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2007 Research Summaries
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ACA: Literature Review Shows Spinal Manipulation Beneficial for Neck Pain
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FOR IMMEDIATE RELEASE May 2, 2007
(Arlington, Va.) A new literature review finds evidence that patients with chronic neck pain enrolled in clinical trials reported significant improvement following chiropractic spinal manipulation, according to a March/April 2007 report in the Journal of Manipulative and Physiological Therapeutics (JMPT).
According to Howard Vernon, DC, PhD, the review’s chief author, “The results of the literature review confirm the common clinical experience of doctors of chiropractic: neck manipulation is beneficial for patients with certain forms of chronic neck pain.”
As part of the literature review, Dr. Vernon and his colleagues reviewed nine previously published trials and found “high-quality evidence” that patients with chronic neck pain showed significant pain-level improvements following spinal manipulation. No trial group was reported to remain unchanged, and all groups showed positive changes up to 12 weeks post treatment. No trial reported any serious adverse effects.
This literature review did not include studies involving patients with acute neck pain, neck and arm pain, neck pain due to whiplash, or those with headaches. In this review, chronic neck pain was defined as being a minimum of 8 weeks duration.
Researchers also found that mobilization therapy was beneficial in improving patients’ pain levels, with many achieving full recovery after six to seven weeks of treatment; however, the current evidence did not support a similar level of benefit from massage therapy.
Neck pain is a very common complaint – approximately 15 percent of women and 10 percent of men are estimated to have chronic neck pain at any one time. According to a report issued by the National Board of Chiropractic Examiners, 18 percent of chiropractic patients list neck pain as their chief complaint.
Spinal manipulation, also called a chiropractic adjustment, is the main therapeutic procedure performed by doctors of chiropractic. The purpose of manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypomobile.
Chiropractors practice a hands-on, drug-free approach to health care that includes patient examination, diagnosis and treatment. Chiropractic is widely recognized as one of the safest non-invasive therapies available for the treatment of back pain, neck pain, headaches and other neuromusculoskeletal complaints. In addition, a significant amount of evidence shows that the use of chiropractic care for certain conditions can be more effective and less costly than traditional medical care.
The Journal of Manipulative and Physiological Therapeutics, the premier biomedical publication in the chiropractic profession and the official scientific journal of the American Chiropractic Association, provides the latest information on current research developments, as well as clinically oriented research and practical information for use in clinical settings.
Note to editors: To receive an electronic copy of the study, contact Angela Kargus at akargus@acatoday.org.
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2007 Research Summaries |
Chronic musculoskeletal pain in patients with the chronic fatigue syndrome: A systematic review
Meeus M, et all. European Journal of Pain. May 2007; Vol. 11, Iss. 4, pp. 377-386.
Background: In addition to debilitating fatigue the majority of patients with chronic fatigue syndrome (CFS) experience
chronic widespread pain.
Aims: Conducting a systematic review to critically assess the existing knowledge on chronic pain in CFS. We focussed
on the definition, the prevalence and incidence, the aetiology, the relevance and the therapy strategy for chronic
musculoskeletal pain and post-exertional pain in CFS.
Methods: To identify relevant articles, we searched eight medical search engines. The search terms “chronic
fatigue syndrome” AND “pain”, “nociception”, “arthralgia” and “myalgia”, were used to identify articles concerning
pain in CFS. Included articles were reviewed by two blinded researchers.
Results: Twenty-five articles and two abstract were identified and selected for further appraisal. Only 11 search
results focussed on musculoskeletal pain in CFS patients. Regarding the standardized review of the articles, a 96%
agreement between the researchers was observed. There is no consensus in defining chronic widespread pain in CFS, and
although there is little or no strong proof for the exact prevalence, chronic pain is strongly disabling in CFS.
Aetiological theories are proposed (sleep abnormalities, tryptophan, parovirus-B, hormonal and brain abnormalities and
central sensitisation) and a reduction of pain threshold after exercise has been shown. Furthermore depression seemed
not related to pain in CFS and a staphylococcus toxoid vaccine caused no significant pain reduction.
Conclusions: The results from the systematic review highlight the clinical importance of chronic pain in CFS,
but only few studies addressing the aetiology or treatment of chronic pain in CFS are currently available.
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Increase Revenues In Your Office
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(Rocky Hill, CT)
Anti Aging Certificate Program
Antiaging is the newest and most exciting area of health and wellness. This is because the baby boomers, which make
up a significant part of the population, are aging and trying to find ways to stay and feel young. Life extension has
increased dramatically in the United States since 1900 and will continue to increase. In fact it is suggested that life
expectancy in the mid-twenty-first century will be 85 years. People are and will be living longer and longer. However,
people do not want to simply live a long life. They want to have a high quality long life.
Many diseases that people die from are degenerative in nature and not solely from their genetics. Genetic and heredity
factors typically account for only 10% - 33% of a person's physical health status. Therefore we have significant control
over how long we will live.
The Anti Agining Certificate program is an online course which will teach a person the factors and influences associated with aging and what can be done to perhaps slow the a
ging process. It will also cover strategies to living a longer and healthier life. The course begins with aging statistics
and then begins discussing the variables associated with aging. These include exercise, stress and emotions, social
relationships and religion, alcohol, smoking, antioxidants and their role in relationship to cancer and heart disease,
food quantity and weight control, diet types, habits and patterns, antiaging foods and beverages such as fruits,
vegetables, garlic, fish, grains, nuts, legumes, soy, chocolate, yogurt, water, wine and tea. Nutrient deficiencies and
hormones will also be discussed since they also can affect aging.
Once the course is completed you will receive the antiaging manual and outline. These tools allow you to administer
an antiaging program.
To take the Anti Agining Certificate Program, visit www.ChiroCredit.com, login and select the Anti Agining Certificate Program
from the topic dropdown box.
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CA Xray Technology Course for Chiropractors
Maryland Jurisprudence Course Released
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California Xray Technology Course
www.ChiroCredit.com is proud to announce the availability of a 10 hour online course that offers California Chiropractors required
Xray hours to renew permits and certificates as licentiates of the healing arts are required to earn 10 approved continuing education
credits in the two years immediately preceding the expiration of the certificate or permit. The requirement for continuing education
credits are specified in Section 30403 of Title 17, California Code of Regulations. This is not a Chiropractic Board requirement, so,
although the hours earned in this course can not be applied to meeting Chiropractic Continuing Education requirements, it is an approved
course for the xray permit and certificate requirement. Please see the topic: California Xray Technology Course on www.ChiroCredit.com.
Maryland Jurisprudence Course
www.ChiroCredit.com is proud to announce the availability of a one hour Maryland Jurisprudence Course. This course meets the requirement
of one hour of jurisprudence and has been approved by the Maryland Board of Chiropractic Examiners. Please visit www.ChiroCredit.com
to take this course. New Release Special...only $15!
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