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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