Symposium 2010
September 2010 
 SOT Quarterly Research Update
September 2010 Update
SOTO-USA's Multidisciplinary Annual Event
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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.

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In this issue we are featuring tips on how to submit a case report to a research conference or peer reviewed published literature, accepted SOT and cranial related submissions to the International Chiropractic Pediatric Association Research Conference, and information about the World Congress on Low Back & Pelvic Pain.

 Submitting a case report to a research conference or for publication?
 

These past few months, as I am getting ready to prepare for the SOT Research Conference in New Orleans, I have had the opportunity to work with doctors submitting research to the ICPA's conference in Washington DC. While wearing many hats for the International Chiropractic Pediatric Association (ICPA), as their conference chair, peer reviewer, and at times co-author, I have learned how some doctors misunderstand the research process and what can raise the quality, value, and importance of a case report.

Within the ICPA conference research proceedings SOT or cranial related interventions are playing an important role. Please see below the accepted SOT and cranial related submissions to this conference. Many of these same abstracts have been or will also become part of the SOT Research Conference Proceedings.

I have discussed in other research updates about a schism, which lies between the doctors in clinical practice and those in academia or research publication. What seems reasonable, appropriate, and necessary to communicate a point in the clinical arena is commonly not the same in the research arena. The following are some key points for doctors wanting to share their clinical successes, findings, and experience in a case report for research conferences or peer-reviewed publications.

A good overview with information about how to write a case report can be found on this webpage, click here. However if you would like a fill in the blank type guide to writing a case report, click on "Case Report CheckList."

 


 

Understanding Limitations


 

Limitations When discussing a case of a successfully treated patient the research community gives greater credibility, respect, and credence to the humility of the writer. That means that it is incumbent upon the author to realize and acknowledge that their study, like all single case studies (n=1), are fraught with limitations, which include a bias of the observer (the doctor), lack of a nonintervention control group, lack of sham (placebo) comparison group, and the inability to generalize any findings based on this one case subject.

 


 

Value of Collaboration


 

Collaboration Sometimes the doctor is so confident that their intervention was the key to the patient's response and success that they can overlook other concurrent therapies from other doctors, their family members, or even the patient themselves. A patient who has seen a prior practitioner, is seeing one concurrently, or is seen by one following a treatment needs to be included in the case report's "methods or intervention" section. Whereas some doctors may feel it diminishes their involvement, from a research standpoint: (a) It is important to share all aspects of care rendered to the patient to adequately evaluate the merits of the study shared (discussed next), and (b) Often times collaborative care is seen as an important aspect of healthcare, increases the value of the study, and expands the audience for interested researchers.

 


 

Research Ethics


 

SOT Graphic The research community and its publications function on a very thin line, which is founded and predicated on the ethics, honesty, and integrity of any writer of research. For this reason it is considered extremely bad form to fabricate data, modify patient history to improve a "story," or attempt to minimize other therapeutic interventions with the thought that this improves the value of their personal intervention. Evidence based chiropractic literature is the bedrock that the chiropractic profession can stand upon. If an author does not come from a place of ethics, honesty, and integrity, our published research is compromised, the research conference or journal is compromised, and our whole evidence base of literature is adversely affected.

 


 

Research & Advertising


 

Advertising Research submissions need to refrain from being advertisements for a particular method, technique, or doctor. This can be very challenging for some doctors in clinical practice because they feel very strongly about their method or technique and want to share this in a way that will communicate their sincere enthusiasm. Regretfully the academic community does not see this in a positive light and will tend to dismiss a whole research submission, if it appears that a doctor is using the research venue to market a technique or themselves.

 


 

Authorship


 

Authorship Listing of authorships has changed dramatically over the years. While authors that contribute to a submission should be listed and it is unacceptable to list an author who did not adequately contribute to the submission, as a means to garner favor.

For instance, the following is from the International Committee of Medical Journal Editors which state: "Authorship credit should be based on a) substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; b) drafting the article or revising it critically for important intellectual content; and c) final approval of the version to be published. Authors should meet conditions a, b, and c."

Authors are listed by the amount of contribution to a submission with the lead author contributing the most. Ghost writing of research papers is frowned upon and it is becoming common that all authors will offer a full disclosure if the research might suggest an author bias. This can relate to an author having an affiliation to a study which benefits them financially, such as the some pharmaceutical reporting of studies associated with antidepressants, Class I anti-arrhythmic drugs, and selective COX-2 inhibitors.

 


 

Important Concepts


 

SOT Compendium

Three important concepts to consider when writing for publication:



  • Ask yourself what is the purpose of this article, how could you describe it in one or two sentences, and see if you can answer someone who might read what you have written and ask, "So what?"

  • Chiropractic techniques or methods need to be operationally defined. This means that the reader should be able to reproduce the method or technique based on the article's description.

  • This may sound insulting, but it is best to attempt to write the article so that an educated 12 year old would understand the main concept. This consideration will tend to keep the author on track and the message clear.


 


 

Quick Review


 

Review
So in conclusion the take-home message for a doctor in practice entering the research arena is:

  1. You cannot ever be too humble or understated in whatever you write.

  2. Collaboration and giving credit to other interventions or practitioners is a good thing.

  3. For research submissions, as in life, ethics, honesty, and integrity are paramount.

  4. While a doctor may feel strongly about their method or technique they undermine their purpose if their submission is perceived as an advertisement.

  5. An author needs to have contributed a substantive part to a submission or on the other hand if someone has a contributed a substantive part to a submission then they should be an author.

  6. Keep to your purpose, be concise - yet explain sufficiently how your intervention could be reproduced, and lastly try to make your points as clear as possible - because an educated 12 year old might be trying to read it.


 


 

Accepted SOT & Cranial Related Abstracts


 ICPA Research Conference

ICPA
The following are SOT or cranial technique related submissions accepted for the ICPA Conference Proceedings, presented at the Wellness Conference in Washington DC, this October 2010.

  • A pilot study investigating the incidence of chiropractic care in learning disorders: A case series. Catherine Bouchet, DC

  • Chiropractic care in a 5-month-old female with vomiting, gastro-esophageal reflux, fussiness, frequent colds, and poor weight gain: A case report. Tara Buchakjian, DC

  • Applied kinesiology management of candidiasis and chronic ear infections: A case history. Scott C. Cuthbert, DC, Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC

  • Attention deficit hyperactive disorder of a 7 year old child utilizing chiropractic and sacro occipital technique procedures. Scott Darragh, DC, Charles L. Blum, DC

  • Improvement in a pediatric patient with craniosynostosis undergoing chiropractic care. Julie Doucet, DC, Joel Alcantara, DC

  • Cranial bone imbalance, TMJ dysfunction, and craniocervical syndrome and its affect on the sucking reflex in a two month-old female infant: A case report. Beth Forgosh, DC, Stéphane Provencher, DC, Charles L. Blum, DC

  • Successful resolution of congenital torticollis with non-synostotic deformational plagiocephaly in a three month old infant: A case report. Beth Forgosh, DC, Stéphane Provencher, DC, Charles L. Blum, DC

  • The chiropractic care of a child with birth trauma. Catherine Généreux, DC, Joel Alcantara, DC

  • Chiropractic manipulative reflex technique (CMRT) treatment for GERD of a 3 year old male child: A case report. Robert D. Klingensmith, DC, Charles L. Blum, DC

  • Chiropractic spinal manipulative therapy in a 32-year-old female with neck pain, rib cage asymmetry, unicornuate uterus and persistent infertility. Shadia Koury-Hajal, DC

  • Improvements in occulomotor, auditory function and range of motion in a child with Down syndrome undergoing chiropractic care. Nicole Poirier Keenan, DC

  • Case management of a 2 1/2 year old female with a thirty-five degree scoliosis and two hemivertebra: outcome of adjusting protocols showing a positive response to chiropractic care. Martin G. Rosen, DC, Charles L. Blum, DC

  • Chiropractic care of pediatric nonmusculoskeletal conditions: A retrospective patient survey. Martin G. Rosen, DC, Charles L. Blum, DC

  • SOT chiropractic care of a six-year old boy diagnosed with Asperger's syndrome and related conditions. Martin G. Rosen, DC, Charles L. Blum, DC

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

  • Can chiropractic adjustments help decrease the incidence of acute otitis media? Melissa D. Sonners, DC

  • Chiropractic care of a child with sensory processing disorder, speech delay, constipation, and poor sleep: A case report. Rebekah A. Wittman, DC


 


 

World Congress on Low Back & Pelvic Pain


 

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


SOTO-USA has 6 papers accepted to this conference :

  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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