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 13, 2017

Low Vitamin B Linked To Anxiety Attacks

Among the increasingly common mental health challenges facing the western world population are panic and anxiety disorders. However, there is a growing body of evidence showing that these so-called ‘mental’ health issues are not purely mental – that nutrition and other areas of health are in fact linked to our mental and emotional state. Imagine that! Proof that perhaps the whole body is linked, rather than separated into distinct ‘brain’ and ‘everything else’ categories. One such piece of evidence emerging from Okayama University, Japan, has shown an interesting link between low serum vitamin B and iron levels, and panic or […]
August 30, 2017

Paediatric Chiropractic Care: Part 1 -The State of Evidence

Few professions, and few patient populations within that profession, experience the unflinching scrutiny that seems fixed over the area of paediatric chiropractic care. Still, despite the ill-informed and ever-loud shouts of “There’s no evidence for that,” the knowledge bank keeps growing – and it’s full of good news. We now know that, when compared with other modalities, chiropractic care for children and infants is safe, gentle and effective [1]. Academic literature, to date, has never reported an infant or paediatric death due to chiropractic care, and serious adverse events are exceptionally rare [1, 2]. But every chiropractor is an ambassador […]
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 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 Role Of Research In The Protection And Preservation Of Chiropractic

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. Listen to Dr Patrick Sim, one of the key drivers behind the Australian Chiropractic College, talk about the significant crossroads chiropractic is at, and the role of research and philosophy in this historical time. Dr Sim paints a clear picture of the wide-reaching ripple effect that stems from the actions we take at this time. “What we are really talking here when we talk about the future, is your legacy,  your business, your earning […]
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 29, 2017

Posture, Happiness And The Effect Of Chiropractic

This is the ‘bonus’ article from Spinal Research’s recent interview with Dr Michael Hall. Dr Hall, the man behind the new education program Brain DC, discussed the right to left orientation in brain development. Inside this line of discussion is a little gem – some information on posture, happiness and the effect of chiropractic, and how we can better engage the brain in both. As chiropractors, we frequently analyse posture. We also deal with patients who suffer from low mood or a variety of depressive disorders. But are the two connected? Hall argues that they are. We know that the […]
June 15, 2017

The Communicative Power Of Research

Good research is research that impacts the practitioner and the practice. 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 Dr Dorte Bladt voices a practitioner’s perspective on the type of research we need. This isn’t about cherry picking studies on particular conditions and chiropractic. This is about understanding what chiropractic is, and what it isn’t. It’s about stepping back and asking congruent questions that get the answers that are useful to us. “Research is incredibly important for us as practitioners. We […]
June 15, 2017

How To Be Nine Years Younger

We know that sedentary lifestyles aren’t good for us. We also know that exercise is good for us. Neither of these statements are new revelations. Yet research emerging from Brigham Young University is telling us exactly how much exercise impacts the aging process on a cellular level. It all comes down to tiny proteins called telomeres. If you’ve ever heard the term ‘biological clock’ thrown around – these proteins are the physical equivalent. Telomeres are the endcaps of our chromosomes. “Each time a cell replicates, we lose a tiny bit of the endcaps. Therefore, the older we get, the shorter […]
June 15, 2017

Dr Michael Hall Part 2: We Need To Change Patient Assessments

“As much as we talk about diversity, we fail to embrace it in clinical practice,” says Dr Michael Hall. “We give the same questionnaires to the male and female. It’s got to change. We need to revamp the examination.” In part one of Spinal Research’s recent interview with Dr Hall, we discussed the sexual dimorphism of the human brain and how this impacts physiology, symptomology, and fundamental needs. (Read that interview here before getting into this one.) While it is certainly helpful to be across this subject, as it affects every patient that walks through our doors, Hall is keen […]
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 […]