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 –
- Conservative Treatment of Shoulder Instability
- And Finally, a Story About Dose-response and efficacy of spinal manipulation for care of chronic low back pain
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #468 recorded July 18, 2014.
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 ….
Conservative Treatment of Shoulder Instability
In a prospective, observational study, Dickens and colleagues examined the return to sport of 53 contact intercollegiate athletes at the U.S. Military Academy, U.S. Air Force Academy and U.S Naval Academy after an in-season anterior glenohumeral instability event based on whether the initial injury was a subluxation or dislocation.
Eight patients were excluded due to primary posterior events, leaving 45 anterior shoulder instability events for the study. The researchers evaluated the injury factors and patient-reported outcome scores administered at the time of injury to assess the predictability of return to sport and time to return to sport during the competitive season after the injury.
Average patient age was 20.7 years, and football accounted for two-thirds of the injuries and instability events.
Researchers found that 73% of the athletes returned to sport for either all or part of the season. Of the 27% of athletes who failed to return to any portion of the season, 59% were due to insufficient shoulder function and 33% were due to injuries at the end of the season.
Dickens said dislocation represented 58% of instability events, and the median return to sport for athletes after dislocation was 7 days compared to 3 days for athletes with subluxation.
For athletes with dislocation, 19% completed the season without subsequent instability event compared to 47% of athletes in the subluxation group. Dickens said athletes with a subluxation were 5.3 times more likely to return to sport after the initial in-season shoulder instability event compared to athletes with dislocations.
Of the 33 athletes who returned to in-season sport after an instability event, 63% had recurrent instability, with a mean of 2.5 instability events per athlete per season. Researchers found no difference in recurrence rates between athletes who had subluxation and dislocations.
Surf to our Show Notes for Links – http://www.healio.com/orthopedics/sports-medicine/news/online/%7Bcaece92e-51a1-4593-b9b5-63cf573097e3%7D/contact-athletes-can-return-to-in-season-sport-after-conservative-treatment-of-anterior-shoulder-instability
Dose-response and efficacy of spinal manipulation for care of chronic low back pain
There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation.
The Spine Journal recently published a study whose purpose was to identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine the efficacy of manipulation by comparison with a light massage control.
The primary cLBP outcomes were the 100-point modified Von Korff pain intensity and functional disability scales evaluated at the 12- and 24-week primary end points.
Secondary outcomes included days with pain and functional disability, pain unpleasantness, global perceived improvement, medication use, and general health status.
The study concluded that the number of spinal manipulation visits had modest effects on cLBP outcomes above those of 18 hands-on visits to a chiropractor. Overall, 12 visits yielded the most favorable results but was not well distinguished from other dose levels.
Surf to our Show Notes for Links -http://www.thespinejournalonline.com/article/S1529-9430%2813%2901390-9/pdf
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.