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 Be Looking At –
- Stress and Inflammation – the Transition between Acute and Chronic Stress Effects
- And Finally, a Story about the Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic LBP
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #670 recorded April 19, 2019
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Stress and Inflammation – the Transition between Acute and Chronic Stress Effects
Stress responses help us navigate our environment and respond appropriately to threats. Stress systems communicate threats to the entire organism, and as such, also stimulate inflammatory mechanisms.
This modulation might serve protective functions in the short term, but sustained low-grade inflammation has severe long-term health consequences.
While we have reached a reasonable level of understanding of acute, as well as chronic stress effects on inflammatory mechanisms, there is a significant gap in our understanding of the transitional phase between acute and chronic stress.
The purpose of this review, published in the journal Psychoneuroendocrinology, is to first summarize current knowledge of our understanding of acute stress effects on inflammation, as well as of chronic stress effects on inflammation, and to then analyze the state of knowledge about the transitional phase between acute and chronic stress.
Research discussed here shows that we are beginning to understand the early phase of repeated acute stress, but lack information on longer term exposure to repeated acute stress experiences. More research is needed to bridge this important gap and our conceptualization and understanding of the stress and health relationship.
Surf to our Show Notes for Links – https://www.sciencedirect.com/science/article/pii/S0306453018306954
Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic LBP
Recent systematic reviews show promising effects for multidisciplinary biopsychosocial (BPS) interventions in patients with chronic low back pain (CLBP). Nowadays, biopsychosocial interventions have also been developed for primary care physiotherapy settings.
The aim of a recent study published in the journal Pain Practice, was to systematically review the evidence on the effectiveness of primary care biopsychosocial interventions in improving functional disability, pain, and work status for patients with CLBP.
Secondly, the authors aimed to provide an elaborated overview of BPS intervention designs, physiotherapist training programs, and process-related factors (practical implementation).
The study concluded that biopsychosocial interventions seem more effective than education/advice and were found to be as effective as physical activity interventions in patients with CLBP.
BPS interventions with a clear focus on psychosocial factors (understanding pain, unhelpful thoughts, coping styles, and goal setting) seem most promising.
Sufficient delivery of biopsychosocial elements is expected when physiotherapists participate in training programs with extensive support prior and during delivery (manual, supervision, and informative resources).
Surf to our Show Notes for Links – https://onlinelibrary.wiley.com/doi/epdf/10.1111/papr.12735
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― Louise Hay
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.