Chiroblog

Chiroblog http://www.theadjustment.com/blogchiroblog.html Pediatric chiropractic mixed with a blend of life philosophy and healthy living thoughts. en-us NYK RSS Feeder Trigeminal Nerve & its Autonomic Considerations http://www.theadjustment.com/blog/chiroblog/2024/10/29/trigeminal-nerve--its-autonomic-considerations/ Tue, 29 Oct 2024 11:45:42 -0400 A study in 2015 discussed the link of trigeminal neuralgia (TN) with dysfunction of the autonomic nervous system. 1 Method: 12 patients with classical TN and 12 healthy control patients. Patients are asked to submerge right arm for 5 into 10*C water to trigger pain. Patients rated their pain every 30 seconds on a 0-100 scale. Electrocardiograms were taken before and during experimental pain test. Heart rate was also analyzed in frequency domain, differentiating low frequency components ( HR fluctuations in the LF range reflect baroreflex-mediated sympathetic activity associated with Mayer waves of blood pressure) and high frequency components (HRV in the HF range is generated by respiratory sinus arrhythmia and constitutes a sensitive measure of cardiac vagal parasympathetic activity). Result: No difference in pain perception or heart rate between TN group and control group. No one in TN group experienced facial pain. All patients experienced an increase in low frequency oscillations (increased sympathetic activity) and decrease in high frequency (decrease in parasympathetic activity), but the changes were more pronounced in the TN group. Conclusions: âResults indicate that TN patients and healthy controls have comparable autonomic cardiac responses at rest, but that in response to a tonic experimental pain challenge, TN patients show greater sympathetic arousal and parasympathetic withdrawal than healthy controls.â âThe exact reason for the negative association between sympathetic reactivity and the number of pain paroxysms experienced by TN patients remains unclear and surely merits future attention.â The VagusÂnerve has clear parasympathetic connections, but the jury is still out on the trigeminalÂnerve. However, one thing noticed frequentlyÂin chiropractic practices is how the temporomandibular joint (TMJ), when not functioning, will usually be associated with increased tension in that person, whether they are a child or an adult 2.Â Reducing the alignment issues in the TMJ often reduces that personâs stress as well. ReferencesÂ 1. Léonard, G., Chalaye, P., Goffaux, P., Mathieu, D., Gaumond, I., & Marchand, S. (2015). Altered Autonomic Nervous System Reactivity to Pain in Trigeminal Neuralgia. Canadian Journal of Neurological Sciences / Journal Canadien Des Sciences Neurologiques, 42(2), 125-131. doi:10.1017/cjn.2015.10 2. Santos, E. et al.Â (2022). Association between temporomandibular disorders and anxiety: A systematic review. Frontiers in Psychiatry.ÂÂ<a href="https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.990430/full">https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.990430/full</a>Â Alternative Treatments for Tongue-Ties in Infants http://www.theadjustment.com/blog/chiroblog/2024/10/08/alternative-treatments-for-tongueties-in-infants/ Tue, 08 Oct 2024 13:24:37 -0400 Diagnosis and referral for surgical treatment of ankyloglossia, commonly referred to as a tongue-tie, has been on the rise over the past 25 years.1-5 Breastfeeding difficulties such as poor latch, painful latch, poor infant weight gain, and long duration of feeding are most often attributed to tongue-ties. Interestingly, the highest rate of surgical intervention referrals occurs in male infants with private insurance from affluent regions of the United States.1 However, there is a paucity of data to support that surgical interventions provide meaningful changes in breastfeeding outcomes. There is moderate data to support that mothers report decreased nipple pain but limited overall data to support immediate or long-term breastfeeding success after surgery.1-5 Unfortunately, this has resulted in a lack of substantiated universal diagnostic and treatment criteria for tongue-ties.1-5 The apparent lack of clinical consensus leads to confusion among parents regarding the correct course of treatment for their infant. The good news is that healthcare practitioners are starting to investigate surgical alternatives. There is some positive data to support osteopathic, myofunctional, speech language pathology and/or chiropractic therapy for improving sub-optimal infant feeding with or without a tongue-tie.7-11 In general, the results appear to be amplified when any of the aforementioned therapies are combined with breastfeeding training with Certified Lactation Consultants.8-10 In short, approximately 60% of patients who take a multi-modal conservative approach to a suspected tongue-tie can avoid surgical intervention.4 Results from these interventions can be seen in as little as two weeks.10 Some severe tongue ties may still require surgery if the degree of restriction could eventually interfere with speaking and/or swallowing solid foods.5 It is always recommended to speak to your pediatrician about your infantâs feeding difficulties and determine a care plan, but equally important to realize that not all tongue ties require surgical intervention and might be amenable to alternative care.Â Â References <ol> <li>Walsh J, Links A, Boss E, Tunkel D. Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997‐2012. OtolaryngologyâHead and Neck Surgery. 2017;156(4):735-740. doi:10.1177/0194599817690135</li> <li>Rosi-Schumacher M, Ma AC, Reese A, et al. Feeding issues in infants referred for frenotomy. Cureus. Published online May 2, 2024. doi:10.7759/cureus.59539</li> <li>OâShea JE, Foster JP, OâDonnell CP, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews. 2017;2021(6). doi:10.1002/14651858.cd011065.pub2</li> <li>Caloway C, Hersh CJ, Baars R, Sally S, Diercks G, Hartnick CJ. Association of feeding evaluation with frenotomy rates in infants with breastfeeding difficulties. JAMA OtolaryngologyâHead & Neck Surgery. 2019;145(9):817. doi:10.1001/jamaoto.2019.1696</li> <li>Frezza A, Ezeddine F, Zuccon A, Gracco A, Bruno G, De Stefani A. Treatment of ankyloglossia: A Review. Children. 2023;10(11):1808. doi:10.3390/children10111808</li> <li>Tomara E, Dagla M, Antoniou E, Iatrakis G. Ankyloglossia as a barrier to breastfeeding: A literature review. Children. 2023;10(12):1902. doi:10.3390/children10121902</li> <li>Chowdhury R, Khoury S, Leroux J, Alsayegh R, Lawlor CM, Graham ME. Alternative therapies for ankyloglossia-associated breastfeeding challenges: A systematic review. Breastfeeding Medicine. 2024;19(7):497-504. doi:10.1089/bfm.2024.0072</li> <li>Herzhaft-Le Roy J, Xhignesse M, Gaboury I. Efficacy of an osteopathic treatment coupled with lactation consultations for infantsâ biomechanical sucking difficulties. Journal of Human Lactation. 2016;33(1):165-172. doi:10.1177/0890334416679620</li> <li>Miller JE, Miller L, Sulesund A-K, Yevtushenko A. Contribution of chiropractic therapy to resolving suboptimal breastfeeding: A case series of 114 infants. Journal of Manipulative and Physiological Therapeutics. 2009;32(8):670-674. doi:10.1016/j.jmpt.2009.08.023</li> <li>Vallone, Sharon. Evaluation and treatment of breastfeeding difficulties associated with cervicocranial dysfunction: a chiropractic perspective. Journal of Chiropractic Pediatrics. 2006; 15.</li> <li>González Garrido M del, Garcia-Munoz C, Rodríguez-Huguet M, Martin-Vega FJ, Gonzalez-Medina G, Vinolo-Gil MJ. Effectiveness of myofunctional therapy in ANKYLOGLOSSIA: A systematic review. International Journal of Environmental Research and Public Health. 2022;19(19):12347. doi:10.3390/ijerph191912347</li> </ol> Pediatric concussion, Part 2 http://www.theadjustment.com/blog/chiroblog/2024/09/25/pediatric-concussion-part-2/ Wed, 25 Sep 2024 09:47:28 -0400 There are many healthcare providers that can diagnose a concussion; however chiropractors are the only healthcare providers trained to address the cervicogenic changes that may be driving a number of your childâs symptoms.4 Research is still limited on pediatric concussions in general, but in case studies and case series chiropractic care has demonstrated to assist in a full resolution of the symptoms in 2-8 visits over 2-5 weeks after initial injury.5-6 It is also important to note that a resolution of symptoms at rest does not mean that your child has completely recovered and full stepwise return-to-play protocol over a minimum of five days is considered the gold standard for safe reintroduction of activity.2-3 There is always a risk of development of delayed symptoms, particularly in females.7 Cognitive rest in the initial period after injury should always be encouraged. You should always work with an experienced healthcare provider in order to determine a safe care plan for your child and sport-certified pediatric chiropractors have the education and experience to help you.8 Pediatric and sports chiropractors have been trained to examine children and adults with concussion and often are able to help those people with post-concussion syndrome that we not helped by traditional health care providers.ÂÂ References 4. Shannon N, Patricios J. Sports-related concussion: assessing the comprehension, collaboration, and contribution of chiropractors. Chiropractic & Manual Therapies. 2022;30(1):NAâNA. doi:https://doi.org/10.1186/s12998-022-00471-z 5. Journal of Clinical Chiropractic Pediatrics : Editorial. jccponline.com. Accessed March 26, 2023. https://jccponline.com/Concussion-Vol17-01.html 6. Chiropractic management of three young athletes with concussion. Chiropractic Journal of Australia (Online), 46(1), 29â47. https://search.informit.org/doi/10.3316/informit.903767969878389 7. Onicas AI, Deighton S, Keith Owen Yeates, et al. Longitudinal Functional Connectome in Pediatric Concussion: An Advancing Concussion Assessment in Pediatrics Study. Journal of Neurotrauma. Published online August 23, 2023. doi:https://doi.org/10.1089/neu.2023.0183 8.Â Moreau WJ, Nabhan DC, Walden T. Sport Concussion Knowledge and Clinical Practices: A Survey of Doctors of Chiropractic With Sports Certification. Journal of Chiropractic Medicine. 2015;14(3):169-175. doi:https://doi.org/10.1016/j.jcm.2015.08.003 Pediatric concussion, Part 1 http://www.theadjustment.com/blog/chiroblog/2024/09/23/pediatric-concussion-part-1/ Mon, 23 Sep 2024 11:19:03 -0400 Participating in sports has a significant number of physical, mental, educational, and eventual career benefits.1 ÂHowever, there is always a risk of injury with participation. Head injuries leading to concussions is a growing area of concern due to the potential long-term effects. Young children may not have the vocabulary to describe their symptoms to you and therefore, diagnosis relies on a combination of child interview by an experienced practitioner, parent interview, and child evaluation. Current diagnostic criteria for children under the age of 12 has been identified for healthcare providers in the Child Sport Concussion Assessment Tool 5 (Child SCAT-5).2 Parents can also access the free Concussion Recognition Tool 5 for a quick reference guide to not only identifying a concussion but identifying an emergency.3 There are a few symptoms that you might want to notice or ask about after a head injury: complaints of headaches, dizziness, feeling like the room is spinning, altered or double vision, and/or nausea. You may also notice other changes like a change in your childâs mood such as unexplained sadness or irritability, trouble falling asleep or staying asleep, excessive tiredness or rapid fatigue, as well as trouble concentrating, following instructions, or completing tasks. While this is not an exhaustive list of symptoms, these are some of the most common. It is important to understand that âjust do not feel rightâ is considered a symptom and is enough to warrant investigation into your childâs condition.2-3 Dr Rubin is both pediatric and sports certified, so has a unique skill set to help kids with post-concussion syndrome.Â Let us know how we can help you and your child get back to school and sports the right way.Â References 1. PCSFN Science Board. Benefits of Youth Sports.; 2020. https://health.gov/sites/default/files/2020-09/YSS_Report_OnePager_2020-08-31_web.pdf 2. Davis GA, Purcell L, Schneider KJ, et al. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). British Journal of Sports Medicine. Published online April 26, 2017:bjsports-2017-097492. doi:https://doi.org/10.1136/bjsports-2017-097492 3. Concussion recognition tool 5Â. British Journal of Sports Medicine. Published online April 26, 2017:bjsports-2017-097508CRT5. doi:https://doi.org/10.1136/bjsports-2017-097508crt5 Benefits of Chiropractic Care for Children with Down Syndrome http://www.theadjustment.com/blog/chiroblog/2024/09/18/benefits-of-chiropractic-care-for-children-with-down-syndrome/ Wed, 18 Sep 2024 15:12:37 -0400 Down syndrome is a genetic condition resulting from an extra copy of chromosome 21.Â The disorder often includes developmental delays, cognitive challenges, and various health concerns, including those affecting the musculoskeletal system1. While conventional treatments like physical therapy and medical management are well-established, recent studies suggest that chiropractic care might offer additional benefits for children with Down syndrome. Multiple case studies conclude that chiropractic care is a safe and effective treatment option, reporting no adverse side effects but many positive effects2. A case report of a 4-year-old patient with Down syndrome concluded that the correction of the first cervical vertebra (atlas) using gentle chiropractic adjustments was responsible for the correction of convergent strabismus3. Another study reported improved breastfeeding patterns, resolution of a chronically blocked nose, and improved sleep and concentration following regular chiropractic care in a 9-year-old Down syndrome patient2. Children with Down syndrome also show distinct physical issues such as hypotonia (decreased muscle tone) and joint laxity. Spinal misalignments such as scoliosis and hip instability are frequently observed due to their unique musculoskeletal structure5. Chiropractic care aims to remove subluxations and enhance the bodyâs physical function by addressing postural imbalances and reducing discomfort associated with spinal misalignments7. This could enhance quality of life in patients with Down syndrome, who commonly experience musculoskeletal pain from joint instability and misalignments2. Chiropractic care might also indirectly boost immune function. A review published in the journal Medicina concluded that spinal adjustments may support a healthy immune response by affecting immune mediators in the body4.Â Given that children with Down syndrome are more susceptible to infections2, maintaining a well-functioning immune system could be beneficial.Â Chiropractic care should complement a comprehensive treatment plan tailored to the childâs specific needs. Some Down syndrome patients also fail to develop the transverse ligament, which stabilizes the two first vertebrae of the spine by binding the dens of C2 (Axis)Â to the anterior arch of C1 (Atlas). This causes atlanto-axial instability in the upper cervical spine2. Choosing a chiropractor experienced in working with children and individuals with developmental disorders is essential. Use of the Activator instrument offers a very gentle adjustment that is both safe and effective for a wide variety of conditions8, including Down syndrome6. References: <ol> <li>âDown Syndrome: Symptoms & Causes.â Cleveland Clinic, 1 May 2024, my.clevelandclinic.org/health/diseases/17818-down-syndrome.Â</li> <li>ÂDaruwalla, Delsey. âDown Syndrome and Chronic Ear, Nose and Throat Infections: A Case Report.â Journal of CliniCal ChiropraCtiC pediatriCs, vol. 14, no. 1, June 2013, pp. 1088â1092, https://doi.org/https://jccponline.com/jccp_v14_n1.pdf#page=35.Â</li> <li>âChiropractic Care of a Downâs Syndrome Patient with Vertebral Subluxation and Strabismus.â Vertebral Subluxation Research, vertebralsubluxationresearch.com/2017/09/10/chiropractic-care-of-a-downs-syndrome-patient-with-vertebral-subluxation-and-strabismus/. Accessed 18 Sept. 2024.Â</li> <li>4) Haavik, Heidi, et al. âThe Potential Mechanisms of High-Velocity, Low-Amplitude, Controlled Vertebral Thrusts on Neuroimmune Function: A Narrative Review.â MDPI, Multidisciplinary Digital Publishing Institute, 27 May 2021, www.mdpi.com/1648-9144/57/6/536.Â</li> <li>5) Foley, Charlene, and Orla G Killeen. âMusculoskeletal Anomalies in Children with Down Syndrome: An Observational Study.â Archives of Disease in Childhood, U.S. National Library of Medicine, May 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6557226/.Â</li> <li>6) Dyck, V. Gary. â Upper cervical instability in Downâs syndrome: A Case Report.â Journal of the Canadian Chiropractic Association, vol. 25, no. 2, June 1981.Â</li> <li>7) professional, Cleveland Clinic medical. âChiropractic Adjustment Care, Treatment & Benefits.â Cleveland Clinic, 27 June 2024, my.clevelandclinic.org/health/treatments/21033-chiropractic-adjustment.Â</li> <li>Taylor, Shane H, et al. âA Review of the Literature Pertaining to the Efficacy, Safety, Educational Requirements, Uses and Usage of Mechanical Adjusting Devices: Part 2 of 2.â The Journal of the Canadian Chiropractic Association, U.S. National Library of Medicine, June 2004, www.ncbi.nlm.nih.gov/pmc/articles/PMC1840040/#:~:text=Of%20the%2016%20studies%20that,than%20do%20manual%20HVLA%20procedures.</li> </ol> Adult ADHD & Chiropractic, part 2 http://www.theadjustment.com/blog/chiroblog/2024/09/16/adult-adhd--chiropractic-part-2/ Mon, 16 Sep 2024 10:41:11 -0400 Adult ADHDÂ& ChiropracticÂcare, continued: Once diagnosed, those seeking an alternative or holistic healthcare approach do have options. There is a paucity of research on non-pharmacological and/or holistic healthcare interventions for ADHD in any age-group, but small studies have demonstrated positive results from Cognitive Behavioral Therapy, transitioning to a diet higher in vegetable protein and lower in fat, supplementation of magnesium, zinc, and iron, Lactobacillus rhamnosus probiotic supplementation, yoga, mindfulness activities, and finally, chiropractic care.5-8 In fact, chiropractic care demonstrated statistically significant effects on hyperactivity and inattentiveness as compared to standard care options.9-10 ÂÂWhen coping with ADHD symptoms, it is important to take a multimodal approach with a care team supportive of your individual needs and goals for treatment. Â 5. Â<a href="https://doi.org/10.1017/s0033291720000069">https://doi.org/10.1017/s0033291720000069</a> 6. Â<a href="https://doi.org/10.1007/s13668-023-00487-8">https://doi.org/10.1007/s13668-023-00487-8</a> 7. Â<a href="https://doi.org/10.7759/cureus.63576">https://doi.org/10.7759/cureus.63576</a> 8.ÂÂ<a href="https://doi.org/10.3389/fpsyg.2024.1323397">https://doi.org/10.3389/fpsyg.2024.1323397</a> 9. <a href="https://jccponline.com/ADHD.html">https://jccponline.com/ADHD.html</a> 10. <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full">https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full</a> Adult ADHD & Chiropractic, part 1 http://www.theadjustment.com/blog/chiroblog/2024/09/13/adult-adhd--chiropractic-part-1/ Fri, 13 Sep 2024 10:17:40 -0400 Adult diagnoses of Attention Deficit Hyperactivity Disorder (ADHD) are on the rise and represent a growing challenge for both patients and their care team. Up to 65% of children diagnosed with ADHD have on-going symptoms as adults, about 3% of all adults have new symptoms. Additionally, up to 80% of adults with ADHD also report at least one psychiatric comorbidity.1 While most of the same symptoms are present in both childhood ADHD and the adult presentation, adults also report additional symptoms and challenges related to their condition. For example, executive dysfunction is extremely common in adult presentations of ADHD and results in an inability to organize tasks, inability complete complex or difficult tasks, inability to identify mistakes, frequent procrastination, forgetfulness, and inability to establish proper boundaries. Additionally, adult ADHD patients report emotional dysregulation resulting in decreased satisfaction in romantic partnerships, difficulty maintaining friendship, and parenting concerns. These disease traits and associated behaviors can lead to feelings of isolation and loneliness, struggles in career and education, negative emotional responses in parenting, higher divorce rates, increased risk of injuries and accidents, and decreased overall mortality as compared to the rest of the population.1-4 Chiropractic care has the potential to help both children and adults with ADHD, by allowing the nerve system and brain to work in a more relaxed and focused manner through gentle adjustments, neurological exercises, and dietary modification. 10-11 References: 1. Â<a href="https://doi.org/10.1371/journal.pone.0277175">https://doi.org/10.1371/journal.pone.0277175</a> Â 2. <a href="https://doi.org/10.4088/pcc.16r02000">https://doi.org/10.4088/pcc.16r02000</a> 3.ÂÂ<a href="https://doi.org/10.1002/mpr.1555">https://doi.org/10.1002/mpr.1555</a> 4. Â<a href="https://doi.org/10.1177/10870547231158572">https://doi.org/10.1177/10870547231158572</a> 10. <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full">https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full</a> 11. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706103/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706103/</a> Chiropractic and Infantile colic http://www.theadjustment.com/blog/chiroblog/2024/09/11/chiropractic-and-infantile-colic/ Wed, 11 Sep 2024 09:30:50 -0400 For new parents, the first few weeks after birth can bring on a lot of challenges. Adjusting to the changes can be even more difficult if the newborn is suffering from infantile colic. This common condition is characterized by abdominal discomfort, resulting in the infant crying excessively which the parents are unable to console. Research suggests that almost 20% of newborns and infants may be affected by colic, with symptoms starting around week 2 or 3 and typically resolving before the child reaches 6 months of age. However, the cause of infantile colic is not fully understood. Factors that are proposed to contribute to this condition are sensitivity to certain foods (especially dairy), feeding techniques, overfeeding, underfeeding, insufficient burping and even maternal diet, with the momâs consumption of dairy being a supposed culprit (1). The result is an uncomfortable baby and parents that are stressed and unable to get the rest they need. Several studies have examined the safety and efficacy of chiropractic care in the treatment of colic. One of them, a single-blinded, randomized controlled trial conducted in Denmark, recruited infants age 2-14 weeks presenting with symptoms of infantile colic. These children were divided into a treatment and a control group. The infants in the treatment group were adjusted twice a week for 2 weeks using very light, fingertip pressure and gentle massage of any potential tight muscles. Their parents were asked to keep a diary of how many hours their children were crying, and how many hours they were awake and happy. Once the study was completed, the treatment group demonstrated a reduction of excessive crying by half an hour, without adverse side effects. Over 90% of the parents were content that they joined the study (2).Â Chiropractic therefore can be of possible benefit to colicky infants and should be considered a safe and effective alternative to other more traditional treatments.Â 1) https://www.ncbi.nlm.nih.gov/books/NBK518962/ 2) https://chiromt.biomedcentral.com/articles/10.1186/s12998-021-00371-8 Adults with Autism Get Benefits from Chiropractic Care http://www.theadjustment.com/blog/chiroblog/2024/09/06/adults-with-autism-get-benefits-from-chiropractic-care/ Fri, 06 Sep 2024 12:09:13 -0400 Chiropractic care can offer valuable support for adults with autism by utilizing a gentle approach that helps to balance and optimize the nervous system. For many individuals on the autism spectrum, sensory processing challenges and heightened sensitivity can be significant concerns. Chiropractic adjustments aim to improve spinal alignment and nervous system function, which can, in turn, influence the bodyâs ability to manage sensory input more effectively. By focusing on gentle, targeted adjustments, chiropractors work to reduce stress on the nervous system, which may help individuals experience a greater sense of calm and improved overall well-being. Chiropractic care often includes techniques that are tailored to be non-invasive and sensitive to individual needs. Dr. Rubinâs method stands out in this regard. He employs gentle pressure adjustments and a specialized tool known as the âActivatorâ to deliver precise and comfortable adjustments. This customized approach helps reduce discomfort while enhancing the nervous systemâs capacity for self-regulation. For adults with autism, this can lead to better stress management, improved sleep, and more stable emotional regulation, ultimately enhancing overall quality of life. Numerous articles have demonstrated the effectiveness of chiropractic care for adults with autism. One notable case study involved two patients: a 20-year-old and a 17-year-old. Both individuals exhibited aggressive behavior towards others and engaged in self-harm. After undergoing weekly chiropractic adjustments for five months, both patients showed significant improvements. The chiropractic care led to reductions in aggressive behavior and self-abuse, as well as enhanced social interaction. <a href="https://vertebralsubluxationresearch.com/2017/09/10/improvement-in-autistic-behaviors-following-chiropractic-care-a-case-series/">https://vertebralsubluxationresearch.com/2017/09/10/improvement-in-autistic-behaviors-following-chiropractic-care-a-case-series/</a> Pediatric constipation & chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/09/05/pediatric-constipation--chiropractic-care/ Thu, 05 Sep 2024 21:22:00 -0400 Chiropractic care can offer significant benefits for babies and young children suffering from constipation by helping to relieve pressure on the nervous system to improve gastrointestinal function. Misalignments in the spine, particularly in the lower back, can interfere with the nerves that control the muscles of the digestive tract, potentially leading to sluggish bowel movements and constipation. Gentle chiropractic adjustments tailored for infants and toddlers can help realign the spine, reduce nerve interference, and restore normal bowel function. This natural approach can reduce the need for medications, which may have unwanted side effects in youngsters. Additionally, chiropractic care can promote overall well-being by enhancing the childâs comfort, improving sleep, and boosting the immune system. Â The Logan Basic Technique is a gentle chiropractic method often used for treating babies with constipation. Developed by Dr. Hugh B. Logan in 1931, this technique involves applying light, sustained pressure to the sacrum, (a triangular bone at the base of the spine), and specific ligaments connected to it. By balancing the muscles around the sacrum and pelvis, the Logan Basic Technique helps to release tension and promote proper nerve function, which can positively impact the babyâs digestive system. The method is particularly suitable for infants because of its soft, non-invasive nature, making it a safe and effective option for relieving constipation and improving overall health in babies. https://dynamicchiropractic.com/article/56272-treating-the-pediatric-patient-part-1-logan-basic-techniqueÂ Exercise During Pregnancy, part 2 http://www.theadjustment.com/blog/chiroblog/2024/08/16/exercise-during-pregnancy-part-2/ Fri, 16 Aug 2024 15:07:00 -0400 With the rise of elite athletes competing in high-intensity and sometimes contact sports, it raises the question of what is truly safe for pregnant women? The American College of Obstetrics and Gynecology currently recommend a minimum of 150 minutes of moderate intensity exercise per week during pregnancy. This should include both aerobic and resistance training. Exercise during pregnancy has been shown to demonstrate significant positive effects for the mother including but not limited to reducing weight gain and its subsequent effects, alleviating and preventing musculoskeletal pain, shortening labor and delivery, and reducing the risk of an emergency c-section. While exercise does not seem to have a direct effect on the fetus, it has been shown to potentially reduce fetal distress during labor. More importantly, exercise has not been shown to have any negative effects on a fetus during a low-risk pregnancy.1-2 It is also important to note that the upper limits of how much exercise intensity a pregnant mother and fetus can tolerate safely is currently undetermined. However, special concern should be given to competing in high fall-risk or impact activities, high heat and humidity, and exercise at elevation >6000ft.3 In short, if your obstetrician has given you the clearance to exercise during your pregnancy, most exercise and athletic activities will be well-tolerated by both mother and baby, especially in well-trained adults going into pregnancy. Remember, chiropractic is your best bet to achieve healthy maximum performance!Â But, if you are concerned about a specific activity or any symptoms you are experiencing while exercising, always consult your healthcare team immediately.1-3 References: 1. Perales M, Santos-Lozano A, Ruiz JR, Lucia A, Barakat R. Benefits of aerobic or resistance training during pregnancy on maternal health and perinatal outcomes: A systematic review.ÂEarly Human Development. 2016;94:43-48. doi:https://doi.org/10.1016/j.earlhumdev.2016.01.004 2. Albright E. Exercise During Pregnancy.ÂCurrent Sports Medicine Reports. 2016;15(4):226-227. doi:https://doi.org/10.1249/JSR.0000000000000277 3. Cooper DB, Yang L. Pregnancy And Exercise. PubMed. Published April 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK430821/ Exercise During Pregnancy, part 1 http://www.theadjustment.com/blog/chiroblog/2024/08/14/exercise-during-pregnancy-part-1/ Wed, 14 Aug 2024 11:28:39 -0400 With the entire world watching the 2024 Olympic Games play out in real time, one major talking point has become women competing in the Games during their pregnancies. In fact, Egyptian fencer Nada Hafez and Azerbaijani archer Yaylagul Ramazanova both competed while seven and six-and-a-half months pregnant, respectively. In addition, marathon runner Maegen Krifchin competed at the 2024 US Olympic Trials at 7 months pregnant and heptathlete Lindsay Flach competed in the 2021 US Olympic trials at 18 weeks pregnant. While novel in the second and third trimester, women have been competing in the first trimester for many years. For example, US volleyball player Kerri Walsh Jennings competed in the 2012 Olympic Games while 5 weeks pregnant and tennis superstar Serena Williams won the 2017 Australian Open while 8 weeks pregnant with her first daughter. So, how can chiropractic care help? Chiropractic care during pregnancy has been shown to demonstrate decreased low back and pelvic girdle pain (in an average of 4.5 days), reducing neck and shoulder pain associated with postural changes from pregnancy, and decreasing overall musculoskeletal pain.4-6Â Chiropractors are uniquely capable of helping pregnant patients move better overall and with less pain. Discomfort during pregnancy is one of the main reasons women cite for not completing an exercise regimen,7-8so in summary, chiropractic care keeps you movingÂthroughout your pregnancy! References: 4. Stuber KJ, Smith DL. Chiropractic Treatment of Pregnancy-Related Low Back Pain: A Systematic Review of the Evidence.ÂJournal of Manipulative and Physiological Therapeutics. 2008;31(6):447-454. doi:https://doi.org/10.1016/j.jmpt.2008.06.009 5. CONNER SN, TRUDELL AS, CONNER CA. Chiropractic Care for the Pregnant Body.ÂClinical Obstetrics & Gynecology. 2021;64(3). doi:https://doi.org/10.1097/grf.0000000000000621 6. Weis CA, Pohlman K, Draper C, daSilva-Oolup S, Stuber K, Hawk C. Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.ÂJournal of Manipulative and Physiological Therapeutics. 2020;43(7). doi:https://doi.org/10.1016/j.jmpt.2020.05.005 7. Skjold I, Benvenuti MB, Haakstad LA. Why do so many pregnant women give up exercise? An Italian cross-sectional study.ÂWomenâs Health. 2022;18:174550572211179. doi:https://doi.org/10.1177/17455057221117967 8. Coll CVN, Domingues MR, Gonçalves H, Bertoldi AD. Perceived barriers to leisure-time physical activity during pregnancy: A literature review of quantitative and qualitative evidence.ÂJournal of Science and Medicine in Sport. 2017;20(1):17-25. doi:https://doi.org/10.1016/j.jsams.2016.06.007 Chiropractic Care & Primitive Reflexes http://www.theadjustment.com/blog/chiroblog/2024/08/07/chiropractic-care--primitive-reflexes/ Wed, 07 Aug 2024 11:39:01 -0400 Chiropractic care has shown promising positive benefits for children with autism, providing a complementary approach to traditional treatments. One of the key advantages is the improvement in the neurologic function. Chiropractic adjustments focus on correcting spinal misalignments. These misalignments or subluxations can decrease the nervous systemâs ability to communicate effectively. For children with autism, brain-based chiropractic care can result in better sensory processing and improved motor skills. Studies have demonstrated that chiropractic care, combined with exercises to extinguish primitive reflexes, can lead to significant gains in coordination, communication, and overall behavior. These improvements can profoundly impact a childâs ability to engage with their environment and participate in social interactions, contributing to a higher quality of life.Â Â One article that discusses the positive effects of chiropractic care plus extinguishing primitive reflex exercises is Dr. Rubinâs article, âCombining Chiropractic Care with Extinguishing of Primitive Reflexes: A Case Series of 8 Children.â This study detailed eight children with various neurodevelopmental issues who received a combination of chiropractic care and exercises aimed at extinguishing primitive reflexes. Four of these cases were handled in a chiropractic university clinic, while the other four were treated in private practices. Each child had previously been diagnosed with neurodevelopmental conditions, and gentle, brain-based chiropractic care was given to âreconnect the disconnectionsâ, while exercises were recommended to reduce retained primitive reflexes. The results were overwhelmingly positive, with seven of the eight children showing significant improvements. These improvements included enhanced coordination, better social interactions, increased independence, and improved academic performance. The study concludes that integrating chiropractic care with primitive reflex exercises could be highly beneficial for children with neurodevelopmental issues. You can find this article here, <a href="http://bit.ly/2RyUGnf">http://bit.ly/2RyUGnf</a> or visit <a href="https://www.theadjustment.com/page/dr-rubins-published-articles.html">https://www.theadjustment.com/page/dr-rubins-published-articles.html</a> for more information.Â Pediatric Plantar Fasciitis and Chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/06/04/pediatric-plantar-fasciitis-and-chiropractic-care/ Tue, 04 Jun 2024 10:37:57 -0400 In this blog post, we present a case study of a 10-year-old football player with bilateral plantar fasciitis who experienced significant improvement following a multimodal conservative approach involving chiropractic treatment. Plantar fasciitis is a common condition characterized by pain and inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot. It typically presents as heel pain, particularly with the first steps in the morning or after periods of rest. While plantar fasciitis can affect individuals of all ages and activity levels, it is particularly prevalent among athletes, including young athletes engaged in high-impact sports like football. The case highlights the potential benefits of chiropractic care in managing plantar fasciitis, particularly in young athletes, and underscores the importance of a comprehensive approach to achieve optimal outcomes. A 10-year-old football player presented with bilateral plantar fasciitis characterized by three weeks of heel pain. Over a six-week period spanning six visits, a multimodal conservative approach involving chiropractic care and home rehabilitation exercises was implemented. Specific attention was given to the origin of the plantar fascia and the triceps surae bilaterally, with high-velocity, low-amplitude extremity adjustments targeting the restricted ankle joint. Following the six sessions, the patient reported bilateral foot pain resolution and enhanced daily functioning. Subsequent follow-up three months later indicated sustained improvement and the absence of pain. This case underscores the efficacy of a comprehensive chiropractic intervention coupled with exercise may effectively manage bilateral plantar fasciitis in young athletes. Dr. Rubin is a board-certified pediatric chiropractor as well as a certified sports chiropractor, so we see athletes of all ages.Â Success is seen across the board, ranging from pre-teens, teens involved in high level competitive sports (some of whom have gone on to play at the Division 1 college level), college students who play on Division level or are just playing intramural sports, and many adults who just want to improve their tennis and golf games or rank higher in their Cross-Fit gyms! Reference: Daniels CJ, Morrell AP. Chiropractic management of pediatric plantar fasciitis: a case report. J Chiropr Med. 2012 Mar;11(1):58-63. doi: 10.1016/j.jcm.2011.06.009. PMID: 22942843; PMCID: PMC3315855. Infant with tight/hypertonic muscles & chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/05/28/infant-with-tighthypertonic-muscles--chiropractic-care/ Tue, 28 May 2024 13:23:50 -0400 The challenges posed by abnormal muscle tone in children are multifaceted and can significantly impact motor development and overall well-being. Whether hypertonic or hypotonic, these conditions can range from mild to severe. Hypertonicity is characterized by increased muscle tension and limited flexibility. It can stem from various factors, including intrauterine injuries or neurologic conditions affecting the motor pathways such as cerebral palsy. In a chiropractic case study, a four-month-old infant presented with hypertonicity in the arms and legs. The infant's case history revealed a complex birth involving interventions such as forceps and suction which potentially contributed to the muscular tension. Through a chiropractic care plan involving spinal and cranial adjustments, along with home care exercises, significant improvements were noted over a six-month period. The infant showed gradual resolution of hypertonicity symptoms, with improved milestones, limb flexibility and primitive reflexes. This case underscores the potential of chiropractic care in addressing muscle hypertonicity in pediatric patients and highlights the need for further research in this area to better understand its efficacy and applicability. Beyond addressing physical symptoms, chiropractic care may play a crucial role in supporting motor development associated developmental delays or disabilities. As such, continued exploration and documentation of chiropractic approaches for pediatric musculoskeletal disorders are essential for optimizing care and promoting the well-being of young patients facing these challenges. Reference: Kylie Read, BChiro. Resolution of Hypertonicity in a Pediatric Patient Undergoing Chiropractic Care: A Case Report. Volume 12, No. 1, June 2011 Journal of Clinical Chiropractic Pediatrics. Chiropractic May Help Visual Disturbances in Kids http://www.theadjustment.com/blog/chiroblog/2024/05/22/chiropractic-may-help-visual-disturbances-in-kids/ Wed, 22 May 2024 12:11:08 -0400 Visual disturbances, ranging from double vision to narrowed visual fields, have been reported to improve following chiropractic manipulation. This intriguing case outlines the resolution of intermittent double vision and over-convergence in a 13-year-old boy after chiropractic care. The patient's symptoms, which had persisted for a year and worsened with schoolwork, were attributed to accommodative/convergence insufficiency, a condition affecting eye alignment and focus. Upon referral from an optometrist, chiropractic evaluation revealed vertebral dysfunction in the cervical and lumbopelvic spine. Treatment involved spinal adjustments and manipulation to correct the identified dysfunctions. Remarkably, the patient reported full symptom resolution after just one visit, with sustained improvement noted over subsequent appointments. The case underscores the potential role of chiropractic care in addressing visual disturbances associated with mechanical neck and back issues. While the exact mechanisms behind these improvements remain under investigation, theories suggest that chiropractic adjustments may enhance neural integrity and cerebral blood flow, aiding in the restoration of visual function. Further research is needed to quantify the efficacy of chiropractic interventions in cases of sensory system impairments, highlighting the importance of interdisciplinary collaboration in optimizing patient outcomes. This is why Dr. Rubin makes sure to check eye functioning of all children, because the eyes are the 'windows into the brain!' Reference: Gabrielle Tymms, BAppSc(ClinSc)/BChiroSc. Visual Recovery from Diplopia in a 13âYear-Old Following Chiropractic Intervention. Journal of Clinical Chiropractic Pediatrics Volume 12, No. 1, June 2011. Birth Related Injuries and Chiropractic http://www.theadjustment.com/blog/chiroblog/2024/05/20/birth-related-injuries-and-chiropractic/ Mon, 20 May 2024 09:33:27 -0400 Birth-related injuries can present complex challenges, particularly in pediatric patients. One example is in a case report from 2011 that sheds light on a rare occurrence: a neonate with combined brachial plexus and facial nerve palsy seeking care at a chiropractic clinic. The patient, delivered via forceps-assisted vaginal birth after Caesarean, exhibited facial asymmetry and upper limb postural issues from birth, stemming from shoulder dystocia during delivery. Upon examination, the patient displayed signs of both brachial plexus and facial nerve involvement, indicating a unique obstetric trauma. Chiropractic management, focusing on craniosacral techniques and soft tissue therapy, yielded impressive results. Gradual improvement in facial symmetry and upper limb posture was observed over several months, with no reported adverse effects. This case underscores the importance of considering conservative therapies, such as chiropractic care, as one alternative to managing birth-related injuries. While severe cases may necessitate surgical or other intervention, mild to moderate presentations can often be effectively addressed through specialized pediatric chiropractic care and neurological exercises. Close monitoring and individualized care are paramount in optimizing outcomes for pediatric patients with birth-related injuries. Reference: Sharon Gordon, BAppSc(Chiro). Chiropractic Management of a Combined Neonatal Brachial Plexus and Facial Nerve Palsy: A Case Report. Volume 12, No. 1, June 2011 Journal of Clinical Chiropractic Pediatrics Pediatric Low Back Injuries http://www.theadjustment.com/blog/chiroblog/2024/05/01/pediatric-low-back-injuries/ Wed, 01 May 2024 14:47:34 -0400 Recent epidemiologic studies have estimated that the lifetime prevalence of low back pain in children is approximately 50%, with almost 15% of children experiencing frequent or continual pain. A pediatric chiropractor can help alleviate low back pain in children through gentle spinal adjustments and exercises to strengthen supporting muscles and prevent future episodes. By employing safe and effective chiropractic care, pediatric chiropractors aim to reduce pain, improve function, and enhance the overall well-being of young patients experiencing low back discomfort. A low back pain research study involving 54 pediatric patients with an average age of 13 years old highlights the potential of chiropractic care in alleviating low back pain in children. Most of the patients were diagnosed with lumbar dysfunction or subluxation. Treatment outcome was measured with a subjective rating scale and a self-report pediatric visual analogue scale. Patients responded well to adjustments, with 87% of patients experiencing "important" improvement within a 6-week treatment course. There were no reported complications and significant improvements were observed, however, the need for further investigations is needed. Reference: Hayden JA, Mior SA, Verhoef MJ. Evaluation of chiropractic management of pediatric patients with low back pain: a prospective cohort study. J Manipulative Physiol Ther. 2003 Jan;26(1):1-8. doi: 10.1067/mmt.2003.11. PMID: 12532132. Pediatric ankle injuries and chiropractic http://www.theadjustment.com/blog/chiroblog/2024/04/24/pediatric-ankle-injuries-and-chiropractic/ Wed, 24 Apr 2024 11:29:12 -0400 Pediatric athletes that are involved in high velocity sports, frequently encounter ankle problems and sprains. This blog post will examine two case studies to illustrate the potential effectiveness of chiropractic treatment in addressing these issues. Traditional care methods, including rest, ice, compression, elevation, and rehabilitation exercises, often fall short in resolving persistent symptoms such as pain, weakness, and instability. Chiropractic management utilizes manual techniques to realign the ankle joint, reduce inflammation, and restore proper ranges of motion. The articles highlight chiropractic interventions in addressing persistent post-sprain concerns and facilitating young athletes' return to sports activities. One of the studies presented A 15-year-old male patient that presented with persistent ankle pain and limited ranges of motion due to an inversion sprain while playing soccer. The incident happened approximately 8.5 months prior. The athlete sought chiropractic care and the management included adjustments and education on home exercises and stretching to improve ankle dorsiflexion. After 4 visits, the athlete showed significant symptom relief and returned to full athletic participation. There was a follow-up evaluation at 5 months which revealed no pain or functional complaints. The second article discusses the case of a 16-year-old female soccer player experiencing ankle pain for 3 weeks which was exacerbated by running. From a young age she had gait difficulties and foot flare which were still present upon examination. Detailed history-taking and examination revealed multiple contributing factors, including biomechanical abnormalities, and muscular imbalances. Treatment involved chiropractic adjustments of both the spine and extremities, and some functional rehabilitation. Over seven weeks, the patient showed significant improvement in pain levels, had a 10 degree decrease in foot flare and was able to return to play without discomfort. Chiropractic works for athletes young and old, weekend warriors or Super Bowl level professionals!Â Make sure you find a chiropractor that is sports certified! References: Hewitt RL, Brocker JL. Chiropractic Management of Chronic Ankle Pain and Limited Mobility in a Pediatric Athlete: A Case Report. J Chiropr Med. 2023 Mar;22(1):85-88. doi: 10.1016/j.jcm.2022.10.001. Epub 2022 Dec 13. PMID: 36844988; PMCID: PMC9947970. Anderson, M., & Barber, M. (2011). Kinetic Chain Dysfunction in a 16-Year-Old Soccer Player with Ankle Pain. Journal of Clinical Chiropractic Pediatrics, 12(1), 862-863. Retrieved from <a href="https://www.chiroindex.org/?search_page=articles&action=&articleId=21953&search1=sport%20injuries">https://www.chiroindex.org/?search_page=articles&action=&articleId=21953&search1=sport%20injuries</a> Pediatric Sports Injuries Part 2 http://www.theadjustment.com/blog/chiroblog/2024/04/15/pediatric-sports-injuries-part-2/ Mon, 15 Apr 2024 11:50:14 -0400 Pediatric injuries in soccer are a significant concern as the popularity of the sport continues to rise among children and adolescents worldwide. Soccer, known for its fast pace, agility demands, and physical contact, poses various risks to young players. While the sport offers numerous health benefits, including cardiovascular fitness and teamwork skills, the potential for injuries cannot be overlooked. Understanding the nature and prevalence of these injuries is crucial for developing effective prevention strategies and promoting safe participation in soccer among children. In recent years, there has been a growing interest in alternative healthcare modalities for children, particularly chiropractic care. Chiropractic interventions can be beneficial for children suffering from injuries, whether acute or chronic. The gentle and non-invasive nature of chiropractic adjustments makes it suitable for children of all ages. Chiropractic care focuses on restoring proper alignment and function of the musculoskeletal system. This approach not only helps alleviate pain and discomfort but also promotes natural healing processes within the body, which is particularly advantageous for pediatric patients who may be more sensitive to pharmaceutical interventions. Â In order to prevent long-term complications and promote optimal development, it is important to practice early intervention. Chiropractic care offers a holistic approach to pediatric healthcare, addressing not only the immediate symptoms but also underlying biomechanical issues that may contribute to recurrent injuries or musculoskeletal imbalances. By incorporating chiropractic adjustments, soft tissue therapies, and rehabilitative exercises, healthcare practitioners can effectively manage pediatric injuries and support the overall well-being of children. Reference: Corso M. Developmental changes in the youth athlete: implications for movement, skills acquisition, performance and injuries. J Can Chiropr Assoc. 2018 Dec;62(3):150-160. PMID: 30662070; PMCID: PMC6319435. Beyond Nutrition: Exploring Surprising Uses for Breast Milk http://www.theadjustment.com/blog/chiroblog/2024/03/11/beyond-nutrition-exploring-surprising-uses-for-breast-milk/ Mon, 11 Mar 2024 14:58:29 -0400 ÂÂÂÂÂÂÂÂÂÂÂAs we know, breast milkâs popular nickname is âliquid goldâ and rightfully so! There are millions of antibodies and nutrients that a motherâs breast milk can provide for her infant and beyond when ingested. As amazing as breast milk is for the gut microbiome, what other ways can it be useful to a child? ÂÂÂÂÂÂÂÂÂÂÂBreast milk is known for its antibacterial properties which can be useful when trying to avoid harmful ingredients when treating skin conditions. Breast milk contains an epidermal growth factor which may promote skin repair. ÂSome conditions include, eczema, diaper rash, conjunctivitis (eye infection), and Otitis media (ear infection), which is a no-cost and noninvasive approach to such conditions. For many centuries, breastmilk was the treatment of choice due to its affordability (free!) and its natural ingredients. ÂÂÂÂÂÂÂÂÂÂÂAs always, more research is necessary to provide further evidence-based results to confirm or deny the effectiveness of this traditional therapy. Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567207/pdf/nutrients-11-00944.pdf Expecting? Mom-to-be soon? You owe it to yourself to read 'Ina May's Guide to Childbirth'! http://www.theadjustment.com/blog/chiroblog/2024/03/05/expecting--momtobe-soon--you-owe-it-to-yourself-to-read-ina-mays-guide-to-childbirth/ Tue, 05 Mar 2024 15:32:28 -0500 There are so many incredible books to help prepare mothers and fathers for parenthood. Many of them express what you cannot or should not do. In "Ina May's Guide to Childbirth" she provides a comprehensive book written by Ina May Gaskin, one of the worldâs most prominent midwives. Her book helps redirect the motherâs mindset to things she can do by focusing on natural childbirth. The book provides a holistic approach to childbirth, emphasizing the body's innate ability to give birth and the importance of mental and emotional preparation for labor. Gaskin shares beautiful birth stories from her experiences at The Farm, a midwifery community she co-founded in Tennessee, which highlights the positive outcomes of natural childbirth. These optimistic birth stories are a refreshing, new outlook for mothers that may not have been exposed to this side of birth from the media and other outside factors. This allows the motherâs mindset to shift from fear to empowerment.Â She further discusses various techniques for coping with labor pain, including relaxation, breathing exercises, and the use of water during labor. Additionally, the book addresses common medical interventions and their potential risks, empowering women to make informed choices about their birthing experiences. "Ina May's Guide to Childbirth" encourages women to trust their bodies and embrace the transformative experience of childbirth. âText Neck Syndromeâ and Adolescents on the Rise http://www.theadjustment.com/blog/chiroblog/2024/02/27/text-neck-syndrome-and-adolescents-on-the-rise/ Tue, 27 Feb 2024 08:11:41 -0500 ÂÂÂÂÂÂÂÂÂÂÂ Typically, neck pain and headaches are considered a complaint that brings adults into a practitionerâs office, especially chiropractic offices. However, recently, there has been a shift of patient population entering chiropractic offices for such complaints. What is a common denominator in a rise of neck pain and headaches? Many factors play a role in this shift; however, it is hard to overlook the obvious: Text Neck Syndrome. Text Neck Syndrome is a recent phenomenon due to improper and overuse of technological devices such as iPads, cell phones, and laptops. Though this is common in adulthood due to poor working ergonomics, there is a rise in text neck development through the increasing use of technology in young and growing children. Â Â Â Â Â Â Todayâs environment is a world of technology that children cannot get enough of if exposed to it. If we take a second to look around a crowded room, we can see the commonality amongst the population; most are looking down at some form of devices. So, why does this matter? If the natural, healthy forward curve of our neck bones are not maintained, it will disappear. And why is that important? How does this affect my child? Without the maintenance of normal spinal function, changes begin to take place such as degeneration and muscle tightness. Remember- the spine houses one of our favorite systems, the nervous system. ÂÂÂÂÂÂÂÂÂÂÂ When degeneration occurs, it is difficult to reverse. Degeneration is a permanent form of misalignment and aging of the spine, further causing irritation to the communication of the brain and body that happens via the nerves. More importantly, degeneration in the neck (due to Text Neck) is the closest area of the spine to the brain. Thus, the bodyâs alarm system begins to sound, leading to physiological symptoms such as headaches, possible dizziness, and of course neck pain. ÂÂÂÂÂÂÂÂÂÂÂ In a child that is still developing, these changes can lead to complications scholastically, behaviorally, and ultimately irreversible spinal changes. Though screen time is not recommended in a developing child, proper ergonomics can help facilitate a healthier spine! Rather than your child sitting in a chair playing games or scrolling, have them rest on their stomachs to encourage a healthy curve in the cervical spine! If lying prone is not an option, consider expressing the importance of lifting the device to eye level to avoid the forward bending. Limit screen time when necessary to decrease the poor positioning if not able to reach these ergonomics. Check out the âscreen timeâ post for information! Reference: <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914771/pdf/ijerph-18-01565.pdf">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914771/pdf/ijerph-18-01565.pdf</a> Can screentime really affect my child? Part 1 http://www.theadjustment.com/blog/chiroblog/2024/02/12/can-screentime-really-affect-my-child-part-1/ Mon, 12 Feb 2024 15:21:21 -0500 One of the most common conversations right now in parenthood is screen time. It seems that there is a screen everywhere we turn, even if it is not our own screen! We make so many connections on a phone as adults in respect to work emails, coordinating schedules, and simply staying in touch with others. But are we thinking about what consequences a screen has on the childâs developing brain? Certain learning applications on devices can help improve education and learning opportunities when in small moderation. However, does the cost outweigh the risk? Such risks associated with screentime can include increasing the probability of obesity, sleep disturbances, and psychological issues such as depression and anxiety.Â A cohort study performed by The Quebec Longitudinal Study of Child Development found that early screen exposure showed an outcome of lowered academic performances. Cognitive disruptions due to early introduction to screen time can also be linked to a poorer attention span and focus abilities that correlate with lesser academic outcomes. Language development relies heavily on interactions between children and adults. It has been realized that less adult and childrenâs interactions are occurring due to the interruption of screentime and smart devices. This directly affects language abilities when there is no communication taking place. Enriching activities can be a positive option for a child in place of screentime. Monitoring screen games and media as well as time spent on a screen can help benefit the childâs cognitive development. This begins with pediatric chiropractors advising and encouraging parental awareness and help them make informed decisions as the world of screens and devices continuing to soar. Â In a future blogpost, we will address other pediatric issues associated with screens, including tech neck! Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353947/ Pediatric Sports Injuries http://www.theadjustment.com/blog/chiroblog/2024/02/07/pediatric-sports-injuries/ Wed, 07 Feb 2024 11:03:21 -0500 Of all the reported sports-related injuries that present to the emergency room each year, approximately 40% are attributed to patients aged 5-14 years.1-2 While this accounts for only the most severe case (e.g. fractures, concussions, dislocations, etc), it demonstrates a rising trend that sports injuries are occurring in high rates at all levels, not just the high school, college, and professional levels. Kids of elementary and middle school age who are participating in recreational and travel league athletics are just as susceptible to injury as any adult athlete. Kids playing sports are also at risk of the same injuries as any adult athlete (e.g. tendonitis, ligament tears, meniscus/cartilage injuries, concussions, muscle strains, etc.)3-4, but they can additionally present with their own set of health challenges and risks due to their immature skeleton. For example, youth athletes are uniquely at risk for injuries to the growth plates or the areas of their bones that are responsible for lengthening and ossifying the bones in their body as they reach full size. Damage to the growth plates can result in premature closing of the growth plates and other long-term complications. Youth athletes are most at-risk during growth spurts when the growth plate is its most fragile.1-5 Unfortunately, most athletes both begin competitive sport and start sport specialization during the times of growth spurts, ages 5 and 12-15 respectively. We must also remember that no part of the body grows at the same rate. At some points during development, the head and trunk are out of proportion with the arms and legs. When kids are introduced to the same types of training as adults, their bodies are biomechanically not able to withstand the same forces. This can increase the risk of overuse injuries, especially when kids are subjected to specialized skill training.1-2 Overuse injuries in childhood without proper rest and healing time can lead an athlete to a lifetime of injury challenges such as early arthritis, cartilage damage, and ligamentous laxity.5 The good news is that with proper care including chiropractic, rest, and monitoring kids can have long athletic careers. Sport participation has been shown to have significant positive influences on socialization and interpersonal skills, mental health, self-efficacy, self-worth, and creating long-term healthy habits.6-7 ÂIt is never our goal to discourage sport participation, but to educate parents and families that as with all things, there are risks. However, with the right care team in place, (especially a certified pediatric chiropractor), your child can participate in the sports that they love for as long as they choose. <ol> <li>Maffulli N, Caine D. The Epidemiology of Children's Team Sports Injuries.ÂMed Sport Sci. 2005;49:1-8. doi:10.1159/000085330</li> <li>Caine DJ, Maffulli N. Epidemiology of children's individual sports injuries. An important area of medicine and sport science research.ÂMed Sport Sci. 2005;48:1-7. doi:10.1159/000084274</li> <li>Wild JT, Kamani YV, Bryan JM, Hartman TN, Spirov LM, Patel NM. Timeout? The Epidemiology of Pediatric Sports Injuries During the COVID-19 Pandemic.ÂJ Am Acad Orthop Surg Glob Res Rev. 2022;6(4):e21.00092. Published 2022 Apr 8. doi:10.5435/JAAOSGlobal-D-21-00092</li> <li>Zaremski JL, Zeppieri G Jr, Tripp BL. Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.ÂJ Athl Train. 2019;54(10):1030-1039. doi:10.4085/1062-6050-333-18</li> <li>Samet JD. Pediatric Sports Injuries.ÂClin Sports Med. 2021;40(4):781-799. doi:10.1016/j.csm.2021.05.012</li> <li>Hosker DK, Elkins RM, Potter MP. Promoting Mental Health and Wellness in Youth Through Physical Activity, Nutrition, and Sleep.ÂChild Adolesc Psychiatr Clin N Am. 2019;28(2):171-193. doi:10.1016/j.chc.2018.11.010</li> <li>Carbone PS, Smith PJ, Lewis C, LeBlanc C. Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity.ÂPediatrics. 2021;148(6):e2021054664. doi:10.1542/peds.2021-054664</li> </ol>