Home PublicationsChiropractic Journal of AustraliaBack Issues: 1990-1999Volume 26 Vol.26 Issue 3

CJA Vol.26 Issue 3

Guest Editorial: Case Reports: Mining the Gems of Clinical Experience
Stanley P. Bolton

The Prospective Treatment of Visual Perception Deficit by Chiropractic Manipulation: A Report on Two Juvenile Patients
Danny Stephens and Frank Gorman

Acute Cervical Torticollis and Palmer Upper Cervical Specific Technique: A Report of Three Cases
Philip S. Bolton and Stanley P. Bolton

The Chiropractic Consultation: Establishing a Therapeutic Alliance
Jennifer R. Jamison

Friends of Chiropractic—An Occasional Series: Professor Raymond Marshall Golding
Stanley P. Bolton

Writing Case Reports: A Beginner's Guide
Mary Ann Chance and Role E. Peters

ABSTRACTS

The Prospective Treatment of Visual Perception Deficit by Chiropractic Spinal Manipulation: A Report on Two Juvenile Patients

DANNY STEPHENS and FRANK GORMAN

Objective: To demonstrate that chiropractic spinal manipulation (SMT) may be effective in the treatment of concentric narrowing of the visual fields.
Clinical Features: Two juvenile patients with constricted visual fields were examined by visual acuity testing and computerised static perimetry before and after chiropractic spinal manipulation therapy.
Intervention and Outcomes: Chiropractic spinal manipulation therapy was associated with improvement to normal in the visual acuity and the visual fields in both patients. Seven treatments were required for one patient and three for the other.
Conclusion: Chiropractic spinal manipulation therapy was effective in the treatment of visual perception deficit in these two patients.

INDEX TERMS: MeSH: CHIROPRACTIC; MANIPULATION, ORTHOPEDIC; PERIMETRY, COMPUTERISED STATIC; VISUAL FIELDS; VISUAL PERCEPTION. OTHER: MANIPULATION, CHIROPRACTIC; TUNNEL VISION.

Chiropr J Aust 1996 Sep;26(3):82-8

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Acute Cervical Torticollis and Palmer Upper Cervical Specific Technique: A Report of Three Cases

PHILIP S. BOLTON and STANLEY P. BOLTON

We present reports of three patients with acute torticollis who were assessed and treated using a traditional chiropractic protocol involving the Palmer (“Hole in One”) Upper Cervical Specific analysis and the toggle recoil adjusting technique. The clinical approach taken in respect of our cases was that of the traditional chiropractic clinical paradigm, that is the identification and reduction of putative vertebral subluxations rather than directing intervention (treatment) at the presenting symptoms. Our case reports support a previous single case report in which it was suggested that the identification of putative vertebral subluxations in the neck and the use of the toggle recoil technique may play a role in limiting the duration of the acute torticollis and severity of the pain associated with this condition. This hypothesis, however, remains to be suitably tested. While there was an apparent successful outcome in our cases, this should not be over-interpreted to mean that the paradigm used in these cases was necessarily responsible for the outcome. We have been unable to find a prospective study that has determined the true “burden of illness” associated with acute torticollis that adequately defines its incidence, natural history and associated complication(s). Consequently, it is possible that the cases of acute torticollis reported here, and those reported elsewhere, may have resolved even without intervention. Anecdotal clinical evidence, however, suggests that this was not the case.

INDEX TERMS: MeSH: CHIROPRACTIC; NECK; MANIPULATION, ORTHOPEDIC; TORTICOLLIS. OTHER: ADJUSTMENT; TOGGLE RECOIL; PALMER UPPER CERVICAL; SPINOGRAPHY.

Chiropr J Aust 1996 Sep;26(3):89-93

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The Chiropractic Consultation: Establishing a Therapeutic Alliance

JENNIFER R. JAMISON

Introduction: While the chiropractic adjustment may be a potent variable conducive to a satisfactory clinical outcome, it is not the only factor contributing to wellness in the chiropractic consultation. Within the framework of a self-organising system, it is postulated that a diversity of triggers may initiate and modulate wellness recognition patterns. This paper describes the therapeutic alliance developed in the chiropractic consultation and explores the outcome expectancy of patients of participating practitioners.
Method: Practice observation of 208 consultations by 34 chiropractors was undertaken. Sample selection was purposive with a maximum variation strategy being used. One hundred and forty-four of the patients whose consultations were observed were also requested to complete a questionnaire which focused on their perceptions and expectations of chiropractic care.
Results: The chiropractic consultation was largely perceived as a physically and emotionally beneficial experience provided by an informative practitioner. Patients enter the chiropractic consultation with positive expectations which are perceived to be largely satisfied. Discussion: The chiropractic consultation was found to fulfil the criteria for establishment of a therapeutic alliance. Conclusion: The nature of the therapeutic alliance established during the chiropractic consultation is consistent with the development of a positive expectancy and may provide, at least in part, an explanation for the outcome expectancy of patients in this study.

INDEX TERMS: MeSH: CHIROPRACTIC. OTHER: CONSULTATION; EXPECTATION, SATISFACTION, THERAPEUTIC ALLIANCE.

Chiropr J Aust 1996 Sep;26(3):94-5

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