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 –
- Adverse Effects to Manual Therapies in Infants
- And Finally, a Story about Immediate Changes After Manual Therapy in Treatment of LBP
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #489 recorded December 19, 2014.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Adverse Effects to Manual Therapies in Infants
The purpose of a recent JMPT study was to review the literature for cases of adverse events in infants and children treated by chiropractors or other manual therapists, identifying treatment type and if a preexisting pathology was present.
English language, peer-reviewed journals and non–peer-reviewed case reports discussing adverse events (ranging from minor to serious) were systematically searched from inception of the relevant searchable bibliographic databases through March 2014. Articles not referring to infants or children were excluded.
The study concluded that published cases of serious adverse events in infants and children receiving chiropractic, osteopathic, physiotherapy, or manual medical therapy are rare.
The 3 deaths that have been reported were associated with various manual therapists; however, no deaths associated with chiropractic care were found in the literature to date.
Because underlying preexisting pathology was associated in a majority of reported cases, performing a thorough history and examination to exclude anatomical or neurologic anomalies before applying any manual therapy may further reduce adverse events across all manual therapy professions.
As always, discuss all benefits/contraindications to any therapies, including manual manipulation, with your Doctor of Chiropractic.
Surf to our Show Notes for links – http://www.jmptonline.org/article/S0161-4754%2814%2900178-X/abstract
Immediate Changes After Manual Therapy in Treatment of LBP
The purposes of a recent JMPT study were to use functional magnetic resonance imaging to investigate the immediate changes in functional connectivity (FC) between brain regions that process and modulate the pain experience after 3 different types of manual therapies (MT) and to identify reductions in experimentally induced myalgia and changes in local and remote pressure pain sensitivity.
Twenty-four participants who completed an exercise-injury protocol to induce low back pain were randomized into 3 groups:
- chiropractic spinal manipulation
- spinal mobilization, or
- therapeutic touch.
The primary outcome was the immediate change in functional connectivity as measured on functional magnetic resonance imaging of various brain regions.
The study conclude that these results suggest that manual therapies (chiropractic spinal manipulation, spinal mobilization, and therapeutic touch) have an immediate effect on the functional connectivity between brain regions involved in processing and modulating the pain experience.
This suggests that neurophysiologic changes after manual therapies may be an underlying mechanism of pain relief.
Surf to our Show Notes for Links – http://www.jmptonline.org/article/S0161-4754%2814%2900171-7/abstract
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.