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  • Traffic collisions may have long-term consequences

    Traffic collisions may have long-term consequences in terms of damage to the neck and back, the so-called Whiplash Associated Disorders. A Danish study published in the European Journal of Pain shows that the healing of this kind of damage can be about much more than the damage itself.


    The term Whiplash Associated Disorders (WAD) reflects the fact that many injured complain about other symptoms besides whiplash after a traffic collision. It may be pain in other parts of the spine, tingling and tingling in the arms or legs, fatigue, nausea, cognitive problems, poor physical and mental health, depression and anxiety, acute reaction to stress and pain in several other places. This indicates that WAP can be a complex disorder that involves both physical and mental aspects of the patient and his life. Between 50 - 80% of all persons injured in traffic clashes report WAP as an injury in connection with the collision. A related disorder to WAD, pain in the middle part of the spine, mid-back pain (MBP), can be a large part of the injured in the adult population last for up to a year, with reduced physical ability and increased absenteeism as a consequence. Yet it is a disorder that has not previously had a research focus.


    Now, a new study by Melker Johansson from IOB at the University of Southern Denmark in collaboration with other researchers from IOB and NIKKB have cast more light on the disorder. The purpose of Melker Johansson's research was to describe the events that led to pain in the middle part of the spine, the progress of the injured person's rehabilitation and forecasts for MBP after clashes in traffic, based on the rehabilitation as reported to researchers by the victim through questionnaires .


    The result of the study is interesting and adds new, useful knowledge to the limited knowledge, the experts had about MBP. Almost three and a half thousand injured people suffering from MBP participated in Melker Johansson's research project. The project showed that pain in the middle part of the spine is a common symptom, which can be hard to get rid of after a traffic accident. Especially women and young people are exposed to the disorder. About 23% of the participants in the survey continued to suffer from pain a year after the accident they were involved in, and it took the injured a little more than three months on average to become pain-free.


    Melker Johansen's research on the subject revealed that the injured person's general health and overlap with other diseases may have greater influence on the rehabilitation process than the actual physical characteristics of the damage. In addition, a number of external circumstances, such as biopsychosocial factors, ie dynamic interactions between human biological, psychological and social factors influence when a patient feels pain.


    That the healing process can be lengthy and may include other health and external circumstances than the damage itself, is important new information for chiropractors, when they diagnose patients with MBP. They may in future involve the new knowledge in their study and treatment of patients who seek them with pain in the neck and spine after having been exposed to an accident.


    Whiplash occurs the moment a person's neck is influenced by a collision. In the unfortunate moment when the head is thrown back and forth, the reflexes do everything possible to counter the dangerous movements by tightening up the neck and neck muscles in particular in order to try to avoid lesions in the cervical spine, ligaments and tendons. In some cases the muscles do not stop tightening; hence they suffer from whiplash.


    M.S. Johansson, E. Boyle, J. Hartvigsen, M. Jensen Stochkendahl, L. Carroll, J.D. Cassidy. A population-based, incidence cohort study of mid-back pain after traffic collisions: Factors associated with global recovery. European Journal of Pain, 2015 Feb 17


    Readers who are interested in reading the entire research article can find a link here: http://www.nikkb.dk/artikler/publikationer/

  • Serious adverse reactions to the use of ibuprofen

    An examination of data from a number of publications demonstrates a slight increase in the risk of cardiovascular problems by the use of high doses of ibuprofen, writes Dagens Medicin on its website dagensmedicin.dk.


    Ibuprofen is a pain reliever and anti-inflammatory drug, which is given to patients with joint pain among others, but according to a review of available data by the European Medicines Agency (EMA) adverse effects committee PRAC, a dose of 2400 mg or more per day may increase the risk of cardiovascular problems such as heart attack and stroke.


    PRAC recommends that the advice on the use of high-dose ibuprofen is updated and included in revised form in the product information, to minimize the risk of cardiovascular problems. Especially patients with serious underlying heart or circulatory or patients who have had heart attacks or a stroke are at risk.


    In addition, PRAC reccomends that physicians carefully evaluate risk factors for heart or circulatory diseases such as smoking, high blood pressure, diabetes and high cholesterol, before initiating treatment with ibuprofen, especially treatment with high doses.


    PRAC's recommendations also apply to dexibuprofen, but here a dose of 1200 mg or more per day is considered a high dose.


    Read the article here: http://www.dagensmedicin.dk/nyheder/hjerte-kar/bivirkningskomite-advarer-mod-hojdosis-ibuprofen/?utm_source=apsis&utm_medium=email&utm_campaign=2015-04-21-D

  • Roadshow off to a good start

    This year's first roadshow got off to a good start on Tuesday. The subject was examination possibilities, which attracted the interest of 28 chiropractors.
    They were in for an informative evening. Consultant Frederick Busch shared his experiences and delved into a variety of topics under the general heading of the roadshow during the evening. Frederick Busch touched on relevant topics such as:


    • Consequences of cervical degenerative condition with differential diagnostic considerations, from a neurosurgical perspective.
    • Etiology with basic pain teaching - including how to distinguish between the different types of pain. What is the most common symptom picture and course - which differential diagnostic considerations are important and what is less important?
    • Imaging, the necessary and the hopelessly outdated!
    • The intelligent reference!


    The evening's lecturer is a big capacity in the field of spinal surgery. Since Frederick Busch earned his medical degree from the University of Odense in 1990, he has worked extensively with you neurosurgery in the neurosurgical departments of the hospitals in Glostrup, Aarhus and Odense and a number of private hospitals throughout Denmark among other places. Since 2010, Frederick Busch been consultant and specialist in neurosurgery spine surgery at the Spinal Surgery Sector at Rygcenter Denmark at Middelfart Hospital.


    frederik busch

  • NIKKB researcher wins top prize in Athens

    Alice Kongsted, senior researcher at NIKKB and lecturer at the IOB, was awarded first prize in WFC’s Research Poster Award Competition for the best poster presentation at the WFC / ECU's World Congress 13 - 16-May in Athens.


    Alice Kongsted presented two posters at the Congress, and received the prize for her poster entitled "Are chiropractic patients afraid of movement? - You can easily find out if your patient are " where she and two graduate students have studied the simplest and easiest way to screen chiropractic patients for fear of movement.


    The award is a great accolade for Alice Kongsted because she received it in competition with posters presented by researchers from around the world. It is awarded to the best entries among a myriad of presentations, and after thorough studies of all the posters that were presented at the congress, the jury pointed to Alice Kongsted’s poster as the best, and she became the worthy recipient of the prize, which included a token cash prize.


    Moreover, there were honors for the Norwegian chiropractor and researcher Jorgen Jevne, who received the Jean Robert Research Prize entitled "Best New Researcher" for the article "Compensation claims for chiropractic in Denmark and Norway 2004-2012" on claims made to Danish and Norwegian patient compensation organizations, which he has co-written with Henrik Wulff Christensen, director and head of research at NIKKB, and Jan Hartvigsen, Professor at the IOB and Senior Researcher at NIKKB.


    Alice Kongsted WFC2015

  • New member of staff at NIKKB

    NIKKB has welcomed a new member of staff, as Asger Torning has joined the institute as its new Communications Officer.


    The new Communications Officer has previously worked with communication as Communications Consultant in Odense Sport & Event with communication for Odense Boldklub’s Superliga team (football) as his main focus area. Asger Torning held this position for 17 years, and it has given him a good deal of experience with a wealth of various types of communication tasks.


    Syddansk Universitet is not unknown to the new Communications Officer. Asger Torning previously studied English at the Centre for English at SDU but when the exciting opportunity to work in OB arose, the offer was too tempting to decline. Now he is back in the buildings on Campusvej, enjoying the return and looking forward to new and challenging communication tasks.


    Although he is no longer employed by OB, Asger Torning continues to be involved in the life of the club as assistant coach for OB's U11 girls’ team, and a large part of his spare time is spent in the club or in socializing with good friends. In addition to this, the new Communications Officer also enjoys reading a good book, whether it's fiction or non-fiction.


    Asger Torning is approximately 8 months away from turning 53. He exercises his old bones by cycling to and from Campusvej and his home in central Odense.

  • New design for nikkb.com

    Take a look at nikkb.com – something has happened to the website! It has got a new look!


    We have worked hard on redesigning NIKKB's English version of its website nikkb.com, and now the new look is ready to be presented to the public.


    The main idea behind the new design has been to make nikkb.com more vivid, clear, readable and easy to use, by making the website easier to maneuver around in, among other things.


    We have also moved the content around a little bit; again, this was done to make the website more user friendly.


    Take a look around nikkb.com and see what you think. We hope you like the new design and will use the website diligently in the future. If you have comments, constructive criticism, praise or suggestions for future improvements, please feel free to send them to us via the contact section on nikkb.com.



  • New article demonstrates the value of using measurement of blood flow in the heart to predict non-fatal heart attack

    Patients with non-specific chest pain accounts for about half of all emergency admissions to coronary care units in hospitals. It has previously been assumed that it was relatively safe to send these patients home after admission, as the risk of being struck by a heart attack shortly supposed to be small.


    Mette Jensen Stochkendahl has tested this assumption in collaboration with cardiologists at Odense University. The research group has studied if measuring the blood flow in the heart in patients with nonspecific chest pain can be used to predict future heart attack. The results showed that it was safe to send most of the patients home. A small group, however, had decreased blood flow in the heart, and this group had 7 times higher risk of heart attack than patients with normal flow. The study also showed that the clinical findings that are commonly used to predict the risk of heart attack could not be used to identify the group of high risk patients.


    The patients were followed over a 4-year period, and the results are based on data about hospital admissions from the National Patient Registry, one of the unique Danish registries compared to the rest of the world. The registries enables researchers to follow large groups of people over a long time and thus determine for example risk for future disease, without compromising anybody’s anonymity.


    The study was part of a larger project on different types of examination and treatment of patients with non-specific chest pain, and it resulted in a research article in the leading international journal International Journal of Cardiology.


    In a future article, the research group has used data from the National Health Registry to describe the economic consequences of offering chiropractic treatment to a subgroup of patients.


    Stochkendahl MJ, Mickley H, Vach W, Aziz A, Christensen HW, Hartvigsen J, Høilund-Carlsen PF. Clinical characteristics, myocardial perfusion deficits, and clinical outcomes of patients with non-specific chest pain hospitalized for suspected acute coronary syndrome: A 4-year prospective cohort study. International Journal of Cardiology. 2015;182:126-131.


    Mette tab

  • Media focus on neck and back pain

    The Danish newspaper BT has focused on neck and back pain in two separate articles in the summer, which made the newspaper contact researchers from NIKKB and NDA.


    On July 9, BT carried a double page on the concept of mobile neck, which was based on the increasing use of mobile phones and tablets and the increasing risk of neck pain as a consequence of this. BT approached Professor and Head of Research at the IOB and Senior Researcher at NIKKB, Jan Hartvigsen, who was quoted in the article. Jan Hartvigsen talked about the new technology's influence on our body and health and the possible consequences of the increasing use of mobile phones and tablets.


    On July 19, BT again carried an article, whichmade use of expert knowledge from researchers from Fyn. In a double page based on a well-known Danish television personality's problems with back pain,Chiropractor and Associate Professor at the IOB, Peter Kent, talked about the results of a new study of the reasons why back pain returns. In line with his interpretation of the results of the study Peter Kent also explained what the survey can be used for.


    You can see both articles as postings on NIKKB's Facebook profile: https://www.facebook.com/Kiropraktorernes.Videnscenter

  • Good reviews for Neurology Class

    The neurology class, which was part of NIKKB's continued professional development this spring, got good reviews from the participants. The class was held on Friday, April 24, in the conference rooms at the University of Southern Denmark. After the class we asked one of the participants, John Sandberg, for an assessment of the class.


    John Sandberg said: "I attended the neurology class with Morten Blaabjerg in April 2015. It was a class full of relevant knowledge for all clinicians. The knowledge was conveyed brilliantly by an enthusiastic teacher. He used a comprehensible power point show with good cases where multiple video sequences clarified and linked studies and positive findings on neurological diseases that we might face in everyday life as a chiropractor. The course fully lived up to my expectations and I can only advise my colleagues to participate in the class, if it is offered again. "


    Morten Blaabjerg3