Evaluation of changes in autonomic balance following chiropractic care in patients with Covid-19 post-viral syndrome
While researchers and medical care professionals are working tirelessly to develop effective care strategies and a solution to the present SARS-CoV-2 (COVID-19) pandemic, many patients are looking for ways to boost their body’s own natural defenses. In addition to supplementation, chiropractic care is one of the leading complementary and integrative medicine modalities that patients utilize. According to a report from the National Center for Complementary and Integrative Health, 53% of patients utilize spinal manipulative therapy – such as chiropractic – for wellness care, with 11% specifically utilizing the therapy for immune support. The purpose of this study is to pilot test an initial study protocol for the evaluation of the effects of Axial Stability Method (ASM) chiropractic care on autonomic function in individuals who are experiencing prolonged symptoms of COVID-19.
A practice-based survey designed to understand the symptoms and severity of COVID-19 disease among patients receiving chiropractic care.
Help us understand more about COVID-19 in a national research survey. This information could be important and may help develop an understanding of the impact of COVID-19 on patients under chiropractic care and the relationship between COVID-19, patient characteristics and chiropractic care. This is valuable information as we continue to face this pandemic. If you are a practicing chiropractor and would like to participate in this study, please register at https://form.jotform.com/210895344022148.
Technique Lab of the Future
The Dr. Sid E. Williams Center for Chiropractic Research (CCR) is dedicated to the advancement of the chiropractic profession through engagement in research of significance. Our researchers are at the forefront of studying the biomechanics of the chiropractor’s most important tool, the adjustment. In addition to knowledge of anatomy and joint biomechanics, and the skill to correctly identify anatomical locations on patients, students need training in several physical components of performing adjustments. All of these motor skills need to be accomplished in a coordinated manner, with proper body mechanics, to produce an adjustment that is effective and safe for the patient and the doctor.
To address this need, the CCR, in collaboration with the Chiropractic Sciences Division, has developed a Technique Lab of the Future (TLOF). This unique educational tool provides an entirely new and state-of-the-art methodology for the technique faculty to utilize as a part of student learning. The technique lab features 13 full-spine mannequins developed at Life University. These palpation and adjusting trainers (PATs) have the look, feel, size and weight of an average person and include 64 pressure sensors at key spinal landmarks. Software enables students to scan for structures beneath the mannequin’s silicone skin and know with certainty when the structure has been located.
Using an adjusting bench with a built-in force plate, students are taught to reproduce the magnitude, line of drive, and speed of thrusts similar to targets provided by their instructors. Future developments will include a force and orientation tracking glove and motion tracking equipment to provide students advanced performance feedback during early technique training.
None of these tools replace the human-to-human adjustment and palpation skills training in the technique program. They do, however, provide a repeatable and safe way for students to learn to control their thrusts through repeated practice on the mannequins, before they apply those skills to humans.
A randomized wait-list control trial evaluating the effect of team-based applied clinical neuroscience care on self-reported symptoms of depression and cerebellar function in adults with medication-resistant depression
A pilot study design that operationalizes the multimodal manner of care while evaluating changes in depression symptoms, dysmetria, and balance for medication non-responders.
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Stroke study: Does chiropractic care change post-stroke ADLs and brain activation patterns
During a stroke, a region of the brain experiences a decrease in blood supply and loss of oxygen. This can happen when the blood supply to the brain becomes blocked (ischemic stroke) or when an artery in the brain leaks or hemorrhages blood (hemorrhagic stroke). A stroke may also be referred to as a cerebrovascular event. Individuals in the United States who have experienced a stroke may be faced with a decline in their quality of life. (1) While the likelihood of dying from a stroke has decreased, the number of individuals living with stroke related disabilities has increased. (2)
One challenge is that the increase in individuals living with chronic symptoms post-stroke has resulted in greater demand for rehabilitative services. (3) Despite advances in acute and rehabilitative care, the quality of life for these patients may remain less than optimal. Complicating recovery and therapeutic intervention success are the differences in pathophysiology and possible long-term cortical and functional implications that result from the different type, severity and location of an individual’s stroke. To address the unique and increasing needs of individuals experiencing symptoms post-stroke, additional insight into how the different types of stroke respond to alternative therapies could be beneficial. (4)
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Assessment of inter-limb symmetry in walking: establishment of methods (phase 1)
The primary purpose of this project is to study upper extremity movement characteristics during walking. We will build a database of typical ranges and symmetry values, examine methods to analyze contralateral arm and thigh coordination, and evaluate inter-examiner visual observation. The knowledge gained from this project will be used in a follow-up clinical study of a relevant patient population.
Autonomic dysfunction: a feasibility study of methodologies
This feasibility study will use a series of tests and data analysis methods on a generally healthy population to determine which measures to standardize for the projected series of autonomic studies. This study will take patient comfort into account along with the quality and quantity of data able to be elicited in order to determine which methods are best suited for our projected line of study in populations with autonomic dysfunction.