Guerilla Health Report
Journal Reviews and Alternative Health News for the People
Tuesday, October 28, 2008
"If I Could Bottle That Energy..."
Eiholzer et al published a paper to be released in the November issue examining the metabolism and energy expenditure of young boys who play ice hockey. The boys were compared to their teenage hockey playing counterparts in areas like daily energy expenditure, sleep, spontaneous physical activity, and amount of energy they spent training. It turns out that the activity level (specifically the spontaneous physical activity level, like taking off running in the parking lot or beating up your brother, I suppose) of young boys doesn't seem to suffer one bit if they get less sleep. This is completely different than what the researchers found with the teenagers and from what previous studies on overtraining and sleep deficiency have found with adults. It actually seems to defy the principles of physics and common sense. How can you keep up that level of maddening 8 year-old craziness if you don't get enough sleep?
In their conclusion Eiholzer and colleagues offer a possible theory why. The write that the findings suggest an important point- "child-specific control of physical activity" may be the answer. Now I have to admit I don't exactly know what "child-specific control" means, so I Googled for it. No luck, except the article's abstract was returned to me in three search results. So, I've gone to the source, Dr. Eiholzer himself, and asked the following:
(by "child-specific control")... Does this mean that the level of control is related to the age group somehow, or that the prepubescent boys have more choice in their physical activities and therefore perform more of them? Does this suggest that parents who control their children's activity levels rather than allowing the children to choose them hamper the effect somehow? Furthermore, are the controls of sporting activity by the coaches any more or less regimented in this club? How should a coach of young athletes use this information to increase or decrease the amount of practice time or activity level (or spontaneous activites) within practice to the best effect?
The one question I probably should have asked... "How do you bottle that stuff?"
Reference:
Eiholzer U, Meinhardt U, Rousson V, PetrĂ²a R, Schlumpfa M, Fusch G, Fusch C, Gasser T, Gutzwiller F (2008). "Association between Short Sleeping Hours and Physical Activity in Boys Playing Ice Hockey." The Journal of Pediatrics 153 (5) pp 640-645.
Monday, October 27, 2008
The Study Every Chiropractor Should Have in Their Malpractice Defense File
JMPT released a study this fall that every chiropractor, osteopath, and defense attorney should have in their malpractice defense file. The often-too-common scenerio feared by many a manipulator is a patient who comes in with neck pain, gets adjusted, and calls the next day complaining of shooting pain in the arm that 'wasn't there' before. Especially in litigious America, these cases find their way into courtrooms and generally end with ill feelings on one side or the other (not to mention the occasional dirty look at the grocery store... these people generally do have to live in the same town, afterall).
This case report by Murphy and Beres describes a patient who was referred by a neurosurgeon for nonsurgical treatment for a disc herniation in his neck with no myelopathy (nerve damage). Ten days later and before his appointment with the practitioner, the symptoms of myelopathy (such as numbness, burning, or tingling in the arms) began. The article suggests that the rush to blame the chiropractor for instigating nerve damage after adjusting a herniated area may not be such an open-and-shut scenario. In this case the myelopathy began between the initial neurological consult and the first adjustment as a natural course of the disease process. While it may not happen with every herniation, Murphy and Beres do present a very real case of how a non-emergency neck problem can turn south without anything being done to provoke it. One study alone will not exonerate a practitioner, but a combination of clear communication, solid documentation, and pieces of evidence like this may prevent feelings of resentment between doctors and patients if it were ever to happen again.
Reference:
Murphy DR, Beres JL (2008). "Cervical Myelopathy: A Case Report of a “Near-Miss” Complication to Cervical Manipulation." Journal of Manipulative and Physiological Therapeutics 31 (7), pp 553-557.
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