Volume 6, Issue 1 of Topics in Integrative Health Care is Now Available
Published on April 6, 2015
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 Volume 6, Issue 1 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 2015, Vol. 6(1) ID: 6.1001
Topics in Integrative Health Care welcomes unsolicited manuscripts with original research, Grand Rounds, clinical briefs and “fast facts” collections. All submissions are peer-reviewed.
Research
A Randomized Controlled Trial of Chiropractic Compared to Physical Therapy for Chronic Low Back Pain in Community Dwelling Geriatric Patients
Dennis E. Enix, DC, MBA, Kasey Sudkamp, PT, DPT, Theodore K. Malmstrom, PhD, Joseph H. Flaherty, MD.
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1002
Background: Chronic low back pain is the most frequently reported musculoskeletal condition in the elderly, affecting up to 50% of this age cohort. It is a leading falls related comorbidity and robust predictor of morbidity among the elderly.
Methods: This analysis of a randomized controlled trial evaluated the use of either chiropractic care (CC) or physical therapy (PT) as a treatment for geriatric patients with balance problems and with or without chronic low back pain. Of the one hundred and eighteen participants enrolled, sixty one participants (51.7%) were randomized into the CC group and fifty seven participants (48.3%) into the PT group. A pain questionnaire was administered at baseline, after 6 weeks of treatment, and again at week 12. University ethics committee approval was obtained and written informed consent was given.
Results: There was statistically significant reductions in pain for this intent-to-treat design mixed model analysis of variance (ANOVA) (p < 0.05) and Bonferroni correction (p < 0.025; 95% CI). The CC and PT groups had similar reductions at week 6 for Box 21 current pain scores (52.7%, 50.9%); Box 21 least pain scores (40.4%, 45.4%); Box 21 worst pain scores (42.1%, 37.2%); Box 21 usual pain scores (41.1%, 46.7%); and Box 21 number of days per week in pain scores (24.3%, 18.9%). There were no significant between group effects.
Conclusion: There were statistically and clinically significant improvements in pain outcome measures in both the chiropractic care and physical therapy treatment groups at week six and at week twelve.
Trial registration: NCT02031562
The Impact of Kinesiology Tape Over the Posterior Lower Limb on Runner Fatigue/span>
John Ward, DC, MA, MS, Kenneth Sorrels, DC, Jesse Coats, DC, BS, DAAPM, Poumoghaddam Amir, PhD, Tiffany Sarmiento, BS, Carlos DeLeon, BS, JoAnn Moskop, BS.
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1003
Purpose: The purpose of this study was to determine if placing kinesiology tape on the posterior lower limbs helps preserve runner gait in a fatigued state. The hypothesis was that the elastic properties of the tape may help the runners push off with each step.
Methods: Sixty healthy participants (age= 26.7 + 4.3 yrs, height= 1.72 + 0.09 m, body mass= 75.4 + 17.0 kg: mean + SD) engaged in a baseline 90-second running gait analysis at 6 mph without kinesiology tape. Participants then completed an Åstrand cycle ergometer maximal test until they reached maximal volitional exhaustion and had over 8 mmol/l blood lactate, which correlates with maximal to near maximal exercise effort. Following this, participants were randomized to one of two interventions: 1) Intervention, which had kinesiology tape placed on the back of the lower limbs bilaterally from their gluteal fold to their heel under tension or 2) Control, no-tape group. All participants then engaged in a running gait analysis in a fatigued state at 6 mph. Researchers used a 2-way repeated measures analysis of variance considering fatigue (pre-fatigue, post-fatigue) and group (tape, no-tape) as subject factors.
Results: There were no statistically significant within-group differences amongst the groups. However, in fatigued runners kinesiology tape placed on the back of the lower limbs was shown to decrease hip functional range of motion, step length, and stride length bilaterally more than participants who did not receive kinesiology tape.
Conclusions: Preliminarily this suggests kinesiology tape placed exclusively on the back of the lower limbs of a fatigued runner will alter and potentially impair running gait by reducing stride length at submaximal running intensities.
The Extent of Interprofessional Education in the Clinical Training of Integrated Health and Medicine Students: A Survey of Educational Institutions
Beth Rosenthal, MPH, MBA, PhD, Anthony J. Lisi, DC.
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1004
Today’s healthcare environment requires collaboration and cooperation among healthcare professions, whether working in a ‘virtual’ team or in an integrated clinical setting. Patients are best served when healthcare providers understand and respect each other’s professions and are able to work well together. The Academic Consortium for Complementary and Alternative Health Care (ACCAHC) conducted a survey to assess the extent and characteristics of interprofessional education (IPE) in the clinical training of students at accredited programs, colleges and universities of the licensed integrative health and medicine disciplines (chiropractic, acupuncture and Oriental medicine, naturopathic medicine, massage therapy, direct-entry midwifery). The survey was sent to 134 clinical training administrators, and we received responses from 88 for an overall response rate of 66%. There was much variation in the reported amount of IPE and the particular disciplines engaged in IPE activities with other disciplines during clinical training. Chiropractic institutions reported the most IPE, whereas direct-entry midwifery reported the least. Across all disciplines, multidisciplinary institutions generally reported more IPE in clinical training than single discipline institutions. Further work assessing the quality of such training, and its effect on subsequent practice, may help inform future educational strategies for the integrative health and medicine disciplines.
A Case Report on the Management of a Patient Presenting With Post-concussion Syndrome and Post-traumatic Stress Disorder, Using the Upper Cervical Chiropractic Technique
Scott Bales, DC.
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1005
Introduction: This case report describes the chiropractic management of a patient with a history of multiple mild traumatic brain injuries, using Upper Cervical manipulative technique.
Clinical Features: A 42 year old man presenting with symptoms of post-concussion syndrome, and diagnosed with post-traumatic stress disorder and depression.
Intervention and Outcome: The Kale Upper Cervical Procedure was utilized to assess, monitor, and correct the effects of an upper cervical subluxation in a patient over an 8 week period. The patient reported significant improvement in symptoms of post- concussion syndrome, and small positive improvements in PTSD symptoms. Follow up at 11 months showed continued improvement in most symptoms.
Conclusion: Upper cervical chiropractic management of a patient with multiple mild traumatic brain injuries was presented. Significant improvements in post-concussion symptoms were observed.
Special Feature Abstracts of presentations made at the Upper Cervical Experience Conference February 26th-28th, 2015 in New Orleans LA.
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1006
Fast Facts
TIHC Staff
Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1007
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:
Mindfulness-based stress reduction (MBSR) is associated with improved depressive symptoms regardless of affiliation with a religion, sense of spirituality, trait level of mindfulness before MBSR training, sex, or age. Increases in both mindfulness and daily spiritual experiences uniquely explained improvement in depressive symptoms.
Greeson JM, Smoski MJ, Suarez EC, et al. Decreased Symptoms of Depression After Mindfulness-Based Stress Reduction: Potential Moderating Effects of Religiosity, Spirituality, Trait Mindfulness, Sex, and Age. J Altern Complement Med. Feb 19 2015.
Other Chiropractic News
Most recent news at ChiroACCESS
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.
No Affiliation - January 19, 2015
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.
ChiroACCESS - September 30, 2014
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.
ChiroACCESS - June 30, 2014
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.
ChiroACCESS - March 27, 2014
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.
ChiroACCESS - September 30, 2013
Most recent news from chiropractic institutions
New York Chiropractic College was proud to be named the American Chiropractic Association’s very first recipient of its Chiropractic College of the Year Award given at the organization’s recent House of Delegates meeting held during the National Chiropractic Legislative Conference in Washington, D.C.
New York Chiropractic College - March 20, 2014
The Texas Chiropractic College Board of Regents is pleased to announce a nation-wide search to identify and hire the 14th President in TCC's 106 years, and invites applications and recommendations for the Presidency.
Texas Chiropractic College - March 4, 2014
Logan’s College of Chiropractic has opened a part-time clinic at Paraquad, a non-profit community health and wellness resource in St. Louis that helps people with disabilities live more independently and actively participate in their communities.
Logan College of Chiropractic - September 18, 2013
Dr. Michael Ramcharan was named the Texas Chiropractic College Faculty Member of the Year on Aug. 21 as part of the Deer Park Chamber of Commerce Salute to Education.
Texas Chiropractic College - August 29, 2013
Roger Hynes, D.C., D.Ph.C.S., F.I.C.A., associate professor of Technique/History for Palmer College of Chiropractic’s Davenport Campus, was elected president of the Association for the History of Chiropractic (AHC) during its 33rd annual conference June 21-22 in Greeley, Colo.
Palmer College of Chiropractic - August 27, 2013
Most recent news from health-related organizations
The American Chiropractic Association (ACA) achieved a surge of advocacy accomplishments on behalf of the chiropractic profession in 2013.
American Chiropractic Association - January 13, 2014
ACC-RAC 2014 to be held in Orlando, FL March 20-22.
Association of Chiropractic Colleges - January 13, 2014
The American Chiropractic Association (ACA) today announced that the U.S. Department of Veterans Affairs (VA) has named the five VA medical facilities and affiliated chiropractic colleges that will participate in VA's chiropractic residency program.
American Chiropractic Association - January 10, 2014
A Department of Education (DOE) panel today recommended a full, three-year federal recognition for the Council on Chiropractic Education (CCE), according to the American Chiropractic Association (ACA).
American Chiropractic Association - December 13, 2013
In anticipation of the switch to ICD-10 coding in the United States next year, the American Chiropractic Association (ACA) has created an online toolkit with resources to help all chiropractic physicians understand and prepare for the transition.
American Chiropractic Association - November 12, 2013
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