CJA Vol.38 Issue 3Editorial: All Things Are Difficult Until They Are Easy -
p81 In Memoriam: Mary Ann Chance, DC, FICC, FACC, Editor 1983 –
2008 - p82 Mary Ann Chance – A Life Worth Living - p85 Paradigm Shift: Why the Need? - p87 Commentary: Changing Perceptions - p89 Paediatric Chiropractic Care of a Patient with
Recurrent Abdominal Pain - p92 A Survey of Graduate Perception of Undergraduate
Chiropractic Training - p97 Chiropractic Spinal Manipulation and Trigger Point
Therapy for Subacute Mechanical Low Back Pain: A Case Series -
p104 Letters - p111 ABSTRACTS JOEL ALCANTARA, BARBARA SWOBODA and ROSEMARY E. OMAN Objective: The purpose of this study was to explore the ability of senior students within a chiropractic educational setting to apply a scholarly approach to identifying and describing myofascial trigger points and mechanical low back pain. Clinical features: 6 patients with a median age of 21 years consulted the RMIT University chiropractic teaching clinics with uncomplicated subacute mechanical low back pain and were treated with spinal manipulation and trigger point therapy. Intervention and Outcomes: All cases were assessed for change in the prevalence of trigger points by the Specified Myofascial Trigger Point Count (SMTPC). Low back pain and functional disability were evaluated using the Modified Oswestry Questionnaire, Quadruple Visual Analogue Scale (QVAS) and the Modified-Modified Schober’s Technique. Monitoring was completed prior to commencement of therapy and after 6 treatments provided on a weekly basis. Spinal manipulative therapy included high-velocity, low-amplitude chiropractic adjustments to areas of joint dysfunction and myofascial trigger point therapy in the form of static digital compression. For the majority of the cases there was improvement in pain and the level of disability, lumbar spine flexibility and reduction in the number of myofascial trigger points. Conclusion: It would appear from this case series that in the context of a chiropractic educational setting senior students are able to apply a scholarly approach to identifying and describing myofascial trigger points and mechanical low back pain. Supporting this statement are the principle findings of the observed changes in the outcome measures utilised and myofascial trigger points examined. INDEX TERMS: MeSH: CHIROPRACTIC; MANIPULATION, CHIROPRACTIC; MYOFASCIAL PAIN DYSFUNCTION SYNDROME; OUTCOME AND PROCESS ASSESSMENT; EDUCATION. (Other):MODIFIED OSWESTRY; MODIFIED-MODIFIED SCHOBER’S Chiropr J Aust 2008; 38:92-6. A Survey of Graduate Perception of Undergraduate Chiropractic Training BARRY DRAPER and MAX WALSH Objective: This study details the results of a recently conducted survey of Victorian chiropractors that sought practitioners’ views on their personal education experience, present utilisation of skills and knowledge acquired during their training, and opinions on the future education needs of the profession. The study presents the views of those engaged at the coalface of chiropractic as the departure point for discussion regarding the content of undergraduate chiropractic training. Methods: A survey form was sent to all chiropractors registered to practice in the State of Victoria, Australia whose address was in Australia. The data collected was entered into the SPSSv15.0 statistics package for calculation of descriptive statistics. Cross-tabulations were performed using chi-squared values to determine effects within demographic groups. Results: Respondents overall agreed that they had received the right level of training in most of the elements listed. Not enough training was received in such things as physiological therapeutics, CRI and MRI, philosophy and public health, while too much training was considered to have been given in biochemistry and histology. Most respondents agreed that most if not all elements should be included in any chiropractic training program. Generally actual usage of many listed elements was lower than the rate of agreement for the amount of training received and that that they considered should received. Conclusions: The study situates the views of practitioners as a departure point for addressing the question of what it takes to train a chiropractor. The results indicate that as it concerns the knowledge and skills elements on which comment was sought in this survey, practitioners feel their inclusion in the curriculum is desirable, although some could be taught more and some less. The results indicate that actual usage of many taught elements is significantly less that what may be expected both from training received and what chiropractors also believe should be taught in a chiropractic first professional program. It would thus appear some use for surveys such as this in any future revising of standards and competency requirements by accrediting bodies. INDEX TERMS: (MeSH): CHIROPRACTIC; EDUCATION. (Other): TRAINING. Chiropr J Aust 2008; 38:97-103. AMANDA KIMPTON, LUCAS D’ANTONIO, JOEL BISHOP, TIMOTHY MANNES, HARRISON MIHAILIDIS and DANIELL NIEMIEC Objective: The purpose of this study was to explore the ability of senior students within a chiropractic educational setting to apply a scholarly approach to identifying and describing myofascial trigger points and mechanical low back pain. Clinical features: 6 patients with a median age of 21 years consulted the RMIT University chiropractic teaching clinics with uncomplicated subacute mechanical low back pain and were treated with spinal manipulation and trigger point therapy. Intervention and Outcomes: All cases were assessed for change in the prevalence of trigger points by the Specified Myofascial Trigger Point Count (SMTPC). Low back pain and functional disability were evaluated using the Modified Oswestry Questionnaire, Quadruple Visual Analogue Scale (QVAS) and the Modified-Modified Schober’s Technique. Monitoring was completed prior to commencement of therapy and after 6 treatments provided on a weekly basis. Spinal manipulative therapy included high-velocity, low-amplitude chiropractic adjustments to areas of joint dysfunction and myofascial trigger point therapy in the form of static digital compression. For the majority of the cases there was improvement in pain and the level of disability, lumbar spine flexibility and reduction in the number of myofascial trigger points. Conclusion: It would appear from this case series that in the context of a chiropractic educational setting senior students are able to apply a scholarly approach to identifying and describing myofascial trigger points and mechanical low back pain. Supporting this statement are the principle findings of the observed changes in the outcome measures utilised and myofascial trigger points examined. INDEX TERMS: MeSH: CHIROPRACTIC; MANIPULATION, CHIROPRACTIC; MYOFASCIAL PAIN DYSFUNCTION SYNDROME; OUTCOME AND PROCESS ASSESSMENT; EDUCATION. (Other):MODIFIED OSWESTRY; MODIFIED-MODIFIED SCHOBER’S Chiropr J Aust 2008; 38:104-10. |
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