Show Notes for February 6, 2015

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 –

  • Chiropractic Research and Informed Consent
  • And Finally, a Story about Understanding Fear of Movement

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #496 recorded February 6, 2015.

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 ….

Chiropractic Research and Informed Consent

Informed consent documents (ICD) in research are designed to educate research participants about the nature of the research project in which he or she may participate. United States (US) law requires the documents to contain specific elements present and be written in a way that is understandable to research participants.

The purpose of research recently published in the journal Chiropractic and Manual Therapies, was to determine if ICDs from randomized controlled trials conducted at chiropractic colleges meet recommended readability standards and contain the 13 content items required by US law.

This study was approved by Palmer College of Chiropractic’s Institutional Review Board#2012-12-3-T and was conducted between December 3, 2012 and February 14, 2013.

The study concluded that these results strongly suggest that chiropractic clinical researchers are not developing ICDs at a readability level congruent with the national average acceptable level.

The low number of elements in some of the informed consent documents raises concern that not all research participants were fully informed when given the informed consent, and it may suggest that some documents may not be in compliance with federal requirements. Risk varies among institutions and even within institutions for the same intervention.

Surf to our Show Notes for the full article – http://www.chiromt.com/content/pdf/s12998-014-0040-9.pdf

http://www.nhrmc.org/what-is-an-irb

Understanding Fear of Movement

Fear of movement (i.e., kinesiophobia) has emerged as a significant predictor of pain-related outcomes including disability and psychologic distress across various types of pain (eg, back pain, headache, fibromyalgia, complex regional pain syndrome).

However, no research has examined the prevalence of kinesiophobia in adults with sickle cell disease (SCD).

The purpose of a study published in the Clinical Journal of Pain, was to assess the degree of kinesiophobia reported by African American men and women with sickle cell disease and to determine whether kinesiophobia is related to pain and psychologic distress in this population.

Sixty-seven men and women with sickle cell disease recruited from a comprehensive sickle cell treatment program in a large academic medical center completed questionnaires that assess fear of movement, pain and pain interference, and psychologic distress.

The study concluded that although and historically, pain associated with sickle cell disease has not been considered in the context of fear of movement, findings suggest that both kinesiophobia and sex are relevant constructs for consideration in understanding pain-related outcomes in sickle cell disease.

Though the results require replication, this study suggests that greater kinesiophobia is associated with greater pain and psychologic distress.

Surf to our Show Notes for Links – http://journals.lww.com/clinicalpain/pages/articleviewer.aspx?year=2007&issue=10000&article=00010&type=abstract

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Finally, I leave you with the following quote:

A good head and a good heart are always a formidable combination.”
– Nelson Mandela

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

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