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The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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Editorial Policy: Posts published in the ACA blog are screened by the ACA Editorial Review Board and ACA staff; however, neither ACA nor its contributors, officers and staff investigate, endorse, or approve any statements of fact or opinion, which are solely the responsibility of the authors and sources of information. They are published on the authority of the writer(s) over whose name they appear and are not to be regarded as expressing the views of ACA.

 

Social Factors: A Sometimes-overlooked Opportunity

The biopsychosocial model is a widely recommended method of clinical evaluation and management. The model identifies three important areas. “Bio” refers to evaluating/treating biological problems (e.g., pathology), “psych” refers to psychological health, and “social” refers to a person’s relationships with others and the environment. However, some evidence suggests that practitioners, as a group, may not be addressing “social” components of health as much as they could.

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Population Spine Health Management

Enhancing clinical outcomes for spine pain patients while establishing a progressive identity for chiropractic

The healthcare landscape in the United States is rapidly evolving. Population Spine Health Management and other contemporary practice principles are being implemented by hospital systems and physicians nationwide. Author David J. BenEliyahu, DC, who is an administrator of back pain and chiropractic programs at Mather Hospital/Northwell Health in Port Jefferson, N.Y., believes chiropractors should become versed in these contemporary practice principles and consider implementing them into their practices, which will not only improve outcomes but also enhance the progressive identity of the chiropractic profession.

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‘Stop the Bleed’: A Nationwide Call to Action

Recent history has shown that those at the scene of an accident or a mass-casualty event can play a vital role in saving lives until first responders arrive, but for some the thought of stepping in during a crisis is intimidating. Karen Konarski-Hart, DC, found herself in several situations years ago and resolved to become better skilled. Today, as a licensed Emergency Medical Technician (EMT), she is involved extensively in disaster relief efforts and promoting the value of a new campaign, Stop the Bleed, designed to teach the public simple steps that can save the life of someone experiencing heavy bleeding. Learn more about this program and how chirorpactors can get involved.

Author: Sienna Shoup
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ACA Staff and Consultants Lay Groundwork for New Medicare Parity Bill

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. 

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My VA Experience with Cognitive Behavioral Therapy for Chronic Pain

Chronic pain is a complex condition influencing behaviors, thoughts and mood. With opioid issues coming to light, there has been more emphasis and research into multi-faceted, biopsychosocial models to treatment. Cognitive Behavioral Therapy (CBT) is a type of talk-therapy treatment that focuses on addressing and removing the negative impacts chronic pain has on thoughts and functions. The Office of Mental Health and Suicide Prevention (OMHSP) has implemented a national initiative to disseminate Cognitive Behavioral Therapy for Chronic Pain throughout the Veterans Health Administration to make this treatment widely available to veterans.

Author: Jamie Zeman
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Research Review: Can Pregnancy-related Pelvic Pain Be Predicted?

Approximately half of pregnant women will experience pelvic girdle pain (PGP) during their pregnancy. PGP is known to lead to pain-related restrictions on physical activity during and after childbirth, and to have a psychological impact on their perceived health, sexual life and general quality of life. The authors of this study aimed to explore the differences in demographics and clinical characteristics at mid-pregnancy and the weekly amount of days with bothersome symptoms throughout the second half of pregnancy in women sub-grouped based on the results of two valid and reliable clinical tests (P4 and ASLR) at 18 weeks of pregnancy. The authors hypothesized that sacroiliac dysfunction and failing force closure diagnosed at mid-pregnancy could be used to predict a course of bothersome symptoms throughout the second half of pregnancy.

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Opening the Door to Integrated Health Care: A Chiropractic Internship Spotlight

While preparing for graduation, many chiropractic students are carefully considering the next steps in their career. No matter your goals, clinical experience is the key to finding a great job, according to Logan University student Kaelyn Mead. As an intern in the Walter Reed National Military Medical Center Chiropractic Services Program in Bethesda, Maryland, she is one of several chiropractic students immersed in the clinical care of members of the military and veterans, learning firsthand how integrated care enhances not only patient outcomes, but also the providers who serve them.

Author: Sienna Shoup
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Developing Person-Centeredness: A Continual Process

Person-centeredness is an approach to health care focused on the person, placing high importance on things such as being respectful and responsive to individual preferences, needs and values. Practitioners who adopt this approach to care report that it can transform the doctor-patient encounter and even re-energize providers. The path to patient-centeredness, however, is not always a natural one for doctors, many of whom report that they must continually work to adopt and refine this style of patient care. Learn what you can do to begin moving toward a more patient-centered approach in your practice.

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A Heavy Subject: The Impact of Weightlifting on Young Spines

Is weightlifting safe for adolescents? No, well yes, okay maybe…in the right situations.  That is about as clear as it gets concerning the growing epidemic of adolescent injuries via weightlifting and competitive sports. There is no disputing the facts that plague childhood athletics. A September 2018 systematic review found that injuries increase in proportion to sports specialization. However, few studies have linked the detrimental effects that any single sport has on the progression of spinal degeneration—until now. 

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Psychological, Social Factors in Chronic Pain: The Impact on Chiropractic Patients

The current opioid epidemic in the United States brings long overdue attention to nonpharmacological approaches to managing pain.  Among the recommended therapies for low back pain by the American College of Physicians, for example, are spinal manipulation, acupuncture, yoga and cognitive behavioral therapy.  While it may be clear why body-based therapies were recommended, the inclusion of a psychological approach, such as cognitive behavioral therapy, may raise some eyebrows. Researchers Margaret Chesney, PhD, and Christine Goertz, DC, PhD, explore how psychological factors play a role in the experience of chronic pain as well as what patients and their providers should know.

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