Clinical & Research
Chondroitin-Glucosamine Reduced Pain in Knee Arthritis in RCT
Saturday, March 14, 2015 02:56 PM

A new randomized controlled clinical trial has provided some support for the suggestion raised in the 2008 Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT) that glucosamine plus chondroitin sulfate might provide clinically significant pain relief for patients with moderate to severe knee osteoarthritis (OA) pain.

A combination glucosamine/chondroitin sulfate product produced a 50.1% decrease in Western Ontario and McMaster OA index (WOMAC) pain, which is comparable to the 50.2% decrease seen in patients randomly assigned to receive celecoxib.

Patients received either chondroitin sulfate 400 mg plus glucosamine hydrochloride 500 mg (CS+GH; Droglican, Bioibérica SA) three times a day or celecoxib 200 mg every day for 6 months.

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Heart Healthier Community Achieved With Grassroots Effort
Saturday, March 14, 2015 02:37 PM

A community-wide program spanning four decades designed to improve cardiovascular health among residents of a rural, low-income county in Maine accomplished its goal, reducing hospitalizations and deaths from heart attack and stroke, researchers reported.

The outreach to more than 150,000 residents of Franklin County, Maine, from 1970 through 2010 -- which promoted hypertension and cholesterol control, smoking cessation, healthy diet and exercise -- resulted in measurable improvements in community health over the 40-year period, with a 24.7% absolute increase in hypertension control, a 28.5% absolute increase in cholesterol control, and a smoking cessation rate that exceeded the state average.

The FCHP adapted a community-based clinic model that included nurses and trained community volunteers to provide services such as blood pressure monitoring and smoking cessation help at a variety of sites including town halls, church basements, schools, and work sites.  "Early encounters emphasized screening, but FCHP staff also encouraged return for monitoring, counseling, and periodic rescreening.”  Monitoring results were sent to the patient's physician, and people with uncontrolled medically-treatable cardiovascular risk factors were sent to their physician. Electronic tracking helped FCHP staff follow patients, inform physicians, and assess outcomes.

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Extra Antioxidants or Eating Well?
Saturday, March 14, 2015 02:35 PM

People who get a lot of antioxidants in their diets, or who take them in supplement form, don’t live any longer than those who just eat well overall, according to a long term study of retirees in California.  "Antioxidant supplements should not be used to replace a nutritionally adequate diet,” the report concludes. 

Antioxidants, including vitamins A, C and E, are plentiful in vegetables and fruits and may help protect against cell or DNA damage. “There is good scientific evidence that eating a diet with lots of vegetables and fruits is healthful and lowers risks of certain diseases,” said authors.  “However, it is unclear whether this is because of the antioxidants, something else in these foods, other foods in people's diet, or other lifestyle choices.”

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Group Walking Seems to Boost Overall Health
Saturday, March 14, 2015 02:25 PM

Participating in a walking group may dramatically improve overall health with little to no adverse effect, U.K. researchers reported.  A systemic review and meta-analysis of forty-two studies found participants of group walking showed significant reduction in mean differences for systolic blood pressure, resting heart rate, body fat, body mass index (BMI), and total cholesterol.

"Walking groups are effective and safe with good adherence and wide ranging health benefits," authors wrote.  "They could be a promising intervention as an adjunct to other healthcare, or as a proactive health-promoting activity."

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Holistic Nutrition Looks at Individuals
Saturday, March 14, 2015 02:21 PM

"Diet" has become a dirty word.It wasn’t always that way. A diet is, very simply, the way a person habitually eats.”  Dieting, on the other hand, is more often associated with restriction, deprivation, starvation, and other misguided techniques.

“Eating, and living, holistically could not be more different from dieting,” one article notes. “Holistic nutrition practices encourage eating high-quality, health-supporting foods that have undergone minimal processing and are as close to their natural state as possible. It’s an approach that takes into consideration our complexity, placing a large emphasis on the psychological and emotional aspects of making decisions about food and eating.”

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Human Trial Supports the Detoxification Action of Spanish Black Radish
Saturday, March 14, 2015 02:19 PM

Spanish Black Radish can induce the body’s detoxification enzymes as measured by subsequent metabolites and support the body’s normal toxin elimination function, according to a human trial published December 9, 2014.

Cruciferous vegetables, like Spanish black radish, contain unique bioactive compounds that increase the gene expression of phase one and two enzymes. These enzymes break down some chemicals so the body can safely remove them.

The paper, “An open label pilot study to evaluate the efficacy of Spanish black radish on the induction of phase I and phase II enzymes in healthy male subjects,” published in BMC Complementary and Alternative Medicine, followed 20 healthy, male subjects over the course of four weeks. At the beginning of the trial and after four weeks the subjects were given 1,000 milligrams of acetaminophen. The study compared the rate at which acetaminophen was processed before and after consumption of the supplement. The study used acetaminophen as a model compound because it is metabolized by the liver though detoxification pathways that are effected by phase one and two enzymes.

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Nutrition Helps Manage Stress, Some Tips
Saturday, March 14, 2015 02:15 PM

In the battle against stress, nutrition might be the best line of defense. A certain vitamin or mineral isn’t likely to make or break your stress levels, but good nutrition can boost your immune system, energy levels and mood.  Of course, it’s not the only factor involved, but it is one we can control.  Dietary recommendations for stress relief and prevention aren’t much different from general dietary recommendations.

The first step is to keep eating at regular intervals, which helps keep your blood sugar steady and fuel your body in its heightened fight-or-flight state.  Don’t skip meals, and don’t go too long without eating – eat every three to four hours or so.

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Tips for Improving Gut Health
Saturday, March 14, 2015 02:02 PM

The human gut contains trillions of bacteria. About 10 times the number of cells in the rest of your body reside in your gut in the form of bacteria, fungi and protozoa.  A healthy gut flora is essential for the synthesis of enzymes and vitamins, it supports our immune system so we can fight infections. and it regulates metabolism. Changes in the gut mircobiome are linked to an increase in autoimmune diseases, irritable bowel syndrome, diabetes and obesity.

Our lifestyle choices determine the makeup of our gut bacteria. A diet higher in fried foods, processed foods and sugar leads to more issues with inflammation, diabetes, obesity and infections.  Increased sugar consumption is a significant factor in gut health. The USDA estimates an average intake of more than 30 teaspoons of added sugar per person per day. To put that into perspective, one 12-ounce soda contains almost 9 teaspoons of sugar. The American Heart Association recommends no more than 6 teaspoons of added sugar per day for women and 9 for men.  Added sugars are not those found in whole fruits, starchy vegetables or milk. 

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Vegan Diet Benefits Obese Children
Saturday, March 14, 2015 01:59 PM

Obese children with high cholesterol who followed a strict vegan diet with little added fat in a small Cleveland Clinic study showed significant improvements in both weight and heart disease risk factors in only a month, according to research.

The kids eating the vegan diet also showed significant improvements in systolic blood pressure, body mass index, total cholesterol, total low density lipoprotein (LDL, long referred to as "bad cholesterol"), c-reactive protein (another marker of inflammation), and insulin levels compared to their baseline.

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Warmth + Sugar = Less Pain for Babies
Saturday, March 14, 2015 01:56 PM

Babies given radiant warmth plus a sucrose solution tolerated painful procedures better than babies only given sucrose, according to a small randomized, controlled trial.  Babies who were placed under an infant warmer and given a sucrose solution cried and grimaced for 50% less time after receiving the hepatitis B vaccination than babies who were given sucrose alone.

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WFC Publishes Reading List of Research Papers
Saturday, March 14, 2015 01:52 PM

The World Federation of Chiropractic (WFC) is pleased to announce the debut of an important, online, free service for the chiropractic profession and the public it serves – a Suggested Reading List of key research papers.

When you want an overview of research on a chiropractic topic, for yourself, for patients or to advocate for the profession, wouldn’t it be nice to have access to relevant papers collected in one location?

“That is the vision for this WFC project,” says WFC President Dr Greg Stewart of Canada. The initial version of the Suggested Reading List went live at www.wfcsuggestedreadinglist.com  with 10 key papers curated in each of 21 subject areas.  These subject areas include cost-effectiveness of care, biomechanical and neurophysiological mechanisms of action, safety, pediatrics, wellness and many others. Each listed paper includes the published abstract and link to the original publication when available. Importantly, the site is searchable and visitors can leave suggestions for new topics and papers.

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Can a Short Jog Lead to a Longer Life?
Saturday, March 14, 2015 01:49 PM

For a long life, a couple hours of jogging at a moderate pace spread over a week might just be the optimal dose, the Copenhagen City Heart Study showed.

The biggest premature mortality risk was seen with either no jogging or extreme bouts of jogging.

The lowest all-cause mortality risks were associated with:

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Could Wine Save Your Knees?
Saturday, March 14, 2015 01:44 PM

Regular wine drinkers are less likely to develop knee osteoarthritis (OA), but the risk of OA increases among those who drank beer, suggests British researchers.

Compared with individuals who never drank wine, the odds ratios for knee OA were 0.55 among those who drank four to six glasses per week and 0.48 for those who consumed seven or more, but for beer drinkers, the odds ratios for knee OA were 1.76 for those who drank eight to 19 half-pints per week and 1.93 for those drinking 20 or more half-pints.

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Eating Whole Grains May be Linked to Living Longer
Saturday, March 14, 2015 01:41 PM

People who eat more whole grains live longer and are less likely to die of heart disease, according to an analysis of two large studies.  Earlier studies had linked whole grains to a decreased risk of type 2 diabetes and heart disease, the researchers say.

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In RA It's More Than Joints
Saturday, March 14, 2015 01:38 PM

Potentially reversible variables, such as psychosocial factors, joint symptoms, and body composition had more impact on the walking speed of rheumatoid arthritis (RA) patients than articular characteristics, according to researchers.  "The assumption that articular features are the largest contributor to mobility limitation in RA may be unfounded, as other characteristics such as generalized pain, depression, and fatigue are also potential contributors," the authors wrote.

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Standup Desks Coax Office Workers Back on their Feet
Saturday, March 14, 2015 01:36 PM

Some 50 to 70 percent of people spend six or more hours each day sitting, according to a 2012 study from the National Health and Nutrition Examination Surveys.  "Researchers have said that sitting is the new smoking,” as prolonged sitting is associated with an increased risk of diabetes, cardiovascular disease and obesity and early mortality. Studies show that even people who are active are not immune to health concerns resulting from hours of sitting.

The American Council on Exercise (ACE) has offered its workers the option of standing workstations for more than two years.  "Many people report feeling more energetic. It certainly helps with mental processing," said Dr. Cedric X. Bryant, chief science officer at ACE.  Bryant, who works on a treadmill desk, which is attached to a treadmill, said standing helps him stay alert and focused. He believes the desks are a reasonable expense.

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Time Preparing Meals Linked to Healthier Diet
Saturday, March 14, 2015 01:35 PM

Time may be one of the most essential ingredients for a healthy diet, finds new research in the American Journal of Preventative Medicine.  Spending more time at home preparing meals is associated with several indicators of a better diet, such as eating more fruits and vegetables. Conversely, spending less than an hour a day preparing food at home is associated with eating more fast food and spending more money eating out.

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Spenco Introduces New Fashion-forward Footwear Styles for Spring
Saturday, March 14, 2015 11:56 AM

Spenco, a company known primarily for its advanced insoles, will introduce an expanded line of trendsetting, supportive footwear in the spring of 2015.

New in ’15, Spenco’s spring line of shoes and sandals will offer an unprecedented variety of styles, particularly for women. The “Crackle” and “Nightlight” athletic slides capture the bright, rich color trend popular in footwear. Other sandal styles offer metallic embellishments, reptilian textures, Roman-inspired straps, or feminine, floral patterns. Also, for the first time, two new wedge silhouettes will have a slight heel lift, supporting a dressier look.

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Roscoe Medical Signs Exclusive Distribution Agreement for STRENGTHTAPE
Saturday, March 14, 2015 11:39 AM

Roscoe Medical, a manufacturer and distributor of innovative, in-home health products, and ENDEVR, the inventor of STRENGTHTAPE, have announced an exclusive distribution agreement.

Under the terms of the agreement, Roscoe Medical will be the exclusive distributor to North America for STRENGTHTAPE and will market the product to home healthcare providers, physical therapists, chiropractors, medical wholesalers, and e-commerce companies who sell direct to consumers.

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Emerson Ecologics Launches 2015 Emerson Grant program
Saturday, March 14, 2015 11:34 AM

Emerson Ecologics LLC, a distributor of over 275 brands of professional-quality vitamins, supplements, prescription medications, and natural health products, has announced that it is now accepting applications for The Emerson Grant. The Emerson Grant program supports the work of practitioners and promotes integrative medicine in the United States.

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Nuts, Seeds, and Beans are Good Steps
Saturday, March 14, 2015 11:16 AM

A plant-based diet rich in fruits, vegetables, whole grains, and healthy plant oils can help men stay healthy and ward off heart disease, stroke, diabetes, cancer, and other chronic conditions. Adding fresh fruits and vegetables is a no-brainer for adopting a plant-based diet, but be sure not to neglect nuts and seeds along with beans and other legumes, recommends the December 2014 Harvard Men's Health Watch

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New Resources to Assist Chiropractic With Proper Implementation of PQRS Reporting
Tuesday, March 03, 2015 06:43 AM

The American Chiropractic Association (ACA) has debuted new resources to assist doctors of chiropractic (DCs) with proper implementation of Medicare's Physician Quality Reporting System (PQRS). These materials will enable DCs to better understand payment adjustments and the new fee schedule format.

"It is very important that all DCs who treat Medicare beneficiaries, both participating and non-participating, are aware of how the negative payment adjustments affect them when billing claims to Medicare," said ACA President Anthony Hamm, DC, FACO. "ACA's 2015 PQRS resources, designed specifically with the chiropractic practice in mind, provide additional clarity on payment adjustments and the new fee schedule format."
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Systolic Pressure May Signal Risk in Young
Tuesday, March 03, 2015 06:39 AM

Isolated systolic hypertension in young and middle-age adults was associated with an increased risk of death from cardiovascular causes later in life, according to a study done over 3 decades.

Men in the study with systolic blood pressure (BP) levels of 140 mmHg or higher and diastolic BP below 90 had a 28% increased risk for death from coronary heart disease compared with men with normal BP.  Women with isolated systolic hypertension (ISH) had a more than twofold greater death risk than women with optimal BP.

The findings provide strong evidence that ISH is a clinically meaningful condition in young and middle-age adults and not just pseudo or 'white-coat’ hypertension.

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Chiropractic Identity a Survey of North American Chiropractic Students
Tuesday, March 03, 2015 06:36 AM

The purpose of this study is to investigate North American chiropractic students’ opinions concerning professional identity, role and future.  The literature pertaining to chiropractic students’ opinions with respect to the desired future status of the chiropractic physician is limited. This current study is an expansion of a pilot project to collect data from chiropractic students enrolled in colleges throughout North America.

The chiropractic students in this study showed a preference for participating in mainstream health care, report an exposure to evidence-based practice, and desire to hold to traditional chiropractic theories and practices. The majority of students would like to see an emphasis on correction of vertebral subluxation, while a larger percent found it is important to learn about evidence-based practice. 

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Spinal Pain in Adolescents
Tuesday, March 03, 2015 06:33 AM

It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18. In adults, LBP is now the leading cause of years lived with disability on a global level and the societal burden due to disability pensions and treatment costs for this disorder are high and increasing.

Authors conclude that spinal pain is common at the age of 11-15 years, but some have more pain than others. The pain is likely to progress, i.e., to more locations, higher frequency, and higher pain intensity over a two-year period.

The lifetime prevalence of spinal pain was 86% and 89% at baseline and follow-up, respectively. A group of 13.6% at baseline and 19.5% at follow-up reported that they had pain frequently. The frequency of pain was strongly associated with the intensity of pain, i.e., the majority of the participants reported their pain as relatively infrequent and of low intensity, whereas the participants with frequent pain also experienced pain of higher intensity. The two-year incidence of spinal pain varied between 40% and 60% across the physical locations. Progression of pain from one to more locations and from infrequent to more frequent was common over the two-year period.

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Cervical Artery Dissection Patients Have Low Stroke Rate
Tuesday, March 03, 2015 06:26 AM

Cervical artery dissection begins as a tear in a carotid artery in the neck, which causes blood to pump into arterial walls and split their layers.The condition is rare, but it is one of the most common cause of strokes in young and middle-age adults , accounting for between 10% and 25% of strokes in this age group, the researchers noted. Studies also suggest that the secondary stroke risk is as high as 20% in these patients, especially if they present local symptoms, such as headache, or with stroke or transient ischemic attack.

"Some people have suggested that the rate of recurrence is very high in these patients -- as high as 15% in the first few weeks. This study tells us that the rate of recurrence is much lower -- closer to 2%. This is very reassuring for patients, and it probably means that it doesn't really matter which [of the pharmaceutical treatments] you give."

Because recurrences were so rare, a definitive study comparing the efficacy of the two treatment strategies would require a sample size of close to 10,000 patients.

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Weight Loss or Not, Exercise Yields Benefits
Tuesday, March 03, 2015 06:25 AM

Exercise has huge benefits to people even if they’re overweight or obese.  A recent study underscores that there are significant health benefits to overweight and obese people being physically active, even if they don’t lose a pound. The study, of 334,000 Europeans over 12 years, recorded twice as many deaths due to a lack of physical activity as due to obesity.

The study, published in the American Journal of Clinical Nutrition, backs up earlier research about the value of exercise in improving health. It found that as little as a brisk, daily 20-minute walk can extend life expectancy.

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Lack of Exercise More Deadly Than Obesity, Study Suggests
Monday, March 02, 2015 02:28 PM

Being sedentary may be twice as deadly as being obese, a new study suggests.

However, even a little exercise -- a brisk 20-minute walk each day, for example -- is enough to reduce the risk of an early death by as much as 30 percent, the British researchers added.

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Nationwide Campaign Urges Doctors to Ask if Patients are Veterans
Monday, March 02, 2015 02:26 PM

The American Medical Association has urged health care providers to ask patients if they have served in the military and to include that experience in their records.

The inclusion of military service experience -- including assignments and duties -- into the AMA's official guidelines was adopted at the request of the American Psychoanalytic Association.

"Military history will usually not be volunteered by patients if not specifically asked for.  However, serving in the military poses several additional challenges and stressors that can impact the overall health and mental well-being of military personnel and their families. This makes asking key questions about military experience vital to better serving their health needs."

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New Guidelines: Treat Obesity First
Monday, March 02, 2015 02:22 PM

Treat weight problems first, then deal with comorbidities like dyslipidemia, hypertension, and impaired glucose tolerance, a new guideline urges.

It's an entirely new approach to the treatment of disease, said the lead author of a new guideline for treating obesity with medications.  "The old paradigm was to treat each comorbidity with medications ... then manage obesity, which caused most of the original problems in the first place," Apovian said during a press briefing. "The new paradigm is to manage the obesity first, with lifestyle change and medications, then manage the remainder of the comorbidities that have not responded."

The guideline focuses on medical management of obesity, a component left out of earlier guidelines released by the American Heart Association, the American College of Cardiology, and the Obesity Society, since they were written before many of the new weight-loss drugs were approved.

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Heavy Soccer Playing Before Age 12 Tied to Hip Deformities
Written by Joshua McCarthy   
Monday, March 02, 2015 02:15 PM

In a study of Dutch professional footballers, a bone deformity at the hip was much more common among men who started playing the sport at least four times a week before age twelve.

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Juicing Trend Still Going Strong in 2015
Monday, March 02, 2015 01:47 PM

A year ago, trendistas were snuggling up to juice bars all over L.A. to cleanse, reset, detox and glow a little. Today, things are only busier in the world of juice, juicing just won't go away. Juice bars have opened in such L.A. hot spots as the Ace Hotel downtown and in Highland Park, adding to the dozens of places where people are paying in the double digits (yes, you can pay $12 for a drink that's not spiked with vodka) for a bottle of juice, albeit cold-pressed and organic in a range of pretty colors. Cold-pressed juice is even for sale in airports and at Trader Joe's.

"It's amazing, it's amazing," Dave Otto says one morning outside his pristine, tiny shop on Beverly Boulevard in Los Angeles. His business began in 1975 as the Beverly Hills Juice Club, an extension of his "quest for a perfect diet." These days, he does 10 to 15 times the business he did then, he says.  The cold-pressed juice market is estimated at $100 million a year. 

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Comparing a Multimodal Intervention and Standard Obstetrics Care for Low Back and Pelvic Pain in Pregnancy
Monday, March 02, 2015 01:37 PM

Musculoskeletal pain in pregnant women commonly is viewed as transient, physiologic, and self-limited. However, most women report either low back pain (LBP) or pelvic pain (PP) during pregnancy and the morbidity that is associated with such complaints. Moreover, up to 40% of patients report musculoskeletal pain during the 18 months after delivery, and one-fifth of these women have severe LBP that leads to major personal, social, or economic problems. Pregnancy-related LBP contributes substantially to health care costs.

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Manual Therapy Followed by Specific Active Exercises
Monday, March 02, 2015 01:32 PM

Recent clinical recommendations still propose active exercises (AE) for chronic non specific low back pain (CNSLBP). Current evidences suggest that manual therapy (MT) induces an immediate analgesic effect through neurophysiologic mechanisms at peripheral, spinal and cortical levels. The aim of this pilot study was first, to assess whether MT has an immediate analgesic effect, and second, to compare the lasting effect on functional disability of MT plus AE to sham therapy (ST) plus AE.

This study confirmed the immediate analgesic effect of manual therapy (MT) over sham therapy (ST). Followed by specific active exercises, it reduces significantly functional disability and tends to induce a larger decrease in pain intensity, compared to a control group. These results confirm the clinical relevance of MT as an appropriate treatment for CNSLBP. 

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Healthy Diet May Be Linked to Lower Risk of Lung Disease
Monday, March 02, 2015 01:27 PM

A healthy diet low in red meat and rich in whole grains might reduce the risk of developing the crippling chronic lung disease known as chronic obstructive pulmonary disease (COPD), new research suggests.

Researchers tracked more than 120,000 men and women and found healthy eaters were one-third less likely to develop COPD compared to big consumers of red meat, refined grains, sugary drinks and alcohol.

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Performance Health Announces 2015 Scientific Advisory Committee Appointments
Monday, March 02, 2015 01:25 PM

Eighteen individuals were appointed to Performance Health Academy’s 2015 Scientific Advisory Committee (SAC), representing five countries and expertise in physical therapy, chiropractic, exercise science, athletic training, and massage therapy. The SAC meets once a year at its annual TRAC meeting to present research and findings on TheraBand, Biofreeze, and Cramer Sports Medicine products.

In addition to the significant body of research presented, last year’s members published over 22 papers and abstracts, including nine collaborative projects during a 12-month period.  Over the past 16 years this diversity ensures a balanced blend of clinical and research data and exposes different points of view from various disciplines and cultures.

The 2015 Scientific Advisory Committee members, who exemplify diversity in both disciplines and cultures, are as follows:

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HHS Outlines Value-Based Payment Goals
Thursday, February 12, 2015 06:49 PM

By 2016, the Department of Health and Human Services (HHS) is aiming to have 85% of provider payments under Medicare's fee-for-service system based on the quality or value of care rather than volume, the agency announced.  The announcement came in a meeting with "with nearly two dozen leaders representing consumers, insurers, providers, and business leaders." HHS is hoping to have 90% of the payments based on value or quality by 2018, the release said, noting that the payments would be made through programs such as the Hospital Value Based Purchasing Program and the Hospital Readmissions Reduction Program.

In addition, by the end of 2016, the agency hopes to be making 30% of its payments through alternative payment models like accountable care organizations (ACOs) -- affiliations of doctors, hospitals, and other providers that jointly care for Medicare patients -- upping that percentage to 50% by the end of 2018. This is the first time the agency has announced specific goals for these types of payments, which currently represent 20% of Medicare's $362 billion in fee-for-service payments.

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Scant Evidence for Opioids in Chronic Pain
Thursday, February 12, 2015 05:48 PM

There's no evidence for the long-term safety and efficacy of opioids in chronic pain -- a fact long touted by advocates who have called for tighter controls on opioids, now supported by a large-scale evidence review commissioned by federal agencies.

Most randomized, controlled trials of opioids for chronic pain were shorter than 6 weeks, and nearly all ran for no longer than 16 weeks, according to Roger Chou, MD, of Oregon Health and Science University, and colleagues.  And there is evidence of harm, including increased risks of overdose and abuse, the report commissioned by the Department of Health and Human Services noted.

"The lack of scientific evidence on effectiveness and harms of long-term opioid therapy for chronic pain is clear and is in striking contrast to its widespread use for this condition and the large increase in prescription opioid-related overdoses," Chou and colleagues wrote.

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Alcohol and Energy Drinks Lead to an Increased Incidence of Drunk Driving
Thursday, February 12, 2015 03:21 PM
Conrad Woolsey, PhD, an associate professor in the college of graduate and professional studies at University of Western States (UWS), recently published a new study suggesting that people who combine alcohol and energy drinks drive drunk more frequently than people who consume alcohol only.
The survey questioned 355 college students regarding their perceptions of drinking and driving as well as energy drink consumption patterns. Two hundred and eighty-one participants said they drank alcohol within the last month, with 107 from that group acknowledging they used alcohol and energy drinks together.
Dr. Woolsey’s findings include:
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Sodium Consumption High Among U.S. Children
Thursday, February 12, 2015 01:48 PM

09.24.14_CDC_graphic

More than 90 percent of U.S. children, aged 6-18 years, eat more sodium than recommended, putting them at risk for developing high blood pressure and heart disease later in life, according to a new CDC report.

Using data from CDC’s 2009-2010 National Health and Nutrition Examination Survey, CDC researchers determined that about 43 percent of sodium eaten by children comes from the 10 foods they eat most often: pizza, bread and rolls, cold cuts/cured meats, savory snacks, sandwiches, cheese, chicken patties/nuggets/tenders, pasta mixed dishes, Mexican mixed dishes, and soups.

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Patients Clueless About Treatment Risks
Thursday, February 12, 2015 12:14 PM

Patients are dangerously clueless about the true value of many common medical interventions, and physicians aren't doing enough to correct their misunderstandings.  That's according to a first-of-its kind meta-analysis of 36 studies, which ran in JAMA Internal Medicine.

"What surprised us was the consistency of the finding," says lead author. "Regardless of what treatment, test, or screening effort, or what country the study was done in, patients greatly overestimated benefits and greatly underestimated harms."

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Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients with Acute Low Back Pain
Thursday, February 12, 2015 12:07 PM

Lower back pain is common, costly, and a significant cause of long-term sick leave and work loss. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments of LBP, but its appropriate role in the healthcare delivery system has not been established. The results of this trial suggest that CMT in conjunction with standard medical care offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.

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Americans Getting Smarter about Medicine Alternatives
Thursday, February 12, 2015 11:54 AM

About a third of Americans use some kind of complementary or alternative medicine, but they’re swapping treatments that haven’t been shown to work for approaches with some scientific backing, a new survey shows.  For instance, yoga’s more popular and people are turning fish oil supplements instead of echinacea, which has been shown to have little effect on colds. 

Overall, the proportion of people using alternative approaches didn’t change much between 2007 and 2012, the National Center for Health Statistics (NCHS) and the National Center for Complementary and Integrative Health (NCCIH) found in a joint report. It’s about 33 percent – down from 35 percent in 2007.  The NCHS used data from an in-depth survey to project just how many Americans use alternative medicines and how they use them.  They found nearly 20 million adults and 1.9 million children had used chiropractic or osteopathic manipulation, and that nearly 18 million adults and 927,000 children practice meditation.  Supplements remain popular but people have changed what they use. Melatonin is a hormone important to sleep and some studies support its use.

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WFC's Top 10 Research List
Written by Craig Benton, DC   
Thursday, February 12, 2015 11:35 AM

The World Federation of Chiropractic asked researchers to label the top 10 studies for lower back pain, top 10 for neck pain, biomechanical, neurophysicological, etc.   This is really a great reference to have.  http://www.wfcsuggestedreadinglist.com/

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VA Chiropractic Residency Education and Training
Friday, January 30, 2015 10:50 PM

Application Period Open for the July 1, 2015 to June 30, 2016 Residency.  See specific instructions and application materials at links below for each residency program

As part of its statutory mission, the Department of Veterans Affairs (VA) conducts the country’s largest healthcare provider clinical training program. VA Office of Academic Affiliations coordinates all educational activities in partnership with affiliated US academic institutions to train providers to serve VA and the Nation.

Select VA medical facilities provide clinical education and training opportunities for chiropractic students. This takes place through formal Academic Affiliation Agreements with CCE-accredited chiropractic schools.

Since 2004 over 1,500 chiropractic students have completed clinical rotations at 24 VA facilities. Interested students can apply for VA training only through the chiropractic school in which they are enrolled.

List of current VA facilities and academic partner institutions offering chiropractic student training

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Effect of Spinal Manipulation on Kicking Speed in Soccer Players
Friday, January 30, 2015 10:41 PM

The most utilized soccer kicking method is the instep kicking technique.  This kicking technique requires that the power is generated through the co-ordinated effort of the muscles and the motion of all the joints involved – lumbar spine, sacroiliac joint, hip, knee and foot and ankle.

This kicking technique’s biomechanics are seen as a segmented motion pattern sequence which initiates from the at the spine and moves distally down the open biomechanical chain. As, the lumbar spine and sacroiliac joint are both proximal parts of this biomechanical chain, they form the basis for motion which follows the open chain movement pattern, and thus initiate the forward motion during kicking. Players are expected to perform this “routine action” at their maximum potential every time they kick the ball to score. This coordination of this components of this complex maneuver impacts on the kicking speed.  Decreased motion in spinal joint segments results in adverse biomechanical changes within in the kinematic chain. These changes may be linked to a negative impact on soccer performance.

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Chiropractors and ChiroThin
Friday, January 30, 2015 10:28 PM

Americans’ expanding waistlines often lead to a surge of interest in weight loss at the beginning of each new year.  That pang already struck hundreds of people in the Springfield, Illinois area this summer and fall. They have responded to print and radio advertisements carrying the promise that they will “lose 20 to 40 pounds in six weeks” with “no exercise needed, no cravings, no drugs ... and this brand-new technology is guaranteed.”  The offer comes not from a late-night infomercial sponsored by a sketchy, out-of-town outfit. Instead, the pitch promotes a weight-loss program run by a longtime Springfield, Illinois, chiropractor.

With more than two-thirds of adult Americans overweight and more than one-third obese, the types of health care specialists reaching out to help them is expanding. Walton, who recently recently added the title “Springfield Weight Loss Center” to his practice, is among the growing number of chiropractors who are launching formal weight-loss programs for current and new patients.

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Keeping Ahead of Concussions
Friday, January 30, 2015 10:21 PM

Sports chiropractor Matt Miller demonstrates a motor-strength grip test in his Orillia office. Miller runs a Complete Concussion Management program that encourages athletes to do baseline tests, including the grip test, so they can be better monitored throughout the healing process if they incur head injuries.

Every concussion is different. To monitor patients’ progress as they recover, it’s helpful to have records of what they were like before they incurred their head injuries, said Orillia-based sports chiropractor Matt Miller.

Miller operates one of Canada’s 90 Complete Concussion Management (CCM) clinics out of his Albert Street office.

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Is the Annual Disease Check-up Past Its Prime
Friday, January 30, 2015 10:14 PM

Few medical societies still recommend healthy adults undergo annual physicals, and some groups actively recommend against them, yet many physicians continue to offer the visits to their patients, and the debate over the necessity of the annual physical continues. 

According to one MD, recent estimates say about 45 million Americans will have a routine general physical this year, which he likens to the human equivalent of the 15,000-mile check-up on their cars. "If you estimate the cost of the exam alone conservatively at $100, it's beginning to be a nontrivial amount of money.”  And that is before you add in the costs of laboratory panels, follow-up tests, patient anxiety, and the overdiagnosis or overtreatment of conditions that, if left undetected, would never have become clinically significant. He writes, "If you screen thousands of people, maybe you'll find tens whose exams suggest they might have a disease. And then upon further tests, you'll find it is really only a few individuals who truly have something. And of those individuals, maybe one or two actually gain a health benefit from an early diagnosis.”  From a health-promotion perspective, then, the annual physical exam is of little value, does not reduce morbidity and mortality from acute or serious chronic conditions, and may even lead to unwarranted complacency in "people who just want to make sure,” he said 

To support that statement, Dr Emanuel points to evidence from a 2012 Cochrane Collaboration review of 14 randomized controlled trials involving 182,000 people followed for a median of 9 years. The unequivocal conclusion of the analysis was that routine general check-ups, not prompted by actual symptoms, are unlikely to yield much benefit. No matter what screenings and tests were administered, annual physicals did not reduce mortality.

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Meniscus Lesions Tied to Neuropathic Pain in Knee OA
Friday, January 30, 2015 10:10 PM

Meniscus lesions, specifically extrusions, were a risk factor for neuropathic pain in patients with knee osteoarthritis (OA), results of a pilot study suggested.  The presence of meniscal extrusion on MRI, in both medial and lateral compartments, was significantly associated with increasing neuropathic pain (NP) pain scores in knee OA patients.  The presence of meniscal tears in the lateral compartment was also significantly associated with pain scores the study reports.

"Our finding of an association between neuropathic pain (NP) and lateral meniscal tear is somewhat unexpected as literature indicates that meniscal tears are not usually associated with symptoms," the authors wrote.

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Exercise Helps Menopause Symptoms and Quality of Life
Friday, January 30, 2015 10:07 PM

Middle-aged women who exercise regularly report a higher quality of life and reduced symptoms of menopause, according to a population-based study.  "Women with the recommended level of physical activity had a higher self-perceived health level, better relative health, and better global quality of life in relation to other women their age.” authors report.

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