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

CJA Vol.25 Issue 3

Editorial: Musings of a time traveller
Mary Ann Chance and Rolf E. Peters

William C, Schulze, MD, DC (1870-1936): From Mail-Order Mechano-Therapists to Scholarship and Professionalism Among Drugless Physicians, Part 1.
JOSEPH C. KEATING, Jr and WILLIAM S. REHM

A Review of the Practice of Medicine in 1895
PHILLIP EBRALL

Cervical Spondylotic Myelopathy: A Report of Two Cases
COLIN M, CRAWFORD, J, DAVID CASSIDY and STEPHEN BURNS

Preceptorship as a Component of the Chiropractic Undergraduate Program: Results of a Survey
DEAN H. LINES and JOSEPH MESSINA


ABSTRACTS

William C, Schulze, MD, DC (1870-1936): From Mail-Order Mechano-Therapists to Scholarship and Professionalism Among Drugless Physicians, Part 1

JOSEPH C. KEATING, Jr and WILLIAM S. REHM

His story is a paradox, encompassing the shame of correspondence training and the honour of leading the profession toward a more dignified role as doctors of conservative healing methods. A gentle, cheerful, thoughtful man, William C. Schulze, MD, DC would profoundly influence the course of chiropractic. He was the second majority owner and second president of the National College of Chiropractic. His life's work steered the National away from its correspondence school heritage and toward its later eminence in scientific research in chiropractic. Schulze would create a leadership role for the College based upon greater than customary standards of training in the basic sciences and clinical arts. In this first of two parts, we consider the College leader's introduction to chiropractic and his early contributions to National College.

INDEX TERMS: (MeSH) CHIROPRACTIC; HISTORY OF CHIROPRACTIC; HISTORY-OF-MEDICINE 20TH CENTURY; UNITED STATES OF AMERICA.

Chiropractic J Aust 1995 Sep;25(3):82-92

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A Review of the Practice of Medicine in 1895

PHILLIP EBRALL

Objective: To attempt to understand the historical context in which Daniel David Palmer made his significant discovery by reviewing what was recorded about the practice of medicine in 1895, the year in which Palmer founded the science of chiropractic.
Design: Hand search of the 1895 English language volumes conveniently available in a significant repository of historical medical literature and notation of matters thought indicative of general aspects of the practice of medicine at that time, with consideration being given to matters of possible interest to today's practice of chiropractic.
Setting: The Brownless Medical Library of the University of Melbourne, Australia.
Main Observations: Medical knowledge was rapidly and widely disseminated. Both the English and American journals of note--the British Medical Journal (BICIN) and the Journal of the American Medical Association (JAMA)--regularly commented on developments on either side of the Atlantic. Mixed within this was a diversity of additional thought from countries such as Germany and India. Medical education was in the first stage of evolving into a four-year program to follow a three-year arts or science degree. A mechanical view of the spine prevailed, with controversial mechanical treatments being promoted for disorders such as scoliosis. Spinal caries was well discussed, but perhaps commonly misdiagnosed. The term "dis ease" was used by a senior London physician, and science in medicine was recognised as important by some but abused widely by many.
Conclusion: Given an awareness of the multifarious concepts of health and disease, as published in the literature of 1895, one can only hold Daniel David Palmer in greater esteem and respect, in that his mode of intervention (i) did no harm, unlike much other intervention of the day, and (ii) was based on principles which held currency within the mainstream of medical thought.

INDEX TERMS: (MeSH): HISTORY; CHIROPRACTIC, HISTORY; HISTORY OF MEDICINE,1STH CENT.; CHIROPRACTIC; AUSTRALIA; 1895.

Chiropractic J Aust 1995 Sep;25(3):93-100

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Cervical Spondylotic Myelopathy: A Report of Two Cases.

COLIN M. CRAWFORD, J. DAVID CASSIDY and STEPHEN BURNS

Cervical spondylotic myelopathy is a progressive neurological disease caused by stenotic compromise of the cervical spinal cord, Case reports of two male patients with signs and symptoms of myelopathy as well as localised neck and, in one case, lower-back pain, are presented, One patient's symptoms resolved over the 14-month period post-operatively; the second patient had both cervical and lumbar spinal stenosis and a prior history of myocardial infarction, He was considered a poor surgical risk, however he did obtain some relief from his lower-back pain with chiropractic manipulative therapy, The pathogenesis, natural history, clinical presentation, pertinent examination, differential diagnosis, diagnostic imaging and management are discussed. The importance of a thorough neurological examination is stressed.

INDEX TERMS: (MeSH): CHIROPRACTIC; MYELOPATHY, CERVICAL; SPINAL OSTEOPHYTOSIS; CERVICAL VERTEBRAE.

Chiropractic J Aust 1995 Sep;25(3):101-10

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Preceptorship as a Component of the Chiropractic Undergraduate Program: Results of a Survey

DEAN H. LINES and JOSEPH MESSINA

Aim: The issue of preceptorship (fieldwork) as part of the training forAustralian chiropractors is under scrutiny at present, with a polarisation of opinion between the two Australian universities which conduct programs to train chiropractors as to the merits of a fieldwork component in the undergraduate curriculum. This survey was undertaken to shed some light on how its value is perceived by those most qualified to comment, namely those who have experienced its benefits, or otherwise, first-hand.
Methods: Questionnaires were sent to the 427 graduates from the RMIT University (formerly Phillip Institute of Technology) chiropractic program who completed the course from 1985 onwards and who could be traced to an address within Australia or New Zealand, seeking their opinion about their fieldwork experience.
Results: A total of 204 responses to the survey were received. The results appear to support the notion that fieldwork experience has been perceived by a majority of those who have undertaken it to have been a useful and worthwhile part of their preparation for a chiropractic career. INDEX TERMS: (MeSH): CHIROPRACTIC; PRECEPTORSHIP; CHIROPRACTIC, EDUCATION. (OTHER): FIELDWORK.

Chiropractic J Aust 1995 Sep;25(3):111-5

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