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Chiropractic Journal of Australia : CJA September 2013
118 Chiropractic Journal of Australia Volume 43 Number 3 September 2013 Based upon the fndings of this case series report and the outcomes of treatment, the basic disturbances in these menopausal women appeared to involve spinal subluxations, cranial disturbances, stress physiology, adrenal gland imbalances, thyroid dysfunction, compromised liver biotransformation of hormones, and nutritional defciencies. Each of these impairments was detected with the AK physical examination system and confrmed with salivary hormone tests, with subsequent conservative interventions apparently being helpful to these women. Limitations Although the small number of subjects warrant a cautious interpretation, these data could set the stage for future investigations on the prognostic value of the MMT in patients with menopausal disorders. The next steps of objectifying possible measurable muscle impairments associated with menopausal disorders are to increase the sample size, to study women in other situations involving physical, biochemical and psychosocial imbalances resulting in menopausal symptoms, to develop an appropriate control intervention, to solve the problem of blinding and double blinding, to fnd additional steroid hormone disturbances that may be assessed by the AK MMT, and to compare the treatment effects of AK with other methods that reduce menopausal symptoms. Finally, the effectiveness of the manual muscle test for diagnosis in this arena can only be established following a full-scale, randomised, controlled clinical trial with adequate follow-up and homogenized samples. CONCLUSION Based upon the results of this case series report, a signifcant improvement in the symptoms of peri- and post- menopause was associated with the chiropractic regimen given, including broad-scope and multi-modal treatments involving spinal and cranial adjustments, viscerosomatic refex stimulation, and nutritional support based upon the diagnostic techniques developed in AK. The combination of spinal, cranial and extremity adjustments in combination with laboratory analysis, lifestyle modifcation, dietary guidance, psychological awareness, and the repertoire of nutritional modalities that chiropractors employ in the treatment of Type-O disorders may have a plausible biological rationale for patients with menopausal disorders. REFERENCES 1. Guyton AC, Hall JE. Textbook of Medical Physiology, 11th ed. WB Saunders Co: Philadelphia; 2005:987-96. 2. Laughlin D, Thorney Croft IH. Amenorrhea. In: DeCherney AH, Nathan L, editors. Current obstetric and gynecologic diagnosis and treatment. 9th edition. New York: McGraw Hill Companies; 2003:991–1000. 3. Thurston RC, Joffe H. Vasomotor symptoms and menopause: fndings from the Study of Women's Health across the Nation. Obstet Gynecol Clin North Am. 2011;38(3):489-501. 4. Wilson JL. Adrenal Fatigue: The 21st Century Stress Syndrome. Smart Publications: Petaluma, CA; 2001:252. 5. McEwen B, Lasley EN. The End of Stress As We Know It. Joseph Henry Press: Washington, DC; 2002. 6. Maninger N, Wolkowitz OM, Reus VI, Epel ES, Mellon SH. Neu- robiological and neuropsychiatric effects of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEA). Front Neu roe ndocrinol. 2009;30(1):65-91. 7. van der Sluijs CP, Bensoussan A, Liyanage L, Shah S. Women's health during mid-life survey: the use of complementary and alternative medicine by symptomatic women transitioning through menopause in Sydney. Menopause. 2007;14(3 Pt 1):397-403. 8. Newton KM, Buist DS, Keenan NL, Anderson LA, LaCroix AZ. Use of alternative therapies for menopause symptoms: results of a population-based survey. Obstet Gynecol. 2002;100(1):18-25. MENOPAUSE AND CHIROPRACTIC CUTHBERT • ROSNER Table 4 SUMMARY OF TOTAL MRS SCORES, PRE- AND POST-TREATMENT (CHANGE OF VALUES IN PARENTHESES) Patient Pre-Treatment Total MRS Score Post-Treatment Total MRS Score (∆, Change in Values) (% Improvement) 1 25 8 (17) 68% 2 20 9 (11) 55% 3 18 9 (9) 50% 4 22 10 (12) 55% 5 23 7 (16) 70% 6 26 14 (12) 46% 7 24 3 (21) 87% 8 20 3 (17) 85% 9 25 16 (9) 36% 10 27 10 (17) 63%
CJA June 2013
CJA December 2013