Archive for category Quality of Life

Abstract

Objective

The purpose of this case series is to report on symptomatic and quality of life (QoL) changes in 7 older adult chiropractic patients who were receiving care using Activator Methods Chiropractic Technique (AMCT).

Clinical Features

Seven patients were selected from 2 chiropractic offices in Auckland, New Zealand. Patients were included if they were older adults receiving AMCT care and for whom at least 2 QoL assessments had been performed. The patients, aged 69-80 years, primarily received care for a variety of musculoskeletal complaints.

Intervention and Outcomes

The patients reported improvements in their presenting complaints as well as a number of nonmusculoskeletal symptoms. Each patient demonstrated clinical improvements in their RAND 36-Item Short Form Health Survey (SF-36) results. The average improvement in QoL measured using a SF-36 questionnaire was 8.0 points in the physical component and 4.1 points in the mental component. Four cases had a second progress evaluation using the SF-36 and showed an overall improvement of 5.2 in the physical and 9.8 in the mental components from baseline.

Conclusion

This case series describes an improvement in QoL, as measured by the SF-36 instrument, as well as subjectively reported improvements in both musculoskeletal and nonmusculoskeletal symptoms in 7 older adults receiving chiropractic care.


J Chiropr Med. 2016 Mar;15(1):59-66.

Author information: Russell DG, Kimura MN, Cowie HR, de Groot CMM, McMinn, Sherson MW.

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Abstract

OBJECTIVE:

To describe the changes in mobility, emotional status, and quality of life in an 82 year old female with bilateral osteoarthritis of the knees who was receiving chiropractic care.

CLINICAL FEATURES:

An 82 year old female presented to a chiropractor with lack of mobility and function due to chronic osteoarthritis of the knees bilaterally, and degenerative disc disease and postural alterations through the lumbar spine. Associated emotional stress was also of concern as a contributor to impaired quality of life.

INTERVENTION AND OUTCOME:

Chiropractic care using Activator Methods Chiropractic Technique was provided for the correction of vertebral and extremity subluxations. The patient demonstrated physical improvements in mobility and RAND36 assessment revealed an improvement in her Physical Component Summary score of 11.65. Emotional wellbeing improvements were also found by using both RAND36 and PHQ-4 assessments.

CONCLUSION:

Chiropractic care was associated with improvements in the patient’s presenting complaints and quality of life. More research is needed to investigate the role chiropractors may play in helping older adults with conditions associated with aging.


A Vertebral Subluxation Res. September 17, 2015, pp 157-162.

Author information: Dipal Patel DipAppSc, David Russell B.S.c (Psych) B.S.c (Chiro).  New Zealand College of Chiropractic, 6 Harrison Rd, Mt Wellington, Auckland 1060, New Zealand.

 

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Abstract

OBJECTIVES:

The primary aim of this study was to estimate the prevalence of fall risk factors in older chiropractic patients. The secondary aim was to investigate the quality-of-life status of older chiropractic patients and to see whether a history of falling was related to quality-of-life status.

METHODS:

A cross-sectional study was conducted at 12 chiropractic practices throughout Auckland, New Zealand, and Melbourne, Australia. The study involved gaining a profile of health status, fall history, and fall risk from active chiropractic patients who were 65 years or older.

RESULTS:

One hundred ten older chiropractic patients were approached, and 101 agreed to participate in this study (response rate, 91.8%). Thirty-five percent of participants had experienced at least 1 fall in the previous 12 months. Of those that had fallen, 80% had at least a minor injury, with 37% of fallers requiring medical attention and 6% suffering a serious injury. The prevalence of most fall risk factors was consistent with published data for community-dwelling older adults. Quality of life of older chiropractic patients appeared to be good, but fallers reported a lower physical component summary score compared with nonfallers (P = .04).

CONCLUSIONS:

A portion of the older chiropractic patients sampled in this study had a substantial risk of falling. This risk could be assessed on a regular basis for the presence of modifiable fall risk factors, and appropriate advice, given when fall risks are identified.


J Manipulative Physiol Ther. 2011 Feb;34(2):78-87.  [PMID:21334539]

Author information: Holt KR, Noone PL, Short K, Elley CR, Haavik H. Research Department, New Zealand College of Chiropractic, Auckland, New Zealand.


Full text article available here

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