CJA Vol.33 Issue 2Guest Editorial: Subluxation Revisited - p41 The Palmer School of Chiropractic: Development of
the Physical Plant. 1905-1945—An Australian Perspective - p42 “The Lost Years” Revisited - p55 The Management of Dyspepsia: A Chiropractic
Perspective - 57 Chiropractor Receives Centennial Medal of Australia - p72 Book Reviews - p73 Letters to the Editors - p30 ABSTRACTS ROLF E. PETERS and MARY ANN CHANCE As many of the chiropractors practising in Australia prior to the end of World War II had attended the Palmer School of Chiropractic, an attempt is made to trace the development of the physical plant of the Palmer School from rented premises to a multi-building educational complex during the period of 1902-1945. INDEX TERMS: Mesh: CHIROPRACTIC, HISTORICAL ARTICLE. Other: PALMER SCHOOL OF CHIROPRACTIC. Management of Dyspepsia: A Chiropractic Perspective ZOE LOVE and PETER BULL Objectives: 1) To establish whether dyspepsia is commonly encountered in chiropractic clinics, 2) to establish the methods currently used in its management by chiropractors, and 3) to determine the estimated effectiveness of such management according to chiropractors. Design: Electronic questionnaire. Setting: Electronic mail. Subjects: Members of the Chiropractors’ Association of Australia (CAA) who have provided an electronic mail address. Intervention: None. Questions Asked: Respondents were asked to estimate the frequency of encountering patients in their clinics who experience dyspepsia, what their methods of management involve, and whether they consider this management effective. Results: Sixty-six usable responses were received, and 81% of chiropractors estimated seeing patients with dyspepsia at least once a month; 43% estimated seeing such patients more than 5 times a month. Thoracic adjustments were reportedly the most common method of intervention used, gaining a 91% response rate. The most common vertebral segments adjusted were T5-T8, followed by C1 and T4. Nutritional advice, cervical adjustments and visceral manipulation were the next most common methods of management reported, in descending order. Ninety-five percent of respondents rated their management to be either moderately or very effective. Conclusions: Dyspepsia is reportedly a common symptom encountered in chiropractic clinics. Thoracic adjustments (mostly T5-T8), nutritional advice and cervical adjustments (mostly C1) were the 3 most common methods of management used. The high prevalence of dyspepsia estimated and the high perceived effectiveness of its management found in this study warrants further investigation in the form of randomised, controlled clinical trials of the methods of management used. INDEX TERMS: DYSPEPSIA; INDIGESTION; CHIROPRACTIC; MANIPULATION; ADJUSTMENT; SPINE; VISCERAL. JOHN DULHUNTY Objective: To present case studies involving the assessment and management of 3 patients with sacral obliquity due to structural asymmetry of the lumbo-pelvic spine demonstrated using specific spinal radiographic protocols and analysis. Clinical Features: The 3 patients presented to a multi-practitioner rural chiropractic centre with various musculoskeletal complaints, including back pain and restricted ranges of movement. A common feature of the 3 cases presented was asymmetry of the spine and pelvis identified on spinal radiographs specifically taken to assess the mechanical integrity of the spine in erect posture. Intervention and Outcome: Treatment included specific chiropractic manipulative therapy, orthotic devices and specific exercises. These procedures were based on information gained from the analysis of spinal radiographs. Follow-up radiographic evaluation was undertaken at time intervals considered appropriate for each case, ranging from 1-2 months. Conclusion: Radiographs of the spine that conform to specific requirements can provide clinically useful information that relates to the mechanical integrity of the spine. The information gained from these views can have direct and specific application to treatment strategies and treatment outcomes as well as long-term spinal management strategies. INDEX TERMS: CHIROPRACTIC; BIOMECHANICS; RADIOGRAPH; PELVIC ASYMMETRY.. |
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