CJA Vol.19 Issue 2Chiropractic Philosophy—Stumbling-Block or Stepping-Stone? Tribes and Paradoxes: The Construction of a
Chiropractic Scientific Knowledge Base The Premier Branch of the Premier State: A History of
the New South Wales Branch —The Beginning Degenerative Disc Space Narrowing—Differential
Considerations A Review of Data Reports Published in the Chiropractic
Journal of Australia from 1985 to 1988 Nutritional Intervention in Chiropractic Clinical
Practice: The Chiropractic Patient's Perspective Orthopaedic Examination Procedures: A Reliability and
Consistency Study Comment: Some Threats to the Chiropractic Profession ABSTRACTS Tribes and Paradoxes: The Construction of a Chiropractic Scientific Knowledge Base BRUCE A. ROCK, ROBERT D. MAXWELL and KEITH H. CHARLTON Construction of a chiropractic scientific knowledge base is not just the incremental elaboration of new data by investigators. The social interaction of investigator and his own peer group testing his information against chiropractic criteria of adequacy is a necessary prerequisite for the knowledge to be said to exist. Chiropractic science is that quantum of knowledge which has received the assent of chiropractors. INDEX TERMS: PHILOSOPHY OF SCIENCE; CHIROPRACTIC SCIENCE; RESEARCH. J Aust Chiropr Assoc 1989 Jun;19(2):46-8 DEAN 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. The first of these two papers presented the background from which the major issues which should be confronted and considered by the profession have arisen. In this paper, these will be discussed and some strategies suggested which will assist the profession in dealing with the difficult issues it must resolve if chiropractic is to survive this century as a separate, distinct and well utilised health profession. INDEX TERMS: CHIROPRACTIC; HEALTH CARE COST; IATROGENESIS; HEALTH CONSCIOUSNESS; DISEASE PREVENTION; INTERPROFESSIONAL CO-OPERATION; EDUCATIONAL STANDARDS; PRACTICE STANDARDS; RESEARCH; SCOPE OF PRACTICE. J Aust Chiropr Assoc 1989 Jun;19(2):49-54 The Premier Branch in the Premier State: A History of the New South Wales Branch-The Beginning STANLEY P. BOLTON, NOEL O. MARTIN and MARGARET CASHMERE The formation of the first state association of qualified professional chiropractors in New South Wales and some of its early organisational activities are recounted. The first thrust towards comprehensive legislation regulated the chiropractic profession in NSW is traced, and interaction with contemporary developments in chiropractic elsewhere in Australia and New Zealand are noted. The period covered in this paper is 1961-1965. INDEX TERMS: HISTORY OF MEDICINE; CHIROPRACTIC; AUSTRALIA; NEW SOUTH WALES. J Aust Chiropr Assoc 1989 Jun;19(2):55-9 Degenerative Disc Space Narrowing-Differential Considerations LINDSAY J. ROWE Loss of disc height is a common radiological finding in clinical practice, especially at the lumbosacral junction. Its significance, however, requires attention to the radiological and clinical details in combination. Differential considerations are discussed. INDEX TERMS: RADIOLOGY; DISC SPACE NARROWING. J Aust Chiropr Assoc 1989 Jun;19(2):60-1 A Review of Data Reports Published in the Chiropractic Journal of Australia from 1985 to 1988 CHARLOTTE LEBOEUF Approximately one quarter of all papers which appeared in the Chiropractic Journal of Australia from 1985 to 1988 were classified as original data reports and were reviewed according to specific methodological criteria. Although, generally, these criteria were found to have been included in the reports, certain facets of the study design need to be improved. In experimental studies, the authors commonly failed to clearly describe the presence of reliable methods of measurement, blind assessor and blind/naive study subjects. The main deficiencies in surveys were omitting to include a report on pre-tests of the survey instrument and the lack of a clear statement as to what type of questions were used. Most of the authors were chiropractors or chiropractic students, and those who had a non-chiropractic educational background were all associated with chiropractic education. INDEX TERMS: RESEARCH; METHODOLOGY; CHIROPRACTIC; PUBLICATIONS. J Aust Chiropr Assoc 1989 Jun;19(2):62-9 Nutritional Intervention in Chiropractic Clinical Practice: The Chiropractic Patient's Perspective JENNIFER R. JAMISON Many chiropractic patients, like other Australians, are vitally interested in their nutritional wellbeing. This interest, fostered by the regular nutritional comment encountered in the popular media, is behaviourally expressed by daily dietary decisions and selective nutritional supplementation. While personal responsibility in nutritional intervention is welcomed, many chiropractic patients value their chiropractor's nutritional input. In fact an overwhelming majority of chiropractic patient respondents feel that the undergraduate chiropractic curriculum should contain nutritional information equivalent to or greater than that of the medical student. If chiropractors are regarded by patients as a valued nutritional information source, it behoves the health care system to identify the character of this resource. INDEX TERMS: CHIROPRACTIC PATIENT; NUTRITION; INFORMATION SOURCE. J Aust Chiropr Assoc 1989 Jun;19(2):70-4 Orthopaedic Examination Procedures: A Reliability and Consistency Study CHARLOTTE LEBOEUF, VICKI GARDNER, LANCE JENKINS and GREGORY G. OKE Ten orthopaedic tests and six directions of lumbar movements were investigated for intra-session interexaminer agreement and inter-session intraexaminer agreement (consistency) on subjects complaining of chronic low back pain and attending a chiropractic teaching clinic. At the first visit (prior to the therapy) the interexaminer agreement for all tests but one (pain on extension) reached statistical significance (68% agreement, p < 0.05) and were found to be clinically relevant (arbitrarily defined as a minimum of 70% agreement). The interexaminer agreement was satisfactory for all tests at the fifth visit (following several weeks of therapy). When consistency of findings was tested with a few days' interval, prior to therapy, all but Kemp's test, Yeoman's teset and pain on extension were found to be statistically and clinically satisfactory. A high percentage of consensus on negative findings made up the main part of examiner agreement. INDEX TERMS: LOW BACK PAIN; CHRONIC; CHIROPRACTIC; INTRA-EXAMINER AGREEMENT; INTEREXAMINER AGREEMENT; ORTHOPAEDIC TESTS. J Aust Chiropr Assoc 1989 Jun;19(2):75-7 |
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