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Sacro Occipital Technique Organization - USA
June 2015 
 SOT Research 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.

We hope to see you at our 17th Annual SOTO-USA Clinical Symposium May12-14 2016, 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 parts of the SOT Cranial Series being held in Los Angeles. Starting this Fall, September 26-27, 2015, we will begin our full SOT Certification Series in Los Angeles, CA. Sign up now to save your space.

Remember, you can always have SOTO-USA come to you by: Designing Your Own SOT Seminar - Click Here for Information

In this current update issue we will provide links to the 7th SOT Research Conference; its abstracts and videos of the presentations to view for FREE. Also presented are three new SOT and cranial related articles recently published in PubMed journals as well as three SOT research presentations from the 2015 WFC/ECU Conferences. Some recent research findings of interest are also shared regarding a problem of an anterior dental bridge across a patient's midline, cervical adjustments and stroke, harnessing the placebo effect, and a recent finding of a lymphatic system within the central nervous system.

 

SOT Research Conference Proceedings and Videos


 7th Annual SOT Research Conference

In this 2015 Conference Proceedings we had 17 fascinating novel articles relating to topics such as SOT, cranial techniques, chiropractic manipulative reflex technique, occipital fiber diagnosis, viscerosomatic/somatovisceral reflexes, and dental chiropractic co-treatment of TMD. This book has over 200 pages. This book can be purchased through the SOTO-USA bookstore by clicking here. If you want to support SOT research, see what is new in SOT research, or have a library of SOT information at your fingertips, make sure you have all seven of the SOT Research Conference Proceedings.

All presentations from this conference can be viewed for FREE - 7th Annual SOT Research Conference Presentations - Videos.

7th Annual SOT Research Conference Videos - click here 


 

Assessment of Consistency Between the Arm-Fossa Test and Gillet Test: A Pilot Study
 Cooperstein R, Blum C, Cooperstein E. J Chirop Med. 2015;14(1):24-31.

One of my favorite authors Robert Cooperstein, MS, DC has recently published an article on: "Assessment of Consistency Between the Arm-Fossa Test and Gillet Test: A Pilot Study" in the Journal of Chiropractic Medicine.

The arm fossa test is a test used by sacro occipital technique practitioners to assess sacroiliac joint function or dysfunction. Determining reliability or validity of a diagnostic process is always a challenging undertaking. This paper represents another step towards better understanding the utility of the arm fossa test in diagnostic and treatment clinical arenas.

Arm-Fossa Test and Gillet Test - click here

 


 

R + C Factors and Sacro Occipital Technique Orthopedic Blocking: a pilot study using pre and post VAS assessment
 Blum CL. J Can Chiropr Assoc 2015; 59(2):134-142.

R+C Factors The concept of a systematic or predictive relationship between distant vertebral levels distinct from accumulative functional compensatory mechanisms, such as in scoliosis, has been perpetuated within chiropractic technique systems based on clinical observation and experience (e.g., Lovett Brothers).

In this study patients (experimental group n=26 and control group n=12) were selected from the patient base of one office, and were limited to patients that had sensitivity at specific cervical reflex points. Using a pre and post outcome measurement and sacro occipital technique R + C protocols, the related lumbar vertebra was adjusted in specific directions.

The results indicated a statistically significant difference between pre- and post-VAS (visual analogue pain scale) measurements and found that the notable difference in mean change in VAS scores were statistically significantly different between the experimental and control groups (p < .001).

R+C Factors and Orthopedic Blocking - click here 


 

Cranial treatment and spinal manipulation for a patient with low back pain: A case study.


 Powell W, Knaap SFC. J Chirop Med. 2015;14(1):57-61.

Cranial Therapy "A 37-year-old man consulted a chiropractor for pain in the lumbosacral area with radiation down the anterolateral side of the upper left leg. The symptoms started after a fall the previous year. Examination showed a post-traumatic chronic L4-L5 facet dysfunction and left sacro-iliac joint dysfunction. Chiropractic spinal manipulation to the lumbar spine and pelvis gave only temporary relief from the pain."

Interestingly "a year later a bone scintigraphy was conducted, in which a lesion was found over the right sphenoid area. Cranial treatment to the sphenoid bone using sacro occipital technique (SOT) sphenoid lifting technique was added to the chiropractic treatment plan. After this treatment, the patient reported that he was pain free and could return to normal activities of daily living."

The influence of cranial treatment and spinal manipulative care - click here 


 

SOT Presentations at the 2015 WFC/ECU Conference, Athens, Greece
 Drs. Thomas Bloink & William Boro

Many thanks go to Drs. Thomas Bloink and William Boro who presented research at the World Federation of Chiropractic/European Chiropractic Union joint conferences in Athens, Greece this May presenting SOT related research for SOTO-USA. SOTO-USA's international outreach is attempting to keep SOT research in front of those who make chiropractic healthcare policy.

Chiropractic cranial treatment of a patient with idiopathic intermittent hearing loss: A case report.
Thomas Bloink, DC, Charles Blum, DC

Post concussion syndrome, temporomandibular joint disorders, and chiropractic dental co-treatment: A case report.
Thomas Bloink, DC, Charles Blum, DC

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

SOT Presentations at 2015 WFC/ECU Conference - click here 


 

Chiropractic care and the risk of vertebrobasilar stroke: results of a case-control study in U.S. commercial and Medicare Advantage populations


 Kosloff TM, Elton D, Tao J, Bannister WM. Chiropr Man Therap. 2015 Jun 16;23:19.

Further supporting, at most, a coincidental relationship between cervical manipulation and stroke, Kosloff found "no significant association between exposure to chiropractic care and the risk of ertebrobasilar artery system (VBA) stroke." They concluded, "that manipulation is an unlikely cause of VBA stroke. The positive association between primary care physician visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection.

Suggested Reading on This Topic:

Murphy DR. Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession? Chiropractic & Osteopathy. 2010;18:22.

Blum CL. Chiropractic & Stroke - What Are Our Responsibilities. Journal of Vertebral Subluxation Research. July 2008: 1-4.

Cervical Spine and Stroke Coincidental Relationship 


 

How a perfect, implant-retained anterior bridge can cause facial pain
 Sheldon LN. Perio-Implant Advisory. June 16, 2015.

While for years SOT chiropractors that practice cranial technique and work with dentists have cautioned about fixed appliances across the maxillary midline, it appears that the message is getting out to the dental field. Lee Sheldon, DMD discusses a case he treated where "a perfect, implant-retained anterior bridge can cause facial pain."

Gerald Smith, DDS, has also discussed this issue over the years, please also see the following:

Dental Bridgework May Be the Source of Your Patients' Headaches, Neckaches and Facial Pain

Dental Bridgework / Face Pain Connection Twenty years of facial pain due to trauma and perpetuated by dental bridgework

How a perfect, implant-retained anterior bridge can cause facial pain 


 

Placebo, meaning, and health
 Barrett B, Muller D, Rakel D, Rabago D, Marchand L, Scheder JC. Perspect Biol Med. 2006 Spring;49(2):178-98.

The oft-disparaged "placebo effect" can become a powerful tool for both patient and doctor if we can figure out ways to enhance this mysterious alchemical healer within. Barrett et all "list eight specific clinical actions: speak positively about treatments, provide encouragement, develop trust, provide reassurance, support relationships, respect uniqueness, explore values, and create ceremony. These clinical actions can empower patients to seek greater health and may provide a healthful sense of being cared for. Click here to see this study.

This study may also help as a clinical guide to augment our patient's healing:

Bystad M, Bystad C, Wynn R. How can placebo effects best be applied in clinical practice? A narrative review. Psychol Res Behav Manag. 2015; 8: 41-45.

Harnessing the Power of the Placebo Effect 


 

Structural and functional features of central nervous system lymphatic vessels.
 Louveau A, Smirnov I, Keyes TJ, et al. Nature. 2015, Jun1.

Time to rethink our understanding of the brain and its vasculature system. A prolific CSF researcher, Hugh Davson, stated in 1972, "We may regard the CSF as the equivalent of a lymphatic system, carrying away from the cranial and spinal systems substances that would not be able to leave at significant rates otherwise [1]."

However now in 2015 Louveau et al found that in searching for T-cell gateways into and out of the meninges, they "discovered functional lymphatic vessels lining the dural sinuses. These structures express all of the molecular hallmarks of lymphatic endothelial cells, are able to carry both fluid and immune cells from the cerebrospinal fluid, and are connected to the deep cervical lymph nodes. The unique location of these vessels may have impeded their discovery to date, thereby contributing to the long-held concept of the absence of lymphatic vasculature in the central nervous system."

1. Davson H, The blood-brain barrier (Chapter 9). The Structure and Function of Nervous Tissue. Academic Press: New York, NY 1972;321-445.

Lymphatic Vessels in the CNS 


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 12-14, 2016, for the 2016 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