Decemberr 2007 
 SOT Quarterly Research Update
December 2007 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
Chiropractic Peer Review Journals
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 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.

 

Tax Deductable - Year-end Charitable Donation for SOT Research


 

To easily help SOT research please consider purchasing gifts through Care Clicks. This "one click" online shopping mall offers you discounts to save you money and at the same time your purchase helps support SOT Research.

Please consider a year end tax deductable - charitable donation to SOTO-USA (501 C3 non-profit) to support SOT and cranial research and help us protect your professional future.

Tax Deductable - Year-end Charitable Donation for SOT Research · Click Here 


 

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 


 

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 


 

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 


 

Mid-Year SOT Conference - Call for Papers


 April 18-20, 2008 · Kansas City, Missouri

SORSI is having its annual Mid-Year Conference this year in Kansas City, Missouri and a call for papers has been made for research papers to be presented at the conference. Any topic pertaining to SOT or Cranial will be considered and should be submitted to O. Nelson DeCamp, DC.

Formats for case reports could follow the article by Green and Johnson and looking through the webpage on Writing a Case Report could be very helpful.

At this time all that is needed to submit a paper would be a Structured Abstract. Dr. DeCamp is awaiting your submission and would be happy to help you as needed to assist you in this process. Please contact him if you have any questions.

 


 ICPA Practiced Based Research: How you can Participate?
 by Jeanne Ohm, DC, ICPA Executive Director

So you really want chiropractic to rise to its deserved level? You really want to show the world what we as chiropractors know and love? What we see in our practice? Then now is your opportunity to step up to the plate - no excuses, no procrastination. No expectation that someone else can or will do this for you. Now is the time and you are the one!

If there is one thing I've learned is that if you want something done-just do it! Really wanting change takes initiative and action. Talk is cheap.

The International Chiropractic Pediatric Association (ICPA) has launched a Practiced Based Research Network (PBRN) and one of our biggest projects is on the safety of care for children. We are inviting you to participate with us. Already we have significant, preliminary data that is showing outstanding results. I want data into the tens of thousands so our findings will be undisputed! We only have 10 short weeks to collect this amount of data. Your immediate participation is vital.

To read about the Children's PBRN preliminary findings, click here.

Why is your immediate participation so important? Read this.

ICPA Practiced Based Research 


 

2006 Osteopathic Cranial Related Research


 50th Annual American Osteopathic Association

The following studies are from The Journal of the American Osteopathic Association which contains abstracts for poster presentations that will be given at the 50th Annual American Osteopathic Association (AOA) Research Conference.

Proceeding from the 50th Annual American Osteopathic Association · click here 


 

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 


 

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 


 

The Effect of CV-4 Upon Cutaneous Bloodflow Velocity


 Nelson KE, Sergueef N, Glonek T. JAOA. Aug 2006; 106(8): 471 (P01).

Background:The Compression of the Fourth Ventricle (CV-4) procedure purports to affect the cranial rhythmic impulse, a phenomenon that has been shown to be concomitant with the low-frequency Traube-Hering (TH) oscillation in blood flow velocity. This study examines the affect of the CV-4 upon blood flow velocity.

The mean frequency of the TH waveform visible in the blood flowmetry record was 7.10±2.07 cpm. The mean CV-4 procedure length was 4.43±2.22 minutes. The CV-4 procedure was shown specifically to affect the low-frequency oscillations in blood flow velocity. Following its application, the amplitude of the TH wave increased [0.10 Hz frequency relative area units: control minus treatment (0.08010 units) compared with control minus response (-0.03358 units), P=0.011].

Conclusion: It appears that cranial manipulation affects the autonomic nervous system because the TH waves have been demonstrated to be mediated through autonomic activity (Akselrod et al, 1985). Since palpation alone does not greatly effect blood flow velocity oscillations, there is a quantifiable difference between palpation alone and cranial treatment utilizing the CV-4 procedure. It can be said that the practitioners of cranial manipulation who participated in this study affected their subjects in a quantifiable manner with the CV-4 procedure.

The Effect of CV-4 Upon Cutaneous Bloodflow Velocity 


 

CV-4 Induced Physiological Change as Measured by Transcutaneous Laser Doppler Flowmeter


 Guinn K, Seffinger MA. JAOA. Aug 2006; 106(8): 471 (P06).

Background: Osteopathic manipulation techniques, such as Compression of the Fourth Ventricle (CV4), influence autonomic balance. Prior studies demonstrate that laser Doppler flowmeter (LDF) accurately measures autonomic balance by measuring the Traube-Hering (TH) wave (.08-.15 Hz) of peripheral blood flow velocity. Authors investigated the ability of CV4 technique to alter autonomic balance.

Conclusion: Decreased autonomic balance and its duration during CV4 are measurable and distinctly related to the technique. The LDF can quantify the therapeutic intervention known as the CV4 technique and differentiate its characteristic physiologic effect f

CV-4 Induced Physiological Change as Measured by Transcutaneous Laser Doppler Flowmeter 


 

Retrospective Outcome Analysis of Osteopathic Manipulation in a Treatment Failure Setting


 Gronemeyer J,Audette JF,Drexler JH, Haugh J. JAOA. Aug 2006; 106(8): 471 (C39).

Introduction: This study was initiated to confirm a pattern of clinical improvement that was observed in a group of chronic pain patients when Osteopathic treatment was added to their treatment protocol.

Hypothesis: Osteopathic Manipulation in the Cranial Field integrated with physical therapy can positively influence functional and pain outcomes for patients with chronic neck and back pain with a history of treatment failure utilizing standard pain interventions and physical therapy alone

Conclusion: This retrospective outcome assessment suggests that the inclusion of osteopathic manipulation in the cranial field integrated with physical therapy may have a significant effect on reversing treatment failures in patients with chronic neck and low back pain.

Retrospective Outcome Analysis of Osteopathic Manipulation in a Treatment Failure Setting 


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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