News & Information
5 Things To Know About Sleep Disorders
Written by Editor   
Wednesday, April 30, 2014 12:40 PM

Chronic, long-term sleep disorders affect millions of Americans each year. These disorders and the sleep deprivation they cause can interfere with work, driving, social activities, and overall quality of life, and can have serious health implications. Sleep disorders account for an estimated $16 billion in medical costs each year, plus indirect costs due to missed days of work, decreased productivity, and other factors.

People who have trouble sleeping often try various dietary supplements, relaxation therapies, or other complementary health approaches in an effort to fall asleep faster, stay asleep longer, and improve the overall quality of their sleep. Here are 5 things to know about what the science says about sleep disorders and complementary health approaches.

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Counseling: Brief Is Better
Written by Editor   
Wednesday, April 30, 2014 12:31 PM

When counseling patients on how to prevent kidney stones, it may be best to keep it brief, researchers reported.  In small sample of patients who'd had a kidney stone, only a quarter of patients remembered all the instructions they were given by a registered dietitian if they received three or more of them.  But half of those who were only given one or two instructions had perfect recall.

"If you're telling someone three dietary measures to change, or more, you're probably not getting through to them. Creating a hierarchy and giving one or two recommendations at this sitting, and one or two at the next, versus giving them five things and not giving [those] a priority, can really be to your detriment as well as the patients."

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Internal Forces Sustained by the Vertebral Artery During Spinal Manipulative Therapy.
Written by Editor   
Wednesday, April 30, 2014 12:23 PM

Spinal manipulative therapy (SMT) has been established as a clinically effective modality for the management of several musculoskeletal disorders. One major issue with the use of SMT is its safety, especially with respect to neck manipulation and the risk of stroke in the vertebrobasilar system.  The authors of this study conclude that SMT resulted in strains to the VA that were almost an order of magnitude lower than the strains required to mechanically disrupt it. We conclude that under normal circumstances, a single typical (high-velocity/low-amplitude) SMT thrust is very unlikely to mechanically disrupt the VA.

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Symptomatic Reactions, Clinical Outcomes and Patient Satisfaction
Written by Editor   
Wednesday, April 30, 2014 12:15 PM

Observational studies have previously shown that adverse events following manipulation to the neck and/or back are relatively common, although these reactions tend to be mild in intensity and self-limiting. Upper cervical chiropractic care may have a fairly common occurrence of mild intensity SRs short in duration (<24 hours), and rarely severe in intensity; however, outcome assessments were significantly improved with less than 3 weeks of care with a high level of patient satisfaction. However, no prospective study has examined the incidence of adverse reactions following spinal adjustments using upper cervical techniques, and the impact of this care on clinical outcomes. 

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Assessing the Risk of Stroke from Neck Manipulation: A Systematic Review.
Written by Editor   
Wednesday, April 30, 2014 11:55 AM

Strokes, typically involving vertebral artery dissection, can follow cervical spinal manipulative therapy, and these types of stroke occur rarely. There is disagreement about whether a strong association between neck manipulation and stroke exists, but conclusive evidence is lacking for a strong association between neck manipulation and stroke.

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