Lei de Claridade de Licenciatura em Medicina Esportiva e Quiropraxia

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A American Chiropractic Association (ACA) aplaude a Câmara dos Representantes dos EUA por passar HR 921, o Lei de Clareza de Licenciamento de Medicina Esportiva. O projeto de lei, aprovado por unanimidade pela Câmara em 12 de setembro, garante que os profissionais de medicina esportiva sejam devidamente cobertos por seu seguro contra erros médicos ao viajarem com equipes esportivas para outro estado.

“Continuity of care for athletes is important as they cross state lines to compete, and this bill will help ensure they can be treated by health care professionals they have come to know and trust,” said ACA President David Herd, DC.

ACA worked with key members of the House to ensure doctors of chiropractic (DCs), along with other providers, were included in the bill’s final language.  The initial iteration of the bill would have excluded DCs from this initiative. Addressing this issue is important, especially for DCs, who are a vital part of integrated health teams at all levels of competition: high school, college and professional.  Currently, all equipes de futebol profissionalbem como 28 dos clubes de beisebol da 30, têm um médico de quiropraxia como parte de sua equipe de treinamento médico.

 

Sports Medicine

 

ACA thanks House Energy and Commerce Committee Chairman Rep. Fred Upton (R-Mich.), Ranking Member Rep. Frank Pallone (D-N.J.), Health Subcommittee Chairman Rep. Joe Pitts (R-Penn.), Health Subcommittee Ranking Member Rep. Gene Green (D-Tex.) and the bill’s sponsor, Rep. Brett Guthrie (R-Ky.) for their work in bringing this bill before the House.

ACA supports swift action by the Senate and looks forward to H.R. 921 reaching the president’s desk for final approval.

 

Sobre a American Chiropractic Association

A Associação Americana de Quiropraxia (ACA) é a maior associação profissional dos Estados Unidos, representando médicos de quiropraxia. A ACA promove os mais altos padrões de ética e atendimento ao paciente, contribuindo para a saúde e o bem-estar de milhões de pacientes quiropraxistas. Visite-os em www.acatoday.org.

 

Ligue hoje!

 

Estudo inovador: Quiropraxia e controle do assoalho pélvico

 

 

Um par de anos atrás, a Spinal Research recebeu um aplicativo de financiamento interessante que estávamos ansiosos para obter. Na época, o debate estava em torno do uso de ajustes quiropráticos durante a gravidez e a infância. A Dra. Heidi Haavik e seus co-investigadores, Dr. Jenny Kruger e a professora Bernadette Murphy, estavam ansiosos para investigar se o ajuste das subluxações vertebrais alteraria a função dos músculos do assoalho pélvico.

The results are in and the research report has been approved for publication, but as these things take time we thought you’d like the scoop. This is big news for women and chiropractors alike!

  • O estudo demonstrou que o ajuste das gestantes parece relaxar os músculos do assoalho pélvico em repouso. Como não houve alterações vistas quando ajustaram o grupo de comparação não grávida, esse achado nas gestantes parece ser um efeito único da gestação.
  • Esse relaxamento dos músculos do assoalho pélvico, visto após sua adaptação, pode significar que a quiropraxia pode ser benéfica para as gestantes, pois pode ajudá-las a ter um parto vaginal natural.
  • A secondary interesting finding of this study was that the non-pregnant chiropractic students in the comparison study were able to contract their pelvic floor muscles to a degree previously seen only in elite athletes. We don’t yet know exactly why, but a possible explanation for this is that they were chiropractic students who were regularly getting checked and adjusted and this may have been why they had such amazing control over their pelvic floor muscles. It’s also possible this would have a preventative effect against future pelvic floor dysfunction such as stress urinary incontinence! But the researchers say this needs to be followed up with future studies

Por que o estudo do assoalho pélvico é importante

 

Os músculos do assoalho pélvico (o complexo muscular Levator Ani) são conhecidos por terem papéis ativos na gravidez e no parto, bem como na estabilização da coluna vertebral. Quando os músculos do assoalho pélvico estão danificados ou estressados ​​com o tempo, podem surgir problemas de saúde como incontinência e prolapsos vaginais. Sabemos que estes são problemas com enormes custos emocionais, físicos, sociais e financeiros em todo o mundo e uma causa significativa de estresse para essas mulheres.

For a woman in labour, the ability to relax pelvic floor muscles (as well as contract them) to allow the baby to move through the birth canal is incredibly important, especially as the baby crowns. If the woman can’t relax these muscles as the baby moves through, she will tire more quickly and may require more interventions to assist the birthing process. Muscles that cannot relax could also interfere with a birth progressing without interference. In an ideal situation, strong pelvic floor muscles with an ability to relax would better prepare a mother for a natural, vaginal birth.

The primary findings of this study are incredibly encouraging, especially given the fact that quantitatively assessing the effect of spinal adjustment on pelvic floor muscle function has not previously been done! The study came about when Dr. Jenny Kruger, a midwife who completed her PhD on imaging the pelvic floor, approached Haavik. The two worked with Dr. Bernadette Murphy, who had supervised both of their PhD’s. Kruger and Haavik decided to combine their interest areas to study the PFM’s after spinal adjustments.

The study saw participants undergo ultrasounds, and perform three different manoeuvres – squeezing as hard as they could, bearing down (that pushing which opens up the Hiatus hole in the pelvic floor) and at rest. They studied the women in the control group and the active group, and looked at them pre and post adjustment.

“We were expecting to see changes on the squeezes and the pushes and all of that, but we saw nothing. But what was really interesting is that the actual (hiatus) hole itself got larger at rest. What it suggests is that those muscles that form the Pelvic Floor rim that holds all our internal organs and that move to give birth to the baby, must have relaxed,” said Heidi Haavik in a recent interview with Spinal Research.

“That alone is extremely exciting…Opening up those muscles is so important to be able to give birth.”

Uma segunda descoberta interessante do estudo

Dadas as mudanças hormonais e fisiológicas envolvidas na gravidez, os pesquisadores adicionaram um grupo de comparação à mistura. Este grupo era formado por estudantes de quiropraxia não grávidas, e é também onde este estudo ficou muito interessante.

“Again there weren’t any major pre and post adjustment changes, but our students were capable of contracting their Pelvic Floor muscles to a degree that has only previously been seen in top, elite athletes. I was quite blown away.  Jenny was quite blown away because this is very, very unusual,” said Haavik.

This secondary finding is an incidental but interesting one. It raises enough questions to demand a study of its own as we don’t yet know what it means. It could be that because they are chiropractic students who are being adjusted regularly, their sensory-motor control is greater. But far more work needs to be done before we accurately interpret the results.

O que este estudo poderia significar?

 

Again, it’s early days in terms of understanding the full impact of this study’s findings. We do know that adjusting women in pregnancy gives them a greater ability to relax the pelvic floor. We also know that something very unusual occurs in chiropractic students who are being adjusted regularly.

 

  • Para as mulheres grávidas, isso tem o potencial de lhes dar um maior grau de controle sobre os músculos do assoalho pélvico, o que, por sua vez, pode facilitar o parto vaginal. Neste ponto, podemos apenas especular sobre quais poderiam ser os impactos em termos de redução da necessidade de intervenções médicas ou aumento do bem-estar da mãe e da criança. Mas nos mostra que a quiropraxia pode ser benéfica para mulheres grávidas.
  • Para mulheres não grávidas que são checadas e ajustadas regularmente, podemos estar olhando para um conjunto completamente diferente de benefícios. É possível que isso melhore a condição dos músculos do assoalho pélvico, permita um maior controle sensório-motor e diminua potencialmente o risco de incontinência urinária de esforço, incontinência fecal e prolapso vaginal. Esta é uma possibilidade extremamente excitante!

Haavik concedes that these are big ‘ifs.’ Once again, more research is required but the flow on effects could be far reaching.

“Why I’m even bothering with this line of research is because 1) we could potentially increase the rate of healthy, uncomplicated vaginal births and deliveries. As soon as you add interventions, their problems just skyrocket. Increasing the chances for women to have a natural, vaginal delivery is where I’m headed with this work. 2) Also preventing pelvic floor muscle problems for women, preventing stress urinary incontinence for example. There’s actually very little research on female pelvic floor problems. It’s surprising! If we can have uncomplicated, natural vaginal delivery without drugs and intervention, the baby is better off and the woman is better off. I’m quite convinced that chiropractic care can actually help with this, but this needs to be systematically explored with properly conducted scientific studies.”

What’s Next For This Area Of Study?

“We’ve started a second study, which again A Spinal Research financiou, and we have reached the point where we are getting preliminary results,” says Haavik. Again, Dr. Jenny Kruger approached Dr. Haavik with a topic to collaborate on. This time it focused on stress urinary incontinence (SUI).

At present, whether or not a woman will get SUI post-childbirth is a bit of a lottery. Some get it, some don’t.

O que é suposto acontecer é que quando contraimos esses músculos, os lados esquerdo e direito devem se contrair ao mesmo tempo. Supõe-se que os músculos superficiais se contraiam primeiro, e então os músculos mais profundos seguem apenas 21 milissegundos depois. Mas em mulheres com SUI, esse momento está fora de sintonia.

“It could be that when we are subluxated, that the timing of the muscle contractions become stuffed up,” says Haavik. The researchers have been screening women with timing issues and adjusting them. “We’ve screened hundreds of women and adjusted a lot of them too. We are looking at several measures all in one go.”

We will save the results of this study for another blog post, but it’s another study chiropractors and their female patients are going to want to know about!

Faça o download de um cartaz usar na prática.

 

Ligue hoje!

 

The Oldest Practicing Female Chiropractor, 91 Years Old… & Still Serving

 

Being a Chiropractor is not just a job to many doctors, but a lifelong mission.  It starts as a passion to help others and then transcends into a lifestyle and mission to serve the world.  The thought of retirement to many DC’s is nothing more than just decreasing the amount of people they can physically care for each day.

Caso em questão, o Dr. Jean Koffel.

A história do Dr. Koffel foi originalmente publicada em seu jornal local, Sheboygan Press. Aqui está:

 

 

Chiropractic care has been Koffel’s vocation since relocating to Sheboygan in 1945 with a Chiropractic degree from Palmer College em Davenport, Iowa, a primeira escola do gênero.

Ela se tornou o primeiro quiroprático do sexo feminino no município.

Nascido em Racine, Koffel foi criado em West Bend entre parentes dedicados à filosofia quiroprática, incluindo seu falecido pai, Alfred E Koffel, que atuou na profissão por mais de 60 anos.

Her first office was located above the Kresge store on Eighth Street during a time when Prange’s sold eggs and businesses such as The Bismarck, Keitel’s Candy Store and Ford Hopkins Drug Store were the happening spots.

Koffel testemunhou muitas mudanças e transformações e, por meio de tudo isso, se manteve fiel a um estilo de vida equilibrado, incluindo boa nutrição, exercícios moderados (ela anda regularmente), sono tranquilo e cuidados quiropráticos de rotina.

She’s been practicing out of the business end of her home since 1967, after her marriage to Mike Brendzej, who passed away in 1990.

Koffel doesn’t operate on scheduled appointments, but instead offers hands-on manual adjustments during her select business hours. She sticks to hands-on manipulation without using any gadgets or heat and light modalities.

Ao longo dos anos, Koffel manteve-se ocupado com atividades como golfe e boliche, mas hoje, depende de seus passeios regulares.

Even getting hit by a car last November, while walking with her friend, didn’t stop Koffel, who was back practicing the next business day. Her friend just recently completed healing from two broken wrists.

“If it were me, I would be out of business,” she said, feeling thankful.

Koffel has patients who have grown up with her and now treats their children and their children’s children, down to the fourth generation. Her oldest patient was 100.

“She’s a very, very wise lady. What she lacks in size, she has in strength and common sense,” said Lori. “She provides mental and physical relief.”

Quiropraxia não é um trabalho. É uma missão de vida! Obrigado Dr. Koffel e todos os nossos antepassados ​​e irmãs por seu trabalho ao longo da vida na profissão de Quiropraxia. Sem você, milhões de pessoas em todo o mundo nunca teriam sido capazes de experimentar o poder do ajuste da Quiropraxia de cima para baixo, de dentro para fora!

 

Ligue hoje!

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