June 2006 
 SOT Quarterly Research Update
June 2006 SOT Research Update
SOTO-USA's Multidisciplinary Annual Event
SOT Related Research Information
Research Conferences
Research Search Engines
SOT Research Literature
SOT and Chiropractic Research Lists
International SOT Events
Informative SOT and AK Newsletters
The Alliance of TMD Organizations
Getting the Word Out About SOT
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.

Please don't miss SOTO-USA's 7th Annual CLINICAL SYMPOSIUM, October 26-29th, 2006, in St. Louis, Missouri at the Hyatt Regency - Union Station.

During the next few SOT Quarterly Research Updates we will feature some unpublished Senior Research Projects from, Logan College of Chiropractic, Proceedings of the Logan College Student Research Symposium. There is hope that these authors will consider working with SOTO-USA's research department to assist them in submitting these interesting articles to both research conferences and chiropractic peer review journals.

 Psoas contraction and the effect on expiratory lung volume
 Haner B, Judge D, Starbuck E, Young D, Unger J,

Functional lung capacity is an important aspect of health. This study sought to investigate the relationship between psoas muscle contraction and functional lung volume. The psoas muscle attaches to the diaphragm through the medial arcuate ligament. If the psoas muscle is in a contracted state and fails to relax it is hypothesized that the diaphragm will not be able to relax completely, thus diminishing expiratory lung volume. Inability to expel air is a major aspect of significant breathing difficulties, such, as asthma and COPD. This study measured the functional expiratory volume (FEY), functional expiratory volume in one second (FEV1), and maximum flow rate of 44 subjects. These subjects were divided evenly between control and experimental groups. Pre-test flow rates for both groups were recorded using a RC-100 flow meter and data recorded using Acugraph software. Both groups had their psoas muscle tested and in the treatment group. the. Sacro-Occipital Technique (SOT) release was performed. Post-test flow rates were then recorded for all subjects. Results showed a significant improvement in the post- treatment FEV of the experimental group with a p-value of 0.027 measured using a 2X2 factorial ANOVA and a p-value of 0.0005 using a two-tailed, paired t-test. FEV 1 and max flow rate both improved in the post-treatment groups, but the results were not statistically significant. These results indicate that psoas contracture does affect total expiratory volume, but may not affect the speed or strength of expiration. This study was the first to measure the effects of psoas release on lung volume and confirms the need for further investigation.

Senior Research Project, Logan College of Chiropractic, Continues Proceedings of the Logan College Student Research Symposium. No. 34 of the December 2005 Class

 


 SOT treatment with trapezius fiber & blocking
 Choi H, Ridgeway D

Objective: To explore the mechanisms of how SOT treatment with trapezius and blocking technique might work functionally and their physiological effects. Design: Investigating the nature of SOT Physiology, Philosophy, and Category Procedures. Conclusion: The concept of the categories (generalization of presenting body pattern distortions) in SOT is unique in mainstream chiropractic. The various tests and evaluations performed on a first time patient to determine their primary category can be vitally important to developing accurate treatment protocols, and ultimately an efficient way of dealing with patients with complex presenting symptoms.

Senior Research Project, Logan College of Chiropractic, Continues Proceedings of the Logan College Student Research Symposium. No. 25 of the December 2003 Class.

 


 Sacro-Occipital Technique and chiropractic manipulative reflex technique effects on heart rate variability
 Oliver J, Evans R, Thompson D,

There are seven aspects of SOT including Occipital Fibers/ Chiropractic Manipulative Reflex Technique (CMRT). The nervous system branches and is measured at two frequencies: the sympathetic division is measured at a low frequency whereas the parasympathetic at high frequency. Heart rate variability is one method to detect the effects of the nervous system which was monitored by BioCom Version 2.0. Various students attending Logan College of Chiropractic were divided in two groups to see the results SOT/CMRT has on the nervous system. The treatment group, who received SOT/CMRT adjustments, consisted of 10 subjects. The comparison group contained 17 students, who received adjustments outside this study. One factor influencing our study was National Board Examinations during the later part of this study. Results include the treatment group with a significant difference in high frequency range at p=.026, whereas the comparison group displayed an insignificant difference at p=.387. Based on results, SOT in combination with CMRT may affect the nervous system by statistically increasing the parasympathetic tone as evidenced by heart rate variability.

Senior Research Project, Logan College of Chiropractic, Continues Proceedings of the Logan College Student Research Symposium. No. 37 of the December 2003 Class.

 


 Anatomy of the interosseous region of the sacroiliac joint.
 Rosatelli AL, Agur AM, Chhaya S. J Orthop Sports Phys Ther. 2006 Apr;36(4):200-8.

In SOT the posterior SI joint hypermobility syndrome is called a Category Two. What might be the result of long- term dysfunction of this joint? Is ligamentous ossification a natural process or secondary to increased biomechanical postural stress? STUDY DESIGN: Anatomical study of the interosseous region of the sacroiliac joint (SIJ) complex. OBJECTIVES: To document and quantify the surface topography of the interosseous region of the SIJ.

BACKGROUND: A review of the literature reveals that little consideration has been given to the interosseous region of the SIJ anatomically, biomechanically, and clinically.

METHODS AND MEASURES: The interosseous region of 11 cadaveric specimens (9 formalin embalmed and 2 fresh frozen) were studied. Ten specimens were 55 years of age or older and 1 was 20 years old.

RESULTS: Surface characteristics of the SIJ complex observed in specimens 55 years of age or older included moderate to extensive ridging of the interosseous region of the sacrum and ilium in 100% of specimens and ossification of the central interosseous region of the sacroiliac (SI) ligament in 60% of specimens.

CONCLUSIONS: Central region ossification of the interosseous SI ligament and the presence of ridges and depressions over the opposing interosseous surfaces of the sacrum and ilium are features common to specimens that are in or beyond their sixth decade. These findings further support the contention that there is little to no movement available at this joint in older individuals.

Anatomy of the interosseous region of the sacroiliac joint. 


 Proprioceptive Insoles - The Next Generation in Foot Insoles
 Professor Dr Brian A Rothbart, Researcher, Podiatric Biomechanical Engineer

Dr. Rothbart has revolutionized the integration of the assending podiatric influences on posture and particularly temporal mandibular disorders (TMD). He has published extensively and has an excellent website documenting his research [http://www.rothbartsfoot.info]. What are proprioceptive insoles and how do they function? This year's clinical symposium will feature a presentation on Dr. Rothbart's work. Here is what Dr. Rothbart has to say on that topic:

"Proprioceptive insoles apply a tactile stimulation to the bottom of the foot. The location of this stimulation depends on the foot type you are treating. The foot stimulation is transmitted to the cerebellum, the balance center of the brain. Acting on this signal, the cerebellum initiates a global postural correction: the pelvis levels, the shoulders retract, the head moves posteriorly over the cervical spine. This shift in posture directs the weight bearing joints to function at or nearer their anatomical neutral position, which in turn, allows the body to readjust itself towards a state of homeostasis.

"Proprioceptive insoles do not support the foot, an important distinction between orthoses incorporating arch supports and proprioceptive insoles. Supporting the foot atrophies the intrinsic plantar muscles ('use it or lose it'), the plantar arches weaken, and the postural distortions exacerbate. Proprioceptive insoles do not support the foot. They act directly on the cerebellum, changing the postural hemostat. Over time, a process of engramming occurs, patients are able to use their proprioceptive insoles less and less and still maintain their level of homeostasis (wellness)."

More Information and to Purchase Posture Control Insoles 


 Cardiovascular Events in Patients
 Homocysteine Levels, C-Reactive Protein, NSAIDS and History of Myocardial Infarction & Cervical Spine Adjusting

••• Supplementation with folic acid and vitamins B-12 and B-6 has been found to not reduce the risk of major cardiovascular events in patients with cardiovascular disease (CVD), and may even be deleterious. Dr. Joseph Loscalzo, from Harvard Medical School in Boston, suggests that "the use of folic acid and vitamin B-12 in the setting of mild hyperhomocysteinemia may alter the methylation potential in vascular cells, resulting in a change in the cell phenotype that promotes the development of plaque." •••

Loscalzo J. Homocysteine trials--clear outcomes for complex reasons. N Engl J Med. 2006 Apr 13;354(15):1629-32. Epub 2006 Mar 12.

••• In a related eariler article researchers found that, "Increased homocysteine levels are a risk factor for atherosclerosis and its sequelae. A common genetic mutation in methylenetetrahydrofolate reductase (MTHFR), an enzyme required for efficient homocysteine metabolism, creates a thermolabile enzyme with reduced activity. Because MTHFR homozygotes have increased homocysteine with low folate levels, this mutation may contribute to early-onset or familial vascular disease. The genotype dependence of the folate- homocysteine correlation further suggests that homozygotes for this mutation may have both an exaggerated hyperhomocysteinemic response to folic acid depletion and a better response to folic acid therapy" •••

Deloughery TG, Evans A, Sadeghi A, McWilliams J, Henner WD, Taylor LM Jr, Press RD. Common mutation in methylenetetrahydrofolate reductase. Correlation with homocysteine metabolism and late-onset vascular disease. Circulation. 1996 Dec 15;94(12):3074-8.

••• C-reactive protein (CRP) has emerged as an important predictor of cardiovascular disease and findings from a large prospective study, demonstrated a relationship associated with the risk prediction for incident ischemic stroke conferred by CRP levels in patients at high risk. •••

Tanne D, Benderly M, Goldbourt U, Haim M, Tenenbaum A, Fisman EZ, Matas Z, Adler Y, Zimmlichman R, Behar S, C- Reactive Protein as a Predictor of Incident Ischemic Stroke Among Patients With Preexisting Cardiovascular Disease. Stroke. 2006 Jun 1; [Epub ahead of print]

••• According to data from the Danish National Patient Registry all NSAIDs were found to increase mortality in MI survivors - Family Practice News Volume 36, Issue 1, Page 19 (01 January 2006) •••

••• Please see the following link for a very helpful PowerPoint program on cervical manipulation and cerebrovascular events, how to predict them, and what you as a doctor can and should do. This PowerPoint program was produced by Dr. Gerald Clum, President of Life West Chiropractic College. •••

Cervical Manipulation and Cerebrovascular Events (FREE Powerpoint) 


 ICAK-USA 2006 Conference - Chicago June 8-11, 2006
 Food for Thought - Forward Head Posture (FHP)

At this past ICAK-USA Conference Charles L. Blum, DC, representing SOTO-USA had the opportunity to share common postural distortions familiar to chiropractors, dentists, and podiatrists. While the end result of FHP is the same, each method of healthcare offers valuable insights into this postural phenomena pervading humanity. At this year's SOTO-USA Clinical Symposium in St. Louis October 26-29th, this topic will be discussed in detail by Stephen Olmos, DDS, Richard Gerardo, DC, Charles Blum, DC and others.

At the ICAK-USA conference, Jose Palomar Lever, MD noted in his article, “Neurogait” that while the talus and hyoid both contribute significant proprioceptive information to the brain, the talus has only ligamentous attachments while the hyoid has only muscular.

Also at the conference Thomas Myers, LMT (author of the book Anatomy Trains) noted in his lecture that when there is fascial restriction along either the anterior or the posterior fascial lines, either or both will ultimately cause a forward head posture and increased suboccipital muscle tension.

SOTO-USA Clinical Symposium 


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 regarding research conference highlights, recent SOT related articles published in our peer review literature, and any other pertinent information for those interested in SOT and patient healthcare.

Thank you for your dedication and interest

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