A Case of Posterior Inferior Cerebellar Artery Infarction after Cervical Chiropractic Manipulation / 대한신경손상학회지

We describe the case of a patient who had infarction of the posterior inferior cerebellar artery (PICA) after a chiropractic cervical manipulation. A 39-year-old man visited the emergency room with signs of cerebellar dysfunction, presenting with a 6-hour history of vertigo and imbalance. Two weeks ago, he was treated by a chiropractor for intermittent neck pain. At the time of admission, brain computed tomography, magnetic resonance imaging, and angiography revealed an acute infarction in the left PICA territory and occlusion of the extracranial vertebral artery (VA; V1/2 junction) as a result of the dissection of the VA. Angiography revealed complete occlusion of the left PICA and arterial dissection was shown in the extracranial portion of the VA. He was treated with antiplatelet therapy. Three weeks later, he was discharged without any sequelae. The possibility of VA dissection should be considered at least once in patients presenting with cerebellar dysfunctions with a recent history of chiropractic cervical manipulation.

Effectiveness of chiropractic adjustment in lumbar pain in crossfit practitioners / Eficácia do ajuste quiroprático nas dores lombares em praticantes de crossfit / Eficacia del ajuste quiropráctico en los dolores lumbares en practicantes de crossfit

ABSTRACT Objective: To evaluate the efficacy of acute chiropractic adjustment in individuals who practice CrossFit with regard to complaints of low back pain and the joint range of motion in this region. Methods: A randomized clinical trial comprised of CrossFit practitioners from a box in Novo Hamburgo-RS, of both sexes and aged 18 to 40 years who had low back pain at the time of the study. The following tools were used: Semi-structured Anamnesis Questionnaire, Visual Analog Scale, McGill Pain Questionnaire, and SF-36 Quality of Life Questionnaire. Individuals in the control group answered the questionnaires before and after CrossFit training. The chiropractic group performed the same procedure, plus pre-training chiropractic adjustment and joint range of motion (ROM) before and after lumbar adjustment. Results: There was a significant increase in pain in the control group, and a significant decrease in pain in the chiropractic group, including one day after the chiropractic adjustment. In the chiropractic group, the joint ranges of motion had a significant increase in flexion and extension of the lumbar spine after chiropractic adjustment. Conclusion: The chiropractic group achieved a significant improvement in pain level and joint range of motion, suggesting that acute chiropractic adjustment was effective in reducing low back pain.

RESUMO Objetivo: Avaliar a eficácia do ajuste quiroprático agudo em indivíduos praticantes de CrossFit com relação às queixas de dores lombares e à amplitude de movimento articular nessa região. Métodos: Estudo clínico randomizado, composto por praticantes de CrossFit de um box de Novo Hamburgo/RS, de ambos os sexos e com idades de 18 a 40 anos que tinham dor lombar na ocasião da pesquisa. Foram usados os instrumentos Ficha de Anamnese Semiestruturada, Escala Visual Analógica, Questionário de dor McGill e Questionário de Qualidade de Vida SF-36. Os indivíduos do grupo controle responderam os questionários antes e depois do treino de CrossFit. O grupo quiropraxia realizou o mesmo procedimento, acrescido do ajuste quiroprático pré-treino e da medição da amplitude de movimento (ADM) articular antes e depois de ajuste lombar. Resultados: Observaram-se aumento significativo de dor no grupo controle e diminuição significativa de dor no grupo quiropraxia, inclusive um dia após o ajuste quiroprático. No grupo quiropraxia, as amplitudes de movimento articular tiveram aumento significativo na flexão e na extensão da coluna lombar após o ajuste quiroprático. Conclusão: O grupo quiropraxia obteve uma melhora significativa no nível de dor e na amplitude de movimento articular, sugerindo que o ajuste quiroprático agudo foi eficaz na redução da dor lombar.

RESUMEN Objetivo: Evaluar la eficacia del ajuste quiropráctico agudo en individuos que practican CrossFit con relación a las quejas de dolores lumbares y el rango de movimiento articular en esa región. Método: Ensayo clínico aleatorizado compuesto por practicantes de CrossFit de un box de Novo Hamburgo-RS, de ambos sexos y con edades de 18 a 40 años que tenían dolor lumbar en ocasión de la investigación. Se utilizaron los cuestionarios Ficha de Semi-estructurada de Anamnesis, Escala visual analógica, cuestionario de McGill y el Cuestionario de Calidad de vida SF -36. Los individuos del grupo control respondieron los cuestionarios antes y después del entrenamiento de CrossFit. El grupo quiropráctico realizó el mismo procedimiento, incrementado de ajuste quiropráctico pre-entrenamiento y de la medición del rango de movimiento (RM) articular antes y después de ajuste lumbar. Resultados: Se observó un aumento significativo de dolor en el grupo control y disminución significativa del dolor en el grupo quiropráctico, incluso un día después del ajuste quiropráctico. En el grupo quiropráctico, los rangos de movimiento articular tuvieron un aumento significativo en la flexión y extensión de la columna lumbar después del ajuste quiropráctico. Conclusión: El ajuste quiropráctico agudo logró una mejora significativa en el nivel de dolor lumbar y en el rango de movimiento articular, sugiriendo que el ajuste quiropráctico agudo fue eficaz en la reducción del dolor lumbar.

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo / 针灸推拿医学（英文版）

Objective:To observe the clinical efficacy and action mechanism of Jin’s three-needle acupuncture plus Long’s chiropractic tuina manipulations in treating cervical vertigo. Methods:By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin’s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long’s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups. Results:After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P<0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P<0.01). Conclusion:The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

Overview of Clinical Application of Chiropractic Therapy in the Past ten Years / 针灸推拿医学（英文版）

Chiropractic therapy is a common massage method of simplicity, convenience, efficacy and low cost. In the past years, chiropractic therapy is increasingly used to treat many diseases in relation to internal medicine, gynecology, pediatrics, medical prevention, healthcare and cosmetology, etc.This paper collects 21 articles concerning chiropractic therapy in the past 10 years, and then sums up the clinical application of chiropractic therapy.