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

CJA Vol.24 Issue 1

Editorial: Controversies and Caveats in Critical Review
MARY ANN CHANCE and ROLF E. PETERS

Report from the Fourth Annual Chiropractic Research Journal Editors' Council
CHIROPRACTIC RESEARCH JOURNAL EDITORS' COUNCIL

A Description of 320 Chiropractic Consultations by Australian Adolescents
PHILLIP S. EBRALL

Australian Dietary Goals: A Pilot Study Ascertaining Their Relevance to Greek and Italian Australians
JENNIFER R. JAMISON and GEOFFREY FONG

Chiropractic Legislation in Hong Kong: The Doctor Title War
CHUN-CHEUNG WOO

Chiropractic Practice in Hong Kong: Health Manpower Substitution and Patient Privileges
CHUN-CHEUNG WOO

Thyroid Carcinoma Detected in a Chronic Headache Sufferer: A Case Report
WAYNE WITTINGHAM and TOM MOLYNEUX

The Activator Story: Development of a New Concept in Chiropractic
DENNIS M. RICHARDS


ABSTRACTS

A Description of 320 Chiropractic Consultations by Australian Adolescents

PHILLIP S. EBRALL

Objective: To obtain and then describe data relating to the nature of the patient visit made to chiropractors by Australian adolescents,
Design: A prospective recording instrument provided to volunteer chiropractors, with the provision to record data of 100 consecutive patient visits from Monday, 7 September 1992.
Setting: The private practice locations of 25 registered chiropractors, drawn from 6 of the 8 jurisdictions in Australia, and who were members of the Chiropractors' Association of Australia.
Results: Of 2,500 patient visits recorded, 320 (12.8%) were made by adolescents (52% female, 48% male) with an attendance rate by state ranging from 10.25% (NSW) to 15% (SA). The age distributions were relatively even with the male peak at 22 years and the female at 23. Half the visits were funded by a private insurer and 38% were self funded. The largest diagnostic entities were mechanical low back pain (39%), neck pain (34%), thoracic pain (22%), neck and shoulder pain (18%) and cervicogenic headache (17%). Twenty-one visits (7%) were classed as preventive, with a presenting complaint of "check-up" or "maintenance. Only 9 visits (2.8%) carried a working diagnosis of a visceral-type disorder, mostly in conjunction with a musculoskeletal complaint, The participating rate by age for treatment provided under the provision of a workers' compensation scheme was high for the late adolescent age group, being 18.2% at age 20, three times the sample participation rate of 6% (0=19).
Conclusion: The case-mix of adolescent presentation to chiropractors largely centres on musculoskeletal pain and cervicogenic headache, but includes (albeit as a minority) other disorders for which the practitioner requires alert differential diagnostic skills.

INDEX TERMS: (MeSH): ADOLESCENT MEDICINE; AUSTRALIA; CHIROPRACTIC; EPIDEMIOLOGY; PHYSICIAN'S PRACTICE PATTERNS.

Chiropractic J Aust 1994 Mar;24(1):4-8

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Australian Dietary Goals: A Pilot Study Ascertaining Their Relevance to Greek and Italian Australians

JENNIFER R. JAMISON and GEOFFREY FONG

Objective: To ascertain whether Australian dietary goals are applicable to Creek and Italian Australians.
Design: Volunteers with either an Italian or Greek background were invited to participate in a descriptive study. Each participant was requested to undertake a weighed dietary inventory over a three-day period
Setting: In this naturalistic study, the setting of the study reflected the individualistic lifestyle of the participant
Participants: Thirty-seven Italian and 27 Creek women between the ages of 18 and 55 were included. Eligibility criteria required that these women had either been born in Italy or Greece and been resident in Australia for at least a decade or that they were first generation Australians of Italian or Creek parents.
Intervention: The usual dietary behaviour of participants was recorded over three days.
Main Outcome Measures: A detailed analysis of the dietary intake of participants during the study period was obtained. Dietary analysis was undertaken using the Diet 1 computerised analysis package of Australian foods based upon the NUTTAB data base.
Results: The conformity of the dietary behaviour of participants to the dietary goals for Australia was described and how well dietary education based upon the 'five food groups' meets the recommended dietary allowances for Australia was demonstrated.
Conclusion: This pilot study suggests that the general dietary goals of Australia are applicable to ethnic groups fulfilling the study criteria. The general dietary goals and the 'five food groups' may, however, be too crude an intervention measure for clinicians wishing to provide their patients with dietary guidance.

INDEX TERMS: (MeSH): DIET; DIETETICS; ETHNIC GROUPS. Other: DIETARY GOALS; FIVE FOOD GROUPS. Chiropractic J Aust 1994 Mar;24(1):9-14

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Chiropractic Legislation in Hong Kong: The Doctor Title War

CHUN-CHEUNG WOO

The Chinese title Yee San or Yee and the English title Doctor are generic terms. It seems that the government, the Legislative Council and the general public are not aware that 17 Chinese generic terms (including five doctor titles, two academic degrees and ten treatment places) have been monopolised by the Hong Kong medical profession for over 35 years. The Hong Kong Medical Association has made repeated efforts over the years to harass, discredit and denigrate the chiropractic profession. A provision in 1989 threatened to bar chiropractors from diagnostic procedures. In 1992, the Chiropractic Registration Bill forced a change of their established Chinese name and doctor title to a new name and therapist title, denoting a secondary health care profession supplementary to medicine, and was a "set-up" to contain the chiropractic profession as manipulative therapists under the umbrella of the medical profession as "gatekeeper." Without consensus the controversial bilingual Chiropractors Registration Bill was gazetted and read; the arguments of the doctor title war are documented. The Chiropractors Registration Ordinance was finally gazetted on 12 February 1993 with minor amendments. Chiropractors are now legally entitled to use the doctor title in Chinese and English.

INDEX TERMS: (MeSH): CHIROPRACTIC; CHIROPRACTIC, LEGISLATION; CHIROPRACTIC, HISTORY. HISTORY OF MEDICINE, 20TH CENTURY; HONG KONG.

Chiropractic J Aust 1994 Mar;24(1):15-9

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Chiropractic Practice in Hong Kong: Health Manpower Substitution and Patient Privileges.

CHUN-CHEUNG WOO

The evidence of effectiveness and cost-effectiveness of chiropractic management of low-back pain is reviewed. To ensure high quality of health care and potential economic efficiency, a feasibility study of health manpower substitution for low-back pain is recommended. A pilot project employing chiropractic management of mechanical spinal disorders in a hospital-based clinical research setting should be encouraged and initiated. Chiropractic education in Hong Kong is needed. Patient privileges relevant to chiropractic practice after legislation are proposed.

INDEX TERMS: (MeSH): CHIROPRACTIC; LEGISLATION; EDUCATION; SPINE; MANIPULATION; BACK ACHE; HEALTH CARE COSTS; WORKMEN'S COMPENSATION; INSURANCE; HOSPITALS. (Other): HEALTH MANPOWER SUBSTITUTION.

Chiropractic J Aust 1994 Mar;24(1):20-2

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Thyroid Carcinoma Detected in a Chronic Headache Sufferer: A Case Report

WAYNE WITTINGHAM and TOM MOLYNEUX

This case report illustrates the value of plain film radiography in day-to-day chiropractic practice. A patient who presented with chronic headache and cervical spine loint dysfunction was radiographed prior to chiropractic manipulation, and the films reviewed by both authors ( a chiropractor and a chiropractic radiologist) revealed tracheal indentation and deviation. Appropriate referral for further imaging and subsequent tissue biopsy led to a diagnosis of thyroid carcinoma. The patient's clinical history, plain film and CT images are presented. Eighteen-month follow-up indicated that surgery and radiation therapy have afforded the patient a favourable prognosis. Chiropractic manipulation was not given to this patient in light of the pathology. There has been no relief of the headache.

INDEX TERMS: (MeSH): CHIROPRACTIC; RADIOGRAPHY; TRACHEA; THYROID GLAND; NEOPLASM; CARCINOMA. (Other): TRACHEAL INDENTATION.


Chiropractic J Aust 1994 Mar;24(1):23-7

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The Activator Story: Development of a New Concept in Chiropractic

DENNIS M. RICHARDS

Activator Methods chiropractic technique (AMCT) was developed by Warren Lee, DC and Arlan Fuhr, DC. In the evolution of AMCT, Lee and Fuhr drew on elements of several other techniques, including Logan Basic, Van Rumpt, Truscott and Derefield, and developed innovative equipment, such as the Activator adjusting instrument (AAI) and an adjusting table designed specifically forAMCT. Based on oral history inten/iews, this paper records the early lives of Lee and Fuhr, their entries into chiropractic, influences on their personalities, the development of their technique and the seminars which presented it to the chiropractic profession.

INDEX TERMS: (MeSH): CHIROPRACTIC, HISTORY; HISTORICAL ARTICLE. (Other): HISTORY OF CHIROPRACTIC.

Chiropractic J Aust 1994 Mar;24(1):28-32

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