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 9th Annual CLINICAL SYMPOSIUM, October 23-26th, 2008, in
Dallas, Texas.
In the very near future dates and
locations will be released for a series of SOT and Cranial Seminars
taking place in the Spring and Summer of 2008.
Don't forget your can always have
SOTO-USA come to you by: Designing
Your Own SOT Seminar - Click Here for Information
This update features information on
some SOT papers recently accepted for presentation at the 2008 ACC/RAC
conference and in the Journal of the Canadian Chiropractic Association
(PubMed indexed journal), the relatively new concept called, "Clinical
Prediction Rules" (CPRs), a call for SOT or cranial case reports, ICPA
Pediatric Practice Based Research, and Cranial Research Papers from the
50th Annual American Osteopathic Association.
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SOT Research Accepted for
Conferences and Publication in 2008
SOT has two papers accepted to the ACC/RAC
Conferences this March 12-15, 2008 in Washington DC. This
prestigious conference includes the premiere chiropractic researchers,
academicians, and college administrators.
Plagiocephaly: The Oblique Skull a Method of Chiropractic
Correction. (Platform Presentation)
Steve Williams, Charles Blum, Simon Billings
Developmental Delay Syndromes and Chiropractic: A Case
Report.
Charles Blum, Scott Cuthbert
Also for those of you who remember a survey of patient
preferences to determine why they sought SOT care at your office, that
paper while initially presented at the ACC/RAC conference in 2006
entitled,
"Patient preference for wellness care: Is it on the menu?", has now
been accepted for publication in the Journal
of the Canadian Chiropractic Association, a PubMed Indexed journal.
Multinational survey of chiropractic patients: Reasons for
seeking care.
Charles L. Blum, Gary Globe, Lisa Terre, Timothy A. Mirtz, Leon Greene,
Denise Globe.
ACC/RAC
2008 Conference Schedule
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Clinical Prediction Rules (CPR)
and Manipulation
What are they and why are they important?
CPRs are used to determine what groups of symptoms or
diagnostic features help to categorize a group of patients that would
be best helped by a specific procedure. For an article that discusses
how CPRs can be used see: Development
and Application of Clinical Prediction Rules to Improve Decision Making
in Physical Therapist Practice.
Over the past few years CPRs are being developed to determine
who might benefit from SI joint, low back, hip, thoracic and cervical
spine manipulation. This is the likely future of manipulative research
and chiropractic, particularly SOT, needs to be aware and start
performing our own studies. In the next article we will be featuring an
ongoing series of research presentations offered by the Research
Review Service for Chiropractors. The following are samples of
how the CPRs are being used in clinical practice and substantiate the
need for manipulative care.
Fritz
JM, Childs JD, Flynn TW. Pragmatic application of a clinical
prediction rule in primary care to identify patients with low back pain
with a good prognosis following a brief spinal manipulation
intervention. BMC Fam Pract. 2005 Jul 14;6(1):29."
Hassan,
NA. A Clinical Prediction Rule for Classifying Postpartum Subjects
With Low Back and Pelvic Girdle Pain Who Demonstrate Short-Term
Improvement With Mobilization of the Sacroiliac Joint,
Dissertation: University of Pittsburgh, School of Health and
Rehabilitation Sciences. Jul 2007. URN etd-
07052007-164019.
Tseng
YL, Wang WT, Chen WY, Hou TJ, Chen TC, Lieu FK. Predictors for the
immediate responders to cervical manipulation in patients with neck
pain.
Man Ther. 2006 Nov;11(4):306-15."
Cleland
JA, Childs JD, Fritz JM, Whitman JM, Eberhart SL. Development of a
clinical prediction rule for guiding treatment of a subgroup of
patients with neck pain: use of thoracic spine manipulation, exercise,
and patient education. Phys Ther. 2007 Jan;87(1):9-23."
Currier
LL, Froehlich PJ, Carow SD, McAndrew RK, Cliborne AV, Boyles RE,
Mansfield LT, Wainner RS. Development of a clinical prediction rule
to identify patients with knee pain and clinical evidence of knee
osteoarthritis who demonstrate a favorable short-term response to hip
mobilization. Phys Ther. 2007 Sep;87(9):1106-19."
Childs
JD, Fritz JM, Flynn TW, Irrgang JJ, Johnson KK, Majkowski GR, Delitto
A. A clinical prediction rule to identify patients with low back
pain most likely to benefit from spinal manipulation: a validation
study. Ann Intern Med. 2004 Dec 21;141(12):920-8."
Blum
CL, Globe G, Assessing the Need for Dental - Chiropractic TMJ
Co-Management: The Development of a Prediction Instrument, Journal
of Chiropractic Education Sum 2005;19(2).
Clinical
Prediction Rules: Subgrouping of Patients
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Research Review Service for
Chiropractors
Clinical Prediction Rule - Sample Report
What is the Research Review Service?
The Research Review Service is a subscription-
based, online service for chiropractors, physiotherapists, and other
manual medicine providers. Each week, a new review is posted,
summarizing, critiquing, and contextualizing a recent, peer-reviewed
article in the area of chiropractic, physiotherapy, rehabilitation,
sports injuries, acupuncture, or exercise sciences. The reviews are
concise and comprehensive, facilitating practical understanding of
research methods and results. Over 150 reviews are now posted in the
fully keyword searchable database. The Research Review Service now has
subscribers worldwide from the disciplines of chiropractic,
physiotherapy, personal training, and athletic therapy. To subscribe to
this service, or for more information, visit the website at
www.researchreviewservice.com or email info@
researchreviewservice.com.
The following is a sample of how the Research Review Service
shares an introduction to up to date information. Click on the
hyperlink that follows the article to see a full text sample.
Fritz JM, Cleland JA, Childs JD. Subgrouping patients
with low back pain: Evolution of a classification approach to physical
therapy. Journal of Orthopaedic & Sports Physical Therapy
2007; 37(6): 290-
302.
Despite its prevalence, LBP remains challenging for all
health care providers, a persistent "black-box" of musculoskeletal
medicine. Over 1000 randomized clinical trials exist in the literature
but, to date, this expansive volume of research has been unable to
offer conclusive support for most treatment interventions. This review
discusses a Clinical Prediction Rule (CPR) which can help clinicians
identify clusters of factors (clinical and historical) that can predict
patient response to a treatment intervention (ex. manipulation,
stabilization exercise, etc.), with the goal of improving clinical
outcomes.click
here
Subgrouping
patients with low back pain: Evolution of a classification approach to
physical therapy · click here
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Mid-Year SOT Conference - Call
for Papers
April 18-20, 2008 · Kansas City, Missouri
SORSI is having its annual Mid-Year Conference this year in
Kansas City, Missouri and a call for papers has been made for research
papers to be presented at the conference. Any topic pertaining to SOT
or Cranial will be considered and should be submitted to O. Nelson DeCamp, DC.
Formats for case reports could follow the article by Green
and Johnson and looking through the webpage on Writing
a Case Report could be very helpful.
At this time all that is needed to submit a paper would be a
Structured Abstract. Dr.
DeCamp is awaiting your submission and would be happy to help you
as needed to assist you in this process. Please contact him if you have
any questions.
If you would like assistance in preparing the case report or structured
abstract contact me (Charles Blum) directly at drcblum@aol.com.
Upon request I could send you an easy to follow fill in the blank case
report form that makes the process not that daunting.
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Determining the Intra-observer
Reliability of the Evaluation of Cranial Strain Patterns-
Halma KD, Snider KT, Johnson JC, Schaun-Flaim M,
Degenhardt BF. JAOA. Aug 2006; 106(8): 471 (F01).
Purpose: To perform a prospective, randomized,
single blinded, observational study to determine the intra-
observer reliability of common palpatory tests used to diagnose strain
patterns of the cranium.
Comment: There are no previous studies on the intra-
observer reliability of CSP. These results indicate good intra-observer
reliability can be obtained when evaluating cranial strain patterns.
Yet the intra-
observer reliability for CRI and QOR were found to be only fair. This
finding for intra-observer reliability for CRI was consistent with
previous studies. Now that intra-observer reliability has been
documented, studies need to be done to establish the inter-observer
reliability for cranial rhythmic impulse (CRI) rate, cranial strain
pattern (CSP), and quadrants of restriction (QOR).
Determining
the Intra-observer Reliability of the Evaluation of Cranial Strain
Patterns
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The Role of Osteopathic
Manipulative Treatment in the Treatment of Fibromyalgia Syndrome
Yahnert JL, Hartman RJ, Steward PE, PhD,. Kuchera ML.
JAOA. Aug 2006; 106(8): 471 (F03).
Hypotheses: Adding Osteopathic Manipulative
Treatment (OMT) to the treatment of Fibromyalgia Syndrome (FMS) would:
decrease the effect FMS had on the patient's activity shown by a
decreasing Fibromyalgia Impact Questionnaire (FIQ) score; decrease the
amount of symptoms and syndromes the patient experienced shown by a
decreasing Symptoms and Associated Syndromes Questionnaire (SASQ)
score; decrease the amount of time it would take the patient to walk 75
feet; and decrease the amount of pain medication the patient r
The OMT protocol was designed to address somatic dysfunction
in the sphenobasilar synchondrosis, occipital-atlantal and
atlantal-axial joints, 2nd cervical vertebrae and sacrum. The clinical
endpoint of the model was improved symmetry, amplitude, vitality, and
rate of the Cranial Rhythmic Impulse. All findings were recorded.
Conclusion: This study supported the hypotheses, by
showing a reduction in all proposed categories, but due to the small
number of subjects, statistical significance cannot be properly
assessed. The results suggest that OCF may be of benefit for patients
with FMS. Expanding this study over a longer period of time, with a
larger subject pool will provide definitive answers as to the benefit
of OMT in FMS.
The
Role of Osteopathic Manipulative Treatment in the Treatment of
Fibromyalgia Syndrome
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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 October 23-26th, for the
2008 National Clinical Symposium in Dallas, Texas. 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
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