Research

 

NUCCA & TMJ Occlusion

In a 2016 study the relationship between a malocclusion and a misalignment of the craniocervical junction was examined. The craniocervical junction consists of the joints between the skull, atlas (C1) and axis (C2). Misalignments in this region can alter how the skull is balanced on top of the neck. In addition to creating strain in the muscles and ligaments of the neck, this malposition can also influence the function of the temporomandibular joint. In turn, this can result in stressed bite patterns (more commonly referred to as a malocclusion). The findings of this study suggest a possible link between head posture and occlusion and suggest that appropriate co-management of temporomandibular joint disorders between chiropractors and dentists may be warranted

NUCCA and High Blood Pressure 

‚ÄčA 2007 pilot study conducted by Drs. Bakris and Dickholtz demonstrated a reduction in blood pressure following an upper cervical adjustment. The degree of reduction varied among participants with the mean reduction being equivalent to taking two blood pressure medications. In addition, participants blood pressure remained reduced eight weeks later. Though more research is required, this provides exciting insight into a possible mechanical mechanism underlying high blood pressure and offers a gentle, non-invasive approach to treating it. 

 

NUCCA & Migraines

Magnetic resonance imaging–measured change in intracranial flow following upper cervical chiropractic care of a migraine headache subject: A case report H. Charles Woodfield III, D. Gordon Hasick

This subject reported great improvement in migraine headache symptoms while demonstrating significant improvement in migraine-specific patient reported outcomes. Subjects received NUCCA care for 8 weeks.

X-Ray Imaging is Essential for Contemporary Chiropractic: Radiography Increases Benefits and Reduces Risks
Paul A. Oakley, DC, Jerry M. Cuttler & Deed E. Harrison, DC
Annals of Vertebral Subluxation Research ~ August 19, 2019 ~ Pages 104-112

Abstract

To remedy spine-related problems, assessments of X-ray images are essential to determine the spine and postural parameters. Chiropractic/manual therapy realignment of the structure of the spine can address a wide range of pain, muscle weakness, and functional impairments. Alternate methods to assess such spine problems are often indirect and do not reveal the root cause and could result in a significant misdiagnosis, leading to inappropriate treatment and harmful consequences for the patient. Radiography reveals the true condition and alignment of the spine; it eliminates guesswork. Contemporary approaches to spinal rehabilitation, guided by accurate imaging, have demonstrated superiority over primitive treatments. Unfortunately, there are well-meaning but misguided activists who advocate elimination or minimization of exposures in spine radiography. The radiation dose employed for a plain radiograph is very low, about 100 times below the threshold dose for harmful effects. Rather than increasing risk, such exposures would likely stimulate the patient’s own protection systems and result in beneficial health effects. Spine care guidelines need to be revised to reflect the potential benefits of modern treatments and the lack of health risks from low X-ray doses. This would encourage routine use of radiography in manual spine therapy, which differs from common pharmacologic pain relief practice.

Key words: spine rehabilitation, radiation exposure, X-ray, chiropractic, routine radiography

Tymothy Flory, DC, Jonathan Chung, DC, Jonathan Ozner, DC. Resolution of Facial Neuralgia Following Reduction of Atlas Subluxation Complex: A Case Study. J Upr Cerv Chiropr Res. 2015 Win;1: 6-13.

Bagnaro N. Improvement in Subjective, Academic and TOVA Measures in a Child with ADHD Following Upper Cervical Chiropractic Management. J Upr Cerv Chiropr Res. 2014 Sum;3:42-46

Chung JC, Brown JB, Busa JB. Resolution of hypertension following reduction of upper cervical vertebral subluxation: a case study. J Upr Cerv Chiropr Res. 2014 Win;1:1-6.

Woodfield HC, Dickholtz, Sr. M. Quality of life improvement in patients with chronic fatigue syndrome following upper cervical chiropractic care. J Upr Cerv Chiropr Res. 2012 Fal;4:92-99.

Brown JB, Chung JC, McCullen BM. Upper cervical chiropractic care of a female patient with multiple sclerosis: a case study. J Upr Cerv Chiropr Res. 2012 Win;1:16-19.

Chung JC, Brown JB. Reduction in symptoms related to parkinson’s disease concomitant with subluxation reduction following upper cervical chiropractic care. J Upr Cerv Chiropr Res. 2011 Win;1:16-19.

Chung JC, Salminen BS. Reduction in scoliosis in a 10-year-old female undergoing upper cervical chiropractic care: a case report. J Pedi Matrn Fam Heal. 2011 Win;1:23-30.

Khauv KB, Dickholtz, Sr. M. Improvement in adolescent idiopathic scoliosis in a patient undergoing upper cervical chiropractic care: a case report. J Pedi Matrn Fam Heal. 2010 Fal;4:136-142.

Palmer J, Dickholtz, Sr. M. Improvement in radiographic measurements, posture, pain & quality of life in non-migraine headache patients undergoing upper cervical chiropractic care: a retrospective practice based study. J Vert Sublux Res. 2009 Jun;1:1-11.

 

Improvement in Post-Concussion Syndrome in Two Females Using Low-Force Upper Cervical Chiropractic Care: A Case Series & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2019
Jonathan Chung D.C.
 August 31, 2019 ~ Pages 48-55

Abstract

Objective:  The purpose of this report is to describe the positive health outcomes of two patients with persistent post-concussion syndrome presenting to a chiropractic clinic utilizing a low-force upper cervical technique.

Clinical Features:  A 16-year old female with vertigo, brain fog, and headaches for 3 months after head trauma from a fall off a horse was diagnosed with post-concussion syndrome by a neurologist.  A 30-year old female with migraine headache and vertigo following a motor vehicle accident where she struck her head against the steering wheel. Both patients had no previous history of vertigo or headache prior to the described head trauma.

Intervention and Outcomes:  Both patients were managed by a medical neurologist and had previously received Diversified-style chiropractic adjustments.  At the time of presentation to the upper cervical chiropractor, there was no change in symptoms reported for vertigo or headache. Both patients reported reduction in frequency and intensity of headache and vertigo episodes shortly after beginning upper cervical chiropractic care.  At a one-year follow up, the 30-year-old female experienced full resolution of headache and dizziness symptoms while the 16-year-old female experienced a re-occurrence of symptoms that resolved after upper cervical adjustment.

Conclusion:  Low-force upper cervical technique to correct atlas subluxation complex may be an effective intervention for patients with post-concussion syndrome of cervicogenic origin. More studies are needed to determine the role of chiropractic in the care of patients with post-concussion syndrome.

Key Words: post-concussion syndrome, post-traumatic headache, atlas, NUCCA, adjustment

Resolution of Symptoms in a Patient with Meniere’s Disease Following Upper Cervical Chiropractic Care: A Case Report

Journal of Upper Cervical Chiropractic Research, Volume 2019

Jason Fraser, DC Journal of Upper Cervical Chiropractic Research ~ May 30, 2019 ~ Pages 36-41 . Abstract Objective: To describe the positive health outcomes following upper cervical chiropractic care on a patient with Meniere's disease (MD). Clinical Features: A...

Resolution of Headaches & Neck Pain in a 59-Year-Old Male with Rheumatoid Arthritis Undergoing Upper Cervical Chiropractic Care: A Case Report

Journal of Upper Cervical Chiropractic Research, Volume 2019

  Jason Slagel, D.C. Journal of Upper Cervical Chiropractic Research ~ March 14, 2019 ~ Pages 19-27 Abstract Objective: To review the positive health outcomes of a patient with rheumatoid arthritis experiencing headaches and neck pain undergoing upper cervical...

Resolution of Bell’s Palsy in a 68-Year-Old Man Following Correction of Upper Cervical Subluxation: A Case Report & Review

Journal of Upper Cervical Chiropractic Research, Volume 2019

.Shane Preece D.C. & Joel Alcantara D.C. Journal of Upper Cervical Chiropractic Research ~ April 30, 2019 ~ Pages 28-35 . Abstract Objective: To describe the positive health outcomes following upper cervical chiropractic care in a patient with Bell's Palsy....

Resolution of Post-traumatic Epilepsy, Headaches & Dizziness Following Upper Cervical Chiropractic Care in a 19-Year-Old Male: Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2019

  Scott A. Null, D.C. & Logan A. Null, D.C. Journal of Upper Cervical Chiropractic Research ~ March 4, 2019 ~ Pages 11-18   Abstract Objective: To report on the positive health outcomes of a young adult with posttraumatic epilepsy undergoing chiropractic...

Resolution of Psychogenic Non-epileptic Seizures Following Chiropractic Care: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2019

  Russell Friedman, DC & Shaun Puro, DC Journal of Upper Cervical Chiropractic Research ~ February 11, 2019 ~ Pages 1-10   Abstract Objective: The purpose of this study is to describe the outcomes following chiropractic care by a woman suffering from...

Improved Stability Measured by Posturography Following Upper Cervical Chiropractic Care

Journal of Upper Cervical Chiropractic Research, Volume 2018

  Jeremy A Miller D.C., M.S, Ronald Hosek D.C., Ph.D., MPH, Robert Rectenwald D.C., Josh Silver D.C., D.A.C.N.B. & G. Stanford Pierce Sr D.C., B.C.A.O. Journal of Upper Cervical Chiropractic Research ~ October 15, 2018 ~ Pages 33-45   Abstract Objective:...

Resolution of Hot Flashes in a 57-Year-Old Female Following Upper Cervical NUCCA Care: A Case Report & Review of Literature

Journal of Upper Cervical Chiropractic Research, Volume 2018

  Jason Slagel, D.C. Journal of Upper Cervical Chiropractic Research ~ October 29, 2018 ~ Pages 46-53   Abstract Objective: To provide a detailed report of a patient with hot flashes and right-sided sciatic pain under upper cervical subluxation based...

Resolution of Neck Pain, Upper Extremity Paresthesia & Dysautonomia in a 46-year-Old Female with Loss of Cervical Curve and Spinal Degeneration Using Blair Upper Cervical Technique: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2018

  Charmaine Herman, D.C. & Jessica Harris, D.C. Journal of Upper Cervical Chiropractic Research ~ July 9, 2018 ~ Pages 26-32 Abstract Objective: To report on the health outcomes in a 46-year-old woman with neck pain and hand numbness undergoing chiropractic...

Resolution of Neck Pain and Upper Extremity Paresthesia in a 28-year-old Male Following Blair Upper Cervical Chiropractic Care to Reduce Vertebral Subluxation: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2018

  Charmaine Herman, D.C. & Miracle Pitts, D.C. Journal of Upper Cervical Chiropractic Research ~ May 3, 2018 ~ Pages 19-25 Abstract Objective: To evaluate and discuss the effects of upper cervical chiropractic care on a 28-year-old male patient with neck pain...

Resolution of Vasovagal Syncope (VVS) Following Upper Cervical Chiropractic Care: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2018

  Russell Friedman, D.C. & Alexandra Friedman D.C. Journal of Upper Cervical Chiropractic Research ~ February 8, 2018 ~ Pages 1-12   Abstract Objective: The purpose of this study is to describe the resolution of symptomatology in a patient with Vasovagal...

Reduction of Seizures & Self Aggression Following Chiropractic Care to Reduce Upper Cervical Subluxation in a 3-Year-Old Male: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2018

Paige Sigmon, DC, Matthew Hudson, DC & Joel Alcantara, DC Journal of Upper Cervical Chiropractic Research  ~ April 5, 2018 ~ Pages 13-18   Abstract Objective: To describe the health outcomes in an infant suffering from epileptic seizures and self-aggression...

Resolution of Cervicalgia Secondary to Spinal Stenosis Following Blair Upper Cervical Technique: A Case Study & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2017

  Charmaine Herman, D.C. & Ashia Rallings, D.C. Journal of Upper Cervical Chiropractic Research ~ December 21, 2017 ~ Pages 58-64   Abstract Objective: The purpose of this case study is to evaluate and discuss the use of Blair Upper Cervical technique in...

Resolution of Anosmia and other Symptoms in a Patient with a Primary Central Nervous System Tumor Following Upper Cervical Chiropractic Care

Journal of Upper Cervical Chiropractic Research, Volume 2017

Ryan Ball, D.C. Journal of Upper Cervical Chiropractic Research ~ July 3, 2017 ~ Pages 31-39 Abstract Objective: The objective of this report is to describe the outcomes in a patient with a primary central nervous system tumor undergoing chiropractic care for upper...

Resolution of Symptoms from Arnold-Chiari Malformation in a 6-Year-Old Male Following Reduction of Vertebral Subluxation with Knee-Chest Upper Cervical Care: Case Report & Selective Review of the Literature

Improvement in Parkinson’s Disease Symptoms Following Upper Cervical Chiropractic Care: A Case Study & Selective Review of the Literature

Reduction of Chronic Trigeminal Neuralgia Following Upper Cervical Specific Chiropractic Care: A Case Report & Review of the Literature

Journal of Upper Cervical Chiropractic Research, Volume 2019
Jamie Cramer D.C. & Andrew Persky D.C.
Journal of Upper Cervical Chiropractic Research ~ September 9, 2019 ~ Pages 56-62

.

Abstract

Objective:  To report on positive health outcomes in the case of a 62-year-old female diagnosed with trigeminal neuralgia undergoing upper cervical chiropractic care.

Clinical Features:  A 62-year-old female presented to the clinic with a chief complaint of chronic right sided facial pain of 2 years duration.  Following the initial examination the patient was diagnosed with trigeminal neuralgia.

Intervention & Outcomes:  The patient received upper cervical-specific chiropractic care using the NUCCA technique.  Twenty-six adjustments were performed over the course of six months.  SOAP notes and surface electromyography were utilized to assess initial status and progress.  Significant reductions in episodic frequency, duration and affected area were realized through this non-invasive approach.

Conclusions:  The results from this case, when evaluated in the context of similar evidence, suggests that upper cervical-specific treatment for reduction and/or correction of atlas subluxation can produce positive outcomes in patients suffering from trigeminal neuralgia.  These findings highlight the importance of further investigation of the atlas subluxation complex and its relationship to trigeminal neuralgia.

Key Words:  Trigeminal Neuralgia, Upper Cervical, NUCCA, Grostic, Vertebral subluxation, Atlas Subluxation Complex, Adjustment

Resolution of Seizures & Improvement in Quality of Life in a 22-Year-Old Female with Epilepsy Following Upper Cervical Chiropractic Care

 

 

Interexaminer reliability in analysis of orthogonal radiographs H. Charles Woodfield III, John F. Hart, Peter B. Jacquemin Background: An assessment for making important clinical decisions requires due diligence in investigation in reliability of its use. Little evidence appears in the indexed literature positively reporting examiner reliability of the orthogonal radiographic analysis. Objective: The objective was determining interexaminer reliability between 2 National Upper Cervical Chiropractic Association board-certified practitioners analyzing orthogonal films. Methods: Before-correction film sets, screened for acceptability, were randomly sent to 2 examiners with analysis data mailed to a data manager. Double-entered verified data were forwarded for statistical analysis. Statistical analysis allowed data interpretation through percent agreement, intraclass correlation coefficient (ICC), and Bland-Altman limitsof-agreement plots. Results: Percent agreement of atlas laterality was 96.1% (244/254) with 94.5% (240/254) agreement on side of rotation. ICCs for laterality were 0.907, 95% confidence interval (CI) (0.882, 0.926) (consistency model) and 0.906, 95% CI (0.881, 0.926) (agreement model) (n ¼ 254). For rotation, ICCs were 0.849, 95% CI (0.811, 0.880) (consistency model) and 0.850, 95%CI (0.812, 0.881) (agreement model) (n ¼ 254). Bland-Altman plots revealed 5.9% (14/254) of paired observations outside 95% agreement limits for laterality and, for rotation, 6.2% (15/254) of measurements. Discussion: Frequent consensus training possibly improves reliability. The convenience sample of radiographs used could create possible bias in overestimating ICCs. Conclusion: Based on statistical analysis, excellent (near perfect) reliability was found between 2 NUCCA board-certified practitioners analyzing orthogonal films. (This is a conference presentation abstract and not a full work that has been published.)

 

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