CJA Vol.32 Issue 2Editorial: Whose Chiropractic? - p41 Referred Posterior Thoracic Pain of Cervical
Posterior Rami Origin: A Cause of Much Misdirected Treatment -
p42 Chiropractic Management of Deformational
Plagiocephaly in Infants: An Alternative to Device-Dependent Therapy -
p52 Dietary Recommendations for Disease Prevention:
Biologically Valid But Clinically Disappointing - p56 Commentary: Compensable Chronic Pain—Avoidance and Management -
p64 Report of the Twelfth Annual Meeting of the Chiropractic Research
Journal Editors’ Council - p73 In Memoriam - Walter R. Wolf - p75 William S. Rehm - p76 ABSTRACTS ALLAN G.J. TERRETT and ROBERT G. TERRETT Posterior thoracic pain of cervical origin (cervicogenic dorsalgia) is a common syndrome that often results in prolonged, misdirected and ineffectual treatment to the area of referred pain. Simple examination methods can diagnose this syndrome, and the diagnosis is confirmed when, following spinal manipulation therapy of the cervical spine, the thoracic pain is relieved. INDEX TERMS: CHIROPRACTIC; PHYSICAL THERAPY; SPINE; CERVICAL; THORACIC; PAIN; MANIPULATION; ORTHOPEDIC; REFERRED PAIN; ZYGAPOPHYSEAL JOINT, SPINAL MANIPULATIVE THERAPY. NEIL J. DAVIES Objective: The objective of this retrospective study was to compare the rate of resolution of non-stenotic deformational plagiocephaly (NDP) under chiropractic care against both the natural history and other interventional methods employing device-dependent therapy. Design: This study retrospectively examines the clinical results produced by chiropractic management of 25 cases of NDP that were free of any sutural stenosis or other contributing medical conditions, including congenital torticollis and sternomastoid tumour. Setting: Each case had been referred to a chiropractic paediatric centre with a request for management after the diagnosis was initially established by either a consultant paediatrician or maternal and child health nurse. Patients/Participants: The patients for this study were drawn from a clinic population in a major metropolitan centre and a large regional centre. The mean age at entry into the clinic was 3.74 months. The male-to-female ratio was 5:10, and the occipitoparietal flattening was right-sided in 17 of the 25 cases. Intervention: Before commencement of chiropractic care, the diagnostic criteria for NDP were confirmed, the head circumference of each child was measured and plotted on an anthropometric chart standardised to an Australian population group, and then each child was assessed for the presence of subluxation complex affecting the spine and/or extremities. Chiropractic paediatric adjusting techniques were then administered and the child followed until resolution of the NDP occurred. Main Outcome Measure: Resolution was deemed to have occurred only when all the criteria for establishing the diagnosis was no longer in evidence and there had been a minimum period of 4 weeks in which the subluxation complex was no longer demonstrable. Results: Under chiropractic care alone, all 25 of the patients reviewed achieved complete resolution. The mean time to full resolution was 3.64 months, and the mean number of adjustments given was 1.8. Conclusion: The early implementation of chiropractic care for infants with deformational plagiocephaly may play a critical role in reducing the negative sequelae of NDP in the school-age population. Further controlled studies comparing clinical outcomes produced by chiropractic and device-dependent management are recommended. INDEX TERMS: (MeSH): CHIROPRACTIC; ADJUSTMENT; DEFORMATIONAL PLAGIOCEPHALY; NON-STENOTIC; RESOLUTION; CRANIOSYNOSTOSIS.. Dietary Recommendations for Disease Prevention: Biologically Valid But Clinically Disappointing JENNIFER R. JAMISON Dietary choices have a major impact on morbidity in affluent societies. This paper describes how dietary changes can affect risk factors for coronary artery disease and explores the clinical repercussions of dietary change. Despite dietary recommendations being imperfect in their conception and implementation, dietary intervention remains an important wellness trigger. INDEX TERMS: HYPERTENSION; HYPERLIPIDAEMIA; HYPERGLYCAEMIA; DIETARY INTERVENTION. |
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