The document summarizes 10 research breakthroughs from the last decade that support chiropractic care. Some of the key findings include:
1) Seeing a chiropractor as a first contact provider was associated with decreases in hospital admissions, days, surgeries, and pharmaceutical costs compared to conventional medicine.
2) One study found that upper cervical chiropractic care was associated with marked and sustained reductions in blood pressure similar to two-drug combination therapy.
3) A wellness program implemented by chiropractors improved various health metrics such as weight, blood pressure, and strength.
The document concludes that these and other studies provide evidence that chiropractic care can positively impact multiple dimensions
Recent advances in Manipulative MedicineSoniya Lohana
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
Recent advances in Manipulative MedicineSoniya Lohana
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
Kiran and Kawalinder K. Girgla, Richa Ghay and Anterpreet K Arora
International Journal of Basic and Applied Medical Sciences (http://www.cibtech.org/jms/htm), 2011 Vol. 1 (1) September-December, 139-143
Laura Mann Center Integrative Lecture Series: Fall 2014Cara Feldman-Hunt
A Success Story: Incorporating Integrative Medicine into the Hospital and Outpatient Care
Courtney Jordan Baechler, MD, MS, Chief Wellness Officer Vice President, Penny George Institute for Health and Healing, Allina Health
Acupuncture used for Curing Pain that Arises from C-Section Surgeriesnaturopathdoctor
who have earlier suffered from chronic pain due to arthritis, headaches, neck along with shoulder and back pain. All the participants have been assigned either to acupuncture or to sham acupuncture.
Scholarly research paper. This research paper investigates the patient and how they respond to treatment of spinal injuries over a specified amount of time and how their pain level was affected depending on the form of rehabilitation used. References included.
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
Kiran and Kawalinder K. Girgla, Richa Ghay and Anterpreet K Arora
International Journal of Basic and Applied Medical Sciences (http://www.cibtech.org/jms/htm), 2011 Vol. 1 (1) September-December, 139-143
Laura Mann Center Integrative Lecture Series: Fall 2014Cara Feldman-Hunt
A Success Story: Incorporating Integrative Medicine into the Hospital and Outpatient Care
Courtney Jordan Baechler, MD, MS, Chief Wellness Officer Vice President, Penny George Institute for Health and Healing, Allina Health
Acupuncture used for Curing Pain that Arises from C-Section Surgeriesnaturopathdoctor
who have earlier suffered from chronic pain due to arthritis, headaches, neck along with shoulder and back pain. All the participants have been assigned either to acupuncture or to sham acupuncture.
Scholarly research paper. This research paper investigates the patient and how they respond to treatment of spinal injuries over a specified amount of time and how their pain level was affected depending on the form of rehabilitation used. References included.
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
8 Ways a Digital Media Platform is More Powerful than “Marketing”New Rainmaker
You may have heard that “media not marketing” is the future of online business … but what does that actually mean, what can it look like?
As you’ll see in this SlideShare, examples of a media-first approach done very well are all around us, it only takes a simple shift in thinking to see them.
Can this "media not marketing" approach to building an audience have an actual effect on the bottom line revenue of your business, or is it just more philosophical wordplay?
Let's find out ...
The 4 degrees of separation between pain and pleasureDeborah Davis
Do you feel any sort of foot pain whenever you go for a walk? There are a number of things you can do either to prevent or lessen the pain. For starters, you should regularly exercise your feet by doing some morning stretches. You can also use some orthotics or shoe inserts. To learn more about foot pain, check out these slides from Docpods.
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This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
Chiropractic and CAM Utilization: A Descriptive Reviewhome
Studies looking at chiropractic utilization demonstrate that the rates vary, but
generally fall into a range from around 6% to 12% of the population, most of whom seek
chiropractic care for low back pain and not for organic disease or visceral dysfunction. CAM is itself
used by people suffering from a variety of conditions, though it is often used not as a primary
intervention, but rather as an additional form of care. CAM and chiropractic often offer lower costs
for comparable results compared to conventional medicine
To Determine Preference of Shoulder Pain Management by General Physicians in ...suppubs1pubs1
Rotator cuff muscles are functionally active and provide stability to the shoulder joint and also thereby allow the full Range of Motion (ROM) by moving the head of humerus in the glenoid cavity. Any tear or fragility of the rotator cuff muscles can cause the dislocation or instability and hence damaging other muscles specially the long head of biceps muscle. The diseases related to the supraspinatus tendon are frequently linked with the long head of the biceps tendon. Other cause of chronic shoulder pain is the adhesive capsulitis with large prevalence rates of more than 5.3% in the general target population [3].
Running head STROKE REHABILITATION1Running head STROKE REHAB.docxtoltonkendal
Running head: STROKE REHABILITATION 1
Running head: STROKE REHABILITATION 2
Stroke Rehabilitation
What is a stroke? A stroke, also known as a brain attack, is a condition that affects the brain and nervous system due to a lack of blood supply to the brain. It is the 5th leading cause of death and the main cause of disability in the United States. About 795,000 people in the United States suffer from a stroke each year (CDC, 2017). The three main kinds of strokes are ischemic strokes, which are the most common, hemorrhagic strokes, and transient ischemic attacks (TIA), also known as mini strokes. Strokes have a high risk of reoccurring, especially if remedial measures are not administered. Patients who have suffered from a stroke may have their function impaired in various ways, requiring acute initial care and possibly rehabilitation. A stroke may present itself in many ways such as slurred speech, change in sensation, decreased strength, paralysis, and even headache. Patients who suffer strokes will need the assistance of an entire team of health care professionals ranging from nurses, speech therapists, occupational therapists, physical therapists, neurologists, respiratory therapists, and social workers as well.
A constant concern for stroke patients is effective rehabilitation to improve their strength and regain their ability to preform daily activities of daily living (ADL). In Western medicine, treatment includes pharmacological treatments, surgical procedures, and multi-professional rehabilitation. In Eastern medicine, acupuncture and physiotherapy are used in conjunction with Western medicine to improve functional disability and reduce the risk of further complications. “Acupuncture use as a complementary or alternative therapy has increased worldwide and has become widely applied to stroke rehabilitation over the last decade, which confirms that the efficacy of acupuncture can have a great impact on stroke management” (Jun, Jian, Dhiaedin, Qinhui, Xiao, Yi, & Ma, 2017).
This paper will discuss the application of the topic and how it impacts the MSN program specialty track, supportive evidence regarding acupuncture, supportive evidence on the identification of frequency of its occurrence, a discussion of the stakeholders impacted by the issue, a statement of the PICOT/PICO question based on the evidence, and lastly conclude with a summary and a self-reflection.
Application and Impact on MSN Program Track
Nurses play an integral role in the care of patients who have suffered a stroke. The numbers of advanced practice nurses who have a Masters of Science Degree or Doctorate Degree in nursing has increased over the years and continue to grow in the nursing profession. This author has chosen to pursue the Advanced Registered Nurse Practitioners (ARNP) track. As an ARNP, the role is to not only diagnosis and treat patients, but also to educate patients on new and alternative evidence based treatment modalities focusing on preventi ...
EBM is the practice of integrating individual clinical expertise with the best available clinical evidence from systematic research to maximize the quality and quantity of life for individual patients.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Top 10 research breakthroughs to support chiropractic care in the last decade | circle of docs soci
1. Top 10 Research Breakthroughs to Support Chiropractic Care in the
Last Decade
Dr. Christopher Kent
2. One of the pleasant tasks I have in editing “On Purpose” is the opportunity to review hundreds of
chiropractic research articles each month which have a direct bearing on health issues. From these, 60-to-
80 per month are judged to be of particular interest to practicing chiropractors. Some studies, particularly
those relating to back pain, are well-known to most D.C.s.
Yet, there are fascinating papers which have been largely ignored by the profession. I offer ten of my
favorites from the last ten years. They are not in any particular order. Each has tremendous potential for
further investigation.
1. Decreased Costs and Utilization of Medical Services with Chiropractic Care
Spectacular decreases in the utilization of medical services and their attendant costs were observed when
Doctors of Chiropractic were used as first contact providers. In an Independent Practice Association (IPA)
which permitted patients to select a doctor of chiropractic as their primary care physician, clinical and cost
utilization based on 70,274 member-months over a seven-year period demonstrated decreases of 60.2
percent in hospital admissions, 59 percent hospital days, 62 percent outpatient surgeries and procedures,
and 85 percent pharmaceutical costs when compared with conventional medicine. These were across the
board savings, not merely back and neck cases.
Sarnat RL, Winterstein J, Cambron JA: Clinical utilization and cost outcomes from an integrative
medicine independent physician association: an additional 3-year update. J Manipulative Physiol Ther.
2007 May;30(4):263-9.
http://www.ncbi.nlm.nih.gov/pubmed/17509435
2. Blood Pressure Regulation and Upper Cervical Chiropractic Adjustment
The scope of chiropractic is as broad as the scope of
influence of the human nervous system. This landmark
study was a randomized, controlled trial of hypertensive
patients. Those in the intervention group received a form
of upper cervical chiropractic care (NUCCA). The authors
wrote, “We conclude that restoration of Atlas alignment
is associated with marked and sustained reductions in BP
similar to the use of two-drug combination therapy.” This
study received extensive positive exposure in the media.
Bakris G, Dickholtz M Sr, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C, Bell B: Atlas
vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study. J
3. Hum Hypertens. 2007 May;21(5):347-52. Epub 2007 Mar 2.
http://www.ncbi.nlm.nih.gov/pubmed/?term=dickholtz+hypertension
3. Benefits of a Comprehensive Wellness Program Implemented by Chiropractors
A retrospective study of a standardized, 18 week wellness protocol was shown to improve weight, heart
rate, blood pressure, strength, body-mass index, and forced vital capacity. The wellness protocol (Creating
Wellness) focused on diet, exercise, nutritional supplementation, and one-on-one coaching. The author
also reported, “All of the participating clinics practice a form of chiropractic that involves management of
vertebral subluxation. This application of chiropractic is not solely directed at spinal manipulation for the
treatment of neuromusculoskeletal pain syndromes. It is based on the contention that misalignments
and/or abnormal motion of vertebral motion units may compromise neural integrity and may influence
organ system function and general health and well-being.”
McCoy M: Evaluation of a standardized wellness protocol to improve anthropometric and physiologic
function and to reduce health risk factors: a retrospective analysis of outcome. J Altern Complement Med.
2011 Jan;17(1):39-44. doi: 10.1089/acm.2010.0113. Epub 2011 Jan 3.
http://www.ncbi.nlm.nih.gov/pubmed/21198363
4. Mental Health and Chiropractic
From the establishment of in-patient chiropractic
sanitariums to publication of a text with contributions
from two Nobel Laureates, doctors of chiropractic have a
long history of providing care for persons with mental
health issues. The PRISM (Psychological response in
spinal manipulation) study was a systematic review of
psychological outcomes in twelve randomised controlled
trials. The authors reported a small improvement in
psychological outcomes after spinal manipulation
compared with verbal interventions and other physical
treatments, with small and medium sized standardized mean differences (SMDs) in favor of manipulation
compared to primary care and advice. The potential of chiropractic care to improve psychological
outcomes deserves further exploration.
Williams NH1, Hendry M, Lewis R, Russell I, Westmoreland A, Wilkinson C: Psychological response in
spinal manipulation (PRISM): a systematic review of psychological outcomes in randomised controlled
4. trials. Complement Ther Med. 2007 Dec;15(4):271-83. Epub 2007 Mar 8.
http://www.ncbi.nlm.nih.gov/pubmed/18054729
5. Surgery Less Likely if a Doctor of Chiropractic is Seen First
A study looking at 1885 workers, 174 of which had lumbar spine
surgery in the last three years, sought to identify early predictors of
having lumbar spine surgery. The authors reported “Approximately
42.7% of workers who first saw a surgeon had surgery, in contrast to
only 1.5% of those who saw a chiropractor. The area under the
receiver operating characteristic curve of the multivariate model was
0.93 (95% confidence interval, 0.92-0.95), indicating excellent ability
to discriminate between workers who would versus would not have
surgery.”
http://www.ncbi.nlm.nih.gov/pubmed/23238486
6. Chiropractic Care Associated with Satisfaction, Functional and Self-Rated
Health of Medicare Patients.
This study used a model to determine “the effect of
chiropractic relative to medical care on decline in 5
functional measures and 2 measures of self-rated health
among 12,170 person-year observations.” The authors
concluded that “chiropractic is significantly protective
against 1-year decline in activities of daily living, lifting,
stooping, walking, self-rated health, and worsening
health after 1 year. Persons using chiropractic are more
satisfied with their follow-up care and with the
information provided to them.”
Weigel PA, Hockenberry JM, Wolinsky FD: Chiropractic use in the medicare population: prevalence,
patterns, and associations with 1-year changes in health and satisfaction with care. J Manipulative Physiol
Ther. 2014 Oct;37(8):542-51. doi:10.1016/j.jmpt.2014.08.003. Epub 2014 Sep 16.
http://www.ncbi.nlm.nih.gov/pubmed/?term=25233887
7. Asymptomatic Persons Benefit from Chiropractic Care
5. A review of literature was conducted using the terms
“asymptomatic” “normal” “pain-free” “healthy” or “free
from physical injury.” The author concluded, “The data
reviewed lend support to the contention that chiropractic
adjustments, often for the purpose of correcting vertebral
subluxation, confer measurable health benefits to people
regardless of the presence or absence of symptoms. A
significant amount of preliminary evidence supports that
people without symptoms can benefit from chiropractic
care. Improved function can be objectively measured in asymptomatic individuals following chiropractic
care in a number of body systems often by relatively non-invasive means. It is plausible that chiropractic
care may be of benefit to every function of the body and have the potential for long-term, overall health
benefit to those receiving chiropractic care.”
Hannon SM: Objective physiologic changes and associated health benefits of chiropractic adjustments in
asymptomatic subjects: A review of the literature. Journal of Vertebral Subluxation Research ~ April 26,
2004 ~ Pages 1-9.
http://vertebralsubluxation.sharepoint.com/Pages/2004_1043_hannon.aspx
8. Neurovertebral Influence Upon the Autonomic Nervous System
In a 2 part series, Rome assessed nearly 500 papers addressing
spine-related neural reflexes upon organic symptoms, signs and
conditions and the somato-autonomic influence. This incredible
resource should be read by every practicing chiropractor,
particularly those who see the value of chiropractic care as limited to
musculoskeletal pain syndromes. The review includes visceral,
immune, endocrine, and cognitive issues.
Rome PL: Neurovertebral influence upon the autonomic nervous
system: Some of the somato-autonomic evidence to date. Chiropr J
Aust 2009; 39: 2-17.
www.chiroindex.org/wp-
content/uploads/2010/11/Rome_PL_2009.pdf
9. Reorganizational Healing and Chiropractic
6. Reorganizational healing offers a new paradigm or world view. It is described as an approach to personal
awareness, acceptance, and transformation spanning the spectrum from illness to new levels of wellness
in behavior and consciousness. The authors state, “Reorganizational Healing emerged from three
disciplines developed by Donald Epstein: 1) Network Spinal Analysis (NSA) care, 2) Somato Respiratory
Integration (SRI) exercises, and 3) an energetic educational discipline (EED) that is in an informal stage of
development. These three disciplines arose from practical application, qualitative and empirical research,
as well as a broad theoretical base including Integral Theory. Some major developments from these
methodologies are described below in order to show the transdisciplinary roots of ROH. While ROH
developed from these three methodologies, it transcends and includes them.” This is a very heady work,
and offers an exciting model for discovery, transformation, awakening, or integration.
Epstein DM, Senzon SA, Lemberger D: Reorganizational healing: a paradigm for the advancement of
wellness, behavior change, holistic practice, and healing. J Altern Complement Med. 2009 May;15(5):475-
87. doi: 10.1089/acm.2009.0043.
http://www.ncbi.nlm.nih.gov/pubmed/19450165
10. Heart Rate Variability (HRV) and Chiropractic
Decreased heart rate variability is associated with all-
cause mortality, depression, diabetes, air pollution,
impaired cognitive performance, and memory retrieval. A
growing body of evidence from across disciplines
suggests the HRV may be used to address adaptive
capacity and autonomic nervous system balance. The
authors wrote, “Heart rate variability (HRV) analysis has
been used extensively as a measurement of fitness level,
and recent studies now indicate that it may be a useful
tool in detecting and following disease processes. Heart
rate variability analysis determines the balance between
PNS and SNS using time and frequency domain
measurements. Heart rate variability has been used
clinically to determine the balance of the autonomic nervous system.” In this study, the authors collected
pre and post HRV data on 625 patients in 96 chiropractic practices. 132 patients were followed for a four
week period. The authors reported that “The chiropractic care group showed a significant improvement in
HRV on both the single-visit and the 4-week visit groups, but not in the control group.”
Zhang J, Dean D, Nosco D, Strathopulos D, Floros M: Effect of chiropractic care on heart rate variability
7. and pain in a multisite clinical study. J Manipulative Physiol Ther. 2006 May;29(4):267-74.
http://www.ncbi.nlm.nih.gov/pubmed/16690380
I hope that these articles inspire you, and bring you to a higher level of certainty. The common message:
Chiropractic care affects every dimension of the human experience.
Written by Dr. Christopher Kent
Christopher Kent is a chiropractor and an attorney. He is the owner of On Purpose, LLC, and president
of the Foundation for Vertebral Subluxation. A 1973 graduate of Palmer College of Chiropractic, he is a
Diplomate and Fellow of the ICA College of Chiropractic Imaging. Dr. Kent is known within the
chiropractic profession for his dedication to integrating the science, art, and philosophy of chiropractic for
doctors and students of chiropractic. He was awarded Life University’s first Lifetime Achievement Award
in 2007. Dr. Kent is former chair of the United Nations NGO Health Committee, the first chiropractor
elected to that office.
To learn more about the On Purpose program and what it can do for you, visit
http://www.chiroonpurpose.com. For information concerning the online Advanced Subluxation Training
course, visit http://www.claast.com.