Chiropractic Education and Radiography Best Practices

ACA’s Choosing Wisely recommendations are consistent with X-ray guidance in today’s classroom and trusted texts.

In the past year, many chiropractors have discussed indications for radiographic examination with renewed interest. In particular, they have questioned the X-ray recommendations of the Choosing Wisely initiative, a project of the American Board of Internal Medicine that seeks to promote more effective use of healthcare resources. The recommendations are hardly revolutionary, and well in line with current radiology education. In my own final radiology classes, professors emphasized that what we learned was only the foundation of what we would need in practice, and a mere fraction of what our peers would learn should they choose to become chiropractic radiologists. The recommendations in Choosing Wisely are shorthand for what we already know. 

Thursday, October 11, 2018/Author: Brendan McCann, DC/Number of views (946)/Comments (1)/ Article rating: 5.0

Essential Skills for Managing Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. The condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. Chiropractors are uniquely suited to differentiate BPPV from the similar-looking cervicogenic vertigo. Both conditions are very amenable to treatment; however, each is managed quite differently. Successful outcomes are predicated upon a solid understanding of both.

Tuesday, October 09, 2018/Author: Timothy Bertelsman/Number of views (1463)/Comments (0)/ Article rating: 5.0

Research Review: Exercise Interventions for Cognitive Function in Adults Older Than 50

As any population ages, cognitive decline becomes more of an issue. Maintaining a physically active lifestyle has been shown to help reduce age-related cognitive declines and incidence of dementia. This research review focuses on a systemic review with meta-analysis summarizing the evidence specific to cognitive benefits of exercise for people over 50. Prior research has shown conflicting results, due in part to the use of restrictive inclusion criteria. However, the results of this review show promise for both aerobic and resistance training.

Wednesday, October 03, 2018/Author: Shawn Thistle/Number of views (747)/Comments (0)/ Article rating: 4.0
Categories: Research

Choosing Wisely: Separating Facts from Fears

It has been just over a year since many in the chiropractic profession first learned that the American Chiropractic Association (ACA) joined more than 80 medical specialty society partners to participate in an initiative that is sponsored by the American Board of Internal Medicine Foundation. This initiative’s mission is to “promote conversations between clinicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.” It is called the Choosing Wisely campaign1 and it has generated more spirited discussion among doctors of chiropractic than I can recall since release of the Mercy Conference Proceedings in 1993.

Friday, September 07, 2018/Author: Christine Goertz/Number of views (913)/Comments (0)/ Article rating: 3.0

Engaging the Community Through Diversity in Research

An Introduction to Diverse Needs

While a chiropractic student, I traveled with a group of medical providers to a community in Ghana to provide supplies, assist with health screens in remote villages, and work in a local hospital within a variety of departments. During my time there, I interviewed different community members employed by the hospital or by non-governmental organizations working with the hospital about their perceived health burdens and openness to chiropractic. Unexpectedly, interviewees expressed that while they practiced a Western medicine model, there was some uncertainty on how much that body of knowledge applied to them since they felt so underrepresented in the studies that contributed to that knowledge. The patients and study participants described were rarely people that came from similar geography, cultures, and lifestyles or had physical characteristics they identified with. 

Wednesday, August 29, 2018/Author: Annette Bernat/Number of views (586)/Comments (0)/ Article rating: 5.0
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