Man's Greatest Gift to Man : Chiropractic

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russellb said:
Clinical Features:

Fourteen retrospective articles are referenced, their diversity includes: all 15 subjects are female, ages 22-65; prior pregnancy history revealed 11 none, 2 successful unassisted, 1 assisted, 1 history of miscarriage. 9 had previous treatment for infertility, 4 were undergoing infertility treatment when starting chiropractic care. Presenting concerns included: severe low back pain, neck pain, colitis, diabetes, and female dysfunction such as absent or irregular menstrual cycle, blocked fallopian tubes, endometriosis, infertility, perimenopause and the fertility window within a religiousbased lifestyle, and a poor responder undergoing multiple cycles of IVF.

Chiropractic Care and Outcome:

Outcomes of chiropractic
care include but are not limited to benefits regarding neuromuscular concerns, as both historical and modern research describe associations with possible increased physiological functions, in this instance reproductive function. Chiropractic care and outcome are discussed, based on protocols of a variety of arts, including Applied Kinesiology (A.K.), Diversified, Directional Non-Force Technique (D.N.F.T.), Gonstead, Network Spinal Analysis (N.S.A.), Torque Release Technique (T.R.T.), Sacro Occipital Technique (S.O.T.) and Stucky-Thompson Terminal Point Technique. Care is described over a time frame of 1 to 20 months.

Conclusion:

The application of chiropractic care and subsequent successful outcomes on reproductive integrity, regardless of factors including age, history and medical intervention, are described through a diversity of chiropractic arts. Future studies that may evaluate more formally and on a larger scale, the effectiveness, safety and cost benefits of chiropractic care on both well-being and physiological function are suggested, as well as pursuit of appropriate funding.

OK - help me here if I'm reading this wrong.

Fourteen studies with a total of 15 patients. Is that the gist of this review article?

And if I am reading this correctly, how can you draw a conclusion from a "study" (a review of anecdotal case reports sounds more appropriate) where 13 of the 14 "studies" involve a single patient?

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PublicHealth said:
Funny how just two weeks ago, FoughtFyr posted the following (guess he has yet to be "enlightened" ;) Welcome back, buddy!):

Actually, I "returned" at the request of BackTalk both on this thread and in PM to "exorcise" (his word, not mine) Skiiboy. And I am once again taking leave as there is nothing new here.

And yes jwk, you have the gist, 15 patients in 14 case reports, not linked or verified by any accepted meta-analytical methodology. But hey, what do you expect? BTW - did you see that one of the cases was 65 years old?

- H
 
FoughtFyr said:
Actually, I "returned" at the request of BackTalk both on this thread and in PM to "exorcise" (his word, not mine) Skiiboy. And I am once again taking leave as there is nothing new here.

And yes jwk, you have the gist, 15 patients in 14 case reports, not linked or verified by any accepted meta-analytical methodology. But hey, what do you expect. BTW - did you see that one of the cases was 65 years old?

- H

Thank you very much - And to PH and BackTalk, I may be
PublicHealth said:
a friggin Anethesiologist Assistant
but I do know BS when I see it!

And no, I missed the 65 y/o. What a hoot. But hey, remember, this is high quality research (at least by some standards) :laugh: :sleep:
 
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Not an RCT (as some people around here seem to think is the "gold standard"), but evidence to indicate that a nationally representative sample of patients with back and neck pain are more than twice as likely to find complementary therapies "very helpful" compared to conventional medical therapies.


Spine. 2003 Feb 1;28(3):292-7

Patterns and perceptions of care for treatment of back and neck pain: results of a national survey.

Wolsko PM, Eisenberg DM, Davis RB, Kessler R, Phillips RS.

Center for Alternative Medicine Research and Education, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA, USA. [email protected]

STUDY DESIGN: We conducted a nationally representative random household telephone survey to assess therapies used to treat back or neck pain. OBJECTIVES: The main outcome was complementary therapies used in the last year to treat back or neck pain. SUMMARY OF BACKGROUND DATA: Back pain and neck pain are common medical conditions that cause substantial morbidity. Despite the presumed importance of complementary therapies for these conditions, studies of care for back and neck pain have not gathered information about the use of complementary therapies. METHODS: Our nationally representative survey sampled 2055 adults. The survey gathered detailed information about medical conditions, conventional and complementary therapies used to treat those conditions, and the perceived helpfulness of those therapies. RESULTS: We found that of those reporting back or neck pain in the last 12 months, 37% had seen a conventional provider and 54% had used complementary therapies to treat their condition. Chiropractic, massage, and relaxation techniques were the most commonly used complementary treatments for back or neck pain (20%, 14%, and 12%, respectively, of those with back or neck pain). Chiropractic, massage, and relaxation techniques were rated as "very helpful" for back or neck pain among users (61%, 65%, and 43%, respectively), whereas conventional providers were rated as "very helpful" by 27% of users. We estimate that nearly one-third of all complementary provider visits in 1997 (203 million of 629 million) were made specifically for the treatment of back or neck pain. CONCLUSIONS: Chiropractic, massage, relaxation techniques, and other complementary methods all play an important role in the care of patients with back or neck pain. Treatment for back and neck pain was responsible for a large proportion of all complementary provider visits made in 1997. The frequent use and perceived helpfulness of commonly used complementary methods for these conditions warrant further investigation.
 
Here's another study showing that spinal manipulation is as efficacious as amitriptyline in prophylaxis of migraine headache, and that it does not have as many side effects.


J Manipulative Physiol Ther. 1998 Oct;21(8):511-9.

The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache.

Nelson CF, Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV.

Center for Clinical Studies, Northwestern College of Chiropractic, Bloomington, MN 55431, USA. [email protected]

BACKGROUND: Migraine headache affects approximately 11 million adults in the United States. Spinal manipulation is a common alternative therapy for headaches, but its efficacy compared with standard medical therapies is unknown. OBJECTIVE: To measure the relative efficacy of amitriptyline, spinal manipulation and the combination of both therapies for the prophylaxis of migraine headache. DESIGN: A prospective, randomized, parallel-group comparison. After a 4-wk baseline period, patients were randomly assigned to 8 wk of treatment, after which there was a 4-wk follow-up period. SETTING: Chiropractic college outpatient clinic. PARTICIPANTS: A total of 218 patients with the diagnosis of migraine headache. INTERVENTIONS: An 8-wk course of therapy with spinal manipulation, amitriptyline or a combination of the two treatments. MAIN OUTCOME MEASURES: A headache index score derived from a daily headache pain diary during the last 4 wk of treatment and during the 4-wk follow-up period. RESULTS: Clinically important improvement was observed in both primary and secondary outcomes in all three study groups over time. The reduction in headache index scores during treatment compared with baseline was 49% for amitriptyline, 40% for spinal manipulation and 41% for the combined group; p = .66. During the posttreatment follow-up period the reduction from baseline was 24% for amitriptyline, 42% for spinal manipulation and 25% for the combined group; p = .05. CONCLUSION: There was no advantage to combining amitriptyline and spinal manipulation for the treatment of migraine headache. Spinal manipulation seemed to be as effective as a well-established and efficacious treatment (amitriptyline), and on the basis of a benign side effects profile, it should be considered a treatment option for patients with frequent migraine headaches.
 
skiiboy said:
I find it all very interesting how many of you seem to believe that the problems of chiropractic lie at its roots or original beliefs. The foundations for chiropractic are based on some of the most self evident truths of this universe. Universal intelligence clearly exists. Whether you believe in buddah, jesus, muhammed or the sun god, there is obviously a higher power. Whether its a person, spirit, ghost, nature... whatever u call it, it exists. An organized force of some kind which created and/or runs this universe. Nobody can argue that the world came from nothing and therefore palmers concept of universal intelligence is simply undeniable. Furthermore, innate intelligence, the intelligence which is inborn and is constantly functioning at all levels and at all times is as real as gravity. At any given moment, your body is controlling, maintaining, interpreting and creating millions and millions of processes. The vast majority of which we are not consciously aware. You do not know how many times your heart should beat, or how much saliva to produce or what neurotransmitters to create at any given second, only innate knows. Innate intelligence has been crafted through billions of years of evolution and its knowledge is simply unchallengable. The other chiropractic cornerstone is that the the nervous system controls everything in the body. This theory was discovered and understood by the Palmer's at a time when medical doctors were still practicing blood letting and awful horrendous medical treatments with virtually no healing value. Today, more and more research continues to prove that the nervous system does indeed control virtually every single action in the body. Chiropractic holds that even the slightest alteration in nervous integrity can alter a message or messages from the brain and spinal chord to the rest of the body. No doctor, physician or phd would ever dispute this fact. In fact most physicians agree that any nervous system interference can have extremely damaging effects. The only fact thats in dispute is weather or not subluxations actually encroach on the nervous system. There may never be a diagnostic tool which is sensitive enough to detect the slight change in “tone” to even one axon, which is all that it may take, in the spinal common caused by misaligned or hypomobile spinal joints. Is it true that most back and neck pain do not include the compromise of neural integrity? probably.... but chiropractic adjustments obviously help either way. Whether its musculo-skeletal or neuro-musculo-skeletal chiropractic can and does help. Chiropractors by the way, hands down, no questions asked... far and away,,, have way more training in manipulation then physical therapists, osteopaths and physiatrists combined! This is not opinion, that is simple fact. Its not even a close second. A simple review of their respective curriculums illustrates this undeniable fact.
Now.... all of that having been said. The issues with chiropractic practice, such as inconstancy of care, the subjective nature of identifying subluxations and the different belief systems amongst individuals in the profession do indeed exist. But for all of you who doubt the unbelievable genius of D.D. and I believe more so B.J. Palmer, it is a true shame, because they really helped bring a concept of health and disease into this world which was way ahead of its time. One look at even one page in even one of the volumes of the green books is astounding. I would venture to guess that many of you making these comments, even the chiropractors, unfortunately haven't had the opportunity to read the insightful thoughts and words of the Palmer's.
What chiropractors can do is use there very thorough training in locating hypomobile, misaligned or disfunctional areas of the axial and appendicular skeleton and manually adjust them so as to restore mobility and function. These detectable areas of disfunction may only contain a musculo-skeletal component but it MAY just MAY contain a neuro-musculo-skeletal component. And if it does, then chiropractic can help perform astounding “miracles”. The argument that placebo accounts for the benefits of chiropractic it is mostly nonsense. While I can certainly understand that the hands on contact and adjusting of joints can help facilitate a placebo effect in some patients, this says nothing to discredit the other very real benefits of chiropractic adjustments. When B.J. palmer used to see the miracles that he did, his patients had already seen every other type of doctor there was. They came to him often after having lost all hope. Having explored every option. If the placebo effect occurred with these people why did it not occur with every other treatment, potion, lotion etc... How is it that only chiropractic helped these patients heal and return to health when nothing else could. Also, for all of you ex-chiropractors out there who continually post the argument that subluxations could not possibly cause organic, visceral disfunction... you are in essence stating that Palmer's entire discovery of chiropractic did'nt't happen. That first adjustment to Harvy Lillard which restored his hearing and gave birth to the wonderful profession of chiropractic. If this did not occur, why else would D.D. and then B.J. Palmer be so astounded as to devote there entire lifes to furthering the cause of chiropractic.

There is a universal truth, and it is this: Punctuation is your friend.
 
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