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Chiropractic Journal of Australia : CJA September 2013
Chiropractic Journal of Australia Volume 43 Number 3 September 2013 107 INTRODUCTION In the years prior to menopause, most women's menstrual cycles become irregular, and many women experience disturbing and even disabling symptoms. Menopause is the cessation of the monthly female menstrual cycle, and normally occurs between 46 and 54 years of age.1-2 Generally, women who have not had a menstrual period for a year are considered postmenopausal. The numerous distressing symptoms women face going through symptomatic menopause include hot fashes, night sweats, vaginal dryness, feelings of anxiety or panic, depression, insomnia, stress, irritability, brain fog, forgetfulness, fatigue, and a worsening or hyperalgesia of existing conditions.3 To make matters worse, the cessation of menstruation and the development of climacteric symptoms can occur only a few years after menarche in younger women. The causes for this premature ovarian failure are not fully known, but are thought to be most frequently idiopathic and due to autoimmune disorders, genetic causes, infections, vitamin and mineral and enzyme deficiencies, or the common metabolic syndromes.2,3 Frequently, we have seen women in Abstract: Introduction: Fluctuating hormone levels in women at the time of menopause is a common and potentially disabling problem that is frequently confronted in chiropractic clinical practice. Although this problem is well recognized, it is often misdiagnosed and poorly treated. Methods: Correlations between a chiropractic physical examination procedure and salivary hormone tests for 10 women experiencing peri-menopausal and post-menopausal discomforts are reported here. Chiropractic treatment for disturbances associated with menopause in these patients was evaluated with the Menopause Rating Scale, a validated outcome measure used in the treatment of menopause. Results: As part of this approach we have observed that a signifcant subset of patients with peri- and post-menopausal disorders and abnormal hormone levels demonstrate distinct neuromuscular impairments that can be detected using the manual muscle test (MMT) employed in applied kinesiology (AK). Discussion: The MMT fndings revealed strong correlations with the salivary hormone tests. Treatment based upon these fndings led to substantial improvements of the menopausal symptoms reported. Menopause, Chiropractic Examination and Treatment, and Salivary Hormone Levels: Correlations and Outcomes SCOTT CUTHBERT and ANTHONY ROSNER Scott C. Cuthbert, BA, DC Private practice of chiropractic Pueblo, Colorado Confict of Interest Statement: The author is a Board Member of the International College of Applied Kinesiology (ICAK-USA) Anthony Rosner, PhD Brookline, Massachusetts Research Director International College of Applied Kinesiology (ICAK-USA) Received: 30 June 2013, accepted with revisions: 15 July 2013 INDEX TERMS: (MeSH): MENOPAUSE; APPLIED KINESIOL- OGY; CHIROPRACTIC. Chiropr J Aust 2013;43: 107-20. our practice experiencing menopausal symptoms fve years or more before menstruation ends and lasting for one to as many as ten years. As women approach menopause, their ovaries gradually become less active and produce reduced amounts of the sexual hormones estrogen and progesterone. At this time, the adrenal glands take over hormone production. Given today's circumstances, because the adrenal glands are often in a weakened state by the time a woman reaches menopause, the adrenals are often not up to the task.4,5 For this reason, supporting the adrenal glands and the stress response generally (alleviating stress regardless of its cause) could be justifed as an integral part of the management of peri- menopausal and menopausal syndromes in women. Hormone synthesis also requires DHEA, the primary source of which is the adrenal glands. Many patients suffer from low DHEA due to chronic stress.6 Evidence that chiropractors are needed in the management of this problem has been provided by van der Sluijs et al.7 Between July 2003 and July 2004 these authors surveyed the extent of complementary and alternative medicine (CAM) use among 1,296 women in Sydney, Australia and whether it had helped them. 53.8% had visited a CAM practitioner and/or used a CAM product during the past year, with chiropractic, massage and nutrition rated as the most effective therapies, including phytoestrogen tablets, evening primrose oil, and black cohosh as the most effective nutritional products. In 2002, Newton et al surveyed 886 women aged 45-65 years in Washington State (USA) to ascertain which alternative therapies they had used to treat their menopausal symptoms which appeared to be helpful. 31.6% of these women had consulted a chiropractor and 29.5% had massage. More than
CJA June 2013
CJA December 2013