Show Notes for February 8, 2013

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 –

  • Health and Human Services Announces First HIPAA Breach Settlement Involving Less than 500 Patients
  • Spinal Manipulation and Nociception
  • And Finally a Story about Muscle Activity and Inactivity Periods during Normal Daily Life

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #396, recorded February 8, 2013.

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 ….



HHS Announces First HIPAA Breach Settlement Involving Less than 500 Patients

On January 2, 2013 the Department of Health and Human Services (HHS) announced their first HIPAA breach settlement where there were less than 500 patients involved.

This announcement should be a warning to small providers that no one is exempt from HIPAA requirements. Some small practices mistakenly believe that HHS is only concerned with the “big guys” with deep pockets. This simply is not true and this announcement is confirmation.

In this particular case, the Hospice of North Idaho (HONI) reported an unencrypted, stolen laptop which contained electronic protected health information (ePHI) of 441 patients.

Lost laptops and other mobile devices (i.e. tablets and smartphones) are one of the most common causes for HIPAA breaches. For this reason, further educational information is being made available to all health care providers by OCR and the HHS Office of the National Coordinator for Health Information Technology (ONC).

You do not need to be a computer whiz to safeguard information, but you do need to take the appropriate safeguards required by HIPAA. You must have a documented risk analysis and documented policies and procedures specifically addressing mobile devices. Employees must be trained regarding these risks and that training must also be documented.

Surf to our Show Notes for this ChiroCode story –



Spinal Manipulation and Nociception

There is evidence that spinal manipulation (SM) has therapeutic benefit in the treatment of back pain. However, there is still poor understanding of the physiological mechanism by which it achieves its therapeutic benefit.

In order to explore the mechanism of SM, a study published in Orthopedic Proceedings explored it’s immediate anti-nociceptive effect, by measuring the pressure pain threshold (PPT) in spinal muscles pre and post SM, in subjects with low back pain.

A group of low back pain patients were randomized into two groups, one received a SM to a dysfunctional segment in the lumbar spine. The second group received a sham procedure, where the patient was placed in a similar ‘wind up’ position, but the thrust applied non-specifically through the low back.

The study concluded that Spinal manipulation produced a statistically significant change in pressure pain threshold with a small to medium effect size.

No changes were observed in the sham and thus the active component of SM appears to be related to the specific manipulative thrust technique rather than to the general handling and positioning of the patient.

Surf to our Show Notes for Links –



Muscle Activity and Inactivity Periods during Normal Daily Life

Recent findings suggest that not only the lack of physical activity, but also prolonged times of sedentary behaviour where major locomotor muscles are inactive, significantly increase the risk of chronic diseases.

The purpose of a recent study was to provide details of quadriceps and hamstring muscle inactivity and activity during normal daily life of ordinary people.

Eighty-four volunteers were measured during normal daily life using shorts measuring muscle electromyographic (EMG) activity. EMG was normalized to isometric MVC (EMG(MVC)) during knee flexion and extension, and inactivity threshold of each muscle group was defined as 90% of EMG activity during standing (2.5±1.7% of EMG(MVC)).

The study concluded that during normal daily life the locomotor muscles are inactive about 7.5 hours, and only a small fraction of muscle’s maximal voluntary activation capacity is used averaging only 4% of the maximal recruitment of the thigh muscles.

Some daily non-exercise activities such as stair climbing produce much higher muscle activity levels than brisk walking, and replacing sitting by standing can considerably increase cumulative daily muscle activity.

Surf to our Show Notes for the full article –


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Finally, I leave you with the following quote:

Humanity either makes or breeds or tolerates all its afflictions.” – William Arthur Ward

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


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