CJA Vol.38 Issue 1Guest Editorial: What Are You Doing with What You Know? -
p1 Agents of Change: The CAA Consensus Processes -
p2 Back Pain and Sexual Function: A Review -
p6 Understanding Wellness in a Contemporary Context of
Chiropractic Practice - p12 A Multi-Modal Chiropractic Treatment Approach for
Asthma: a 10-Patient Retrospective Case Series - p17 Profiles of Australian Chiropractic Pioneers: Frederick George
Price, ND, DC - p28 Letters - p 30 ABSTRACTS Agents of Change: The CAA Consensus Processes DENNIS RICHARDS In 1997 the Chiropractors’ Association of Australia engaged a professional facilitator to develop and run a series of consensus conferences around the country. The purpose of these was to engage CAA members in set, organised procedures that ultimately produced Core Values of chiropractic, Core Purposes of the CAA and a Vision Statement to guide the organisation in its future strategic planning and activities. This paper documents those consensus activities, lists the outcomes and notes proposed efforts to review them. INDEX TERMS: MeSH: CHIROPRACTIC; AUSTRALIA; CONSENSUS; FOCUS GROUPS. Chiropr J Aust 2008; 38: 2-5. Back Pain and Sexual Function: A Review PETER K. KNIGHT Objective: To review the likely impact of spinal pain on the sexual response in both males and females, the effect of spinal pain sufferers and their partners, and the implications for chiropractic practice. Data Sources: Published articles in refereed journals abstracted on the Medline and Psychinfo databases. Conclusions: Chronic pain is associated with decreased sexual activity and with sexual dysfunction. This can impact on the spouses of patients, as well as the patients themselves. The changes in sexual function that accompany chronic pain may be due to inhibition associated with the fear of consequences such as exacerbation of pain; autonomic dysfunction and sensory deficits; depression; and lack of appropriate care. Assessment of the effects of spinal pain on sexual function may enhance the quality of chiropractic services and contribute to patient wellness. INDEX TERMS: CHRONIC PAIN; SEXUAL FUNCTION. Chiropr J Aust 2008; 38: 6-11. Understanding Wellness in a Contemporary Context of Chiropractic Practice ROBERTO de SOUZA and PHILLIP EBRALL Purpose: To present a model that facilitates the contemporary shift towards wellness care in chiropractic practice. Methods: The Chiropractic Identity statement achieved by the World Federation of Chiropractic through consensus methodology was purposively reviewed in light of evidence-based categories of chiropractic practice and a developing understanding of the breadth of neural dimensions of human wellbeing. Results: A model is presented that is aligned with the WFC Identity statement including the brand platform and the particular brand pillar of patient-centred care that emphasises the mind/body relationship in health. Four groupings are given to categorise the type of care provided in any particular patient encounter. They are (i) event-related treatment reflecting a management plan developed in response to an identified event producing injury or dysfunction for which the patient demonstrates objective clinical indicators that lead to a diagnosis; (ii) symptomatic treatment being a sporadic application of treatment driven by the patient’s subjective demand for relief from a recurring problem; (iii) maintenance care being the ongoing provision of care in the absence of a subjective complaint but with objective clinical indicators, implemented following either event-related or symptomatic treatment; and (iv) prophylactic care, implemented in the absence of both subjective and objective clinical indicators in the expectation of achieving enhancement of health. Conclusion: The model presented in this paper adds meaning to the WFC Identity statement and represents a tool to help chiropractors understand wellness and how it fits into contemporary practice. The adoption of this model will facilitate chiropractic’s paradigm shift towards wellness by allowing different approaches to chiropractic practice to sit beside each other within any one of the four groupings. INDEX TERMS: HEALTH SURVEY; PREVENTIVE HEALTH SERVICES; EVIDENCE-BASED CHIROPRACTIC; WELLNESS. Chiropr J Aust 2008; 38: 12-6. A Multi-Modal Chiropractic Treatment Approach for Asthma: a 10-Patient Retrospective Case Series SCOTT C. CUTHBERT Objective: To describe the clinical management of 10 cases of childhood asthma using a conservative, multi-modal treatment approach based on applied kinesiology (AK) chiropractic methods. Clinical Features: Ten patients are presented (7 male, 3 female) between the ages of 3 and 22. Each patient had been medically diagnosed and treated for asthma, and all patients were taking one or more asthma medications. Intervention and Outcome: After physical, orthopaedic and AK manual muscle testing examination, the patients were admitted to a multi-modal treatment protocol including chiropractic manipulative therapy, cranial manipulative therapy, muscle therapies aimed at strengthening the muscles of respiration, and nutritional evaluation using the methods developed in applied kinesiology chiropractic. Outcome measures for the study included subjective/objective visual analogue respiratory impairment scales (VAS), improvement in exercise-induced asthma symptoms, reduction of respiratory distress with daily activity, reduction in the frequency of coughing during the day and night, and ease of breathing. These assessments were gathered from both the children and their parents or guardians. Additionally, each patient was able to go off their asthma medications over a range of 3-6 visits (covering a range of 14 days to 5 months time) without a return of their asthma symptoms. All the patients remained off their medications during a follow-up period ranging from 3 months to 4 years. Conclusion: A percentage of patients presenting to chiropractors have asthma. This case series report suggests that a potential benefit may exist in asthma-associated symptoms for selected cases treated with this multi-modal chiropractic protocol INDEX TERMS: (MeSH): COMPLEMENTARY THERAPIES; NATUROPATHY; CHIROPRACTIC; EDUCATION; CURRICULUM; PRIMARY CONTACT. Chiropr J Aust 2007; 37:19-24. |
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