Aging and disabled populations face special challenges in the healthcare arena, both as patients and as practitioners. To shed light on how doctors of chiropractic can work more effectively with these groups, Karen Konarski-Hart, DC, MSDPEM, FACO, FICC, DAAPM, will present a webinar on June 8 at 1 p.m. entitled “Do You See ME? Ableism and Ageism in Healthcare” through LearnACA, ACA’s online learning platform. “More than 25 percent of adults in the United States have some form of disability,” Dr. Konarski-Hart explained. “Two in five people over the age of 65 have a disability, and by 2030, one in five U.S. residents will be 65 years of age or older.”
The Chiropractic Medicare Coverage Modernization Act of 2019 (H.R. 3654) is bipartisan legislation championed by ACA and introduced in Congress on July 9 by Reps. Brian Higgins (D-N.Y.) and Tom Reed (R-N.Y.). The bill would correct a longstanding oversight and give seniors access to the full array of Medicare services that their doctors of chiropractic are qualified and licensed to provide in their respective states.
ACA continues its work to re-introduce a bill that would increase access to chiropractic services for Medicare beneficiaries. A similar bill introduced in 2018 is being used as a starting point for a 2019 bill and was a focal point at NCLC 2019. The proposed legislation would simply update the current Medicare statute and allow patients to access all Medicare-covered benefits permitted under a chiropractor’s licensure.
Lumbar spinal stenosis (LSS) is caused by age-related degenerative changes in older adults and is a leading cause of pain, disability and loss of independence. LSS is also the most common reason for spinal surgery in older adults. However, most patients are managed non-surgically, despite the fact systematic reviews of non-surgical management suggest unproven benefit for improving walking outcomes. This research review looks at a recent, randomized controlled trial designed to compare the effectiveness of a structured, comprehensive, conservative treatment program with a focus on self-management and improved walking ability to a self-directed program in improving walking ability in patients with neurogenic claudication due to LSS.
Chronic low back pain (CLBP) is one of the most common pain-related conditions in geriatric populations and is associated with potentially significant functional decline. As pain conditions can coexist and contribute to poorer long-term outcomes, it is important to understand the potential relationship between CLBP and other pain complaints. The aim of this study was to examine differences in prevalence of clinical hip symptoms in older adults with and without CLBP. The secondary objective was to assess whether the presence of clinical hip symptoms was associated with poorer physical performance and health-related quality of life in this population.
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.
Social Security was enacted in 1935. The program is officially known as the Old Age, Survivors and Disability Insurance program (OASDI). After earning 40 quarters, an individual at retirement age is eligible to begin collecting a benefit. Retirement benefits depend on your age at retirement. If you begin receiving benefits before your normal or full retirement age (FRA), you'll receive a reduced benefit. Four out of five future retirees agree that the Social Security system needs change. Many are fearful that benefits will be reduced and are unaware of the basics regarding their eligibility, participation and the monetary benefits of their Social Security profile. Sadly, 55 percent believe that Social Security will be their primary source of income in retirement.
Falls are a significant cause of injury, loss of quality of life, and even death in older adults and make up more than 80% of injury-related hospital admissions in individuals over 65 years of age. They are also the leading cause of death due to injury in older adults. The risk of falls increases with lower limb muscle weakness, gait deficits, balance deficits, a recent history of falling, or in individuals over 80 years of age. This study looked at the impact of usual chiropractic care on measures of sensorimotor function associated with the risk of falls in older adults over a 12-week period.
Part of the Evidence in Action series by Palmer College of Chiropractic
The inclusion of chiropractic practitioners into various collaborative health systems has increased over the past decade. The addition of chiropractic within these multi-disciplinary settings has been embraced by many as a way to manage spinal conditions, such as back and neck pain, using noninvasive therapies. However, taking a patient-centered approach to such integration involving various health care practitioners leads to new questions and challenges and requires novel research to optimize patient outcomes in these settings.
Part of a series on the chiropractic residency program in the VA health care system
As chiropractors, we have such an opportunity to make an impact on musculoskeletal pain in the elderly, and it often begins with education. Fall prevention, diet and nutrition, exercise and encouraging socialization are just a few ways in which we can make a difference. Fear can be crippling, and depression is not uncommon. Dr. Rachel (Mooers) Clark, a participant in the VA chiropractic residency program, recalls that learning to communicate effectively and motivate this population is one of the greatest things she gained from her experience in the geriatric clinic at the Sepulveda Ambulatory Care Center in Los Angeles.