Chiropractic
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HealthBeat
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Chiropractic
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Welcome to COT's HealthBeat Podcast  |
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HEALTHBEAT SHOW NOTES .... Episode #98 - Recorded May 25, 2007Hello
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 –
For HealthBeat, This is Dr. Todd Eglow. Welcome to HealthBeat Podcast #98, recorded May 25, 2007. 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 www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs. If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email …. …. or Skype us by typing in “healthbeat”, all in small letters. Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support. And Now for some news …. First
Impressions in Complementary Practice A study in the May 2007 issue of Complementary Therapies in Clinical Practice, looked at exploring patients’ views of the importance of environmental and social factors within a complementary and alternative medicine (CAM) practice. The study included a cross-sectional patient survey was conducted in 37 CAM practices across nine geographical areas of the UK using a structured questionnaire. The most common treatment modalities were osteopathy and acupuncture. Patients rated telephone manner, practitioner appearance and explanatory literature as very important factors in shaping first impressions and influencing their confidence in the complementary practice. Patients’ preferences for practitioner dress code were highly variable. Overall 65% preferred a white coat to casual dress. A multivariate analysis revealed that this preference was statistically significantly greater in two geographical regions and in patients over 70 years old. It was not influenced by gender or treatment modality. Further research is recommended in order to understand how the complex verbal and non-verbal communication implicit in the CAM setting may affect the therapeutic relationship. Surf to our Show Notes for a link to this study - http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7MFN-4MFTW0W-1&_user=10&_coverDate=05%2F31%2F2007&_rdoc=5&_fmt=summary&_orig=browse&_srch=doc-info(%23toc%2323263%232007%23999869997%23647758%23FLA%23display%23Volume)&_cdi=23263&_sort=d&_docanchor=&_ct=9&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=b37760e1df60b43738501efbcdd58ff1
Comorbidity of
Low Back Pain Unlike other biopsychosocial risk factors, the role of comorbidity in low back pain is largely unknown. Comorbidity refers to –“Coexistence with another disease or condition”. A study in the May 2007 issue of the European Journal of Pain, purposed a study to look at the following: 1. to generate prevalence data on back pain in the total adult population and 2. to identify the most common physical comorbidities in subjects with back pain. 3. This paper also (3) analyses the gender-specific and age-specific comorbidity structure. The present study investigating 31 physical diseases is the most extensive analysis to date on the topic of back pain and comorbidity. This is an attempt to cast light on the tangled relationships involved in developing and coping with back pain. In view of the large percentage of unspecific back pain, we believe it is important for physicians treating back pain to extend their history and diagnostic analysis skills to embrace comorbidities related to the back pain. Surf to our Show Notes for a link to this study - http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WF3-4K7FB26-1&_user=10&_coverDate=05%2F31%2F2007&_rdoc=4&_fmt=summary&_orig=browse&_srch=doc-info(%23toc%236783%232007%23999889995%23646001%23FLA%23display%23Volume)&_cdi=6783&_sort=d&_docanchor=&view=c&_ct=15&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=831cd786ab72e53f95fbe740b352d4d9 Thoracic
Kyphosis Affects Spinal Loads A study in the May 2007 issue of the journal Physical Therapy analyzed the effects of the thoracic curvature on the spine. Patients with increased thoracic curvature often come to physical therapists for management of spinal pain and disorders. Although treatment approaches are aimed at normalizing or minimizing progression of Kyphosis, the biomechanical rationales remain unsubstantiated. The study looked at forty-four subjects who were dichotomized into high kyphosis and low kyphosis groups. The study found that high kyphosis group demonstrated significantly greater normalized flexion moments and net compression and shear forces. Trunk muscle forces also were significantly greater in the high kyphosis group. A strong relationship existed between thoracic curvature and net segmental loads (r =.85–.93) and between thoracic curvature and muscle forces. The study concluded that the study provided biomechanical evidence that increases in thoracic kyphosis are associated with significantly higher multisegmental spinal loads and trunk muscle forces in upright stance. These factors are likely to accelerate degenerative processes in spinal motion segments and contribute to the development of dysfunction and pain. Surf to our Show Notes for a link to this study - http://www.ptjournal.org/cgi/content/abstract/87/5/595 Smoking
Tied to Development of Head and Neck Cancer According to a study published in the May 16, 2007 issue of the Journal of the National Cancer Institute, at least 75% of head and neck cancers are attributable to a combination of cigarette smoking and alcohol drinking. This study’s goal was to develop a precise understanding of the independent association of each of these factors in the absence of the other with the risk of head and neck cancer is needed to elucidate mechanisms of head and neck carcinogenesis and to assess the efficacy of interventions aimed at controlling either risk factor. The results of the study found that among never drinkers, cigarette smoking was associated with an increased risk of head and neck cancer, and there were clear dose–response relationships for the frequency, duration, and number of pack-years of cigarette smoking. Among never users of tobacco, alcohol consumption was associated with an increased risk of head and neck cancer only when alcohol was consumed at high frequency. The authors stated that results of this study represent the most precise estimates available of the independent association of each of the two main risk factors of head and neck cancer, and they exemplify the strengths of large-scale consortia in cancer epidemiology. The implications of this study found that approximately one quarter of the head and neck cancers among the never drinkers were attributable to ever cigarette smoking, assuming a causal relationship. Only 7% of the head and neck cancers were attributable to alcohol drinking among the never users of tobacco, assuming a causal relationship. The study also listed some of the study’s limitations, including misclassification of alcohol exposure, particularly exposure to hard liquors, and recall bias could have influenced the observed associations. Regional differences in social acceptance of tobacco habits and alcohol consumption may have influenced how a subject responded to questions about these practices in a face-to-face interview. Surf to our Show Notes for a link to this study - http://jnci.oxfordjournals.org/cgi/content/abstract/99/10/777 ACA
Responds to Proposed FDA Guidance The American Chiropractic Association (ACA) has submitted comments on behalf of association members addressing the Food and Drug Administration’s (FDA) draft guidance on complementary and alternative medicine (CAM) products. In comments issued on April 30, ACA officials stated, “If the guidance document were intended, in any way, shape or form, to constitute an expansion of FDA authority beyond long-standing and conventional interpretation of current law to further regulate CAM therapies or products utilized in CAM, such as nutritional supplements, then the ACA would have grave concerns about the proposed guidance document and its potential impact and would oppose any such regulatory activity the ACA believed to be unwarranted or harmful.” Further, the ACA stated in its comments, “The ACA would oppose any such effort to restrict CAM activities in such a manner and believes that any attempt to do so would clearly fall outside the scope and authority of existing law ... We respectfully request, that the FDA take action to further clarify that it is not the intent or purpose of the guidance document or the FDA to restrict CAM therapies and products in this manner.” Surf to www.ACAToday.org for more information. Health Corner – In this edition of HealthBeat’s Health Corner, we present a discussion from the PBS NewsHour with Jim Leher. Many medical mistakes occur because doctors make snap judgments about their patients' diagnoses. Physician and author Jerome Groopman discuss this from his new book, "How Doctors Think." Surf to our Show Notes for a link to this article and video – http://www.pbs.org/newshour/health/ 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. Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link. You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters. If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com We also would appreciate your votes both at Podcastalley.com and at podcasts.yahoo.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links. If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly. Finally,
I leave you with the following quote: "Each
generation imagines itself to be more intelligent than the one that went before
it, and wiser than the one that comes after it." |
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