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 9th Annual
CLINICAL
SYMPOSIUM, October 23-26th, 2008, in Dallas,
Texas.
In the very near future dates and locations will be
released for a series of SOT and Cranial Seminars
taking place in the Spring and Summer of 2008.
Don't forget your can always have SOTO-USA come to
you by:
Designing Your Own SOT Seminar -
Click Here
for Information
This update features information on some SOT papers
recently accepted for presentation at the 2008
ACC/RAC conference and in the Journal of the
Canadian Chiropractic Association (PubMed indexed
journal), the relatively new concept called, "Clinical
Prediction Rules" (CPRs), a call for SOT or cranial
case reports, ICPA Pediatric Practice Based
Research, and Cranial Research Papers from the 50th
Annual American Osteopathic Association.
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SOT Research Accepted for Conferences and Publication in 2008
SOT has two papers accepted to the ACC/RAC
Conferences this March
12-15, 2008 in Washington DC. This prestigious
conference includes the premiere chiropractic
researchers, academicians, and college administrators.
Plagiocephaly: The Oblique Skull a Method of
Chiropractic Correction. (Platform
Presentation)
Steve Williams, Charles Blum, Simon Billings
Developmental Delay Syndromes and Chiropractic:
A
Case Report.
Charles Blum, Scott Cuthbert
Also for those of you who remember a survey of
patient preferences to determine why they sought SOT
care at your office, that paper while initially presented
at the ACC/RAC conference in 2006 entitled,
"Patient preference for wellness care: Is it on the
menu?", has now been accepted for publication in
the Journal of
the Canadian Chiropractic Association, a PubMed
Indexed journal.
Multinational survey of chiropractic patients: Reasons
for
seeking care.
Charles L. Blum, Gary Globe, Lisa Terre, Timothy A.
Mirtz, Leon Greene, Denise Globe.
ACC/RAC 2008 Conference Schedule
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Clinical Prediction Rules (CPR) and Manipulation
What are they and why are they important?
CPRs are used to determine what groups of symptoms
or diagnostic features help to categorize a group of
patients that would be best helped by a specific
procedure. For an article that discusses how CPRs
can be used see: Development and Application of Clinical Prediction
Rules to Improve Decision Making in Physical
Therapist Practice.
Over the past few years CPRs are being developed to
determine who might benefit from SI joint, low back,
hip, thoracic and cervical spine manipulation. This is
the likely future of manipulative research and
chiropractic, particularly SOT, needs to be aware and
start performing our own studies. In the next article we
will be featuring an ongoing series of research
presentations offered by the Research
Review
Service for Chiropractors. The following are
samples of how the CPRs are being used in clinical
practice and substantiate the need for manipulative
care.
Fritz JM, Childs JD, Flynn TW.
Pragmatic
application of a clinical prediction rule in primary care
to identify patients with low back pain with a good
prognosis following a brief spinal manipulation
intervention. BMC Fam Pract. 2005 Jul
14;6(1):29."
Hassan, NA. A Clinical
Prediction Rule for Classifying Postpartum Subjects
With Low Back and Pelvic Girdle Pain Who
Demonstrate Short-Term Improvement With
Mobilization of the Sacroiliac Joint, Dissertation:
University of Pittsburgh, School of Health and
Rehabilitation Sciences. Jul 2007. URN etd-
07052007-164019.
Tseng YL, Wang WT, Chen WY, Hou TJ, Chen
TC, Lieu FK. Predictors for the immediate
responders
to cervical manipulation in patients with neck pain.
Man Ther. 2006 Nov;11(4):306-15."
Cleland JA, Childs JD, Fritz JM, Whitman JM,
Eberhart SL. Development of a clinical prediction
rule
for guiding treatment of a subgroup of patients with
neck pain: use of thoracic spine manipulation,
exercise, and patient education. Phys Ther. 2007
Jan;87(1):9-23."
Currier LL, Froehlich PJ, Carow SD, McAndrew
RK, Cliborne AV, Boyles RE, Mansfield LT, Wainner
RS. Development of a clinical prediction rule to
identify patients with knee pain and clinical evidence
of knee osteoarthritis who demonstrate a favorable
short-term response to hip mobilization. Phys
Ther.
2007 Sep;87(9):1106-19."
Childs JD, Fritz JM, Flynn TW, Irrgang JJ,
Johnson KK, Majkowski GR, Delitto A. A clinical
prediction rule to identify patients with low back pain
most likely to benefit from spinal manipulation: a
validation study. Ann Intern Med. 2004 Dec
21;141(12):920-8."
Blum CL, Globe G, Assessing the Need for
Dental - Chiropractic TMJ Co-Management: The
Development of a Prediction Instrument, Journal of
Chiropractic Education Sum 2005;19(2).
Clinical Prediction Rules: Subgrouping of Patients
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Research Review Service for Chiropractors
Clinical Prediction Rule - Sample Report
What is the Research Review Service?
The Research Review Service is a subscription-
based, online service for chiropractors,
physiotherapists, and other manual medicine
providers. Each week, a new review is posted,
summarizing, critiquing, and contextualizing a recent,
peer-reviewed article in the area of chiropractic,
physiotherapy, rehabilitation, sports injuries,
acupuncture, or exercise sciences. The reviews are
concise and comprehensive, facilitating practical
understanding of research methods and results. Over
150 reviews are now posted in the fully keyword
searchable database. The Research Review Service
now has subscribers worldwide from the disciplines of
chiropractic, physiotherapy, personal training, and
athletic therapy. To subscribe to this service, or for
more information, visit the website at
www.researchreviewservice.com or email info@
researchreviewservice.com.
The following is a sample of how the Research Review
Service shares an introduction to up to date information.
Click on the hyperlink that follows the article to see a full
text sample.
Fritz JM, Cleland JA, Childs JD. Subgrouping
patients with low back pain: Evolution of a classification
approach to physical therapy. Journal of
Orthopaedic & Sports Physical Therapy 2007; 37(6): 290-
302.
Despite its prevalence, LBP remains challenging for
all health care providers, a persistent "black-box" of
musculoskeletal medicine. Over 1000 randomized
clinical trials exist in the literature but, to date, this
expansive volume of research has been unable to
offer conclusive support for most treatment
interventions. This review discusses a Clinical
Prediction Rule (CPR) which can help clinicians
identify clusters of factors (clinical and historical) that
can predict patient response to a treatment
intervention (ex. manipulation, stabilization exercise,
etc.), with the goal of improving clinical outcomes.click here
Subgrouping patients with low back pain: Evolution of a classification approach to physical therapy · click here
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Determining the Intra-observer Reliability of the Evaluation of Cranial Strain Patterns-
Halma KD, Snider KT, Johnson JC, Schaun-Flaim M, Degenhardt BF. JAOA. Aug 2006; 106(8): 471 (F01).
Purpose: To perform a prospective, randomized,
single
blinded, observational study to determine the intra-
observer reliability of common palpatory tests used to
diagnose strain patterns of the cranium.
Comment: There are no previous studies on
the intra-
observer reliability of CSP. These results indicate
good intra-observer reliability can be obtained when
evaluating cranial strain patterns. Yet the intra-
observer reliability for CRI and QOR were found to be
only fair. This finding for intra-observer reliability for
CRI was consistent with previous studies. Now that
intra-observer reliability has been documented,
studies need to be done to establish the inter-observer
reliability for cranial rhythmic impulse (CRI) rate,
cranial strain pattern (CSP), and quadrants of
restriction (QOR).
Determining the Intra-observer Reliability of the Evaluation of Cranial Strain Patterns
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The Role of Osteopathic Manipulative Treatment in the Treatment of Fibromyalgia Syndrome
Yahnert JL, Hartman RJ, Steward PE, PhD,. Kuchera ML. JAOA. Aug 2006; 106(8): 471 (F03).
Hypotheses: Adding Osteopathic
Manipulative
Treatment (OMT) to the treatment of Fibromyalgia
Syndrome (FMS) would: decrease the effect FMS had
on the patient's activity shown by a decreasing
Fibromyalgia Impact Questionnaire (FIQ) score;
decrease the amount of symptoms and syndromes the
patient experienced shown by a decreasing
Symptoms and Associated Syndromes Questionnaire
(SASQ) score; decrease the amount of time it would
take the patient to walk 75 feet; and decrease the
amount of pain medication the patient r
The OMT protocol was designed to address somatic
dysfunction in the sphenobasilar synchondrosis,
occipital-atlantal and atlantal-axial joints, 2nd cervical
vertebrae and sacrum. The clinical endpoint of the
model was improved symmetry, amplitude, vitality, and
rate of the Cranial Rhythmic Impulse. All findings were
recorded.
Conclusion: This study supported the
hypotheses, by
showing a reduction in all proposed categories, but
due to the small number of subjects, statistical
significance cannot be properly assessed. The results
suggest that OCF may be of benefit for patients with
FMS. Expanding this study over a longer period of
time, with a larger subject pool will provide definitive
answers as to the benefit of OMT in FMS.
The Role of Osteopathic Manipulative Treatment in the Treatment of Fibromyalgia Syndrome
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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.
The SOTO-USA family all looks forward to seeing you
October 23-26th, for the
2008 National Clinical
Symposium in Dallas, Texas. It will be a great
opportunity learn the
essence of SOT or advance your SOT training with
integrative classes in SOT, CMRT, and Cranial.
For those interested in working with the dental
profession
treating TMD then this symposium will be leading the
way.
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