CF 206: Vertebral Dysfunction Alters Neuro Function & The Gender Of Your Provider May Matter Today we’re going to talk about Vertebral Dysfunction Alters Neuro Function & The Gender Of Your Provider May Matter But first, here’s that sweet sweet bumper music
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OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. If you haven’t yet I have a few things you should do.
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You have found yourself smack dab in the middle of Episode #206 Now if you missed last week’s episode , we talked about Chiropractic Adjustments For The Cervical Spine Really Work & Lumbar Radiculopathy Treatment. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
Alright, let’s see, where are we this week? We’ve got 51 patients today and our intern just left Who the hell knows? But we’ll get through them all and before you know it, I’ll be headed home to eat some din din. We can be overwhelmed sometimes and then we just go to work and work through them all one by one. Next thing you know, you did it. This is being written and recorded just prior to Thanksgiving so we’re taking off Thursday and Friday. So kind of like a 4 day little holiday. I’m excited as hell about that.
Mostly because I’m not driving anywhere. It’s really going to be 4 days of sitting around the house, enjoying family, and giving some Thanks along the way. I have a whole lot to be thankful for. I’ve been very blessed. Many of you know I’m a musician. I used to be a traveling musician. I’d work for four days every week and then hop in the van with the boys and pull a trailer all over Texas, Oklahoma, New Mexico, Colorado, and even out to Arizona….every single weekend.
We’d play like that for 6 months straight without having a weekend off. We’d be home here in Amarillo every 4-6 weeks but we’d still be playing. We used to average around 115 or 120 or so shows per year. It was amazing. Chiropractic was plan B, folks. It was so much fun. You can’t describe driving down the highway and hearing your song on the radio for the first time.
You can’t describe what it feels like when you put an album out and then travel for a show 8 hours away and see the people out in the crowd singing along to your songs that you wrote. It’s addicting. It’s absolutely a drug. People give up everything to chase that kind of feeling. I know I did. I was just fortunate enough to have been a chiropractor the whole time so I could fall back on that if all didn’t work out. And when my wife and I started having kiddos, that’s exactly what I did. I gave everyone else a good 8-10 year head start on me. I was out trying to be something I felt was special. And we did pretty darn good for quite a while.
Then it was time to do something else and re-focus energy somewhere else. It’s funny. They say energy goes where focus flows. Or something like that. I’ve never been a halfway kind of dude. I’m obsessive. If I’m going to do something, I want to do it well, efficiently, and more than competently.
So, then it was time to get serious about chiropractic. Here we are 13 years after getting off of the road and we just integrated the clinic and I don’t know how I’m going to keep up today. That’s when you just sit back and try not to gripe about success or a job well done.
That’s when you step back, look at it with fresh, new eyes, and be grateful. I’m a Christian so for folks like me, it’s when we thank God for our blessings.
Speaking of blessings, many of you know I’ve turned a lot of energy and attention to real estate investing recently. Well, we just closed on a house in Lubbock, TX and we’re going to turn it into a short-term rental. We are going through the process of getting everything in place and set up. It’s tough because it’s the first one. So, we’re learning. The next one will be easier because the systems will be in place. This one is a bit challenging but it’ll all be worth it. Wifi deadbolts, routers, wifi thermostats, ring doorbell cameras, dishes, laundry soap, a dependable cleaning crew, a good handyman, and on and on. But we’ll get there. And it’s going to be great. I’ll keep you updated if you like.
Just some free-flow thoughts there. I hope you don’t mind. This podcast isn’t always only educational. Sometimes it’s my therapy, ya know.
The first one is called “The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function” by Haavik et. al. (Haavik H 2021) and published in European Journal of Applied Physiology in October of 2021it’s so damn hot.
Why They Did It
There is growing evidence that vertebral column function and dysfunction play a vital role in neuromuscular control. This review summarises the evidence about how vertebral column dysfunction, known as a central segmental motor control (CSMC) problem, alters neuromuscular function and how spinal adjustments and spinal manipulation alters neuromuscular function.
How They Did It
- The current review summarises the contemporary model that provides a biologically plausible explanation for central segmental motor control problems, the manipulable spinal lesion.
- This review also summarises the contemporary, biologically plausible understanding about how spinal adjustments enable more efficient production of muscular force.
- The evidence showing how spinal dysfunction, spinal manipulation and spinal adjustments alter central multimodal integration and motor control centers will be covered in a second invited review.
What They Found
- Many studies have shown spinal adjustments increase voluntary force and prevent fatigue, which mainly occurs due to altered supraspinal excitability and multimodal integration.
- The literature suggests physical injury, pain, inflammation, and acute or chronic physiological or psychological stress can alter the vertebral column’s central neural motor control, leading to a central segmental motor control problem.
- The many gaps in the literature have been identified, along with suggestions for future studies.
Wrap It Up
Spinal adjustments of central segmental motor control problems impact motor control in a variety of ways. These include increasing muscle force and preventing fatigue. These changes in neuromuscular function most likely occur due to changes in supraspinal excitability. The current contemporary model of the central segmental motor control problem, and our understanding of the mechanisms of spinal adjustments, provide a biologically plausible explanation for how the vertebral column’s central neural motor control can dysfunctional, can lead to a self-perpetuating central segmental motor control problem, and how HVLA spinal adjustments can improve neuromuscular function.
The last one is called “Variations in Processes of Care and Outcomes for Hospitalized General Medicine Patients Treated by Female vs Male Physicians” by Sergeant et. al. (Sergeant A 2021) and published in JAMA on July 16, 2021 and that’s a lot hot.
Why They Did It
They wanted to answer the question, “Is physician gender associated with mortality and other patient outcomes in a general internal medicine inpatient setting?
How They Did It
- It was a retrospective cross-sectional study including patients admitted to general medical wards at 7 hospitals in Ontario, Canada, between April 1, 2010, and October 31, 2017.
- The association of physician gender with patient outcomes was examined while adjusting for hospital fixed effects, patient characteristics, physician characteristics, and processes of care.
- All patients were admitted to a general internal medicine service through the emergency department and were cared for by a general internist or family physician-hospitalist.
- Patients were excluded if length of stay was greater than 30 days or if the attending physician cared for less than 100 hospitalized general medicine patients over the study period.
- A total of 171,625 hospitalized patients with a median age of 73 years were included
What They Found
- Patients were cared for by 172 attending physicians (54 female physicians and 118 male physicians.
- In fully adjusted models, female physicians ordered more imaging tests, including CTs, MRIs, and Ultrasounds.
- Patients treated by female physicians had lower in-hospital mortality.
- This difference persisted after adjustment for patient characteristics but was no longer statistically different after adjustment for other physician characteristics.
- The difference was similar after further adjustment for processes of care.
Wrap It Up
Patients cared for by female physicians had lower mortality rates than those treated by male physicians, adjusting for patient characteristics. This finding was nonsignificant after adjustment for other physician characteristics. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in the leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
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The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website https://www.chiropracticforward.com Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter https://twitter.com/Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger Bibliography Haavik H, K. N., Holt K, Niazi IK, Amjad I, Pujari AN, Türker KS, Murphy B (2021). “The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function.” Eur J Appl Physiol121(2675-2720). Sergeant A, S. S., Shin S (2021). “Variations in Processes of Care and Outcomes for Hospitalized General Medicine Patients Treated by Female vs Male Physicians.” JAMA Health Forum 2(7).