Sacro Occipital Technique Organization - USA
March 2015 
 SOT Research Update
March 2015 Update
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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 7-9 2015, in New Orleans, Louisiana. For information on SOT and Cranial Certification Series seminars: Click here for more information. There is still time to take the new SOT Extremity seminar which is part of the SOT Certification Series, held at Palmer Davenport, April 25, 2015. Also it isn't too late to sign up for the full SOT Cranial Series being held in Los Angeles at the early-bird special rates.

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 2015 SOT research presented at the ACC RAC Conferences (the largest chiropractic research conference in the world). SOT chiropractors offer a great opportunity to Dental Chiropractic co-treatment of the temporomandibular joint disorders (TMD). See the current line up for this year's SOT Research Conference happening May 7, 2015 in New Orleans.

 

2015 ACC RAC Conference


 Interprofessional Collaboration: Working Together for a Better Future

http://www.soto-usa.com/wp/?page_id=15826 The ACC RAC Conferences promotes institutional and academic excellence and learning and focuses on two areas, the bringing together of staff, administration, and faculty in a collaborative fashion to discuss various topics at group meetings and the presentation of peer-reviewed papers in poster or platform presentations.

This is the premiere chiropractic research conference and SOTO-USA has had papers accepted at this conference each year since 2000/

The following are some SOT related papers presented at the conference this year

Two case report research presentations were shared related to dental chiropractic integrative treatment of patients with TMD.

ACC RAC Conferences - click here 


 

Integration of SOT cranial therapy with an occlusal splint for the treatment of obstructive sleep apnea: A case report


 Bloink T, Blum CL, Rahimi M. J Chiropr Edu. 2015;29(1):92.

TMJ Introduction: In one case a 56-year-old female patient presented for chiropractic and dental care with persistent symptoms of sleep apnea, excessive daytime sleepiness, short-term memory loss, foggy-headedness, TMJ pain, chronic myofascial neck and shoulder pain, fatigue, and vertigo.

Methods/Intervention: Cranial-dental exam revealed a dental-class-II, narrow arches and premature anterior contacts with clenching and bruxism. The sleep study revealed a Respiratory Disturbance Index (RDI) of 17.1 and Apnea Hypopnea Index (AHI) of 16.3, with the lowest oxyhemoglobin saturation (SaO2) of 89% during sleep. Six-treatments over a 3-4 week period of time consisted of sacro-occipital technique (SOT) and cranial care with dental care to facilitate occlusal balancing.

Results: Following the 6-office visits the patient reported significant reduction of all symptoms. Follow-up polysomnogram was performed one-month following prior study and with the dental appliance in her mouth. RDI and AHI were both reduced to 2.9 and lowest Sa02 was 92% during sleep. Due to her increased ability to sleep and increased oxygenation, she had less daytime fatigue and greater function.

Integration of SOT cranial therapy with an occlusal splint for the treatment of obstructive sleep apnea: A case report

 


 

Chiropractic and dental care of a patient with temporomandibular and sacroiliac joint hypermobility: A case report


 Gerardo RC, Blum CL, Shirazi D. J Chiropr Edu. 2015;29(1):96.

Introduction: In the other case a novel protocol was shared for the treatment of chiropractic and dental treatment of a patient with TMD that presented with hypermobility of the sacroiliac joint (sacro occipital technique - category two) and TMJ. A 47-year-old female patient presented with chief complaints of pain when chewing, jaw pain, limited mouth opening, and TMJ crepitus.

Methods/Intervention: Following dental TM orthotic and chiropractic care at 8-weeks, the TMJ capsulitis was no longer present and dental initiated procaine injections were initiated at one month intervals, followed by prolotherapy. Chiropractic and dental care was continued over a 10-month period.

Results: At the treatment conclusion the patient was free of most pain, has full range of motion in the cervical and lumbar spine, negative sacroiliac hypermobility findings, and can open her mouth greater than 42mm (initially presented with 28mm opening) with normal joint tracking and translation.

Two presentations that utilized SOT and CMRT care for non-musculoskeletal patient presentations, one for treatment of insulin resistance syndrome and the other for menorrahagia.

Chiropractic and dental care of a patient with temporomandibular and sacroiliac joint hypermobility: A case report 


 

The influence of the chiropractic treatment in patients with insulin resistance associated with diabetes type 2: A case series


 dal Bello F, Bergesch P, Blum CL. J Chiropr Edu. 2015;29(1):94.

Introduction: Since some low-level evidence has found chiropractic care may demonstrate some influence in non-musculoskeletal interactions such as in DM individuals this study was performed to analyze any possible influence of chiropractic treatment for patients with DM and insulin resistance.

Methods: Four patients with DM type-2 with insulin resistance were selected by an allopathic diabetes specialist to participate in this study. The treatment consisted of eight chiropractic office visits that incorporated adjustments to the spine and chiropractic manipulative reflex technique (CMRT) to balance viscerosomatic/somatovisceral autonomic reflexes. Laboratory blood tests were taken on the second and eighth office visits, before and after the chiropractic adjustment.

Results: After the eight-visits, the levels of insulin resistance, following chiropractic care, decreased significantly when compared to prior to the chiropractic intervention.

The influence of the chiropractic treatment in patients with insulin resistance associated with diabetes type 2: A case series 


 

Intervention in menorrahagia through chiropractic adjustment and spondylotherapy: A case report


 Boro WJ. J Chiropr Edu. 2015;29(1):92

Introduction: This case report describes the clinical course, treatment, and response of a female patient suffering from uncontrolled uterine bleeding of over two-weeks duration to the application of sacro occipital technique (SOT) chiropractic adjustments and spondylotherapy. A 37-year-old, nulliparous female presented with a history of back and hip pain, headaches and asthma, as well as nonstop menstrual bleeding for the previous two-weeks that also occurred a few months earlier. The patient indicated that her menstrual cycle has never been "normal", and since the age of 16 her cycles were of 36-45 days duration with bleeding lasting about seven days.

Methods/Intervention: Three-treatments were performed for this patient's specific menorrahagic condition which included of SOT category-two supine block placement, adjustments to the lumbar spine (L1-5) and femoral heads bilaterally. Van Rumpt cranial therapies were used and spondylotherapy was administered.

Results: Following the third-office visit the patient reported that the chronic menstrual bleeding had stopped. The patient has returned to this office on 8 other occasions over the past couple years for various reasons (mostly for hip pain), but has had no menstrual or bleeding complaints.

The next two papers have a huge impact on our SOT care since one clearly demonstrated changes (qEEG) in brain wave activity following category two pelvic blocking and the other suggests that we modify how we interpret our palpatory landmarks.

Intervention in menorrahagia through chiropractic adjustment and spondylotherapy: A case report 


 

Quantitative assessment of changes in brain activity after a chiropractic adjustment


 Tuttle D, Hochman J, Sullivan S, Hasek R. J Chiropr Edu. 2015;29(1):106.

Blue Brain Background: The effects of chiropractic adjustments on brain function is a largely understudied area, perhaps due to the lack of cost-effective, objective measures of brain functions. Quantitative electroencephalography (qEEG) is a technique that allows for an in-depth analysis of brain electrical activity before, during, and after a chiropractic adjustment.

Methods: A female patient aged 33 years received a preliminary qEEG assessment. One week later, a follow-up qEEG was conducted before and after receiving a chiropractic adjustment, sacro occipital technique category two supine pelvic block placement.

Results: Analysis using LORETA z scores showed a 2.27-SD increase in values in the delta (1 Hz) band. Raw value changes with value of p<.05 were increased at more sites postadjustment as compared to preliminary assessment. Please click here to see videos and more about this interesting study.

Quantitative assessment of changes in brain activity after a chiropractic adjustment 


 

Criterion validity of static spinal palpation compared to a reference standard


 Cooperstein R, Young M, Haneline M. J Chiropr Edu. 2015;29(1):74.

A fascinating presentation by Dr. Cooperstein et al, noted that studying palpatory landmarks to determine thoracic and lumbar spine levels some of the most common landmark in the lumbar region (iliac crest height) and thoracic (inferior scapula tip) are questionable. Ultimately they noted that palpating the crest heights corresponded to L3 and not L4, and palpating the inferior scapulae corresponded to T8 and not T7.

Criterion validity of static spinal palpation compared to a reference standard 


 

One-leg standing time with eyes open: comparison between the mouth-opened and mouth-closed conditions


 Yoshida M, Kanehisa Y, Ozaki Y, Iwasa Y, Fukuizumi T, Kikutani T. Cranio. 2015 Jan;33(1):15-8.

Body Sway To determine the association between proprioception (the periodontal membrane vs muscle spindle) to the one-leg standing time, this study [n=107] compared the one-leg standing time with eyes open between mouth-opened and mouth-closed conditions. The results of the study indicated that one-leg standing time was significantly shorter with the mouth opened (21·1±19·1 seconds) than with the mouth closed (25·1±21·4 seconds).

Other studies also have a relationship between posture and occlusion.

In the Sakaguchi et al, study when subjects used a heel lift of seven/eight mm or more under the left/right foot, dental occlusal force shifted to that ipsilateral side compared to the control (p<0.05). "Based on these findings, it was concluded that leg length discrepancy affected body posture and dental occlusion."

In the Maeda et al study they found relationships between changing occlusion and its affect on balance as well as adding heel lifts and its affect on dental occlusion. "Based on these findings, it was concluded that changing mandibular position affected body posture. Conversely, changing body posture affected mandibular position."

The Esposito et al study found, "Seventy percent of the TMJ patients without cervical involvement exhibited positive signs for balance, coordination, and/or ataxia found in response to having the patient's mandible stressed by extending it as far as possible laterally, and also opened (as wide as possible) or closed (biting down). "

One-leg standing time with eyes open: comparison between the mouth-opened and mouth-closed conditions 


 

SOT Research Conference 2015


 Expanding the Role of SOT Research in the Chiropractic Community

This May 7, 2015 along with a group of amazing presenters we will be featuring Albert Chinnapi, DDS and Harvey Getzoff, DC who became the first dental chiropractic team treating TMD together, and were published in JMPT in the mid-1990s [1, 2, 3]. At this conference they will look back on their research and take us through the ensuing twenty years to where we are now.

The following is the anticipated presentations for this year's conference:

Study on inducing fifth lumbar vertebra dysrelationship by M. B. DeJarnette: Historical development of sacro occipital technique - Major B. DeJarnette, DC, DO (deceased), Charles Blum, DC

Sacro occipital technique and autism spectrum disorders: A case series - Susan Allen, DC

A Clinical Prediction Rule for 52 Patients with Cranial Dysfunctions and Headache: a retrospective case-series report - Scott Cuthbert, DC, Charles Blum, DC

Sacro-Occipital Technique (SOT) initial exam: Predictability of outcomes - Harvey Getzoff DC

The effect of the twin block appliance on correcting class II malocclusion and eliminating TMD symptoms: A retrospective case study - Maryam Bakhtiyari, DDS

A Review of a Commentary Published 1994: A New Management Model for Treating Structural Based Disorders: Dental Orthopedic and Chiropractic Co-Treatment - Harvey Getzoff, DC, Albert Chinnapi, DDS

Cerebrospinal fluid stasis and its clinical significance - James M. Whedon, DC, Donald Glassey, MSW, DC, LMT

Pelvic torsion: Theoretical construct and current evidence - Robert Cooperstein, DC, MA

Inter and intra reliability of the heel tension test - Karen Feely, DC

Sacroiliac Joint Stability Exercises - Jeffrey Tucker, DC


SOT Research Conference 2015 - click here 


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.