeweed mitogen-induced immunoglobulins were observed during the post-treatment period in any of the study groups. In contrast, the production of interleukin-2 -induced immunoglobulin G and immunoglobulin M was significantly increased in cultures from subjects treated with spinal manipulation. At 20 min post-manipulation, immunoglobulin G synthesis was significantly elevated in subjects who received manipulation with cavitation, relative to that in cultures from subjects who received manipulation without cavitation and venipuncture alone. At 2 hr post-treatment, immunoglobulin M synthesis was significantly elevated in subjects who received manipulation with cavitation relative to the venipuncture group. There were no quantitative alterations within the population of peripheral blood B or T lymphocytes in the studied cultures.
CONCLUSION: Spinal manipulative treatment does not increase interleukin-2 -dependent polyclonal immunoglobulin synthesis by mitogen-activated B cells. However, antibody synthesis induced by interleukin-2 alone can be, at least temporarily, augmented following spinal manipulation. Thus, under certain physiological conditions spinal manipulative treatment might influence interleukin-2 -regulated biological responses.
Article Published Date : Jan 01, 2010
Abstract Title:
Contribution of chiropractic therapy to resolving suboptimal breastfeeding: a case series of 114 infants.
Abstract Source:
J Manipulative Physiol Ther. 2009 Oct ;32(8):670-4. PMID: 19836604
Abstract Author(s):
Joyce E Miller, Laura Miller, Ann-Kristin Sulesund, Andriy Yevtushenko
Article Affiliation:
Advanced Professional Practice Chiropractic Paediatrics, Bournemouth University, Bournemouth, UK. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to describe the circumstances, clinical features, role, and results of chiropractic management of infants who were referred to a chiropractic clinic for failure to adequately feed at the breast.
METHODS: Clinical case series of 114 infant cases of hospital-diagnosed or lactation consultant diagnosed feeding problems that were treated with chiropractic therapy in addition to routine care and followed to short-term result.
RESULTS: The most common age of referral was 1 week (mean, 3 weeks; range, 2 days-12 weeks), and the most common physical findings were cervical posterior joint dysfunction (89%), temporomandibular joint imbalance (36%), and inadequate suck reflex (34%). Treatment was chiropractic therapy in addition to any support given elsewhere. All children showed some improvement with 78% (N = 89) being able to exclusively breast feed after 2 to 5 treatments within a 2-week time period.
CONCLUSION: Cooperative multidisciplinary care to support breastfeeding was demonstrated in this population. Chiropractic treatment may be a useful adjunct to routine care given by other professionals in cases of diagnosed breastfeeding problems with a biomechanical component.
Article Published Date : Oct 01, 2009
Abstract Title:
Developmental delay syndromes: psychometric testing before and after chiropractic treatment of 157 children.
Abstract Source:
J Manipulative Physiol Ther. 2009 Oct ;32(8):660-9. PMID: 19836603
Abstract Author(s):
Scott C Cuthbert, Michel Barras
Article Affiliation:
Chiropractic Health Center, Pueblo, CO 81004, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: This study presents a case series of 157 children with developmental delay syndromes, including the conditions such as dyspraxia, dyslexia, attention-deficit hyperactivity disorder, and learning disabilities who received chiropractic care.
CLINICAL FEATURES: A consecutive sample of 157 children aged 6 to 13 years (86 boys and 71 girls) with difficulties in reading, learning, social interaction, and school performance who met these inclusion criteria were included.
INTERVENTION AND OUTCOMES: Each patient received a multimodal chiropractic treatment protocol, applied kinesiology chiropractic technique. The outcome measures were a series of 8 standardized psychometric tests given to the children by a certified speech therapist pre- and posttreatment, which evaluate 20 separate areas of cognitive function, including patient- or parent-reported improvements in school performance, social interaction, and sporting activities. Individual and group data showed that at the end of treatment, the 157 children showed improvements in the 8 psychometric tests and 20 areas of cognitive function compared with their values before treatment. Their ability to concentrate, maintain focus and attention, and control impulsivity and their performance at home and school improved.
CONCLUSIONS: This report suggests that a multimodal chiropractic method that assesses and treats motor dysfunction reduced symptoms and enhanced the cognitive performance in this group of children.
Article Published Date : Oct 01, 2009
Abstract Title:
Recurrent neck pain and headaches in preadolescents associated with mechanical dysfunction of the cervical spine: a cross-sectional observational study with 131 students.
Abstract Source:
J Manipulative Physiol Ther. 2009 Oct ;32(8):625-34. PMID: 19836598
Abstract Author(s):
Sue A Weber Hellstenius
Article Affiliation:
Anglo-European College of Chiropractic/Bournemouth University in England, UK. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: To identify if there were differences in the cervical biomechanics in preadolescents who had recurrent neck pain and/or headaches and those who did not.
METHODS: A controlled comparison study with a convenience sample of 131 students (10-13 years old) was performed. A questionnaire placed students in the no pain group or in the neck pain/headache group. A physical examination was performed by a doctor of chiropractic to establish head posture, active cervical rotation, passive cervical joint functioning, and muscle impairment. The unpaired t test and the chi(2) test were used to test for differences between the 2 groups, and data were analyzed using SPSS 15 (SPSS Inc, Chicago, Ill).
RESULTS: Forty percent of the children (n = 52) reported neck pain and/or recurrent headache. Neck pain and/or headache were not associated with forward head posture, impaired functioning in cervical paraspinal muscles, and joint dysfunction in the upper and middle cervical spine in these subjects. However, joint dysfunction in the lower cervical spine was significantly associated with neck pain and/or headache in these preadolescents. Most of the students had nonsymptomatic biomechanical dysfunction of the upper cervical spine. There was a wide variation between parental report and the child's self-report of trauma history and neck pain and/or headache prevalence.
CONCLUSION: In this study, the physical examination findings between preadolescents with neck pain and/or headaches and those who were symptom free differed significantly in one of the parameters measured. Cervical joint dysfunction was a significant finding among those preadolescents complaining of neck pain and/or headache as compared to those who did not.
Article Published Date : Oct 01, 2009
Abstract Title:
Long-term effects of infant colic: a survey comparison of chiropractic treatment and nontreatment groups.
Abstract Source:
J Manipulative Physiol Ther. 2009 Oct ;32(8):635-8. PMID: 19836599
Abstract Author(s):
Joyce E Miller, Holly Lane Phillips
Article Affiliation:
Advanced Professional Practice Chiropractic Paediatrics, Bournemouth University, Bournemouth, UK. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: Investigation into the alleviation of long-term effects of infant colic on the toddler is a neglected area of research. The aim of this study was to document any behavioral or sleep disturbances experienced by post-colicky toddlers who were previously treated with chiropractic care vs those who had not experienced this treatment as an infant.
METHODS: Two groups of children were sampled from clinic records from a chiropractic clinic and from a child care center in similar regions of England. Patients were classified in the treatment group if they had been treated for infant colic with routine low-force chiropractic manual therapy. The nontreatment group consisted of post-colicky children in the same age group who had received no chiropractic care for their diagnosed colic as infants. A survey of parents of 117 post-colicky toddlers in a treatment group and 111 toddlers in the nontreatment group was performed.
RESULTS: Toddlers who were treated with chiropractic care for colic were twice as likely to not experience long-term sequelae of infant colic, such as temper tantrums (relative risk, 2.0; 95% confidence interval, 1.3-3.0) and frequent nocturnal waking (relative risk, 2.0; 95% confidence interval, 1.5-2.8) than those who were not treated with chiropractic care as colicky infants.
CONCLUSION: Untreated post-colicky infants demonstrated negative behavioral patterns at 2 to 3 years of age. In this study, parents of infants treated with chiropractic care for excessive crying did not report as many difficult behavioral and sleep patterns of their toddlers. These findings suggest that chiropractic care for infants with colic may have an effect on long-term sequelae.
Article Published Date : Sep 30, 2009
Abstract Title:
Cerebrospinal fluid stasis and its clinical significance.
Abstract Source:
Altern Ther Health Med. 2009 May-Jun;15(3):54-60. PMID: 19472865
Abstract Author(s):
James M Whedon, Donald Glassey
Article Affiliation:
The Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA.
Abstract:
We hypothesize that stasis of the cerebrospinal fluid (CSF) occurs commonly and is detrimental to health. Physiologic factors affecting the normal circulation of CSF include cardiovascular, respiratory, and vasomotor influences. The CSF maintains the electrolytic environment of the central nervous system (CNS), influences systemic acid-base balance, serves as a medium for the supply of nutrients to neuronal and glial cells, functions as a lymphatic system for the CNS by removing the waste products of cellular metabolism, and transports hormones, neurotransmitters, releasing factors, and other neuropeptides throughout the CNS. Physiologic impedance or cessation of CSF flow may occur commonly in the absence of degenerative changes or pathology and may compromise the normal physiologic functions of the CSF. CSF appears to be particularly prone to stasis within the spinal canal. CSF stasis may be associated with adverse mechanical cord tension, vertebral subluxation syndrome, reduced cranial rhythmic impulse, and restricted respiratory function. Increased sympathetic tone, facilitated spinal segments, dural tension, and decreased CSF flow have been described as closely related aspects of an overall pattern of structural and energetic dysfunction in the axial skeleton and CNS. Therapies directed at affecting CSF flow include osteopathic care (especially cranial manipulation), craniosacral therapy, chiropractic adjustment of the spine and cranium, Network Care (formerly Network Chiropractic), massage therapy (including lymphatic drainage techniques), yoga, therapeutic breath-work, and cerebrospinal fluid technique. Further investigation into the nature and causation of CSF stasis, its potential effects upon human health, and effective therapies for its correction is warranted.
Article Published Date : May 01, 2009
Abstract Title:
Enhancement of in vitro interleukin-2 production in normal subjects following a single spinal manipulative treatment.
Abstract Source:
Chiropr Osteopat. 2008 ;16:5. Epub 2008 May 28. PMID: 18507834
Abstract Author(s):
Julita A Teodorczyk-Injeyan, H Stephen Injeyan, Marion McGregor, Glen M Harris, Richard Ruegg
Article Affiliation:
Division of Graduate Education and Research, Canadian Memorial Chiropractic College, Canada. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: Increasing evidence supports somato-visceral effects of manual therapies. We have previously demonstrated that a single spinal manipulative treatment (SMT) accompanied by audible release has an inhibitory effect on the production of proinflammatory cytokines in asymptomatic subjects. The purpose of this study is to report on SMT-related changes in the production of the immunoregulatory cytokine interleukin 2 (IL-2) and to investigate whether such changes might differ with respect to the treatment approach related to the presence or absence of an audible release (joint cavitation).
METHODS: Of 76 asymptomatic subjects, 29 received SMT with cavitation (SMT-C), 23 were treated with SMT without cavitation (SMT-NC) and 24 comprised the venipuncture control (VC) group. The SMT-C and SMT-NC subjects received a single, similar force high velocity low amplitude manipulation, in the upper thoracic spine. However, in SMT-NC subjects, positioning and line of drive were not conducive to cavitation. Blood and serum samples were obtained before and then at 20 and 120 min post-intervention. The production of IL-2 in peripheral blood mononuclear cell cultures was induced by activation for 48 hr with Staphylococcal protein A (SPA) and, in parallel preparations, with the combination of phorbol ester (TPA) and calcium ionophore. The levels of IL-2 in culture supernatants and serum were assessed by specific immunoassays.
RESULTS: Compared with VC and their respective baselines, SPA-induced secretion of IL-2 increased significantly in cultures established from both SMT-C and SMT-NC subjects at 20 min post-intervention. At 2 hr post-treatment, significant elevation of IL-2 synthesis was still apparent in preparations from SMT-treated groups though it became somewhat attenuated in SMT-NC subjects. Conversely, IL-2 synthesis induced by TPA and calcium ionophore was unaltered by either type of SMT and was comparable to that in VC group at all time points. No significant alterations in serum-associated IL-2 levels were observed in any of the study groups.
CONCLUSION: The present study demonstrates that, the in vitro T lymphocyte response to a conventional mitogen (SPA), as measured by IL-2 synthesis, can become enhanced following SMT. Furthermore, within a period of time following the manipulative intervention, this effect may be independent of joint cavitation. Thus the results of this study suggest that, under certain physiological conditions, SMT might influence IL-2-regulated biological responses.
Article Published Date : Jan 01, 2008
Abstract Title:
Menorrhagia: a synopsis of management focusing on herbal and nutritional supplements, and chiropractic.
Abstract Source:
J Can Chiropr Assoc. 2007 Dec ;51(4):235-46. PMID: 18060009
Abstract Author(s):
Anna B Livdans-Forret, Phyllis J Harvey, Susan M Larkin-Thier
Article Affiliation:
Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 53803, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
INTRODUCTION: To make chiropractors more aware of menorrhagia and how they can serve a role in their patient's care and education since women make up 60% of the population seeking chiropractic care.
METHOD: A review of the biomedical literature on menorrhagia was conducted. Items that were retrieved were synthesized and interpreted in order to give the best information to practicing chiropractors.
DISCUSSION: Most of the information available relative to menorrhagia is medically oriented. Other treatment options can include: chiropractic, various types of herbs, and nutritional supplements.
CONCLUSION: Knowledge of medical treatment, nutritional supplements, along with chiropractic treatment options may be beneficial to doctors in their practice.
Article Published Date : Nov 30, 2007
Abstract Title:
Cervical spine manipulation alters sensorimotor integration: a somatosensory evoked potential study.
Abstract Source:
Clin Neurophysiol. 2007 Feb ;118(2):391-402. Epub 2006 Nov 29. PMID: 17137836
Abstract Author(s):
Heidi Haavik-Taylor, Bernadette Murphy
Article Affiliation:
h.tHuman Neurophysiology and Rehabilitation Laboratory, Department of Sport and Exercise Science, Tamaki Campus, University of Auckland, Private Bag 92019, 261 Morrin Road, Glen Innes, Auckland, New Zealand. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: To study the immediate sensorimotor neurophysiological effects of cervical spine manipulation using somatosensory evoked potentials (SEPs).
METHODS: Twelve subjects with a history of reoccurring neck stiffness and/or neck pain, but no acute symptoms at the time of the study were invited to participate in the study. An additional twelve subjects participated in a passive head movement control experiment. Spinal (N11, N13) brainstem (P14) and cortical (N20, N30) SEPs to median nerve stimulation were recorded before and for 30min after a single session of cervical spine manipulation, or passive head movement.
RESULTS: There was a significant decrease in the amplitude of parietal N20 and frontal N30 SEP components following the single session of cervical spine manipulation compared to pre-manipulation baseline values. These changes lasted on average 20min following the manipulation intervention. No changes were observed in the passive head movement control condition.
CONCLUSIONS: Spinal manipulation of dysfunctional cervical joints can lead to transient cortical plastic changes, as demonstrated by attenuation of cortical somatosensory evoked responses.
SIGNIFICANCE: This study suggests that cervical spine manipulation may alter cortical somatosensory processing and sensorimotor integration. These findings may help to elucidate the mechanisms responsible for the effective relief of pain and restoration of functional ability documented following spinal manipulation treatment.
Article Published Date : Feb 01, 2007
Abstract Title:
A pilot study comparing two manual therapy interventions for carpal tunnel syndrome.
Abstract Source:
J Manipulative Physiol Ther. 2007 Jan ;30(1):50-61. PMID: 17224356
Abstract Author(s):
Jeanmarie Burke, Dale J Buchberger, M Terry Carey-Loghmani, Paul E Dougherty, Douglas S Greco, J Donald Dishman
Article Affiliation:
New York Chiropractic College, Department of Research, Seneca Falls, NY, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to determine the clinical efficacy of manual therapy interventions for relieving the signs and symptoms of carpal tunnel syndrome (CTS) by comparing 2 forms of manual therapy techniques: Graston Instrument-assisted soft tissue mobilization (GISTM) and STM administered with the clinician hands.
METHODS: The study was a prospective comparative research design in the setting of a research laboratory. Volunteers were recruited with symptoms suggestive of CTS based upon a phone interview and confirmed by electrodiagnostic study findings, symptom characteristics, and physical examination findings during an initial screening visit. Eligible patients with CTS were randomly allocated to receive either GISTM or STM. Interventions were, on average, twice a week for 4 weeks and once a week for 2 additional weeks. Outcome measures included (1) sensory and motor nerve conduction evaluations of the median nerve; (2) subjective pain evaluations of the hand using visual analog scales and Katz hand diagrams; (3) self-reported ratings of symptom severity and functional status; and (4) clinical assessments of sensory and motor functions of the hand via physical examination procedures. Parametric and nonparametric statistics compared treated CTS hand and control hand and between the treatment interventions, across time (baseline, immediate post, and at 3 months' follow-up).
RESULTS: After both manual therapy interventions, there were improvements to nerve conduction latencies, wrist strength, and wrist motion. The improvements detected by our subjective evaluations of the signs and symptoms of CTS and patient satisfaction with the treatment outcomes provided additional evidence for the clinical efficacy of these 2 manual therapies for CTS. The improvements were maintained at 3 months for both treatment interventions. Data from the control hand did not change across measurement time points.
CONCLUSIONS: Although the clinical improvements were not different between the 2 manual therapy techniques, which were compared prospectively, the data substantiated the clinical efficacy of conservative treatment options for mild to moderate CTS.
Article Published Date : Jan 01, 2007
Abstract Title:
Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations.
Abstract Source:
Spine J. 2006 Mar-Apr;6(2):131-7. Epub 2006 Feb 3. PMID: 16517383
Abstract Author(s):
Valter Santilli, Ettore Beghi, Stefano Finucci
Abstract:
BACKGROUND CONTEXT: Acute back pain and sciatica are major sources of disability. Many medical interventions are available, including manipulations, with conflicting results.
PURPOSE: To assess the short- and long-term effects of spinal manipulations on acute back pain and sciatica with disc protrusion.
STUDY DESIGN/SETTING: Randomized double-blind trial comparing active and simulated manipulations in rehabilitation medical centers in Rome and suburbs.
PATIENT SAMPLE: 102 ambulatory patients with at least moderate pain on a visual analog scale for local pain (VAS1) and/or radiating pain (VAS2).
OUTCOME MEASURES: Pain-free patients at end of treatment; treatment failure (proportion of patients stopping the assigned treatment for lack of effect on pain); number of days with no, mild, moderate, or severe pain; quality of life; number of days on nonsteroidal anti-inflammatory drugs; number of drug prescriptions; VAS1 and VAS2 scores; quality of life and psychosocial findings; and reduction of disc protrusion on magnetic resonance imaging.
METHODS: Manipulations or simulated manipulations were done 5 days per week by experienced chiropractors, with a number of sessions which depended on pain relief or up to a maximum of 20, using a rapid thrust technique. Patients were assessed at admission and at 15, 30, 45, 90, and 180 days. At each visit, all indicators of pain relief were used.
RESULTS: A total of 64 men and 38 women aged 19-63 years were randomized to manipulations (53) or simulated manipulations (49). Manipulations appeared more effective on the basis of the percentage of pain-free cases (local pain 28 vs. 6%; p<.005; radiating pain 55 vs. 20%; p<.0001), number of days with pain (23.6 vs. 27.4; p<.005), and number of days with moderate or severe pain (13.9 vs. 17.9; p<.05). Patients receiving manipulations had lower mean VAS1 (p<.0001) and VAS2 scores (p<.001). A significant interaction was found between therapeutic arm and time. There were no significant differences in quality of life and psychosocial scores. There were only two treatment failures (manipulation 1; simulated manipulation 1) and no adverse events.
CONCLUSIONS: Active manipulations have more effect than simulated manipulations on pain relief for acute back pain and sciatica with disc protrusion.
Article Published Date : Mar 01, 2006
Abstract Title:
Improvement in hearing after chiropractic care: a case series.
Abstract Source:
Chiropr Osteopat. 2006 ;14:2. Epub 2006 Jan 19. PMID: 16423302
Abstract Author(s):
Joseph O Di Duro
Article Affiliation:
Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803-5287, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: The first chiropractic adjustment given in 1895 was reported to have cured deafness. This study examined the effects of a single, initial chiropractic visit on the central nervous system by documenting clinical changes of audiometry in patients after chiropractic care.
CASE PRESENTATION: Fifteen patients are presented (9 male, 6 female) with a mean age of 54.3 (range 34-71). A Welch Allyn AudioScope 3 was used to screen frequencies of 1000, 2000, 4000 and 500 Hz respectively at three standard decibel levels 20 decibels (dB), 25 dB and 40 dB, respectively, before and immediately after the first chiropractic intervention. Several criteria were used to determine hearing impairment. Ventry&Weinstein criteria of missing one or more tones in either ear at 40 dB and Speech-frequency criteria of missing one or more tones in either ear at 25 dB. All patients were classified as hearing impaired though greater on the right. At 40 dB using the Ventry&Weinstein criteria, 6 had hearing restored, 7 improved and 2 had no change. At 25 dB using the Speech-frequency criteria, none were restored, 11 improved, 4 had no change and 3 missed a tone.
CONCLUSION: A percentage of patients presenting to the chiropractor have a mild to moderate hearing loss, most notably in the right ear. The clinical progress documented in this report suggests that manipulation delivered to the neuromusculoskeletal system may create central plastic changes in the auditory system.
Article Published Date : Jan 01, 2006
Abstract Title:
The effect of low force chiropractic adjustments on body surface electromagnetic field.
Abstract Source:
J Can Chiropr Assoc. 2004 Mar ;48(1):29-35. PMID: 17549217
Abstract Author(s):
John Zhang, Brian J Snyder, Lori Vernor
Article Affiliation:
Logan College of Chiropractic, Research Department, Chesterfield, MO 63006, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: The purpose of this study was to investigate the body surface electromagnetic field (EMF) changes using a sensitive magnetometer before and after a specific Toftness chiropractic adjustment in asymptomatic human subjects.
METHOD: Forty-four subjects were randomly assigned into control (20 subjects) and experimental groups (24 subjects) in a pre and post-test design. The Triaxial Fluxgate Magnetometer FGM-5DTAA (Walker Scientific, Worcester, Massachusetts) with five digit display and resolution of 1 nanotesla (nT) was used for EMF detection. The EMF in the research room and on the adjustment table was monitored and recorded. The subjects' body surface (cervical, thoracic, lumbar and sacral areas) EMF was determined in the prone position before and after the chiropractic adjustment. A low force Toftness chiropractic adjustment was applied to the cervical, thoracic, lumbar and sacral areas as determined by the practitioner.
RESULTS: The EMF in the research room was recorded as 41611 nT at the Z axis (earth field), 13761 nT at the X axis and 7438 nT at the Y axis. The EMF on the adjusting table changed minimally during the 15 minute observation period. The EMF on the subjects' body surface decreased at 4 spinal locations after chiropractic adjustment. The EMF (mean +/- SD in nT) decreased significantly at the cervical region from 42449 +/- 907 to 41643 +/- 1165 (p<0.01) and at the sacral regions from 43206 +/- 760 to 42713 +/- 552 (p<0.01). The EMF at the lumbar and thoracic regions decreased but did not reach a statistically significant level. No significant changes of the body surface EMF were found in the control group.
CONCLUSION: A low force Toftness chiropractic adjustment in the cervical and sacral areas resulted in a significant reduction of the cervical and sacral surface EMF. No significant body surface EMF changes were observed in the lumbar and thoracic regions. The mechanisms of the EMF reduction after chiropractic adjustment are not known.
Article Published Date : Mar 01, 2004
Abstract Title:
A randomized controlled trial of chiropractic spinal manipulative therapy for migraine.
Abstract Source:
J Manipulative Physiol Ther. 2000 Feb;23(2):91-5. PMID: 10714533
Abstract Author(s):
P J Tuchin, H Pollard, R Bonello
Abstract:
OBJECTIVE: To assess the efficacy of chiropractic spinal manipulative therapy (SMT) in the treatment of migraine.
DESIGN: A randomized controlled trial of 6 months' duration. The trial consisted of 3 stages: 2 months of data collection (before treatment), 2 months of treatment, and a further 2 months of data collection (after treatment). Comparison of outcomes to the initial baseline factors was made at the end of the 6 months for both an SMT group and a control group. Setting: Chiropractic Research Center of Macquarie University.
PARTICIPANTS: One hundred twenty-seven volunteers between the ages of 10 and 70 years were recruited through media advertising. The diagnosis of migraine was made on the basis of the International Headache Society standard, with a minimum of at least one migraine per month.
INTERVENTIONS: Two months of chiropractic SMT (diversified technique) at vertebral fixations determined by the practitioner (maximum of 16 treatments).
MAIN OUTCOME MEASURES: Participants completed standard headache diaries during the entire trial noting the frequency, intensity (visual analogue score), duration, disability, associated symptoms, and use of medication for each migraine episode.
RESULTS: The average response of the treatment group (n = 83) showed statistically significant improvement in migraine frequency (P<.005), duration (P<.01), disability (P<.05), and medication use (P<.001) when compared with the control group (n = 40). Four persons failed to complete the trial because of a variety of causes, including change in residence, a motor vehicle accident, and increased migraine frequency. Expressed in other terms, 22% of participants reported more than a 90% reduction of migraines as a consequence of the 2 months of SMT. Approximately 50% more participants reported significant improvement in the morbidity of each episode.
CONCLUSION: The results of this study support previous results showing that some people report significant improvement in migraines after chiropractic SMT. A high percentage (>80%) of participants reported stress as a major factor for their migraines. It appears probable that chiropractic care has an effect on the physical conditions related to stress and that in these people the effects of the migraine are reduced.
Article Published Date : Feb 01, 2000
Abstract Title:
The short-term effect of spinal manipulation in the treatment of infantile colic: a randomized controlled clinical trial with a blinded observer.
Abstract Source:
J Manipulative Physiol Ther. 1999 Oct ;22(8):517-22. PMID: 10543581
Abstract Author(s):
J M Wiberg, J Nordsteen, N Nilsson
Article Affiliation:
Center for Biomechanics, Odense University, Denmark.
Abstract:
OBJECTIVE: To determine whether there is a short-term effect of spinal manipulation in the treatment of infantile colic.
DESIGN: A randomized controlled trial.
SETTING: A private chiropractic practice and the National Health Service's health visitor nurses in the suburb Ballerup (Copenhagen, Denmark).
SUBJECTS: Infants seen by the health visitor nurses, who fulfilled the diagnostic criteria for infantile colic.
INTERVENTION: One group received spinal manipulation for 2 weeks, the other was treated with the drug dimethicone for 2 weeks.
OUTCOME MEASURE: Changes in daily hours of crying as registered in a colic diary.
RESULTS: By trial days 4 to 7, hours of crying were reduced by 1 hour in the dimethicone group compared with 2.4 hours in the manipulation group (P = .04). On days 8 through 11, crying was reduced by 1 hour for the dimethicone group, whereas crying in the manipulation group was reduced by 2.7 hours (P = .004). From trial day 5 onward the manipulation group did significantly better that the dimethicone group.
CONCLUSION: Spinal manipulation is effective in relieving infantile colic.
Article Published Date : Sep 30, 1999
Abstract Title:
Chiropractic management of a patient with subluxations, low back pain and epileptic seizures.
Abstract Source:
J Manipulative Physiol Ther. 1998 Jul-Aug;21(6):410-8. PMID: 9726069
Abstract Author(s):
J Alcantara, R Heschong, G Plaugher, J Alcantara
Article Affiliation:
Palmer Center for Chiropractic Research, Palmer College of Chiropractic-West, San Jose, CA 95134, USA.
Abstract:
OBJECTIVE: To describe the chiropractic management of a patient presenting with complaints of low back pain and epileptic seizures. The discussion also addresses epilepsy and the current concepts of this disorder; possible mechanisms for the neurological effects of the chiropractic adjustment at sites of subluxation and its therapeutic implications are proposed.
CLINICAL FEATURES: A 21-year-old woman with low back pain reported that she had fainted during the night and hit her head. She had been diagnosed since childhood with grand mal (tonicclonic) seizures as well as petit mal seizures. She had a seizure approximately every 3 hr, with a duration between 10 sec and 30 min for each episode. Examination indicated signs of subluxation/dysfunction at the L5-S1, C6-C7 and C3-C4 spinal levels. There was no evidence of cranial nerve involvement or any upper motor neuron lesion. Radiographic analysis revealed retrolisthesis of L5, hypolordosis of the cervical spine and hyperextension of the C6-C7 motion segment.
INTERVENTION AND OUTCOME: Chiropractic adjustments using a specific-contact, short-lever arm, high-velocity, low-amplitude maneuver (i.e., Gonstead) were applied to the subluxations at the cervical, thoracic and lumbopelvic region. The patient's reported low back pain and neck complaints improved and her seizure frequency decreased. At 1.5-yr follow-up, the patient reported her low back complaints had resolved and her seizures had decreased (period between seizures as great as 2 months).
CONCLUSION: Results encourage further investigation of possible neurological sequalae, such as epileptic seizures, from spinal dysfunction identified as vertebral subluxation complexes by chiropractors and treated by specific spinal adjustments.
Article Published Date : Jul 01, 1998
Abstract Title:
The treatment of presumptive optic nerve ischemia by spinal manipulation.
Abstract Source:
J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):172-7. PMID: 7790798
Abstract Author(s):
R F Gorman
Abstract:
OBJECTIVE: To discuss a case of presumptive optic nerve ischemia successfully treated by spinal manipulative therapy.
CLINICAL FEATURES: A 62-yr-old male patient suffered from a 1-wk history of monocular visual defect in association with headaches and neck strain. Ocular examination revealed no pathology in the optic nerve head or retina that could explain the abnormality of vision. Based on physical signs, a presumptive diagnosis of optic nerve ischemia was made.
INTERVENTION AND OUTCOME: Vision improved dramatically in the week of spinal manipulation therapy, as measured by serial computerized static perimetry.
CONCLUSION: This case study records improvement in optic nerve function when measured before and after spinal manipulation using computerized static perimetry. It contends that spinal manipulation can affect the function of the optic nerve in some patients, presumably by increasing vascular perfusion. I hypothesize that derangement of the cervical spine produces microvascular spasm in the cerebral vasculature, including that of the eye.
Article Published Date : Mar 01, 1995
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