Postural Rehab

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 Postural Rehab is a publication of Matlin Mfg. Inc.

Mark R. Payne DC/ President.



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Appetite and Exercise.

Here’s a new study from the Journal of Medicine and Science in Sport and Exercise. The authors looked at the hormonal, psychological and behavioral response of both women and men to determine any differences in appetite after exercise as opposed to food restriction.

The researchers created an energy deficit for participants in two ways; a) caloric restriction (dieting) or b) a ninety minute exercise session on a treadmill. Blood work revealed that when calorie deficits were created by food restriction, the female participants showed higher blood levels of the hunger hormone ghrelin and lower levels of the hunger suppressing hormone peptide YY than male participants. There were no significant differences in hormone levels between males and females following exercise.

Participants also rated their own appetites and were given the opportunity for a buffet meal . The diet (caloric restriction) group actually ate nearly 300 calories more than the exercise group! Their conclusion is that exercise appears more effective than dieting in actually helping females reduce their daily calorie consumption.

In the past, some studies had suggested that exercise might make people, particularly women, tend to eat more. This study contradicts those earlier findings.

Reference: NAWAL ALAJMI, KEVIN DEIGHTON, JAMES A. KING, ALVARO REISCHAK-OLIVEIRA, LUCY K. WASSE, JENNY JONES, RACHEL L. BATTERHAM, DAVID J. STENSEL. Appetite and Energy Intake Responses to Acute Energy Deficits in Females versus Males. Medicine & Science in Sports & Exercise, 2016; 48 (3): 412 DOI:

Picture1If you’re a posture based chiropractor, you want to jump in and correct these horrible, crooked, antalgic postures when they present in your office. It’s what you do. But if you’re a SMART posture based chiropractor, you may want to wait just a bit.

Instead, just do what you would normally do. For my patients, that’s typically daily, gentle adjustments to mobilize the area, sometimes twice daily if the patient is truly in a lot of pain and lots of ice. Remember, as bad as it looks, what you’re seeing is rarely representative of any long term postural imbalances the patient may have. Yes, there are exceptions, but you’ll figure all that out soon enough. More often, the antalgic posture is simply the way the patient needs to hold their spine right now in order to reduce pain.

Once you get their pain relieved, you’ll typically see the spine begin to relax back into the more chronic postural pattern. It’s these more chronic imbalances, often the underlying cause for the acute pain, which really need your rehab efforts. Trying to rush in and correct the antalgic position may well force your patient’s spine back toward a straighter posture, but one which creates much more pain. Not good! Don’t ask me how I know.

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Postural Rehab is a publication of Matlin Mfg. Inc.
Mark R. Payne DC/ President.

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