Clinical Features: 54 year old male Chief complaint: dyslipidemia

1. The Effects of Subluxation-Based Chiropractic Care on • Dyslipidemia: A Case Study and Review of the Literature • Eric L. Zielinski 1 & Nate A. Blume2 • 1 BA (Student, Life University), 2 DC (Private Practice) Discussion Case Study Clinical Features: 54 year old male Chief complaint: dyslipidemia Past Hx: M.I. and angioplasty Baseline lipid panel: total cholesterol 124, LDL 63, HDL 38, triglyceride 116. Related complaints: anxiety, constipation, fatigue, irritability, mood swings, neck pain, stiff neck, and depression. Occupational and personal stress levels: 8 out of 10. Intervention and Outcomes: Paraspinal surface electromyography, range of motion, and thermography readings. Vertebral subluxations: C1, C5, pelvis, and sacrum. No lifestyle changes reported. Blood panel after 5 months of care: total cholesterol 104, LDL 43, HDL 44, triglycerides 83. Initial Scan Preceding Care 2ndScan – 1 Month Into Care 3rdScan – 4 1/2 Months Into Care • Clinical Reduction of Primary CVD Risk Factors: • Inflammatory mediators IL-6, C-reactive protein and cytokines (4-5) • Emotional and mental stress (6-9) • Salivary cortisol levels (10-12) • Clinical Normalization of Various Stressors Affecting CVD: • Blood pressure/anxiety (13) • Enhanced immune response(s) (14-21) • Heart Rate Variability (22) • Dysrhymthmic abnormalities (23-24) • Duodenal Ulcers (25) • Muscle tension (26) • Overall increased bodily function (27) • Neurocognitive function (28) • Dysmenorrhea (29) • Pulmonary function (30) • Decreased labor times for primigravidae and multiparous pregnancies (31) Effects of Vertebral Subluxation New Paradigm: Stress, Not Diet • Persistent severe stress makes it two and a half times more likely that an individual will have a heart attack compared to someone who is not stressed.” Stress and depression combined increase the risk “threefold!” • 52 country INTERHEART study, Lancet(1) • Excess cardiac mortality on "unlucky" days are consistent with the hypothesis that cardiac mortality increases on psychologically stressful occasions. • - Hound of Baskerville study, BMJ(2) • Comparison of heart disease deaths vs. consumption of saturated fat % calories (3) • Deaths due to CVD occur independent of saturated fat consumption. • Comparison between heart-disease rates in men aged 35-74 and average cholesterol levels • in 15 populations (3) • Australian Aboriginals: lowest reported cholesterol levels, highest death rates. • Swiss: highest reported cholesterol levels, one of the lowest death rates. • French: above-average cholesterol levels, lowest death rates. • Russians: below-average cholesterol levels, 2nd highest death rates. • Conclusion: “There is a complete and utter dissociation between cholesterol levels and heart disease.” (3) • Subluxation: A complex of functional, structural, and/or pathological articular changes that compromise neural integrity and may influence organ system function and general health. (32) • Degeneration Model: Intervertebral disc degeneration  vertebral compensation  soft tissue changes  cord compression; nerve root compression local irritation; vertebral artery compromise autonomic dysfunction. (33) • Dysafferentation Model: Biomechanical dysfunction  altered nociception/mechanoreception  abnormal afferent input to CNS  efferent dysfunction (“garbage in, garbage out”).(33) • Neurodystrophic Model: Neural dysfunction stress on tissues  lowered tissue resistance immune responses  increased sympathetic stimulation. (33) Chiropractic’s Efficacy Conclusion • The“cholesterol is harmful” hypothesis has been disproved. • There is a remarkable amount of evidence supporting that psychogenic and physical stress-induced inflammation, hormone, and immune responses are responsible for atherosclerotic plaque, thrombi, and clotting that cause various CVD’s. • The literature suggests that it is highly probable that subluxation-based chiropractic care may effectively manage various CVD risk factors. • A clinical trial is recommended to substantiate these claims. • 2013: The Effects of Grostic Upper Cervical Care on CVD Risk Factors: A Pilot Study

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