O que é a Quiropraxia Clínica Cientifica e como ela acelera o tratamento dos seus pacientes?

Summary

In this video, Eduardo Miranda, a physiotherapist with over 25 years of experience, contrasts vitalistic chiropractic practices with evidence-based chiropractic care. He explains how chiropractic was founded by Daniel David Palmer in 1895, focusing on the concept of subluxation, and compares it with modern scientific methods that emphasize neurophysiology, pain relief, improved mobility, and anti-inflammatory effects. Miranda stresses the importance of evidence-based practices in chiropractic, encourages proper clinical evaluation, and highlights the transformation in his own career by embracing scientific approaches. He also advises choosing courses that align with scientific practices for better patient outcomes.

Takeaways

• 😀 The difference between vitalistic and evidence-based chiropractic care is significant, with the latter relying on scientific research and clinical practice.
• 😀 Chiropractic care was founded by Daniel David Palmer in 1895, based on the concept of subluxation, which suggests that misalignment of the spine causes disease.
• 😀 Scientific evidence today disproves the idea that spinal misalignment (subluxation) directly leads to serious diseases such as diabetes, cancer, or the flu.
• 😀 The modern, evidence-based chiropractic model focuses on neurophysiology and demonstrates that spinal manipulation can alleviate pain, improve mobility, and reduce inflammation.
• 😀 Spinal manipulation works by stimulating the central nervous system, releasing pain-relieving neurotransmitters and improving joint mobility through the opening of a 'gap' between vertebrae.
• 😀 The 'cracking' sound during spinal adjustments is caused by gas bubbles bursting within the joint, not by aligning the spine or correcting a subluxation.
• 😀 Evidence-based chiropractic care uses diagnostic clinical tests, such as those for peripheral nervous system issues, musculoskeletal injuries, and muscular spasms, rather than focusing on subluxation theory.
• 😀 The evidence-based chiropractic approach emphasizes accurate diagnostic testing to determine the root cause of pain, ensuring better treatment outcomes for patients.
• 😀 While vitalistic chiropractic care relies on outdated textbooks and theories, evidence-based chiropractic care values current scientific research and articles to guide clinical practices.
• 😀 It’s crucial to choose chiropractic courses offered by accredited institutions that only accept qualified physiotherapists to ensure high-quality education and professional training in evidence-based practices.

Q & A

What is the main difference between vitalistic chiropractic and evidence-based chiropractic?

The main difference lies in their beliefs and practices. Vitalistic chiropractic focuses on the concept of subluxation, believing that misalignments in the spine cause a variety of diseases. In contrast, evidence-based chiropractic relies on scientific research, explaining that spinal manipulation can alleviate pain, improve joint mobility, and promote overall health through neurophysiological mechanisms.

What is the historical origin of chiropractic care?

Chiropractic care was founded by Daniel David Palmer in 1895. He developed its philosophical foundations based on the empirical knowledge available at the time. The practice was later popularized by his son, BJ Palmer, and spread worldwide, despite the evolution of scientific understanding over time.

What does the term 'subluxation' refer to in vitalistic chiropractic?

In vitalistic chiropractic, subluxation refers to the belief that the spine can become misaligned or 'out of place,' which is thought to cause various diseases, ranging from common illnesses to serious conditions like cancer and diabetes.

How does evidence-based chiropractic view the concept of subluxation?

Evidence-based chiropractic rejects the idea of subluxation as a cause of disease. Scientific studies have not found any correlation between spinal misalignments and major health issues. Instead, evidence-based chiropractic focuses on the physiological effects of spinal manipulation and its ability to reduce pain and inflammation.

What scientific principles support evidence-based chiropractic?

Evidence-based chiropractic is grounded in neurophysiology. Research shows that spinal manipulation has an analgesic effect by activating the body's natural pain-inhibiting systems. It also improves joint mobility by creating space between vertebral joints and helps reduce inflammation and relax muscles.

Why does the sound during a chiropractic adjustment occur?

The sound heard during a chiropractic adjustment is the result of 'cavitation' — the formation and bursting of gas bubbles within the joints. This phenomenon occurs when the joint space is manipulated, leading to the release of pressure, not the realignment of bones as once thought in vitalistic chiropractic.

How do clinical assessments differ between vitalistic and evidence-based chiropractic?

In vitalistic chiropractic, practitioners often search for subluxations or misalignments in the spine. Evidence-based chiropractic, however, uses clinical tests and assessments to diagnose the actual cause of pain, such as neurological, musculoskeletal, and inflammatory issues, ensuring a more accurate diagnosis and treatment.

What role does education play in chiropractic practice?

Education is crucial in chiropractic practice. Vitalistic chiropractic courses typically rely on outdated texts and reject modern scientific findings. In contrast, evidence-based chiropractic education emphasizes current scientific research and encourages practitioners to stay updated on the latest developments in the field.

What kind of courses should a physiotherapist seek for evidence-based chiropractic training?

A physiotherapist should seek courses that are grounded in evidence-based chiropractic, where only qualified physiotherapists are teaching. These courses should focus on current scientific research and practical techniques that are backed by the latest studies in neurophysiology and musculoskeletal health.

How did the speaker's transition from vitalistic to evidence-based chiropractic impact his practice?

The speaker's transition from vitalistic to evidence-based chiropractic in 2014 significantly transformed his clinical practice. It improved his ability to diagnose and treat patients more effectively, leading to better clinical outcomes and a more scientific approach to patient care.