ShowNotes for April 20, 2012

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

  • Efficacy of Systematic Active Conservative Treatment for Patients With Severe Sciatica
  • Serum Antioxidant Vitamin Levels in Patients with Coronary Heart Disease
  • And Finally a Story about Efficacy of Exercise-based Cardiac Rehabilitation Post–myocardial Infarction

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #354, recorded April 20, 2012.

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 ….

 

  

Efficacy of Systematic Active Conservative Treatment for Patients With Severe Sciatica

A study in the April 1st issue of the journal Spine was posted to evaluate the efficacy of active conservative treatment and to compare 2 active conservative treatment programs for patients with severe sciatica.

Reviews have demonstrated little or no efficacy for passive conservative treatment modalities in patients suffering from sciatica. The results for surgery are conflicting. Cohort studies have shown excellent results for active treatment modalities in patients with sciatica.

One hundred eighty-one consecutive patients with radicular pain below the knee were examined at the baseline, at 8 weeks, and at 1 year after the treatment. Participants were randomized into 2 groups: (1) symptom-guided exercises + information + advice to stay active and (2) sham exercises + information + advice to stay active.

Symptom-guided exercises consisted of a variety of back-related exercises given in accordance with a written algorithm in which symptoms or response to exercises determined the exercises given.

The study concluded that active conservative treatment was effective for patients who had symptoms and clinical findings that would normally qualify them for surgery. Although participating patients had greater faith in the sham exercises before treatment, the symptom-guided exercises were superior for most outcomes.

Surf to our Show Notes for links – http://journals.lww.com/spinejournal/Fulltext/2012/04010/The_Efficacy_of_Systematic_Active_Conservative.2.aspx

http://www.sygehuslillebaelt.dk/wm345075

 

 

 

Serum Antioxidant Vitamin Levels in Patients with Coronary Heart Disease

The aim of a study in the April 2011 issue of the International Journal for Vitamin and Nutrition Research was to investigate anthropometric measurements, body composition, and serum antioxidant vitamin levels in men with coronary heart disease (CHD).

Thirty-five men with CHD and 31 men without coronary heart disease, aged 40 – 65 years, were included this study. Dietary records and anthropometric measurements of each participant were recorded by researchers and serum antioxidant vitamin levels and lipid profiles were analyzed.

When the antioxidant vitamin intake of participants was investigated, vitamin E intake in men without CHD was found to be less than in men with coronary heart disease.

However, serum vitamin A, vitamin E, and vitamin C levels in men with CHD were found to be lower than in men without coronary heart disease.

Based on the results of this study, we propose that high FM, low HDL-C, and low serum antioxidant vitamin levels could be important risk factors for CHD.

As always, discuss all Nutritional Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://www.verlag-hanshuber.com/zeitschriften/journal.php?abbrev=VIT&show=abstract&abstract=33481

 

 

 

Efficacy of Exercise-based Cardiac Rehabilitation Post–myocardial Infarction

A study published on Medscape.com looked at how Exercise-based cardiac rehabilitation (CR) remains an underused tool for secondary prevention post–myocardial infarction (MI). In part, this arises from uncertainty regarding the efficacy of cardiac rehabilitation, particularly with respect to reinfarction, where previous studies have failed to show consistent benefit.

The authors therefore undertook a meta-analysis of randomized controlled trials (RCTs) to (1) estimate the effect of cardiac rehabilitation on cardiovascular outcomes and (2) examine the effect of cardiac rehabilitation program characteristics on the magnitude of cardiac rehabilitation benefits.

The study concluded that Exercise-based CR is associated with reductions in mortality and reinfarction post-MI. Our secondary analyses suggest that even shorter CR programs may translate into improved long-term outcomes, although these results need to be confirmed in an RCT.

Remember to discuss all Exercise recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://www.medscape.com/viewarticle/751986

 

 

 

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As always, please surf to our Podcast Show Notes at ChiropracticRadio.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:

 “Humor is an affirmation of dignity, a declaration of man’s superiority to all that befalls him.”
– Romain Gary

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

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