CJA Vol.39 Issue 1Editorial: What Do You See When You Look at the Sky? - p.1 Neurovertebral Influence upon the
Autonomic Nervous System: Some of the Somato-Autonomic Evidence to Date
- p.2 The Use of Traditional Chinese Medicine
Principles in Chiropractic Technique - p.18 Case Study: Conservative Manual
Chiropractic Management of a Recurrent Medial Luxating Patella in a Dog
- p.27 Paradigm Shift: A New Model - The CAA
Wellness Initiative - p. 29 The Chiropractic Journal of Australia: A
Valuable Repository of Our Profession's History - p.
34 Book Review - p. 43 ABSTRACTS Neurovertebral Influence Upon the Autonomic Nervous System: Some of the Somato-Autonomic Evidence to Date Peter L. Rome Objective: To present a broad overview of the literature in relation to the volume and variety of published material referring to spine-related neural reflexes upon organic symptoms, signs and conditions - the somato-autonomic influence. This presentation particularly emphasises somato-autonomic reflexes and to a degree, somato-autonomic-visceral reflexes mediated through the spinal influence of the neuraxis. It seeks to catalogue the evidence of the potential for further influence upon the function of internal anatomical structures - that is, other than those which may be regarded as purely musculoskeletal. The study further highlights the significant formal original neurophysiology research activities by chiropractors and medical researchers. These activities tend to explain the phenomena of this neurovertebral influence upon autonomic and internal function. Data Sources: Citations were extracted from a number of sources including: The Index to Chiropractic Literature, PubMed, Reference lists of previously published papers and textbooks, and two osteopathic electronic indexes. Over 500 papers were assessed and in a few cases only the abstracts were obtainable. Data Syntheses: There appears to be a developing interest in the infuence of the autonomic nervous system (ANS) as depicted by the number of medical texts currently emerging. The most extensive work to date has been by Sato et al, where their studies correlate with spine-related concepts so pertinent to this presentation. The volume, variety and depth of material listed does not appear to have been presented previously. The inter-professional co-operative research projects are noted. Conclusion: It is noted that the volume of material presented tends to further define the neurological basis of the many clinical observations, and may provide additional explanation for the subjective patient reports of positive responses to manual manipulative intervention. Effectively at this stage, this both underpins and builds upon a long-established empirically based rationale. INDEX TERMS: MeSH: AUTONOMIC NERVOUS SYSTEM; CHIROPRACTIC; MANIPULATION, SPINAL. (OTHER): SOMATO-AUTONOMIC REFLEX; SOMATO-VISCERAL REFLEX; ORGANIC CONDITIONS; VISCERAL DYSFUNCTION; VERTEBRAL ADJUSTMENT. Chiropr J Aust 2009;39:2-17 The Use of Traditional Chinese Medicine Principles in Chiropractic Technique Benjamin T. Brown, Rod Bonello and Henry Pollard Objectives: The authors of this manuscript seek to define the role, and scientific backing for the inclusion of Traditional Chinese Medicine (TCM) principles in the chiropractic techniques known as Applied Kinesiology (AK) and Neuro-Emotional Technique (NET). A discussion of the suitability of TCM principles within the chiropractic profession is also presented. Data Sources: A search through the electronic databases Medline, Meditext, Pubmed, OVID, CINAHL, and the Cochrane Library was performed for the period of 1900-2007 using the key words Traditional Chinese Medicine, meridian, five-element, five-phase, acupuncture, chiropractic, Applied Kinesiology, and Neuro-Emotional Technique. The results were limited to works published in English appearing in peer-reviewed journals. A hand search was then performed within the reference list of articles retrieved. Study Selection: Based on their relevance to the subject, 196 references were obtained. Data Extraction and Synthesis: Only those historical principles and current research findings that pertain specifically to the TCM concepts used in AK and NET have been included. Conclusions: Principles and philosophies from TCM are incorporated into the diagnostic and treatment protocols of the chiropractic techniques AK and NET. The scientific backing for this inclusion is still evolving and it is clear that further research is required to support the placement of TCM principles and practices within these chiropractic techniques. The welcoming of TCM principles into chiropractic practice may broaden the scope of the chiropractic profession and allow chiropractors to more faithfully adhere to the biopsychosocial model of health care. INDEX TERMS: MeSH: ACUPUNCTURE; CHIROPRACTIC; MEDICINE, CHINESE TRADITIONAL. (Other): APPLIED KINESIOLOGY; NEURO-EMOTIONAL TECHNIQUE. Chiropr J Aust 2008;3818-26 Case Study: Conservative Manual Chiropractic Management of a Recurrent Medial Luxating Patella in a Dog Marcus McDonald Objective: The intended purpose of presenting this case is to report the favorable outcome of manual therapeutic intervention in a case of grade 2 recurrent medial luxating patella in a dog. Procedure: The dog, a Pomeranian companion animal, was presented with a right recurrent grade 1-2 luxating patella with a history and subsequent surgical correction of a similar presentation in the left. The dog was found to most notably have restriction in the sacro-illiac joint and hypertonic sartorius and psoas muscles ipsilateral to the involved patella. The dog was given chiropractic adjustments to the restricted joints and myofascial relesase was applied to the named muscles. Results: Response to treatment was favorable, lowering the incidence of luxation eventually to the point of absence and decreasing the level of the dog's disability. The duration of relief is however unknown. Conclusion: Management with manual therapeutic intervention may represent a cost effective and noninvasive solution to the management or recurrent luxating patella. Though similar findings would have to be found in other cases to warrant certainty. INDEX TERMS: MeSH: CHIROPRACTIC. (Other): ANIMAL CHIROPRACTIC. Chiropr J Aust 2009; 39:27-8. Paradigm Shift: A New Model - The CAA Wellness Initiative Dennis Richards It has been projected that the costs of health care have the potential to threaten the fiscal stability of Australian Governments in upcoming decades. These costs relate in particular to the ageing of the population, common lifestyle activities that involve health risks and the ever-increasing demand for taxpayer-funded medical, drug and surgical treatments and technologies. Various Government bodies have determined that there is a need for change in thinking about health care, with new models of care being required and with much more emphasis being placed on disease prevention and health promotion. The Chiropractors' Association of Australia has developed such a new model in its Wellness Initiative. this is composed of traditional chiropractic care and Chiropractic Plus, which facilitates chiropractors in assisting their patients to live healthier lifestyles by minimising health risk factors. This is intended to prevent certain disease conditions and to improve health, thereby contributing to lessening health-related costs. INDEX TERMS: MeSH: CHIROPRACTIC; AUSTRALIA; HEALTH PROMOTION, (Other): HEALTH RISKS, WELLNESS Chiropr J Aust 2009; 39:29-33. The Chiropractic Journal of Australia: A Valuable Repository of Our Profession's History Phillip Ebrall Purpose: To report in descriptive terms the number and nature of Historical Articles and related papers puboished in this Journal during the 25 year period of editorship by Dr Mary Ann Chance and Dr Rolf E Peters. Methods: Hand-search of the author's library to locate and order all issues of the Journal of the Australian Chiropractors' Association from and including December 1983 and all issues of the Chiropractic Journal of Australia March March 1991 to and including September 2008. Items categorised as an Historical Article or In Memoriam were entered into an electronic spreadsheet for further analysis. Related papers were also noted. Results: A total of 32 named writers produced 89 papers classified as historical. A further fivce were unattributed, giving a total of 94. The greater majority of papers (n=54) are written by a sole author, leaving just 8 with multiple authors other than the editors who contributed 27 papers as co-authors. Chance and Peters have made a significant contribution to documenting the history of the Palmer family while the other theses are largely chiropractic history in the Australian context, including education. There are 37 In Memoriam papers reporting the transition of 52 of the profession's colleagues and friends. Hearly half (n=15) are written by Mary Ann Chance, and both editors collaborated on a further 10 with Rolf Peters first authoring seven and Mary Ann Chance three. A number of special editions were published, each marking significant milestones of the profession. Discussion: The finding that Peters and Chance have collaborated on 27 historical papers is remarkable, representing a publication rate of more than one per year. However their total contribution to historical papers is greater as there are a number of unattributed papers that are likely to represent their joint work, as well as various contributions not captured by the methodology of this research. The finding that some 54 papers have been written by a sole author may point to a futre weakness through the lack of successful teams in the manner of Peters and Chance. Conclusion: Our understanding of who we may be as chiropractors and as a discipline comes from knowing where we have been. In the absence of the significant contribution to the recording of our profession's history within this Journal the profession would be the poorer for want of a collective description of our identity. Mary Ann Chance and Rolf Peters have given the profession a bountiful legacy of their own writing and the priceless legacy of a journal with suficient breadth to respect and value our history as well as our science. INDEX TERMS: MeSH; PUBLISHING;CHIROPRACTIC; HISTORY OF MEDICINE, 20th CENTURY; HISTORICAL ARTICLE. Chiropr J Aust 2009; 39:34-42 |
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