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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