JC Smith: Washington, Rush, Sweet & Burr
McKibbin: Point of View - Iatrogenesis
Schmitt & McCord: Relieving spinal stress with ‘Emotional Recall QuickFix' technique
Clinical Huddle with Christopher Meyer: Chicken Sexing, Tacit Knowledge and Gonstead
Maffetone P: Covid-19: A look back at an alternative view
Marsilla-Alarcon E, et al: Improved scoliosis in 13-year-old female: A case report
Treahy-Geofreda T, et al. Improved Physical Adaptability in a 3.5-Year-Old Female with an Abnormal Birth History: A case report
Our top 3 selections:
Wittig: AK in phlebological practice - opportunities and experiences [Abstract: German & English] Paper in German
Wittman R: Lipolymphedema - a successful strategy with tools provided by AK [Abstract: German & English, Paper in German]
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.
Note regarding authorship
The Asia-Pacific Chiropractic Journal formally states it follows the requirements of the International Committee of Medical Journal Editors (ICMJE).
The ICMJE guidelines state that in order to qualify for authorship of a manuscript, the following criteria should be observed:
Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND
Drafting the work or revising it critically for important intellectual content; AND
Final approval of the version to be published; AND
Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Generally the first author listed on a paper is the author who ‘owns’ the data, the author who has done the essential work to allow the paper to be written. On this basis the apcj assigns first-authorship to the chiropractor who provides the patient data as the Intellectual Property of the case report. It is the policy of the Journal that the first author retains IP Rights on their data and work.
The format followed by the Journal is to list the first author first in the paper by-line, and then as the right-hand block of ‘author details’ at the ends of the paper. We expect the first author to be the author responsible for all further communication about the paper from readers hence their email address is given for this purpose.
The paper-as-published reflects the standard processes that all papers undergo when they are (i) generated by a research group and (ii) peer-reviewed with requests to re-write for various reasons. The Journal accepts that the ASRF has developed a task-specific research group to refine the outline of a case provided by a field practitioner. This research group is led by Clare McIvor and includes Ruth Postlethwaite and, from time to time, senior students who seek ‘placement’ with a research group to enrich their studies.
Each contributing author to any one published Case Report is a person who has made a defensible intellectual contribution to the paper across a range of inputs. All such authors rightly earn inclusion in the authorship of such report and are duly named as such.
Each published Case Report can be taken on face value as representing the combined intellectual input of all named authors. There are no ghost-authors or hidden contributors.
As Editor, I take full responsibility to ensure the Journal’s requirements are adhered to.
BAppSc(Chiropr), GC Tert Learn Teach, MPhotog, PhD, DC (Hon), FACCS, FICCS
Ebrall PS. Ethical considerations for chiropractic researchers. In, Lawrence DJ, ed. Advances in Chiropractic, Vol 3. St Louis, Mosby, 1996: 245-68.
Ebrall PS. Defensible statements: an ethical consideration for scholarly writing. J Chiropr Humanities 1995; 5(1):19-27.
Ebrall PS. Commentary: The ethics of publication. J Chiropr Ed 1993 Sept:43-51
The Chiropractic Board of Australia and its evidence-free position on the chiropractic care of children: A call to action.
Abstract: No child seems to have died at the hands of a chiropractor in Australia and very, very few have reported discomfort beyond a little crying. Yet the Chiropractic Board of Australia maintains a dated interim policy that ‘advises chiropractors to not use spinal manipulation to treat children under two years of age, pending the recommendations arising from the independent expert review’, in spite of also expecting ‘chiropractors ensure their clinical practice is consistent with current evidence and/or best-practice approaches.’ The review was completed 2½ years ago and found no evidence of harm. There are no possible grounds for the Board to not immediately rescind its ‘interim' guidance. To not do so is to contravene the overarching policy for Boards to ‘advocate for kids’ and to continue to deny Australian children their basic human right of access to chiropractic care.
Indexing Terms: chiropractic; pediatrics/paediatrics; Chiropractic Board of Australia.
Cite: Ebrall P. The Chiropractic Board of Australia and its evidence-free position on the chiropractic care of children: A call to action. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#EbrallEditorial2022Q2
Primal principle, pandemics, and the price of progress: How chiropractic’s major premise, cultural anthropology, and ancient scripture shout in unison where we’ve gone wildly wrong
Abstract: Until we decide to walk naked back into the forest and become hunter-gatherers, we are all engaged in a brand of eco-terrorism, even if you opt for electrical cars, recycling bins, and vegan cuisine. Some of us are simply more out of equilibrium than others.
The way to end our long history of infectious and degenerative pandemics is to become practicing biological fundamentalists by adopting, wherever possible, primal, pre-agricultural behaviours. Doing so first requires the acceptance of what is presented in this essay, as an expanded appreciation of chiropractic’s traditional philosophy should make this a no-brainer for any chiropractor with an ontological bias that places an ‘all wise’ intelligence at the helm of material manifestation.
A partial list is given of primal behaviours traditional chiropractors should consider adopting for themselves and their families, and then impart to their patients
Indexing terms: Universal Intelligence; Innate Intelligence; Educated Intelligence; Primal behaviour; chiropractic; pandemic.
Cite: Seiler E. Primal principle, pandemics, and the price of progress: How chiropractic’s major premise, cultural anthropology, and ancient scripture shout in unison where we’ve gone wildly wrong. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#SeilerPrimalPrinciple
A neurological evidence base for the Vertebrogenic Dyspepsia Syndrome: A somatosensory link to visceral dysfunction
Abstract: Literature is reviewed which portrays the neurophysiological basis and clinical recognition for the spinal manipulative rationale of a subluxation-related vertebrogenic form of dyspepsia. This was related to the cervical spine and the vagus parasympathetic innervation, and the dorsal spine with its sympathetic and spinal nerve influence. Practitioners of chiropractic, medicine, osteopathy, acupuncture, and physiotherapy have all published on this topic. Two key spinal regions appear to be involved - the cervical spine’s influence on the parasympathetic vagus, and the sympathetic innervation through the splanchnic innervation of the mid-dorsal spinal nerves.
No evidence could be located which contradicted the neurophysiology of this biomechanical model of care for the condition. With physiological evidence of positive outcomes, a vertebrogenic biomechanical focussed model of care is justified as one of the options for functional dyspepsia (FD).
Indexing terms: Vertebrogenic; functional dyspepsia; dyspepsia; subluxation; GERD; indigestion gastrointestinal.
Cite: Rome P. Waterhouse JD. A neurological evidence base for the Vertebrogenic Dyspepsia Syndrome: A somatosensory link to visceral dysfunction. Asia-Pacific Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#RomeWaterhouseDyspepsia
Covid-19: A look back at an alternative view
Abstract: Overall, the chiropractic view of healthcare takes a natural focus; it begins with a holistic concept and ends with living that lifestyle. The world’s recent experience with Covid-19 has tested our beliefs. During the Covid-19 pandemic, three scientific papers were published by the author with colleague Professor Paul Laursen, appearing in different scientific journals of Frontiers (1, 2, 3) that brought to light this natural focus. These are reviewed here with the same natural healthcare perspective.
Indexing Terms: Chiropractic; COVID; Syndemic; Natural Health.
Cite: Maffetone P. Covid-19: A look back at an alternative view. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#MaffetoneAnAlternateView
Relieving spinal stress with ‘Emotional Recall Quick Fix' technique
Abstract: In a number of ways, spinal problems are often compounded by the presence of stress. Among these ways are the effects of stress on the spine via the sympathetic nervous ‘fight or flee’ reaction. Contrary to popular belief, pain is not a sensation, but rather, an emotional response. Pain and suffering are perceived in the limbic system or ‘the emotional brain.’ The ‘Emotional Recall Quick Fix' technique is extremely valuable for decreasing the effects of stress on the body. This simple technique can be used in the office or by the patient at home and will help both patients and doctors improve the quality of their lives by reducing the uncomfortable impact that we all regularly encounter in the stress filled world we live in today.
Indexing Terms: chiropractic; AK; Applied Kinesiology; Emotional Recall Quick Fix Technique.
Cite: Schmitt WH, McCord KM. Relieving spinal stress with ‘Emotional Recall QuickFix' technique. Asia-Pac Chiropr J. 2022;2.6 URL apcj.net/papers-issue-2-6/#SchmittStressRelease
Adapt or Die: A look at the role of chiropractic care in Neuro-adaptation
Abstract: Neuro-adaptation relies on the brain knowing the status of the body, both the physical as well as physiological state of the body. The brain is “fed” the status of the body via afferent sensory input from the external and internal environment. If afferent sensory input is inadequate or not interpreted properly by the brain, the result will be maladaptive in nature.
Indexing terms: Adaptability; Neuro-adaptation; interoception; chiropractic
Cite: Buerger M. Adapt or Die: A look at the role of chiropractic care in Neuro-adaptation. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#BuergerNeuroadaptation
Long Haul COVID-19 and Subluxation: A case report.
Abstract: A 59-year-old photographer with a presumptive diagnosis of COVID-19 in December of 2019 experienced multiple long-haul symptoms including ‘brain fog’ (deficits in memory and attention), headache, and limited ability to read. These symptoms were exacerbated by COVID-19 vaccinations and booster. At presentation in January of 2022, her reverse digit span was 5, and testing was accompanied by frustration to the point of tears. Attempts at reading produced a headache, forcing her to rely on audiobooks. Recipes she had used for many years were now difficult to follow. She reported an increased intolerance to cold since her illness. After 3 chiropractic visits over a period of 18 days, reverse digit span was 6 and the testing provoked no tears or any apparent frustration. Reading tolerance was improved, and she had experienced one 2-day period during which she had been able to read an entire book without ill effects. Her ability to follow recipes had improved. The chiropractic visits included adjustment of vertebral subluxation at multiple levels, adjustment of cranial faults, reflex therapies, and breathing exercises. We discuss possible mechanisms including disturbed dural mechanics, ischemic penumbra, and hypothyroidism.
Indexing Terms: Chiropractic; Long Haul COVID; ischemic penumbra; hypothyroidism; dural mechanics.
Cite: Masarsky CS, Todres-Masarsky M. Long Haul COVID-19 and Subluxation: A case report. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#MasarskyLongCovid
Dorsal Scapular Nerve Entrapments in Motor Vehicle Accidents: An Applied Kinesiology Chiropractic Case Report
Abstract: Objective This case reports a unique clinical finding that helps chiropractors diagnose the entrapment of the dorsal scapular nerve (DSN), which is frequently involved in motor vehicle accident (MVA) cases. The patient endured 14 months of only partly ameliorative treatment modalities (medical, pharmaceutical, physiotherapeutic, and chiropractic), while the actual cause of her neck, arm and shoulder dysfunction was never diagnosed by her care givers. The missing component for the patient involved a DSN entrapment and interscalene triangle neck muscle dysfunction, which resolved her prolonged MVA symptom picture rapidly.
Clinical Features A 52-year-old female was referred by her brother with a 14-month history of symptoms after a MVA. Her measurable orthopedic and neuromuscular deficits are described after 21 chiropractic and 6 medical visits, including a series of 4 transforaminal epidural steroid injections as treatment.
Intervention Applied kinesiology chiropractic cranial, cervical, TMJ, and muscle subluxations involving the scalene muscles were addressed. At the time of the MVA, the patient’s head was turned sharply to the left. The DSN was injured by the scalene muscles as well as the herniated discs in the lower left cervical spine, and resolution of this ‘double-crush injury of the spine and muscles of the spine’ resolved a great deal of her MVA symptom picture. This case offers the reader a detailed chiropractic review of DSN entrapment, the diagnostic tests necessary to find this problem, and explains the swiftest way to correct this problem.
Outcomes At the end of the first week of care (her third visit), the patient stated that she had been steadily experiencing significant recovery in her pain levels, arm numbness, shoulder ache and weakness, headaches, general body strength, mood, sleep, breathing and energy. For the first time in 14 months her arms, neck, upper back, shoulders, headaches and low back pain felt great.
Indexing Terms: chiropractic; AK; Applied Kinesiology; Dorsal Scapular nerve; MVA; nerve entrapment.
Cite: Cuthbert S. Dorsal Scapular Nerve Entrapments in Motor Vehicle Accidents: An Applied Kinesiology Chiropractic Case Report. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#CuthbertDorsalScapular
Washington, Rush, Sweet & Burr
Abstract: Spinal manipulation began long before AT Still or DD Palmer developed their art and sciences in North America. The term ‘bone-setting’ was coined in 1510 in Europe and this skill was brought to colonial America by one famous family, the Sweets, making for interesting and humorous stories that included notable Americans from our country’s early history.
Another link to our Founding Fathers includes a similar sentiment about medical freedom espoused by Dr. Benjamin Rush, signer of the Declaration that was shared by both DD and BJ Palmer in their early writings.
Ironically, it was medical iatrogenesis that led to the death of our first president, George Washington, when a pupil of Dr. Rush was at Washington’s bedside to perform bloodletting that attributed to his death.
Indexing terms: History; DD Palmer; Sweet family; Benjamin Rush; George Washington.
Cite: Smith JC. Washington, Rush, Sweet & Burr [Column]. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#jcsmithWashington
Point of View: Iatrogenesis
Abstract: My estimate drawn from published evidence is that the iatrogenic death toll in Australia exceeds 50,000 per annum. One would expect this to be of concern, yet my observation is that both politicians and the media ignore it to the possible detriment of the Australian public.
Indexing Terms: Chiropractic; medical iatrogenesis.
Cite: McKibbin M. Point of View: Iatrogenesis [Column]. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#mckibbiniatrogenesis
Chicken Sexing, Tacit Knowledge and Gonstead Chiropractic
Abstract: There is a type of knowledge called tacit that encompasses ‘knowing how’ but that doesn’t mean that you fully understand what you know. An example pertinent to us as Gonstead chiropractors is regarding scoping: Knowing that a break can be small yet clinically powerful is a different thing than knowing how to find said break, knowing that a segment can subluxate in certain directions and knowing how to determine those directions from palpation.
Indexing Terms: chiropractic; Gonstead; tacit knowledge.
Cite: Meyer CJ. Chicken Sexing, Tacit Knowledge and Gonstead Chiropractic A Clinical Huddle. Asia-Pac Chiropr J. 2022;2.6. URL apcj.net/papers-issue-2-6/#MeyerTacitKnowledge