We have patients surprised all the time when we share all of the things
that chiropractic can do for kids! How many chiropractic helps did you
already know about? We hope you learned something new today!
We have patients surprised all the time when we share all of the things
that chiropractic can do for kids! How many chiropractic helps did you
already know about? We hope you learned something new today!
How many times did you hear, “Sit up straight!” as a child? How many times have you said this to your own child? There’s a reason behind that famous advice: poor posture early in life may lead to a number of back problems and pain later on. That’s why researchers conducted a study to better understand slouching in adolescents.
Researchers had 1,5092 adolescents complete questionnaires about their lifestyle and experience with back pain. Their sitting posture, body mass index (BMI), and back-muscle endurance were also measured. Researchers discovered that boys were much more likely than girls to slouch. Watching TV, having a higher BMI, and having lower self-efficacy also increased a teen’s likelihood of slouching.
Teens who slouched also tended to have lower back-muscle endurance and non-neutral standing position. Some teens noticed their back pain increased while sitting, and those teens often had poorer scores on a child-behavior test.
These findings suggest that whether or not a child slouches isn’t simply about whether they remember to sit up straight. Encouraging healthy lifestyle habits and a strong self-esteem could also play a big role in helping your teen develop good posture. A doctor of chiropractic can evaluate your child’s sitting and standing posture to help them avoid future back pain.
O’Sullivan PB, Smith AJ, Beales DJ, Straker LM. “Association of Biopsychosocial Factors With Degree of Slump in Sitting Posture and Self-Report of Back Pain in Adolescents: A Cross-Sectional Study.” Physical Therapy 91.4 (2011): 470-83.
Most teens experience headaches at some point and many will suffer the debilitating impact of persistent headaches or migraines. Chronic headaches can prevent teens from engaging fully in school, work, and extracurricular activities. Yet little was known about what triggers headaches in teens until now.
A recent study indicated several lifestyle habits associated with migraine and tension headaches in teens. Researchers asked 1, 260 adolescents to fill out a survey on whether they had headaches and if so, the duration and type of headaches they experienced. Participants also responded to questions about their diet and lifestyle including: their physical activity, consumption of alcoholic, nonalcoholic, and coffee beverages, eating patterns, and whether they smoked.
Nearly half of the teen surveyed had tension headaches, 10% had migraines, and 20% had a combination of the two. A considerable amount of participants had unhealthy lifestyle habits like drinking, alcohol and skipping meals. However, 75% had never smoked and 43% didn’t drink coffee.
Researchers found that teens were more likely have migraines if they also drank alcohol, coffee, and/or had low levels of activity. Low physical activity was also associated with tension headaches. Teens that smoked were more likely to have a combination of tension and migraine headaches.
While the study indicates correlation rather than causation, the results do suggest strong links between unhealthy lifestyle and the presence of persistent headaches in adolescents. Researches recommended that further research be done to asses whether educational programs could influence teens’ behavior and experience with headaches. If you’re a teen with persistent headaches or someone you love is, consider consulting with a doctor of chiropractic about healthy lifestyle and nutritional choices that can prevent further pain.
Special Note: One of the best things you can do for headaches is see your chiropractor. Be sure to schedule an appointment with Dr. Oblander if you or your child are having frequent headaches! You can call our office at 406-652-3553.
Fiore, Kristina. “Diet and Lifestyle Linked to Headaches in Teens.” Medpage Today. June 7, 2010. Accessed October 26, 2011. http://www.medpagetoday.com/Neurology/Migraines/20521.
Milde-Busch A, et al “Associations of diet and lifestyle with headache in high-school students: results from a cross-sectional study” Headache 2010; DOI: 10.1111/j.1526-4610.2010.01706.x.
Article written by Michael Melton and shared from www.chironexus.net
Food allergies affect over 15 million Americans, including 1 in every 13 children under the age of 18. The symptoms of these allergic reactions can range from minor (e.g., itching, swelling of the lips, intestinal cramps, diarrhea, and vomiting) to major or even life-threatening (e.g., development of hives and rashes, tightening of the throat to the point of being unable to breathe, significant drops in blood pressure).
Having such an allergy—or being the parent of a child with such an allergy—can impose unwelcome lifestyle limitations and cause a great deal of anxiety. At present, there is no known cure for serious food allergies that works for everyone. This means that the best approach for the time being is to completely avoid the food product to which you or your child has an allergic reaction. However, this is not always practical or possible to do. That’s why the majority of “treatments” currently available focus on managing the symptoms after an attack has taken place. For instance, individuals with serious food allergies may carry an auto-injector filled with epinephrine (adrenaline) with them at all times, just in case.
Naturally, because of the seriousness and the prevalence of food allergies, a great deal of research is being conducted on treatments to desensitize individuals to the foods they are allergic to. This may effectively “cure” the allergy for some sufferers. One of the fields that shows promise is the study of immunotherapy (more precisely, low-dose immunotherapy), in which extremely small amounts of the allergen are administered to allergy sufferers over time. The basic idea behind the experimental treatment is that the body will develop a tolerance to these low doses and that the allergic reaction will gradually cease.
The first work in immunotherapy was undertaken in the 1960s in England by Dr. S. Popper, who was trying to cure allergic reactions to pollen by injecting patients with low doses of the allergen in combination with the enzyme beta-glucuronidase in an approach called “enzyme potentiated desensitization” (EPD). While the then-experimental treatment showed early success, its use in the U.S. was suspended by the FDA for administrative reasons in 2001. However, follow-up work continued and an enhanced American version of the EPD injection called Low Dose Allergens (LDA) was later introduced.
The obvious drawback of this type of therapy is that the doses have to be injected by a physician. It is also necessary for patients to avoid outside exposure to larger doses of the allergens and to many medications while the treatment is underway. However, other researchers have continued to study desensitization via immunotherapy with the goal of finding other mechanisms of administering the low-dose allergens, such as oral medications, sublingual (under the tongue) medications, and others.
Some of the most promising work in this field is being performed at Stanford University School of Medicine by Kari Nadeau, Associate Professor of Allergies and Immunology. Nadeau is working with children afflicted with peanut allergies. Her approach is to give them minute doses of the peanut allergen and gradually escalate the doses over a period of months in the hope of them eventually developing immunity. Up to this point, Nadeau’s technique has produced positive results for many patients, but it does appear to have limitations. First, the therapy doesn’t seem to offer a permanent “cure”. Patients must continue to take low doses of the peanut allergens or risk losing their immunity. If they stop for more than a few days, the allergies can come back. Second, the treatment itself is time-consuming and often expensive.
While the jury is still out on immunotherapy, the concept shows promise. However, progressing from concept to proven treatment is clearly going to take much more work. As it stands today, some immunotherapy approaches work for some patients but don’t work for others. Plus, there are questions about how long immunity actually lasts and whether it must be maintained or periodically boosted. This is clearly a very important consideration since patients could run the risk of unknowingly losing immunity and coming into contact with the allergen, allowing it to trigger an unexpected—and potentially serious—attack.
So if you suffer from food allergies and are looking for a way to diminish them, the best advice we can offer at this time is to continue following the research and to consult with your own healthcare providers about the potential benefits and risks in your own case. If you do decide to pursue immunotherapy, be sure that it is being administered and overseen by well-trained medical professionals who can monitor progress and watch for side effects.
In life, it’s nearly always possible to have too much of a good thing, and moderation is usually the right common-sense prescription (no matter what the advertisers say). Screen time is no exception. But how much is too much? That’s the question many parents are asking…
There’s no doubt that a little bit of time watching TV, working on a computer, playing video games or using a tablet or smartphone can be useful. However, it’s also become increasingly clear that long, uninterrupted periods of screen time can cause real problems. This can be a result of the screen-watching activity itself as well as what’s NOT happening while an individual is focused on the screen. While there’s growing evidence that both adults and children are at risk, the rest of this article will focus on kids and what their parents need to know.
Most young children aren’t very good at moderating their behavior or setting their own limits. This means that it’s ultimately an adult’s responsibility to do it for them until they can exercise their own good judgment. And this is true EVEN THOUGH IT TAKES TIME AND EFFORT FROM THE ADULT AND IS OFTEN INCONVENIENT. As tempting as it may be to use devices with screens as electronic “babysitters” to free up your own time, being a parent or caregiver means keeping the child’s needs in mind, too.
Following is a brief summary of the most-widely circulated guidelines for children’s screen time (entertainment-oriented use of electronics), based on recommendations made by the American Academy of Pediatrics.
Under 2 years—No screen time
2–5 years—One hour of preschool TV, but no computer time
5–8 years—One hour
Over 8 years—Two hours
The first couple of years are particularly critical for a child. This is the time when a baby’s brain goes through the most rapid growth and development. Children need to explore and to engage with their broader environment. When these opportunities are limited or “crowded out” in favor of engaging with electronic devices, their cognitive and social development may be altered in negative ways we don’t yet understand. At the same time, researchers have not been able to establish that screen time of any sort (regardless of the media) has any real benefit for very young children. This is why the American Academy of Pediatrics believes that infants younger than two years shouldn’t have any screen time. Media companies and advertisers of infant-oriented products may tell you otherwise, but their interests are probably not the same as yours when it comes to the best interests of your child.
Many of your child’s most basic preferences and habits are developing between the ages of 2 and 5. Simply put, the prevailing wisdom is that electronic babysitters offer no substitute for the physical activity and social interaction kids need at this age. In fact, to the extent that they encourage inactive, solitary play, they may actually pose real health risks on several fronts. For instance, if your child is sedentary, he or she may have an increased risk of obesity, diabetes and heart disease later on, and may be slower to develop physical skills. If he or she doesn’t have regular social interaction with other adults and children, emotional problems and depression may be more likely.
By challenging your young children with a broad range of physical, intellectual and social activities, you offer them a developmental advantage. While media may have a place in the mix, experts agree that it should be a small one. Television specifically geared to preschoolers (think Sesame Street) can help expand your child’s awareness of learning concepts, but it shouldn’t be occupy more than an hour a day.
Between 5 and 8 years old, children can handle a little bit of screen time without it jeopardizing their development. Just be sure to set firm limits and encourage them to spend at least some of their screen time doing things that will enhance learning and hand-eye coordination.
As your children grow older, teaching them to live within certain sensible limits (in this case, by regulating screen time) and explaining why these limits exist can help them begin to look out for their own health and develop their own sense of self-discipline. Life lessons like these have value in and of themselves. So while your kids may not appreciate your efforts to restrict their use of electronic media, there can be very real longer-term benefits for your kids and for your family as a whole. It’s worth the effort!
If you’re a parent, you may have noticed that hard asphalt and sharp edges are on their way out at playgrounds around the country. In large part, these changes are due to concerns over injuries and law suits. Over 200,000 children in the US are treated each year in hospital emergency rooms for playground-related injuries. That’s a lot of opportunity for enterprising attorneys, especially in cases where parents or guardians lack health insurance.
Accident and litigation concerns aside, it is important for children to get outside in the fresh air and exercise. This is particularly true considering the increasing rate of childhood obesity. Playgrounds can be ideal areas for kids to socialize while getting the exercise they need. By checking the playground for safety hazards and following some simple guidelines, there is no reason why your kids can’t take advantage of all a playground has to offer.
The most important element to playground safety is adult supervision. Kids need to be supervised whenever they are using playground equipment so an adult can intervene when a child is not using the equipment properly or is acting in a dangerous fashion. Kids like to test their limits, and sometimes young children cannot properly judge distances and may try something that is likely to cause injury.
The playground surface is important in reducing the number of injuries from falls. Asphalt and concrete are obvious surfaces to avoid, but so are grass and packed soil surfaces. None of these are able to cushion a child’s fall appropriately. Instead, look for playgrounds that have safety-tested rubber surfacing mats or areas of loose fill 12 inches deep made from wood chips, shredded rubber, mulch, sand or pea gravel. The cushioned surfacing should extend at least 6 feet from any equipment, and sometime farther, depending on the particular piece of equipment (such as a high slide or a long swing).
Children should always play in areas of the playground that are age-appropriate. Playgrounds should have three different clearly designated areas for different age ranges of children: those younger than 2 years old, children 2 to 5, and children 5 to 12 years of age. Children under 2 should have spaces where they can crawl, stand and walk, and can safely explore. Kids age 2-5 should use equipment such as low platforms reached by ramps and ladders, flexible spring rockers, sand areas and low slides no higher than 4 feet. Kids age 5 to 12 can use rope climbers, horizontal bars, swings and slides, in addition to having open spaces to run around and play ball.
Following are a few basic guidelines to ensure playground equipment safety:
The last 10 years have seen exceptional innovation in personal electronics. Our smartphones, laptops, and tablets have undoubtedly made it easier to create, consume and share all kinds of content as well as to shop online anywhere and anytime. But they do also have their drawbacks—including negative health consequences. This applies in particular to our posture. The overuse of personal electronic devices is taking a toll on our necks and backs, and this damage could lead to even more serious health issues down the road.
Some medical professionals are calling it the “iPosture Syndrome”. It’s a head-forward posture that many people (teenagers and younger kids included) are developing from hunching over electronic devices for long hours every day. As physiotherapist Carolyn Cassano explains, “If the head shifts in front of the shoulders, as is happening with this posture, the weight of the head increases, and the muscles of the upper back and neck need to work much harder to support it, leading to pain and muscle strain.”
According to CNN, “The average human head weighs 10 pounds in a neutral position—when your ears are over your shoulders. For every inch you tilt your head forward, the pressure on your spine doubles. So if you’re looking at a smartphone in your lap, your neck is holding up what feels like 20 or 30 pounds.” All that additional pressure puts a strain on your spine and can pull it out of alignment.
Also known as “text neck,” this head-forward posture is a fairly new development among younger adults, teenagers and children (some just beginning kindergarten) who are developing chronic neck and back pain as well as early signs of spine curvature. Coined by Dr. Dean Fishman, a chiropractor and founder of the Text Neck Institute in Florida, the phrase “text neck” is defined as an overuse syndrome involving the head, neck and shoulders, usually resulting from excessive strain on the spine from looking forward and downward at a portable electronic device over extended periods of time.
The text neck disorder is unfortunately progressive, meaning that it gets worse over time without treatment. “It can lead to degenerative disk disease which is irreversible, bone spurs start to grow, people get pinched nerves or herniated disks and that can lead to really intense pain,” says chiropractor Dr. Anthony Bang of the Cleveland Clinic.
The doctor explains that the neck should have a banana-like curve. However, people who consistently look down at handheld devices for hours daily are losing that normal curve, thereby developing straight necks. While severe neck problems can result from losing that curve, there are ways to avoid this fate.
“First of all, put it away, it can wait five minutes. Give your neck a break, but if you need to use it, take it and bring it up to eye level so that your head still stays on top of your shoulders instead of stooping down looking at your lap,” said Bang.
CNN also recommends that you “Be aware of your body. Keep your feet flat on the floor, roll your shoulders back and keep your ears directly over them so your head isn’t tilted forward. Use docking stations and wrist guards to support the weight of a mobile device. Buy a headset.”
Now there are even apps to help you with your texting posture. For example, the Text Neck Institute has developed an app that helps the user avoid hunching over. When your phone is held at a healthy viewing angle, a green light shines in the top left corner. When you’re slouching over and at risk for text neck, a red light appears.
With Halloween two weeks behind us and Thanksgiving less than two weeks away, most school-age children are back in the classroom and (hopefully) have adapted to the fall routine. For some kids, though, the fall routine includes lots of sick days and doctor visits.
According to the U.S. Centers for Disease Control and Prevention (CDC), there’s a good reason for this. “Schools inherently foster the transmission of infections from person to person because they are a group setting in which people are in close contact and share supplies and equipment.”
The CDC also provides some statistics that puts this issue in perspective: “Infectious diseases account for millions of school days lost each year for kindergarten through 12th-grade public school students in the United States:
Naturally, schoolchildren aren’t the only ones who are affected when even common illnesses are passed from child-to-child in the classroom environment. Those same illnesses (or the microorganisms that cause them) ride home with kids on the bus or in the neighborhood carpool. And when they do, the whole family is at risk. Plus, parents are left to cope with the inconveniences and costs that come with sick days and doctor visits.
Communicable diseases that spike at the beginning of the school year are numerous and include the common cold (aka rhinovirus), the flu, strep throat, Fifth disease (a viral infection caused by the parvovirus), pinkeye, whooping cough (aka pertussis), mono, chicken pox, meningitis, lice, scabies, pinworm, ringworm, jock itch, and athlete’s foot.
Some areas of the country are also concerned with two other viral infections that thrive in crowded areas such as schools. According to Indiana news station WTHR.com, “The first is a viral infection called ‘hand, foot and mouth disease.’ ”
Noted pediatrician Dr. Michael McKenna from the Riley Hospital for Children at IU Health says in regard to hand, foot, and mouth disease, “The rash looks ugly, kids feel uncomfortable, and they can have fevers. The one concern is if they have so many ulcers in their mouth that they refuse to eat or drink, that they can become dehydrated. This year, it’s much more prominent and the rash is much more severe.”
The article continues: “Doctors are also seeing many more cases of shigellosis, a bacterial infection spread when people do not wash their hands after using the bathroom. It can cause diarrhea, nausea and vomiting.”
Children aren’t the only ones at risk for transmittable infections and diseases in and around the classroom—teachers and administrators are also susceptible to many viruses and bacterial infections, which range from simply annoying to very serious. In fact, many teachers quickly get sick upon the arrival of a new school year. For these people, it is important to practice prevention. Minimize contact with students, urge them to cough and sneeze into their elbow, and send them to the nurse if they look as if they may be coming down with something.
So else can parents do to try to keep their kids healthy and at school during the fall and winter months? Here are a few thoughts we’d like to share:
It’s not news—obesity is a growing national epidemic among young people. The Centers for Disease Control and Prevention (CDC) estimate that obesity in children has doubled in the last 30 years and quadrupled in adolescents. Nearly 20% of children 6-11 years old are obese as are almost 23% of teenagers. This places them at increased risk of developing cardiovascular disease, diabetes, bone and joint problems, sleep apnea, type 2 diabetes, stroke, several types of cancer, and osteoarthritis. Finally—and even more concerning—studies have shown that people who are obese as children tend to be obese as adults.
What’s happening here? In large part, it comes down to our lifestyle choices. Record numbers of both adults and children are succumbing to the temptations of TV, computers, and video games, and many of us simply don’t get the exercise our bodies need to stay healthy.
Naturally, parents who read statistics like these may be—and should be—concerned about their kids. More and more often, they ask themselves questions like “What can we do to help our kids be more active and physically fit?” One answer to this question is pretty simple: To get your kids to be more active, engage in more active pursuits with them. One of the keys to getting children to exercise more is to have them see their parents exercise more. That’s the finding from a new study published in the journal Pediatrics
In the study, researchers at the University of Cambridge School of Clinical Medicine in England fitted 554 mother-child pairs with equipment to measure how much exercise they were getting when they were together as well as when they were apart. Accelerometers tracked their exercise levels, and GPS devices measured how close they were to each other. Over the course of seven days, the findings were clear – the more physical activity the mother was engaged in while with the child, the more active the child was during the rest of the day. In fact, for every minute of moderate-to-vigorous activity the mother got, the child was likely to get ten percent more of the same activity. Conversely, for every minute the mother was sedentary, the child was 0.18 minutes more sedentary. Both of these effects were more pronounced in girls than in boys.
These findings seem to indicate that parents can be effective role models for their children by getting more active exercise themselves. But specialists emphasize that parents don’t have to drop their other priorities to do this. Physical therapist Teresa Beckman suggests, “Incorporate small changes into your daily life. For example, rather than playing a board game together, go outside and play hopscotch. Or if you’re planning a trip to your local playground, try walking instead of driving.”
Other suggestions for becoming more active with your children include playing more sports with them, walking more with them (if you take the bus, get off one or two stops early and walk the rest of the way), riding bikes together, and even playing Frisbee. Dancing is good exercise, so you can encourage your kids to take lessons in various forms of dance and then set a good example for them by attending the classes yourself. You can join exercise classes together, schedule regular pre-dinner walks or runs, or just play family games of basketball or soccer.
You are your child’s most important role model when it comes to teaching them about the importance of exercise. And exercising together is just as good for you as it is for them. So switch off that TV or computer and go out to play! You’ll both be doing something good for your health and having fun at the same time!
It’s true. The combination of industrial agriculture and efficient global logistics has made it possible for many American families to enjoy a wide variety of fruits and vegetables year round.
But just because they’re available doesn’t necessarily mean that they’re the best choice for you or your family. In fact, there are several really good reasons that your diet—particularly your choice of fruits and vegetables—should change with the seasons. Now that fall is here and winter is just around the corner, this is a great time to talk about seasonal eating and how you can make the most of the cold-weather months.
The reasons for eating local produce in-season basically fall into four categories: nutrition, taste, cost and environmental sustainability.
Nutrition. Local fruits and vegetables picked seasonally at their ultimate ripeness are usually more nutritious than produce that is grown in a hot-house environment or that is raised in other parts of the world and transported over long distances.
Taste. When it comes to fruits and vegetables, flavors and textures tends to suffer when they’re grown out-of-season or spend lots of time in transit. This encourages farmers to do things they might not ordinarily do, including adding colors, sweeteners or preservatives. The fact that out-of-season produce needs to be marketable after shipping may also encourage farmers to grow varieties that are more durable but less flavorful. The net result is often a poorer product.
Cost. Growing produce out-of-season or transporting it over long distances involves expenses that just don’t exist when fruits and vegetables are grown and marketed locally. As anyone who has ever bought fresh strawberries or tomatoes in the middle of January has noticed, these expenses translate into higher prices at the grocery store.
Environmental Sustainability. The emergence of a global marketplace for fruits and vegetables has opened up lots of possibilities for growers and consumers alike but has also come with high environmental costs. The new economics of farming and distribution have changed how land, water, energy, and chemicals are used in producing food. In some cases, they’ve also tipped the scales against centuries-old patterns of sustainable crop rotation and conservation practices. Plus, moving and storing large amounts of fresh produce requires energy and increases our collective carbon footprint.
When you consider all of these factors together, it’s clear that out-of-season produce is really a pretty big compromise. So what’s the alternative? There are many winter fruits and vegetables that will soon be their peak. Knowing about these and adding them to your diet over the coming months can provide plenty of variety and may even help you get important nutrients that you wouldn’t normally get from produce at other times of the year.
Here’s a brief rundown of some of our winter favorites.
Winter Butternut Squash. Squash has relatively few calories (only 63 calories per cup) but contains lots of vitamin A and potassium. Plus, a single cup of squash also provides half your daily requirement of vitamin C!
Kale. Kale is another winter vegetable that’s packed with important nutrients, including vitamins A, B, C and K, and minerals such as calcium, copper and magnesium. Kale is also rich in cancer-fighting phytonutrients called flavonoids (quercetin and kaempferol, among others) and has been shown in some research to lower cholesterol. Cooked kale can easily be added to mashed potatoes to make for a healthy side dish.
Leeks. Leeks too are abundant at this time of year. They are rich in vitamin K (good for bone health and vital for blood coagulation), and have a healthy amount of folate. A versatile member of the allium family (like onions and garlic), leeks can be added to soups and stews in pretty much the same way you might typically use onions. Leeks are also tasty on their own—just braise them a little liquid. If you’re willing to put just a bit more effort into preparation, creamed leeks is another tasty alternative. Just clean and slice 2-3 leeks thinly, then sauté them in a little butter, add a couple of tablespoons of water, and cover for about 10 minutes or until cooked. Mix in a tablespoon of flour and about ½ cup of sour cream and you have an excellent side dish to serve along with fish or chicken.
Apples. Apples are a great seasonal complement to the vegetables on our list. Over 2,500 varieties of this fruit are grown in the U.S., with 100 varieties grown commercially. A medium apple contains about 80 calories and is fat, sodium, and cholesterol free. If you’re interested in getting the most nutritional bang for the buck, be sure to eat the peels! Two-thirds of a typical apple’s fiber and lots of its antioxidants are concentrated in the peel. Most apples are still picked by hand in the fall and are ready for eating throughout the country all winter long!
Nuts. Many popular types of nuts (which are technically fruits containing a hard shell and a seed) are actively harvested in the fall and are available throughout much of the country year-round. Almonds, chestnuts and walnuts are a few winter favorites. It’s worth noting that while almonds and walnuts are not true nuts in the botanical sense, they are considered nuts in the culinary sense. Nuts like these are typically very high in protein and fat and naturally low in carbohydrates. They also contain several important vitamins and minerals. They are a particularly dense nutritional package and have been linked to a reduced risk of heart disease.