Alternative healing final
henderson.j
Chiro-students3.pptxChiropractic
L. Amoia-Watters, Ed.D, CRNP, RN
Objectives
Define Chiropractic
Define and explain subluxation
Summarize findings of chiropractic treatment for low back pain and other MS conditions.
Discuss findings for chiropractic treatment for non musculoskeletal conditions
Chiropractic
Cheir=hand, praktikos=done by
Focus of chiropractic is on the spine and its effects on the nervous system
Chiropractic
History
Manipulation as a form of therapy has be used across time through many cultures
17th century Greek, Roman, Cretan, Arabic, French, German, Italian, etc reported using traction while pressure exerted on specific spinal area.
Hippocrates was also a practitioner of manipulation (460-370BC)
“Such extension would not do great harm, if well arranged, unless one deliberately wanted to do harm”…(Hippocrates, 1959)
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Chiropractic
History (cont)
Bonesetters: Middle ages and Renaissance
Sir Herbert
Osteopathy and Manipulation
Andrew Taylor Still-founder
1892 Opened school of osteopathy
1958 - >1300 osteopaths
1968- AMA began amalgamation of medicine and osteopathy
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Chiropractic
D.D. Palmer 1845-1913)
First chiropractic adjustment 1895
Founder of Chiropractic
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Chiropractic
Many years of conflicts with traditional medical practitioners
1929-1950 not one chiropractor passed licensing exam
1963 ex-servicemen becoming chiropractors, AMA began a campaign to contain and eliminate chiropractic
AMA- “Committee on Quackery”
1937- 40/50 states passed licensing laws for Chiropractic
1974- Chiropractic education federally accredited and Doctors of
Chiropractic were licensed in all 50 states
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Chiropractic
1976-federal lawsuit against the AMA and 6 other medical associations charging “Antitrust” violations
1987- US District Court of ILL found the AMA and associates, American College of Radiology, and American College of Surgeons, guilty of conspiracy against chiropractic and in violation of federal antitrust laws.
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chiropractic
Education
Minimum 2-4 years undergraduate study. Most requiring undergraduate degree.
Chiropractic Curriculum-4 years full time and 4200 hours course work
Typical coursework: A\P; biochemistry; micro; pathology; public health; physical, clinical, and laboratory diagnosis; gyn; obstetrics; pediatrics, geriatrics, dermatology; x-ray; psych; nutrition; ortho; PT; emergency med; spinal analysis; principles and practice of chiropractic; adjusted techniques; research methods and procedures.
Post graduate Specialization
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Chiropractic
Philosophy
Spine and Nervous system
Subluxation
Adjustment
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Chiropractic
Physiology
Nervous System
Spinal column
Balance of CNS, ANS, PNS
.
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Chiropractic
Mechanisms and Practice
Spinal Manipulation
Patient management
Lifestyle counseling
Nutritional management
Rehabilitation
Physiotherapy
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chiropractic
Diagnostics
Observation
Xray
Palpation
Treatment
Spinous processes
Treatment-manipulation by application of force to spinous processes, joints, and other tissues of the body.
-other techniques; mobilization
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chiropractic
Innate Intelligence
Homeostasis of the body to heal itself
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chiropractic
Adjustment-mainstay of chiropractic
Manual and mechanical intervention
High\low velocity (speed)
Short or long lever (direct application to spinous processes)
High or low amplitude (force)
With or without recoid
Directed at specific joints or anatomic regions
Purpose of these moves is to remove the subluxation
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chiropractic
Joint movement
Active end range
Passive end range-AKA-physiologic joint space
Anatomic end range
Manipulation refers to passive movement of low amplitude and high velocity, which moves the joint into the paraphysiologic range.
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Chiropractic
Techniques
Direct Thrust
Indirect Thrust
Soft Tissue
Other tools
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Chiropractic
Why use it?
Chiropractors are the second largest group of primary care providers in the USA. It’s the most widely indigenous American system of healing and, today, is the most frequently used alternative health care profession in the USA.
Chiropractic
Why use it?
#1-Back pain-patients with back pain report being more satisfied with chiropractic treatment than conventional medical care.
Low back pain
Lumbar disk disease
Neck pain
Headache pain
Tension headaches
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Chiropractic
Non musculoskeletal Conditions (efficacy found)
Menstrual pain
Colic in infants
Carpel Tunnel Syndrome
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chiropractic
Contraindications
Vascular complications (compromised vertebral arteries)
Aneurysm
Tumors of lungs, thyroid, prostate, breast, bone
Bone infections (TB or bacterial)
Traumatic injuries (fractures)
Arthritis
Clotting disorders
Neurologic complications-sacral nerve root involvement from disk protrusion
Chiropractic
Complications
Very low risk but include paraplegia and death
From 1950-1980; 135 serious complications, 18 deaths
