Show Notes for May 11, 2018

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 Exercise for Low Back Pain in Adolescents
  • And Finally, a Story about The Global Spine Care Initiative 

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #632 recorded May 11, 2018

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 ….

 

 

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Please surf to our community and keep up with current trends in the literature.

 

 

Spinal Manipulation and Exercise for Low Back Pain in Adolescents

Low back pain (LBP) is common in adolescence but there is a paucity of high quality research to inform care.

The authors of a recent study, published in the journal PAIN, conducted a multicenter randomized trial comparing 12 weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) to ET alone.

Participants were 185 adolescents aged 12-18 years with chronic LBP.

The study concluded that for adolescents with chronic LBP, spinal manipulation combined with exercise was more effective than exercise alone over a one-year period, with the largest differences occurring at six months.

These findings warrant replication and evaluation of cost-effectiveness.

Surf to our Show Notes for Links – https://journals.lww.com/pain/Abstract/publishahead/Spinal_Manipulation_and_Exercise_for_Low_Back_Pain.98997.aspx

 

 

The Global Spine Care Initiative

The purpose of a recent review, published in the European Spine Journal, was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain.

The authors synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. The recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries.

Results of the review found that clinicians should provide education and reassurance, advise patients to remain active, and provide information about self-care options.

Clinicians should not offer treatments that are not effective.

The review concluded that guidelines developed for high-income settings were adapted to inform a care pathway and model of care for medically underserved areas and low- and middle-income countries by considering factors such as costs and feasibility, in addition to benefits, harms, and the quality of underlying evidence.

The selection of recommended conservative treatments must be finalized through discussion with the involved community and based on a biopsychosocial approach. Decision determinants for selecting recommended treatments include costs, availability of interventions, and cultural and patient preferences.

Surf to our Show Notes for Links – https://link.springer.com/article/10.1007%2Fs00586-017-5433-8

 

 

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Finally, I leave you with the following quote:

Entrepreneurial leadership requires the ability to move quickly when opportunity presents itself.”

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

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