Home PublicationsChiropractic Journal of AustraliaBack Issues: 1990-1999Volume 26 Vol.26 Issue 2

CJA Vol.26 Issue 2

Editorial: Progress and Rising Expectations
Mary Ann Chance and Rolf E. Peters

Cervical Spine Adjustments by Perth Chiropractors and Post-Manipulation Stroke: Has a Change Occurred?
Michael J. Haynes

Obscure Research Findings: Lapsed or Languished?
Peter L. Rome

The Chiropractic Practice Model: An Exploration of International Trends
Jennifer R. Jamison

Divergent Paths: Chiropractic and Osteopathy
Paul J. Doney

ABSTRACTS

Cervical Spine Adjustments by Perth Chiropractors and Post-Manipulation Stroke: Has a Change Occurred?

MICHAEL J. HAYNES

Objective: To determine whether there have been changes in the approach of Perth chiropractors towards cervical spine adjusting that may account for an apparent reduction in the incidence of local manipulation-related stroke during the years 1986 to 1991. Design: Cross-sectional survey of perceptions of Perth chiropractors regarding their Perth experience of clinical practice, especially with regard to their use of cervical spine adjustments.
Setting and Participants: Questionnaires were sent to all 75 Perth chiropractors who were identified in the latest Yellow Pages telephone directory. Results: Forty-one chiropractors (56%) responded. Twenty-one respondents reported commencing practice in Perth prior to 1986; eleven commenced between 1986 and 1991, and nine after 1991. Most respondents in each group answered that they had not changed their tendency to administer cervical adjustment nor the frequency of rotational cervical adjustments. Thirty-seven per cent (37%) of the pre-1986 group, 9% of the 1986-1991 group and none of the post-1991 group admitted frequent use of rotatory cervical adjustments. Minor changes in the force of adjustments were reported by almost half of all the respondents.
Conclusion: The only change found in this study that may have contributed to the apparent reduction in the incidence of local stroke cases following cervical adjustments was the tendency of recent graduates to use rotatory cervical adjustments, as they perceived them, less frequently than their senior colleagues. There was no evidence of major changes that individual chiropractors had made.

INDEX TERMS: (MeSH) CHIROPRACTIC; CERVICAL VERTEBRAE; CEREBROVASCULAR DISORDER; MANIPULATION; (OTHER) ROTATION.

Chiropr J Aust 1996 Jun;26(2):43-6

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Obscure Research Findings: Lapsed or Languished?

PETER L. ROME

This paper looks at a number of the more obscure findings from chiropractic, osteopathic, medical and other biological papers published over some years. The author notes that recognition has not been forthcoming for some of these findings and concepts, while others seem to have been simply overlooked with the passage of time. Even for those subsequently confirmed and accepted, there seems to have been an unusual delay and an inconsistent emphasis before they are included in major textbooks. Also discussed are obscure yet interesting findings and developments which have contributed either historically or scientifically to the development of knowledge within these professions.

INDEX TERMS: RESEARCH; BIOLOGY; CHIROPRACTIC; MEDICINE; OSTEOPATHY; ANATOMY; PHYSIOLOGY.ChiroprJ Aust 1996 Jun;26(2):47-55

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The Chiropractic Practice Model: An Exploration of International Trends

JENNIFER R. JAMISON

Little data is available on the practice model preferred by chiropractors. This study describes a preliminary investigation of the practice models preferred by chiropractors of diverse cultural and educational backgrounds and explores the flexibility of practitioners in their use of these models. Method: Twenty-two case studies of chiropractors interacting with four or five of their patients were undertaken. A convenience sample of 22 chiropractors from four different countries was used. Practitioners were requested to identify their preferred practice model from a list provided and to indicate which practice model was used in the management of each patient. Practitioners were also requested to indicate clinical behaviours they perceived each of their participating patients would most value. All participants completed questionnaires to establish their preferred behaviour style. Patients were requested to score their clinical satisfaction out of 10 and complete questions on their health locus of control.
Results: Despite each practitioner having a preferred practice model, all practitioners indicated they used at least two different models. Although the proficiency of practitioners to appropriately adapt their practice model to the behaviour patterns they perceived patients valued varied, this did not appear to substantially influence patient satisfaction. Chiropractors indicated a preference for the relational model, nonetheless a weak trend using a clinical model in acute and subacute compared with chronic cases was noted. Practitioners demonstrated awareness that patients with an external locus of control were more likely than those with an internal locus to conform to a clinical model.
Conclusions: Chiropractors participating in this study, regardless of their nationality, training or preferred behaviour style, favoured a relational practice model

INDEX TERMS: (MeSH) CHIROPRACTIC; INTERNAL-EXTERNAL CONTROL; (OTHER) PRACTICE MODEL; LOCUS OF CONTROL; BEHAVIOR STYLE.

Chiropr J Aust 1996 Jun;26(2):57-62

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Divergent Paths: Chiropractic and Osteopathy

PAUL J. DONEY

The origins of both chiropractic and osteopathy are very close in time, space and philosophy, yet, in the United States at least, they have followed paths of divergent evolution. The ground for the development of these two professions was prepared by the social, political and medical dogmas of the nineteenth century. Interestingly, parallels can be drawn between the characteristics of each group and the "unchurched" religions of the period. Yet despite the many parallels between the two groups and the similarity of the forces arrayed against them, they have developed along very different lines. Crucial to the development of these differences are the strategies employed by each group to deal with the forces that threatened their existence. The way that issues surrounding education, science, pharmacology and medicine have been addressed have shaped the two professions. These issues and attitudes continue to shape practices and politics in an era of increasing acceptance.

INDEX TERMS: (MeSH) CHIROPRACTIC, HISTORY; OSTEOPATHIC MEDICINE, HISTORY; HISTORY-OF-MEDICINE-2OTH CENTURY.

Chiropractic J Aust 1996 Jun;26(2):63-7

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