Chiropractic Spinal Manipulative Therapy for Cervicogenic Headache
A ChiroSecure Research Update Abstract Cervicogenic headache is a disabling headache where pharmacological management have limited effect. Thus, non-pharmacological management is warranted. Our objective was therefore to investigate the efficacy of chiropractic spinal manipulative therapy versus placebo (sham manipulation) and control (continued usual but non-manual management) for cervicogenic headache in a prospective 3-armed single-blinded, placebo, randomized controlled trial of 17 months’ duration. Discussion Nineteen participants were equally randomized into the three groups, and 12 participants completed the randomized controlled trial. Headache frequency improved at all time points in the chiropractic spinal manipulative therapy and the placebo group. Headache index improved in the chiropractic spinal manipulative therapy group at all time points, while it improved at 6 and 12 months’ follow-up in the placebo group. The control group remained unchanged during the whole study period. Adverse events were few, mild and transient. Blinding was concealed throughout the RCT. Thus, our results suggest that manual-therapy might be a safe treatment option for participants with cervicogenic headache, but data need to be confirmed in a randomized controlled trial with sufficient sample size and statistical power. Reference Chaibi, A., Knackstedt, H., Tuchin, P.J. et al. Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial. BMC Res Notes 10, 310 (2017). https://doi.org/10.1186/s13104-017-2651-4
Blood pressure changes in African American patients receiving chiropractic care in a teaching clinic: a preliminary study
A ChiroSecure Research Update Abstract The purpose of this preliminary study was to determine if a course of chiropractic care would change blood pressure measurements in African American patients and to determine if a study was feasible in a chiropractic teaching clinic. Discussion Twenty-four African American patients received chiropractic care in a chiropractic teaching clinic over a study period that spanned 23 visits for each patient. Inclusion criteria consisted of patients having a diagnosis of prehypertension (120-139/80-89) or hypertension stage 1 (140-159/90-99). The mean values of 3 baseline blood pressure readings were compared with the mean values of blood pressure readings taken on visits 21, 22, and 23. This study showed that research of this nature may be feasible in chiropractic teaching clinics. The preliminary findings of this study showed that, for a subgroup of African American patients receiving chiropractic care, blood pressure decreased for (a) hypertension stage 1 patients and (b) the sample when those with excessive body mass index were excluded. Reference McMasters KL, Wang J, York J, Hart J, Neely C, Delain RJ. Blood pressure changes in African American patients receiving chiropractic care in a teaching clinic: a preliminary study. J Chiropr Med. 2013;12(2):55–59. doi:10.1016/j.jcm.2013.06.002. https://www.ncbi.nlm.nih.gov/pubmed/24294146
Outcomes of Pregnant Patients With Low Back Pain Undergoing Chiropractic Treatment
A ChiroSecure Research Update Outcomes of Pregnant Patients With Low Back Pain Undergoing Chiropractic Treatment Abstract The purpose of an outcome study of pregnant patients with low back or pelvic pain undergoing chiropractic was 1) to report outcomes in receiving chiropractic treatment; 2) to compare outcomes from subgroups; 3) to assess predictors of outcome. Baseline numerical rating scale (NRS) and Oswestry questionnaire data were collected. Duration of complaint, number of previous LBP episodes, LBP during a previous pregnancy, and category of pain location were recorded. Low back (LBP) and pelvic pain in pregnant women is such a common phenomenon, affecting 50-80%, that it is often considered a normal part of the pregnancy. Discussion Out of the 115 recruited pregnant patients, 52% ‘improved’ at 1 week, 70% at 1 month, 85% at 3 months, 90% at 6 months and 88% at 1 year. There is clinical evidence that proves most pregnant patients undergoing chiropractic treatment reported relevant improvement at all time points up to 1 year. No serious adverse events were reported in this study and over 85% of the patients were happy or very happy with their chiropractic treatment. Adverse events from spinal manipulation to pregnant women or those in the early post-partum period are very rare with only 7 cases found in the literature. The impact that LBP or pelvic pain may have on quality of life, as well as the fact that back pain during pregnancy is commonly linked to low back pain persisting after pregnancy, mandates that it be taken seriously by health care practitioners. Reference Peterson, C.K., Mühlemann, D. & Humphreys, B.K. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropr Man Therap 22, 15 (2014). https://doi.org/10.1186/2045-709X-22-15
Board Issues – ChiroSecure
Hi everybody Dr. Stuart Hoffman here to talk to you Today about something that has been a big issue in chiropractic world. So many of you have issues with you license in court and I wanna share to you some of the things that happened so that we can hopefully try and reduce your risk. And when I tell you that the license in board issues are big. It has sky rocketed over the last year. And I think some of the reason for that is kind of simple. In that when I graduated 1981 from life college. If someone wanted to make a board complaint against me at that time they had to find the board. You don’t find them in the yellow pages for those of you that even remember what the yellow pages is and you had to actually find it in the separate section of the white pages under government agencies. And you found them, and made a long distance phone call which cost you money to get someone at the board once they actually picked up. They would then send you by mail an actual complaint letter. You fill it out and send it back in to the board. By the time all of that hassle happened most people that it was just on the edge just went away. Because lot of that motion that was build up had already passed. But on this teen age people need to get their feelings hurt and if you didn’t listen to them they’re gonna have it heard somewhere whether it just to be heard out or to hurt you. And simple fact is that they can go on Google and in nano second find the license in court and on the homepage click here if you want to make the complaint. It takes nothing and your license in board has the legal obligation to follow up on any on every complaint that comes in to that. So its our job to defend you if in you when get one of these complaint. And if you are with chirosecure and I hope you all are then I would expect that you would know we need you to let as know as soon as you get a letter or call from the board that they are just checking in something. They are investigating or there are something that they need to follow up on. Any and all of that means that there is an investigation. So always contact whether be us or who ever your courier is. Because they should be put on notice and you should have an attorney help or respond to any complaint to the license in court no matter what it is. And I have so many times that people will say to me “You know I hear you, but this is a stupid little thing I’m gonna send in a respond and be done with it.” Well that’s fine except that you have three of those people wind up coming back because now the board want to interview them in person and they now need the attorney when we could have resolved it perhaps with a good respond in the first place.
