Re: Passive vs. Active Care

[Guest guest]



Yes, the OCA is working on this issue right now.....and yes there is research and...if we don't address the issue others outside the profession will.....would you like auto PIP to work as well as Oregon's workers' compensation system???

Storm clouds are on the PIP horizon but as always your only State Association, the Oregon Chiropractic Association is looking out for you. In this economy and well just generally we as a profession can ill afford to lose the privilege (yes privilege) of treating Oregon consumers injured in auto related accidents....the OCA is on it..

If your not a member of the OCA your going to want to be joint today!

Vern Saboe

Passive vs. Active Care

Hi Group,

It seems that passive care (chiropractic & massage therapy) is looked at as very acceptable by the PIP insurers for about 2-3 months following an MVA. After that, it seems that active care is the only thing acceptable and they look more negatively upon continued passive care. Many times IMEs will cut off passive care, but allow active care to continue.

Has this been "proven" in the research? Is there any research out there which shows that ongoing passive care is beneficial long-term? I understand that we want to move a person into more active care, but should that mean ending passive care altogether?

Any thoughts?

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic - a licensed

Eat Well Move Well Think Well ® Center

1295 Wallace Rd NW â— Salem, OR 97304

Phone 503-361-3949 â— Fax 503-763-6444

www.advanced-chiropractic-west-salem.com

[Guest guest]

Good question, Dr. Dyson.Here's a good review article from 1992 from Kim Christensen on timelines for passive/active care of whiplash injuries: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=38153Here's an article from early Craig Liebensen on Rehab: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=40146And, more recent thinking from Libensen: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=31834Healing from trauma is a "whole mind/body" experience, but passive care only involves the body, not the mind directly. Trauma and chronic pain shrink brain tissue. Without engaging the mind in the body's healing, we shortchange healing. Effective active care demands patient involvement in order to heal the whole organism. Passive care can be introduced as soon as tolerated. Deep relaxation passive care, resting out-of-gravity in aligned postures around critical spinal angles may be started very early post-trauma. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Dec 30, 2011, at 7:17 AM, Jamey Dyson wrote: Hi Group,It seems that passive care (chiropractic & massage therapy) is looked at as very acceptable by the PIP insurers for about 2-3 months following an MVA. After that, it seems that active care is the only thing acceptable and they look more negatively upon continued passive care. Many times IMEs will cut off passive care, but allow active care to continue.Has this been "proven" in the research? Is there any research out there which shows that ongoing passive care is beneficial long-term? I understand that we want to move a person into more active care, but should that mean ending passive care altogether?Any thoughts?Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.advanced-chiropractic-west-salem.com

[Guest guest]

On Dec 30, 2011, at 10:24 AM, Sears wrote:Passive care can be introduced as soon as tolerated. Deep relaxation passive care, resting out-of-gravity in aligned postures around critical spinal angles may be started very early post-trauma. CORRECTION: Sorry, These last two sentences should read:Active care can be introduced as soon as tolerated. Deep relaxation active care, resting out-of-gravity in aligned postures around critical spinal angles may be started very early post-trauma. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.com

[Guest guest]

Hi Dr. Dyson,Here's the response you were looking for re maintenance passive care findings:Zen and the Art of Chiropractic Maintenancehttp://www.dynamicchiropractic.com/mpacms/dc/article.php?id=55691 Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Dec 30, 2011, at 10:24 AM, Sears wrote: Good question, Dr. Dyson.Here's a good review article from 1992 from Kim Christensen on timelines for passive/active care of whiplash injuries: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=38153Here's an article from early Craig Liebensen on Rehab: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=40146And, more recent thinking from Libensen: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=31834Healing from trauma is a "whole mind/body" experience, but passive care only involves the body, not the mind directly. Trauma and chronic pain shrink brain tissue. Without engaging the mind in the body's healing, we shortchange healing. Effective active care demands patient involvement in order to heal the whole organism. Passive care can be introduced as soon as tolerated. Deep relaxation passive care, resting out-of-gravity in aligned postures around critical spinal angles may be started very early post-trauma. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Dec 30, 2011, at 7:17 AM, Jamey Dyson wrote: Hi Group,It seems that passive care (chiropractic & massage therapy) is looked at as very acceptable by the PIP insurers for about 2-3 months following an MVA. After that, it seems that active care is the only thing acceptable and they look more negatively upon continued passive care. Many times IMEs will cut off passive care, but allow active care to continue.Has this been "proven" in the research? Is there any research out there which shows that ongoing passive care is beneficial long-term? I understand that we want to move a person into more active care, but should that mean ending passive care altogether?Any thoughts?Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.advanced-chiropractic-west-salem.com