Chiropractors' Association of Australia Chiropractic: healthy spine, healthier life

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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