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Dear Colleague:

The SOT 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.

Don't miss 13th Annual SOTO-USA Clinical Symposium May 3-6, 2012, in Atlanta, Georgia.

For information of SOT and Craniopathy/Cranial 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 will review the ACC-RAC 2012 research activities of your SOTO-USA research team. This year's ACC-RAC conference was the largest ever with close to 500 doctors present. This international conference was attended by all the movers and shakers of the chiropractic academic and professional community. SOT is on ChiroACCESS and a wonderful doctor and student sharing group called SOT Case Reports is up and running.


 

ACC RAC Conferences


 Papers Accepted for the 2012 Conference

ACC Logo The ACC RAC conference is one of the most prestigious chiropractic research conferences regularly attended by college presidents, research and technique chairs, and many other influential doctors and practitioners affecting the future of chiropractic and healthcare. Since SOTO-USA's inception in 1999 we have attended every conference and had a paper accepted at every ACC RAC conference possible..

This year we have 7 papers accepted for the 2012 ACC RAC Conference, for full abstracts of the papers please go to the SOT Literature Page and scroll down to the Research Conference Archives.

ACC Research Conference Abstracts - SOT Related (2002-2011) 


 

Supine and prone SOT pelvic block placement: A comparative analysis of position by MRI.


 Blum CL, Warshel CD, Khan S, Cassa T. J Chirop Ed. Spr 2012;26(1):118.

SOT Graphic In this study four same-subject MRIs were taken supine and prone, two with pelvic blocks and two without pelvic blocks (control).

In comparing MRI studies of the control and intervention sequences, there did not appear to be any measurable anatomical changes in the sacroiliac joints between the control studies and the blocked studies, either supine or prone.

What could this mean?

We know from the research that pelvic block use does cause positive functional changes such as reduced pain, improved range of motion, and muscle strength but it may be possible that these change are more due to neuromuscular and not mechanical effects. This study had significant limitations and future studies should utilize greater field strength magnets for better resolution, visualize the whole bony pelvis instead of isolating the sacroiliac joint, and incorporate more extensive 3-dimensional analytic technology.

Supine and prone SOT pelvic block placement: A comparative analysis of position by MRI. - click here 


 

Sacro Occipital Technique: Occipital Fiber Technique on Canine.


 Thompson JE, Bockhold H, Blum CL. J Chirop Ed. Spr 2012;26(1):135.

canine Integrative healthcare for animals is increasing yet there is limited research specifically identifying the use of chiropractic in the canine. This case report utilizes occipital fiber technique (OCT) and chiropractic manipulative reflex treatment (CMRT), used within sacro occipital technique (SOT) to analyze and treat spinal dysfunction and viscerosomatic dysfunction.

A 10-year-old female cattle canine with known chronic symptoms of bloating, mood changes, joint pain, and chronic psoas tension, unresponsive to prior interventions, and was treated with OCT/CMRT.

Following the OCT/CMRT procedure the reflex pain areas were significantly diminished and the canine was relaxed, with decreased bloating, joint pain, and the psoas tension was notably less. Animal studies are particularly compelling to use to evaluate OCT/CMRT procedures since with animals unresponsive to other procedures the placebo effect may be less of a confounding influence.

Sacro Occipital Technique: Occipital Fiber Technique on Canine. - Click Here & Scroll Down 


 

The alterations of the dyspeptic signs and symptoms of patients with gastritis following chiropractic treatment: A small randomized controlled study.


 Butafava J, Dal Bello F, Blum CL. J Chirop Ed. Spr 2012;26(1):85.

Gastritis The purpose of this study was to investigate whether chiropractic care, specifically sacro occipital technique (SOT) chiropractic manipulative reflex technique (CMRT) for the upper gastrointestinal system could be an effective method of care for patients presenting with dyspetic signs or gastritis.

The sample was composed of fifteen subjects, medically diagnosed with gastritis randomly divided into three groups of five: one group was the control which received no treatment, one group was treated with traditional pharmaceutical interventions, and one group was treated with chiropractic. Endoscopy evaluation was performed before and after 4 chiropractic treatment (CMRT) and a clinical outcome assessment questionnaire was used to determine any changes in a subject's clinical symptoms.

While the control group had some decrease of endoscopic gastritis signs, compared with traditional pharmacological treatment and control group, the chiropractic group had the greatest positive clinical response with improved endoscopic and quality of life findings. Because the control group became aware they were not going to be treated they took some nutritional supplements for their condition so the control group became more of a comparison study.

This study, while small, was compelling since positive endoscopic changes were found with the CMRT group whereas the control and medicated groups did not have positive findings nor as much decrease in level of pain or improvement in quality of life as the treated group.

The alterations of the dyspeptic signs and symptoms of patients with gastritis following chiropractic treatment: A small randomized controlled study. -Click Here & Scroll Down 


 

Case Management of a 2 1/2 Year Old Female with a Thirty-five Degree Scoliosis and Two Hemivertebra: A Case Report.


 Rosen MG, Blum CL. J Chirop Ed. Spr 2012;26(1):85.123.

Little Girl A 2-1/2 year-old female during a routine physical examination at age 6-months by her pediatrician was determined to have adolescent idiopathic scoliosis and two hemivertebra.

Ultrasound, x-rays, MRI, and Moire study(s) performed noted a 35� thoracic curve. Due to the progression of the scoliosis an orthopedic consult was made who suggested a surgical spinal fusion. Prior to surgery the patient was examined and treated at this office using specific sacro-occipital technique (SOT) and cranial protocols. The patient was put on a six-week intensive care program at 2 visits-per-week for the first 6-weeks.

Six-weeks after her initial chiropractic adjustment the patient was re-examined by the orthopedic surgeon and the evaluation and follow-up Moire study revealed a significant reduction in the scoliosis. Surgery was postponed and the orthopedic surgeon directed follow-up Moire studies every six months for four years. Her last Moire study showed almost complete resolution of her scoliosis, kyphosis and lordosis.

This case clearly illustrated how during those periods of time when the medical physician is only monitoring the patient or preparing for possible surgical intervention, a trial period of conservative chiropractic care may be indicated.

Case Management of a 2 1/2 Year Old Female with a Thirty-five Degree Scoliosis and Two Hemivertebra: A Case Report. - Click Here & Scroll Down 


 

Cervical traction, TMJ disorders, chiropractic and dental co-treatment: A case report.


 Blum CL, Gerardo RC. J Chirop Ed. Spr 2012;26(1):85.118.

Pronex A 66-year-old female was seen at this office with significant pain and stiffness in her neck and crepitus when using her jaw. Her dentist referred her to this office for cranial and sacro occipital technique (SOT) treatment for conditions interrelated to her TMJ disorders. She could not tolerate cervical manipulation or traditional mandibular assisted cervical traction..

Evaluation of patient's cervical range of motion was found to be reduced by 30% of normal and radiographic analysis revealed moderate degenerative joint disease in the lower cervical spine from C4-C6. Treatment consisted of cervical traction utilizing the Pronex Cervical (non-mandibular) Traction, SOT procedures; particularly cervical stairstep corrections and cranial therapeutic techniques for the TMJ.

Following treatment the patient had a marked increase in cervical range of motion (normal levels) and a 90% decrease in pain and tension on palpation. The ability to treat the cervical spine also appeared to aid the treatment for TMJ related tension and pain.

The purpose of this case was to explore the efficacy of using cervical traction without pressure to the jaw to support chiropractic treatment as well as to facilitate a patient's ability to receive care for neck and jaw pain and stiffness.

Cervical traction, TMJ disorders, chiropractic and dental co-treatment: A case report. 


 

CMRT and acupuncture in the treatment of dysmenorrhea (oligomenorhea): A case report.


 Benner CD, Blum CL. J Chirop Ed. Spr 2012;26(1):85.117.

Acupuncture A 31-year-old female patient presented initially to this office for low back and foot pain 5 years prior and wanted preventative wellness care. Approximately 5-years into care, February 2008, the patient discussed the possibility of utilizing acupuncture to help her cope with an irregular menstrual cycle, having only light periods (1-2 days) 2-3 times a year for over 10-years or more.

The patient was assessed and treated using sacro occipital technique (SOT) chiropractic, chiropractic manipulative reflex technique, and acupuncture protocols. Following one-year of integrating sacro occipital technique (SOT) chiropractic manipulative reflex technique (CMRT) for liver (T8), adrenals (T9), and acupuncture her condition has been consistently improving and her cycle has been regulating with periods of monthly cycling and with only 3 months of amenorrhea one-time during a time of high stress and anxiety.

The chronicity of the patient symptoms, over 10 years, and the temporal relationship between treatment and response to care is of interest. It is also of interest that the patient was receiving chiropractic care on an ongoing preventative basis but not until the treatment changed to include CMRT and acupuncture was there a change in her symptomatolgy.

CMRT and acupuncture in the treatment of dysmenorrhea (oligomenorhea): A case report. - Click Here & Scroll Down 


 

Vision induced chronic low back pain: A case report.


 Beck CA, Blum, CL. J Chirop Ed. Spr 2012;26(1):85.116.

eye glasses A 34-year-old female patient presented with a history of low back pain (dull, achy, and non-radiating) that has been present for nearly two-years. The patient reported complete relief of her chronic low back pain with her eyes closed or in a darkened room, whereas the pain would return when opening her eyes and particularly in a lightened room, with or without eyeglasses.

Osteopathic manipulative therapy (OMT) to the full body and cranium was applied with the patient's eyes opened, closed, and eyeglasses on and off. Modifications were made to the optometric prescription and eyeglasses to optimize body and cranial function as well as to reduce her low back pain.

The patient noted considerable relief in her low back pain with the new eyeglass prescription based on optimal cranial balance, and this relief was sustained regardless of eyes open or closed, and particularly with her eyeglasses on.

This case study illustrates that a subset of patients may present with a clinical condition that either affects vision or the vision affects the condition called a visual somatic strain. This demonstrates how collaborative efforts might be made to develop co-treatment opportunities between osteopaths, chiropractors, ophthalmologists, and other allied professionals.

Vision induced chronic low back pain: A case report. - Click Here & Scroll Down 


 

Sacro occipital technique craniopathy strain correction in a 2-year-old female with nonsynostotic deformational plagiocephaly and right ventriculoperitoneal shunt: A case report.


 Provencher S. J Chirop Ed. Spr 2012;26(1):131.

Cover Ped Manual A 2-year-old female with a right ventriculoperitoneal (VP) shunt placed at 3 days of age demonstrated motor and speech impairments persisting since birth. She was engaged in concurrent care with a neurologist and pediatrician since birth and physical therapist for the prior year.

On examination, the patient demonstrated a cranial strain pattern consistent with nonsynostotic deformational plagiocephaly. Sacro Occipital Technique (SOT) and chiropractic craniopathic strain corrective technique were utilized along with a Logan Basic Technique sacrum adjustment.

After the initial SOT and chiropractic cranial treatment, the patient started to mumble words and on the trip home she was very talkative for 3 hours. The next day she continued to improve with more vocabulary and by walking on her own with less difficulty.

It is theorized that this child's cranial strain determined by SOT chiropractic craniopathy may have contributed to meningeal stress and compromise of the vascular membranes, causing neural entrapment or cerebral spinal fluid stagnation.

Sacro occipital technique craniopathy strain correction in a 2-year-old female with nonsynostotic deformational plagiocephaly and right ventriculoperitoneal shunt: A case report.- Click Here & Scroll Down 


 

SOT Related Studies


 

Cervicogenic headache etiology: Cadaveric study of the connection between suboccipital structures and the cervical dura mater.

Does this help explain some occipital fiber relationships due to findings of dural attachments to the rectus capitus major/minor and ligamentum nuchae?



Nonuniform compression of sacral cartilage during angular rotation.

In this study the findings of side to side asymmetry of all SI joint auricular surfaces was remarkable.



Comparison of findings of active straight leg raise test in patients with lumbar versus sacroiliac pain.

Could the straight leg test be a new test to help evaluate pre and post SI instability - block placement?



To View the Abstracts - Click Here & Scroll Down 


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 May 3-6, 2012, for the 2012 Clinical Symposium in Atlanta, Georgia. 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 is light years ahead of anything else available. We will begin the first part of the 4-part TMJ Chiropractic Certification Course at this seminar.


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


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