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Newsletter Archives
- September 2007
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September 2007 NEWS
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Spinal
Rehab RESEARCH
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Can Spinal
Surgery be Prevented by Aggressive Strengthening Exercise?
A Prospective Study of Cervical and Lumbar Patients.
Brian W. Nelson, MD, David M. Carpenter, MS, Thomas E. Dreisinger, PhD,
Michelle Mitchell, PTA, Charles
E. Kelly, MD, Joseph A. Wegner, MD | Clinical Source/Journal: Arch
Phys Med Rehabilitation
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OBJECTIVE:
To
determine if patients recommended for spinal surgery can avoid the surgery
through an aggressive
spinal strengthening program.
CONCLUSION:
The significance of this study is that many patients were spared surgery
during the study period
even though surgery had been recommended. The findings show that approximately
90% of spinal patients
can avoid spinal surgery by completing an aggressive spinal strengthening
program. Moreover, these
findings suggest that substantial cost savings are possible by first attempting
aggressive strengthening exercises.
METHODS: Over a period of 2 1/2 years, consecutive patients referred
to the clinic for evaluation and
treatment were enrolled in the study if they: (1) had a physician's recommendation
for lumbar or cervical
surgery, (2) had no medical condition preventing exercise, and (3) were
willing to participate in the approximately
10-week outpatient program. Treatment consisted mainly of the isolated
lumbar or cervical spine.
Exercise was continued to failure, and patients were encouraged to work
through their pain. RESULTS:
Forty-six of the 60 participants completed the program; 38 were available
for follow-up and three required
surgery after completing the program. To read the full article,
please visit our website at www.Back2Strength.net.
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How
is What We Offer Different from Other Rehabilitation Methods?
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(1) Patients
take responsibility for their own care. (2) Some discomfort is expected,
at which point it is worked through. Our focus is to restore functional
ability, in addition to obtaining pain relief. (3) We rely on objective
measurements of strength, endurance and flexibility to gauge progress.
(4) We incorporate specialized exercise equipment that provides resistance
over a full, or selected, limited range of isolated lumbar motion. (5)
We develop a strength curve to monitor and compare the patient's strength
and range of motion to established norms.
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Client
Spotlight -
Linda W./Spinal Rehab Client
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Strength
training, aerobic classes, walking, and stretching have been a part of
my lifestyle since I was 18.
On June 24,
2007, I was in the back seat of an SUV, which was the last car in a stopped
line of cars on a freeway in Fort Worth, Texas. A Jeep slammed into us
going around 35 MPH. The pain began in my upper neck and as the day progressed,
slowly traveled down my back. My discomfort increased further the next
day on our return flights to Oregon.
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I found Back2Strength in the phone book, made an appointment, and began
a spinal rehabilitation program which combined the benefits of chiropractic
care with an aggressive spinal strengthening program. This program has
significantly improved my entire back and neck.
Dr. Katie
Kohls is the first Chiropractic Physician I have seen. She is very personable
and her treatment brought immediate relief. I now wish my first chiropractic
treatment had occurred years ago.
After initial
evaluation at the clinic, they tested my back's strength and flexibility
on the specialized weight machines. After all my years of strength training,
I was shocked to know my back was low in flexibility and strength. After
seven weeks, I have improved in both categories. I no longer awaken with
a sore neck.
The entire
staff is friendly and helpful. I have four to six more weeks of spinal
rehab to achieve my goal. Spinal Rehab at Back2Strength has been a positive
experience.
CLINICAL
NOTES: Linda W. has had seven spinal rehab sessions in six weeks.
After her last visit, we tested the evaluation statistics
for functional mobility and compared it to her first
visit's results. Linda W. showed a 48.14% improvement,
which averages out to approximately a 7% increase in
strength and flexibility after each visit.
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