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HEALTHBEAT SHOW NOTES .... Episode #70 - Recorded November 10, 2006

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 –  

  • Spinal Manipulation for Lower Extremity Injuries

  • NCCAM Announces New Career Development Award

  • Capitol Hill Calls On Air Force Officials to Explain Lack of Chiropractic Benefits

  • Chiropractic and the Military

  • Whiplash and Fatty Infiltration in the Cervical Extensor Muscles

For HealthBeat, This is Dr. Todd Eglow.

Welcome to HealthBeat Podcast #70, recorded November 10, 2006.  HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

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And Now for some news ….

 

Spinal Manipulation for Lower Extremity Injuries

A study in the September 2006 issue of Chiropractic and Osteopathy looked at Lumbar disc herniation being a problem frequently encountered in manual medicine.

While manual therapy has shown reasonable success in symptomatic management of these cases, little information is known how manual therapy may affect the structure and function of the lumbar disc itself.

In cases where lumbar disc herniation is accompanied by radicular symptoms, electrodiagnostic testing has been used to provide objective clinical information on nerve function.

The study presented examines the treatment rendered for a patient with lower extremity neurological deficit, as diagnosed on electrodiagnostic testing. The patient was treated using spinal manipulation and exercises performed on a Pettibon Wobble Chairtrade mark, using electrodiagnostic testing as the primary outcome assessment.

The study concluded that - Motion-based therapies, as part of a comprehensive rehabilitation program, may contribute to the restoration of daily function and the reversal of neurological insult as detected by electrodiagnostic testing. Electrodiagnostic testing may be a useful clinical tool to evaluate the progress of chiropractic patients with lumbar disc herniation and radicular pain syndromes.

For more information, surf to our Show Notes for a link to this study - http://www.chiroandosteo.com/content/14/1/20

 

NCCAM Announce New Career Development Award

The National Center for Complementary and Alternative Medicine (NCCAM) recently announced a prestigious career development award designed to diminish the barriers that prevent complementary and alternative medicine (CAM) clinicians from exploring a career in research. NCCAM, a part of the National Institutes of Health (NIH), created this award in partnership with The Bernard Osher Foundation through a grant to the Foundation for the National Institutes of Health.

"This program provides yet another mechanism through which the Center can collaborate with the CAM community to foster the next generation of leaders in this field."

Awardees will receive up to 5 years of intensive, supervised career development research training in the biomedical, behavioral, or clinical sciences related to CAM. Applicants should hold a health professional doctoral degree from a CAM institution, such as Doctor of Chiropractic (D.C.), Doctor of Naturopathic Medicine (N.D.), or Doctor of Acupuncture and Oriental Medicine (D.A.O.M.), as well as Doctors of Osteopathy (D.O.) from medical institutions that teach manual manipulation as part of the core curriculum.

The Bernard Osher Foundation, which is based in San Francisco and also part of this award, supports three integrative medicine research centers at the University of California, San Francisco, Harvard University, and the Karolinska Institute in Sweden.

Interested parties should visit http://nccam.nih.gov/training/ for more information about the award.

 


Capitol Hill Calls On Air Force Officials to Explain Lack of Chiropractic Benefit

A bipartisan group of senior members of the U.S. House of Representatives’ Armed Services Committee has called on the U.S. Air Force to explain why expansion of the chiropractic benefit at 11 Air Force bases has yet to materialize.

In a letter to Air Force Secretary Michael Wynne, Reps. Mike Rogers (R-Ala.), Jeb Bradley (R- N.H.), Neil Abercrombie (D-Hawaii) and Steve Israel (D-N.Y.) have asked the Air Force for the list of specific action steps it has taken to implement the chiropractic benefit at 11 sites that were named in last year’s National Defense Authorization Act.

The Air Force was given until Sept. 30, 2006, to complete the implementation.

Specifically, Sec. 712 of the National Defense Authorization Act for Fiscal Year 2006, PL 109-163, requires the Air Force to complete implementation of chiropractic services for active duty members at 11 sites which had not opened in accordance with the Department of Defense Report on Chiropractic Health Care Implementation Plan (August 2001). Sec. 712 also states that if the Air Force determines that it is not feasible to provide chiropractic health care services at any of the 11 identified facilities, the Air Force shall provide chiropractic services at an alternative site.

Surf to our Show Notes to read a PDF copy of the congressional letter - http://www.acatoday.org/pdf/a240.pdf

www.acatoday.com

 


Chiropractic and the Military

A new report from the Veterans Health Administration citing musculoskeletal injuries as the number one complaint of Iraq and Afghan veterans who sought treatment in VA facilities underscores the need to expand treatment options for back, neck and joint pain in the veterans health care system, according to the American Chiropractic Association.

The ACA - and many veterans - strongly believe that integrating chiropractic treatment into the VA health care system would not only be cost-effective, it would also speed recovery time for those suffering from needless bouts of musculoskeletal pain.

According to the recent report from the Veterans Health Administration, nearly 42 percent of veterans returning from the Middle East and Southwest Asia who have sought VA health care were treated for symptoms associated with musculoskeletal ailments.

Congressmen Jeb Bradley (R-N.H.) and Bob Filner (D-Calif.) introduced bipartisan legislation in May to expedite expansion of the chiropractic benefit in the veterans’ health care system. The legislation would require the VA to have a chiropractor on staff at 75 major VA medical centers before the end of 2008, and at all 154 major VA medical centers before the end of 2010.

For more information, surf to - www.acatoday.com

 

Whiplash and Fatty Infiltration in the Cervical Extensor Muscles

A study presented in the October 15th issue of the journal Spine, looked at muscle changes in patients suffering from persistent whiplash-associated disorders (WAD).

The goal of the study was to quantitatively compare the presence of fatty infiltrate in the cervical extensor musculature in a cohort of chronic whiplash patients (WAD II) and healthy control subjects across muscle and cervical segmental level.

Magnetic resonance imaging (MRI) can be regarded as the gold standard for muscle imaging; however, there is little knowledge about in vivo features of neck extensor muscles in patients suffering from persistent WAD and how fat content alters across the factors of muscle, vertebral segments, age, self-reported pain and disability, compensation status, body mass index, and duration of symptoms.

A reliable MRI measure for fatty infiltrate was performed of the cervical extensor muscles bilaterally.  The measure was performed on all subjects for the rectus capitis posterior minor and major, multifidus, semispinalis cervicis and capitis, splenius capitis, and upper trapezius.

In analyzing the results of the study, the WAD subjects had significantly larger amounts of fatty infiltrate for all of the cervical extensor muscles compared with healthy control subjects.  Intramuscular fat was independent of age, self-reported pain/disability, compensation status, body mass index, and duration of symptoms.

The study concluded that there is significantly greater fatty infiltration in the neck extensor muscles, especially in the deeper muscles in the upper cervical spine, in subjects with persistent WAD when compared with healthy controls. Future studies are required to investigate the relationships between muscular alterations and symptoms in patients suffering from persistent WAD.

Surf to our Show Notes for a link to this study - http://www.spinejournal.com/pt/re/spine/abstract.00007632-200610150-00030.htm;jsessionid=FHmK2jQBTgWk3dGhLlB3TBpn9w8YsP3QpQd8H2QzBkJQZmyYKYSd!-1434154485!-949856145!8091!-1

 

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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– Winston Churchill

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

 

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