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Article ID	#25676
Title	Reduced anxiety symptoms in a patient screened with the PHQ4 receiving chiropractic care: A case report and review of the literature
URL	https://journal.parker.edu/article/78059-reduced-anxiety-symptoms-in-a-patient-screened-with-the-phq4-receiving-chiropractic-care-a-case-report-and-review-of-the-literature
Journal	J Contemp Chiropr. 2019 ;2():41-48
Author(s)	Russell D Glucina T
Subject(s)	Adult Affiliation / New Zealand College of Chiropractic. Centre for Chiropractic Research Affiliation / Private Practice Affiliation / Scotland College of Chiropractic Trust Affiliation(G) / New Zealand / North Island / Aukland Anxiety Chronic Pain Female Low Back Pain Neck Pain Open Access Document Torque Release Technique
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	Objective: To chronicle the improvement in mental health, physical functioning and life enjoyment in a 38-year-old female receiving Torque Release Technique (TRT) for the assessment and correction of vertebral subluxation. Clinical features: A 38-year-old female presented for chiropractic care with a 3-month history of anxiety and panic attacks, and chronic low back and neck discomfort. Depression and anxiety were screened for using the PHQ-4 instrument. Postural alterations and reduction in cervical and lumbar ranges of motion (ROM) were found in conjunction with indicators of vertebral subluxation throughout the spine. Intervention & Outcomes: Chiropractic care using TRT was provided for the assessment and correction of vertebral subluxations over 12-visits. The patient reported subjective improvement in musculoskeletal discomfort, mental health, and physical functioning as screened for with the PHQ-4 and Health Wellness and Quality of Life questionnaires. Objective improvement in posture, spinal ROM, surface electromyography and paraspinal thermography studies, and reduction of indicators of vertebral subluxation were recorded. Conclusion: A course of chiropractic care, using TRT for the assessment and correction of vertebral subluxation, was associated with resolution of subjectively reported musculoskeletal discomfort, improvement in measured mental health and physical function in a 38-year-old female. Author keywords: Physical Functioning; Range of Motion; Vertebral Subluxation; Low Back Pain; Neck Pain; Posture; PHQ-4, Anxiety Author affiliations: DR, TG : Private Practice, Auckland, New Zealand; DR: Board Member, Scotland College of Chiropractic Trust; TG: Operations Manager, Centre of Chiropractic Research, NZCC, New Zealand This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

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