Sacro Occipital Technique Organization - USA
September 2014 
 SOT Research Update
September 2014 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


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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 our 16th Annual SOTO-USA Clinical Symposium May 7-10 2014, in New Orleans, Lousiana. For information on SOT and Cranial Certification Series seminars: Click here for more information. We are continuing a SOT certification series in Oregon at the University of Western States, with the next seminar occurring October 25-26 2014. A cranial certification series is also starting November 1, 2014 in Northern California.

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 share the SOT related papers recently accepted for the IRAPS, WFC-ACC, and COCA Conferences. Also shared will be my response to a communication from a chiropractor regarding cervical manipulation and stroke on a research list.

 

IRAPS Conference 2014


 SOT Related Abstracts

IRAPS This year SOT research will be presented at the 11th Annual International Research And Philosophy Symposium, October 17-19, 2014 on the campus of Sherman Chiropractic College. The following are the accepted papers:

The Effects of the Sacro Occipital Technique on the Quality of Life in Lung Cancer Patients Undergoing Chemotherapy and Radiation Treatment.
Presented by Marylyn Holbeck, DC

Gastroesophageal reflux disease (GERD) and sacro occipital technique (SOT) chiropractic: A case report.
Presented by Harvey Getzoff, DC

Sacro occipital technique (SOT) cervical protocol: analysis, adjustment and assessment: A retrospective case series [n=48]."
Presented by Harvey Getzoff, DC

Intervention in menorrahagia through chiropractic adjustment and spondylotherapy: A case report.
Presented by William Boro, DC

Review of Cases using SOT/CMRT on Equine and Canine.
Presented by Jean Thompson, DC

Sacro Occipital Technique: Palpating Occipital Fibers on Animals - A Pilot Study.
Presented by Jean Thompson, DC

Chiropractic manipulative reflex technique (CMRT) treatment for gastroesophageal reflux disease (GERD) of a 3 year old male child: A case report.
Presented by Robert Klingensmith, DC

IRAPS Conference 2014 - SOT Related Abstracts - Click Here 


 

WFC-ACC Joint Educational Conference 2014
 Chiropractic Education for a Changing Healthcare Environment"

WFC ACC 2014 Educational Conference The World Federation of Chiropractic (WFC) and Association of Chiropractic Colleges (ACC) joint conference will take place October 29 - November 1, 2014, in Miami, Florida.

Dr. Beth Dominicis, from the Southern California University of Health Sciences (SCUHS), will be presenting a paper on, "Interdisciplinary clinical training in a chiropractic college setting: Dental and chiropractic co-management of temporomandibular joint disorders (TMD)."

The goal of this presentation is to share with the chiropractic community the dental chiropractic co-treatment of TMD course that Drs. Charles Blum and Richard Gerardo are teaching at SCUHS, which incorporates SOT and cranial methodologies. It is hoped this program may stimulate other colleges to include our methods and philosophies into their interdisciplinary teaching programs.

WFC - ACC Joint Educational Conference 2014

 


 

COCA Research Conference 2014
 October 10-11, 2014 - Sydney, Australia

COCA COCA's Annual Conference will focus on the treatment of disorders of the upper and lower limb as well as the TMJ. The conference will begin on Friday afternoon with presentations on current research in osteopathy and chiropractic. The following paper was accepted for presentation at this conference.

The relationship between the trapezius muscle and spinal segments T1 to L5.

Shaun Cashman, DC performed the research on this foundational study for SOT, investigating the inter- and intra-examiner reliability of trapezius fibre analysis and treatment. This is the first study of its kind to be presented at a research conference relating to the reliability of trapezius fibres. Many thanks goes to Dr. Cashman for performing this research and taking the time to present his findings at this COCA Conference.

COCA Research Conference 2014 - click here 


 

Chiropractic and Stroke: A Question
 A question from a chiropractic clinician

A patient presents to your office with a chief complaint of infrequent episodes (2-3 year) of cervicogenic headaches with an excellent past response to cervical adjustments (SMT/CMT) over 10 - 12 years. The patient reports that several months earlier they had experienced 2 -3 transient ischemic attacks (TIAs), with facial numbness, speech difficulties, and dizziness. Subsequently various studies, (MRI Doppler, etc.) and examinations were unremarkable and the patient reported a full recovery). The local medical practitioner was managing the patients and according to the patient it was "all fixed up and fine now as I have been put on blood pressure medication and statins". The headaches are back and the thing that works best is "having my neck cracked". There has been no manipulation since the TIA's.

I am curious as to what the group thinks as to whether or not they would use high velocity low amplitude (HVLA) diversified type cervical adjustments and on what criteria they would base their decision?

Before scrolling down to see my answer, ask yourself what would you do?

Chiropractic and Stroke - A Question 


 

Chiropractic and Stroke: A Response
 A SOT Based Response to the Question

Neck Pain I think you pose a very powerful and important question for the chiropractic profession. The question while straightforward is full of nuances that can't be answered simply.

There are various aspects of the questions such as what is the public's perception of a relationship between TIA or vascular issues and cervical manipulation. The perception may be a huge issue if there is an adverse reaction to a cervical manipulation in a patient who has presented with, "2 or 3 episodes of 'TIA's' facial numbness, speech difficulties, dizziness." Caution is primary even if we were told that the prior condition has now been, "managed by the local medical practitioner" and it was "all fixed up and fine now" that he has "been put on blood pressure medication and statins."

We must consider the ramifications of an intervention such as cervical manipulation that could be associated with life and death, or at least profound adverse side-effects that could be construed to the manipulation, even if coincidental. Ultimately the ramifications to a doctor, the patient and their family's perception of the doctor, and subsequent fall out suggest that an alternative intervention to affect the cervical spine should be considered.

Please understand that from what I have read in the literature an earlier study [1] and a more recent one [2] all seem to confirm that head position for a cervical manipulation does not have a neurovascular or vascular affect. Also a recent systematic review of the literature on the topic of cervical spine manipulation and carotid artery dissection found that, "Although several case reports and case series raise the hypothesis of an association, we found no epidemiologic studies that validate this hypothesis [3]."

My most favorite article on the topic by Murphy[4] as well as the second most favorite [5] both suggest how it is essential for the chiropractic profession to be aware of possible strokes in progress or signs of a precarious patient presentation before applying a cervical manipulation. Murphy notes that the focus for the chiropractic physician has shifted "from one of attempting to 'screen' for 'risk of complication to manipulation' to one of recognizing the patient who may be having VADS so that early diagnosis and intervention can be pursued [4]."

I do not think we can any longer rely that a patient's condition is being "managed by the local medical practitioner." As a profession we need to be leaders in determining both who is a (or who appears to be a "safe") candidate for cervical manipulation and developing other methods of treating or manipulating the cervical spine that could yield positive results of reducing pain and increasing range of motion.

What does it mean that the patient is "all fixed up and fine now" that he has "been put on blood pressure medication and statins?" Did they have high blood pressure and if so why, and do they need dietary modifications or exercise instructions? What was their blood pressure before and during taking the medication?

While there are various types of cervical manipulative methods, DeJarnette developed a method of cervical manipulation termed, Cervical Stairstep Technique [6], and while we certainly need more research to support its application it has been utilized for at least 50 years by thousands of chiropractors, is being taught in the colleges as an alternative manipulative method when HVLA cervical manipulation may not be indicated, and is gathering some evidence [7]. At least on its face - to doctors and patients - the cervical stairstep method does not appear to be challenging the blood vessels or is as dynamic as the HVLA cervical adjustment. In your patient's case and from an uninformed public's point of view, perception may be an important issue to consider.

Chiropractic and Stroke - An Answer from a SOT Perspective 


 SOT Research Article Series
 The American Chiropractor Magazine

SOT Research Conference A series of articles attempting to share research concepts with doctors in clinical practice has been written with more in process. The goal is to utilize SOT Research Conference papers as tools to better understand research methodologies.

Blum CL. SOT Research Updates. 1st Edition.The American Chiropractor. May 2014:54-58.

This article is the first in a series of articles. This one introduces Dr. DeJarnette's drive for research and the SOT Research Conferences, which offer a venue for various case reports to help chiropractors in clinical practice.
Click here for article download.

Blum CL. SOT Research Updates. 2nd Edition.The American Chiropractor. May 2014:54-58.

This article discusses how case reports may share valuable information about what is taking place in the clinical trenches but have limitations because there are no control groups or comparative treatments to help mitigate the placebo or ideomotor effect.
Click here for article download.

Blum CL. SOT Research Updates. 3rd Edition.The American Chiropractor. Sep 2014:52-56.

This article discusses concepts such as regression to the mean, washout periods, and temporal relationships and how they can help us when assessing the necessity for and response to our chiropractic care.
Click here for article download.

 


 

Dr. Rosen's 3 DVD Sets
 SOT, Cranial/TMJ, & SOT/Cranial Pediatrics

Dr. Rosen's DVD Sets SOT Chiropractic Evaluation and Adjusting Protocols for the Three Categories

In this 4-DVD set Dr. Rosen demonstrates the SOT Chiropractic procedures for evaluating your patient to determine the proper spinal subluxation pattern and Category as well as the complete adjusting protocols for each Category. Lecture, demonstration and slides are all combined.

Correcting Cranial Specific Subluxation Patterns and TMJ

This 3 DVD package (powerpoint workbook included) covers the anatomy and physiology of the temporo-mandibular joint as well as the complete evaluation and correction protocols for various TMD scenarios.

SOT/Cranial Pediatric Adjusting DVDs

These 3 SOT/Cranial pediatric evaluation and adjusting DVDs share 30-40 minute presentations by Dr. Rosen recorded at his seminars. They are divided into three age groups: infant to age 2, toddler to age 5 and 5-9 year old.

Click here for information and to order 


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 7-10, 2015, for the 2015 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 along with new innovative procedures taught by SOT doctors with decades of experience.

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.


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

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