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Johnson
C. What is the Association of
Chiropractic Colleges Educational Conference and Research Agenda
Conference? Journal of Manipulative and Physiological
Therapeutics May 2007;30(4): 249-50. This editorial
presents a brief summary of the Association of Chiropractic Colleges
Educational Conference and Research Agenda Conference (ACC-RAC) 2007,
what it is and is not, and why one might wish to attend future ACC-RAC
conferences. Full
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| SOTO-USA at RAC VII / ACC IX - "RAC 7 - ACC 9 2002 - Everyone Wins" |
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SOTO-USA: RAC X/ ACCXII 2005 |
SOTO-USA: RAC XI/ ACCXIII 2006 - Multidisciplinary Collaboration |
SOTO-USA: RAC XII/ACC XIV 2007 - Ethics in Chiropractic |
SOTO-USA: RAC XIII/ACC XV 2008 - Cultural Authority |
SOTO-USA: RAC XIV/ACC XVI 2009 - Innovations |
SOTO-USA at the RAC6/ACC9 Conference
SOTO-USA: RAC IX/ ACCXI "Evidence Based Practice and Chiropractic" Las Vegas, Nevada, March 11-14, 2004 |
This years RAC/ACC conference focused on the concept of best practice, which will be becoming a more important concept in chiropractic and health care over the next few years. It is not enough anymore to practice on hearsay or anecdotal information solely and practitioners will be held to specific best evidence standards. Publishing SOT literature is essential if SOT is expected to have evidence and hence supported by insurance companies, healthcare guidelines, chiropractic college programs, and many others. An example of this can be found by reviewing the section on SOT in the new textbook “Technique Systems in Chiropractic” by Cooperstein & Gleberzon -- Available May 2004. “The concept of ‘best practice’ is the striving for excellence in the application of evidence based health care to individual patients one at a time. It is not a rigid adherence to strict guidelines or standards, but an attempt to synthesize the best evidence and clinical experience using good clinical reasoning, to arrive at the best possible decisions for patients in their unique circumstances. As one expert has noted, ‘best practice’ can bridge the practice-research gap and provide a basis for researchers and clinicians to work together to translate research into high-quality practice.” [http://www.c3r.org/accrac04/index.htm] When you support SOTO-USA you support chiropractic, SOT and the future of SOT. The following are three brief reviews of the SOT related presentations at the RAC/ACC conference so you can see how SOTO-USA’s presence creates a statement for SOT and SOT practitioners worldwide. Cooperstein R, Crum E, Morschhauser E, Lisi A, Sitting PSIS Positions and Prone Blocking Preferences The Journal of Chiropractic Education Spr 2004; 18(1): 44-5. Blocking the pelvis with padded wedges, a technique procedure most closely identified with Sacro-occipital Technique, is believed to correct pelvic torsion, in which the innominate bones have rotated in opposed directions. The direction of pelvic torsion (e.g., left posterior-inferior ilium, or left PI) is identified by a prone leg check, where the short leg is thought to identify relatively posterior ilium rotation. This study used the direct approach of sitting PSIS palpation to identify pelvic torsion, rather than the more typically used and indirect approach of leg checking. This study also tested the assumption that blocking preferences are related to pelvic torsional patterns as assessed by PSIS palpation. One block was inserted under the left ASIS and the other under the right greater trochanteric area, after which the blocks were removed and reinserted in the opposite pattern. Thus, 12 of the 14 study participants showed a concordant pattern of PSIS asymmetry and blocking preferences. Since the incidence of anatomic leg-length inequality (LLI) of an inch or more has been found in as much as 50% in asymptomatic subjects, leg checking procedures may not be able to distinguish the functional short leg thought to be associated with posterior innominate rotation from anatomic LLI. Moreover, an anatomic short leg has been found associated with anterior innominate rotation, and anatomic long leg with posterior innominate rotation. Therefore, we decided against using leg checking to identify pelvic torsion, and used instead static palpation of the pelvis in the seated position. The high degree of concordance (Kappa = .65, CI = 0.5) found in this study between inferred pelvic torsion and corrective blocking preferences suggests that blocking subjects might predict positive clinical outcomes in a program of chiropractic care. Blum C, A Chiropractic Perspective of Dental Occlusion’s Affect on Posture , Poster Presentation: Proceedings of the ACC Conference XI, Journal of Chiropractic Education Spr 2004 ;18(1): 38. If chiropractors and dentists are going to be working together to treat conditions affecting the spine and posture as well as dentofacial orthopedics and/or temporomandibular dysfunction (TMD) a common language will need to be developed. Chiropractic and dental co-treatment of TMD, occlusion and dentofacial orthopedics with its relationship to the spine, pelvis, and posture offer a valuable opportunity for multidisciplinary growth. This growth and intercommunication will enable patients suffering from long-term disorders to be offered the possibility of relief that alone, chiropractic or dentistry, cannot offer. Future studies are needed to evaluate this complementary relationship between dentistry and chiropractic to determine the effectiveness of this care and its benefit for patients with prior intractable chronic conditions. Blum C, Sacro Occipital Technique Pelvic Block Treatment for Severe Herniated Discs: A Case Study , Poster Presentation: Proceedings of the ACC Conference XI, Journal of Chiropractic Education Spr 2004 ;18(1): 38-9 A 37-year-old patient presented at this office with a 1.3 cm concentric disc bulge at L5-S1 and an extruded disc at the L3-L4 level, extending 8-9 mm posteriorly and to the right per the radiologist’s report. Using various SOT diagnostic and treatment protocol for the treatment of lumbosacral discopathy, Category Three, the patient was treated with pelvic blocks or wedges. Gentle distraction was placed to the herniated disc by leg traction and/or sacral traction and stabilization of the lumbar vertebral segment superior to the herniation. Psoas tension on the anterior aspect of the discs was “released” with the patient resting prone, on pelvic blocks, and with doctor’s hand placed under the patient with finger pressure directed anterior/posterior gently relaxing the muscle. Following three weeks of treatment at intervals of 1-2 times per week the patient noted that he felt markedly improved and had no limitations in his activities or ranges of motion to a large degree. A follow-up MRI was performed which found a 3 mm diffuse disc bulge at L3-L4 and L4-L5 per radiologist’s report. While it must be noted that sometimes disc herniations will resolve over time independent of treatment, this patient’s concurrent clinical findings during the course of care make further investigation into SOT pelvic block placement for similar conditions warranted. |