Sleep Wellness DC = The New Chiropractic Frontier

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Sleep Wellness DC The New Chiropractic
Frontier
Don Petersen Publisher, Dynamic
Chiropractic Moderator
Dr. Kenna Ducey-Clark, DC Wellness Practitioner
and Sleep Wellness Specialist Presenter
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Dr. Kenna S.Ducey-Clark,DC

• Palmer College of Chiropractic West graduate
• Mills College graduate BA Communications/Sociology
  
• Post graduate training in diverse areas ranging
  from sports medicine, nutrition, pediatrics,
  Bio-Mechanics, to Functional Medicine
• Esteemed Board member of the Medical Advisory
  Board for DANIS Foundation
• Advisory Director-Sleep Wellness for intelliBED

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Dr. Kenna S.Ducey-Clark,DC

• Integrative Clinic based out of Denver, CO
• Sports Medicine focused with a Functional
  Medicine emphasis
• Foundation of care to support patients health
  and wellness is based on the focus of five core
  principles of basic human needs Breathing,
  Hydration, Sleeping, Nutrients and Exercise
• Highly successful boutique like practice,
  referral based, catering to patients truly
  invested in bettering the quality of their health

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Healthy SleepWhat We Dont Know?

• Damaging to our health wellness
• Signs are everywhere, but the data has been
  purposely withheld
• Modern mattress Poor support
• synthetic, off-gassing foams have taken over our
  beds...assaulting our senses
• Government is hurting, not helping
• mandatory fire blocking

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What Can We Do?

• Do the research get the facts
• Advise patients about sleep wellness issues
• back support
• value of deep, healing sleep
• off-gassing, toxic fumes risk
• which sleep products to buy
• There is no go-to professional for sleep
  wellness
• the DC can be that professional

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Poll Question 1

• How many of your patients do you suspect are
  suffering from an undiagnosed sleep problem?
• a. less than 10
• b. 10-25
• c. 25-50
• d. more than 50

Please answer poll question on your right ?
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Sleep WellnessDC

• Huge opportunity
• everyone sleeps needs a bed
• almost everyone has sleep issues
• almost everyone is on the wrong sleep surface
• Easy to implement
• patients are confused and already asking us for
  advice
• patients dont need to change behavior, just buy
  the right product
• The new frontier for Chiropractic

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Sleep Wellness DefinedSleep IS Essential to
Wellness. Without It, We Die

• Sleep The THIRD side of the
• Wellness Triangle
• Sleep Problems at Epidemic Levels

Diet
Exercise
Wellness
Sleep

• Problems are worsening, not getting better
• Among many wellness professionals, its 1
  health concern

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Poor Sleep An Epidemic in America

• Studies show that a lack of stage 3-4 sleep
  contributes to (and may be the leading cause of)
  such disease states as
• fibromyalgia, diabetes, heart disease, stroke,
  obesity and many auto-immune diseases
• Hinders healing and impedes our immune system
• 70 million suffer from sleep-related pain
• 60 million sleeping aid prescriptions written in
  2008 (modern medicines method to deal with the
  problem)
• (National Geographic article on sleep)

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Sleep Crosses Medical Disciplines Boundaries

• Medical schools dont teach sleep
• Understanding sleep is a complex issue
• alignment/support DC and Orthopedic MD
• sleep levels sleep disorder MD
• sleep safety allergist, oncologist,
  toxicologist, respiratory specialist, immunologist

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Dr. Robert Troell, MD

• Quadruple board certified physician Stanford
  trained in both Otolaryngology/Head and Neck
  Surgery and Sleep Medicine.
• Clinical professor for seven years at the first
  sleep clinic in the U. S. the Stanford Sleep
  Disorders Center.
• Where he worked with the fathers of modern sleep
  research, Christian Bernard William Dement
• The first surgeon board certified in Sleep
  Medicine in the US.
• Practices in Las Vegas, NV and Laguna Beach, CA.

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Stages of Sleep (W. Dement, R. Troell, MDs)

• REM (Rapid Eye Movement)
• Non-REM (4 stages)
• Stage 1, Cycle between wakefulness and light
  sleep
• Stage 2, Light sleep
• Stages 3, 4 Deep Healing
• During the deep stages of NREM sleep, the body
  repairs and regenerates tissues, builds bone and
  muscle, and appears to strengthen the immune
  system.
• WebMD.com

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Most Common Sleep Disorders (Dr. Robert Troell)

• Insomnia Taking longer than 20-minutes to fall
  asleep, or awakening after the onset of sleep and
  not being able to fall asleep again.
• Obstructive Sleep Apnea The pathology in the
  upper airway collapses during sleep (24 of adult
  men and 9 of adult women)
• Insufficient Sleep Disorder One receives less
  sleep then genetically required. Sleep
  deprivation.

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Most Disorders Undiagnosed

• 95 of those with sleep disorders go undiagnosed
• If you have a minor sleep disorder, there is a 19
  out of 20 chance you will never get yourself
  checked out.
• Most people wont realize, or admit, that they
  have a real problem with sleeping.
• We think it is just a fact of life that comes
  with modern day living or with aging.

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Role of the Mattress

• Human beings sleep lying down. The bed where the
  body resides can have a profound impact on the
  quality of sleep and the musculoskeletal system.
  When musculoskeletal pain exists or when the bed
  is uncomfortable, there are many changes that
  occur
• delayed sleep onset (insomnia), more superficial
  non-REM sleep, reduced delta sleep and less REM
  sleep, increased arousals with sleep
  fragmentation and overall lowered sleep
  efficiency. These sleep changes from normal
  result in excessive daytime sleepiness, decreased
  cognitive function and a reduced state of well
  being, which lowers work efficiency and increases
  the risks of automobile and work related
  accidents. (Dr. Robert Troell)

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Modern Sleep Surfaces

• Mattresses have moved away from cotton steel
  springs to synthetic foams
• less support, new off-gassing, less durability
• Pillows are full of synthetic foams
• more off-gassing
• Mattresses become allergy pits
• sloughing skin....dust mites, bed bugs
• allergens
• moisture
• THESE PRODUCTS UNDERMINE WELLNESS

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Pillars of Healthy SleepI. Alignment (back)
Support

• Hips should not hammock into the mattress which
  is the leading cause of back pain and lower back
  joint instability.
• Recessed curves (side, back and neck) should be
  supported properly.

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Pillars of Healthy SleepII. Pressure Relief
(comfort)

• Excessive pressure causes tossing and turning,
  and hip or shoulder pain. Robs us of deep sleep
  where healing and regeneration of our immune
  system occur.
• Peak pressures occur on the hips and shoulders
• Common to see peak pressures above 250 mmHg
• Capillary closure occurs at 32 mmHg. Built-in
  defense mechanism that wakes you up to turn over

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Pillars of Healthy SleepIII. Safe, Non-toxic
Materials

• Materials used should not off-gas harmful
  materials. We spend 1/3 of our life breathing in
  these materials. Ongoing effects are difficult
  to quantify, but they do pose a risk worth
  considering
• For more information on synthetic foams and sleep
  products go to www.chem-tox.com

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Pillars of Healthy SleepIV. Durability of
Materials

• Premature breakdown of synthetic foams cause the
  mattress to lose its support and comfort
  characteristics.
• A 20-year warranty makes us think the mattress
  should last that long.
• The mattress industry recommends we replace our
  mattress every eight years.

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Anatomy of the Modern Mattress

• The modern mattress has a support layer for back
  support and cushioning layers for comfort.

Common materials include polyurethane foam,
memory foam, gelled memory foam, latex
foam. Common materials include innersprings,
polyurethane foam, latex foam, air and water.
Support Layer or Core
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Three Classes of Retail Mattresses

• Innerspring/Pillow-Top use a steel spring system
  for support layer (75 of all mattress sold are
  innerspring based)
• Foam-core use foam in place of steel springs for
  support
• memory foam most popular, also new gelled memory
  foam and latex mattresses
• Air/water-core uses water or air chamber in
  place of steel springs for adjustable support
  (adjustable firmness air bed)
• Leggatt Platt

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What Else is Wrong with FOAM?Off-Gassing

• A much bigger problem than most think
• Symptoms include headaches, nausea, allergic
  reactions
• Google Polyurethane foam off gassing
• Go to www.chemtox.com
• Many fire retardants are known carcinogens
  (boric acid, phosphorus, arsenic, antimony)
• Thought to be a leading cause of SIDS
  (http//www.midwiferytoday.com/articles/bedding.as
  p?a1r1e1qsidscribmattress )

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Sleep Wellness Mattress Co-Polymer Gel
Basic Construction
Co-Polymer Gel Advanced Cushioning Material
Co-polymer gel replaces almost all the foam.
Co-polymer gel is the best invention for
cushioning ever developed! Curing bed sores in
hospital beds.
Secondary cushioning and glue layer
Innerspring the best invention for back support.
Most resilient support layer.
Support-Coil Innerspring
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100 Co-Polymer GelA True Breakthrough in
Cushioning

• Column buckling vastly superior pressure relief
• hospital tested to cure bed sores
• Up to 80 better pressure relief
• Loses less than 5 of its resiliency
• 100 Hypo-allergenic and non-toxic
• Recyclable

medical pressure mapping Leggatt Platt
Rollator testing Gaymar Industries clinical
testing
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Poll Question 2

• Do you think sleep wellness is an important area
  for DCs to include in their practice?
• a. Yes
• b. Not sure yet
• c. No

Please answer poll question on your right ?
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Step1 Do Your Homework

• Learn the language of sleep
• Study the research
• Determine which kind of Sleep Practitioner you
  want to be
• practitioner/expert
• referrer

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Integrating Sleep Wellness

• Im visible and passionate about sleep
• discuss it with patients
• include it on my in-take form
• I have posters about sleep on my walls
• I have sleep wellness on my card
• I have sleep banners on my web site
• I have sample sleep products in my clinic
• I have sleep research on display
• I sleep on the products I prescribe

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Things to Consider

• Find vendors and products that can support your
  efforts with patients and that you can trust
• you will be judged by the products you prescribe
• you need a vendor that operates as an adjunct to
  your clinic
• Providing Better Sleep is a true Win-Win!
• your patients see better results
• your patient satisfaction levels grow
• your practice revenue grows

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• Wellness Quality Mattresses,
  Pillows and Just Gel Baby! Crib Mattresses for
  the home exclusively featuring hospital tested
  intelli-gel 

For additional information contact Shawn
Clark [phone] sclark5604_at_aol.com www.intell
ibed.com/dcprogram