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Editorial: From Exporting to Empowerment - p1 Fruit and Vegetable Consumption by Chiropractic
Patients: An Australian Study - p2 Chiropractic, Health Promotion and the Potential for
Synergy—A Review - p7 Vertebrogenic Hearing Deficit, the Spine and Spinal
Manipulation Therapy: A Search to Validate the D.D. Palmer/Harvey
Lillard Experience - p14 In Memoriam - Marcia Rita Hart Le Breton Cerutty - p27 Letters - p30 Book Review - p32 ABSTRACTS Fruit and Vegetable Consumption by Chiropractic Patients: An Australian Case Study JENNIFER R. JAMISON ABSTRACT: A distinct health advantage has been linked with eating a diet rich in fruit and vegetables. This study explores the fruit and vegetable consumption of chiropractic patients. Research Method: A total of 782 patients drawn from 24 chiropractic practices in five Australian states and the Australian Capital Territory participated in this case study. Patients were asked to complete a questionnaire providing general information about their lifestyle and particular information about the number of serves of fruit and vegetables that they usually consumed. Results: Although overall chiropractic patients reported adhering to a number of healthy lifestyle behaviours, only one in two met the minimal dietary recommendations for fruit and vegetable consumption and less than one in five met the recent Australian recommendations of seven serves daily. Conclusion: In view of the substantial health benefits associated with high fruit and vegetable consumption, it is suggested that chiropractic patients be encouraged to increase their daily fruit and vegetable intake. INDEX TERMS: (MeSH): CHIROPRACTIC; AUSTRALIA; NUTRITION; FRUIT; VEGETABLES; PATIENT EDUCATION. Chiropr J Aust 2002; 32:2-6 Chiropractic, Health Promotion and the Potential for Synergy KATHLEEN STACEY, DEIN VINDIGNI and PAULA STACEY ABSTRACT: The philosophy of chiropractic draws on a paradigm of thought involving beliefs about both the body’s and people’s self-healing propensities. This paradigm suggests health care workers would be interested in the expertise people bring to their situation, and fostering healthy and empowering dialogue. In contrast, when chiropractors share knowledge with their patients about improving and maintaining their health, they often use a traditional health education approach based on a “one-way expert” model. This paper addresses some of the issues involved in moving beyond this model. Health promotion, an increasingly advocated approach since the 1980s, involves strategies that encompass and extend existing educative and health-promoting efforts within the philosophy of chiropractic. The different forms health promotion takes will be discussed, some brief examples of this work in relation to spinal health provided, and the steps that could occur on a national level to build the potential for greater synergy will be identified. INDEX TERMS: (MeSH): CHIROPRACTIC; AUSTRALIA; HEALTH PROMOTION; PATIENT EDUCATION; PATIENT CARE TEAM; PATIENT-CENTERED CARE; PHYSICIAN-PATIENT RELATIONS; ABORIGINES. (OTHER): ABORIGINAL HEALTH; SPINOSAURUS; HEALTH SPINES PROJECT. Chiropr J Aust 2002; 32:7-13 Vertebrogenic Hearing Deficit, the Spine, and Spinal Manipulation Therapy: A Search to Validate the D.D. Palmer/Harvey Lillard Experience ALLAN G.J. TERRETT ABSTRACT: The chiropractic profession was founded in 1895 following the observation by Dr Daniel David Palmer of improved hearing in Harvey Lillard after spinal manipulation therapy (SMT). The claim that hearing can be improved following SMT has been scoffed at as physiologically impossible, but a review of the medical and chiropractic literature suggests that hearing deficits may be associated with spinal joint motion restriction, spondyloarthrosis, irritation of the sympathetic nervous system, decreased cervico-cerebral circulation and/or decrease in tinnitus. Search of the literature indicates that vertebrogenic hearing disorders are beginning to be investigated by medical researchers. Deafness can be a very distressing complaint leading to depression and patient difficulties in social, employment and educational situations. In many cases of deafness, no definite cause can be found following extensive medical investigations. It is proposed that some cases may benefit from SMT. Further research is needed to determine the role of SMT in the treatment of vertebrogenic hearing deficits. INDEX TERMS (MeSH): CHIROPRACTIC; HISTORICAL ARTICLE; DEAFNESS; HEARING DISORDERS; MANIPULATION, ORTHOPEDIC; MINERE’S DISEASE; TINNITUS; EAR; SPINE. (OTHER): PALMER, D.D.; CHIROPRACTIC ADJUSTMENT. Chiropr J Aust 2002; 32:14-26 |
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