Dear Colleague:
The SOT Quarterly Research Update is
a service offered by SOTO-USA to keep doctors who are familiar with
sacro occipital technique (SOT) aware of the latest 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.
Please don't miss SOTO-USA's
8th Annual CLINICAL SYMPOSIUM, October 25-28th, 2007, in Nashville,
Tennessee. Set aside the date, we look forward to seeing y'all there.
Check
out the Current 2007 SOTO-USA Event Schedule for a Seminar Near You
Don't forget your can always have
SOTO-USA come to you by: Designing
Your Own SOT Seminar - Click Here for Information
To easily help SOT research please consider purchasing gifts
through Care
Clicks. This "one click" online shopping mall saves you money and
your purchase helps support SOT Research.
This current update will focus on
research presented at the recent Portugal International Conference, the
New York Chiropractic College Symposium, and an update on a new
chiropractic journal in PubMed and available search engines.
This past May 17-19th, 2007 at the
International Conference on Chiropractic Research in Vilamoura,
Portugal SOT and TMJ related information was shared internationally to
chiropractic researchers. Developing an awareness of SOT and TMJ care
in the chiropractic research community is important to help move SOT
forward as well as to assist the formulation of future research that
can help to improve patient care. The conference was exciting as can be
witnessed by the following abstracts of presentations from Brazil,
Australia and the United States.
 |
|
|
Chiropractic Treatment of
Temporomandibular Joint Pain: A Case Series
Priscila Nilson, DC and her colleagues (Chiropractic,
Allopathic and Dental Physicians) from the Universidade Anhembi Morumbi
in Brazil have been performing research investigating chiropractic care
of the TMJ. Their principal focus is interdisciplinary treatment with
the dental profession, treating patients presenting with
conditions associated with TMJ dysfunction, and
evaluating their pain and occlusion. They are furthering their study
with a new control group in order to gain better statistical
significance. The following study is an abstract of their presentation
from the recent Portugal Conference
Appiano PRN, Suzuki MA, Kouri M,Depintor JDP, Fagundes DJ,
Bracher ESB. Chiropractic Treatment of Temporomandibular Joint
Pain: A Case Series. International Conference on
Chiropractic Research. Vilamoura, Portugal - May 17-19, 2007: CM54.
Introduction: Integrated treatment procedures by
dentists and chiropractors may improve outcomes for this condition. In
this study, a protocol for the treatment of patients with TMJ pain was
tested in a series of patients treated at a university-based center for
orofacial pain.
Methods: Patients with primary TMJ pain for more than
six months were selected for the study at São Paulo University
School of Dentistry Department of Occlusion and TMJ, Brazil, undergoing
an initial triage by a Doctor of Dental Surgery. Standardized treatment
protocol consisted of four weekly sessions with the following
procedures: cervical and TMJ joint mobilization; cervical joint
manipulation; intra and extra-oral myofascial release and ischemic
compression of muscles of mastication and cervical muscles; postural
orientation and a home exercise program.
Results: Eleven patients (10 women and one man), with
an average age of 36.8 years participated of the study. Pain intensity,
measured by the Modified Chronic Pain Graded Scale (CPGS) revealed a
shift from high-intensity to low-intensity pain between the beginning
and end of treatment (decrease of high-
intensity pain from 63.6% to 18.2%, of patients, p=0.025). A
significant change of mouth opening range was also observed between the
beginning and end of treatment, from an average value of 37.55 mm (SD=
11.41) to 42.36 mm (SD=8.04) (p=0.03).
Conclusions: This study showed an improvement of
symptoms and objective measures after a four-session standardized
Chiropractic treatment for patients with chronic TMJ pain. Comparative
studies with longer follow-up periods are necessary to confirm the
present findings.
|
|
|
|
|
Chiropractic Intraoral
Craniomandibular Technique for Migraine
Allan Kalamir, DC from Australia presented three TMJ related
papers at the Portugal conference. Dr. Kalamir graduated from Macquarie
University in 1995 with a Masters degree in Chiropractic and returned
there to pursue his interest in the chiropractic management of
temporomandibular disorders by working toward a PhD. He is the
consultant lecturer in TMJ orthopedics at Macquarie University, as well
as a senior tutor in diversified technique. Dr. Kalamir is a member of
the prestigious chiropractic research group MIMG (Macquarie Injury
Management Group). His TMJ research inevitably led him to SOT, which he
now routinely uses in practice and he would like to see more research
conducted into postural distortion patterns, psychosomatic reflexes and
sacroiliac dysfunction. The following are three papers he presented at
the Portugal conference:
Kalamir A, Chiropractic
Intraoral Craniomandibular
Technique for Migraine. International Conference on Chiropractic
Research. Vilamoura, Portugal - May 17-19, 2007: CM18.
Two female patients suffering from (at least fortnightly)
chronic classic migraine (migraine without aura classification 1.1),
who were unresponsive to chiropractic (SMT), physiotherapy, acupuncture
and allopathic medication were assessed and found to have ADDWR
(anterior disc displacement with reduction) of their TMJs.
A 5 week protocol involving chiropractic soft tissue
myofascial techniques (e.g. Ischemic pressure, PIR). Aside from
improved TMJ biomechanics (ROM), both patients noted dramatic
improvement in their migraine symptoms over the course of 6 weeks.
It is proposed that chiropractors are well positioned to
address autonomic disturbances that are implicated in migraine, and
that TMJ techniques that are widely taught should be utilized more
often in practice.
|
|
|
|
|
A Randomised Controlled Pilot
Study of Chiropractic Craniomandibular Treatment for Chronic TMD.
Kalamir A, A
Randomised Controlled Pilot Study of
Chiropractic Craniomandibular Treatment for Chronic TMD.
International Conference on Chiropractic Research. Vilamoura,
Portugal - May 17-19, 2007: CM14.
30 blinded chronic TMD sufferers were randomized into 3
groups (control, Rx, and Rx plus self care/
education). Rx intervention involved osseous adjustments to the TMJs,
along with intraoral craniomandibular soft tissue releases (involving
ischemic pressure, and PIR). No spinal treatment was performed.
Practitioner was blinded to outcomes and assessor was blinded to group
assignment.
Results showed statistically and clinically significant
differences in resting pain, clenching pain, inter-
incisal opening, maximum opening pain between both Rx groups and
control over 6 weeks and 6months. No statistical difference between the
2 RX groups at this stage. It is proposed that chiropractic treatment
of the masticatory apparatus may be of benefit in cases of chronic TMD.
|
|
|
|
|
Pronation Associated with
Temporomandibular Joint Sounds
Kalamir A, Pronation
Associated with Temporomandibular
Joint Sounds., International Conference on Chiropractic Research.
Vilamoura, Portugal - May 17-19, 2007: SI10.
Two male patients with spinal symptoms (and TMJ sounds with
ADDWR) were assessed and found to have moderate pronation of their
feet. Occasional chiropractic SMT alleviated their spinal symptoms but
not the TMJ sounds and ROM. Both patients were fitted with EVA
prefabricated arch supports (orthotics) to address their pronation.
Within 48 hours, both patients noted marked improvement in
their TMJ sounds, TMJ range of movement normalization, and improvement
in spinal symptoms. Both patients additionally commented that when they
failed to wear the orthotics for more than a few days, the joint sounds
gradually returned, only to disappear again with days upon reinsertion
of orthotics. It is proposed that orthotics, when indicated, may be of
benefit in managing chronic cases of TMJ dysfunction.
|
|
|
|
|
Developmental Delay Syndromes
and Chiropractic: A Case Report
Blum CL, Cuthbert S, Williams S,
Developmental Delay
Syndromes and Chiropractic: A Case Report. International
Conference on Chiropractic Research. Vilamoura, Portugal - May
17-19, 2007: CM53.
Chiropractic treatment for developmental delay syndromes
(DDS), while controversial to some, has growing support in the research
literature. Yet at this time there is no conclusive information on the
causation of DDS. This ultimately leads to some lack of clarity about
treatment options, particularly for children sensitive to medication or
who do not choose medication as an option.
Patients are actively seeking alternative care, and
particularly care that offers low risk and measurable benefits should
be brought to their attention. Since for many patients and their
families the option of no treatment for DDS is not an "option," we need
to explore which patients might best respond to conservative therapies
such as chiropractic.
The current evidence supports the premise that some DDS may
be secondary to trauma and related to the sensory-motor impairment
syndrome known as dyspraxia. While the studies are inconclusive, there
is an emerging evidence base that does show chiropractic care may be
successfully employed in the treatment of patients with DDS such as
dyslexia, dyspraxia, learning disabilities, and ADHD.
|
|
|
|
|
New York College of Chiropractic
- 2nd Annual Symposium
New York College of Chiropractic - 2nd Annual Symposium "The
Art of Chiropractic: A Symposium on Chiropractic Technique" April
21-22, 2007, New York City, NY.
New York College of Chiropractic in conjunction with both the
New York Chiropractic Council and New York State Chiropractic
Association presented the 2nd Annual Symposium "The Art of
Chiropractic: A Symposium on Chiropractic Technique" April 21 - 22,
2007 in New York City. A subplot of the whole conference was the great
hope for chiropractic exhibited by the spirit of unity found between
the two New York State Associations.
The conference was a great success with a packed room full of
chiropractors receiving up to date research as well as being introduced
to some chiropractic techniques with a focus on evidenced based
practice. The keynote speakers were Anthony Rosner, PhD, Kimberly S.
Brown, DC and Gerald Clum, DC with the invited symposium presenters
being Frank Nicchi, DC and Scott Surasky, DC (Flexion/Distraction),
Charles Blum, DC (Sacro Occipital Technique), Mark Charrette, DC
(Diversified and Extremity Adjusting), Peter Lope, DC (Chiropractic
Biophysics), Greg Bruno, DC (Graston Technique), and Gary Deutchman, DC
(Scoliosis Treatment).
The sacro occipital technique (SOT) presentation focused
primarily on how chiropractic might develop greater interdisciplinary
relationships with allied health professions such as allopathy and
dentistry. Visceral mimicry syndrome is a condition where the somatic
nervous system or myofascialskeletal imbalance creates a pain syndrome
that closely resembles visceral referred pain patterns. In some studies
it was reported that this may occur 10-15% of the time and indicates a
need for developing a close working relationship between allopathy and
chiropractic.
Two case histories were presented one that treated a patient
with a history of angina by SOT protocols who had sacroiliac joint
hypermobility (category two) and cervical spine imbalance and another a
patient post gallbladder surgery with persisting pain that responded to
SOT visceral reflex treatment called CMRT (chiropractic manipulative
reflex technique). Algorithms were discussed that provided similar type
cases cautiously having allopath oversight while incorporating a trial
of chiropractic care in non-acute cases. Of great interest was research
that illustrated how sometimes visceral dysfunction can produce somatic
symptoms and conversely how somatic dysfunction can produce visceral
mimicry syndromes. Also discussed was how chiropractic treatment might
reduce visceral referred pain patterns yet not affect the visceral
dysfunction.
Interdisciplinary relationships with dentistry for the
co-treatment of temporomandibular joint dysfunction (TMD) were also
presented in the SOT section. For too long dentists and chiropractors
have been treating TMD (temporomandibular disorders) independently, and
successful integration of dentistry and chiropractic care involves
understanding that: (1) The body functions as a closed kinematic chain
and effecting one part will have a cascade of effects throughout the
musculoskeletal system from head to toe. (2) There are postural
imbalances that travel superiorward towards the TMJ called ascending
patterns and postural imbalances that travel inferiorward from the TMJ
called descending patterns.
The New York Chiropractic College (NYCC) conference organized
by Thomas Ventimiglia, DC focused on research, evidenced based
practice, chiropractic technique, and developing interdisciplinary
relationships. NYCC has multiple interdisciplinary centers to help
train students in both evidenced based practice and how to work with
allied healthcare practitioners. So the camaraderie and sharing amongst
the presenters and doctors in attendance provided anticipation for the
next symposium in the upcoming year which will help to further lead the
chiropractic profession into the 21st Century.
|
|
Sacro Occipital Technique
Organization - USA is a 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 in Nashville for October 25-29th, 2007 Clinical
Symposium. It will be a great opportunity 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 will be leading the way.
Thank you for your dedication and interest
|
