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HEALTHBEAT SHOW NOTES .... Episode #111 - Recorded August 24, 2007

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and informational Podcast.

In this week’s news:  We’ll Look At –

  • Primary headaches and painful spontaneous cervical artery dissection

  • Brainstem Dysfunction in Chronic Migraine as Evidence by Neurophysiological and Positron Emission Tomography Studies

  • CCGPP Best Practice Document Update

  • The scope of chiropractic practice:  A survey of chiropractors in the UK

For HealthBeat, This is Dr. Todd Eglow.

Welcome to HealthBeat Podcast #111, recorded August 24, 2007.  HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

 

 

Primary headaches and painful spontaneous cervical artery dissection

The relation between primary headaches (PH) and pain related to spontaneous cervical artery dissection (SCAD) is still unclear, as well as the progress of primary headaches after dissection.

To investigate this relation, the characteristics of pain related to spontaneous cervical artery dissection and changes in primary headaches patterns after spontaneous cervical artery dissection, the authors of the study evaluated 54 consecutive patients.

Previous primary headaches did not influence the presence of pain at spontaneous cervical artery dissection onset. Twenty-six (74%) patients with primary headaches reported improvement in PH pattern after a mean follow-up of 32 months.

These results suggest that mechanisms underlying primary headaches do not modulate dissection-related pain. Disruption of perivascular afferents may be involved in improvement of primary headaches patterns after spontaneous cervical artery dissection.

For more information, surf to the June 2007 issue of The Journal of Headache and Pain.

 

Brainstem Dysfunction in Chronic Migraine as Evidence by Neurophysiological and Positron Emission Tomography Studies

The pathophysiology of chronic migraine (CM) is not fully understood. The authors of a study published in the July/August 2007 issue of the journal Headache, aimed to examine transcranial magnetic stimulation (TMS) indices of cortical excitability in patients with chronic migraine and also performed PET studies to ascertain if there were any areas of activation and inhibition for possible correlation.

The study concluded that patients with Chronic Migraine appear to be characterized by reduced visual suppression correlating with high cortical excitability. In a cohort of these subjects there was brainstem activation and inhibition in certain areas of the cortex suggesting a potential dysfunction in the inhibitory pathways.

Surf to our Show Notes for a link to this study - http://www.blackwell-synergy.com/doi/abs/10.1111/j.1526-4610.2007.00853.x

 

CCGPP

In our ongoing coverage of evidence based chiropractic care, nearly fifteen months after the release of the first draft of the low back evidence stratification for public comment, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) is poised to release additional components of the Chiropractic Clinical Compass beginning immediately with the Preface, a revised Introduction, and a newly created chapter on Methodology.

The next draft of evidence stratification scheduled for release for public comment is Wellness, Non-musculoskeletal and Special Populations, which will be posted at www.ccgpp.org on September 1, 2007. CCGPP anticipates the release of one additional draft approximately every 30 days beginning with "Upper Extremity Conditions" on October 1 followed by Low Back Part A, Cervical Spine, Soft Tissue, Thoracic Spine, and Lower Extremities. 

As was done previously, drafts will be posted on the CCGPP website for 60 days of comment. Notification of each release and instructions for submitting comments will be distributed to stakeholders prior to posting via traditional communication outlets. Interested constituent members are urged to organize review efforts now.

Surf to www.ccgpp.org for more information.

 

The scope of chiropractic practice:  A survey of chiropractors in the UK

In the UK, chiropractic has undergone significant change in recent years, particularly with the advent of statutory regulation and an increasing emphasis on evidence-based and multidisciplinary health care. Little is known about what effect, if any, such changes have had on the profession's view of its scope of practice.

The goal of this current study was to ascertain the opinion of UK chiropractors regarding chiropractic beliefs and philosophy, the benefit of chiropractic intervention in pediatric, adolescent and adult conditions and its relationship with the National Health Service (NHS).

Differences in opinion between chiropractors from different UK chiropractic associations - the British Chiropractic Association (BCA), McTimoney Chiropractic Association (MCA), the Scottish Chiropractic Association (SCA) and the United Chiropractic Association (UCA) - were also investigated.

The conclusion found that the chiropractors in this study may not view themselves as neuromusculoskeletal (NMS) specialists only. Respondents reported treating visceral/organic conditions and expressed a belief that patients with these complaints can benefit from chiropractic. Differences in opinion appear to remain between the professional associations, particularly in relation to treatment benefits for viscero-somatic conditions and philosophical relevance. However, these findings need to be explored in a more representative sample.

Surf to the journal Clinical Chiropractic for more information.  http://www.sciencedirect.com/science/journal/14792354

 

 

As always, please surf to our Podcast Show Notes at ChiropractiRadio.com for a full listing of web references mentioned in today’s show.

And remember - COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.


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Finally, I leave you with the following quote:

"I learned very early the difference between knowing the name of something and knowing something."
– Richard Feynman

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

 

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