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 –
- American Chiropractic Association Adopts Low Back Pain Treatment Guidelines
- And Finally, a Story about Feeling Stiff in the Back
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #607 recorded September 29, 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 ….
American Chiropractic Association Adopts Low Back Pain Treatment Guidelines
The American Chiropractic Association (ACA), during its annual House of Delegates meeting March 17, approved a resolution to adopt clinical practice guidelines for the treatment of low back pain from the American College of Physicians (ACP) and the Council on Chiropractic Guidelines and Practice Parameters (CCGPP).
The association seeks to direct its members, payers and policy makers toward shared interpretations of current evidence-based best practices.
The ACP guideline, “Noninvasive Treatments for Acute, Subacute and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians,” was published Feb. 14 in the Annals of Internal Medicine.
The guideline recommends first using non-invasive, non-drug treatments before turning to drug therapies for both acute and chronic low back pain, and further advises that opioids be used only as a last resort.
In conjunction with the ACP guideline, ACA encourages the use of “Clinical Practice Guideline: Chiropractic Care for Low Back Pain,” which are chiropractic-specific guidelines from CCGPP that offer guidance in the management or co-management of low-back pain patients within a chiropractic office.
According to a 2016 Gallup survey, more than 35 million people visit a chiropractor annually.
Surf to our Show Notes for the full Press Release – http://www.acatoday.org/News-Publications-News-News-Releases-ACA-Adopts-Low-Back-Pain-Treatment-Guidelines
Feeling Stiff in the Back
Research from a study published in the Nature.com Scientific Reports, interrogates the long-held question of what informs our subjective experiences of bodily state.
The authors of this study propose a new hypothesis: feelings of back stiffness are a protective perceptual construct, rather than reflecting biomechanical properties of the back.
This has far-reaching implications for treatment of pain/stiffness but also for our understanding of bodily feelings.
Over three experiments, the authors challenge the prevailing view by showing that feeling stiff does not relate to objective spinal measures of stiffness and objective back stiffness does not differ between those who report feeling stiff and those who do not.
Rather, those who report feeling stiff exhibit self-protective responses: they significantly overestimate force applied to their spine, yet are better at detecting changes in this force than those who do not report feeling stiff.
This perceptual error can be manipulated: providing auditory input in synchrony to forces applied to the spine modulates prediction accuracy in both groups, without altering actual stiffness, demonstrating that feeling stiff is a multisensory perceptual inference consistent with protection.
Together, this presents a compelling argument against the prevailing view that feeling stiff is an isomorphic marker of the biomechanical characteristics of the back.
Surf to our Show Notes for the full Study – https://www.nature.com/articles/s41598-017-09429-1.epdf
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– Albert Einstein
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.