Subluxation Lecture Bhogal

Subluxation Lecture Bhogal - Palmer Palmer Upper Cervical...

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Unformatted text preview: Palmer Palmer Upper Cervical Specific Chiropractic Chiropractic ►A conservative and conscientious form of health care that concerns itself itself (primarily) with the functional integrity integrity of the nervous system. –Dr. R. S. Bhogal Subluxation Subluxation ►An aberration in biomechanical spinal anatomy, such that the functional functional integrity of the nervous system system is compromised (compromised capacity to adapt to stimulus). –Dr. R. S. Bhogal Philosophy Philosophy ► The love of wisdom! ► What does chiropractic wisdom tell us: The The body is intelligent It It is self regulating – Innate Intelligence Created Created by a Universal Intelligence Love/hate Love/hate relationship with Educated Intelligence How How well we utilize Educated facilitates the expression of Innate Principle Principle Reminders ► 17. Cause and Effect Every Every cause has an effect and vice versa ► 18. Evidence of life We We should live life to it’s potential ► 20. Innate Intelligence Every Every living thing has it ► 21. The mission of Innate Intelligence Active Active organization – homeostasis Principle Principle Reminders ► 24. Limits of adaptation Limitations Limitations of matter ► 30. The cause of dis-ease disTransmission Transmission of Innate ► 31. Subluxations Cause? Cause? or effect? 3 T’s T’s “Adjusting” “Adjusting” the cause or effect Subluxation Subluxation Complex ►Kinesiopathology Position Position / Motion ►Myopathology Tonicity Tonicity / Weakness ►Neuropathology Compression Compression / Stretch / Axoplasmic flow ►Histopathology Edema Edema / Inflammation ►Pathophysiology – Name your disease! Subluxation Subluxation Complex ►Kinesiopathology Static/Motion Static/Motion Palpation/ROM and Posture ►Myopathology Palpation Palpation / Muscle Strength / History ►Neuropathology Instrumentation Instrumentation / DTR’s / Sensory or Motor Exam / Leg Checks ►Histopathology Palpation Palpation / History / Blood chemistry ►Pathophysiology – The Subluxation! EIP/EBP Evidence MisEvidence Mis-Informed “The literature doesn’t back what you’re saying or doing!” ►“There isn’t enough research available…” available…” ►Are the patient’s wishes or expectations being considered. ►How much CLINICAL experience does someone bring to the table! ► Hypertension Hypertension ► A DC’s preliminary intervention: Chiropractic’s Chiropractic’s health benefits are so much greater than the relief of back or neck pain. Chiropractic is wholewholebody health care with the vision to see the body as much more than the sum of its parts. The The science of chiropractic emphasizes the relationship between between the spine and the nervous system, and how that that relationship affects function and health. Spinal misalignments (known as vertebral subluxations) can interfere with the transmission of information from the brain, over the spinal cord and/or nerve roots to any or all systems of the body. The resulting altered information produces altered function and lowered resistance, which often results in symptoms and disease. –PCC 2008 Hypertension Hypertension Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study Journal Journal of Human Hypertension (2007) 21, 347–352. March 2007 21, 347– G Bakris1, M Dickholtz Sr2, P M Meyer1, G Kravitz1, E Avery1, M Miller3, J Brown3, C Woodfield4 and B Bell3 This [8 week] pilot study tests the hypothesis that correcting mal-alignment of the Atlas vertebra malreduces reduces and maintains a lower BP. Using a double blind, placeboblind, placebo-controlled design at a single center, 50 drug naïve or washed out patients with Stage 1 hypertension were randomized to receive a National Upper Cervical Chiropractic (NUCCA) procedure or a sham procedure. ► Hypertension Hypertension Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study Journal Journal of Human Hypertension (2007) 21, 347–352. March 2007 21, 347– G Bakris1, M Dickholtz Sr2, P M Meyer1, G Kravitz1, E Avery1, M Miller3, J Brown3, C Woodfield4 and B Bell3 At week 8, there were differences in systolic BP (-17 mm Hg, NUCCA versus -3 mm Hg, placebo) and and diastolic BP (-10 mm Hg, NUCCA versus -2 mm Hg, Hg, placebo). ► No adverse effects were recorded. We conclude that restoration of Atlas alignment is associated with marked and sustained reductions in BP similar to the use of two-drug combination therapy. two► Hypertension Hypertension ► How does it work? …vertebral subluxations can interfere with the transmission of information from the brain, over the spinal cord and/or nerve roots to any or all systems of the body. The resulting altered information… ► August of 2007, the Journal of Neuroscience published published a detailed brainstem histological study: ► The Neurochemically Diverse Intermedius Nucleus of the Medulla as a Source of Excitatory and Inhibitory Synaptic Input to the Nucleus Tractus Solitarii Hypertension Hypertension The Neurochemically Diverse Intermedius Nucleus of the Medulla as a Source of Excitatory and Inhibitory Synaptic Input to the Nucleus Tractus Solitarii. The Intermediate Nucleus (IN) receives afferent postural input from the dorsal neck musculature including suboccipital muscles which are rich in spindle spindle content. ►Altered alignment of the Atlas does not allow proper communication between the Intermediate Nucleus and the Nucleus Tractus Solitaruis (NTS). ►Relieving facilitation of dorsal neck musculature through Atlas realignment allows the IN and the NTS to communicate. ► Hypertension Hypertension The Neurochemically Diverse Intermedius Nucleus of the Medulla as a Source of Excitatory and Inhibitory Synaptic Input to the Nucleus Tractus Solitarii. The IN relays excitatory and inhibitory information to the NTS so that it can perform its autonomic integration inclusive of the BARORECEPTOR BARORECEPTOR REFLEX. ► The baroreceptor reflex is one of the body's homeostatic mechanisms for maintaining blood pressure. It provides a negative feedback in which an elevated blood pressure reflexively causes blood pressure to decrease; similarly, decreased blood pressure depresses the barometric reflex, causing blood pressure to rise. The system relies on baroreceptors, in the aortic arch, carotid sinuses to monitor changes in blood pressure and relay them to the brainstem. Subsequent changes in blood pressure are mediated by the autonomic nervous system. -Berne, Robert M., Levy, Matthew N. (2001). Cardiovascular Physiology. Philadelphia, PA: Mosby. Cardiovascular Gary D. Hack, DDS Gwendolyn Dunn DDS Mi Young Toh, MS, MA ...
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This note was uploaded on 01/07/2012 for the course TECHNIQUE 62603 taught by Professor Bhogal during the Winter '11 term at Palmer Chiropractic.

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