The Foundation for Chiropractic Progress, a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, points to the role of the team Doctors of Chiropractic (DCs) in optimizing functionality, endurance and overall conditioning.
Brian C Clark, David A Goss Jr, Stevan Walkowski, Richard L Hoffman, Andrew Ross, and James S Thomas
Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, 236 Irvine Hall, Athens, OH 45701, USA. clarkb2@ohio.edu
Background
Low back pain (LBP) is one of the most common reasons for seeking medical care and accounts for over 3.7 million physician visits per year in the United States alone. Ninety percent of adults will experience LBP in their lifetime, 50% will experience recurrent back pain, and 10% will develop chronic pain and related disability [1-4]. According to the most recent national survey more than 18 million Americans over the age of 18 years received manipulative therapies in 2007 at a total annual out of pocket cost of $3.9 billion with back pain being the most common clinical complaint of these individuals [5].
Over the past decade there has been growing scientific evidence supporting the clinical efficacy [6-10] and effectiveness [11,12] of manual therapies in treating LBP. While clinical evidence supporting the efficacy and effectiveness of manual therapies has emerged, less scientific evidence has been offered to explain the effects and mechanisms underlying these treatments. The lack of a mechanistic underpinning hinders acceptance by the wider scientific and health-care communities, and it also limits the development of rational strategies for using manipulative therapies.
The unanimous Declaration of the thirteen united States of America
When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Nature’s God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation.
The longstanding advice to “sit up straight” has been turned on its head by a new study that suggests leaning back is a much better posture.
Researchers analyzed different postures and concluded that the strain of sitting upright for long hours is a perpetrator of chronic back problems.
Using a new form of magnetic resonance imaging (MRI), researchers studied 22 volunteers with no back pain history. The subjects assumed three different positions: slouching; sitting up straight at 90 degrees; and sitting back with a 135-degree posture—all while their spines were scanned.
Most of what I’ve been focusing on recently has been improvement techniques for on-line learning. This little tidbit came up in my research when I was investigating Educational Gaming.
This comes from The Scientist blog, posted April 30th 2010;
In 2006, researcher Marsha Melnick was running out of ideas for how to get her therapeutic exercise program into the living rooms of Parkinson’s patients. For years, she had been trying to adapt the program, which employs clinically tested physical movements to improve gait and balance, into an accessible format for people to use at home.
I highly recommend reading further, how she “solved” her dilemma. It would be well worth your time, in my opinion!
We would appreciate it if you would add a link to us (either to our Blog page, or to any other section of our website that you find of interest), so that we can strengthen our standing with all the search engines.
By John in News on September 29th, 2009 at 5:53 pm
Where is the money going? A couple of recent articles on the Dynamic Chiropractic website provide the answer.
End of an Era: FCER Decides on Self-Liquidation announces that “The Foundation for Chiropractic Education and Research (FCER) will self-liquidate, meaning the organization will cease operations after serving the chiropractic profession for more than 60 years. The FCER Board of Trustees made the difficult decision after numerous efforts to find another organization that could take over the foundation’s efforts on behalf of the profession.
When interviewed FCER President Dr. Charles Herring said that over the years, large contributors have not continued supporting FCER at the level they once did and the current economic crisis that began to emerge in late 2008 has resulted in significant decreases in individual membership renewals. This has made FCER unsustainable from a financial standpoint.”
On the other hand, another article in Dynamic Chiropractic, Foundation for Chiropractic Progress Receives Record Pledge Support reports that “a $500,000 donation from Standard Process highlighted the record financial support received by the Foundation for Chiropractic Progress (FCP) at the Florida Chiropractic Association 2009 national convention and expo in Orlando.
All told, the foundation received approximately $650,000 in pledges, including the surprise donation from Standard Process, which will be staggered over the next five years.”
The mission of the Foundation for Chiropractic Progress is “To increase the public awareness of the benefits of chiropractic.” I’m all for that but perhaps we could channel some of those funds back into research thereby increasing our credibility and making chiropractic an ‘easier sell’.
I contacted them a few days ago, wondering about the publication of any papers from the Asthma study we had helped to fund, and received a post from Sheila Stielow, stating: “I’m not sure if you are aware but FCER is closed. This is a very recent decision”. I wrote back asking what she meant by their being closed, but I have yet to hear back from her.
Fibromyalgia is a chronic syndrome that occurs predominantly in women and is marked by generalized pain, multiple defined tender points, fatigue, disturbed and nonrestorative sleep, and numerous other somatic complaints.
Diagnosis of Fibromyalgia
To meet the fibromyalgia criteria for medical diagnosis, patients must experience:
ScienceDaily (2009-05-20) — The inactivated flu vaccine does not appear to be effective in preventing influenza-related hospitalizations in children, especially the ones with asthma. In fact, children who get the flu vaccine are more at risk for hospitalization than their peers who do not get the vaccine, according to new research. While these findings do raise questions about the efficacy of the vaccine, they do not in fact implicate it as a cause of hospitalizations, according to researchers.
Original presentation made at the American Thoracic Society’s International Conference in San Diego, CA (May 15-20, 2009):
The Scientist‘s blog posted a very interesting article on April 30th.
The Australasian Journal of Bone and Joint Medicine has been reported as nothing more than an advertising and marketing tool for Fosamax and Vioxx. The journal was published from 2003-2004 by Exerpta Medica which is a division of Elsevier, resembled a peer-reviewed journal (complete with editorial board) and was paid for by Merck, the maker of both drugs. Nearly all of the advertising contained in the issues was dedicated to the two drugs and the papers published were “throwaways” which had been rejected by peer-reviewed scientific journals.
John’s recent post on the de-listing of chiropractic generated a lot of interest and comments from DCs. MDs and RMTs.
In the USA, Chiropractic has been included in several managed care programs, and a recent review of 70,274 member-months over a 7-year period within an IPA demonstrated:
decreases of 60.2% in-hospital admissions,
59.0% less hospital days,
62.0% less outpatient surgeries and procedures, and
83% less pharmaceutical costs when patients were seen by a DC rather than an MD for the same complaint!
The authors concluded that “this clearly demonstrates that chiropractic nonsurgical nonpharmaceutical approaches generates reductions in both clinical and cost utilization when compared with PCPs using conventional medicine alone.”
The point is that Alberta, Canada may save some money that won’t be paid to the chiropractors, but inevitably will lose much more money in the long run.
The Cost-Effectiveness of Chiropractic Page contains many more prospective studies going back to 1985 that demonstrate the cost savings associated with chiropractic care.
Chiro.Org turned 14 years old this March! We are now the oldest existing chiropractic website, following the retirement Dr. John Wiens Chiropractic Page to our Archives section.
To celebrate, our Board of Directors donated $2500 to chiropractic research. This will be our 8th year supporting the FCER and the ICPA. This year we also included the Canadian Memorial Chiropractic College research department.
Our thanks to Dr. Robert Mootz and Aspen Publishers for generously giving Chiro.Org exclusive access to the FULL TEXT article Maximizing the Effectiveness and Efficiency of Clinical Documentation. This article clarifies what aspects of care and analysis needs to be recorded to define “Medical Necessity”.
Chiropractic Assistants (CAs) are the backbone of every chiropractic practice, as they help manage, educate and care for our patients. The Chiropractic Assistant Section is designed to support CAs in these diverse tasks: Billing, Patient Education, Practice Management and Growth, and Self Education.
Welcome to the new look for Chiro.Org. The blog page now acts as the entry to our site. Below you can read postings on news, research, commentary and other subjects of interest to chiropractors. They are meant to provoke discussion so feel free to post comments.
Our resources still exist and can be accessed via the left hand pane of the blog.
Enjoy.
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Introduction to Sports-related Health Care