Science In Brief

Chiropractic Literature Review

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The Study: Kaleidoscope Model of Integrative Healthcare as a collaborative paradigm for cardiology and chiropractic: a call to action                  

The Facts:

a. This is a review article and it should be noted that it is a PROPOSED model for integrative care of cardiovascular patients through the use of both medical and chiropractic care.

b. They looked at instances where the medical and chiropractic profession had worked together. These included Clear View Sanitarium in Davenport, Iowa, the Spears Chiropractic Hospital, Kentuckiana Children’s Center and research training in major venues.

c. The authors also looked at the literature in regards to the “benefits of chiropractic care for patients with cardiovascular disease.”

d. They cite a number of instances in the literature where chiropractic has had a beneficial effect on blood pressure and the authors note that high blood pressure has a significant negative effect on cardiovascular health.

e. Among the literature discussed is a case study by Plaugher and Bachman and a study of 50 subjects done “with the cooperation of the Pritzker School of Medicine, University of Chicago.”

f. They state that “biologically plausible mechanisms exist by which the chiropractic adjustments may ameliorate arterial hypertension and connections between chiropractic and heart function.”

g. They indicate that the vagus nerve is close to the alanto-occipital joint and that atlanto-occipital subluxation may affect the heart’s parasympathetic tone.

h. They make a number of proposals for cooperation between the chiropractic and medical professions including: having medical doctors and doctors of chiropractic work together in hospital rounds and consultations. Have medical doctors and doctors of chiropractic “observe each other’s procedures.” Have the two professions work together to develop research protocols. And that the program would “initially operate with the cardiology division of a major teaching hospital.”

i. They conclude that, “In standardized hospital-based medical protocols, chiropractic’s claims beyond musculoskeletal diagnosis and treatment in the first-person experience for cardiology affords examination, scrutiny and joint codification to take the model into the present and for future integration.”

 

Take Home:

The authors are basically suggesting a program whereby doctors of chiropractic and medical doctors can have a joint program to see the benefits of chiropractic to cardiovascular health in a joint setting.

Reviewer's Comments:

One of Coleman’s rules is that it’s harder to hate people that you know. So working together to see if you can help patients is a good thing on many levels. There are a lot of reasons that people do or do not work together and we could be here for a long time discussing them. I like the idea of well-intentioned professionals (people in every facet of life should help each other) working together. When that is done patients (and society) benefit. It should just be the way things are done and that’s common sense. If this article helps further cooperation then that’s great. Most of us learned this idea about the time we learned to talk.

Reviewer:  Roger Coleman DC

 

Editor: Mark R. Payne DC

 

Reference: Cohen DJ, Schulman S, Masarsky CS, Todres-Masarsky M. The Kaleidoscope Model of Integrative Healthcare as a collaborative paradigm for cardiology and chiropractic: a call to action. Integr Med Res.2018 Mar;7(1):1-8. doi: 10.1016/j.imr.2018.01.009. Epub 2018 Feb 8

Link to Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29629286

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