March 2006 
 SOT Quarterly Research Update
SOT Entering the 21st Century: Developing an Evidenced Base Approach
SOT Events
SOT Related Research Information
Research Conferences
Research Search Engines
Dural Connection Internet Edition
SOT and Chiropractic Research Lists
International SOT Events
SOT and SOT Cranial Events



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Dear Colleague:

The SOT Quarterly Research Update is a service offered by SOTO-USA to keep doctors who are familiar with sacro occipital technique (SOT) aware of the latest research related events, papers, and concepts affecting our practices. Please contact me directly at drcblum@aol.com if you are aware of others who might be interested in receiving this quarterly newsletter.

 SOT Entering the 21st Century: Developing an Evidenced Base Approach
 

The relationship between research findings and actual practice in the clinical environment is something that has led to conflict in all fields of healthcare. Chiropractic is no different and often times there have been schisms between its research and clinical worlds. Ultimately research should be about helping the clinician develop the best, most effective, low risk, and high benefit diagnosis and treatment. This article discusses some possible beginning steps towards helping SOT move forward into the evidenced based arena. To move forward in this arena we need to ask the following questions: � Where are we? � Where do we want to go? � How do we get where we want to go?

Dural Connection Internet Edition Volume 5, Number 2 


 Alliance of TMD Organizations
 

In 2005, SOTO-USA became a member of the Alliance of TMD Organizations. Founded in 1995 on behalf of patients’ well- being, the American Alliance of TMD Organizations’ mission is to support and protect the right and freedom of clinicians to practice in the field of TMD within the scope of their care, skill, judgment, and scientific information. The American Alliance of TMD Organizations has been created to represent the broad interests of professional organizations and their member practitioners who understand the importance of effective diagnosis and treatment of craniofacial disorders. SOTO-USA is the only chiropractic based organization in a collective group of 10 different, primarily dental, groups with total membership of over 18,000 doctors. The TMD Alliance group consists of America Academy of Craniofacial Pain, American Association for Functional Orthodontics, American Academy of Pain Management, American College of Prostodontists, American Equilibration Society, American Prosthodontic Society, International Association of Orthodontists, International College of Cranio-Mandibular Orthopedics, Pennsylvania Craniomandibular Society, and Tennessee C.R.A.N.I.O.

TMD Alliance 


 The Effect of Sacro Occipital Technique Category II Blocking on Spinal Ranges of Motion: A Case Series
 Hochman JI, Journal of Manipulative and Physiological Therapeutics, Nov

OBJECTIVE: To describe changes in lumbar and cervical range of motion measurements after supine pelvic blocking as used in Sacro Occipital Technique (SOT). METHODS: Five subjects with sacroiliac distortion and instability were recruited and selected for SOT. Cervical and lumbar ranges of motion were measured before and after category II blocking procedures used to change pelvic mechanics. Pre- and post-measurements were taken by a blinded assessor using a Zebris ultrasonic motion detector. RESULTS: Changes were found in the lumbar spine only. Increased ranges of lumbar motion occurred in all planes except extension (21%-57%). CONCLUSION: Supine pelvic blocking as used in SOT affected lumbar ranges of motion in these 5 cases. This may indicate that functional change in the pelvis results in changes in lumbar motion, especially lumbar flexion. Larger data sets are needed for further study.

SOT Category II Blocking on Spinal ROM 


 Changes in coordination of postural control during dynamic stance in chronic low back pain patients.
 Della Volpe R, Popa T, Ginanneschi F, Spidalieri R, Mazzocchio R, Rossi A., Gait Posture. 2005 Nov 24

The human postural system operates on the basis of integrated information from three independent sources: vestibular, visual and somatosensory. It is conceivable that a derangement of any of these systems will influence the overall output of the postural system. The peripheral proprioceptive system or the central processing of proprioceptive information may be altered in chronic low back pain (CLBP). CLBP patients oscillated much more than controls in the anterior-posterior (AP) direction in platform sway-referenced conditions. Control experiments ruled out that increased sway was due to pain interference. In CLBP patients, postural stability under challenging conditions is maintained by an increased sway in AP direction. This change in postural strategy may underlie a dysfunction of the peripheral proprioceptive system or the central integration of proprioceptive information.

Body Sway and Chronic Back Pain 


 Interexaminer reliability and validity for diagnosis of temporomandibular disorders of visual leg measurements used in dental kinesiology.
 Farella M, Michelotti A, Pellegrino G, Giani U, Martina R., J Orofac Pain. 2005 Fall;19(4):285-90.

AIMS: To determine the reliability and the validity of visual leg measurements used in dental kinesiology, which suggests that a masticatory dysfunction, such as occurs in temporomandibular disorders (TMD), can influence the length and the internal rotation of lower limbs. METHODS: The leg- length inequality test and the internal foot-rotation test were performed independently by 3 different examiners on 41 subjects who were also screened for TMD. Data were analyzed by means of kappa statistics and by calculation of sensitivity and specificity values. RESULTS: Sensitivity and specificity values of the tests to differentiate TMD and healthy subjects were below acceptable thresholds. CONCLUSION: Visual evaluations of leg-length inequality and internal foot rotation were unreliable and are not valid for TMD diagnoses. The results of chiropractic visual leg measurement procedures in dentistry should be interpreted with caution, particularly when clinical decisions may lead to nonreversible dental treatment. [Department of Dental and Maxillo-Facial Sciences, Section of Orthodontics and Clinical Gnathology, University of Naples Federico II, Naples, Italy. farella@unina.it] COMMENT: Gary Knutson, DC, notes that "Having looked at the discussed abstract, three examiners and 41 subjects is a pretty good sample size. The problem I see is one of confounding factors. Functional Leg Length Inequality could be the result of sacroiliac joint dysfunction, and/or atlas subluxation, and/or TMD. Trying to tie one diagnosis (TMD) to a functional short leg, I would think, is bound to failure. That said, with other diagnostic indicators of a TMJ problem, a "short leg" would be something to note, but not, by itself, diagnostic."

Interexaminer reliability and validity for diagnosis of TMD and Leg Lengths 


Sacro Occipital Technique Organization - USA is a non-profit, professional organization formed to promote the awareness, understanding and utilization of the Sacro Occipital Technique method of chiropractic as founded and developed by Dr. Major Bertrand DeJarnette. Future research updates will include information research conference highlights, recent SOT related articles published in our peer review literature, and any other pertinent information those interested in SOT.

Thank you for your dedication and interest


Charles Blum
Sacro Occipital Technique Organization - USA

phone: 310-392-9795
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