CJA Vol.20 Issue 2
What Can You Do with Research on Monday Morning?
Mary Ann Chance and Rolf E. Peters
Lack of Research Information: A Barrier to
Chiropractic Research and Clinical Practice?
Jennifer R. Jamison
Indexing a Paper—Art or Science?
Rolf E. Peters and Mary Ann Chance
Women in Chiropractic
Stanley P. Bolton
The Developing Role of the Chiropractor in
Occupational Health
Alan Freedman
Perspectives on Clinical Practice: Practical
Management of the Geriatric Patient
James F. Winterstein
Commentary: What Does Empiricism Mean?
Joseph C. Keating Jr
ABSTRACTS
Lack of Research Information: A Barrier to
Chiropractic Research and Clinical Practice?
JENNIFER R. JAMISON
The paucity of research in chiropractic has variously been attributed
to anti-scientific elements in philosophy, inadequate funding, a
shortage of role-models and a lack of understanding of research
methodology. Before field practitioners can actively facilitate
chiropractic's acquisition of a scientific practice base, it is
essential that any confusion regarding the terminology and potential
clinical applicability of scientific research be identified and
clarified. This paper examines the perceptions of field practitioners
with regard to the power of various research designs to contribute
information about the utility of clinical interventions. It discusses
science and research in the context of clinical practice.
INDEX TERMS: CHIROPRACTIC; RESEARCH DESIGN; CLINICAL
INTERVENTION.
J Aust Chiropr Assoc 1990 Jun;20(2):42-8
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Indexing a Paper-Art or Science?
ROLF E. PETERS and MARY ANN CHANCE
Abstracting and indexing are major tools involved in the construction
of a database. To test reliability and ease of retrieval, one volume
each of two chiropractic journals were traced through six databases.
Marked disparity was noted in index terminology between author-generated
index terms and terms acceptable to indexing agencies, as well as the
number of index terms used by different databases. There appears to be a
need for deeper understanding by authors, editors and searchers of
proper index terminology, and by indexers of the material they read and
index.
INDEX TERMS: INFORMATION SYSTEMS/UTILIZATION; ABSTRACTING AND
INDEXING/METHODS/STANDARDS/TRENDS; WRITING.
J Aust Chiropr Assoc 1990 Jun;20(2):49-52
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Women in Chiropractic
STANLEY P. BOLTON
Contributions to the early development of chiropractic by Mabel
Health Palmer are traced, and later contributions by female
chiropractics in Australia are discussed. Parallels with the women's
rights movement are noted.
INDEX TERMS: CHIROPRACTIC/HISTORY; WOMEN.
J Aust Chiropr Assoc 1990 Jun;20(2):53-5
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The Developing Role of the Chiropractor in
Occupational Health
ALAN FREEDMAN
Contemporary literature demonstrates that apart from the common cold,
low back pain is responsible for the largest percentage of lost
man-hours from industry. Many reported injuries are attributed to poorly
performed manual handling tasks. Chiropractors have specialised in the
diagnosis and treatment of musculoskeletal injury for almost a century
and are now refining their approach for workplace injury prevention. It
is proposed to form an Occupational Chiropractors Special Interest Group
(OCSIG) in Australia, the primary purpose being information exchange
relative to musculoskeletal health care within an industrial setting.
The major thrust will be injury prevention supported by appropriate
rehabilitation programs. The importance of strategies for fostering a
preventive attitude among management as well as workers is presented.
The historical development of occupational health, including
chiropractic involvement, is reviewed. The unique approach by OCSIG is
shown to be the utilisation of ergonomics and biomechanics for
pre-employment assessment, worker education and worksite evaluation.
INDEX TERMS: ACCIDENTS; OCCUPATIONAL/PREVENTION; BIOMECHANICS;
CHIROPRACTIC; OCCUPATIONAL HEALTH; BACK SCHOOL; PRE-EMPLOYMENT
ASSESSMENT.
J Aust Chiropr Assoc 1990 Jun;20(2):56-61
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Perspectives on Clinical Practice: Practical
Management of the Geriatric Patient
JAMES F. WINTERSTEIN
Effectively managing a geriatric patient requires that the
chiropractic physician utilise an approach somewhat different to that
used in a younger, more constitutional able patient population. As a
group, geriatric patients are as concerned as their younger counterparts
about their particular disability, and they expect to be totally
relieved of their symptoms, though they may fail to recognised the toll
that degenerative conditions take on them. It is as important to
recognise the psychological overlays in the management of the geriatric
patient as it is to deal with the accompanying physical debility. The
attitude of the patient is, therefore, a significant factor in the
ability of the doctor to adequately treat the patient. Fostering a
confident, positive attitude can have a profound effect upon posture and
related organ function. Depressed patients are more prone to development
of osteoporosis and other chronic conditions, including degenerative
joint disease, hiatal hernia, and respiratory problems. The more
confident patient, who generally remains in a more upright position, is
less prone to such conditions. Manipulative management of the geriatric
patient is rarely contraindicated, but use of any adjustive procedure
must be tempered by age-related factors, such as the presence of
compression fracture, use of anti-coagulant medication, osteopenia and
other modifiers. The geriatric patient, suffering most commonly from
degenerative conditions, makes an excellent chiropractic patient.
INDEX TERMS: AGED; AGED OVER 80 YEARS; GERIATRICS; LONGEVITY;
OSTEOPOROSIS; CHIROPRACTIC.
J Aust Chiropr Assoc 1990 Jun;20(2):62-5
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