January 2022 Asia Pacific Chiropractic Journal
Issue 2.5 'Immunity'
This journal is a professional journal by chiropractors for chiropractors. Readers not fully trained as a chiropractor should not act on their own on any information published in these pages and should always discuss their situation with their chiropractor.
The papers addressing COVID report current information at their time of writing. The topic is fast moving and readers are encouraged to extract threads from what we publish here and undertake their own searches for the most recent information.
Kolterman & Martin, et al: Chiropractic management of an 18-yo with Lupus
Marsilla Alarcon et al: Resolution of severe hypoacusia and first degree tinnitus concomitant with chiropractic care
Great news for segment-specific chiropractors who adjust with intent
Abstract: The authors have delivered a paper which actually reinforces the key chiropractic beliefs that specificity matters. It is just that they do not know how to investigate it.
Cite: Ebrall P. Great news for segment-specific chiropractors who adjust with intent. Asia-Pac Chiropr J. 2021;2.5. URL apcj.net/papers-issue-2-5/#EbrallEditorialJan22
Roy W Sweat [In Memoriam]
Abstract: To experience the teaching of Roy Sweat directly was to hear an infallible sequence of verbal instruction that only years of application can ensue, but that hidden magic has no quantifiable ingredient. Within his delivery is the cradle of humour, familiarity and respect that you only find in that of a family elder, a tribal leader, a sociological student of human development, an anthropological master who simply delivers a message contextually. An innovator. A healer.
Cite: Ierano J. Inventor, Atlas Orthogonal Instrument and Program: Roy W Sweat [In Memoriam]. Asia-Pac Chiropr J. 2022;2.5. URL www.apcj.net/papers-issue-2-5/#IeranoSweat
Measure, Measure, Measure:‘Indicator testing’ and nutrients for musculoskeletal pain
Abstract: Precise individualized procedures and nutritional interventions may be determined for patients with musculoskeletal pain by using Indicator Testing.
Indicator testing for nutritional supplements measures pain and/or range of motion before and after the patient tastes a supplement.
The most important nutritional supplements to be measured by Indictor Testing in patients with musculoskeletal pain are essential fatty acids, manganese, and cartilage producing substances including chondroitin sulfate and/or glucosamine sulfate, methylsulfonylmethane (MSM), and the amino acid L-cysteine.
Indexing Terms: chiropractic; AK; Applied Kinesiology; Indicator Testing.
Cite: Schmitt WH, McCord KM. Asia-Pac Chiropr J. 2022;2.5 URL apcj.net/papers-issue-2-5/#SchmittMcCordIndicatorTesting
A history of professional Applied Kinesiology around the world (Part 2)
Abstract: In this history of the growth of Professional Applied Kinesiology (PAK) and the International College of Applied Kinesiology around the world and throughout the healing professions in Part II, thirteen contributing authors and teachers of this chiropractic technique tell the story of PAK’s growth on each of the continents of the world and its penetration into allied natural health care fields, presenting the detailed, colorful story of the permeation of AK manual muscle testing (MMT) methods and philosophy into the daily practice of hundreds of thousands and potentially millions of clinicians. Illustrated throughout with historical pictures covering over 5 decades, this is the first comprehensive history of AK around the world.
Indexing Terms: Chiropractic, Applied kinesiology, Goodheart, AK, chiropractic history, Manual Muscle Testing.
Cite: Cuthbert S, Lindley-Jones C, and contributors. A history of professional Applied Kinesiology around the world (Part II). Asia-Pacific Chiropr J. 2022;2.5. URL https://www.apcj.net/papers-issue-2-5/#CuthbertetalPAK2
X-ray evaluation: A Clinical Huddle.
Abstract: Practice Wisdom is applied to the clinical interpretation of full spine radiographs in the chiropractic clinical situation. A systematic approach is described noting key landmarks and measurements. Notation is made of the clinical findings to guide optimal care of the patient.
Indexing Terms: chiropractic; X-ray; radiograph; full-spine radiograph, radiographic interpretation.
Cite: Elbert R. X-ray evaluation: A Clinical Huddle. Asia-Pac Chiropr J. 2022;2.5. URL apcj.net/papers-issue-2-5/#ElbertHuddleRads
Caring for the pediatric patient and their unique challenges
Abstract: A conversational style is used by the authors to provide an overview of the pediatric consultation in Gonstead-style chiropractic practice. The matters of instrumentation diagnostic imaging are addressed with a conclusion that they provide relevant clinical information to guide the least level of therapeutic intervention. A short pediatric case is given as an example..
Indexing Terms: chiropractic; Gonstead Methods; pediatric; instrumention.
Cite: Sedar BM, Franzluebbers K. Caring for the pediatric patient and their unique challenges: A Clinical Huddle. Asia-Pac Chiropr J. 2021;12.2. URL apcj.net/papers-issue-2-5/#SedarPediatric
The scalable approach to the Chiropractic patient journey
Abstract: Chiropractors have been treating people who had been turned down by standard medical practitioners and who sought chiropractic care as an alternative therapy. Understanding the patient journey from the patient's point of view can help chiropractors improve their care models by addressing unmet patient needs, increasing patient participation in their care, and progressing toward better outcomes and quality of life. This study intends to give a theoretical framework for creating the patient experience by highlighting common pillars. It also tries to examine influential factors for how to improve the patient journey. Lastly, the study makes recommendations on what can be done to create a better patient journey.
索引詞: 脊骨神經醫學; 香港; 脊醫患者治病旅程
Indexing Terms: chiropractic; Hong Kong; chiropractic patient journey
Cite: Chu ECP. The scalable approach to the Chiropractic patient journey. Asia-Pac Chiropr J. 2022;2.5. URL apcj.net/papers-issue-2-5/#ChuPatientJourney
Related papers by Dr Chu
Leung K, Chu ECP. 2021 Hong Kong Chiropractic Survey: Analysis of Data. Asia-Pac Chiropr J. 2021;2.3. URL apcj.net/papers-issue-2-3/#LeungChuHongKong
Chu ECP. Hong Kong poised for rapid healthcare change [Report]. Asia-Pac Chiropr J. 2021;2.2. URL https://www.apcj.net/papers-issue-2-2/#ChuHongKong
How many accidents have YOU prevented? The wide-angle lens
Abstract: To propose that a chiropractor may never really know who many accidents they prevent through their patient-centred care where the adjustment improves a person’s reaction time and situational awareness. Chiropractic care improves how patients see their world.
Indexing Terms: chiropractic; reaction time; situational awareness.
Cite: Masarsky CS. How many accidents have YOU prevented? The wide-angle lens. Asia-Pac Chiropr J. 2022;2.5. URL apcj.net/papers-issue-2-5/#MasarskyAccidents
Chiropractic Care and Immune Function: What you really need to know from the literature
Abstract: The purpose of this literature review is to report the Top Five papers forming the current evidence on chiropractic care and immune function. The paper covers five significant studies, include meta-analyses and systemic reviews, in order to create context and background for the case reports included in this issue of the Journal.
Despite strong debate, it is clear from the included reviews and meta-analyses that evidence for SMT modulating biochemical markers of immune function does indeed exist. This literature review found evidence for improvements in inflammatory cytokines, specifically IL-beta and TNF-alpha, interleukin (IL) 1β and the neurotransmitter Substance P. Other included evidence shows indications that SMT may impact neurotensin, oxytocin and immunological biomarkers.
Further research will be beneficial in terms of raising the quality of evidence, examining asymptomatic and symptomatic patients, and defining the mechanisms behind the observed improvements. However, the current evidence provides a strong starting point for future efforts
Indexing Terms: Chiropractic, Subluxation, Immunity.
Cite: Foote P, Emmanuel L, Postlethwaite R, McIvor C. Chiropractic Care and Immune Function: What you really need to know from the literature. Asia-Pac Chiropr J. 2022;2.5. URL apcj.net/papers-issue-2-5/#ReviewImmuneFunction
Abstract: Objective - To present an overview of the current literature in a form that is easy for chiropractors to use with patients.
Discussion - Some 360 papers were retrieved to address and inform a structure built from Practice Wisdom. A wide gamut of approaches suited to conventional chiropractic are described, each with current evidence.
Conclusion - Chiropractors play a critical role in maintaining the general health of people in their community. While the SARS pandemic has impacted practices in various ways, all chiropractors are able to contribute evidence-based support individualised to their patients.
Indexing Terms: chiropractic; clinical reasoning; immunity.
Cite: Force M. Reasoning SARS-CoV-2. Asia-Pac Chiropr J. 2022;2.5. URL apcj.net/papers-issue-2-5/#ForceReasoningSARS
Vitamin D and Coronavirus: Not a vaccine, nonetheless nature’s humble natural cure
Abstract: Objective - To review the leading relevant research regarding vitamin D’s role in prevention of COVID-19 infection, progression and severity and innate immune function.
Discussion - The chiropractor’s perspective is upheld that vitamin D supplementation may assist with the body’s immune function and anti-viral capacity. It is acknowledged that the formal scientific literature is incomplete but growing rapidly and that it is favourable to the idea. In clinical terms, there is no harm and possibly great benefit for guiding patients to consider vitamin D supplementation in the endemic coronavirus era.
Conclusion - Chiropractors should consider the benefits of vitamin D supplementation in these days of virulent respiratory infection. There is a very little risk of any adverse events related to such a recommendation.
Indexing Terms: chiropractic; immunity; COVID, vitamin D, applied kinesiology, nutritional diagnosis.
Cite: Cuthbert S. Vitamin D and Coronavirus: Not a vaccine, nonetheless nature’s humble natural cure. Asia-Pac Chiropr J. 2022;2.4. URL apcj.net/papers-issue-2-5/#CuthbertVitaminD
How chiropractors may influence immunity: Zinc supplementation. A speed update of the literature
Abstract: Objective - To review the top 6 relevant papers regarding zinc and immune function.
Discussion - The chiropractor’s perspective is upheld that zinc supplementation may assist with the body’s immune function. It is acknowledged that the formal scientific literature remains cautious but is favourable to the idea that in clinical terms, there is no harm and possible benefit for guiding patients to consider zinc supplementation.
Conclusion - Chiropractors should consider the benefits of zinc supplementation in these days of virulent respiratory infection. There is a very little risk of any adverse event related to such a recommendation.
Indexing Terms: chiropractic; immunity; zinc; COVID, Zinc Tally Test.
Cite: Ebrall P. How chiropractors may influence immunity: Zinc supplementation. A speed update of the literature. Asia-Pac Chiropr J. 2022;2.4. URL apcj.net/papers-issue-2-5/#Ebrallimmunity
Covid-19 and the role of chiropractic in the healthcare arena with non-pharmaceutical prevention, early treatment, and care for those with long Covid syndromes (in 3 parts)
Part One: Series Introduction, and Prevention
Abstract: The role of COVID-19 prevention is complex but important for a chiropractor’s place in the wellness healthcare community. With patients that have comorbidities and are in high-risk arenas or exhibiting high-risk behaviors, based on the current evidence, the risk of having COVID-19 may clearly outweigh any risk associated with being vaccinated. As more research is gathered over the ensuing years regarding vaccination side effects this will help further influence decision-making.
Indexing Terms: chiropractic; immunity; COVID; prevention’ comorbidity.
Cite: Blum C. COVID-19 and the role of chiropractic in the healthcare arena with non-pharmaceutical prevention, early treatment, and care for those with long Covid syndromes: Part One - Series Introduction, and Prevention. Asia-Pac Chiropr J. 2021;2.4. URL apcj.net/papers-issue-2-5/#BlumPrevention
Part Two: Early treatment
Abstract: Early treatment of COVID-19 starts with becoming aware of possible patient symptoms and encouraging any patient who may have come in contact with anyone with COVID-19 to be tested since asymptomatic patients are still capable of transmitting the virus.
Patients with comorbidities should be handled very carefully with a discussion that if their symptoms worsen that allopathic co-treatment is immediately considered since waiting for a serious condition to improve is not a viable or optimal option.
However if the patient does not have comorbidities, is asymptomatic or only has mild symptoms then the discussed low-risk (mostly) non-pharmaceutical interventions are worthy of consideration and may prevent worsening of symptoms, improve vaccination response, and limit progression of a possible long hauler COVID-19 syndrome
Indexing Terms: chiropractic; immunity; COVID; early treatment; comorbidity.
Cite: Blum C. COVID-19 and the role of chiropractic in the healthcare arena with non-pharmaceutical prevention, early treatment, and care for those with long Covid syndromes: Part Two - Early Treatment. Asia-Pac Chiropr J. 2021;2.4. URL apcj.net/papers-issue-2-5/#BlumEarlyTreatment
Part Three: Long COVID
Abstract: One huge challenge in treatment of Long COVID disorders in the future will be unraveling the tangled threads of whether a presenting condition is directly related to the virus’ affect on the body or possibly just the social implications of dealing with the pandemic and the ability of a subset of patients to cope. In each stage of coping with COVID-19, prevention, early treatment, and treating Long COVID, there are subtle differences in perspective and goals. One not so subtle difference is that persistent malnutrition appears to be comorbidity factor in all three scenarios so improving a patient’s general nutrition is a basic though crucial first step. There are mixed approaches for treatment of Long COVID which include a multi-nutrient, herbal, and probiotic therapeutic approach (31) and a nutritional supplement based on vitamins, minerals, amino acids and plant extracts
Indexing Terms: chiropractic; immunity; COVID; Long COVID; Long Hauler; comorbidity.
Cite: Blum C. COVID-19 and the role of chiropractic in the healthcare arena with non-pharmaceutical prevention, early treatment, and care for those with Long COVID syndromes: Part Three - Long COVID. Asia-Pac Chiropr J. 2021;2.5. URL apcj.net/papers-issue-2-5/#BlumLongCovid
The Long and Winding Road of Whiplash Associated Disorders: An Applied Kinesiology Chiropractic Case-Report
Abstract: Objective The objective of this case study is to report the long, detailed, and ultimately unsuccessful treatment modalities used (medical, pharmaceutical, physiotherapeutic, and chiropractic) for the victim of a motor vehicle accident (MVA) over 1.5 years. The missing component was then applied for the patient, which involved the evaluation and treatment of the patient’s injured cranio-sacral system, producing resolution of her MVA symptom picture.
Clinical Features A 32-year-old obese female was referred by her neurologist with a 1.5 year history of symptoms after a MVA. Her measurable orthopedic and neuromuscular deficits are described after 47 chiropractic and 9 physiotherapeutic and a dozen medical visits, including 18 months of heavy medication as her treatment.
Intervention In this case, chiropractic cranial, TMJ, and cervical subluxations were addressed in a patient who had suffered a MVA with whiplash associated disorders (WAD) 1.5 years previously, which were resolved through the use of applied kinesiology chiropractic treatment. This case offers the reader a detailed medical and chiropractic history review, showing the many months of unsuccessful treatments victims of MVAs often suffer. The case can also serve as a foundation for a detailed discussion regarding how to effectively incorporate chiropractic cranial treatment into chiropractic practice for patients who present with head or neck pain after MVAs. The patient was placed on a care plan consisting of three times a week for the first two weeks before significant symptom reductions and functional restoration was achieved.
Outcomes At the second week examination on her sixth visit, the patient stated that she had been steadily experiencing significant recovery in mobility, strength, mood, independence, sleep, and energy. For the first time in 1.5 years, her headaches and neck and low back pain were stabilised. All cervical range of motion was improved, as were her visual analog scales (going from 1050 on initial examination to 250 after 2 weeks of treatment), and the Neck Disability Form and Oswestry Low Back Disability Forms each going from the “severe disability” (or 34) rating to “no disability” rating (or 8).
Indexing Terms: chiropractic; AK; Applied Kinesiology; WAD; Whiplash Associated Disorders.
Cite: Cuthbert S. The Long and Winding Road of Whiplash Associated Disorders: An Applied Kinesiology Chiropractic Case-Report. Asia-Pac Chiropr J. 2022;2.4. URL apcj.net/papers-issue-2-5/#CuthbertWADAK