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

CJA Vol.30 Issue 4

Editorial: Philosophical Consensus-A Catalyst for Unity?
Mary Ann Chance and Rolf E. Peters

Evaluation of Clinical Findings for Uncomplicated Mechanical Neck Pain.
Maxwell J. Walsh

Anterior 7-6 Subluxation Syndrome: Neurospinal Dysfunction within a Vertebral Subluxation Complex
Peter I. Rome

The Best of Books for 2000: Into the New Millennium with Confidence
Philllp Ebrall


ABSTRACTS

Evaluation of Clinical Findings for Uncomplicated Mechanical Neck Pain

MAXWELL J. WALSH

Objective: To evaluate clinical findings for uncomplicated mechanical neck pain where there are no demonstrable pathologies or neurological deficits. Design: Retrospective analysis of patient files. Setting: Teaching chiropractic clinic, RMIT University. Subjects: Files of 355 patients presenting to the clinic with uncomplicated mechanical neck pain were analysed. Dala Analysis:-The data was entered into a spreadsheet (Excel 97), contingency tables created and data analysed using Chi Square tests. Statistical significance was set at p < 0.05. Results: Palpatory tenderness and active range-of-motion reductions (particularly rotation and lateral flexion) were the most commonly positive tests, while orthopaedic tests showed relatively low positive results. Factors that affected the rate of positive responses for some tests were age, gender, and pain site, duration and cause. The number of previous episodes of neck pain had no effect on the positive test rates. Conclusion: For cases of uncomplicated mechanical neck pain, palpators tenderness and active range-of- motion reductions are the most useful tests from a clinical point of view. Orthopaedic testing is of minimal value with the possible exception of foraminal compression. Selection of the most appropriate tests must take into account the patient profile and history.

INDEX TERMS: (MeSH) CHIROPRACTIC; NECK PAIN. (OTHER) CLINICAL TESTS; ORTHOPEDIC TESTS.

Chiropr J Aust 2000; 30:122 6.

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AnteriorT6 Subluxation Syndrome'. Neurospinal Dysfunction within a Vertebral Subluxation Complex

PETER I. ROME

This paper serves to examine the signs and symptoms associated with the subluxation of a particular vertebral legmen at T6, as well as the characteristics of a distinct type of vertebral subluxation involving this segmental (eve ql the ''Anterior Thoracic Subluxation Complex'' (ATSC). The characteristic signs and symptoms associated with this segmental complex, particularly dyspepsia, have been designated the ''Anterior 7-6 Subluxation Syndrome'' (AT6SS). The paper highlights the clinical presentation of possible vertebrogenic or subluxogenic dyspepsia. Clinically, amelioration of this 7-6 Syndrome has best been found through the administration of a particular form of manipulative technique, the -Anterior Thoracic Spinal adjustment.- This is also discussed. The syndrome as presented is based upon the author's clinical observations.

INDEX TERMS: (MeSH): CHIROPRACTIC; DYSPEPSIA; THORACICVERTEBRA ME (OTHER): INDIGESTION; ANTERIOR THORACIC SUBLUXATION; 7-6 SYNDROME.

Chiropr J Aust 2000; 30: 127.37

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The Best of Books for 2000: into the New Millennium with Confidence

PHILLIP EBRALL

Reviews are presented of a number of books published during the 2000 calendar year. A variety of publications for the year were selectively sampled by the author as to whether or not they held relevance to the clinical practice of chiropractic and demonstrated a contemporary understanding of the profession and its societal responsibilities. Twenty-one titles were chosen for inclusion in this review. The titles are grouped by categories reflecting various aspects of chiropractic practice. The review comments are prefaced by a brief introductory commentary on the improvement in the authority and variety of texts now available to the practitioner. The conclusion is reached that the chiropractic profession can move into the new millennium with confidence for its future growth and acceptance based largely on the quality of the contemporary literature of the profession.

INDEX TERMS: MeSH: CHIROPRACTIC; AUSTRALIA.

Chiropr J Aust 2000; 30: 138.54

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