CJA Vol.22 Issue 1Mission impossible: providing chiropractic for the
people of the streets. Acquired meningocele following incidental durotomy
during lumbar spine surgery. Pre-employment musculoskeletal assessment: the
imperative for outcome studies. Influences on Queensland chiropractic history:
Chiropractic mainstream versus medical dominance. Recognising the abused and at-risk child. Report from the Second Annual Meeting of the
Chiropractic Research Journal Editors' Council. Commentary: concerning courts, chiropractors,
solicitors and subpoenas. ABSTRACTS Mission impossible: providing chiropractic for the people of the streets. Ellis BW ; Long CJ A "free" chiropractic clinic for the people of the streets was established late in 1989. The population being serviced was regarded as unlikely to have received this type of care before. This paper gives a short outline of the clinic and its philosophy and gives some demographic details of the patients. The population appears to be quite different to the norm for the area and for the other chiropractic practices. Some of the factors involved in working with this population are discussed. Chiropractic J Aust 1992 Mar;22(1):2-4 Acquired meningocele following incidental durotomy during lumbar spine surgery. Perkoulidis AP One case history of acquired meningocele following incidental durotomy during lumbar spine surgery for disc herniation is reported. Iatrogenic dural tears during spinal surgery are discussed, and the literature is reviewed. Complications of lumbar spine surgery are listed. The conservative alternative to lumbar spine disc surgery is discussed with respect to the professional services offered by doctors of chiropractic in the treatment of lumbar disc herniation. Chiropractic J Aust 1992 Mar;22(1):5-8 Pre-employment musculoskeletal assessment: the imperative for outcome studies. Ebrall PS Work-related, mechanical low-back pain (MLBP) is a common and expensive occupational health challenge for which chiropractic management and treatment is now being demonstrated as most cost-effective. A common perception exists that a pre-employment musculoskeletal assessment can effectively predict which persons are more prone to low-back injury. This paper notes that the validity of such assessment as conducted by chiropractors has not yet been satisfactorily determined. While a number of musculoskeletal correlates for low-back pain have been identified in the literature, questions remain as to their predictive value for work-related low-back injury. A new instrument, the Metrecom, a computer-assisted goniometer, seems to have some potential for use within assessment, but to date there is little published supportive data. Accordingly, this paper demonstrates the imperative for a prospective, longitudinal study of a cohort of new employees. The proposal is to document each subject by a nominated screening procedure, longitudinally identify the sub-group which succumbs to work-related low-back pain and determine their common musculoskeletal findings. The outcome to look for is evidence of any predictive value for a suspected correlate. The Australian Centre for Chiropractic Research proposes that it conduct such a study under the auspices of the Accident Compensation Commission and the Chiropractors' Association of Australia (Victorian Branch), funded by a levy equivalent to 4% of the treatment fee paid by ACC to chiropractors. Chiropractic J Aust 1992 Mar;22(1):9-14 Influences on Queensland chiropractic history: chiropractic mainstream versus medical dominance. Bolton SP The history of chiropractic in Queensland is traced from its first formally qualified chiropractor to the emergence of comprehensive state regulatory chiropractic legislation. Two streams in chiropractic history are identified: mainstream chiropractic and the second stream in chiropractic. The mainstream battle to restore use of x-ray by chiropractors in Queensland is featured, and events surrounding the aborted 1967 Chiropractic Bill are highlighted. It is concluded that medical dominance, government policy and the law discouraged development of the second stream in Queensland, and that Queensland's Chiropractic Manipulative Therapists Act of 1979, although reactive, was part of the legitimation movement of mainstream chiropractic in Australia. Chiropractic J Aust 1992 Mar;22(1):15-26 Recognising the abused and at-risk child. Davies NJ This paper deals with the problem of child abuse generally, then specifically with physical and sexual abuse. Definitions are offered and diagnostic indicators, both physical and behavioural, are discussed. A model for intervention in the chiropractic clinical setting is given. This model casts the chiropractor as a responsible clinician operating within existing governmental and community multidisciplinary services. Chiropractic J Aust 1992 Mar;22(1):27-30 Report from the Second Annual Meeting of the Chiropractic Research Journal Editors' Council Chiropractic Research Journal Editors Council Six items comprised the agenda for the meeting: (1) Development of indexing terms for the chiropractic profession; (2) Index and database usage; (3) Standard setting among journal editors; (4) Structured abstracts; (5) Ethics and policy in scientific publication; (6) Focus group with the Corporate Health Policies Group (CHPG). Chiropractic J Aust 1992 Mar;22(1):31-2 Commentary: concerning courts, chiropractors, solicitors and subpoenas. Stick PE Recently there has been an increasing number of complaints by health care practitioners, including chiropractors, regarding subpoenas. There is a good deal of confusion on the part of both legal and chiropractic practitioners to the proper use of this procedure. To assist all parties in resolving some of the problems which arise with the use of subpoenas, the author clarifies their use. Chiropractic J Aust 1992 Mar;22(1):33-4 |
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