CJA Vol.24 Issue 2Editorial: Identity, role and direction. Stroke following cervical manipulation in
Perth The teaching clinic: Identifying research issues in
chiropractic education Multiple Thoracic Disc Herniation: A case
report Education: Current developments and implications for
research The naming of a multidisciplinary university
department ABSTRACTS Stroke following cervical manipulation in Perth. HAYNES MJ A qualitative study, performed retrospectively in Perth, was undertaken with the aim of assessing the risk of stroke following cervical manipulation by chiropractors. An estimate of incidence was based on; a) the responses of seventeen chiropractors and seven neurologists in a 1991 survey; b) the Murdoch University survey on chiropractic utilisation in Perth; c) figure from the Australian Bureau of Statistics; and d) analysis of the authors patient records. From this data, it was calculated that there were perhaps fewer than five cases of manipulation-related stroke per 100,000 patients who had received cervical manipulation fro a chiropractor during a five year period prior to the 1990 Murdoch University survey. It would thus appear that the risk to chiropractic patients of cervical-manipulation-related stroke is very low. Of note is the evidence from the survey of neurologists of a decrease in incidence during the latest five-year period, when the overall chiropractic utilisation by Perth adults appears to have approximately doubled. Included is a previously unreported case where neck manipulation was eventually found not to have caused the stroke. INDEX TERMS: (MeSH): CEREBROVASCULAR DISORDER; CERVICAL VERTEBRAE; CHIROPRACTIC; INCIDENCE; MANIPULATION; ORTHOPAEDIC. (Other): MANIPULATION, CHIROPRACTIC. Chiropractic J Aust 1994 Mar;24(2):42-6 The teaching clinic: Identifying research issues in chiropractic education. JAMISON JR Objective: To identify discrepancies between practice characteristics
of teaching and private clinics with a view to defining research issues
for clinical training. INDEX TERMS: (MeSH): CHIROPRACTIC TEACHING; LEARNING; COMPETENCY-BASED EDUCATION. (Other); TEACHING CLINIC. Chiropractic J Aust 1994 Mar;24(2):47-51 Multiple Thoracic Disc Herniation: A case report. Perkoulidis APJ, McLean NL. Thoracic disc herniation is uncommon, and multiple thoracic disc herniation is rare. With computed tomographic scaning, diagnsotic accuracy has been vastly improved and may objectively demonstrate the type and level of the lesion. Our report describes the case of a 45 year-old male with multiple thoracic intervertebral herniations in which CT scans revealed T10/11 and T12/L1 disc lesions. Chiropractic management resulted in a favourable outcome. We propose patient selection criteria for the conservative management of thoracic disc herniation. INDEX TERMS: (MeSH): CHIROPRACTIC; INTERVERTEBRAL DISK DISPLACEMENT Chiropractic J Aust 1994 Mar;24(2):52-5 Education: Current developments and implications for research Tuchin PJ, Pollard H, Bonello R. There are a number of new chiropractic postgraduate degrees that have been developed, and enrollments are now being accepted; some of these courses are university based and some are not. These courses have the potential to elevate the status of the profession and to open new areas of chiropractic research and development. The requirements for Master of Chiropractic Science (MChiroSci), Master of Chiropractic (MChiropract), Master of Science(Msc) and Doctor of Philosophy (PhD) offered by Maquarie university are reviewed and compared with similar degrees offered by other institutions. Development of new courses or changes in curriculum are also outlined and discussed. The purpose of this paper is to discuss these new developments and assess possible future developments in postgraduate study or research, with specific reference to the areas of Chiropractic Sports Science and Occupational Health and Safety. The relative merits of higher degrees by either course work or research and analysis of respective degree structure or requirements, has been discussed with specific reference to course structure and research facilities. INDEX TERMS: (MeSH) CHIROPRACTIC; POSTGRADUATE EDUCATION. Chiropractic J Aust 1994 Mar;24(2):56-62 The naming of a multidisciplinary university department. Kleynhans AM A descriptive analysis of the literature and of library indexes is used to answer the research question: What is the most suitable name for a university department which administers undergraduate and postgraduate courses, research and community service in disciplines including chiropractic, osteopathy, acupuncture, Chinese medicine, nutritional and environmental medicine and rehabilitation. The literature clearly establishes that chiropractic is part of generic medicine. The study determined that "alternative", "unorthodox" and "unconventional" medicine were demeaning. While "complementary medicine" has great potential because of its wide acceptance in the United Kingdom, it is considered unsatisfactory because of lack of parity between the "primary" and "complementary" disciplines. A new term, "contextual medicine" has the appeal of being open to definition which can clearly convey what is intended. "Wholistic medicine" is the only one of the terms which is defined in the unabridged Oxford dictionary and which is related to a well-established paradigm which can be traced to Hippocrates in medicine and to J. Smuts as a philosophical and scientific concept. INDEX TERMS: (MeSH): ALTERNATIVE MEDICINE; COMPLEMENTARY MEDICINE; CHIROPRACTIC; UNCONVENTIONAL MEDICINE; TRADITIONAL MEDICINE; WHOLISTIC MEDICINE; CONTEXTUAL MEDICINE. Chiropractic J Aust 1994 Mar;24(2):63-9 |
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