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 –
- Multidisciplinary biopsychosocial rehabilitation for subacute low back pain,
- And Finally, a Story about Physical Exercise, Epigenetics and Cognition
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #600 recorded July 28, 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 ….
Multidisciplinary biopsychosocial rehabilitation for subacute low back pain
Low back pain (LBP) is associated with enormous personal and societal burdens, especially when it reaches the chronic stage of the disorder (pain for a duration of more than three months).
Indeed, individuals who reach the chronic stage tend to show a more persistent course, and they account for the majority of social and economic costs.
As a result, there is increasing emphasis on the importance of intervening at the early stages of LBP. According to the biopsychosocial model, LBP is a condition best understood with reference to an interaction of physical, psychological, and social influences.
This has led to the development of multidisciplinary biopsychosocial rehabilitation (MBR) programs that target factors from the different domains, administered by healthcare professionals from different backgrounds.
This review is an update of a Cochrane Review on multidisciplinary biopsychosocial rehabilitation for subacute LBP, which was published in 2003.
The objective of this review was to examine the effectiveness of multidisciplinary biopsychosocial rehabilitation for subacute LBP (pain for a duration of six to 12 weeks) among adults, with a focus on pain, back-specific disability, and work status.
The review concluded that on average, people with subacute LBP who receive MBR will do better than if they receive usual care, but it is not clear whether they do better than people who receive some other type of treatment.
However, the available research provides mainly low to very low-quality evidence, thus additional high-quality trials are needed before we can describe the value of MBR for clinical practice.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/28656659
Physical Exercise, Epigenetics and Cognition
A recent review article, published in the journal Neuroscience & Biobehavioral Reviews, looked at the connection between Exercise and Cognition.
A large amount of evidence has demonstrated the power of exercise to support cognitive function, the effects of which can last for considerable time.
An emerging line of scientific evidence indicates that the effects of exercise are longer lasting than previously thought up to the point to affect future generations.
The action of exercise on epigenetic regulation of gene expression seem central to building an “epigenetic memory” to influence long-term brain function and behavior.
In this review article, we discuss new developments in the epigenetic field connecting exercise with changes in cognitive function, including DNA methylation, histone modifications and microRNAs (miRNAs).
Highlights from the review article include:
- Exercise regulates DNA methylation and histone acetylation in the hippocampus
- Exercise enhances bdnf expression by engaging epigenetic mechanisms
- Exercise modulates the expression of memory-related miRNAs
- The beneficial effects of exercise are epigenetically inherited
The understanding of how exercise promotes long-term cognitive effects is crucial for directing the power of exercise to reduce the burden of neurological and psychiatric disorders.
Surf to our Show Notes for Links – http://www.sciencedirect.com/science/article/pii/S0149763417301495
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– Johann Wolfgang Von Goethe
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.