Chiropractic and Mental Health

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Chiropractic and Mental Health

Research supports that vertebral subluxations may result in altered autonomic nervous system activity. How does this affect mental health and behavior? We will look specifically the vagus nerve “fight or flight” response and “rest and digest” response. The vagus nerve is a major component of the HPA-axis which coordinates neural, behavioral, endocrine, and immune/inflammatory responses. This is why we check heart rate variability in the office to gauge how well your vagus nerve is functioning, therefore how well your HPA-axis is functioning.

There is a theory called the Polyvagal Theory (PVT) that was proposed by Porges in which nervous system regulation affects our emotional expression, communication, and social behavior. Or in other words the neural pathways supporting behavior are involved in maintaining health.

In a study by Williams et al, “There was some evidence that spinal manipulation improved psychological outcomes compared with verbal interventions.” A different study by Holder et al, looked at patients who received instrument assisted adjustments, the test group who received adjustments showed a significant decrease in anxiety compared to the control group.

Chiropractic care a whole is concerned with totality of the human experience. By correcting subluxations, patients are more optimally able to adapt to the world around them and build resilience. When an adjustment is delivered, a patient’s nervous system immediately responds by altering the body’s ability to function at it’s fullest potential again.

Holder JM, Duncan Robert C, Gissen M, Miller M, Blum K (2001) Increasing retention rates among the

chemically dependent in residential treatment: auriculotherapy and (in a separate study)

subluxation-based chiropractic care. Journal of Molecular Psychiatry 6.

Williams NH, Hendry M, Lewis R, Russell I, Westmoreland A, et al. (2007) Psychological response in spinal

manipulation (PRISM): A systematic review or psychological outcomes in randomized controlled

trials. Complementary Therapis in Medicine 15:271-283.

Chiropractic Care and Pregnancy

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Chiropractic Care and Pregnancy

Pregnancy can be a really exciting time for parents as they get ready for their family to grow with the baby’s arrival. As the baby grows, mum’s body changes as she prepares to give birth.

Sometimes these changes can be uncomfortable or painful, with about three-quarters of pregnant mums suffering from pain in their back or pelvis.1, 2 This is one reason that so many pregnant mums seek chiropractic care.

Is it safe?

When deciding whether they should see a chiropractor, pregnant mums often ask ‘is it safe to be adjusted by the chiropractor when I’m pregnant?’ The good news is that chiropractors can tailor the care they provide to each individual patient and the research suggests that chiropractic care during pregnancy is safe for both mum and baby.4,6

What does the research say?

But what does the research tell us about the benefits of seeing a chiropractor while you’re pregnant? When it comes to back pain, not many big studies have been done yet that have looked at whether chiropractic care helps pregnant mums.3

So, although more research is needed, results from the research that has been done so far are promising and seem to show that for some pregnant mums, chiropractic care can be really helpful.4 In one study, researchers in Switzerland followed 115 pregnant women for a year who went to see a chiropractor with low back pain.5 What they found in this study was that over half of the patients said they ‘improved’ after just 1 week of chiropractic care, and after a month that figure had grown to 70%.

In a study conducted in New Zealand, researchers studied pelvic floor muscle function in pregnant women before and after they were adjusted by a chiropractor.

By the end of the study, about 90% of the mums who entered the study said their pain was better. From this study, we can’t be sure if it was the chiropractic care that really helped them but at the end of the study over 85% of the mums said they were happy with the care they received from their chiropractor.

Could chiropractic care help me through delivery?

One area researchers think chiropractic care may help pregnant moms is with the delivery of their baby. For a woman in labor, the ability to relax and contract her pelvic floor muscles is really important for helping the baby to move through the birth canal.7 Ideally, for the birth process to go as well as possible, giving the greatest chance of natural, vaginal birth, you want strong pelvic floor muscles that can relax and contract at just the right time.7, 8

New Zealand Research Study

In a study conducted in New Zealand, researchers studied pelvic floor muscle function in pregnant women before and after they were adjusted by a chiropractor. What they found was that after the pregnant women were adjusted, their pelvic floor muscles appeared to relax more when they were at rest.

This relaxation of their pelvic floor muscles after they were adjusted may mean that chiropractic care could help them to have a natural vaginal delivery. This was only a small trial, and the researchers couldn’t be sure how much of an impact these relaxed muscles would have on labour itself, but it does suggest that for pregnant mums, chiropractic care may give them more control over their pelvic floor muscles, which may make childbirth easier. Other research supports this idea with one study reporting that new mums experience on average a 25% reduction in the length of labour time with chiropractic care during pregnancy and that rises to a 31% reduction for mothers who have given birth before.It makes sense to keep yourself as healthy as possible during your pregnancy.

So, if you want help with the way your spine and nervous system are functioning, consider seeing your chiropractor, because it’s natural, safe, and may help you to feel better and boost your chances of having a faster, easier delivery of your little bundle of joy.

References

  1. Malmqvist, et al. J Manipulative Physiol Ther 2012;35(4):272-8.
  2. Weis, et al. Journal Of Obstetrics and Gynaecology Canada 2018;40(8):1038-43.
  3. Stuber & Smith. Journal Of Manipulative and Physiological Therapeutics 2008;31(6):447-54.
  4. Borggren. Pregnancy and Chiropractic: a Narrative Review Of the Literature. Journal of Chiropractic Medicine 2007;6(2):70-74.
  5. Peterson, Muhlemann, Humphreys. Chiropractic & Manual Therapies 2014;22(1):15.
  6. Stuber, Wynd, Weis. Chiropr Man Therap 2012;20:8.
  7. Yan, et al. Wiley Interdisciplinary Reviews Systems Biology and Medicine 2016;8(6):506-16.
  8. Du, et al. International Urogynecology Journal 2015;26(10):1415-27.

Acknowledgments

  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

Heart Rate Variability

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Did you know that your nervous system controls your heart rate? It is one of the many smart things that your body does without you having to or put any thought into it. Your nervous system will increase or decrease your heart rate based on the needs of your body, and this is called heart rate variability.

Most people know that having a healthy heart rate is important – you don’t want it too fast, and you don’t want it too slow. It is providing your vital organs with blood and oxygen that you need to survive. However, your heart rate is not at a constant steady 70 beats per minute all day every day; it changes based on whether you are resting or exercising, whether you are happy or angry, nervous or relaxed.

These changes in heart rate can be measured by something called heart rate variability or HRV. HRV is controlled by your nervous system (made up of your brain, spinal cord and all the nerves that go to every tissue and cell in your body), specifically the part of your nervous system that is automatic, that we don’t have to think about, like breathing. A good HRV (a high one) is thought to reflect a healthy heart and a body that can respond and adapt to its environment and needs.

It is important that your brain knows what is going on in and around your body so that it can know when to increase or decrease your heart rate, and it needs to do this quickly. For example, if you suddenly need to run really fast because you’re being chased by a bear, your nervous system will quickly need to increase your heart rate so it can pump enough blood to your muscles so you can run. However, when you are sleeping or relaxed, you don’t want your heart rate to stay beating that fast as this is not good for you, so your brain will sense this and then decrease your heart rate. 

We know now, from a lot of neuroscience research studies, that when your spine is not moving properly, this changes the way your brain can sense what is going on in and around your body and the way it controls your body.1-3 If the joints of your spine are not moving properly (what chiropractors call being subluxated) this may affect how well you can sense what is going on in and around you and how well you can react to your environment. Research has shown that when a chiropractor then gently adjusts these subluxations, it helps the brain to more accurately “see” what is going on in and around the body. So, when you get adjusted by your chiropractor, it might help you to be able to respond and adapt to your environment better and keep you balanced and healthy.

Chiropractic may help

What does the research say about chiropractic care and heart rate variability (HRV)? Researchers have looked at a lot of the studies that have been done on the effects of chiropractic care on HRV and summarised them.4 The results show that chiropractic care does affect HRV, and it seems to increase the healing and calming side of our autonomic nervous system, the parasympathetic nervous system! 

In one study,5 the researchers got 96 different chiropractors to measure HRV before and after adjustments on 8 different patients and after 4 weeks on 2 of their patients. Altogether, 539 adults had their HRV recorded before and after their adjustments, and 111 adults had their HRV recorded across four weeks of chiropractic care. They found that in both of these groups of adults, there were improvements in their HRV measurements and that in the group that received adjustments over four weeks, these improvements remained constant over that time. 

These studies suggest that even just one adjustment can influence an important part of our nervous system that controls our heart rate, which represents how well our body can respond to our environment and is considered to be a measure of someone’s adaptability and general health. Also, very importantly, in the stressful, fast-paced life we often live these days, chiropractic care appears to increase the “healing and calming” side of our autonomic nervous system. If you are interested in good health, adaptability and want to respond better to stress, why don’t you consider chiropractic care?

Make sure your spine is functioning well so you can operate at your best!

References
  1. Kawli T, He F & Tan M-W. Disease models & mechanisms 2010;3(11-12):721-31.
  2. Buckingham JC, et al. Pharmacology Biochemistry and Behavior 1996;54(1):285-98.
  3. Elenkov IJ, et al. Pharmacological reviews 2000;52(4):595-638.
  4. Herkenham M & Kigar SL. Progress in neuro-psychopharmacology & biological psychiatry 2017;79(Pt A):49-57.
  5. Kipnis J. Scientific American 2018;319(2):28-35.
  6. Kox M, et al. Proceedings of the National Academy of Sciences 2014;111(20):7379-84.
  7. Pearce BD, Biron CA & Miller AH. Advances in Virus Research: Academic Press 2001:469-513.
  8. Sanders VM & Kohm AP. International review of neurobiology 2002;52:17-41.
  9. Uthaikhup S et al. Arch Gerontol Geriatr 2012;55(3):667-72.
  10. Haavik H & Murphy B. J Electromyogr Kinesiol 2012;22(5):768-76.
  11. Treleaven J. Man Ther 2008;13(1):2-11.
  12. Daligadu J, et al.JMPT 2013;36(8):527-37.
  13. Haavik H & Murphy B. Journal of Electromyography and Kinesiology 2012;22(5):768-76.
  14. Haavik H, et al. 2017 doi: 10.1016/j. jmpt.2016.10.002
  15. Taylor HH & Murphy B. JMPT 2008;31(2):115-26.
  16. Colombi A & Testa M. Medicina 2019;55(8):448.
  17. Kovanur-Sampath K, et al. Musculoskeletal Science and Practice 2017;29:120-31.
Acknowledgments
  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

We Can Help You With That

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We Can Help You With That

We can help you with that.  Help with what?  Your bodies overall functionality.  People say that  “Chiropractors think they can cure anything.”  There is truth and misguided information in this statement.  First, your Chiropractor should be teaching you why and how they can help the body.  Second, the word cure is thrown around way to loosely and should not be used in chiropractic care. Understand the major premise to understand your Chiropractors thought process.

The Major Premise

Scientifically we understand that the brain and spinal cord, collectively called the central nerve system (CNS) regulates, controls, and even made every system and part of you. When a nerve exiting out of the spinal column has stress placed on it, immediately the nerve deviates off of normal tone. The organs, cells, and tissues that the nerve supplies will as a result begin to become hyper or hypo, thus damaging the body.  This “major premise” is not just recognized by Chiropractors. It is no different than what medical doctors have been taught in basic physiology.  The difference however, begins in treating the damaged organ and addressing the cause which controls, and coordinates the organ to help the body adapt and function properly.

Chiropractic Enables Your Body To Adapt

Chiropractic does not treat, nor cure the body. When a Chiropractor adjusts a specific area that is placing undo stress on a specific nerve the body immediately begins to release adaptive forces. Meaning? You begin to heal yourself. This once again is not a new “made up concept.” People are demanding more natural and effective forms of healthcare. You’d be amazed with what wellness and regular chiropractic care can do to enhance your health and performance. If your lifestyle does not include specific spinal healthcare, your body cannot function efficiently.​ By eliminating stress on the CNS you will have a positive impact on your ability to adapt and function. #getchecked