Literature DB >> 30013456

Radiophobia: 7 Reasons Why Radiography Used in Spine and Posture Rehabilitation Should Not Be Feared or Avoided.

Paul A Oakley1, Deed E Harrison2.   

Abstract

Evidence-based contemporary spinal rehabilitation often requires radiography. Use of radiography (X-rays or computed tomography scans) should not be feared, avoided, or have their exposures lessened to decrease patient dose possibly jeopardizing image quality. This is because all fears of radiation exposures from medical diagnostic imaging are based on complete fabrication of health risks based on an outdated, invalid linear model that has simply been propagated for decades. We present 7 main arguments for continued use of radiography for routine use in spinal rehabilitation: (1) the linear no-threshold model for radiation risk estimates is invalid for low-dose exposures; (2) low-dose radiation enhances health via the body's adaptive response mechanisms (ie, radiation hormesis); (3) an X-ray with low-dose radiation only induces 1 one-millionth the amount of cellular damage as compared to breathing air for a day; (4) radiography is below inescapable natural annual background radiation levels; (5) radiophobia stems from unwarranted fears and false beliefs; (6) radiography use leads to better patient outcomes; (7) the risk to benefit ratio is always beneficial for routine radiography. Radiography is a safe imaging method for routine use in patient assessment, screening, diagnosis, and biomechanical analysis and for monitoring treatment progress in daily clinical practice.

Entities:  

Keywords:  ALARA; X-ray; linear no-threshold (LNT); low-dose radiation; radiography; radiophobia

Year:  2018        PMID: 30013456      PMCID: PMC6043928          DOI: 10.1177/1559325818781445

Source DB:  PubMed          Journal:  Dose Response        ISSN: 1559-3258            Impact factor:   2.658


  93 in total

1.  Factors determining cervical spine sagittal balance in asymptomatic adults: correlation with spinopelvic balance and thoracic inlet alignment.

Authors:  Sang-Hun Lee; Eun-Seok Son; Eun-Min Seo; Kyung-Soo Suk; Ki-Tack Kim
Journal:  Spine J       Date:  2013-09-08       Impact factor: 4.166

2.  Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women.

Authors:  Wendy B Katzman; Deborah E Sellmeyer; Anita L Stewart; Linda Wanek; Kate A Hamel
Journal:  Arch Phys Med Rehabil       Date:  2007-02       Impact factor: 3.966

3.  Don't let radiation scare trump patient care: 10 ways you can harm your patients by fear of radiation-induced cancer from diagnostic imaging.

Authors:  Alan S Brody; R Paul Guillerman
Journal:  Thorax       Date:  2014-04-24       Impact factor: 9.139

Review 4.  Dose Optimization to Minimize Radiation Risk for Children Undergoing CT and Nuclear Medicine Imaging Is Misguided and Detrimental.

Authors:  Jeffry A Siegel; Bill Sacks; Charles W Pennington; James S Welsh
Journal:  J Nucl Med       Date:  2017-05-10       Impact factor: 10.057

Review 5.  Medical exposure to radiation and thyroid cancer.

Authors:  S J Schonfeld; C Lee; A Berrington de González
Journal:  Clin Oncol (R Coll Radiol)       Date:  2011-02-05       Impact factor: 4.126

6.  Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial.

Authors:  W B Katzman; E Vittinghoff; F Lin; A Schafer; R K Long; S Wong; A Gladin; B Fan; B Allaire; D M Kado; N E Lane
Journal:  Osteoporos Int       Date:  2017-07-08       Impact factor: 4.507

7.  A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a nonrandomized clinical controlled trial.

Authors:  Deed E Harrison; Rene Cailliet; Donald D Harrison; Tadeusz J Janik; Burt Holland
Journal:  Arch Phys Med Rehabil       Date:  2002-04       Impact factor: 3.966

8.  The role of radiography in primary care patients with low back pain of at least 6 weeks duration: a randomised (unblinded) controlled trial.

Authors:  D Kendrick; K Fielding; E Bentley; P Miller; R Kerslake; M Pringle
Journal:  Health Technol Assess       Date:  2001       Impact factor: 4.014

9.  Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study.

Authors:  Christina Fitzmaurice; Christine Allen; Ryan M Barber; Lars Barregard; Zulfiqar A Bhutta; Hermann Brenner; Daniel J Dicker; Odgerel Chimed-Orchir; Rakhi Dandona; Lalit Dandona; Tom Fleming; Mohammad H Forouzanfar; Jamie Hancock; Roderick J Hay; Rachel Hunter-Merrill; Chantal Huynh; H Dean Hosgood; Catherine O Johnson; Jost B Jonas; Jagdish Khubchandani; G Anil Kumar; Michael Kutz; Qing Lan; Heidi J Larson; Xiaofeng Liang; Stephen S Lim; Alan D Lopez; Michael F MacIntyre; Laurie Marczak; Neal Marquez; Ali H Mokdad; Christine Pinho; Farshad Pourmalek; Joshua A Salomon; Juan Ramon Sanabria; Logan Sandar; Benn Sartorius; Stephen M Schwartz; Katya A Shackelford; Kenji Shibuya; Jeff Stanaway; Caitlyn Steiner; Jiandong Sun; Ken Takahashi; Stein Emil Vollset; Theo Vos; Joseph A Wagner; Haidong Wang; Ronny Westerman; Hajo Zeeb; Leo Zoeckler; Foad Abd-Allah; Muktar Beshir Ahmed; Samer Alabed; Noore K Alam; Saleh Fahed Aldhahri; Girma Alem; Mulubirhan Assefa Alemayohu; Raghib Ali; Rajaa Al-Raddadi; Azmeraw Amare; Yaw Amoako; Al Artaman; Hamid Asayesh; Niguse Atnafu; Ashish Awasthi; Huda Ba Saleem; Aleksandra Barac; Neeraj Bedi; Isabela Bensenor; Adugnaw Berhane; Eduardo Bernabé; Balem Betsu; Agnes Binagwaho; Dube Boneya; Ismael Campos-Nonato; Carlos Castañeda-Orjuela; Ferrán Catalá-López; Peggy Chiang; Chioma Chibueze; Abdulaal Chitheer; Jee-Young Choi; Benjamin Cowie; Solomon Damtew; José das Neves; Suhojit Dey; Samath Dharmaratne; Preet Dhillon; Eric Ding; Tim Driscoll; Donatus Ekwueme; Aman Yesuf Endries; Maryam Farvid; Farshad Farzadfar; Joao Fernandes; Florian Fischer; Tsegaye Tewelde G/Hiwot; Alemseged Gebru; Sameer Gopalani; Alemayehu Hailu; Masako Horino; Nobuyuki Horita; Abdullatif Husseini; Inge Huybrechts; Manami Inoue; Farhad Islami; Mihajlo Jakovljevic; Spencer James; Mehdi Javanbakht; Sun Ha Jee; Amir Kasaeian; Muktar Sano Kedir; Yousef S Khader; Young-Ho Khang; Daniel Kim; James Leigh; Shai Linn; Raimundas Lunevicius; Hassan Magdy Abd El Razek; Reza Malekzadeh; Deborah Carvalho Malta; Wagner Marcenes; Desalegn Markos; Yohannes A Melaku; Kidanu G Meles; Walter Mendoza; Desalegn Tadese Mengiste; Tuomo J Meretoja; Ted R Miller; Karzan Abdulmuhsin Mohammad; Alireza Mohammadi; Shafiu Mohammed; Maziar Moradi-Lakeh; Gabriele Nagel; Devina Nand; Quyen Le Nguyen; Sandra Nolte; Felix A Ogbo; Kelechi E Oladimeji; Eyal Oren; Mahesh Pa; Eun-Kee Park; David M Pereira; Dietrich Plass; Mostafa Qorbani; Amir Radfar; Anwar Rafay; Mahfuzar Rahman; Saleem M Rana; Kjetil Søreide; Maheswar Satpathy; Monika Sawhney; Sadaf G Sepanlou; Masood Ali Shaikh; Jun She; Ivy Shiue; Hirbo Roba Shore; Mark G Shrime; Samuel So; Samir Soneji; Vasiliki Stathopoulou; Konstantinos Stroumpoulis; Muawiyyah Babale Sufiyan; Bryan L Sykes; Rafael Tabarés-Seisdedos; Fentaw Tadese; Bemnet Amare Tedla; Gizachew Assefa Tessema; J S Thakur; Bach Xuan Tran; Kingsley Nnanna Ukwaja; Benjamin S Chudi Uzochukwu; Vasiliy Victorovich Vlassov; Elisabete Weiderpass; Mamo Wubshet Terefe; Henock Gebremedhin Yebyo; Hassen Hamid Yimam; Naohiro Yonemoto; Mustafa Z Younis; Chuanhua Yu; Zoubida Zaidi; Maysaa El Sayed Zaki; Zerihun Menlkalew Zenebe; Christopher J L Murray; Mohsen Naghavi
Journal:  JAMA Oncol       Date:  2017-04-01       Impact factor: 31.777

10.  Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians.

Authors:  John D Mathews; Anna V Forsythe; Zoe Brady; Martin W Butler; Stacy K Goergen; Graham B Byrnes; Graham G Giles; Anthony B Wallace; Philip R Anderson; Tenniel A Guiver; Paul McGale; Timothy M Cain; James G Dowty; Adrian C Bickerstaffe; Sarah C Darby
Journal:  BMJ       Date:  2013-05-21
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  10 in total

1.  Craniocervical Junction Visualization and Radiation Dose Consideration Utilizing Cone Beam Computed Tomography for Upper Cervical Chiropractic Clinical Application a Literature Review.

Authors:  Greg DeNunzio; Tyler Evans; Mychal E Beebe; Jaime Browning; Juha Koivisto
Journal:  Dose Response       Date:  2022-06-13       Impact factor: 2.623

Review 2.  Current evidence for spinal X-ray use in the chiropractic profession: a narrative review.

Authors:  Hazel J Jenkins; Aron S Downie; Craig S Moore; Simon D French
Journal:  Chiropr Man Therap       Date:  2018-11-21

3.  Increasing the cervical and lumbar lordosis is possible despite overt osteoarthritis and spinal stenosis using extension traction to relieve low back and leg pain in a 66-year-old surgical candidate: a CBP® case report.

Authors:  Michael T Weiner; Paul A Oakley; Alyssa K Dennis; David A Shapiro; Deed E Harrison
Journal:  J Phys Ther Sci       Date:  2018-11-06

4.  Improving posture to reduce the symptoms of Parkinson's: a CBP® case report with a 21 month follow-up.

Authors:  Justin M Anderson; Paul A Oakley; Deed E Harrison
Journal:  J Phys Ther Sci       Date:  2019-02-07

5.  Non-surgical reduction of lumbar hyperlordosis, forward sagittal balance and sacral tilt to relieve low back pain by Chiropractic BioPhysics® methods: a case report.

Authors:  Paul A Oakley; Niousha Navid Ehsani; Deed E Harrison
Journal:  J Phys Ther Sci       Date:  2019-10-19

6.  Death of the ALARA Radiation Protection Principle as Used in the Medical Sector.

Authors:  Paul A Oakley; Deed E Harrison
Journal:  Dose Response       Date:  2020-04-29       Impact factor: 2.658

7.  Are Restrictive Medical Radiation Imaging Campaigns Misguided? It Seems So: A Case Example of the American Chiropractic Association's Adoption of "Choosing Wisely".

Authors:  Paul A Oakley; Deed E Harrison
Journal:  Dose Response       Date:  2020-05-01       Impact factor: 2.658

8.  Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics® methods in an adolescent with back pain: a case report.

Authors:  Christopher M Gubbels; Joshua T Werner; Paul A Oakley; Deed E Harrison
Journal:  J Phys Ther Sci       Date:  2019-10-19

9.  X-ray Hesitancy-Response to Jargin and Sohrabi.

Authors:  Paul A Oakley; Deed E Harrison
Journal:  Dose Response       Date:  2020-12-17       Impact factor: 2.658

10.  Reduction of lumbar hyperlordosis in a pediatric: a Chiropractic Biophysics® case report.

Authors:  Sean Z Kallan; Paul A Oakley; Deed E Harrison
Journal:  J Phys Ther Sci       Date:  2022-09-01
  10 in total

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