CJA Vol.19 Issue 4Priceless Heritage: Lost or Misfiled? Chiropractic Adjustments and Esophoria: A
Retrospective Study and Theoretical Decision A Co-operative Chiropractic and Medical
Practice Thoracic Paraspinal Tenderness in Chronic Pain
Sufferers Meralgia Paraesthetica. Part 1 An Historical
Perspective ABSTRACTS Chiropractic Adjustments and Esophoria: A Retrospective Study and Theoretical Discussion BENJAMIN SCHUTTE, HEATHER M. TEESE and JENNIFER R. JAMISON Anecdotal experience suggests that esophoria (and other eye disturbances) can be influenced by spinal subluxations. This paper reports on a retrospective study of 12 children with esophoria. The findings suggest that certain types of esophores may respond to cervical spine adjustments. The neurophysiology of cervical proprioception and gaze control are discussed. INDEX TERMS: CHIROPRACTIC; ESOPHORIA; CERVICAL PROPRIOCEPTION; CERVICAL OCULAR REFLEX. VERTEBRAL SUBLUXATION; MANIPULATION. J Aust Chiropr Assoc 1989 Dec;19(4):126-8 A Co-operative Chiropractic and Medical Practice BRUCE F. WALKER Chiropractic and medical practitioners working together in a clinical setting is unusual. Subjective evaluation and objective examination of six hears' experience in such a clinic suggests that the benefits outweigh the disadvantages. A survey of two hundred current patient files was conducted. The data from these files shows, amongst other things, that 27% of those patients attend both a chiropractor and medical practitioner at the clinic. This paper focuses on our experiences in a cooperative chiropractic and medical clinic. INDEX TERMS: CHIROPRACTIC; MEDICINE; CLINIC; MULTIDISCIPLINARY. J Aust Chiropr Assoc 1989 Dec;19(4):129-31 Thoracic Paraspinal Tenderness in Chronic Pain Sufferers PETER BRYNER, ALEXANDER J. BAXTER and BRIAN F. SHERWOOD The presence of tenderness is frequently used in the assessment of many musculoskeletal syndromes. In this study, two otherwise similar groups, asymptomatic and symptomatic in the thoracic spine region, were assessed for tenderness using a device for measuring force application (dolorimeter). Tenderness (reaction to force of less than 450N) was present more frequently in subjects who reported current mid-back pain of at least three weeks' duration (70.5%) than those without such pain (29.5%). This difference is significant (X2 = 35.2, p < 0.001). A smaller difference was noted when observations of reactions above 40N were analysed, and the difference was also significant. The malleolus, used as a control point, showed no difference (X2 = 0.18NS) in tenderness between the two groups, whereas the other control point—the mastoid—did reveal a significant difference (X2 = 13.83, p < 0.001). Thus, more tenderness is present in individuals complaining of chronic mid-back pain. This study provides evidence supporting the clinical assumption that chronic pain sufferers exhibit more tenderness than those without chronic pain. INDEX TERMS: TENDERNESS; DOLORIMETER; PAIN; CHRONIC PAIN; PAIN FINDINGS; MUSCULOSKELETAL DYSFUNCTION; THORACIC SPINE. J Aust Chiropr Assoc 1989 Dec;19(4):132-6 Meralgia Paraesthetica. Part 1: An Historical Perspective PHILLIP S. EBRALL The history of meralgia paraesthetica is reviewed from the first recorded reference in 1878. Arguments are presented from the scientific literature as to whether the entity is radicular with a spinal origin or peripheral with a mechanical cause. The literature is shown to historically support the chiropractic hypothesis that meralgia paraesthetica can have a spinal origin as well as a distal mechanical origin, and recent myelographic and morphometric evidence suggests that the spinal level involved is L3-L4. INDEX TERMS: MERALGIA PARESTHETICA; NEURALGIA; PARESTHESIA; HISTORY; CHIROPRACTIC; MANIPULATION. J Aust Chiropr Assoc 1989 Dec;19(4):137-41 DEAN H. LINES Admissions panels selecting students into courses graduating primary contact practitioners have a great responsibility both to the public who will be served by these future practitioners and, in the Australian situation, to the governments which fund the programmes they enter. This retrospective study investigated several criteria as predictors of future academic performance which might improve the selection of students into the BAppSc (Chiropractic) course conducted at the Phillip Institute of Technology. The level of previous education emerged as the only significantly reliable criterion. The value of the interview process as it is presently conducted at Phillip Institute remains questionable as a predictor of academic performance. However, in light of recently reported studies, it appears that the objective structured interview, designed to identify a range of non-cognitive characteristics appropriate to institutional and professional goals, may have the capacity to predict, in some measure, ultimate academic failure or success in courses of study training primary contact health practitioners. It may also have a role to play in the selection of students who possess those characteristics found to correlate with successful postgraduate clinical performance. INDEX TERMS: STUDENT SELECTION; CHIROPRACTIC STUDENTS; SELECTION CRITERIA; ACADEMIC SUCCESS; CLINICAL PERFORMANCE. J Aust Chiropr Assoc 1989 Dec;19(4):142-8 |
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