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 –
- Updated Vertigo Guidelines
- And Finally, a Story about Injuries and Workload
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #585 recorded March 10, 2017.
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 ….
Updated Vertigo Guidelines
Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV.
New recommendations provide guidance to healthcare providers to aid in diagnostic planning and increase implementation of therapeutic positioning maneuvers for patients with benign paroxysmal positional vertigo (BPPV).
The American Academy of Otolaryngology–Head and Neck Surgery Foundation present the recommendations online March 1 in the journal Otolaryngology–Head and Neck Surgery.
The updated guidelines include an emphasis on patient education and shared decision making, expanded recommendations on radiographic and vestibular testing, and new recommendations on restrictions after canalith repositioning procedures.
The authors note that the goal of the new guidelines, on the basis of evidence from recent clinical trials and systematic reviews, is to optimize patient care by improving health-related quality-of-life measures, facilitating a more efficient return to daily activities and work and lessening the economic impact of undiagnosed or improperly treated BPPV.
According to the study, an updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.
Surf to our Show Notes for Links – http://journals.sagepub.com/doi/pdf/10.1177/0194599816689660
Injuries and Workload
Injury aetiology models that have evolved over the previous two decades highlight a number of factors which contribute to the causal mechanisms for athletic injuries.
These models highlight the pathway to injury, including
- internal risk factors (eg, age, neuromuscular control) which predispose athletes to injury,
- exposure to external risk factors (eg, playing surface, equipment), and finally
- an inciting event, wherein biomechanical breakdown and injury occurs.
The most recent aetiological model proposed in 2007 was the first to detail the dynamic nature of injury risk, whereby participation may or may not result in injury, and participation itself alters injury risk through adaptation.
However, although training and competition workloads are strongly associated with injury, existing aetiology models neither include them nor provide an explanation for how workloads alter injury risk.
Therefore, the authors of a recent study propose an updated injury aetiology model which includes the effects of workloads.
Within this model, internal risk factors are differentiated into modifiable and non-modifiable factors, and workloads contribute to injury in three ways:
- exposure to external risk factors and potential inciting events,
- fatigue, or negative physiological effects, and
- fitness, or positive physiological adaptations.
Exposure is determined solely by total load, while positive and negative adaptations are controlled both by total workloads, as well as changes in load (e.g., the acute / chronic workload ratio).
Finally, the authors describe how this model explains the load—injury relationships for total workloads, acute / chronic workload ratios and the training load—injury paradox.
Surf to our Show Notes for Links – http://bjsm.bmj.com/content/early/2016/09/01/bjsports-2016-096040
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– C.S. Lewis
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.