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Dear Colleague:

The SOT Quarterly Research Update is a service offered by SOTO-USA to help doctors become aware of the latest sacro occipital technique (SOT) 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 11th Annual SOTO-USA Clinical Symposium October 28-31st, 2010, in New Orleans, Louisiana

For information of SOT and Craniopathy Certification Series seminars: Click here for more information. Don't forget you can always have SOTO-USA come to you by: Designing Your Own SOT Seminar - Click Here for Information

In this issue we are featuring answers for common question "How does craniosacral therapy and differ from SOT cranial or osteopathic cranial?" To answer this question we need to look at some history and how things have developed. As a representative of SOT I have had discussions with the two chiropractic pediatric journals regarding their use of craniosacral therapy to describe chiropractic cranial manipulative interventions. To illustrate one such communication a "letter to the editor" to the Journal of Journal of Pediatric, Maternal & Family Health is shared.

Please submit your abstract to the SOT Research Conference. The call for paper's deadline is July 31, 2010 so now is a perfect time to contemplate a paper for this October 28, 2010 conference in New Orleans. I am here to help you so please contact me if you have any interest in writing or co-writing an abstract for this conference. drcblum@aol.com

 Introduction: Seeds of Conflict
 

It has been suggested that conflict between the osteopathic and chiropractic profession started with perception that D.D. Palmer [1] purportedly stole spinal manipulation from A.T. Still [2,3], and then later from the perception that M.B. DeJarnette [4] stole cranial manipulation from W. G. Sutherland [5]. Even though DeJarnette later gave Sutherland credit for is cranial discoveries, Sutherland's osteopathic students seem to have determined that DeJarnette didn't give enough credit or soon enough. This creates a bit of a backdrop to explain what may seem like antipathy by the cranial osteopaths towards chiropractors and particularly towards any chiropractor that utilizes cranial or studies sacro occipital technique (SOT).

 


 

History of Cranial Manipulative Developments
 

Cranial The first doctors trained in cranial care initially studied with William Garner Sutherland, DO who was a pioneer cranial anatomist and clinician. A chiropractor Nephi Cottam [6] at the time of Sutherland simultaneously also developed and taught a method of craniopathy, however it methodology was different and it has not been taught for decades. Sutherland called his work "Osteopathy in the Cranial Field [7,8]" and the Sutherland Cranial Teaching Foundation (SCTF) [9] was started to continue his work. Presently the STCF is still in existence and continues to this day. The Cranial Academy [10], an offshoot of STCF starting up in the early 1960s with goals of being innovative and teaching dentists and medical doctors cranial techniques. Dr. Upledger was one of their lead researchers and split off in the late 1970s after writing his book Craniosacral Therapy [11].

 


 

Craniosacral Therapy
 

Craniosacral therapy (CST) as taught by Dr. Upledger and his instructors is taught from his book [11] and he supports his premise of teaching it to anyone regardless of their background or training because he doesn't want the work lost and that he feels not enough people are doing it. Over the past few decades Dr. Upledger has created a virtual empire of masseuses and lay persons trained in craniosacral, which has led to confusion to many patients who do not understand the difference between CST and that of osteopathic or SOT cranial interventions. Still to Dr. Upledger's credit he also has created a larger societal understanding of therapeutic applications affecting the head or cranium.

In general CST's focus is on relaxing the person rather than actually making a clinical change in a specific type of clinical presentation. It is for this reason their lack of training for differential diagnosis, being able to assess pathology, and know who and when to refer, has been questioned [12]. In some instances this can create a gray area where patients needing care from a doctor are left in the hands of a layperson without the knowledge of primary healthcare or knowing how to appropriately triage.

 


 

Osteopathic and SOT Chiropractors Cranial Doctors
 

SOT Graphic In contrast to craniosacral therapists both osteopaths [13] and chiropractors [14] are trained in differential diagnosis, can assess pathology, and know when refer. They offer primary care diagnosis and treatment and treat clinical conditions with specific clinical applications of cranial manipulative therapy.

While osteopaths and chiropractors address the entire craniospinal system, organs, and entire musculoskeletal system, chiropractors (especially SOT doctors) rely on a neurologically based specific indicator system, with reflex and pain modifiers that specifically allow the chiropractor to address each individual's condition or health status. Also SOT as developed by DeJarnette to generalize patient presentations into a system of categories creating a "map" to assess the body in three dimensions, holographically, and with a matrix of function in patterns [15]. To SOT doctors this gives them a place to go that seems clear to the patient and doctor as compared to the subtle palpations commonly used by the osteopathic cranial doctor and currently questioned by the research community [16].

 


 

Chiropractors, Chiropractic Research and Cranial Methods of Care
 

SOT Compendium As chiropractic attempts to build and evidence base of information we must be careful not to equate the chiropractor's ability to function as a primary care healthcare provider with a lay person or masseuse. Therefore it is important that in our literature we utilize terms such as chiropractic cranial manipulation, chiropractic cranial therapy, or SOT cranial therapy, instead of craniosacral therapy (CST) [17]. It is also highly suggested that chiropractors realize that it is both more beneficial from a diagnostic and therapeutic position to study chiropractic cranial technique methods such as those taught by sacro occipital technique organizations since they have taught cranial technique and certify chiropractors, since their inception.

 


 

Dental Cranial Collaborative Treatment
 

TMD Alliance

Both the osteopaths and chiropractors have involvement with dentists treating TMJ disorders (TMD), although SOTO-USA is the only chiropractic-based organization in the Alliance of TMD Organizations, an alliance that represents over 17,000 dental members [18]. SOTO-USA has been involved with TMD dental chiropractic collaborative research for years [19-32] and is pioneering this field of interdisciplinary care. SOTO-USA has been furthering dental chiropractic collaborative models of care for TMD and teaching Dental Chiropractic Cranial Collaborative at yearly symposiums, this year in New Orleans, October 28-31st [33].

 



 

Letter to the Editor: Regarding Chiropractic Cranial Care
 Journal of Pediatric, Maternal & Family Health Chiropractic

RE: Alcantara J, Doucet J. Improvement in a Pediatric Patient with Craniosynostosis Undergoing Chiropractic Care. JPMFH April 15, 2010; 35-40.

[Dr. Blum]I wanted to thank you for your excellent article on treatment of a pediatric patient with craniosynostosis. I do believe that the care you rendered demonstrates a very important option...

[Drs. Alcantara & Doucet] In Response: We thank Dr. Blum for his insightful comments regarding our article on the chiropractic care of a child with craniosynostosis and the use of the term...

Blum CL. Letter to the Editor. To the Editor: [Alcantara J, Doucet J. Improvement in a Pediatric Patient with Craniosynostosis Undergoing Chiropractic Care. JPMFH April 15, 2010; 35-40.] J Pediatric Maternal & Family Health. June 14, 2010; 97-8.

For full text view of letter to the editor, click here 


 

Call for Papers to the 2nd Sacro Occipital Technique Research Conference
 New Orleans, Louisiana - October 28, 2010

SOT Reesarch Conference Please consider submitting your abstracts for the 2nd annual SOT research conference. With 28 quality abstracts virtually all of these submissions will be able to be used as submissions to other research conferences with many already accepted.

These papers expand our SOT evidence base and will be a huge way to share what is taking place in our clinical practice to those researchers whose only experience with a chiropractic practice is in a laboratory or journal.

Click here for instructions on how to submit an abstract.

If you feel overwhelmed or that it may be too difficult, please let that thought float away. I make this as easy as possible and will help you with your submission each step of the way.

2nd Annual SOT Research Conference 


 

Journal of Pediatric, Maternal & Family Health Chiropractic
 

JPMFHC There are many reasons why we need to support and subscribe to the Journal of Pediatric, Maternal & Family Health Chiropractic. Here a few:

  • Chiropractic clinical research needs a venue that is open and readily available.
  • This journal is affiliated with the ICPA, which has SOT and SOT Cranial as part of its certification program.
  • Chiropractic is currently under attack to limit ithe profession's ability to treat children.
  • The only way to support chiropractic care is through evidence based literature and this journal opens the doors to practitioners who want to share what is taking place in their practice.
  • With the low risk nature of chiropractic care and the side effects of many unproven invasive therapies used on our children, we need a place and a voice to present a reasonable point of view.

Journal of Pediatric, Maternal & Family Health Chiropractic, subscribe now. 


 World Congress on Low Back & Pelvic Pain
 

Congress Picture As a means to faciliate SOTO-USA members attending the 7th World Congress on Low Back & Pelvic Pain in Los Angeles this November 2010, SOTO-USA has become and endorsing organization of this prestigious conference.

SOTO-USA has submitted papers to this confernence and 6 papers have been accepted:



  1. Pregnancy, sacroiliac joint laxity, and the SOT category two pelvic distortion: A case series.
    J. Rodney Shelley, DC and Charles L. Blum, DC

  2. The effects of SOT category blocking procedures on lower extremity function in high performance athletes: A case series.
    Curtis Langer, DC and Charles L. Blum, DC

  3. Disc technique, differential diagnosis and treatment methodology: Two case reports..
    I. Harvey Getzoff, DC and Charles L. Blum, DC

  4. Chiropractic and Dentistry- A relationship between pelvic pain and the TMJ: Two case reports.
    Charles L. Blum, DC and Alireza Panapour, DDS

  5. Sacral Block Technic: Balancing Sacrospinal Function: A Case Report.
    David Rozeboom, DC and Charles L. Blum, DC

  6. The relationship between the pelvis and stomatognathic system.
    Charles L. Blum, DC

World Congress on Low Back & Pelvic Pain 


Sacro Occipital Technique Organization - USA is a 501c3 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 28-31st, for the 2010 National Clinical Symposium in New Orleans, Louisiana. It will be a great opportunity to 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 are light years ahead of anything else available.

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Thank you for your dedication and interest


Charles L. Blum, DC
Sacro Occipital Technique Organization - USA

phone: 336-793-6524
fax: 336-372-1541
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