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Volume 3, Issue 4 of Topics in Integrative Health Care is Now Available



Published on January 17, 2013

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Topics in Integrative Health CareVolume 3, Issue 4 of Topics in Integrative Health Care is Now Available.

Topics in Integrative Health Care (TIHC) is a peer-reviewed, open-access quarterly online journal.  TIHC can be located on the web at http://www.tihcij.com.

TIHC is dedicated to advancing the integration of multiple disciplines, both complementary and mainstream, into diverse health care settings in order to provide optimal patient care. It presents themed issues on topics of current relevance to health care providers interested in integrative, conservative care, health promotion and disease prevention. It includes international, interdisciplinary Grand Rounds in order to facilitate communication and patient comanagement among various health professions, for the good of patients everywhere.

The current issue’s table of contents:

Editorial


Topics in Integrative Health Care
Cheryl Hawk, DC, PhD, CHES 
Topics in Integrative Health Care 2012,Vol. 3(4)  ID: 3.4001


Topics in Integrative Health Care welcomes unsolicited manuscripts with original research, Grand Rounds, clinical briefs and “fast facts” collections. All submissions are peer-reviewed.

Commentary

Anti-Vaccination Attitudes within the Chiropractic Profession: Implications for Public Health Ethics
Dana J. Lawrence, DC, MMedEd, MA
Topics in Integrative Health Care 2012, Vol. 3(4)  ID:  3.4002

Interviews

Integrative Health Care for a Medicaid Population: Interview with Alan Post, DC
Daniel Redwood, DC
Topics in Integrative Health Care 2012, Vol. 3(4)  ID:  3.4003

Research

Sleep Characteristics in Patients with Whiplash-Associated Disorders: A Descriptive Study
Jay Greenstein, DC, CCSP, CGFI-L1, Barton Bishop, PT, DPT, CSCS, SCS, CGFI-L2, CKTP, Jean Edward, RN, BSN, Allen Huffman, DC, CKTP, BS, Danielle Davis
Topics in Integrative Health Care 2012, Vol. 3(4)  ID:  3.4004

Study Objectives: The purpose of this study was to explore sleep habits and characteristics of patients with whiplash-associated disorders (WAD) presenting at an outpatient, chiropractic clinic using the Medical Outcomes Study (MOS) Sleep Scale.

Methods: Fifty-one patients from an outpatient chiropractic and physical therapy clinic specializing in spinal rehabilitation participated in this cross-sectional, descriptive study. Data were collected using a descriptive survey, the Visual Analog Scale (VAS), the Neck Disability Index (NDI), and the self-administered 12-item MOS Sleep Scale. Data analysis included descriptive statistics to describe pain, disability, and sleep characteristics of the study sample, and computation of confidence intervals to determine differences in means of sleep characteristics between the non-WAD population (as determined by previous studies) and the study sample of WAD patients. Results:

Results indicate that when compared to normative values of the non-WAD population, the sample of WAD patients in this study presents with significantly greater measures of neck disability (NDI), neck pain (VAS), sleep disturbance, snoring, shortness of breath and headache, sleep somnolence and sleep problems index I and II. This sample also presents with significantly lower measures of optimal sleep when compared to the general population.

Conclusion: Consistent with previous research, findings from this study indicate that WAD patients have increased neck disability and pain, and poorer sleep outcomes, indicating the need for clinicians to assess sleep characteristics and incorporate interventions aimed at alleviating these symptoms when planning rehabilitation. Findings provide evidence for the need to further explore sleep disturbances among WAD patients to establish a stronger understanding of the course and prognosis of this condition.

Comparison of Resting Pulse Rates in Chiropractic Students Versus the General Population
John Hart, DC, MHSc
Topics in Integrative Health Care 2012, Vol. 3(4) ID: 3.4005

Introduction: Research typically shows that a lower resting pulse rate (RPR) is healthier than a higher RPR. Limited research on reduction of RPR following chiropractic care warrants further research. Accordingly, the present study compares RPRs between a small group of chiropractic student-patients and a similar group from the general population.

Methods: RPR data from a convenience sample of 17 chiropractic students, who were also chiropractic patients (CSP), were compared to a reference group from the general population. Both groups consisted of young adult white males and were compared using a two sample t test and effect size.

Results: The CSP group had a mean RPR of 65.2 BPM compared to the general population group whose mean RPR was 71 BPM, a difference that was statistically significant (p = 0.0097). A low-to-medium effect size (of 0.39) was observed for this difference as well.

Conclusion: This group of chiropractic student-patients had a lower average resting pulse rate compared to their reference group. Further study with random sampling and an accounting of other potential confounders such as physical fitness is warranted.

Chinese Herbs for the Management of Atopic Dermatitis: A Case Report
Jenny Yu, MAOM, Anupama Kizhakkeveettil, BAMS (Ayurveda), MAOM, L.Ac.
Topics in Integrative Health Care 2012, Vol. 3(4) ID: 3.4006

Atopic dermatitis is a chronic disease that is characterized by itchy and inflamed skin. The prevalence of atopic dermatitis has significantly increased during the past several decades. There has been significant interest in Chinese herbal medicine as a treatment for atopic dermatitis. The objective of this case study is to report a case of the use of Chinese herbs for treating atopic dermatitis in a six-month-old boy. This patient presented with dry erythematous and pruritic patches on both cheeks and the creases of both elbows and knees. He was diagnosed with atopic dermatitis by his pediatrician when he was two months old. The original medical advice was to change the infant’s formula to one that was soy-based, but the condition continued. Hydrocortisone 0.5% ointment was prescribed but the patient’s family preferred not to use it. The patient was prescribed a Chinese herbal decoction prepared from Feng Guang Shen, Fu Ling and Shan Yao to be administered in his formula. This was administered four times per day for six months. The skin rashes gradually decreased and the patient stopped scratching his skin. By the age of 15 months the symptoms had completely disappeared. The patient was monitored for the next six years, during which time there was no recurrence of his symptoms reported by patient’s family. This case report supports the conduction of quantitative studies of the role of Chinese herbs in the management of pediatric atopic dermatitis.

Algorithms for the Chiropractic Management of Acute and Chronic Spine-Related Pain
Gregory A. Baker, DC, Ronald J. Farabaugh, DC, Thomas J. Augat, DC, MS, CCSP, FASA, Cheryl Hawk, DC, PhD, CHES
Topics in Integrative Health Care 2012, Vol. 3(4) ID: 3.4007

The complexity of clinical documentation and case management for health care providers has increased along with the rise of managed care. Keeping up with the policies of different insurers and third party administrators can be a daunting task. To address these issues for doctors of chiropractic (DCs) and policymakers, the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) developed three consensus documents. Each of these documents was the outcome of a formal consensus process in which a multidisciplinary Delphi panel consisting of experts in chiropractic and low back pain treatment came to agreement on terminology and treatment parameters for the chiropractic management of spine-related musculoskeletal pain.1-3

Fast Facts
THIC Staff
Topics in Integrative Health Care 2012, Vol. 3(4) ID: 3.4008

Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.

The following is an excerpt:

A randomized trial of 169 pregnant women compared standard obstetric care alone to standard obstetric care plus a multimodal approach to low back and pelvic pain incorporating manual therapy, stabilization exercises, and patient education provided by chiropractic specialists. Results showed that the multimodal approach benefited patients more than standard obstetric care alone.


George JW, Skaggs CD, Thompson PA, Nelson DM, Gavard JA, Gross GA. A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy. Am J Obstet Gynecol Oct 23 2012. DOI: 10.1016/j.ajog.2012.10.869

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