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 our 15th Annual SOTO-USA Clinical Symposium May 15-17, 2014, in Redondo Beach, California (Los Angeles - 10-15 minutes from LAX).
For information on SOT and 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 Our regional SOT certification series seminars are happening in both the east and west coast of the United States and soon in Canada. For more information please click here.
On the website we have information about SOT Seminars for Northern and Southern California, Boston, Massachusetts, and are finalizing details for seminars in Florida and Canada. If you are ready to learn SOT by the best SOT instructors in the world then you now have that opportunity.
What are common research terms used in the literature that may help us better understand clinical encounters in our office? Why can these terms help us temper our thoughts about a patient's response to our treatment?
SOTO-USA members can now receive discounts to access Dr. M. L. Rees' Archives. This fall 2013 SOT related research will again be shared at the NABIS, IRAPS, and World Congress on Low Back and Pelvic Pain Conferences.
SOT is on WikiChiro. and ChiroACCESS. The wikichiro.org site also has information about Dr. DeJarnette, CMRT, and SOT Cranial.
 |
|
|
Control Groups, Sham Interventions, and Subject Blinding.
Ideally a control group is a group within a comparative study that has had either no intervention or a sham procedure or some studies have both. A sham procedure is supposedly an intervention that has no therapeutic effect. This was a particular issue with chiropractic when a study by Balon et al found no benefit of chiropractic care on asthma, since both the sham (massage) and chiropractic intervention had the same benefit. However just a few months later a study by Fields et al found that parental massage for asthmatic children had a therapeutic effect.
This called into question the sham procedure used in the Balon study and the conclusions drawn by those authors. Generally a study with a control and sham procedure is more effective when both the examiner and subject are not aware (blinded) to a manual healthcare intervention, yet in most clinical studies this is very difficult or virtually impossible. While sham interventions and blinding is relatively easy with inert red and blue pills, it represents a huge challenge to adequately study chiropractic clinical interventions.
Balon J, Aker PD, Crowther ER, Danielson C, Cox PG, O'Shaughnessy D, Walker C, Goldsmith CH, Duku E, Sears MR. A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma. N Engl J Med. 1998 Oct 8;339(15):1013-20.
Field T, Henteleff T, Hernandez-Reif M, Martinez E, Mavunda K, Kuhn C, Schanberg S. Children with asthma have improved pulmonary functions after massage therapy. J Pediatr. 1998 May;132(5):854-8.
Hawk C, Long CR, Rowell RM, Gudavalli MR, Jedlicka J. A randomized trial investigating a chiropractic manual placebo: a novel design using standardized forces in the delivery of active and control treatments. J Altern Complement Med. 2005 Feb;11(1):109-17.
|
|
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 15-17, 2014, for the 15th Annual Clinical Symposium in Redondo Beach, California. It will be a
great
opportunity to learn the
essence of SOT or advance your SOT training
with
integrative classes in SOT, CMRT, SOT Extremity, 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 be sharing our 3rd in a four-part TMJ Chiropractic Certification Course at this seminar and will also present how nasal ballooning techniques can be integrated into SOT care.
SOT Regional Seminars are now available across the USA, for more information please visit the SOTO-USA website or click here.
The "Sacro Occipital Technique®" mark is owned by SOTO-USA.
The "SOT®" mark is owned by SORSI and SOTO-USA is licensed to use the trademark.
|
In our clinical encounters with patients we often make determinations of the success of a procedure based upon the patient and doctor's perceptions . Yet when we describe our findings in a research arena or in publications it is common to have our perceptions and those of our patients questioned.
The placebo effect suggests that a subject's response to an inert intervention can be dependent upon their perception and expectation. de Craen et al found that the color and size of the placebo pill makes a difference, with "hot-colored" pills working better as stimulants while "cool-colored" pills work better as depressants. The challenge for manual healthcare interventions and ruling out a placebo effect is that most hands-on interventions have some kind of an effect and this makes using placebos in manual healthcare studies problematic.
The terms "ideomotor effect, response, and phenomena" were introduced by William Benjamin Carpenter in 1852 as a means to explain his theory of how muscular movement can be independent of conscious desires or emotions. Hyman described how the ideomotor effect demonstrates that "honest, intelligent people can unconsciously engage in muscular activity that is consistent with their expectations."
The term "regression to the mean" is used in statistics and helps to explain that if a patient's first response to an intervention is highly unusual it will commonly be closer to their average on the second. Conversely, if the patient's presentation is highly unusual on the second intervention then it was likely closer to the average on the first.
