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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.
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Alliance of TMD Organizations
In 2005, SOTO-USA became a member of the Alliance of TMD
Organizations. Founded in 1995 on behalf of patients'
well- being, the American Alliance of TMD Organizations'
mission is to support and protect the right and freedom of clinicians
to practice in the field of TMD within the scope of their care, skill,
judgment, and scientific information. The American Alliance of TMD
Organizations has been created to represent the broad interests of
professional organizations and their member practitioners who
understand the importance of effective diagnosis and treatment of
craniofacial disorders. SOTO-USA is the only chiropractic based
organization in a collective group of 10 different, primarily dental,
groups with total membership of over 18,000 doctors. The TMD Alliance
group consists of America Academy of Craniofacial Pain, American
Association for Functional Orthodontics, American Academy of Pain
Management, American College of Prostodontists, American Equilibration
Society, American Prosthodontic Society, International Association of
Orthodontists, International College of Cranio-Mandibular Orthopedics,
Pennsylvania Craniomandibular Society, and Tennessee C.R.A.N.I.O.
TMD
Alliance
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Interexaminer reliability and validity for diagnosis
of temporomandibular disorders of visual leg measurements used in
dental kinesiology.
Farella M, Michelotti A, Pellegrino G, Giani U,
Martina R., J Orofac Pain. 2005 Fall;19(4):285-90.
AIMS: To determine the reliability and the validity of
visual leg measurements used in dental kinesiology, which suggests that
a masticatory dysfunction, such as occurs in temporomandibular
disorders (TMD), can influence the length and the internal rotation of
lower limbs. METHODS: The leg- length inequality test and the internal
foot-rotation test were performed independently by 3 different
examiners on 41 subjects who were also screened for TMD. Data were
analyzed by means of kappa statistics and by calculation of sensitivity
and specificity values. RESULTS: Sensitivity and specificity values of
the tests to differentiate TMD and healthy subjects were below
acceptable thresholds. CONCLUSION: Visual evaluations of leg-length
inequality and internal foot rotation were unreliable and are not valid
for TMD diagnoses. The results of chiropractic visual leg measurement
procedures in dentistry should be interpreted with caution,
particularly when clinical decisions may lead to nonreversible dental
treatment.
[Department of Dental and Maxillo-Facial Sciences, Section
of Orthodontics and Clinical Gnathology, University of Naples Federico
II, Naples, Italy. farella@unina.it]
COMMENT: Gary Knutson, DC, notes
that "Having looked at the discussed abstract, three examiners and 41
subjects is a pretty good sample size. The problem I see is one of
confounding factors. Functional Leg Length Inequality could be the
result of sacroiliac joint dysfunction, and/or atlas subluxation,
and/or TMD. Trying to tie one diagnosis (TMD) to a functional short
leg, I would think, is bound to failure. That said, with other
diagnostic indicators of a TMJ problem, a "short leg" would be
something to note, but not, by itself, diagnostic."
Interexaminer
reliability and validity for diagnosis of TMD and Leg Lengths
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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. Future research updates will include
information research conference highlights, recent SOT related articles
published in our peer review literature, and any other pertinent
information those interested in SOT.
Thank you for your dedication and interest
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