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September 2007 
 SOT Quarterly Research Update
September 2007 SOT Research Update
SOTO-USA's Multidisciplinary Annual Event
SOT Related Research Information
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SOT Research Literature
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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.

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 offers you discounts to save you money and at the same time your purchase helps support SOT Research.

This update features information on the SOT Compendiums. caution for patients with migraines, muscle testing, pediatric practice based studies, dental and chiropractic relationships, and efficacy of cranial manipulative therapy.

 

Compendium of Sacro Occipital Technique


 

The compendium of sacro occipital technique literature is an attempt by SOTO-USA to preserve and update all peer reviewed published literature pertaining to SOT and chiropractic cranial therapeutic interventions.

Gathering all the published articles and then converted them into the same font, to make them appear consistent in a book format, is an arduous process. Gaining reprint permissions from journals is time consuming and it is only through the journal's graciousness and effort to further research that we have gained the right to reprint a specific article.

When you combine the untold hours preparing the books for publication and the fact that purchasing an individual separate article could be $20-30, it makes the cost of each compendium, at $55, a significant bargain. The first compendium (1984-2000) had 39 separate articles and the new one (2000-2005) along with an introduction by Robert Cooperstein MA, DC, has 28 separate articles along with 28 abstracts from research conferences.

By purchasing the compendiums you have valuable information that can assist you with peer reviewed published treatment protocols and gain an insight into the emerging SOT evidence base of literature. Your purchase of a compendium supports further SOT research and the ongoing compiling of SOT research into yearly volumes.

Please consider an advance purchase of the new compendium, which will be available by the Clinical Symposium October 25-28th. As a special offer SOTO- USA will send you both compendiums and an official diploma noting your support of SOT and Chiropractic Research for only $125. Save on shipping costs by picking up the books at the Nashville Symposium.

Compendium of Sacro Occipital Technique - Click Here 


 

Migraine With Aura Increases Risk for Ischemic Stroke
 

August 14, 2007 - New research suggests that women who have recent onset of migraine with visual aura have an almost 7-fold increased risk for ischemic stroke. Results from the Stroke Prevention in Young Women Study found the risk for first-ever ischemic stroke was highest among women who reported new onset (within the past year) of probable migraine with visual aura (PMVA).

Key points to take from the article:

1. "...risk for first-ever ischemic stroke was highest among women who reported new onset (within the past year) of probable migraine with visual aura... "

2. "Women who had probable migraine with visual symptoms who also smoked and used oral contraceptives (OCs) had seven times the risk of stroke than women who had probable migraine with visual symptoms alone,"

3. In this study the group that had probable migraine with visual aura (PMVA) who smoked and used OCs had a 10-fold increased risk for stroke compared with women with no history of migraine, who did not smoke or use OCs.

Main point: The doctor should be cautious with HVLA (typical diversified type) cervical adjustment with women with PMVA who smoke and take OCs, possibly even exercise caution with cervical stairstep adjustments and consider investigating co-treatment with a neurologist, if clinically indicated.

Migraine With Aura Increases Risk for Ischemic Stroke - Click Here 


 

The Common Compensatory Pattern:. Its Origin and Relationship. to the Postural Model.


 Pope RE. Advanced Myoskeletal Techniques Textbook. Chapter 22: 176-205

J. Gordon Zink, DO and several other physicians have described recurring patterns of dysfunction found in their patient populations. Manual healthcare clinicians frequently find recurrent patterns of fascial bias, postural asymmetry, somatic dysfunction, and functional disturbances.

In this chapter by Pope he asks the following questions, " Is there a linkage between all of these commonly found clinical phenomena? Further, what is the clinical significance of these patterns? There appears to be an inherent fascial bias found in most people. There also appears to be a causal linkage between fascial bias and subsequent growth of the individual. Could these governing factors explain recurrent patterns of postural asymmetry that we find in the postural model?"

Pope discusses how "the probable key to these questions and their answers reside in the fascia." Click on the following link for a full text pdf link to this interesting presentation.

The Common Compensatory Pattern:. Its Origin and Relationship. to the Postural Model - Click Here 


 

Reliability and Validity of Manual Muscle Testing
 

In research arenas attempts are constantly being made to understand the evidence and both add and critique studies in an effort to unravel the various "truths." Reading related commentaries and replies to the editor are wonderful ways to gain deeper understanding and a greater grasp on the information. In the following three articles this repartee helps shed light on muscle testing and its clinical use in the chiropractic field.

"The manual muscle test (MMT) employed by chiropractors, physical therapists, and neurologists was shown to be a clinically useful tool, but its ultimate scientific validation and application requires testing that employs sophisticated research models in the areas of neurophysiology, biomechanics, randomized controlled studies, and statistical analysis."
Cuthbert SC, Goodheart GJ. On the reliability and validity of manual muscle testing: a literature review. Chiropr Osteopat 2007, 15:4.

"The purpose of this commentary is to provide a critical appraisal of the review, suggest conclusions consistent with the literature both reviewed and omitted, and extricate conclusions that can be made about AK in particular from those that can be made about MMT. When AK is disentangled from standard orthopedic muscle testing, the few studies evaluating unique AK procedures either refute or cannot support the validity of AK procedures as diagnostic tests. The evidence to date does not support the use of MMT for the diagnosis of organic disease or pre/subclinical conditions."
Haas M, Cooperstein R, Peterson D. Commentary: Disentangling manual muscle testing and Applied Kinesiology: critique and reinterpretation of a literature review. Chiropr Osteopat 2007, 15:11 (23 August 2007).

"We agree with" Haas, Cooperstein, and Peterson, "that it is reasonable to make a distinction between standardized MMT and non-standardized MMT. It is the second type of MMT that can tarnish the reputation of clinicians using it as part of their diagnostic regimen. In our opinion Haas et al have used non-AK research studies to condemn MMT as a pre- and post-assessment tool for evaluating the efficacy of chiropractic treatment." Cuthbert notes that,"... if MMT is reliable and valid for NMS diagnosis then logically this reliability and validity remains when a chiropractor uses MMT."
Cuthbert S. Disentangling manual muscle testing and Applied Kinesiology: critique and reinterpretation of a literature review. A reply. Chiropr Osteopat 2007 (31 August 2007).

 


 

Pediatric Research: Joining a Practice Based Study
 

A recently published paper titled, "Adverse Events Associated with Pediatric Manipulation" has stirred some inaccurate press response and therefore unwarranted concern about chiropractic care for children. The I.C.P.A.'s Research Director, Dr. Joel Alcantara has done a comprehensive review of this paper and has found questionable substantiation for the paper's conclusion. To view his letter to the editor of the journal Pediatrics click here.

Now is your opportunity support chiropractic pediatric practice based research and share what is occurring daily in our practices. If you are treating children in your practice then you really do need to be part of this study.

The ICPA has created a simple on-line format to make your registration and data recording simple. It doesn't get easier than this. The more participating chiropractors and the more cases we collect, the louder our voice.

Jeanne Ohm, DC president of the ICPA, implores you to "Register Right Now" and receive the simple instructions and data forms. Time is of the essence! Click here for registration form.

Pediatric Practice Based Research 


 

SOT and the Treatment of TMJ: Why Dentists and Chiropractors Need to Work Together
 Journal of the California Chiropractic Association. Sum 2007 32(3): 12-3.

As chiropractic moves into the 21st century improving patient care and expanding interdisciplinary relationships will be the way of present and future. However there are serious impedances inhibiting the natural relationship of chiropractic and dentistry.

Chiropractors tend to think they have all the answers when it comes to TMJ (temporomandibular joint) care. Commonly they assume that some form of a chiropractic adjustment will have lasting changes on the shape of the TM disc(s) or even possibly change the shape of the teeth's occlusal surfaces. On the other hand many dentists ignore vertebral imbalance and its affect on the musculature affecting TMJ function. For the best in patient care, how can we both work together with these seemingly opposing philosophies?

For full text article -Click Here. Good for explaining chiropractic dental relationships to dentists, chiropractors and patients.

SOT and the Treatment of TMJ: Why Dentists and Chiropractors Need to Work Together 


 

Effects of anterior cruciate ligament (ACL) injury on muscle activity of head, neck and trunk muscles: a cross-sectional evaluation
 Tecco S, Salini V, Teté S, Festa F. Cranio. 2007 Jul;25(3):177-85.

Cranio_Dental Image "This study evaluated what may be the effects from pathology of the knee, due to an anterior cruciate ligament (ACL) injury, to the muscular activity of neck, head, and trunk muscles. Twenty-five (25) subjects (mean age 28+/-9 years) with ACL injury of the left knee were compared with a control no-pathology group.

"At rest, the areas of anterior temporalis and masseter in the control group (normal ACL) showed a significantly lower sEMG activity compared with subjects in the study group (injured ACL), both in the right and the left sides (p<0.05). The same was found for the sEMG activity of the areas of SCM and lower trapezius.

"In general, ACL injury appears to provide a change in the sEMG activity of head, neck and trunk muscles." This study supports the plausibility of ascending TMD influences coming from asymmetrical myofascial and skeletal function.

Effects of anterior cruciate ligament (ACL) injury on muscle activity of head, neck and trunk muscles: a cross-sectional evaluation - Click Here 


 

Cranial Manipulation Can Alter Sleep Latency and Sympathetic Nerve Activity in Humans: A Pilot Study


 Cutler MJ, Holland BS, Stupski BA,.Gamber RG, Smith ML. J Altern Complement Med. 2005 Feb;11(1):103-8.

Objective: To determine if cranial manipulation is associated with altered sleep latency. Furthermore, we investigated the effects of cranial manipulation on muscle sympathetic nerve activity (MSNA) as a potential mechanism for altered sleep latency.

Subjects: Twenty (20) healthy volunteers (12 male, 8 female; age range, 22-35 years) participated in this investigation.

Interventions: Subjects were exposed to 3 randomly ordered treatments: compression of the fourth ventricle (CV4), CV4 sham (simple touch), and control (no treatment). Outcome measures: Sleep latency was assessed during each of the treatments in 11 subjects, using the standard Multiple Sleep Latency Test protocol. Conversely, directly recorded efferent MSNA was measured during each of the treatments in the remaining 9 subjects, using standard microneurographic technique.

Results: Sleep latency during the CV4 trial was decreased when compared to both the CV4 sham or control trials (p < 0.05). MSNA during the CV4-induced temporary halt of the cranial rhythmic impulse (stillpoint) was decreased when compared to prestillpoint MSNA (p < 0.01).

Conclusions: The current study is the first to demonstrate that cranial manipulation, specifically the CV4 technique, can alter sleep latency and directly measured MSNA in healthy humans. These findings provide important insight into the possible physiologic effects of cranial manipulation. However, the mechanisms behind these changes remain unclear.

Cranial Manipulation Can Alter Sleep Latency and Sympathetic Nerve Activity in Humans: A Pilot Study · Click Here 


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 25-28th, 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.

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Thank you for your dedication and interest


Charles Blum, DC
Sacro Occipital Technique Organization - USA

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