The Power of an Adjustment

March 22, 2013 by · Leave a Comment
Filed under: Research, Spinewave Bulletin 

Afferent functional systems of the neuraxis

Afferent pathways following a spinal adjustment. Affects on cerebellum and higher cortical centres, vestibulospinal pathways controlling muscle tone, and the autonomic nervous system. Click here for larger image.

Trigger Happy GPs

March 20, 2013 by · Leave a Comment
Filed under: Research, Spinewave Bulletin 

The majority of doctors admit they would prescribe statins (cholesterol lowering medication) to patients at low risk of heart disease and stroke, a study has revealed.

In the survey of US-based GPs and cardiologists, nearly 90% said they would recommend statins for a 40-year-old male who had elevated LDL cholesterol and hypertension but no other risk factors, despite their being at low absolute risk.

In another scenario, almost 75% of doctors said they would prescribe for a 50-year-old woman who had high LDL cholesterol but no other risk factors – also not a candidate for statins under current guidelines.

The study authors, from the University of Michigan’s department of family medicine, said the study showed cardiovascular risk was inconsistently assessed by some doctors. “We found that physicians consider medication for patients with low Framingham risk scores (<5%) for whom available evidence does not support outcome benefit,” they said.

Further reading: Cholesterol drugs today’s Vitamin C?

The anonymous survey involved 202 doctors who were presented with six different hypothetical patient scenarios. Despite recommendations to focus on absolute cardiovascular risk, doctors tended to overemphasise the importance of cholesterol levels and underemphasise the significance of diabetes, the researchers said.

There was no significant difference in approach between cardiologists and GPs. The RACGP’s Red Book recommends statins be considered only for people with an absolute cardiovascular risk of 10% or above, using the calculator at cvdcheck.org.au. Even then, six months of intensive lifestyle counselling is advised as a first-line approach.

Kate Cowling, 6minutes.com.au

Reference: JAMA Intern Med. 2013;():1-2. doi:10.1001/jamainternmed.2013.2797.

Chiropractic may reduce “Klutz Syndrome”

March 15, 2013 by · Leave a Comment
Filed under: Research, Spinewave Bulletin 

crying-over-spilled-milkChiropractic care may have a role to play in assisting those who display poor proprioceptive function, say researchers at the New Zealand College of Chiropractic, who are developing a scale to measure what they have dubbed “Klutz Syndrome”.

Proprioception is the ability of your brain to sense the relative position of your body parts in space, and the ability to move your body accurately and precisely without having to look at what you are doing. Without accurate proprioception you would not be able to drive a car as you would need to constantly look at what your arms and legs were doing.

According to Dr Heidi Haavik, Director of Research at the New Zealand College of Chiropractic: “When proprioceptive function is impaired, for instance not knowing precisely where your arm is when your eyes are closed, you are more likely to be clumsy and accident prone.”

“We know that chiropractic care assists brain function in many ways, one of which is proprioceptive function and this improves the accuracy of the internal brain map so your brain knows accurately what is going on all the time.”

“We are developing a dysfunctional sensorimotor integration scale, or I suppose you could call it a “clumsiness scale”. With this, the higher your reading on the scale, the more likely you may need to be adjusted by a chiropractor”. Read more

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