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Research

Supporting Upper Cervical Research

 

WebMD Hypertension Study

 

Paraspinal Skin Temperature Patterns: An Interexaminer & Intraexaminer Reliability Study (Adobe PDF)
Edward F. Owens, Jr, DC; John F. Hart, DC; Joseph J. Donofrio, DC; Jason Haralambous, DC; and Eric Mierzejewski, DC
Research has proven time and time again that the Tytron is a cornerstone to effective patient care.
Paraspinal thermography is used by chiropractors as an aid in assessing the presence of vertebral subluxation. Few reliability studies have been carried out, with mixed results. Digital infrared scanning enable a computer-aided interpretation of thermographic patterns.

Cortical Blindness, Cerebral Palsy, Epilepsy, and Recurring Otitis Media: A Case Study in Chiropractic Management. (Adobe PDF)
William C. Amalu, DC, CCUCS
The role of chiropractic in the management of visceral disorders remains clouded with regards to possible benefits. Observations of one patient presenting with cortical blindness, cerebral palsy, epilepsy, and recurrent otitis media are reported. Relief of symptoms is noted subsequent to correction of biomechanical aberrations of the occipito-atlanto-axial complex. The author suggests a relationship between biomechanical faults in the upper cervical spine and the manifestation of abnormal central neurophysiological processing.

Autism, Asthma, Irritable Bowel Syndrome, Strabismus, Illness Susceptibility: A Study in Chiropractic Management. (Adobe PDF)
William C. Amalu, DC, CCUCS
Pathologies of organic origin are commonly thought to be the exclusive realm of medical treatment and not part of the mainstay of chiropractic care. The clinical observations of a patient presenting with autism, asthma, irritable bowel syndrome, strabismus, and illness susceptibility are reported. Alleviation of symptoms is seen subsequent to corrections of abnormal biomechanical function of the occipito-atlanto-axial complex. A relationship between biomechanical faults in the upper cervical genesis of this patient’s symptomatology.

Upper Cervical Management of 47 Successive Cases of Asthma. (Adobe PDF)
William C. Amalu, DC, CCUCS
Non-musculoskeletal pathologies are commonly thought to be the exclusive realm of medical treatment and not part of the mainstay of chiropractic care. The clinical observations of 47 successive cases of asthma, along with the presentation of a case study, are reported. Improvement in these patients’ symptomatic profiles was 87-100% subsequent to corrections of biomechanical faults in the upper cervical spine and the manifestation of abnormal central neurophysiological processing is suggested as the genesis of this condition.

Upper Cervical Chiropractic Management of a Multiple Sclerosis Patient: A Case Report (Adobe PDF)
Erin L. Elster, D.C.
This article reviews the upper cervical chiropractic management of a single patient with Multiple Sclerosis (MS). This 47-year-old female first experienced symptoms of MS at age 44, when she noticed cognitive problems and loss of bladder control. After viewing multiple lesions on MRI (MS plaques), her neurologist diagnosed her with MS. Two years later, she noticed additional symptoms of leg weakness and paresthesias in her arms and legs. Her symptoms progressively worsened without remission, so her neurologist categorized her as having chronic progressive MS and recommended drug therapy (Avonex). Upon initial examination of this patient, evidence of an upper cervical subluxation was found using precise upper cervical radiographs and paraspinal digital infrared imaging.

Upper Cervical Chiropractic Care For A Nine-Year-Old Male With Tourette Syndrome, Attention Deficit Hyperactivity Disorder, Depression, Asthma, Insomnia, and Headaches: A Case Report (Adobe PDF)
Erin L. Elster, D.C.
Objective: To review the effectiveness of chiropractic care using an upper cervical technique in the case of a nine-year-old male who presented with Tourette Syndrome (TS), Attention Deficit Hyperactivity Disorder (ADHD), depression, asthma, insomnia, and headaches. Clinical Features: This nine-year-old boy suffered from asthma and upper respiratory infections since infancy; headaches since age 6; TS, ADHD, depression and insomnia since age 7; and neck pain since age 8. His mother reported the use of forceps during his delivery. His medications included Albuterol, Depakote, Wellbutrin, and Adderall.

Erin L. Elster, D.C.
Objective: To review the effectiveness of chiropractic care using an upper cervical technique in the case of a 35-year-old female who presented with chronic daily tension and migraine headaches, and to summarize, in an Appendix, the examination findings and results for 100 additional chronic headache cases. Clinical Features: At age 23, the patient, a professional ice skater, sustained a concussion by hitting her head against the ice. Prior to the concussion, no health problems were over the next twelve years, during which time the patient utilized daily pain medications.

The Effects of Specific Upper Cervical Adjustments on the CD4 Counts of HIV Positive Patients
Chriorpractic Research Journal, Vol. 3, No. 1, 1994
Selano, J.; Hightower, B.; Pfleger, B.; Collins, K.; Grostic, J.
The researchers of this project sought to demonstrate that upper specific adjustments would have a profound effect on the physiology, serology and immunology of HIV positive individuals. The effect of specific upper cervical adjustments on the iummune system CD4 cell counts of HIV positive independent medical center where they were under medical supervision for the regular group was dramatically increased over the counts of the control group. A 48% increase in CD4 cells was demonstrated over the six month duration of the study for the adjusted group.

Original Research

Clinical Efficacy of Upper Cervical Versus Full Spine Chiropractic Care on Children with Autism: A Randomized Clinical Trial

Evaluation of Chiropractic Manipulation as a Treatment of Hyperactivity in Children
J Manipulative Physiol Ther Giesen JM, Center DB, Leach RA Mississippi State University 1989 (Oct); 12 (5): 353–363

Clinical Study on Manipulative Treatment of Derangement of the Atlantoaxial Joint
J Tradit Chin Med Zhou W, Jiang W, Li X, Zhang Y, Zhang J, Wu Z Institute of Orthopedics and Traumatology, China Academy of Traditional Chinese Medicine, Beijing, China 1999; 19 (4) Dec: 273–278
The derangement of the atlantoaxial joint is one of main cervical sources of dizziness and headache, which were based on the observation on the anatomy of the upper cervical vertebrae, analysis of X-ray film of the atlantoaxial joint, and the manipulative treatment in 35 patients with cervical spondylosis. The clinical diagnosis of derangement consists of: dizziness, headache, prominence and tenderness on one side of the affected vertebra, deviation of the dens for 1 mm-4 mm on the open-mouth X-ray film, abnormal movement of the atlantoaxial joint on head-rotated open-mouth X-ray film. An accurate and delicate adjustment is the most effective treatment.

Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study.
J Hum Hypertens. 2007 May;21(5):347-52. Epub 2007 Mar 2. Bakris G, Dickholtz M Sr, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C, Bell B
Department of Preventive Medicine, Rush University Hypertension Center, Chicago, IL, USA.

Anatomical abnormalities of the cervical spine at the level of the Atlas vertebra are associated with relative ischaemia of the brainstem circulation and increased blood pressure (BP). Manual correction of this mal-alignment has been associated with reduced arterial pressure. This pilot study tests the hypothesis that correcting mal-alignment of the Atlas vertebra reduces and maintains a lower BP. Using a double blind, placebo-controlled design at a single center, 50 drug naïve (n=26) or washed out (n=24) patients with Stage 1 hypertension were randomized to receive a National Upper Cervical Chiropractic (NUCCA) procedure or a sham procedure. Patients received no antihypertensive meds during the 8-week study duration.

The primary end point was changed in systolic and diastolic BP comparing baseline and week 8, with a 90% power to detect an 8/5 mm Hg difference at week 8 over the placebo group. The study cohort had a mean age 52.7+/-9.6 years, consisted of 70% males. At week 8, there were differences in systolic BP (-17+/-9 mm Hg, NUCCA versus -3+/-11 mm Hg, placebo; P<0.0001) and diastolic BP (-10+/-11 mm Hg, NUCCA versus -2+/-7 mm Hg; P=0.002). Lateral misplacement of Atlas vertebra (1.0, baseline versus 0.04 degrees week 8, NUCCA versus 0.6, baseline versus 0.5 degrees , placebo; P=0.002). Heart rate was not reduced in the NUCCA group (-0.3 beats per minute, NUCCA, versus 0.5 beats per minute, placebo).

No adverse effects were recorded. We conclude that restoration of Atlas alignment is associated with marked and sustained reductions in BP similar to the use of two-drug combination therapy.
PMID: 17252032 [PubMed - indexed for MEDLINE]

Upper Cervical Chiropractic Management of a Multiple Sclerosis Patient: A Case Report
Erin L. Elster, D.C; author Bio [May 2001, Vol 4, No.2]

Sixty Patients With Chronic Vertigo Undergoing Upper Cervical Chiropractic.
All 60 patients responded to IUCCA upper cervical care within one to six months of treatment. Forty-eight patients were symptom-free following treatment and twelve cases were improved in that the severity and/or frequency of vertigo episodes were reduced. A causal link between trauma-induced upper cervical injury and the onset of vertigo appears to exist. Correcting the injury to the upper cervical spine through the use of IUCCA protocol appears to improve and/or reverse vertigo disorders. Further study in a controlled, experimental environment with a larger sample size is recommended.