Current Issue:  Volume 7, Issue 1 (2016)

Topics in Integrative Health Care: an International Journal (TIHC) is a peer-reviewed, open-access online journal. It is dedicated to advancing the integration of multiple disciplines, both complementary and mainstream, into diverse health care settings in order to provide optimal patient care. It presents themed issues on topics of current relevance to health care providers interested in integrative, conservative care, health promotion and disease prevention. It includes international, interdisciplinary Grand Rounds in order to facilitate communication and patient comanagement among various health professions, for the good of patients everywhere.

Topics in Integrative Health Care (TIHC) is published by Healthindex, Inc. (ChiroACCESS).


Topics in Integrative Health Care

Cheryl Hawk, DC, PhD, CHES    

Topics in Integrative Health Care 2016, Vol. 7(1)     ID: 7.1001   

Topics in Integrative Health Care welcomes unsolicited manuscripts with original research, Grand Rounds, clinical briefs and “fast facts” collections. All submissions are peer-reviewed.


Pilot Study of Spinal Manipulation Impact on Sport-Specific Reaction Time and Core Proprioception Amongst College Students with Spine Pain

Rebekah Wilks, B.S., B.A.

Nathan Nguyen, B.S.

John Ward, DC, MA, MS

Jesse Coats, D.C., B.S., D.A.A.P.M., C.C.S.P.

Topics in Integrative Health Care 2016, Vol. 7(1)     ID: 7.1002   

Objective: To determine whether spinal manipulative therapy (SMT) beneficially affected reaction time and/or core proprioception in individuals with spine pain during two sport-specific simulation tasks.

Methods: Fifty-four college students each stood on a force plate while holding a basketball in the triple threat position. After receiving a visual computer prompt to jump left their reaction time was recorded in milliseconds. Next, participants stood in a football player receiver position with fixed footing and were asked to rotate their body 90° to the left while being recorded with motion analysis cameras. Their ability to attain exactly 90° with their hips/core was recorded. Participants were then assigned to study groups based on absence or presence of spine pain; the latter group was further allocated to SMT or no SMT intervention groups. Following the intervention phase all participants repeated the baseline tests. A between-within repeated-measures analysis of variance (ANOVA) using between-subjects factor “group” and within-subjects factor “time” (baseline and post-test) was used to analyze study data.

Results: There was no statistically significant difference for the reaction time task for group*time F(2,51) = 1.577, p = 0.219, r = 0.17. Similarly, for core proprioception angle there was no statistically significant effect for group*time, F(2,51) = 0.273, p = 0.762, r = 0.07.

Conclusions: Preliminarily, a single spinal manipulation did not improve reaction time or the ability to increase approximation to 90° during the hip/core rotation task for chiropractic college students with low levels of spine pain.

Ice Pack-Cooled Ergonomic Chair Support Impact on Spine Pain and Flexion-Relaxation Phenomenon: A Pilot Study

John Ward, DC, MA, MS

Jesse Coats, D.C., B.S., D.A.A.P.M., C.C.S.P.

Topics in Integrative Health Care 2016, Vol. 7(1)     ID: 7.1003   

Objective: The study purpose was to assess the impact of the ice pack-cooled Spine Buddy LT1 H/C chair support on relieving spine pain and modifying muscle activity patterns during a functional task.

Methods: Thirty-two college students (age 27.8 + 6.4 y, height 1.72 + 0.11 m, body mass 83.2 + 21.0 kg, hours seated that day 5.9 + 1.6 hr: mean + SD) completed a Nordic Musculoskeletal Questionnaire (NMQ) instrument and a Flexion-Relaxation Phenomenon (FRP) test before and after sitting for 12 minutes in a standard office chair outfitted with a Spine Buddy LT1 H/C support containing 2 ice packs. The FRP test was conducted using 2 surface EMG sensors bilaterally to measure the electrical activity of the lower erector spinae muscles. A paired samples t-test was used to measure within-group changes for NMQ for 3 spine regions and FRP for the 4 phases of the test.

Results: Neck-related NMQ scores decreased 0.38 pts (t(31) = 3.00, p = 0.005, d = 0.35) and lower back-related NMQ scores decreased 0.81 pts (t(31) = 4.76, p = 0.000, d = 0.63) after the use of the support pad. In addition, the extension and flexion phases of the FRP post-test demonstrated that participants were approaching a more pain-free lower back muscle activation profile.

Conclusions: Preliminarily, the addition of an ice pack-cooled chair support product to an office chair was associated with decreased neck and low back pain/discomfort, as well as modestly normalized FRP test results short-term.

Fast Facts

Fast Facts

THIC Staff    

Topics in Integrative Health Care 2016, Vol. 7(1)     ID: 7.1004   

Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.

The following is an excerpt:

Theory-based interventions can enhance people's safe water consumption, but the sustainability of these interventions and the mechanisms of maintenance remain unclear. This study used an extended theory of planned behavior. Perceived behavioral control, intentions, commitment strength and coping planning were associated with maintenance.

Inauen J, Mosler HJ. Mechanisms of behavioural maintenance: Long-term effects of theory-based interventions to promote safe water consumption. Psychol Health. 2016;31(2):166-83.