CEO Newsletter 2008 Number 7
Contents
1. Blooming Kids Letter
2. A Bad Relationship Can Cause Heart Attack
3. The Organisation of the Stress Response, and its relevance to chiropractors: a commentary
1. Blooming Kids Letter
Hi Richard,Just checking you got the email: article in our local paper after the first network meeting for the children's services 'Blooming Kids' that Belinda co-ordinated. It was a great success with over 20 local practitioners attending, with a future meeting scheduled in 6 weeks time! We had practitioners ringing us, asking if they could be included once the word got out. Look what happens when your intent is right! This has created a great network of practitioners for the children of the Southern Highlands NSW Australia. Come on other CEO guys, you can do this too!!!!!love and regards Toni
Editor’s notes: Belinda Hawkins started this project and the response has been great. While many of the other non chiropractic professional in the group don’t understand the Chiropractic role, they now have the opportunity to hear Chiropractic presented in modern terms with supporting data. This program is much more than just inching our way into changing the public’s concepts of Chiropractic - it is a quantum leap and once again the Hats Off Award goes to the Office of D. Steve and Belinda Hawkins, and of course their super CA Toni.
2. A Bad Relationship Can Cause Heart Attack: Study Stress, Anxiety in Hostile Relationships Increase Heart Risk.
It has been the stuff of great romantic novels and blockbuster films. Doctors have long suspected it. A study of 9,000 British civil servants has at last established it is possible to die of a 'broken heart'. The study, reported in the Archives of Internal Medicine, found the stress and anxiety of hostile, angry relationships can boost the risk of developing heart disease. Chances of a heart attack or chest pain rose by 34 percent compared to people on good terms with a spouse or partner."A person's heart condition seems to be influenced by negative intimate relationships," researchers wrote. "We showed that the negative aspects of close relationships...are associated with coronary heart disease."Other research has shown more social connections can mean a healthier life -- the "protective effect" -- but few studies have looked at how close friendships or marriages affect health, said Roberto De Vogli, an epidemiologist at University College London, who led the study.The researchers studied civil servants who completed questionnaires about negative aspects of their relationships -- which included a spouse or close friend -- between 1989 and 1990 or between 1985 and 1988.Bad Experiences 'Replayed' The questions asked whether people had emotional support, a chance to talk with someone about problems or whether they could count on a partner or close friend for something as simple as a ride to the grocery store, De Vogli said.The team followed up over a 12-year period and found that people who reported that arguments, criticism and other types of conflict were common had a 34 percent greater risk of heart attacks or chest pain.When the researchers stripped out risk factors such as obesity, smoking, drinking and family history, the chance of a heart attack was still 23 percent higher, De Vogli said."If you have good people around it is good for your health," he said in a telephone interview. "If you have negative people around it is much worse for your health." The study did not look at whether a bad relationship played a role in the severity of a heart attack."It seems clear from this analysis that no matter if positive aspects of social relationships are having a significant protective effect, the negative impact seems far stronger," De Vogli said."People continually replay negative experiences."
Editor’s Note: Once again the picture of Stress and Stress Response Patterns comes into play. While the nervous system controls the heart, the heart also feeds information back into the Central Nervous System. In the next newsletter we will present some information about the heart’s hormones and reduction of pancreatic cancer. New research continues to reveal the incredibly delicate balance within the systems of the body and the effect on health when they become unbalanced.
3. The organisation of the stress response, and its relevance to
chiropractors: a commentary - Katie Hardy1 and Henry Pollard*1,2
Abstract
The stress response is a natural reaction by the body, against potentially harmful stimuli to enhance the chance for survival. Persistent activation of the stress response can cause changes to homeostatic mechanisms.
The study of stress neurophysiology, in the evaluation of the manifestation of disease in the body, suggests that these chronic changes have detrimental effects on sub cortical structures. Furthermore, there is much scientific support for the notion that chronic activation of supraspinal systems will lead to maladaptation of homeostatic mechanisms, causing the impairment of processes within the body, and ultimately leading to visceral disorders.
The chiropractic profession for many years has alluded to chronic change of neurophysiological pathways as a potential explanation of visceral disorders, but the profession has typically described these in terms of somatovisceral or viscerosomatic reflex activity. Change in supraspinal neurophysiological efferent activity is increasingly being used to explain "stress" related disease.
The chiropractic profession should consider investigating such stress responses by conducting spinal manipulative therapy trials that evaluate supraspinal effects of manipulation. Such research may help elucidate key mechanisms associated with the change of visceral disorders noted by some
chiropractors following manipulative therapy.
Conclusion
Sufficient evidence exists to consider stress and its mechanism, in the generation of diseases often seen by chiropractors. To date little investigation of this potential mechanism of disease and treatment has been conducted by the chiropractic profession.
In a time when peak chiropractic organizations are calling for a mind-body
approach to the management of chronic musculoskeletal and non – musculoskeletal disease [165], due consideration of the body of neurobiological evidence that supports the broadening of the operating paradigm within chiropractic seems warranted.
Despite the call for a broadening of approaches and the embrace of such approaches by groups within chiropractic, it appears the threat to the
dominant paradigm appears too great for most to adapt.
The profession should consider more closely the emerging areas of study such as psychoneuroimmunology and how the development of that literature actually supports a broadening of the dominant mechanistic paradigm to
reflect recent advances in science.
Editor’s notes: I published this earlier but feel these comments are so important that you need to revisit them again. The profession needs to regain the understanding that 1. We deal with the nervous system first and foremost. 2. How our nervous systems respond and recover to the stressors in our lives is critical and 3. We can now demonstrate the effectiveness of our care in improving the stress response and recovery. How does it get any better than this!!!
Ad Summum Nitamur!
1. Blooming Kids Letter
2. A Bad Relationship Can Cause Heart Attack
3. The Organisation of the Stress Response, and its relevance to chiropractors: a commentary
1. Blooming Kids Letter
Hi Richard,Just checking you got the email: article in our local paper after the first network meeting for the children's services 'Blooming Kids' that Belinda co-ordinated. It was a great success with over 20 local practitioners attending, with a future meeting scheduled in 6 weeks time! We had practitioners ringing us, asking if they could be included once the word got out. Look what happens when your intent is right! This has created a great network of practitioners for the children of the Southern Highlands NSW Australia. Come on other CEO guys, you can do this too!!!!!love and regards Toni
Editor’s notes: Belinda Hawkins started this project and the response has been great. While many of the other non chiropractic professional in the group don’t understand the Chiropractic role, they now have the opportunity to hear Chiropractic presented in modern terms with supporting data. This program is much more than just inching our way into changing the public’s concepts of Chiropractic - it is a quantum leap and once again the Hats Off Award goes to the Office of D. Steve and Belinda Hawkins, and of course their super CA Toni.
2. A Bad Relationship Can Cause Heart Attack: Study Stress, Anxiety in Hostile Relationships Increase Heart Risk.
It has been the stuff of great romantic novels and blockbuster films. Doctors have long suspected it. A study of 9,000 British civil servants has at last established it is possible to die of a 'broken heart'. The study, reported in the Archives of Internal Medicine, found the stress and anxiety of hostile, angry relationships can boost the risk of developing heart disease. Chances of a heart attack or chest pain rose by 34 percent compared to people on good terms with a spouse or partner."A person's heart condition seems to be influenced by negative intimate relationships," researchers wrote. "We showed that the negative aspects of close relationships...are associated with coronary heart disease."Other research has shown more social connections can mean a healthier life -- the "protective effect" -- but few studies have looked at how close friendships or marriages affect health, said Roberto De Vogli, an epidemiologist at University College London, who led the study.The researchers studied civil servants who completed questionnaires about negative aspects of their relationships -- which included a spouse or close friend -- between 1989 and 1990 or between 1985 and 1988.Bad Experiences 'Replayed' The questions asked whether people had emotional support, a chance to talk with someone about problems or whether they could count on a partner or close friend for something as simple as a ride to the grocery store, De Vogli said.The team followed up over a 12-year period and found that people who reported that arguments, criticism and other types of conflict were common had a 34 percent greater risk of heart attacks or chest pain.When the researchers stripped out risk factors such as obesity, smoking, drinking and family history, the chance of a heart attack was still 23 percent higher, De Vogli said."If you have good people around it is good for your health," he said in a telephone interview. "If you have negative people around it is much worse for your health." The study did not look at whether a bad relationship played a role in the severity of a heart attack."It seems clear from this analysis that no matter if positive aspects of social relationships are having a significant protective effect, the negative impact seems far stronger," De Vogli said."People continually replay negative experiences."
Editor’s Note: Once again the picture of Stress and Stress Response Patterns comes into play. While the nervous system controls the heart, the heart also feeds information back into the Central Nervous System. In the next newsletter we will present some information about the heart’s hormones and reduction of pancreatic cancer. New research continues to reveal the incredibly delicate balance within the systems of the body and the effect on health when they become unbalanced.
3. The organisation of the stress response, and its relevance to
chiropractors: a commentary - Katie Hardy1 and Henry Pollard*1,2
Abstract
The stress response is a natural reaction by the body, against potentially harmful stimuli to enhance the chance for survival. Persistent activation of the stress response can cause changes to homeostatic mechanisms.
The study of stress neurophysiology, in the evaluation of the manifestation of disease in the body, suggests that these chronic changes have detrimental effects on sub cortical structures. Furthermore, there is much scientific support for the notion that chronic activation of supraspinal systems will lead to maladaptation of homeostatic mechanisms, causing the impairment of processes within the body, and ultimately leading to visceral disorders.
The chiropractic profession for many years has alluded to chronic change of neurophysiological pathways as a potential explanation of visceral disorders, but the profession has typically described these in terms of somatovisceral or viscerosomatic reflex activity. Change in supraspinal neurophysiological efferent activity is increasingly being used to explain "stress" related disease.
The chiropractic profession should consider investigating such stress responses by conducting spinal manipulative therapy trials that evaluate supraspinal effects of manipulation. Such research may help elucidate key mechanisms associated with the change of visceral disorders noted by some
chiropractors following manipulative therapy.
Conclusion
Sufficient evidence exists to consider stress and its mechanism, in the generation of diseases often seen by chiropractors. To date little investigation of this potential mechanism of disease and treatment has been conducted by the chiropractic profession.
In a time when peak chiropractic organizations are calling for a mind-body
approach to the management of chronic musculoskeletal and non – musculoskeletal disease [165], due consideration of the body of neurobiological evidence that supports the broadening of the operating paradigm within chiropractic seems warranted.
Despite the call for a broadening of approaches and the embrace of such approaches by groups within chiropractic, it appears the threat to the
dominant paradigm appears too great for most to adapt.
The profession should consider more closely the emerging areas of study such as psychoneuroimmunology and how the development of that literature actually supports a broadening of the dominant mechanistic paradigm to
reflect recent advances in science.
Editor’s notes: I published this earlier but feel these comments are so important that you need to revisit them again. The profession needs to regain the understanding that 1. We deal with the nervous system first and foremost. 2. How our nervous systems respond and recover to the stressors in our lives is critical and 3. We can now demonstrate the effectiveness of our care in improving the stress response and recovery. How does it get any better than this!!!
Ad Summum Nitamur!
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