November 8, 2017

Study Reveals Inconsistency Between Leg Length Inequality Assessments

A common inclusion in many chiropractic protocols is the leg length inequality assessment. In fact, it would be a rare chiropractor that hasn’t performed them in his/her time in practice. A recent paper published in the Journal of Chiropractic Medicine has compared two approaches to this task and emerged with results that should be enlightening, perhaps even surprising.  The study had a simple aim: to determine the reliability of supine and prone leg length inequality (LLI) assessments. The researchers were also interested in whether the confidence of the examiner played a role in the agreement of the methods.   As […]
October 31, 2017

Forward Head Posture – It’s Effects On The Young And The Aging

In years gone by, forward head posture was thought to be something brought on by age as older adults gave in to gravity, which increased the cervical hyperkyphosis. Since the era of social media and mobile devices hit its peak, we are now seeing forward head posture emerge in even the young. Still, science has something to reveal about the effects of forward head posture and it’s not something any chiropractor or manual therapist should ignore. Why Does Forward Head Posture And Cervical Kyphosis Matter? Through the years, history has held that proper posture is a “state of musculoskeletal balance […]
October 18, 2017

Chiropractic And The Senses – Part 2: Hearing

Following part one of our series on chiropractic care and the senses, we are now putting the first of the big five on the agenda: hearing. In the part one, we talked about proprioception – our sense of where we are in space. While its obvious that all the senses work together to give us information about our surroundings, thus all having at least some bearing on proprioception, the sense of hearing also serves a distinct function. Where it all started A quick look into the history books shows what started our profession: a janitor by the name of William […]
October 11, 2017

The Six Senses and Chiropractic Part 1: Proprioception

In days gone by, the strongest evidence surrounding chiropractic pertained only to lower back pain or the realms of musculoskeletal complaints. While that might be the definition that the uninformed still hold us to, it’s no longer solely what the evidence illustrates. We are now seeing increasing evidence that chiropractic care can change the structure and function of the brain, offer positive impacts well beyond the realm of musculoskeletal complaints and improve multiple aspects of quality of . In this series we will be shining a little light on how chiropractic can impact the six senses. Before you go thinking the Australian Spinal […]
October 4, 2017
Evidence

When Medical Science Backs Chiropractic

It’s a common, yet misguided, assumption often repeated around the traps: that chiropractic isn’t an evidence-based profession or that it is somehow at odds with traditional medicine. Whilst the former is categorically untrue (just ask the university students who spend thousands of study hours immersed in the evidence), the latter is like comparing apples and oranges. One stream looks at treating problems once they arise. The other looks at protecting, preserving and enhancing nervous system function. Every now and then, a piece of work pops up in a peer-reviewed journal that shows us the two streams aren’t completely at odds. […]
September 29, 2017
Neurology

Segmental To Brain Based Thinking – Where Are You And Your Practice At?

Traditionally, chiropractic has been built on a model of segmental subluxation assessment and correction with local impacts and views of possible global affects on the central nervous system and overall health. The structural or biomechanical paradigm of segmental subluxation assessment is not without its challenges. For example, why do assessment findings often poorly correlate with pain and dysfunction? Why are there many patients with damage to musculoskeletal structures but are asymptomatic? Why do some people heal quickly with acute injury, whilst others develop chronic pain and neuromusculoskeletal injury? Finally, why do many patients have persistent sensory abnormalities1-5, like chronic pain, […]
September 21, 2017

Fibromyalgia Case Study shows improvement in symptoms, cervical alignments and quality of life

Fibromyalgia is widely viewed as a pain syndrome with an unknown cause. To some practitioners, it is a bona fide medical condition. To others, it’s merely psychosomatic. Sufferers will tell you a common truth though: it can be debilitating, distressing, and it’s very, very real. Sadly, the issue of how to treat this pain syndrome is no more straight-forward than finding its cause. Cognitive behavioural therapy, low-dose anti-depressants and mild exercise are often prescribed but “there is no permanent change associated with this form of treatment [1].” This often leaves sufferers feeling frustrated at the apparent permanence of their predicament. […]
September 14, 2017

Manual or Instrument Applied Cervical Manipulation: Which is Better For Mechanical Neck Pain?

A randomized controlled trial recently published in the Journal Manipulative and Physiological Therapeutics has taken on the task of comparing two different cervical manipulation techniques for mechanical neck pain [1]. While HVLA (high-velocity, low-amplitude) cervical manipulation has previously been shown to be effective for neck pain, the jury has still been out as to which technique was most effective for the condition. The study emerged from Australia’s own Macquarie University. Here’s how it went down. Mechanical neck pain is said to be the most common type of neck pain, and is the reason for many a chiropractic visit. Mechanical neck […]
September 11, 2017

The Case for the Case Report

Chiropractic sits at an interesting junction in terms of research. We do indeed possess a strong evidence base when it comes to randomized control trials, especially those related to conditions like low back pain. But the evidence in the bank doesn’t yet cover every aspect of what we do. Furthering research is an expensive and time-consuming investment that is absolutely vital for the future the profession. While we wait for the big studies to hit the journals, there is something else worth our attention though: the humble case report – a clinically relevant tool that is often overlooked. Here at […]
August 24, 2017

Oestrogen Dominance: A Cluster of Symptoms or the Clue to a Pattern of Stress and Subluxation

Interview/Commentary: Spinal Research caught up with Dr Wayne Todd, author of the book and practitioner training program “SD Protocol” to talk about a topic that masquerades as a good many conditions, and how that can possibly link to the subluxation. As far as symptom clusters goes, Oestrogen Dominance is a bit of a chameleon. It can look like many things with adrenal exhaustion, anxiety, depression, gut problems, and the obvious menstrual and fertility problems as common candidates for confusion. As chiropractors, our eyes can be firmly on the state of the spine (i.e. subluxation) and not on symptoms. But Dr Wayne […]
August 10, 2017

Spondylolisthesis & Chiropractic: What The Research Indicates

Spondylolisthesis is a condition that will be all too familiar to chiropractors. Occurring due to overuse, injury or congenital defect (among other factors), the condition ranges in its presentation from asymptomatic to painful and debilitating. Most often, it occurs in the lumbar and sacral areas of the spine (usually at L5-S1) when the lumbar spine slips off the sacrum. Usually, “Spondy” patients are told NSAIDS, discontinuation of contributing activities and (potentially) surgery are their best options in terms of management. But are they the only options? A range of chiropractic case studies suggest that chiropractic care and the correction of […]
August 4, 2017
Quality of Life

Chiropractic Care And Quality Of Life: What The Research Has To Say

Thanks to advancements in many health-related fields, we are staying alive longer. But as life expectancies in developed countries reach new heights, an increasing number of people are asking important questions with regard to maintaining health and quality of life as they age. Indicative of this trend is the growing amount of money the Baby Boomer generation is spending on health. It seems we are increasingly concerned with quality of life, not just living longer.  The term ‘quality of life’ refers to a person’s ability to stay independent, and perform activities involved in daily living and participation in life. It […]
July 26, 2017
Research Agenda Meeting Group _ April 2017

Research Agenda 2017-2022: How We Got Here

The launch of the 2017-2022 Research Agenda represents a bold step for us here at the Australian Spinal Research Foundation. For the first time in our 40-year history, we will be commissioning research to fit our research agenda – exploring the vertebral subluxation in order to better serve our profession. Also for the first time in our history, we have set forth with a definition of the subluxation that will guide this research into the future. These changes did not come about in a boardroom. They came through an in-depth nine-month consultation process spanning more than 70 individuals, colleges and […]
July 18, 2017
adjustment

Study Examines Impact of Patient Position & Procedure Selection on Spine Kinematics for the Low Back

Procedure selection is an important part of every chiropractic adjustment. Knowing which procedure will stabilise or mobilise more is a significant consideration, depending on the patient’s needs. But until now, no 3-dimensional angular kinematic analysis had been done for spinal manipulation applied to HVLA for the lumbar spine – only to the cervical spine. A recent study published in JMPT in the March/April edition represents the first important step in filling that knowledge gap.  The study saw 24 participants undergo a series of 6 HVLA (High velocity low amplitude) adjustment procedures directed toward the L4 vertebra. The procedures included 2 […]
July 11, 2017
Lymphatic

The Lymphatic System – How It links To The CNS And What This Means For Chiropractic

For a long time, the science told us that there was no connection between the brain and the immune system. The brain was supposedly a privileged organ, whose cells did not need immune protection. All that changed in very recent history, due to a discovery that happened almost by accident. There was in fact a channel in the brain that had previously been compressed and then missed largely because of the way brain banks stored their specimens. It was a ground-breaking, textbook-rewriting discovery when Antoine Louveau first stumbled on this lymphatic vessel system in the brain. Previously, this vessel system […]
July 6, 2017
chronic pain

Fear Increases Pain, But There’s Something We Can Do About It

Studies dating back more than a decade have revealed that fear of pain is a prognostic factor in chronic pain. That is, fear of pain and severity of pain are very much linked. This can create avoidance behaviour that, though helpful in the short term, can “become a maladaptive response leading to increased fear, limitation of activity, and other physical and psychological consequences that contribute to disability and persistence of pain [1].” A recent study has revealed that there is something we can do about this though, and the key lies in understanding the very thing we fear. Contemporary fear-avoidance […]
June 29, 2017

The Epitranscriptome – A New Discovery In Gene Expression

Few breakthroughs in health science hold as much potential as the emerging field of epigenetics. No longer does the central dogma of genetics ring true – Our genes do not equal destiny anymore and our understanding of how to take control is growing, all thanks to a increasing understanding of gene expression. Environment and lifestyle can indeed affect if or how our genes express themselves. While our understanding of epigenetics continues to grow, a new breakthrough has come to light – the epitranscriptome and the role of the RNA.  Epitranscriptomics is a relatively new field in the world of genetics […]
June 9, 2017
Research

A Stirring And Detailed Look At The Mechanics Of Quality, Chiropractic-Specific Research

At the recent Dynamic Growth Congress, we asked some leading voices in chiropractic why it is important to invest in quality research into the vertebral subluxation. Here, academic and chiropractor Dr Matthew Doyle jumps into the detail of developing a chiropractic-appropriate evidence base – how do we deliver research that is congruent, impactful to practice and translatable to create better chiropractors? Are RCT’s the only evidence base we need? Or do we require a broader line of exploration. He spells out the need for better questions, and an ontological approach that is congruent with the chiropractic philosophy – and shows […]