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CHIROPRACTIC ADJUSTMENTS, OXIDATIVE STRESS AND DNA REPAIR

Authors:
CHIROPRACTIC ADJUSTMENTS, OXIDATIVE STRESS AND DNA REPAIR
By
Christopher Kent, DC
There is a growing body of evidence that wellness care provided by doctors of chiropractic may
reduce health care costs, improve health behaviors, and enhance patient perceived quality-of-life.
(1,2,3,4) Until recently, however, little was known about how chiropractic adjustments affected
the chemistry of biological processes on a cellular level.
In a landmark study published in the Journal of Vertebral Subluxation Research, chiropractors
collaborating with researchers at the University of Lund found that chiropractic care could
influence basic physiological processes affecting oxidative stress and DNA repair. (5) These
findings offer a scientific explanation for the positive health benefits reported by patients receiving
chiropractic care.
The researchers measured serum thiol levels in 25 patients under short term chiropractic care, and
21 patients under long term chiropractic care. The results were compared to those of a non-
chiropractic control group of 30 subjects. Long-term chiropractic care of two or more years was
shown to re-establish a normal physiological state independent of age, sex, or nutritional
supplements. Symptom-free or primary wellness subjects under chiropractic care demonstrated
higher mean serum thiol levels than patients with active disease, and produced some values that
were higher than normal wellness values in non-chiropractic subjects.
Serum thiols are primary antioxidants, and serve as a measure of human health status . The test
provides a surrogate estimate of DNA repair enzyme activity, which has been shown to correlate
with lifespan and aging.
Going through life, we experience physical, chemical, and emotional dis-stress. These stresses
affect the function of the nervous system. The investigators hypothesized that these disturbances in
nerve function could affect oxidative stress and DNA repair on a cellular level.
Oxidative stress, metabolically generating free radicals, is now a broadly accepted theory of how
we age and develop disease. Oxidative stress results in DNA damage, and inhibits DNA repair.
DNA repair is the mechanism which fixes the damage caused by environmental impact.
Creating Wellness
info@creatingwellness.com
www.creatingwellness.com
888.589.9355
Chiropractic Leadership Alliance
cla@subluxation.com
www.subluxation.com
800.285.2001
Chiropractors apply spinal adjustments to correct disturbances of nerve function caused be
vertebral subluxations. Chiropractic care appears to improve the ability of the body to adapt to
stress. Further research is planned to gain additional insights into mechanisms that will ultimately
lead to improved clinical outcomes.
The study was a collaborative involving Camgen, Inc. of Victoria, B.C. Canada; Chiropractic
Leadership Alliance in Mahwah, NJ; Biomedical Diagnostic Research, LLC in Chesterland, Ohio;
and Department of Cell and Molecular Biology of Tumor Immunology, University of Lund,
Sweden.
A related pilot study to assess the feasibility of evaluating paraspinal skin temperatures, paraspinal
SEMG potentials, and serum thiol levels in patients attending a private chiropractic practice was
conducted. Serum thiol levels were measured in a convenience sample of 11 patients who had
been under chiropractic care for periods ranging from 99 weeks to 550 weeks. The findings of
these examinations were compared with the results of paraspinal thermal and SEMG scans.
In a population of long-term chiropractic patients, where paraspinal thermal and SEMG scans were
used as criteria for subluxation-centered care, serum thiol levels were higher than those found in
populations with active disease processes, and compared favorably with the serum thiol levels in
healthy subjects.
The study concluded that it is feasible to evaluate paraspinal skin temperatures, paraspinal SEG
potentials, and serum thiol levels in patients in a private chiropractic practice. A prospective study,
tracking changes in these parameters throughout a course of chiropractic care should be
undertaken.
Research into basic cellular processes common to human adaptive mechanisms, and chiropractic
care, are immensely rich with clinical promise. Such studies hold the potential of explaining the
neurobiological basis for the favorable effects of chiropractic care on specific health issues, and
general well-being.
REFERENCES
1. Blanks RHI, Schuster TL, Dobson M: "A retrospective assessment of Network care using a
survey of self-reported health, wellness and quality of life." Journal of Vertebral Subluxation
Research 1997;1(4):15. http://www.jvsr.com
2. Coulter ID, Hurwitz EL, Aronow HU, et al: "Chiropractic patients in a comprehensive home-
based geriatric assessment, follow-up and health promotion program." Topics in Clinical
Chiropractic 1996;3(2):46.
3. Rupert RL, Manello D, Sandefur R: "Maintenance care: health promotion services administered
to US chiropractic patients aged 65 or older, Part II." Journal of Manipulative and Physiological
Therapeutics 2000;23(1):10.
4. Hannon SA: Objective Physiologic Changes and Associated Health Benefits of Chiropractic
Adjustments in Asymptomatic Subjects: A Review of the Literature. Journal of Vertebral
Subluxation Research [April 26, 2004, pp 1-9]. http://www.jvsr.com
5. Campbell CJ, Kent C, Banne A, Amiri A, Pero RW: Surrogate indication of DNA repair in
serum after long term chiropractic intervention—a retrospective study. . Journal of Vertebral
Subluxation Research [February 18, 2005, pp 1-5]. http://www.jvsr.com
6. Kent C: Assessment of DNA repair, autonomic tone, and paraspinal muscle tone in a
population of long term chiropractic patients: a pilot study. Conference Abstracts. International
Research and Philosophy Symposium. Sherman College of Straight Chiropractic. Spartanburg,
SC. October 9-10, 2004. http://www.sherman.edu/edu/research/pdf/IRAPS_abstracts_2004.pdf
ResearchGate has not been able to resolve any citations for this publication.
Article
Objective: To assess the effects of short-term and long-term chiropractic care on serum thiol levels in asymptomatic sub-jects. Summary of background data: Serum thiols are a measure of human health status. It is a surrogate estimate of DNA repair enzyme activity, most notably poly ADP – ribose polymerase or PARP. While it is suggested that chiropractic care improves general health, the effect of chiropractic care on serum thiol levels has not been investigated. Methods: A case controlled retrospective analysis. Serum thiol levels in patients with active disease (N=46) were compared with serum thiol levels in primary wellness subjects with 8-52 weeks of chiropractic care (N=21) and those who had been un-der chiropractic care for 52-312 weeks (N=25). Patients were age matched to be 40 years of age or older. Results: There were statistically significant differences in the serum thiol levels of the three groups. Mean serum thiol levels were lowest in patients with active disease as well as patients with initial musculoskeletal complaints. Asymptomatic subjects under chiropractic care demonstrated higher mean serum thiol levels than patients with active disease. Mean serum thiol lev-els were highest in the group with 52-312 weeks of chiroprac-tic care. Conclusion: Asymptomatic or primary wellness subjects un-der chiropractic care demonstrated higher mean serum thiol lev-els than patients with active disease and produced some values that were higher than normal wellness values.
Article
Health promotion and prevention services provided by the chiropractic profession historically have been referred to as maintenance care (MC). The primary objective of this investigation was to obtain information regarding multiple health issues of patients age 65 years and over who have had a long-term regimen of chiropractic health promotion and preventive care. The study also sought to explore the nature of the interventions and methods that were most commonly used by chiropractors when administering MC and to determine whether there were differences between patients who have had long-term exposure to these preventive services versus those who have not. This descriptive study was accomplished by selecting chiropractic patients (age 65 years and over) who had received health-promotion and prevention services for at least 5 years, with a minimum of 4 visits per year. To enhance the probability of securing a more representative patient sample, selection was made through the participation of chiropractors from 6 diverse geographic locations across the United States. Doctors were asked to enroll the first 10 consenting patients who met the inclusion criteria. A battery of diverse assessment instruments were completed by each patient to provide a patient health profile. Information related to each patient included answers to the SF-36D survey, patient health habits, expenditures of health services, frequency of use of health providers, and perceived value of chiropractic prevention and health promotion services. A total of 73 chiropractors participated in this investigation from the 6 study sites. In addition to an average 1.9 manual procedures used per patient, it was common to recommend stretching exercises (68.2%), aerobic exercises (55.6%), dietary advice (45.3%), and a host of other prevention strategies, including vitamins and relaxation. The patients investigated in this study reported making only half the annual number of visits to medical providers (4.76 visits per year) compared with the national average (9 visits per year) for individuals age 65 years and over. On the basis of the response of participating chiropractors, this study describes the therapeutic components of MC for the elderly patient. For these patients, MC does not simply consist solely of periodic visits for joint manipulation, but it involves an eclectic host of interventions (e.g., exercise, nutrition, relaxation, physical therapy, and manipulation) that are directed at both musculoskeletal and visceral conditions.
Objective Physiologic Changes and Associated Health Benefits of Chiropractic Adjustments in Asymptomatic Subjects: A Review of the Literature
  • S A Hannon
Hannon SA: Objective Physiologic Changes and Associated Health Benefits of Chiropractic Adjustments in Asymptomatic Subjects: A Review of the Literature. Journal of Vertebral Subluxation Research [April 26, 2004, pp 1-9]. http://www.jvsr.com
Assessment of DNA repair, autonomic tone, and paraspinal muscle tone in a population of long term chiropractic patients: a pilot study
  • C Kent
Kent C: Assessment of DNA repair, autonomic tone, and paraspinal muscle tone in a population of long term chiropractic patients: a pilot study. Conference Abstracts. International Research and Philosophy Symposium. Sherman College of Straight Chiropractic. Spartanburg, SC. October 9-10, 2004. http://www.sherman.edu/edu/research/pdf/IRAPS_abstracts_2004.pdf
A retrospective assessment of Network care using a survey of self-reported health, wellness and quality of life
  • Rhi Blanks
  • T L Schuster
  • M Dobson
Blanks RHI, Schuster TL, Dobson M: "A retrospective assessment of Network care using a survey of self-reported health, wellness and quality of life." Journal of Vertebral Subluxation Research 1997;1(4):15. http://www.jvsr.com