Home PublicationsChiropractic Journal of AustraliaBack Issues: 1990-1999Volume 26 Vol.26 Issue 1

CJA Vol.26 Issue 1

Editorial: Who Will Determine Our Future?
Mary Ann Chance and Rolf E. Peters

Report from the Sixth Annual Meeting of the Chiropractic
Research Journal Editors' Council

Lumbar Disk Herniation and Apophyseal Ring Fracture in a Young Adult: A Case Report
Jacqueline D. Bougie, Pierre Côté and David Cassidy

Case Report: The Effect of a Chiropractic Spinal Adjustment on Toddler Sleep Pattern and Behaviour
Peter L. Rome

Patient Satisfaction: Exploring a New Dimension
Jennifer R. Jamison

Dysmenorrhoea-To Treat or Not to Treat
Barbara I. Polus, Serena J. Henry and Maxwell J. Walsh

Abstracts from the 1995 Annual Conference of the Chiropractors Association of Australia

ABSTRACTS

Lumbar Disc Herniation and Apophyseal Ring Fracture in a Young Adult: A Case Report

JACQUELINE D. BOUGIE, PIERRE CÔTÉ and J. DAVID CASSIDY

Fracture of the vertebral ring apophysis in the lumbar spine was first documented in adolescents. More recently it has been reported in adults. The pathophysiology of apophyseal ring fractures is hypothesised to arise from a weakness or delayed fusion of the vertebral cartilaginous rim. We present an unusual case of an apophyseal ring fracture associated with a disc herniation in a young adult.

INDEX TERMS: ADULT; LUMBAR VERTEBRAE; FRACTURES; INTERVERTEBRAL DISPLACEMENT.

Chiropr J Aust 1996 Mar;26(1):7-10

Back to top

Case Report: The Effect of a Chiropractic Spinal Adjustment on Toddler Sleep Pattern and Behaviour

PETER L. ROME

The interaction of the cervical spine with the nervous system, and the effectiveness of spinal adjustment in the management of the poor sleeping pattern of a 12-month-old male toddler are discussed. The history of an often irritable, unsettled and at times, very distressed infant, is also presented with a brief, but relevant, literature review.

INDEX TERMS: (MeSH) BEHAVIOR; CERVICAL VERTEBRAE; CHIROPRACTIC; INSOMNIA; NERVOUS SYSTEM; PEDIATRICS. (OTHER): MANIPULATIVE THERAPY; SLEEP PATTERN; SPINAL ADJUSTMENT.

Chiropr J Aust 1996 Mar;26(1):11-4

Back to top

Patient Satisfaction: Exploring a New Dimension

JENNIFER R. JAMISON

Patient satisfaction is construed as a valid health promoting measure within the framework of psychoneuroimmunology. From a postmodernist perspective the "lived" experience cannot be separated from health, and patient satisfaction from wellbeing. This study identifies some criteria of patient satisfaction which transcend cultural boundaries and explores practitioners' perceptions of patient expectation, and compares these with behaviours predicted by patients' preferred behaviour style and locus of control.
Methods: Twenty-two chiropractors in four different countries and 88 of their patients participated. Patients completed questionnaires to establish their preferred behaviour style, identify their locus of control and explore their satisfaction with chiropractic care. Chiropractors were also requested to identify, from a list of options, behaviours which they perceived their patients most valued in the clinical encounter. Both practitioners and patients were requested to score their level of satisfaction with each shared clinical experience.
Results: An internationally shared ranking of patient satisfaction criteria is reported. Regardless of cultural identity, patients agreed that a satisfactory clinical encounter required that the practitioner be comfortable dealing with their problem/pain. Practitioner perceptions of patient expectations are described and found to be somewhat consistent with that predicted by the patient's preferred behaviour style. Overall, patients and practitioners express satisfaction with the chiropractic clinical experience.
Conclusions: Further research is required to clarify the psychosocial triggers conducive to improved health status in the clinical encounter.

INDEX TERMS: (MeSH): CHIROPRACTIC; PATIENT SATISFACTION; (OTHER) PRACTITIONER PERCEPTIONS.

Chiropr J Aust 1996 Mar;26(1):15-20

Back to top

Dysmenorrhoea-To Treat or Not to Treat?

BARBARA I. POLUS, SERENA J. HENRY and MAXWELL J. WALSH

Patients suffering from painful periods (dysmenorrhoea) frequently seek chiropractic care to help manage their cyclic pain. In this paper we discuss literature, both clinical and theoretical, relating to chiropractic management of primary dysmenorrhoea in an attempt to clarify the chiropractor's role in management of this condition. The literature has identified that primary dysmenorrhoea, by definition, is cyclic pain without an organic basis which is often associated with pain of somatic origin. We discuss mechanisms thought to be responsible for primary dysmenorrhoea, including the somatic component, and examine clinical reports from the literature which discuss the response of primary dysmenorrhoea to chiropractic care.

INDEX TERMS: (MeSH) CHIROPRACTIC; DYSMENORRHEA; (OTHER) PRIMARY DYSMENORRHOEA; PERIOD PAIN; CYCLIC PAIN.

Chiropr J Aust 1996 Mar;26(1):21-4

Back to top

Here you will find information concerning the CAA's flagship publications.