American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2020, 8(5), 112-114
DOI: 10.12691/ajmcr-8-5-1
Open AccessArticle

Optimal Timing for Chiropractic Spinal Adjustment According to Heart Rate Measures: A Case Study

John Hart1,

1Hart Chiropractic, Greenville, South Carolina

Pub. Date: March 13, 2020

Cite this paper:
John Hart. Optimal Timing for Chiropractic Spinal Adjustment According to Heart Rate Measures: A Case Study. American Journal of Medical Case Reports. 2020; 8(5):112-114. doi: 10.12691/ajmcr-8-5-1

Abstract

Timing of an intervention is an important part of quality clinical care, including chiropractic care. In this case study the heart rate tests of resting heart rate (RHR) and heart rate variability (HRV) were used as outcome measure and for determining when to administer a chiropractic spinal adjustment. Optimal post-adjustment results were observed when the tests showed worse pre-adjustment values. Further application in other patients is planned.

Keywords:
resting heart rate heart rate variability chiropractic

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Zajicek G. Normative medicine. Medical Hypotheses 1995; 45 (4): 331-334.
 
[2]  Palmer College of Chiropractic. Philosophy Statement. Retrieved 1-1-19 from: http://www.palmer.edu/about-us/identity/#Practice_Paradigm.
 
[3]  Mensink GBM, Hoffmeister H. The relationship between resting heart rate and all-cause, cardiovascular and cancer mortality. European Heart Journal 1997; 18: 1404-1410.
 
[4]  Usman Z, et al. Relation of high heart rate variability to healthy longevity. The American Journal of Cardiology 2010; 105(8): 1181-1185.
 
[5]  Zhang GQ, Zhang W. Heart rate, lifespan, and mortality risk. Ageing Research Reviews 2009: 52-60.
 
[6]  Hart J. Resting pulse rates under chiropractic care: A preliminary practice-based study. Internet Journal of Chiropractic 2018; 7(1): 1-5.
 
[7]  Hart J. Heart rate variability following spinal adjustment: A practice-based study. Internet Journal of Neurology 2019; 21(1).
 
[8]  Hart J. Optimal level of heart rate variability for spinal adjustment: A case report. Journal of Contemporary Chiropractic 2019; 2(1): 103-108.
 
[9]  Altini M. Heart rate variability logger - app details. December 12, 2013. Accessed 1-1-19 at: https://www.marcoaltini.com/blog/heart-rate-variability-logger-app-details
 
[10]  Vescio B, Salsone M, Gambardella A, Quattrone A. Comparison between electrocardiographic and earlobe pulse photoplethysmographic detection for evaluating heart rate variability in healthy subjects in short- and long-term recordings. Sensors. 2018; 18: 844.
 
[11]  Plews DJ, Scott B, Altini M, Wood M, Kilding AE, Laursen PB. Comparison of heart rate variability recording with smart phone photoplethysmographic Polar H7 chest strap and electrocardiogram methods. International Journal of Sports Physiology. 2017; 12(10)1-17.
 
[12]  Ostchega Y, Porter KS, Hughes J, Dillon CF, Nwankwo T. Resting pulse rate reference data for children, adolescents, and adults: United States, 1999-2008. National Health Statistics Report 2011; 41: 1-16.
 
[13]  Baek HJ, Cho CH, Cho J, Woo JM. Reliability of ultra-short-term analysis as a surrogate of standard 5-min analysis of heart rate variability. Telemedicine 2015; 21(5): 404-414.
 
[14]  Devore J, Peck R. Statistics: The exploration of data. 4th Edition. Pacific Grove, CA: Duxbury. 2001.