CJA Vol.19 Issue 1Toward 2000: Burying the Bones of Contention When to Re-X-Ray? A Case Report A Clinico-Radiologic Correlation in Cervical
Trauma—Jefferson's Fracture Chronic Low Back Pain: Orthopaedic and Chiropractic
Test Results Food Groups—A Guide to Balanced Dietary
Advice The Future of Chiropractic Education in New South
Wales: A Discussion Chiropractic in the 21st Century: The Past, the
Present and the Future Part 1: The Past to the Present Comment: Criticism and Change Lee E. Arnold ABSTRACTS When to Re-X-ray? A Case Report STANLEY P. BOLTON Timing of spinographic re-examination in chiropractic practice is a controversial issue. The irradiation of patients to produce a spinograph is not without biological effect which must be considered against the value of information gained from the spinograph. A case report is presented in which spinographic re-examination of a patient provided clinical information focusing on the importance of re-examination even a few days after the last spinographic examination was performed. This case report highlights the fact that spinographs can provide clinical information about subluxation and co-existent pathology which enables suitable and appropriate treatment a case management to be instigated. INDEX TERMS: EXAMINATION PROCEDURES; RADIOLOGY; CHIROPRACTIC. J Aust Chiropr Assoc 1989 Mar;19(1):2-4 A Clinico-Radiologic Correlation in Cervical Trauma-Jefferson's Fracture LINDSAY J. ROWE Jefferson's fracture is the simultaneous occurrence of bilateral anterior and posterior arch fractures of the atlas vertebra. Careful screening for Jefferson's fracture is essential in patients presenting with a history of recent compressive injury to the skull, neck rigidity and limited head movement. This paper reviews the pathophysiology and differential diagnosis, treatment and prognosis of Jefferson's fracture. INDEX TERMS: RADIOLOGY; JEFFERSON'S FRACTURE; TRAUMATOLOGY. J Aust Chiropr Assoc 1989 Mar;19(1):5-8 Chronic Low Back Pain: Orthopaedic and Chiropractic Test Results CHARLOTTE LEBOEUF and VICKI GARDNER Ten orthopaedic tests, the six planes of lumbar spine movement and six chiropractic tests were assessed by two groups of examiners prior to and following chiropractic therapy in subjects suffering chronic low back pain. The location of pain for all tests was recorded mainly at the level of the two lowest lumbar segments and around the sacral segment and posterior iliac crest. Only four orthopaedic tests were reported positive in more than 30% of cases by the two groups of assessors at the first visit: the double leg raise, lumbar springing test, sacro-iliac aggravation and Yeoman's. Three of these, the lumbar springing test, the sacro-iliac aggravation and Yeoman's remained positive in more than 30% of cases following therapy at the fifth visit. Only three orthopaedic tests (Yeoman's, pain on flexion and pain on extension) had diminished significantly by the fifth visit. The percentage frequency of positive chiropractic tests was high—particularly for those tests which depended upon the examiner exclusively for the test outcome (86-100%), and all chiropractic tests remained unchanged throughout the study. INDEX TERMS: EXAMINATION PROCEDURES; ORTHOPAEDIC; CHIROPRACTIC. J Aust Chiropr Assoc 1989 Mar;19(1):9-16 Food Groups-A Guide to Balanced Dietary Advice JENNIFER R. JAMISON Chiropractors are committed to natural measures of clinical care. One such measure is dietary intervention. This paper proposes a six-food-group guide which may be used as a general dietary guideline in clinical practice. Nutrition as a postulated variable determining contemporary mortality and morbidity statistics is the subject of numerous dietary guidelines prepared by various governments, public and private associations. In attempting to address some of these contemporary issues, modification of the Australian government's approved `basic five-food guide' to a six-food guide is recommended. INDEX TERMS: DIETARY GOALS; RDA; FOOD GUIDES; DIETARY GUIDELINES; CHIROPRACTOR. J Aust Chiropr Assoc 1989 Mar;19(1):17-24 The Future of Chiropractic Education in New South Wales: A Discussion STANLEY P. BOLTON The most significant change in the Commonwealth government's 1988 policy on higher education is replacement of the binary system of universities and colleges of advanced education with a unified national system where member institutions will compete for funding in teaching and research on merit and capacity. Institutions with less than 2,000 equivalent full-time student units will have to merge, form a working relationship with a larger institution, or stay outside the system, financed from their own resources. In New South Wales, the impact of this policy on chiropractic education has led to discussions on the future development of chiropractic education in that state. This paper presents a summary of the present position in New South Wales, a chronology of the development of recognised chiropractic and osteopathic courses since regulation of the profession by comprehensive state legislation in 1978, and a review of the course assessment and approval process. Options under discussion by appropriate authorities and interested parties are identified, and some conclusions are drawn. INDEX TERMS: CHIROPRACTIC; EDUCATION. J Aust Chiropr Assoc 1989 Mar;19(1):25-8DEAN H. LINES The chiropractic profession has achieved considerable acceptance by the public, the legislature and the scientific community since its inception in 1895. Now, as never before, it stands at the crossroads of its professional direction. The health care delivery system of the western nations is under pressure and is poised to undergo considerable change in future. The manner in which chiropractic will enter the twenty-first century will depend largely upon the outcome of the critical decisions which will need to be made by decision makers at all levels in the overall chiropractic community as they respond and react to these changes. This, the first of two papers, will present the background from which the major issues which should be confronted and considered by profession have arisen. The second paper will discuss them and suggest some strategies which may assist the profession in dealing with the problems it must resolve if chiropractic is to survive this century as a separate, distinct and well-utilised health profession. INDEX TERMS: HEALTH CARE COST; COST CONTAINMENT; IATROGENESIS; HEALTH CONSCIOUSNESS; CHIROPRACTIC. J Aust Chiropr Assoc 1988 Dec;18(4):29-38 |
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