March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara...

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Welcome to “On Purpose” March 2015

Transcript of March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara...

Page 1: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Welcome to “On Purpose” March 2015

Page 2: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Strong Foundation

There are approximately 68 million visits a year by children to chiropractors.

Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational or Experimental? J. Pediatric, Maternal & Family Health - January 28, 2015.

Page 3: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Makes Perfect

The term “practice” is defined as interventions designed solely to enhance the well-being of the individual, patient or client that has a reasonable expectation of success.

Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational or Experimental? J. Pediatric, Maternal & Family Health - January 28, 2015.

Page 4: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

The Choice is YoursPatients should be treated as autonomous agents with the right to access all forms of health care.

Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational or Experimental? J. Pediatric, Maternal & Family Health - January 28, 2015.

Page 5: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

You Are Not a Statistic

External clinical evidence can inform, but can never replace individual clinical expertise.

Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational or Experimental? J. Pediatric, Maternal & Family Health - January 28, 2015.

Page 6: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Relax

A 55-year-old male seeking chiropractic care had a 20-25 year history of hypertension. Various medications had been used without success. After one chiropractic adjustment over the course of 7 months, his blood pressure progressively lowered.

Kessinger RC, Moe C: Improvement in Chronic Hypertension Following a Single Upper Cervical Adjustment: A Case Report. Journal of Upper Cervical Chiropractic Research ~ January 19, 2015 ~ Pages 1-5.

Page 7: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Pain, Pain Go Away

Following chiropractic care, a 50 year-old female with vaginal pain that was unresponsive to medical intervention experienced a decrease and subsequent resolution of that pain.

Fedorchuk C, Bak D: Resolution of Vulvodynia Following Chiropractic Care Using Chiropractic Biophysics & Diversified Techniques: A Case Report. Annals of Vertebral Subluxation Research ~ January 15, 2015 ~ Pages 1-8.

Page 8: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Ouch

Vulvodynia refers to unprovoked pain in the area of the vulva, and has an estimated prevalence of 8-12%.

Fedorchuk C, Bak D: Resolution of Vulvodynia Following Chiropractic Care Using Chiropractic Biophysics & Diversified Techniques: A Case Report. Annals of Vertebral Subluxation Research ~ January 15, 2015 ~ Pages 1-8.

Page 9: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Rock-a-bye An adopted 4-year-old girl with irritability, prolonged crying, general dislike of touch and self-injurious behavior presented to a chiropractic office. After 23 months of chiropractic care the patient increased in weight, ceased to exhibit self-injurious behavior and demonstrated greater periods of calm.

Heinecke JD: Improved Quality of Life of in a Patient with Aicardi Syndrome Undergoing Chiropractic Care: A Retrospective Case Study. J. Pediatric, Maternal & Family Health Aicardi - January 22, 2015..

Page 10: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Turn, Turn, TurnA 31-year-old female presented with a transverse breach presentation, according to her obstetrician, to a chiropractor. After 7 visits over 3 weeks of care utilizing the Webster Technique, the midwife confirmed vertex presentation and mother had a normal home birth.

Drobbin D, LaRosa S: Resolution of Transverse Breech Pregnancy Following Administration of Chiropractic Using the Webster Technique: A Case Study & Selective Review of the Literature. J. Pediatric, Maternal & Family Health - January 13, 2015.

Page 11: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Dry NightsA 10-year-old female with a history of nocturnal enuresis of 6 years duration that began after a urinary tract infection that was treated with multiple courses of antibiotics presented to a chiropractor. After the 2nd visit a notable improvement was reported.

Hafer C, Alcantara J: Resolution of Nocturnal Enuresis Following Adjustment of Vertebral Subluxations: A Case Report. J. Pediatric, Maternal & Family Health - January 8, 2015.

Page 12: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

What is HRV?

Heart rate variability is the change in the time intervals between adjacent heartbeats.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015.

Page 13: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Cardiac Connection

The cardiovasculatory regulators in the spine and the brain adjust heart rate and blood pressure.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015..

Page 14: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

More Than Meets the Eye

Healthy optimal function is a result of continuous, dynamic, bidirectional interactions among multiple neural, hormonal and mechanical control systems.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015.

Page 15: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Great Tool

Heart Rate Variability (HRV) is considered a measure of neuro-cardiac function that reflects heart brain interactions and autonomic nervous system dynamics.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015.

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Page 16: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Good News

An optimal level of HRV reflects healthy function of self-regulation, adaptability and resilience.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015..

Page 17: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Bad News

Reduced HRV is observed in patients with autonomic dysfunction, depression, anxiety, asthma, sudden infant death and may correlate with disease and mortality.

McCraty R, Shaffer F: Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, andHealth Risk. Global Advances in Health and Medicine. Volume 4, Number 1 • January 2015.

Page 18: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Journey of LifeThe 4 seasons of Well-Being are Discover, Transform, Awaken and Integrate. Each season is related to a person’s capacity for self-organizational state.

Epstein DM, Senzon SA, Lemberger D: The Seasons of Wellbeing as an Evolutionary Map for Transpersonal Medicine. International Journal of Transpersonal Studies,33(1),2014, pp. 102-130.

Page 19: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Thanks Mom

Daughters of depressed mothers have a higher genetic disposition to stress.

Gotlib IH, LeMoult J, Colich NL, et al: Telomere length and cortisol reactivity in children of depressed mothers. Molecular Psychiatry advance online publication. doi: 10.1038/mp.2014.119

Page 20: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

No Interference, Low StressThe ability to respond favorably to environmental stress is intimately associated to correct nervous system function.

Gotlib IH, LeMoult J, Colich NL, et al: Telomere length and cortisol reactivity in children of depressed mothers. Molecular Psychiatry advance online publication. doi: 10.1038/mp.2014.119

Page 21: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Domino EffectTaking care of yourself does not just benefit you, but benefits your offspring and many others.

Gotlib IH, LeMoult J, Colich NL, et al: Telomere length and cortisol reactivity in children of depressed mothers. Molecular Psychiatry advance online publication. doi: 10.1038/mp.2014.119

Page 22: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Stand StrongPostural instability was found to be associated with early pathological changes in the brain and functional decline, even in apparently healthy subjects.

Tabara Y, Okada Y, Ohara M, et al: Association of postural instability with asymptomatic cerebrovascular damage and cognitive decline: the Japan Shimanami health promoting program study. Stroke. 2015 Jan;46(1):16-22.

Page 23: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Pain, Brain, AdjustmentChiropractic adjustments have an immediate effect on the connectivity between brain regions responsible for pain.

Journal of Manipulative and Physiological Therapeutics 2014 Volume 37 Number 9 Gay CW, Robinson ME, George SZ, Perlstein WM, Bishop MD: Immediate changes after manual therapy in resting-state functional connectivity as measured by functional magnetic resonance imaging in participants with induced low back pain.

Page 24: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Proof is in the Pudding

Moderate to severe disc degeneration is common in individuals with low back pain over 40 years old.

Journal of Manipulative and Physiological Therapeutics 2014 Volume 37 Number 9 Vining RD, Potocki E, McLean I, Seidman M, Morgenthal AP, Boysen J, Goertz C: Prevalence of radiographic findings in individuals with chronic low back pain screened for a randomized controlled trial: secondary analysis and clinical implications.

Page 25: March 2015. There are approximately 68 million visits a year by children to chiropractors. Alcantara J: Evidence-Informed Pediatric Chiropractic: Investigational.

Off BalancePatients with spinal canal stenosis have more loss of balance than those who do not.

Journal of Manipulative and Physiological Therapeutics 2014 Volume 37 Number 9 Truszczyńska A, Drzał-Grabiec J, Trzaskoma Z, Rąpała K, Tarnowski A, Górniak K: A comparative analysis of static balance between patients with lumbar spinal canal stenosis and asymptomatic participants.