Effect of long-term cervical extensor exercise program on functional disability, pain intensity, range of motion, cervical muscle mass, and cervical curvature in young adult population with chronic non-specific neck pain: a randomized controlled trial

https://pubmed.ncbi.nlm.nih.gov/38169407/

Atlas of Chiropractic on YouTube https://www.youtube.com/@AtlasofChiropractic

International Academy of Neuromusculoskeletal Medicine

https://ianmmedicine.org/

Diplomate Course Syllabus:

https://www.bridgeport.edu/files/docs/academics/programs/postgrad/ortho-nmm/nmsm-online-syllabus.pdf

In this conversation, Dr. Cameron Bearder interviews Dr. Meghan Mizrachi, a physical therapist, about her journey from professional dance to physical therapy, the differences in practice between physical therapy and chiropractic, and the complexities of treating hypermobility and Ehlers-Danlos Syndrome (EDS).

They discuss patient expectations, the role of the brain in pain perception, and the intersection of healthcare and business. The conversation highlights the importance of movement efficiency and injury prevention, as well as the philosophical differences in treatment approaches between the two disciplines. In this conversation, Dr. Bearder discusses various aspects of physical therapy, including the importance of alignment in injury prevention, the role of imaging, and the differentiation between arthritis and other conditions. He emphasizes the significance of effective patient communication, understanding patient expectations, and the challenges of accessibility in healthcare. The discussion also touches on the value of wellness, patient investment, and the need for empowerment through education.

Check out Keystone Upper Cervical Spine Clinic online here:

https://www.keystonespineclinic.com/

Check out Dr. Meg at Congruency Physical Therapy online here:

https://congruencypt.com/team

Social:

@drbearder

@zenith_chiro

@congruencypt

Dr. Stenberg can be found online at:

https://www.zenithchiroco.com/

Atlas of Chiropractic on YouTube:

@AtlasofChiropractic

Dr. Stratton Poulson is a chiropractor in Dallas Texas at Apex Chiropractic. In just a few short years in practice, Dr. Poulson has generated a high number of new patients consistently through social media marketing. This has launched his micropractice into a low stress, high value, high profit model.

In this episode, we discuss:

• A pragmatic approach to social media
• How to grow a following locally, AND how to convert them to actual patients in your practice
• The benefits of treatment videos, and the strategies that just don't work
• Patient care philosophy and practice - what really happens inside his practice
• Tips for students creating an image for themselves online

and more.

Check out these episodes where Dr. Poulson explains more about his strategies and practice:

The Smart Chiropractor Podcast

Rocket Chiro Podcast

Purchase his social media course here:

https://apex-chiropractic-education.thinkific.com/courses/social-media-marketing

Follow Dr. Stratton Poulson on IG here:

https://www.instagram.com/stratpoulson/

Click here to follow Dr. Poulson's IG editor:

https://www.instagram.com/nguyen.mov/

Visit https://www.zenithchiroco.com/ to learn more about Dr. Stenberg's practice in Colorado Springs, CO.

In this episode of the Atlas of Chiropractic podcast, Dr. John Stenberg, Dr. Bearder, and Orri Gudmundsson from NeckCare discuss the significant role of technology in chiropractic care, particularly in upper cervical practices. They explore the importance of attending chiropractic events, the long development journey of NeckCare's products, and the integration of data-driven assessments in improving patient care.

Check out the NeckCare technology and research here: https://neckcare.com/

NeckCare on IG: https://www.instagram.com/neckcare_official/

The conversation highlights the need for collaboration across different healthcare disciplines and the continuous feedback loop that drives innovation in chiropractic technology. In this conversation, the speakers delve into the complexities of NeckCare, focusing on joint position sense, muscle spindles, and innovative testing methods like the butterfly test. They discuss the importance of understanding the interplay between structural and functional assessments in rehabilitation, emphasizing the need for collaboration across different healthcare professions to enhance patient outcomes. The conversation highlights the potential of technology in advancing neck rehabilitation and the significance of data-driven approaches in clinical practice.

Takeaways

• Netcare has been a strong supporter of the chiropractic profession.

• Upper cervical adjustments show significant efficacy in patient outcomes.

• Investment from customers goes directly into product development.

• The development of Netcare's technology has spanned over 20 years.

• The cervical spine functions as a sensory organ, impacting treatment approaches.

• A common language in assessments can enhance collaboration across disciplines.

• Data-driven insights can transform chiropractic practices.

• Understanding patient movement patterns is crucial for effective treatment.

• Continuous feedback is essential for product improvement.

• The chiropractic field is evolving with technological advancements. Joint position sense is crucial for understanding neck injuries.

• Muscle spindles play a significant role in neck care.

• Identifying neck-related symptoms can lead to better treatment outcomes.

• Error correction is vital for neck functionality.

• The butterfly test provides valuable insights into neck movement.

• Integrating functional and structural assessments enhances patient care.

• Collaboration among healthcare professionals is essential for effective rehabilitation.

• Data-driven approaches can improve clinical decision-making.

• Patient education is key to understanding neck-related issues.

• Technology can revolutionize neck rehabilitation practices.

In this episode of the Atlas of Chiropractic podcast, Dr. John Stenberg and Dr. Cameron Bearder engage with Dr. Harrison Vaughan, a physical therapist specializing in cervical dizziness.

Resources:

Cervical Dizziness on Instagram

How to Diagnose Cervical Dizziness Book

How to Treat Cervical Dizziness Book

Online Courses

Takeaways

• Cervical dizziness is poorly understood in musculoskeletal pain science.

• Interdisciplinary collaboration is crucial for effective treatment.

• The neck is often overlooked in physical therapy education.

• A comprehensive approach considers multiple factors in dizziness.

• Understanding the optimal sequence in treatment is essential.

• Single entity diagnoses can be misleading; consider double entity.

• Differential diagnosis is key to effective treatment.

• Patient questionnaires are vital for accurate assessment.

• Education on the neck's role in dizziness is lacking.

• Healthcare providers must be open to various treatment modalities. Clinical diagnosis has evolved significantly over the years.

• Dizziness is often a diagnosis of exclusion, requiring careful consideration of other conditions.

• Technology plays a crucial role in enhancing patient care and education.

• Motion guidance technology helps in analyzing neck movements effectively.

• Physical therapy practices are evolving to include specialized treatment centers.

• Patients are becoming more informed and proactive in their healthcare decisions.

• Understanding cervicogenic dizziness requires a comprehensive approach.

• The integration of technology can improve treatment outcomes for patients.

• There is a growing concern about the impact of technology on sensory experiences.

• Ongoing education and discussion about these topics are essential for future advancements. Cairo is guilty of perpetuating ineffective treatments.

• Historical context shows a shift in understanding neck pain.

• Imaging can provide crucial insights into neck issues.

• Collaboration among PTs, OTs, and chiropractors is essential.

• SNAG techniques are effective for neck treatment.

• Understanding the sensory experience of the spine is vital.

• Listening to patients is key to effective treatment.

• The future of neck care involves integrated approaches.

• Specificity in treatment can lead to better outcomes.

• Continuous learning is crucial for practitioners.

This conversation between Dr. John Stenberg, Dr. Cameron Bearder, Dr. Jacob Lane, and Dr. Kylie LoPorto explores the transition from chiropractic school to practice, highlighting the challenges and realities faced by new practitioners. The speakers share their personal experiences, emphasizing the importance of mentorship, understanding patient care, and the disconnect between education and real-world practice. They discuss the misconceptions about practice, the need for self-awareness, and the significance of being prepared for the entrepreneurial aspects of being a chiropractor. In this conversation, the speakers discuss the importance of refining care in chiropractic practice, emphasizing the need for continuous learning and humility in the face of challenging cases. They explore the value of negative experiences as powerful teachers and the necessity of understanding patient needs through various techniques. The conversation also highlights the significance of effective communication, especially when transferring care between practitioners, and the importance of lifelong learning in the chiropractic field. Ultimately, they stress the need for adaptability and resilience in practice, recognizing that challenges are part of the journey. In this conversation, the speakers discuss the challenges and experiences of starting a chiropractic practice. They emphasize the importance of self-awareness, the difficulties of patient acquisition, and the need for creative solutions in managing overhead and financing. The conversation highlights the unique paths taken by each speaker, the significance of networking, and the lessons learned from navigating early practice stages.

Takeaways

• Transitioning from school to practice is challenging.

• Many students are unaware of the realities of practice.

• Mentorship plays a crucial role in navigating early career challenges.

• Self-awareness is essential for personal and professional growth.

• Education in chiropractic is what you make of it.

• Understanding patient care goes beyond just addressing misalignments.

• The disconnect between academic training and real-world practice is significant.

• Experience is the best teacher in the chiropractic field.

• Practitioners must be prepared for the entrepreneurial aspects of their careers.

• Communication with patients is key to successful outcomes. Continuous learning is essential for effective patient care.

• Negative experiences can provide valuable lessons for future practice.

• Humility is crucial when facing challenging cases in chiropractic.

• Effective communication is key when transferring patient care.

• Understanding patient needs requires a broad knowledge of techniques.

• Lifelong learning is a responsibility for all healthcare providers.

• Chiropractic identity can influence patient care decisions.

• Navigating patient expectations requires careful consideration and communication.

• Effort is required to achieve proficiency in any area of practice.

• Recognizing the natural cycles of practice can reduce stress and anxiety. Self-awareness is crucial in making decisions.

• Starting a practice can be very challenging.

• Building a practice requires careful planning and flexibility.

• Managing overhead is essential for sustainability.

• Networking with other practitioners is vital for referrals.

• Creative problem-solving is necessary in practice management.

• Patient acquisition takes time and consistent effort.

• Every practice journey is unique and may not follow a set path.

• Understanding financial needs is key to practice success.

• Learning from experiences can guide future decisions.

Check out Refuge Upper Cervical Chiropractic Online here: https://refugeucc.com/

In this conversation, Dr. Cameron Bearder provides a detailed recap of the Fall 2024 NUCCA conference held in Minneapolis, Minnesota. He shares insights from various training levels, discusses the importance of advanced adjusting techniques, and highlights the need for collaboration and unification within the upper cervical chiropractic community. Dr. Bearder emphasizes the significance of using cone beam technology in practice and the necessity of checking one's work through post-adjustment imaging. He also reflects on the challenges faced by upper cervical practitioners and the importance of forming personal opinions through experience.

Takeaways

• NUCCA is well-organized and has a strong member support system.

• Advanced adjusting techniques are crucial for effective practice.

• Cone beam technology is revolutionizing chiropractic care.

• There is a need for unification among upper cervical techniques.

• Post-adjustment imaging is essential for verifying results.

• Structural asymmetries are a common focus in upper cervical care.

• Networking at conferences fosters collaboration and learning.

• Research is vital for the advancement of chiropractic techniques.

• Challenging cases provide opportunities for growth and learning.

• Personal experience is key to forming informed opinions in practice.

Check out NUCCA online here: https://nucca.org/

Connect with Dr. Bearder on IG: @drbearder

This research review covers the topic of the "therapeutic alliance" and how person-centered care impacts outcomes in MSK care. Dr. John Stenberg defines the term "therapeutic alliance", details the three main components of the TA and how they relate to upper cervical care, and ends with 5 actionable steps to maximize outcomes and the therapeutic alliance in upper cervical practice.

Access the full text PDF for the research article reviewed in this episode here:

https://pubmed.ncbi.nlm.nih.gov/39151365/

Previous Episodes referenced:

Data Driven Chiropractic and the Anti-Fragile Approach with Dr. Jacob Coffman

Mastering the Message: The Neuroscience of Nocebos with Dr. Jonathan Chung