Chiroblog

The expansion of neuroscience research is changing our understanding of how the brain is wired. Traditionally, it was believed that the brain functions as a reactive organ, processing and responding to sensory input from the external environment. In other words, you see things with your eyes and hear things with your ears, which send signals to the brain to tell you what’s happening ‘out there.’

However, more recent studies suggest that the brain operates as a predictive machine, constantly generating guesses about incoming sensory information and refining those guesses by comparing them to what actually happens in real-time. This process is referred to as predictive processing.  Predictive processing works by creating these guesses utilizing what information it already knows from previous events. For example, when you walk through your house with all the lights off, your brain helps you navigate through the space based on memory. If you bump into a wall or piece of furniture, your brain generates what is referred to as a “prediction error”. This “prediction error” helps your brain subconsciously adjust and rewire your perception for future situations. This model helps explain how we perceive the world quickly and efficiently, even when sensory information is unclear or incomplete.

This new model of the brain reverses the old concept...maybe we predict what's going on 'out there' based on prior experiences.  Have you ever avoided an accident by using a split second maneuver while driving?  There is no way in a half second you could have processed all that information to create the avoidance movement you used!  That comes from the brain's enormous processing capacity, much of which is predictive based.  

This prediction-based model can help to understand how children learn, develop, and adapt to the world around them. During early development, the brain has heightened neuroplasticity, allowing for external stimuli to shape their perception of the world. When their predictions align with reality, their brains reinforce those pathways. Over time, these reinforced pathways grow stronger and help to build the framework of their reality. Conversely, if mismatches occur, the brain uses the error to adapt and improve. This process is not only key to cognitive development, but it also contributes to the development of emotional regulation and social skills. Viewing the brain as a prediction machine helps explain why early life experiences, both positive and negative, can have such a lasting impact on a child’s development. 

People with Autism may have problems processing predictions and their errors.  This is one way that chiropractic adjustments may benefit people with Autism…gentle adjustments help the body’s ability to understand itself (interoception) and understand where that person is ‘in space’ (proprioception) which leads to overall better outcomes.

References

[1] A map of neural signals and circuits traces the logic of brain ... - Nature

[2] The mind expanding ideas of Andy Clark

[3] Autism and the Predictive Brain

Neuroplasticity is the brain's amazing ability to develop, change and adapt throughout life, especially during your childhood years. Dr. Norman Doidge mentions in his book, The Brain That Changes Itself, that children's brains are particularly flexible, allowing them to learn new skills and have a faster recovery from injuries than adults [1]. This flexibility is due to the rapid formation and pruning of neural connections in response to lived experiences and learning. For example, when a kid learns how to ride a bike, their brain develops stronger neural pathways involved in balance and coordination. This process helps children develop cognitive and motor skills as they grow.

There is a process, first mentioned by Dr. Donald Hebb in 1949, that states that “nerves that fire together, wire together.” This is how learning takes place…the more you fire a particular nerve pattern, the more it sticks and creates nerve ‘superhighways.’ [2]

Dr. Doidge also emphasizes that neuroplasticity is influenced by the environment and activities children engage in [1].  Positive experiences, such as playing, reading, and social interactions, can enhance brain development by creating and supporting beneficial neural connections. On the other hand, negative experiences or lack of stimulation can inhibit this process.  In other words, ‘nerves that don’t fire together won’t together.’  Understanding this helps bring neuroplasticity into an important place; since what the child sees and does will help create their future brains and nerve systems.  The concept of neuroplasticity helps us appreciate the importance of providing enriching environments for children to support their brain development and overall well-being.

References

[1] The Brain that Changes Itself - Norman Doidge, MD

[2] How neurons that fire together wire together

The Activator is becoming an increasingly popular tool for adjusting, especially with children! It delivers a gentle, controlled force to one specific area of the spine at a time, making it a great tool for adjusting all populations. At Rubin Family Chiropractic, we often use the Activator because it is less intimidating and more comfortable for children compared to different manual chiropractic adjustments. 

Studies have shown that the Activator method is effective in managing conditions like spinal pain and joint stiffness in children [1]. Additionally, the versatility and specificity of the Activator makes it perfect for adjusting kids of all ages. Many people are unaware that children can get adjusted and in most cases should get adjusted to improve their health and nerve system function. Research actually indicates that the Activator tool is commonly used for children under five years old, as well as for older children [2]. 

Here at Rubin Family Chiropractic, we know that adjustments not only improve joint function and reduce pain but also influence and reconnect the body to the nervous system, enhancing a child's overall well-being. We often use an Activator to accomplish that. Lots of parents prefer this method of chiropractic for their children because it’s gentle and has good research to prove its safety [3]. The Activator adjusting tool can even be used effectively and safely with a pregnant momma [4].  Activator is a great tool used to correct subluxation in a specific, gentle way for all populations and ages! 

References

[1] Clinical effectiveness of the activator adjusting ... - Chiropractic

[2] Forces of Commonly Used Chiropractic Techniques for Children: A Review ...

[3] Chiropractic Care for Children | Pediatrics - JAMA Network

[4] Journal of Pediatric, Family and Maternal Health

Dyslexia is a learning disorder that impacts an individual’s reading and writing abilities. It is not caused by issues regarding needed glasses or lack of education, but rather persistent issues in processing written information. According to recent studies, it is more common than was once thought, accounting for roughly 80% of all learning disorders. In primary school children alone, about 7.1% have dyslexia. While the exact cause of dyslexia is not fully known, factors contributing to the rise in dyslexia include genetic predispositions and environmental influences. Many studies reveal that dyslexia is almost twice as common in boys than it is in girls. [1]

Dyslexia can significantly impact a child's academic performance and self-esteem, making early diagnosis and intervention crucial. The disorder can cause a high level of frustration in school, which can ultimately lead to negative experiences associated with learning and taking part in classroom activities [1].

In addition to the previous mentions of genetic and environmental influcences, there is growing evidence that dyslexia is neurologically related. Studies using EEG and fMRI have shown differences in both brain activity and brain structure between children with dyslexia compared to those without. According to one study, even at rest, children with dyslexia exhibit different measurements in brain frequencies compared to those without. The differences in brain activity are mainly found in what is known as the left temporoparietal area, otherwise known as Wernicke’s area, which plays a major role in language comprehension and processing. Any interference to this area of the brain can cause difficulty with understanding language and sensory integration. [2,3]

Some studies suggest that chiropractic adjustments can help improve cognitive functioning in dyslexic children. Adjustments address misalignments in the spine, ultimately helping to reduce nervous system interference. Swiss chiropractor and president of the Swiss Chiropractic Pediatric Association Dr. Yannick Pauli states that neurodevelopmental disorders often involve dysfunction in the cerebellum, which helps to coordinate and integrate sensory information. In addition, the cerebellum also helps to regulate the speed in which the brain is able to process that information. Dr. Pauli makes the point of if stress causes misalignments in the spine, the brain cannot be properly stimulated, therefore leading to further dysfunction and dysregulation. [4]

While chiropractic care does not replace traditional help for dyslexia, it can serve as a form of complementary care to improve the brain function with these children. Many parents have reported improvements in their children's reading abilities and overall well-being after receiving chiropractic care in conjunction with educational interventions.  We have seen children actually jump reading levels and even grade levels after starting chiropractic care coupled with dietary modification and neurological exercises!

References

[1] Prevalence of Developmental Dyslexia in Primary School Children: A ...

[2] EEG correlates of developmental dyslexia: a systematic review

[3] Neural Basis of Dyslexia: A Comparison between Dyslexic and Nondyslexic ...

[4] The Effects of Chiropractic Care on Individuals Suffering from Learning ...

Poor posture is a common condition of growing concern, especially among children. Recent studies show that about 70% of children exhibit some form of postural deviation, such as scoliosis, hyperkyphosis, or hyperlordosis[1]. This rise is largely due to modern lifestyle factors, including increased screen time, prolonged sitting, and carrying heavy backpacks incorrectly[1]. Poor posture can contribute to various health issues, including back pain, reduced lung capacity, and even digestive problems. It's important to address these issues early to prevent long-term consequences.

Chiropractic care is an incredible resource that can offer help children with poor posture. Chiropractic adjustments can help correct postural misalignments and improve overall spinal health[2]. Chiropractors use gentle techniques tailored to children's needs, aiming to restore proper spinal alignment and nervous system function. Parents have reported improvements in their children's posture and a reduction in related health issues after receiving chiropractic care[2]. One teenager told us that after a few weeks of chiropractic care, he had to change the position of his rear view mirror in his car since he was now sitting up so much taller! Chiropractic care can be a valuable complementary approach to managing poor posture in children.

References

[1] Risk Factors Involved in Postural Disorders in Children and ... - MDPI

[2] Retrospective review of case records of school-aged ...

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) are conditions that can cause sudden behavioral disturbances in children. PANDAS is specifically linked to streptococcal (“strep”) infection while PANS can result from a broad number of potential triggers, such as other viruses, bacteria, fungi, mold, and even allergic reactions. Experts believe these conditions to be linked to inflammation in certain parts of the brain, particularly in the area that controls movement, decision-making, and emotion [1,2]. If infection leads to an abnormal immune response — where the immune system mistakenly attacks neural cells — it can result in causing a significant change in the child’s behavior that is known as PANDAS or PANS.

Children’s symptoms manifest seemingly overnight, and an episode causes personality or behavioral changes. These may show up in the form of obsessive-compulsive behaviors, motor or verbal tics, nervousness, separation anxiety, motor or sensory abnormalities, irritability, difficulty focusing, and appetite changes. These symptoms can be severe, affecting performance in school and dynamics at home [1,2].

Awareness of these conditions and their triggers is important for parents, caregivers, and healthcare providers to prepare for and manage symptoms in the best way possible. So many families are affected by this sudden change in behavior and have no idea what is going on with their child.  PANDAS or PANS might be the explanation, and pediatric chiropractic care combined with improved diet and neurological exercises can be the difference maker in these kids.  We have taken care of many children with PANDAS and PANS and have watched their little brains and nerve systems calm down and they become themselves again. 

References

[1] PANDAS/PANS in childhood: Controversies and evidence

[2] Current Research Updates on PANDAS and PANS - Springer

Tourette's syndrome is a neurological disorder characterized by involuntary tics and is becoming more prevalent among children and teens. Recent studies have shown an increase in the diagnosis of Tourette's syndrome and tic disorders, with estimates suggesting that around 1 in 100 school-aged children have this disorder [1]

This rise is in part due to better awareness and improved diagnostic analysis. Tourette's syndrome is rooted in the nervous system characterized by abnormalities in certain brain regions and neurotransmitter systems that control movement and behavior [2].  These neurological differences can lead to the sudden, repetitive movements or sounds known as tics, which can vary in severity and frequency.

Chiropractic care is a non-invasive approach that could help calm the symptoms of Tourette's syndrome by focusing on spinal alignment and nervous system function. Chiropractors use manual or instrument-based adjustments to correct spinal misalignments and therefore, improve nerve communication and overall body function. Some studies have shown that chiropractic care may reduce the frequency and intensity of tics in individuals with Tourette's syndrome [3].

Chiropractic care may potentially provide relief and improve the quality of life for those affected. By addressing the neurological aspects of the disorder, chiropractic care offers a conservative approach to managing Tourette's syndrome and its associated symptoms.  We have seen children with both tic disorders as well as Tourette's syndrome show significant improvement through gentle pediatric chiropractic adjustments combined with neurological exercises.  

References

[1] Tourette Syndrome and Tic Disorders | Pediatrics In Review ...

[2] Tourette Syndrome - National Institute of Neurological Disorders

[3] Reduction of Motor Tics in Two Male Patients Undergoing Chiropractic Care: A Case Series

Scoliosis is a condition where the spine curves abnormally and it is becoming more common, especially among children and teenagers. Recent studies have shown a significant increase in the incidence of scoliosis diagnoses, rising from 107 per 100,000 individuals in 2015 to 161 per 100,000 in 2022[1].  This rise could be attributed to better screening and awareness, but it also shows the need for effective management strategies. Scoliosis is not just a structural issue; it has a neurological foundation. Research indicates that individuals with scoliosis often have impaired balance and altered sensory integration, relying more on visual and proprioceptive information to stay upright[2].  These neurological factors can potentially lead to the development and progression of abnormal spinal curves.

Chiropractic care provides a non-invasive approach to managing scoliosis by focusing on spinal alignment and improving nervous system function. Chiropractors use gentle manual adjustments and other techniques to improve spinal misalignments, which can decrease pain and improve mobility. Studies have shown that chiropractic care, when combined with exercises and lifestyle modifications, can help manage scoliosis symptoms and potentially slow the progression of the curve[3].   By taking care of both the structural and neurological aspects of scoliosis, chiropractic care offers a holistic approach to managing this condition.

An eleven year old female started care last year with a mild curve that was found by their health provider.  When the mother asked what they should do about it, the response was, ‘let’s see her next year and we can assess then.’  The mom was not satisfied with a ‘wait-and-see’ approach, so sought chiropractic care, and in 4 months time, we saw significant reduction in the degree of scoliosis. 

If you dentist said, “there’s a big cavity in your molar.  Let’s wait til next year so we can assess it,” would that make sense?  Better to work on something when you find it than to wait until it gets worse!

References

[1] The burden of scoliosis: a nationwide database study on demographics

[2] Neurophysiological, balance and motion evidence

[3] Chiropractic treatment of scoliosis; a systematic review

Childhood ear infections are becoming more common, raising concerns for both parents and healthcare professionals. Studies show that by their third birthday, five out of six children will have at least one ear infection. One reason for this is that children have narrower and more horizontal Eustachian tubes than adults, which makes it easier for fluid to become trapped and which may lead to more susceptibility to infections.

As a result, many parents are seeking alternative treatments due to concerns about the overuse of antibiotics and the potential side effects of interventions like ear tubes. One natural, non-invasive option gaining attention is pediatric chiropractic care, which focuses on addressing the root causes of recurrent ear infections. Chiropractic adjustments, particularly in the upper neck area, aim to restore proper spinal alignment. How does alignment affect the ears? When the spine is misaligned, it can disrupt communication between the brain and the body, affecting important nerves like the Vagus nerve, which may play a key role in regulating ear drainage.

This misalignment can lead to issues such as poor drainage of the Eustachian tubes, increased inflammation in the ear, and a weakened immune system—all of which make it easier for infections to develop. By correcting these misalignments, which can increase the communication of the nerves in and around the ears, chiropractic care can improve the function of the Eustachian tubes, promote better fluid drainage, and reduce the frequency and severity of ear infections. Additionally, research suggests that chiropractic care can strengthen the body’s immune response, making it more effective at fighting off infections.

Starting practice in 1989, ear infections were the most common reason why we saw children in the practice, followed by GI issues in infants such as colic/reflux. That hasn’t changed much in over 35 years!  Multiple times per month we have a new child whose chief complaint is ear infections.  They range from infants to toddlers to preschoolers and even school age kids who are prone to swimmer’s ear!

By considering pediatric chiropractic care, parents can take a more holistic approach to managing their child’s ear health. Chiropractic may address the underlying issues contributing to frequent ear infections, providing help for children and peace of mind for parents.

References:

1. The Diagnosis and Management of Acute Otitis Media

2. Chiropractic Care in Children: A Review of Evidence and Safety

Attention-Deficit/Hyperactivity Disorder (ADHD) is on the rise, with more children being diagnosed each year. According to recent studies, nearly one in ten children in the United States is diagnosed with ADHD, making it the most common mental health condition among children. This recent increase may be in part due to better awareness and diagnosis, but we cannot discount the potential of environmental and dietary concerns. Common treatments for ADHD often involve medication and behavioral therapy, but worries about side effects and long-term use have made many parents explore alternative options.

One such option is pediatric chiropractic care, which offers a natural, non-invasive approach to improving nerve system function. A pilot study found that chiropractic care, when combined with usual care, showed improvements in ADHD symptoms in children. Pediatric chiropractic care provides a promising complementary approach for parents seeking holistic solutions for ADHD.  We have seen many children who were having significant difficulties in school becoming straight A students because their ability to focus increased, reading grade levels jumped significantly, and overall behavior improved. 

References:

What’s behind the increase in ADHD?
The effects of chiropractic adjustment on inattention, hyperactivity, and impulsivity in children with attention deficit hyperactivity disorder: a pilot RCT