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 –
- Spinal Manipulation and Blood Flow
- And Finally, a Story about the Risk of Stroke After Spinal Manipulation
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #495 recorded January 30, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Spinal Manipulation and Blood Flow
Spinal manipulative treatment is widely used among manual therapists, although knowledge regarding the absolute physiological effects has not been clearly established.
In this study, published in the journal JMPT, 20 healthy male subjects underwent a unilateral high-velocity low-amplitude thrust (HVLAT) to the lumbosacral junction, while the cutaneous blood flow in the corresponding dermatome of the lower limb was monitored.
The results from this study support previous published hypotheses that spinal adjustments outside the region of the sympathetic outflow result in an increase in cutaneous blood flow.
Further studies will be needed to confirm the outcome of this study, and more knowledge is needed regarding the specific neurophysiological effects of spinal manipulation.
Surf to our Show Notes for Links – http://www.jmptonline.org/article/S0161-4754(02)54110-5/abstract
Risk of Stroke After Spinal Manipulation
The purpose of a recent JMPT study was to quantify risk of stroke after chiropractic spinal manipulation, as compared to evaluation by a primary care physician, for Medicare beneficiaries aged 66 to 99 years with neck pain.
This study was a retrospective cohort analysis of a 100% sample of annualized Medicare claims data on 1 157 475 beneficiaries aged 66 to 99 years with an office visit to either a chiropractor or primary care physician for neck pain. The authors of the study compared hazard of vertebrobasilar stroke and any stroke at 7 and 30 days after office visit using a Cox proportional hazards model.
The study concluded that among Medicare B beneficiaries aged 66 to 99 years with neck pain, incidence of vertebrobasilar stroke was extremely low. Small differences in risk between patients who saw a chiropractor and those who saw a primary care physician are probably not clinically significant.
Surf to our Show Notes for Links – http://www.jmptonline.org/article/S0161-4754%2814%2900267-X/fulltext
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– Khalil Gibran
For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.