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
This Interview Is Just Jam Packed Full Of SO Many Amazing Truths
So one of the things that I want, I asked Brian to join me for today is I got to hear his personal story at Alpha One. And so, and shout out to Dr. Brian Johnston and Matt at Review Wave. Brian and I both got to speak there just a couple of weekends ago and it was an awesome event. And it was the first time I heard Brian’s story. And I was like, dude, that is so powerful. We’ve got to go on Facebook live and share that especially because it just blends so perfectly in with the ripple effect. In the bootcamp that’s like our theme this year is how are each of us stepping up in our lives in order to create a greater ripple effect in our communities, across our regions, within our continent and across the world. That’s the impact that we all can have and it really starts with who we are and what is our story. So Brian, jump in and tell us the story of how did you get here? How did I get to where I am? I graduated from life chiropractic school in 2002 and if you would’ve told me my former self at that time, probably about 17 years ago that I’d be doing what I’m doing today, I would’ve told you you’re out of your mind. There’s no way in heck I’m going to be in the software business. I’m going to go change the world, you know, build a huge practice, multiple practices. That was my mission. That was the vision, right? And here I am today actually. I feel like I have a bigger impact in a lot of ways, but I just, you never, it’s just, you don’t see these things coming, but it actually, um, kind of before I as you know, or if you don’t know if you’re listening, Genesis chiropractic software and we’re also a billing service. So a software with all the bells and whistles you can think of a cloud based software with. We also do billing as well. You know, that, that’ll make more sense to you in a second here as I go through my story. But yeah, so I didn’t think I’d be there. But, um, it started, um, with, before thinking about this, which is a solution. What is a solution? It started where you find a big problem, a major problem, and where there is no solution and it’s a been your purpose, just like you’re, I think you’re, you’re talking about Barb, is really what drives you, you know? Um, and the more tied you are to your purpose. Let’s just thinking about this. I asked this question on another podcast. What, you know, what’s the best advice you’ve ever had? It’s just find your purpose and think about your purpose and pray about your purpose. Because everything flows from that. No matter what you’re doing in life, the more anchored you are in your purpose, the bigger impact you’ll make, and it’ll be effortless, right? So, um, it started when I was in practice very early on in practice where I had, um, a patient come in, his name is Chris, and Chris gets under care….