Re: Hyperkyphosis and Mortality-am I missing something?

[Guest guest]

Sunny,I am sure you are correct and that I have oversimplified the case. The message should come across as more empowering than blaming. Best,JayFrom: Sunny Kierstyn <skrndc1@...> Lindekugel <pdxchiroguy@...>; Jamey Dyson <drjdyson1@...>; Abrahamson <drscott@...>Cc: < >Sent: Tue, March 2, 2010 10:20:48 AMSubject: RE: Hyperkyphosis and Mortality-am I missing something?

Well said, .

At the same time, one of the acquired hyperkyphosis cases I have involves a 'pull' from unknown sources. My current take on this is genetic component that became squewed ..... could be way off base, having no way to back up my theory, but there IS a force there beyond my current ken or ability to resolve/quiet/change or stop. it is way beyond poor posture....or the 'fault' of the patient.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

drjdyson1@...; drscott@...CC: Oregondcs From: pdxchiroguy@...Date: Tue, 2 Mar 2010 09:37:32 -0800Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/ thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we

will discover that not only is postural health dependent on movement, but the health of every system of the body is as well. Cheers,Jay Lindekugel, DCConcordia Chiropractic and Movement Center5425 NE 33rd Ave.Portland Or. 97211503-789-8923

From: Jamey Dyson <drjdyson1comcast (DOT) net> Abrahamson <drscott@lakeoswegoc hiro.com>Cc: oregon dc listserve <Oregondcs@grou ps.com>Sent: Tue, March 2, 2010 8:14:29 AMSubject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.I finally read it and realized that they just happened to mention that theincreased rate of death was due to atherosclerosis.Now I'm not a rocket surgeon but how the heck does posture lead to vasculardisease? Or is it just that people who are stooped over just give up sooner?Or is it that their posture inhibits breathing?Comments?(I have heard that frequency specific microcurrent will reverse akyphosis.;-) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com/FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & amp;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ docsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GADivision of Geriatrics, Department of Medicine, Geffen School ofMedicine at University of California, Los Angeles, California 90095, USA.dkadomednet (DOT) ucla.eduOBJECTIVES: To determine the association between hyperkyphotic postureand rate of mortality and cause-specific mortality in older

persons.DESIGN: Prospective cohort study.SETTING: Rancho Bernardo, California.PARTICIPANTS: Subjects were 1,353 participants from the Rancho BernardoStudy who had measurements of kyphotic posture made at an osteoporosis visitbetween 1988 and 1991.MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocksthat needed to be placed under the participant' s head to achieve a neutralhead position when lying supine on a radiology table. Demographic andclinical characteristics and health behaviors were assessed at a clinicvisit using standard questionnaires. Participants were followed for anaverage of 4.2 years, with mortality and cause of death confirmed usingreview of death certificates.RESULTS: Hyperkyphotic posture, defined as requiring one or more blocksunder the occiput to achieve a neutral head position while lying supine,

wasmore common in men than women (44% in men, 22% of women, P<.0001). In age-and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).In multiply adjusted models, the increased rate of death associated withhyperkyphotic posture remained significant (relative hazard=1.40, 95%CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphoticposture was specifically associated with an increased rate of death due toatherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture havehigher mortality rates.

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[Guest guest]

Sunny,I am sure you are correct and that I have oversimplified the case. The message should come across as more empowering than blaming. Best,JayFrom: Sunny Kierstyn <skrndc1@...> Lindekugel <pdxchiroguy@...>; Jamey Dyson <drjdyson1@...>; Abrahamson <drscott@...>Cc: < >Sent: Tue, March 2, 2010 10:20:48 AMSubject: RE: Hyperkyphosis and Mortality-am I missing something?

Well said, .

At the same time, one of the acquired hyperkyphosis cases I have involves a 'pull' from unknown sources. My current take on this is genetic component that became squewed ..... could be way off base, having no way to back up my theory, but there IS a force there beyond my current ken or ability to resolve/quiet/change or stop. it is way beyond poor posture....or the 'fault' of the patient.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

drjdyson1@...; drscott@...CC: Oregondcs From: pdxchiroguy@...Date: Tue, 2 Mar 2010 09:37:32 -0800Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/ thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we

will discover that not only is postural health dependent on movement, but the health of every system of the body is as well. Cheers,Jay Lindekugel, DCConcordia Chiropractic and Movement Center5425 NE 33rd Ave.Portland Or. 97211503-789-8923

From: Jamey Dyson <drjdyson1comcast (DOT) net> Abrahamson <drscott@lakeoswegoc hiro.com>Cc: oregon dc listserve <Oregondcs@grou ps.com>Sent: Tue, March 2, 2010 8:14:29 AMSubject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.I finally read it and realized that they just happened to mention that theincreased rate of death was due to atherosclerosis.Now I'm not a rocket surgeon but how the heck does posture lead to vasculardisease? Or is it just that people who are stooped over just give up sooner?Or is it that their posture inhibits breathing?Comments?(I have heard that frequency specific microcurrent will reverse akyphosis.;-) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com/FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & amp;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ docsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GADivision of Geriatrics, Department of Medicine, Geffen School ofMedicine at University of California, Los Angeles, California 90095, USA.dkadomednet (DOT) ucla.eduOBJECTIVES: To determine the association between hyperkyphotic postureand rate of mortality and cause-specific mortality in older

persons.DESIGN: Prospective cohort study.SETTING: Rancho Bernardo, California.PARTICIPANTS: Subjects were 1,353 participants from the Rancho BernardoStudy who had measurements of kyphotic posture made at an osteoporosis visitbetween 1988 and 1991.MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocksthat needed to be placed under the participant' s head to achieve a neutralhead position when lying supine on a radiology table. Demographic andclinical characteristics and health behaviors were assessed at a clinicvisit using standard questionnaires. Participants were followed for anaverage of 4.2 years, with mortality and cause of death confirmed usingreview of death certificates.RESULTS: Hyperkyphotic posture, defined as requiring one or more blocksunder the occiput to achieve a neutral head position while lying supine,

wasmore common in men than women (44% in men, 22% of women, P<.0001). In age-and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).In multiply adjusted models, the increased rate of death associated withhyperkyphotic posture remained significant (relative hazard=1.40, 95%CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphoticposture was specifically associated with an increased rate of death due toatherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture havehigher mortality rates.

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[Guest guest]



Well, all we can do is get people into the best possible condition in order to stave off future injury and disease. Well adjusted, exercised, stretched, fed and moved. Is it the cure all?

NOPE.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.I finally read it and realized that they just happened to mention that theincreased rate of death was due to atherosclerosis.Now I'm not a rocket surgeon but how the heck does posture lead to vasculardisease? Or is it just that people who are stooped over just give up sooner?Or is it that their posture inhibits breathing?Comments?(I have heard that frequency specific microcurrent will reverse akyphosis.;-) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com/FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & amp;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ docsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GADivision of Geriatrics, Department of Medicine, Geffen School ofMedicine at University of California, Los Angeles, California 90095, USA.dkadomednet (DOT) ucla.eduOBJECTIVES: To determine the association between hyperkyphotic postureand rate of mortality and cause-specific mortality in older persons.DESIGN: Prospective cohort study.SETTING: Rancho Bernardo, California.PARTICIPANTS: Subjects were 1,353 participants from the Rancho BernardoStudy who had measurements of kyphotic posture made at an osteoporosis visitbetween 1988 and 1991.MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocksthat needed to be placed under the participant' s head to achieve a neutralhead position when lying supine on a radiology table. Demographic andclinical characteristics and health behaviors were assessed at a clinicvisit using standard questionnaires. Participants were followed for anaverage of 4.2 years, with mortality and cause of death confirmed usingreview of death certificates.RESULTS: Hyperkyphotic posture, defined as requiring one or more blocksunder the occiput to achieve a neutral head position while lying supine, wasmore common in men than women (44% in men, 22% of women, P<.0001). In age-and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).In multiply adjusted models, the increased rate of death associated withhyperkyphotic posture remained significant (relative hazard=1.40, 95%CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphoticposture was specifically associated with an increased rate of death due toatherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture havehigher mortality rates.

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[Guest guest]



Well, all we can do is get people into the best possible condition in order to stave off future injury and disease. Well adjusted, exercised, stretched, fed and moved. Is it the cure all?

NOPE.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.I finally read it and realized that they just happened to mention that theincreased rate of death was due to atherosclerosis.Now I'm not a rocket surgeon but how the heck does posture lead to vasculardisease? Or is it just that people who are stooped over just give up sooner?Or is it that their posture inhibits breathing?Comments?(I have heard that frequency specific microcurrent will reverse akyphosis.;-) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com/FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & amp;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ docsum> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GADivision of Geriatrics, Department of Medicine, Geffen School ofMedicine at University of California, Los Angeles, California 90095, USA.dkadomednet (DOT) ucla.eduOBJECTIVES: To determine the association between hyperkyphotic postureand rate of mortality and cause-specific mortality in older persons.DESIGN: Prospective cohort study.SETTING: Rancho Bernardo, California.PARTICIPANTS: Subjects were 1,353 participants from the Rancho BernardoStudy who had measurements of kyphotic posture made at an osteoporosis visitbetween 1988 and 1991.MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocksthat needed to be placed under the participant' s head to achieve a neutralhead position when lying supine on a radiology table. Demographic andclinical characteristics and health behaviors were assessed at a clinicvisit using standard questionnaires. Participants were followed for anaverage of 4.2 years, with mortality and cause of death confirmed usingreview of death certificates.RESULTS: Hyperkyphotic posture, defined as requiring one or more blocksunder the occiput to achieve a neutral head position while lying supine, wasmore common in men than women (44% in men, 22% of women, P<.0001). In age-and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).In multiply adjusted models, the increased rate of death associated withhyperkyphotic posture remained significant (relative hazard=1.40, 95%CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphoticposture was specifically associated with an increased rate of death due toatherosclerosis. CONCLUSION: Older men and women with hyperkyphotic posture havehigher mortality rates.

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[Guest guest]



Some people need surgery.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something? Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:While we chiros should certainly not pull the same BS as the medical field and substitute "causation" for "association" in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.5-Better posture is associated with improved health outcomes. (Don't make me look this up)So what conclusions might one draw from the above?How about this:6-Intervening early and improving posture is a VERY GOOD IDEA!7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!! >> > In this study (below) touted by chiropractors, Kyphosis can lead to death.> I finally read it and realized that they just happened to mention that the> increased rate of death was due to atherosclerosis.> Now I'm not a rocket surgeon but how the heck does posture lead to vascular> disease? Or is it just that people who are stooped over just give up sooner?> Or is it that their posture inhibits breathing?> Comments?> > (I have heard that frequency specific microcurrent will reverse a> kyphosis.;-)> > > E. Abrahamson, D.C.> Chiropractic physician> Lake Oswego Chiropractic Clinic> 315 Second Street> Lake Oswego, OR 97034> 503-635-6246> Website: http://www.lakeoswe gochiro.com> > > > FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d> ocsum> > > Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA> > Division of Geriatrics, Department of Medicine, Geffen School of> Medicine at University of California, Los Angeles, California 90095, USA.> dkado@...> > > OBJECTIVES: To determine the association between hyperkyphotic posture> and rate of mortality and cause-specific mortality in older persons.> > DESIGN: Prospective cohort study.> > SETTING: Rancho Bernardo, California.> > PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo> Study who had measurements of kyphotic posture made at an osteoporosis visit> between 1988 and 1991.> > MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks> that needed to be placed under the participant' s head to achieve a neutral> head position when lying supine on a radiology table. Demographic and> clinical characteristics and health behaviors were assessed at a clinic> visit using standard questionnaires. Participants were followed for an> average of 4.2 years, with mortality and cause of death confirmed using> review of death certificates.> > RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks> under the occiput to achieve a neutral head position while lying supine, was> more common in men than women (44% in men, 22% of women, P<.0001). In age-> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).> In multiply adjusted models, the increased rate of death associated with> hyperkyphotic posture remained significant (relative hazard=1.40, 95%> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic> posture was specifically associated with an increased rate of death due to> atherosclerosis. > > CONCLUSION: Older men and women with hyperkyphotic posture have> higher mortality rates.>

[Guest guest]



Some people need surgery.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Hyperkyphosis and Mortality-am I missing something? Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:While we chiros should certainly not pull the same BS as the medical field and substitute "causation" for "association" in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.5-Better posture is associated with improved health outcomes. (Don't make me look this up)So what conclusions might one draw from the above?How about this:6-Intervening early and improving posture is a VERY GOOD IDEA!7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!! >> > In this study (below) touted by chiropractors, Kyphosis can lead to death.> I finally read it and realized that they just happened to mention that the> increased rate of death was due to atherosclerosis.> Now I'm not a rocket surgeon but how the heck does posture lead to vascular> disease? Or is it just that people who are stooped over just give up sooner?> Or is it that their posture inhibits breathing?> Comments?> > (I have heard that frequency specific microcurrent will reverse a> kyphosis.;-)> > > E. Abrahamson, D.C.> Chiropractic physician> Lake Oswego Chiropractic Clinic> 315 Second Street> Lake Oswego, OR 97034> 503-635-6246> Website: http://www.lakeoswe gochiro.com> > > > FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d> ocsum> > > Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA> > Division of Geriatrics, Department of Medicine, Geffen School of> Medicine at University of California, Los Angeles, California 90095, USA.> dkado@...> > > OBJECTIVES: To determine the association between hyperkyphotic posture> and rate of mortality and cause-specific mortality in older persons.> > DESIGN: Prospective cohort study.> > SETTING: Rancho Bernardo, California.> > PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo> Study who had measurements of kyphotic posture made at an osteoporosis visit> between 1988 and 1991.> > MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks> that needed to be placed under the participant' s head to achieve a neutral> head position when lying supine on a radiology table. Demographic and> clinical characteristics and health behaviors were assessed at a clinic> visit using standard questionnaires. Participants were followed for an> average of 4.2 years, with mortality and cause of death confirmed using> review of death certificates.> > RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks> under the occiput to achieve a neutral head position while lying supine, was> more common in men than women (44% in men, 22% of women, P<.0001). In age-> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).> In multiply adjusted models, the increased rate of death associated with> hyperkyphotic posture remained significant (relative hazard=1.40, 95%> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic> posture was specifically associated with an increased rate of death due to> atherosclerosis. > > CONCLUSION: Older men and women with hyperkyphotic posture have> higher mortality rates.>

[Guest guest]

Indeed, some people do need surgery. Furthermore, promulgating fear based reasons to justify continuing care rather than caring for the individual and then teaching them to care for themselves is part of the reason why many don't trust the motivations of DCs. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956drpsnell.chiroweb.comwww.fixyourownback.comMember American College of Sports Medicine ; spbkchiro@...; commongroundchiropractic@...From: spinetree@...Date: Tue, 2 Mar 2010 13:12:48 -0800Subject: Re: Re: Hyperkyphosis and Mortality-am I missing something? Some people need surgery. ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800 Re: Hyperkyphosis and Mortality-am I missing something? Date: Tuesday, March 2, 2010, 9:01 AM y, y, y:While we chiros should certainly not pull the same BS as the medical field and substitute "causation" for "association" in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.5-Better posture is associated with improved health outcomes. (Don't make me look this up)So what conclusions might one draw from the above?How about this:6-Intervening early and improving posture is a VERY GOOD IDEA!7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!! >> > In this study (below) touted by chiropractors, Kyphosis can lead to death.> I finally read it and realized that they just happened to mention that the> increased rate of death was due to atherosclerosis.> Now I'm not a rocket surgeon but how the heck does posture lead to vascular> disease? Or is it just that people who are stooped over just give up sooner?> Or is it that their posture inhibits breathing?> Comments?> > (I have heard that frequency specific microcurrent will reverse a> kyphosis.;-)> > > E. Abrahamson, D.C.> Chiropractic physician> Lake Oswego Chiropractic Clinic> 315 Second Street> Lake Oswego, OR 97034> 503-635-6246> Website: http://www.lakeoswe gochiro.com> > > > FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d> ocsum> > > Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA> > Division of Geriatrics, Department of Medicine, Geffen School of> Medicine at University of California, Los Angeles, California 90095, USA.> dkado@...> > > OBJECTIVES: To determine the association between hyperkyphotic posture> and rate of mortality and cause-specific mortality in older persons.> > DESIGN: Prospective cohort study.> > SETTING: Rancho Bernardo, California.> > PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo> Study who had measurements of kyphotic posture made at an osteoporosis visit> between 1988 and 1991.> > MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks> that needed to be placed under the participant' s head to achieve a neutral> head position when lying supine on a radiology table. Demographic and> clinical characteristics and health behaviors were assessed at a clinic> visit using standard questionnaires. Participants were followed for an> average of 4.2 years, with mortality and cause of death confirmed using> review of death certificates.> > RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks> under the occiput to achieve a neutral head position while lying supine, was> more common in men than women (44% in men, 22% of women, P<.0001). In age-> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).> In multiply adjusted models, the increased rate of death associated with> hyperkyphotic posture remained significant (relative hazard=1.40, 95%> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic> posture was specifically associated with an increased rate of death due to> atherosclerosis. > > CONCLUSION: Older men and women with hyperkyphotic posture have> higher mortality rates.>

[Guest guest]

Indeed, some people do need surgery. Furthermore, promulgating fear based reasons to justify continuing care rather than caring for the individual and then teaching them to care for themselves is part of the reason why many don't trust the motivations of DCs. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956drpsnell.chiroweb.comwww.fixyourownback.comMember American College of Sports Medicine ; spbkchiro@...; commongroundchiropractic@...From: spinetree@...Date: Tue, 2 Mar 2010 13:12:48 -0800Subject: Re: Re: Hyperkyphosis and Mortality-am I missing something? Some people need surgery. ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800 Re: Hyperkyphosis and Mortality-am I missing something? Date: Tuesday, March 2, 2010, 9:01 AM y, y, y:While we chiros should certainly not pull the same BS as the medical field and substitute "causation" for "association" in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.5-Better posture is associated with improved health outcomes. (Don't make me look this up)So what conclusions might one draw from the above?How about this:6-Intervening early and improving posture is a VERY GOOD IDEA!7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!! >> > In this study (below) touted by chiropractors, Kyphosis can lead to death.> I finally read it and realized that they just happened to mention that the> increased rate of death was due to atherosclerosis.> Now I'm not a rocket surgeon but how the heck does posture lead to vascular> disease? Or is it just that people who are stooped over just give up sooner?> Or is it that their posture inhibits breathing?> Comments?> > (I have heard that frequency specific microcurrent will reverse a> kyphosis.;-)> > > E. Abrahamson, D.C.> Chiropractic physician> Lake Oswego Chiropractic Clinic> 315 Second Street> Lake Oswego, OR 97034> 503-635-6246> Website: http://www.lakeoswe gochiro.com> > > > FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d> ocsum> > > Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA> > Division of Geriatrics, Department of Medicine, Geffen School of> Medicine at University of California, Los Angeles, California 90095, USA.> dkado@...> > > OBJECTIVES: To determine the association between hyperkyphotic posture> and rate of mortality and cause-specific mortality in older persons.> > DESIGN: Prospective cohort study.> > SETTING: Rancho Bernardo, California.> > PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo> Study who had measurements of kyphotic posture made at an osteoporosis visit> between 1988 and 1991.> > MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks> that needed to be placed under the participant' s head to achieve a neutral> head position when lying supine on a radiology table. Demographic and> clinical characteristics and health behaviors were assessed at a clinic> visit using standard questionnaires. Participants were followed for an> average of 4.2 years, with mortality and cause of death confirmed using> review of death certificates.> > RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks> under the occiput to achieve a neutral head position while lying supine, was> more common in men than women (44% in men, 22% of women, P<.0001). In age-> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).> In multiply adjusted models, the increased rate of death associated with> hyperkyphotic posture remained significant (relative hazard=1.40, 95%> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic> posture was specifically associated with an increased rate of death due to> atherosclerosis. > > CONCLUSION: Older men and women with hyperkyphotic posture have> higher mortality rates.>

[Guest guest]

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1@...> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@... <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Exactly; the study concludes only that kyphosis correlates with increased mortality then mentions atherosclerosis.

I was pointing out that we shouldn’t get all wee weed up until we can discuss a mechanism of causation.

On 3/2/10 8:14 AM, " Jamey Dyson " <drjdyson1@...> wrote:

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@... <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

What!?

On 3/2/10 8:55 AM, " M. s, D.C. " <drbobdc83@...> wrote:

Well, nobody thought the spine (i.e. " posture " ) could cause deafness or high blood pressure either... (:-)

RR.

Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@... <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

What!?

On 3/2/10 8:55 AM, " M. s, D.C. " <drbobdc83@...> wrote:

Well, nobody thought the spine (i.e. " posture " ) could cause deafness or high blood pressure either... (:-)

RR.

Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@... <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Sunny,

From the small amount of research that I’ve seen, there is a ton of research being done on everything you can think of by pulmonologists, physiologists, exercise physiologists, and a pile of non-medical researchers.

The problem is no longer the search for information, but sorting and prioritizing it.

There is great research and really crappy research.

All grad student need to participate in research and they only have 7,500 universities in the world to pick from but somehow they find a way.

But there is hope as there are also 10,000 research institutes, such as Germany’s Max Planck Institute, which has more branches than Starbuck’s.

Just stumbling around with Google the search words “research " hyperkyphosis " morbidity” come up with 1700 hits albeit some of them are websites selling thighmasters and cap snafflers.

On 3/2/10 8:59 AM, " Sunny Kierstyn " <skrndc1@...> wrote:

As we discuss studies of this nature, focusing on the soft tissue/organ disease component, we need to remember the structural component - which we know and relate to oh so well - isn't even or ever considered by that side of medicine. There will be NO corelation or attempto to discover any corelation of this nature in their research. These are the types of studies that we could build on, however ..............

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com/>

CC: Oregondcs

drscott@...

From: drjdyson1@...

Date: Tue, 2 Mar 2010 08:14:29 -0800

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@...

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

Hotmail: Powerful Free email with security by Microsoft. Get it now. <http://clk.atdmt.com/GBL/go/201469230/direct/01/>

[Guest guest]

Sunny,

From the small amount of research that I’ve seen, there is a ton of research being done on everything you can think of by pulmonologists, physiologists, exercise physiologists, and a pile of non-medical researchers.

The problem is no longer the search for information, but sorting and prioritizing it.

There is great research and really crappy research.

All grad student need to participate in research and they only have 7,500 universities in the world to pick from but somehow they find a way.

But there is hope as there are also 10,000 research institutes, such as Germany’s Max Planck Institute, which has more branches than Starbuck’s.

Just stumbling around with Google the search words “research " hyperkyphosis " morbidity” come up with 1700 hits albeit some of them are websites selling thighmasters and cap snafflers.

On 3/2/10 8:59 AM, " Sunny Kierstyn " <skrndc1@...> wrote:

As we discuss studies of this nature, focusing on the soft tissue/organ disease component, we need to remember the structural component - which we know and relate to oh so well - isn't even or ever considered by that side of medicine. There will be NO corelation or attempto to discover any corelation of this nature in their research. These are the types of studies that we could build on, however ..............

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com/>

CC: Oregondcs

drscott@...

From: drjdyson1@...

Date: Tue, 2 Mar 2010 08:14:29 -0800

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretching of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1@...

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkado@...

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant's head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

Hotmail: Powerful Free email with security by Microsoft. Get it now. <http://clk.atdmt.com/GBL/go/201469230/direct/01/>

[Guest guest]

,

I could have sworn that when I brought it up, I was making the point that chiropractors are citing the association as if it’s an adequate conclusion and citing the atherosclerosis as an unsolved mystery.

The association itself should be enough to make the hun-ched masses sit up and take notice, (get it? Sit up!) but we professionals should be asking, “Why?”

Regarding your excellent points 1-4 below, less than optimal does not lead to death. (I believe the study cited MORTALITY not MORBIDITY. That’s why kit is such a dramatic study.)

I’ve actually become more concerned with early intervention of poor posture but what a boring subject!

I can just see House, M.D. And his crew laboring over the future of a young girl’s imminent 40 year decline in health as she hunches over her iPhone texting herself to an early demise.

The Uprighteous

On 3/2/10 9:01 AM, " spbkchiro97132 " <spbkchiro@...> wrote:

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimization chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswegochiro.com

>

>

>

> FROM:   J Am Geriatr Soc 2004 (Oct);   52 (10):   1662—1667

> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES:   To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN:   Prospective cohort study.

>

> SETTING:   Rancho Bernardo, California.

>

> PARTICIPANTS:   Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES:   Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant's head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS:   Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION:   Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

,

I could have sworn that when I brought it up, I was making the point that chiropractors are citing the association as if it’s an adequate conclusion and citing the atherosclerosis as an unsolved mystery.

The association itself should be enough to make the hun-ched masses sit up and take notice, (get it? Sit up!) but we professionals should be asking, “Why?”

Regarding your excellent points 1-4 below, less than optimal does not lead to death. (I believe the study cited MORTALITY not MORBIDITY. That’s why kit is such a dramatic study.)

I’ve actually become more concerned with early intervention of poor posture but what a boring subject!

I can just see House, M.D. And his crew laboring over the future of a young girl’s imminent 40 year decline in health as she hunches over her iPhone texting herself to an early demise.

The Uprighteous

On 3/2/10 9:01 AM, " spbkchiro97132 " <spbkchiro@...> wrote:

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimization chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswegochiro.com

>

>

>

> FROM:   J Am Geriatr Soc 2004 (Oct);   52 (10):   1662—1667

> <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_uids=15450042 & amp;query_hl=2 & amp;itool=pubmed_d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES:   To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN:   Prospective cohort study.

>

> SETTING:   Rancho Bernardo, California.

>

> PARTICIPANTS:   Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES:   Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant's head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS:   Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1.86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION:   Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

I was at an “eat well move well think well dance with the forest fairies harmonic summit” at Breitenbush last winter and we did an exercise where everyone had to walk around for at lunch and after for 2 hours all hunched over to see how posture affected our inner being-ness and my friends Marmot and Sea Sprite both noticed that being hunched over made their backs hurt but also made them start to feel depressed inside. Everyone agreed that a depressed posture can lead to a depressed heart which can lead to vascular disease so we formed a drumming circle, did unwinding yoga and crafted a letter to the president to name a national day of sitting up for your heart!

We forgot the letter in the cabin but we had a great time!

Philbert

On 3/2/10 9:37 AM, " Lindekugel " <pdxchiroguy@...> wrote:

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

I was at an “eat well move well think well dance with the forest fairies harmonic summit” at Breitenbush last winter and we did an exercise where everyone had to walk around for at lunch and after for 2 hours all hunched over to see how posture affected our inner being-ness and my friends Marmot and Sea Sprite both noticed that being hunched over made their backs hurt but also made them start to feel depressed inside. Everyone agreed that a depressed posture can lead to a depressed heart which can lead to vascular disease so we formed a drumming circle, did unwinding yoga and crafted a letter to the president to name a national day of sitting up for your heart!

We forgot the letter in the cabin but we had a great time!

Philbert

On 3/2/10 9:37 AM, " Lindekugel " <pdxchiroguy@...> wrote:

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Great post , and if I may say, you make Danskins look good.

Would it kill ya to get a certified yoga mat?

On 3/2/10 10:06 AM, " Sears " <dm.bones@...> wrote:

Dr. Speery, the first to elucidate the function of the two cerebral hemispheres of the brain, and for which he won a Nobel Prize in Medicine in 1982, made the following statement in his address accepting the award: " Better than 90% of the brain's activity goes to just keeping us upright in gravity. The more efficient one's posture, the more energy one has for healing oneself in more significant ways. "

Dr. Ida Rolf shortly thereafter joined with Dr. Speery in promoting what they called " Verticality, " or the next step in human evolution toward greater health and self-healing. Verticality, of course, is another name for good posture.

The compressive effects of postural distortions are obviously the most reasonable explanation for the poor health effects of an inefficient relationship to gravity. This assumption is supported by observations of improved health indices as posture improves.

In a nutshell, here's the mechanics I've been instructing patients to engage daily in order to improve their posture:

Notice, that each of these postures takes the neutral spine, with the head supported to bring the forehead and the chin into a parallel plane, and then sustained in a restful, relaxing manner with conscious breathing, working critical angles from the coccyx to the occiput. In this manner, I've found that tonic compensations and NS centralizations can be reversed as patients ease their way back toward comfortable balances in gravity.

Seated meditation is the art of balancing in gravity, resting effortlessly on our bones, rather than on tight muscles and burden compressed organs. Practiced daily, this simple at-home active care regimen, can do for chiropractic patients what brushing teeth every day does for good dental health.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Mar 2, 2010, at 9:37 AM, Lindekugel wrote:

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

Great post , and if I may say, you make Danskins look good.

Would it kill ya to get a certified yoga mat?

On 3/2/10 10:06 AM, " Sears " <dm.bones@...> wrote:

Dr. Speery, the first to elucidate the function of the two cerebral hemispheres of the brain, and for which he won a Nobel Prize in Medicine in 1982, made the following statement in his address accepting the award: " Better than 90% of the brain's activity goes to just keeping us upright in gravity. The more efficient one's posture, the more energy one has for healing oneself in more significant ways. "

Dr. Ida Rolf shortly thereafter joined with Dr. Speery in promoting what they called " Verticality, " or the next step in human evolution toward greater health and self-healing. Verticality, of course, is another name for good posture.

The compressive effects of postural distortions are obviously the most reasonable explanation for the poor health effects of an inefficient relationship to gravity. This assumption is supported by observations of improved health indices as posture improves.

In a nutshell, here's the mechanics I've been instructing patients to engage daily in order to improve their posture:

Notice, that each of these postures takes the neutral spine, with the head supported to bring the forehead and the chin into a parallel plane, and then sustained in a restful, relaxing manner with conscious breathing, working critical angles from the coccyx to the occiput. In this manner, I've found that tonic compensations and NS centralizations can be reversed as patients ease their way back toward comfortable balances in gravity.

Seated meditation is the art of balancing in gravity, resting effortlessly on our bones, rather than on tight muscles and burden compressed organs. Practiced daily, this simple at-home active care regimen, can do for chiropractic patients what brushing teeth every day does for good dental health.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Mar 2, 2010, at 9:37 AM, Lindekugel wrote:

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado%40mednet.ucla.edu>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

[Guest guest]

It’s the pull of living near Eugene.

A friend went there for a weekend and stayed 4 years.

On 3/2/10 10:20 AM, " Sunny Kierstyn " <skrndc1@...> wrote:

Well said, .

At the same time, one of the acquired hyperkyphosis cases I have involves a 'pull' from unknown sources. My current take on this is genetic component that became squewed ..... could be way off base, having no way to back up my theory, but there IS a force there beyond my current ken or ability to resolve/quiet/change or stop. it is way beyond poor posture....or the 'fault' of the patient.

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com/>

drjdyson1@...; drscott@...

CC: Oregondcs

From: pdxchiroguy@...

Date: Tue, 2 Mar 2010 09:37:32 -0800

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado@...>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

Your E-mail and More On-the-Go. Get Windows Live Hotmail Free. Sign up now. <http://clk.atdmt.com/GBL/go/201469229/direct/01/>

[Guest guest]

It’s the pull of living near Eugene.

A friend went there for a weekend and stayed 4 years.

On 3/2/10 10:20 AM, " Sunny Kierstyn " <skrndc1@...> wrote:

Well said, .

At the same time, one of the acquired hyperkyphosis cases I have involves a 'pull' from unknown sources. My current take on this is genetic component that became squewed ..... could be way off base, having no way to back up my theory, but there IS a force there beyond my current ken or ability to resolve/quiet/change or stop. it is way beyond poor posture....or the 'fault' of the patient.

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com/>

drjdyson1@...; drscott@...

CC: Oregondcs

From: pdxchiroguy@...

Date: Tue, 2 Mar 2010 09:37:32 -0800

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

I think both are correct with an emphasis on the latter. The corresponding atherosclerosis and hyperkyphotic posture is a result of the not eating/moving/thinking well with an emphasis on the moving part. You can see this reflected in the posture of all sedentary individuals when compared to those who regularly engage in activity. The problem is that abnormal posture has become the norm and does not look all that odd in today's motion-starved people. In fact our posture is simply the sum of all our movements, non-movements and thoughts throughout a life. So, not moving will give you both bad posture and age you prematurely. We could probably measure many other factors such as insulin resistance, 4X cortisol, respiratory efficiency etc. and find correlation to hyperkyphotic posture as well. As more research in this area is done, we will discover that not only is postural health dependent on movement, but the health of every system of the body is as well.

Cheers,

Jay

Lindekugel, DC

Concordia Chiropractic and Movement Center

5425 NE 33rd Ave.

Portland Or. 97211

503-789-8923

From: Jamey Dyson <drjdyson1@...>

Abrahamson <drscott@...>

Cc: oregon dc listserve <Oregondcs >

Sent: Tue, March 2, 2010 8:14:29 AM

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado@...>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

Your E-mail and More On-the-Go. Get Windows Live Hotmail Free. Sign up now. <http://clk.atdmt.com/GBL/go/201469229/direct/01/>

[Guest guest]

It’s in the study:

http://www.ncbi.nlm.nih.gov/pubmed/15450042?dopt=AbstractPlus

On 3/2/10 11:51 AM, " Dr. Elliott Mantell " <commongroundchiropractic@...> wrote:

Can someone send me / us the link to the above study. The one I saw at the end of 's email only leads to a site but not the study.

Just a note watched a cervical surgery video on the net yesterday. What a motivater that could be to keep people in care in the idea of avoiding surgery.

From: spbkchiro97132 <spbkchiro@...>

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswe gochiro.com <http://www.lakeoswegochiro.com/>

>

>

>

> FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667

> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES: To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN: Prospective cohort study.

>

> SETTING: Rancho Bernardo, California.

>

> PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant' s head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION: Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

It’s in the study:

http://www.ncbi.nlm.nih.gov/pubmed/15450042?dopt=AbstractPlus

On 3/2/10 11:51 AM, " Dr. Elliott Mantell " <commongroundchiropractic@...> wrote:

Can someone send me / us the link to the above study. The one I saw at the end of 's email only leads to a site but not the study.

Just a note watched a cervical surgery video on the net yesterday. What a motivater that could be to keep people in care in the idea of avoiding surgery.

From: spbkchiro97132 <spbkchiro@...>

Subject: Re: Hyperkyphosis and Mortality-am I missing something?

Date: Tuesday, March 2, 2010, 9:01 AM

y, y, y:

While we chiros should certainly not pull the same BS as the medical field and substitute " causation " for " association " in order to invoke fear and line our pockets with money, there is a legitimate and salient issue for ALL chiros and patients re. posture.

1-There IS such a thing as optimal or ideal global (full spine) posture (and sub-optimal posture). This is not disputed.

2-Sub-optimal/ non-ideal posture is rampant/pandemic. Also not disputed.

3-Sub-optimal posture is expressed EARLY in life in human beings. (i.e. the poor posture comes FIRST, before other chronic diseases). Again, non-controversial.

4-A growing number of scientific studies are consistently showing that there is a direct association between sub-optimal/ poor posture and the morbidity of a whole array of health issues (including death apparently). True story.

5-Better posture is associated with improved health outcomes. (Don't make me look this up)

So what conclusions might one draw from the above?

How about this:

6-Intervening early and improving posture is a VERY GOOD IDEA!

7-Chiropractors are relatively expert (one hopes) at understanding the importance of global optimal posture and teaching good posture to patients and even performing postural-optimizati on chiropractic care on their patients (and hopefully we can intervene earlier in life, rather than later).

As most of know, many (perhaps most) chiros are obsessed with intersegmental function. While that is all well and good, any chiropractor who is not addressing global posture in a truly meaningful way, is missing a significant part of their health-optimizing potential.

p.s. BTW for you insurance nerds the ICD code for plain-old global poor posture is 781.92 (same code is used for c-spine alordosis and/or L-spine hyperlordosis et al) I kid you not, that we use this code on prolly 75% or our patients BTW (Just coding what I see)!!!

>

>

> In this study (below) touted by chiropractors, Kyphosis can lead to death.

> I finally read it and realized that they just happened to mention that the

> increased rate of death was due to atherosclerosis.

> Now I'm not a rocket surgeon but how the heck does posture lead to vascular

> disease? Or is it just that people who are stooped over just give up sooner?

> Or is it that their posture inhibits breathing?

> Comments?

>

> (I have heard that frequency specific microcurrent will reverse a

> kyphosis.;-)

>

>

> E. Abrahamson, D.C.

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswe gochiro.com <http://www.lakeoswegochiro.com/>

>

>

>

> FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662‹1667

> <http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

> p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

> ocsum>

>

> Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

>

> Division of Geriatrics, Department of Medicine, Geffen School of

> Medicine at University of California, Los Angeles, California 90095, USA.

> dkado@...

>

>

> OBJECTIVES: To determine the association between hyperkyphotic posture

> and rate of mortality and cause-specific mortality in older persons.

>

> DESIGN: Prospective cohort study.

>

> SETTING: Rancho Bernardo, California.

>

> PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

> Study who had measurements of kyphotic posture made at an osteoporosis visit

> between 1988 and 1991.

>

> MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

> that needed to be placed under the participant' s head to achieve a neutral

> head position when lying supine on a radiology table. Demographic and

> clinical characteristics and health behaviors were assessed at a clinic

> visit using standard questionnaires. Participants were followed for an

> average of 4.2 years, with mortality and cause of death confirmed using

> review of death certificates.

>

> RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

> under the occiput to achieve a neutral head position while lying supine, was

> more common in men than women (44% in men, 22% of women, P<.0001). In age-

> and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

> greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

> In multiply adjusted models, the increased rate of death associated with

> hyperkyphotic posture remained significant (relative hazard=1.40, 95%

> CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

> posture was specifically associated with an increased rate of death due to

> atherosclerosis.

>

> CONCLUSION: Older men and women with hyperkyphotic posture have

> higher mortality rates.

>

[Guest guest]

Personally, if I can affect 25% of my patients to actually eating/moving/ thinking well with an emphasis on the moving spinal joints (due to their rich proprioceptive input), I will feel inspired to keep coming back to work because IT WORKS!

On 3/2/10 12:37 PM, " joe medlin " <spinetree@...> wrote:



Well, all we can do is get people into the best possible condition in order to stave off future injury and disease. Well adjusted, exercised, stretched, fed and moved. Is it the cure all?

NOPE.

ph Medlin D.C.

Spine Tree Chiropractic

1607 NE Alberta St

PDX, OR 97211

503-788-6800

Re: [From OregonDCs] Hyperkyphosis and Mortality-am I missing something?

We need to better understand the mechanics of hyperkyphosis on the heart and lungs. Is the atherosclerosis due to increased mechanical pressure on the heart from a squished chest cavity? Is it due to irritation/stretchi ng of the sympathetic nerves? Or is the correlation due to hyperkyphotic people not eating, moving, and thinking well in general and the lifestyle causes ALL of it.

The study seems to merely point out the correlation but does not explore the etiology.

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic

1295 Wallace Rd NW

Salem, OR 97304

503-361-3949

drjdyson1comcast (DOT) net <mailto:drjdyson1@...>

On Mar 1, 2010, at 3:33 PM, Abrahamson wrote:

In this study (below) touted by chiropractors, Kyphosis can lead to death.

I finally read it and realized that they just happened to mention that the

increased rate of death was due to atherosclerosis.

Now I'm not a rocket surgeon but how the heck does posture lead to vascular

disease? Or is it just that people who are stooped over just give up sooner?

Or is it that their posture inhibits breathing?

Comments?

(I have heard that frequency specific microcurrent will reverse a

kyphosis.;-)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com/

FROM: J Am Geriatr Soc 2004 (Oct); 52 (10): 1662—1667

<http://www.ncbi. nlm.nih.gov/ entrez/query. fcgi?db=pubmed & amp;cmd=Retrieve & am <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & amp;amp;cmd=Retrieve & amp;am>

p;dopt=AbstractPlus & amp;list_ uids=15450042 & amp;query_ hl=2 & amp; itool=pubmed_ d

ocsum>

Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA

Division of Geriatrics, Department of Medicine, Geffen School of

Medicine at University of California, Los Angeles, California 90095, USA.

dkadomednet (DOT) ucla.edu <mailto:dkado@...>

OBJECTIVES: To determine the association between hyperkyphotic posture

and rate of mortality and cause-specific mortality in older persons.

DESIGN: Prospective cohort study.

SETTING: Rancho Bernardo, California.

PARTICIPANTS: Subjects were 1,353 participants from the Rancho Bernardo

Study who had measurements of kyphotic posture made at an osteoporosis visit

between 1988 and 1991.

MEASURES: Kyphotic posture was measured as the number of 1.7-cm blocks

that needed to be placed under the participant' s head to achieve a neutral

head position when lying supine on a radiology table. Demographic and

clinical characteristics and health behaviors were assessed at a clinic

visit using standard questionnaires. Participants were followed for an

average of 4.2 years, with mortality and cause of death confirmed using

review of death certificates.

RESULTS: Hyperkyphotic posture, defined as requiring one or more blocks

under the occiput to achieve a neutral head position while lying supine, was

more common in men than women (44% in men, 22% of women, P<.0001). In age-

and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44

greater rate of mortality (95% confidence interval (CI)=1.12-1. 86, P=.005).

In multiply adjusted models, the increased rate of death associated with

hyperkyphotic posture remained significant (relative hazard=1.40, 95%

CI=1.08-1.81, P=.012). In cause-specific mortality analyses, hyperkyphotic

posture was specifically associated with an increased rate of death due to

atherosclerosis.

CONCLUSION: Older men and women with hyperkyphotic posture have

higher mortality rates.

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