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 –
- Treatments for Older Adults with Low Back Pain
- Low back pain-related beliefs and likely practice behaviours among health students
- And Finally a Story about Mechanisms of chronic pain from whiplash injury
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #397, recorded February 15, 2013.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Treatments for Older Adults with Low Back Pain
Low back pain is a prevalent and debilitating condition that affects the health and quality of life of older adults.
Older people often consult primary care physicians about back pain, with many also receiving concurrent care from complementary and alternative medicine providers, most commonly doctors of chiropractic.
However, a collaborative model of treatment coordination between these two provider groups has yet to be tested.
The primary aim of the Collaborative Care for Older Adults Clinical Trial is to develop and evaluate the clinical effectiveness and feasibility of a patient-centered, collaborative care model with family medicine physicians and doctors of chiropractic for the treatment of low back pain in older adults.
This pragmatic, pilot randomized controlled trial will enroll 120 participants, age 65 years or older with subacute or chronic low back pain lasting at least one month, from a community-based sample in the Quad-Cities, Iowa/Illinois, USA.
Eligible participants are allocated in a 1:1:1 ratio to receive 12 weeks of medical care, concurrent medical and chiropractic care, or collaborative medical and chiropractic care.
Treatment safety and adverse events also are monitored.
This pragmatic, pilot randomized controlled trial uses a mixed method approach to evaluate the clinical effectiveness, feasibility, and participant and provider perceptions of collaborative care between medical doctors and doctors of chiropractic in the treatment of older adults with low back pain.
Surf to our Show Notes for Links – http://www.trialsjournal.com/content/14/1/18
Low back pain-related beliefs and likely practice behaviours among health students
Evidence points to clinicians’ beliefs and practice behaviours related to low back pain (LBP), which are discordant with contemporary evidence.
While interventions to align beliefs and behaviours with evidence among clinicians have demonstrated effectiveness, a more sustainable and cost-effective approach to positively developing workforce capacity in this area may be to target the emerging workforce.
The aim of a recent study published in the European Journal of Pain, was to investigate beliefs and clinical recommendations for LBP, and their alignment to evidence, in Australian university allied health and medical students.
Physiotherapy and chiropractic students reported significantly more helpful beliefs compared with the other disciplines, while pharmacy students reported the least helpful beliefs. A greater proportion of chiropractic and physiotherapy students reported guideline-consistent recommendations compared with other disciplines.
The study concluded that aligning cross-discipline university curricula with current evidence may provide an opportunity to facilitate translation of this evidence into practice with a focus on a consistent, cross-discipline approach to LBP management.
Surf to our Show Notes for Links – http://onlinelibrary.wiley.com/doi/10.1002/j.1532-2149.2012.00246.x/abstract
Mechanisms of chronic pain from whiplash injury
A recent study published in the Journal of Forensic and Legal Medicine, provides insights into the mechanisms underlying chronic pain from whiplash injury.
Studies show that injury produces plasticity changes of different neuronal structures that are responsible for amplification of nociception and exaggerated pain responses.
There is consistent evidence for hypersensitivity of the central nervous system to sensory stimulation in chronic pain after whiplash injury. Tissue damage, detected or not by the available diagnostic methods, is probably the main determinant of central hypersensitivity.
Different mechanisms underlie and co-exist in the chronic whiplash condition. Spinal cord hyperexcitability in patients with chronic pain after whiplash injury can cause exaggerated pain following low intensity nociceptive or innocuous peripheral stimulation.
Spinal hypersensitivity may explain pain in the absence of detectable tissue damage.
Whiplash is a heterogeneous condition with some individuals showing features suggestive of neuropathic pain. A predominantly neuropathic pain component is related to a higher pain/disability level.
Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/23357391#
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.