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  1. #1
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    Default extinction of chiropratic: subluxation construct

    strength/conditioning athletes and bodybuilders widely use chiropractors for varied reasons including spinal 'adjustments' for 'subluxations.' we even see posts on this site that ellude to this and recommendations.

    adjustments are commonly performed with the determination of some chiropratic or osteopathic subluxation of the vertebrae. historically, assumptions included that these subluxations caused neurological impairments and other organ dysfunciton systems wide. unfortunately, no evidence suggests these accounts and that chiropratic subluxations cause diseases.

    the following paper illustrates much of the lack of validity in a subluxation contruct. the conclusions should inform consumers and provide concerns on whether treatment of subluxation even exists.

    if it doesnt exist, why treat it?

    http://www.chiroandosteo.com/content...1340-17-13.pdf




    Review
    An epidemiological examination of the subluxation construct using Hill's criteria of causation

    Timothy A Mirtz1 , Lon Morgan2 , Lawrence H Wyatt3 and Leon Greene4
    1 University of South Dakota, Vermillion, South Dakota, USA
    2 Retired, Meridian, Idaho, USA
    3 Texas Chiropractic College, Pasadena, Texas, USA
    4 University of Kansas, Lawrence, Kansas, USA

    author email corresponding author email
    Chiropractic & Osteopathy 2009, 17:13doi:10.1186/1746-1340-17-13
    Published:2 December 2009
    Abstract

    Background

    Chiropractors claim to locate, analyze and diagnose a putative spinal lesion known as subluxation and apply the mode of spinal manipulation (adjustment) for the correction of this lesion.
    Aim

    The purpose of this examination is to review the current evidence on the epidemiology of the subluxation construct and to evaluate the subluxation by applying epidemiologic criteria for it's significance as a causal factor.
    Methods

    The databases of PubMed, Cinahl, and Mantis were searched for studies using the keywords subluxation, epidemiology, manipulation, dose-response, temporality, odds ratio, relative risk, biological plausibility, coherence, and analogy.
    Results

    The criteria for causation in epidemiology are strength (strength of association), consistency, specificity, temporality (temporal sequence), dose response, experimental evidence, biological plausibility, coherence, and analogy. Applied to the subluxation all of these criteria remain for the most part unfulfilled.
    Conclusion

    There is a significant lack of evidence to fulfill the basic criteria of causation. This lack of crucial supportive epidemiologic evidence prohibits the accurate promulgation of the chiropractic subluxation.

  2. #2
    PastGenetics JamesWebb's Avatar
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    interesting. i am paying a ridiclous amount to see a chiro three times a week for adjustments but honestly after about 4 weeks i see no marked decrease in lower back pain.

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    PastGenetics JamesWebb's Avatar
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    damn i feel like i am back in college reading this. lol

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    Quote Originally Posted by PastGenetics View Post
    interesting. i am paying a ridiclous amount to see a chiro three times a week for adjustments but honestly after about 4 weeks i see no marked decrease in lower back pain.

    what happened to your back? oh. wrong thread. lol.

    anyway, watch this video called the kinsinger report. its speaks to much of the same as the referenced publication. http://www.ah.ouhsc.edu/rehab/continuing_education.asp

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    I used to pop ribs out of place every couple of months before going to a chiro twice a week. Not once now in over a year.It took many different docs to find the right one for me. Lower back feels much better now too. If there wasn't any validity in it, why would the big health insurance companies cover it ?

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    Quote Originally Posted by big310 View Post
    I used to pop ribs out of place every couple of months before going to a chiro twice a week. Not once now in over a year.It took many different docs to find the right one for me. Lower back feels much better now too. If there wasn't any validity in it, why would the big health insurance companies cover it ?
    now you know efficacy, evidence or effectiveness of an intervention doesnt matter in the history of insurance coverage. : )

    great question that many health practitionars deal with everday.

    and the answer is 'legislation.'

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    RX MEMBER ob205's Avatar
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    Great post as usual TPT, so in laymens terms you feel chiropractic care is more mysticism than science? I don't understand how the human body can get out of alignment so easily and that a mere adjustment corrects this. If this were true wouldn't we need an adjustment daily or hourly?

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    RX MEMBER thesamewords's Avatar
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    Didnt Flex get his neck broke by a Chiropractor... or was that some one else getting their neck broke....

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    Quote Originally Posted by ob205 View Post
    Great post as usual TPT, so in laymens terms you feel chiropractic care is more mysticism than science? I don't understand how the human body can get out of alignment so easily and that a mere adjustment corrects this. If this were true wouldn't we need an adjustment daily or hourly?

    thanks, ob.

    yes. historically, it is a fact that chiropractic is more mysticism than science. this is emphasized by the logic and reasoning behind the 'subluxation' being the determinant of disease. thus, fix the subluxation with a mere adjustment to fix the disease. we know that this is erroneous and many use this simplified construct in practice.

    another link that speaks to the previous referenced paper.
    http://www.sciencebasedmedicine.org/?p=3022#more-3022

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    Quote Originally Posted by thesamewords View Post
    Didnt Flex get his neck broke by a Chiropractor... or was that some one else getting their neck broke....

    really?

    tell us about it.

  11. #11
    NOVICE drfunction's Avatar
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    Not all Chiro's are the same. Not all M.D.'s, D.D.S.'s, Nutritionist's etc. are the same.
    Not all Chiro's practice the sublux theory. Research your Doc's.
    Dr. Franco Columbo (Arnold's friend) is a chiro.
    There are many body building friendly chiros that don't practice the sublux way.

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    Quote Originally Posted by drfunction View Post
    Not all Chiro's are the same. Not all M.D.'s, D.D.S.'s, Nutritionist's etc. are the same.
    Not all Chiro's practice the sublux theory. Research your Doc's.
    Dr. Franco Columbo (Arnold's friend) is a chiro.
    There are many body building friendly chiros that don't practice the sublux way.

    yup. not all pts are the same as well.

    of course some chiropractors dont follow the subluxation paradigm, but it is supported by the major chiropractic schools and inherently part of the history of chiropractic. Mirtz et al. (2009) referenced 98% of chiropractors reported that most or many diseases were determined by spinal mal alignments. also, over 75% of chiropractors reported that subluxation was significant to 50% or more of visceral disorders.

    crazy shit...

  13. #13
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    Quote Originally Posted by TPT View Post
    yup. not all pts are the same as well.

    of course some chiropractors dont follow the subluxation paradigm, but it is supported by the major chiropractic schools and inherently part of the history of chiropractic. Mirtz et al. (2009) referenced 98% of chiropractors reported that most or many diseases were determined by spinal mal alignments. also, over 75% of chiropractors reported that subluxation was significant to 50% or more of visceral disorders.

    crazy shit...
    Unbelievable. And people buy it hook, line, and sinker.

    Another profitable form of quackery is acupuncture. Topic for another thread, but a critical meta-analysis reveals essentially NO sound evidence that acupuncture is efficacious for the treatment of any disease or ailment.

    P-L-A-C-E-B-O.

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    Quote Originally Posted by Colossal View Post
    Unbelievable. And people buy it hook, line, and sinker.

    Another profitable form of quackery is acupuncture. Topic for another thread, but a critical meta-analysis reveals essentially NO sound evidence that acupuncture is efficacious for the treatment of any disease or ailment.

    P-L-A-C-E-B-O.

    yeah. we can speak plenty to acupunture another time.

    anyway, placebo is quite controlling for perceived effects. i suspect that many patients 'perceive' better feelings merely from an audible pop or cavitation from an adjustment/manipulation. in many instances the audible pop likely has psychological and social effects that are not readily discriminate.

    vertebral manipulation may be helpful though confounding variables are quite controlling of effects as well. e.g., when spinal adjustments are performed in combination of other modalities including stretching, massage, etc. what actually had effects on perceived better feelings? it could be any of the parts of treatment,

    consumers such as bodybuilders should choose the therapist, not the therapy. choose the practitioner, not the practice.
    Last edited by TPT; 03-05-2010 at 06:58 AM.

  15. #15
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    "consumers such as bodybuilders should choose the therapist, not the therapy. choose the practitionar, not the practice."--good advice TPT and agreed....though you spelled practitioner wrong FWIW.

    Many Pro Basketball, Football, Baseball, Hockey, and Olympic Teams.. from many countries have On Staff Chiros. I don't think these Professional Teams would waste money on Chiros if the athletes didn't see performance enhancement and speedy recovery from injuries. Chiro can be the right treatment for the right condition. Again, research your Chiro's my bodybuilding bro's.

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