JACA Online Results
Your search returned 26 result(s).

Carol Marleigh Kline, JACA Online editor
Fall Prevention, Part IV—Interventions
J Amer Chiropr Assoc 2010 Jan-Feb;47(1):2-9
In this segment, we examine whole-body vibration, barefoot shoes, and other devices that may help stimulate proprioception and encourage better balance in older adults. Includes contributions from Dennis Enix, DC, MBA, Logan College of Chiropractic; Ted Forcum, DC, DACBSP, Portland, OR: Michael Rogers, PhD, CSCS, FACSM, Wichita, KS; Tom Hyde, DC, DACBSP, Asheville, NC; and Lisa Killinger, Palmer College of Chiropractic.
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By Carol Marleigh Kline, MA, JACA Online editor
Fall Prevention, Part III: A Chiropractic Issue
J Amer Chiropr Assoc 2009 Dec;46(9):2-6
Fall prevention is an issue that crosses all national boundaries. This segment looks at some simple, effective methods used in the United States and abroad to reach older adults and help them avoid the pain and loss of independence commonly associated with falls.
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By Carol Marleigh Kline, MA, JACA Online editor
Why Older Adults Fall
J Amer Chiropr Assoc 2009 Nov;46(8):17-18
One of the many changes in the aging body is an increasing inability to know for certain where the feet are. Older adults who have not worked to maintain proprioceptive feedback can be tripped up by hazards that a younger person would barely notice. This article discusses balance assessment tools.
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By Carol Marleigh Kline, editor, JACA Online
Fall Prevention, Part II: Chiropractic Keeps Patients on Their Feet
J Amer Chiropr Assoc 2009 Nov;46(8):2-6
Fall prevention is more than a safety check for hazards in the home or community. Older adults must come to understand that just as the body changes on the outside, sensorimotor system degradation and neuroplastic changes take place inside—affecting balance. In this article, we examine how knowledgeable doctors of chiropractic can help delay this process.
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Carol Marleigh Kline, MA, JACA Online editor
Fall Prevention, Part I: Unique Role for Chiropractic?
J Amer Chiropr Assoc 2009 Sept-Oct;46(7):2-6
Modern health care helps Americans live longer, but unless older adults work to preserve balance, flexibility, and strength, falls grow increasingly likely. Some preliminary small studies suggest that spinal manipulative therapy may help with balance problems while allowing patients to cut back on pain drugs, too.
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By Carol Marleigh Kline, MA, JACA Online editor
Chiropractic Approach to Lumbar Spinal Stenosis: Surgery and Treatments
J Amer Chiropr Assoc 2008 May-June;45(4):2-7
Interviewees discuss surgical issues and options, as well as a range of chiropractic care treatments.
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By Carol Kline, MA, and Nataliya Schetchikova, PhD
Lumbar Spinal Stenosis
J Amer Chiropr Assoc 2008 Apr;45(3):20-21
With ACA’s Healthy Living patient page, your patients will learn what stenosis is and how it is diagnosed and treated.
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By Carol Marleigh Kline, Editor, JACA Online
Chiropractic Approach to Lumbar Spinal Stenosis
J Amer Chiropr Assoc 2008 Apr;45(3):2-6
Stenosis patients have long been considered automatic candidates for surgery, but Drs. Donald Murphy, Matthew Kowalski, and David BenEliyahu say chiropractic offers some excellent alternative options.
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Managing Finances when Caring for an Aging Adult
J Amer Chiropr Assoc 1999 Sept;36(9):28-29
The article discusses several strategies that can help minimize the financial impact of caring for an aging adult in your family.
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By Dr. Brian J. Gleberzon
Chiropractic Geriatrics: The Challenges of Assessing the Older Patient
J Amer Chiropr Assoc 2000 Apr;37(4):36-37
The chiropractic profession is positioned to be a major health care provider for the fastest-growing segment of the population in Canada and the United States-the elderly. Demographic trends reveal that the percentage of individuals over the age of 65 is expected to rise from a current 12 percent to 23 percent by the year 2031. This is due to two primary factors: people are living longer, and the individuals known as the baby boomers are advancing up the population pyramid.
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By K. Jeffrey Miller, DC, DABCO
Vital Signs: A Matter of Vital Importance
J Amer Chiropr Assoc 1999 Nov;36(11):40-42
A 70-year-old female presented to a chiropractic orthopedist's office for an independent chiropractic evaluation. The exam was scheduled at the request of her automobile insurance carrier. The patient had been under chiropractic care for 10 months because of injuries sustained in a motor vehicle accident.
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Chiropractic Tackles New Frontier
J Amer Chiropr Assoc 2000 Aug;37(8):48-53
While Americans may have the number of chiropractic treatments limited or have to pay cash for chiropractic services, on the whole, they do have the freedom to choose. But what about those who reside in a long-term care facility? What if they can no longer get to their chiropractor? What if the administrators at their facility ascribe to old medical biases? And what if these residents were never exposed to the health benefits of chiropractic to begin with? Chances are slim that anyone who lives in a long-term care facility will receive the relief that chiropractic can offer-unless they live at the Preakness Healthcare Center in Wayne, New Jersey. William Cirino Sr., DC, has spent the past 18 years fighting for the rights of Preakness residents to receive chiropractic care. It hasn't been easy.
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by Dr. Brian J. Gleberzon
The Five “I’s” of Geriatric Study
J Amer Chiropr Assoc 2000 Aug;37(8):36-39
Dr. Gleberzon wrote a related article in the April 2000 JACA on obtaining a history from a geriatric patient. He is an assistant professor at the Canadian Memorial Chiropractic College, where he coordinates courses in geriatrics and in integrated practice and principles. He tutors in psychomotor (technique) and orthopedic labs. Dr. Gleberzon also maintains a private practice in Toronto. He is currently editing a textbook, entitled Chiropractic Care of the Older Patient, scheduled for release in the spring of 2001.
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By Joe Johnson, DC, and Kathy Mills, Assistant Director of Insurance, Professional Development and Research
American Chiropractic Association Commentary on HCFA/Medicare/PART Clinical Documentation Guidelines
J Amer Chiropr Assoc 2001 Jan;38(1):31-34
The American Chiropractic Association provides this commentary to assist its members to better understand the Medicare PART clinical documentation guidelines. These are HCFA guidelines that apply to Medicare only. HCFA guidelines are not endorsed or approved by the ACA, and this commentary is provided only for informational assistance and is strictly advisory in nature. The ACA recommends that you contact your local Medicare carrier regarding any questions about HCFA guidelines. This commentary does not take precedence over any federal regulation or directive. The ACA will take no action to enforce or otherwise require member compliance with this commentary. ACA reserves the right to lobby governmental entities to revise or rescind any portion of the described documentation guidelines.
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By K. Jeffrey Miller, DC, DABCO
First Person Singular: Think Fast!
J Amer Chiropr Assoc 2002 Feb;39(2):48-50
The phone rings at 9:15 Wednesday evening. It's my mother. She reports that she began to feel dizzy while reading in bed 30 minutes earlier. "The room suddenly began to spin," she says. A few minutes later, walking to the bathroom was difficult. "I had to hold on to the wall." She thinks it may be her blood pressure and wants me to stop by tomorrow to check it for her.
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Geriatric Management for the Doctor of Chiropractic
J Amer Chiropr Assoc 2002 Apr;39(4):26-28
Doctors of chiropractic who work with geriatric patients need to adjust and expand their techniques and approaches, says Catherine Cummins, DC, and professor at Western States Chiropractic College. Dr. Cummins travels the country offering geriatric postgraduate education to doctors of chiropractic to help them better understand the unique characteristics of older patients and explore the physical, mental, social, and economic changes that accompany aging.
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by Jacqueline D. Bougie, DC, DABCO, and A. Paige Morganthal, DC; McGraw-Hill
The Aging Body: Conservative Management of Common Neuromusculoskeletal Conditions
J Amer Chiropr Assoc 2002 May;39(5):50
This book is a welcome addition to the resource material available to practicing chiropractors. Anyone who has cared for older patients knows that as we age, the body and its responses change. This text provides a comprehensive look at those changes and some management approaches for the older patient.
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The Stenosis Diagnosis: Multiple Factors
J Amer Chiropr Assoc 2002 May;39(5):8-16
If you watched the old Carol Burnett Show in the 1970s, you'll remember Tim Conway's "little old man." In a shaggy gray wig, the comedian shuffled his way through sketch after sketch. But what Conway probably didn't realize was that his comic little-old-man gestures were a dead-on impersonation of a relatively common, and often confounding, spinal problem: lumbar spinal stenosis.
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by William M. Austin, DC, CCSP, CCRD
Discomfort and the Aging Foot
J Amer Chiropr Assoc 2002 June;39(6):24-25
Older patients often use unusual phrases to describe their aches, pains, and body discomforts. One phrase that I have encountered several times is the "bone-on-skin" description, or a variation of it. "Doc," the patient tells me, "my foot is really hurting. It feels like the bones are pressing right into my skin." Or it may be that the major pain is farther up in the body (the low back, for example), but after a little routine questioning, that "bone-on-skin" phrase comes up when I ask about the feet. I'm never surprised when I hear it.
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Angela Kargus
Preventing Falls Among Older Adults
J Amer Chiropr Assoc 2005 Dec;42(9):19-20
Perhaps you know someone who's been injured, disabled or even killed by a fall. Or maybe you've taken a spill yourself and are afraid the next one could be worse. As we age, time takes its toll on the bodily systems that keep us balanced and standing upright. The fear of falling, however, needn't rule your life. American Chiropractic Association offers tips on how you can make your environment more secure and reduce the risk of falling.
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Michael T. Haneline, DC, FICR
Chiropractic Involvement in Preventing Falls among the Elderly
J Amer Chiropr Assoc 2003 Apr;40(4):24-29
Falls occurring in the elderly may be life-disrupting events that can result in permanent disability, with possible institutionalization, and even death. Moreover, approximately 9,500 deaths of elderly persons in America are associated with falls each year.1 Bodily damage related to falls is the leading cause of death among the elderly who have been injured. This paper will discuss the topic of falls occurring in the elderly and present strategies to prevent injury and reduce morbidity. Doctors of chiropractic are encouraged to take a proactive role in fall prevention by educating patients about these straightforward prevention strategies.
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Cheryl Hawk, DC, PhD; Ronald Rupert, DC, MS; Makasha Colonvega, DC; Stephanie Hall, MS; Jennell Boyd, DC; John K. Hyland, DC, MPH
Chiropractic Care for Older Adults at Risk for Falls: A Preliminary Assessment
J Amer Chiropr Assoc 2005 Sept-Oct;42(7):10-18

Objective: to make a preliminary assessment of the possible effect of chiropractic spinal manipulative therapy (SMT) on risk of falls in older adults. Study design: single-group pre-test/post-test intervention.

Intervention: 6-9 high-velocity, low-amplitude SMT treatments over a 3-week period by an experienced doctor of chiropractic.

Outcomes assessments: risk of falls was assessed using the Berg Balance Scale (BBS); BBS scores of 45 or less are predictive of increased risk of falling. Additional assessments of balance-related symptoms were the One-Leg Standing Test (OLST) and the Dizziness Handicap Inventory.

Results: Of 108 patients screened, 14 were enrolled and 13 completed the study. Six of 7 patients with baseline BBS scores of 45 or less had follow-up scores higher than 45.

Conclusion: Although this study was limited by its small sample size and absence of a comparison group, the change in patients' fall risk pre- to post-intervention warrants further investigation of a possible role of SMT in fall prevention in older adults.

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Angela Kargus
Living to 100: Tips for Healthy Aging
J Amer Chiropr Assoc 2005 Aug;42(6):23-24
The number of people living longer is increasing dramatically. An estimated 4.2 million U.S. residents now fall into the age group of the "oldest old"--85 years and older--with more than 40,000 having reached the age of 100. At the same time, a growing body of evidence suggests that good genes are only a small part of the longevity puzzle. In fact, researchers now believe that chronic illness is not an inevitable consequence of aging, but it results more often from lifestyle choices that we are perfectly free to reject. This patient education article describes secrets to healthy old age.
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Lisa Zaynab Killinger, DC
Chiropractic Adjusting and the "Aging" Patient
J Amer Chiropr Assoc 2003 Nov;40(11);26-28
With the "graying of America" well underway, it is important to refine our chiropractic adjusting strategies and our chiropractic seminars in consideration of this demographic shift. Aging patients (those who are deep into the process of aging) can be some of the most loyal, appreciative, and responsive patients in our chiropractic practices. While the "baby boomers" are enjoying their golden years, DCs should strive for excellence in adjusting an aging population.
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Lawrence H. Wyatt, DC, DACBR, Professor, Division of Clinical Science, Texas
Staying Fit as You Get Older
J Amer Chiropr Assoc 2004 Apr;41(4):29-30
Describes how older people can build healthful exercise into everyday activities safely.
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Lisa Zaynab Killinger, DC
Guiding Our Patients to Age Successfully
J Amer Chiropr Assoc 2004 Sept;41(9):43-45
Dr. Killinger describes strategies that DCs can use to answer the 3 top health concerns of their aging patients. She also gives examples of replicable community-based health activities that would offer older patients options that would improve health and fitness.
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