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Second Quarter 2024
(Apr to Jun)
Volume 4, Issue 4 (4.4)

clarity amongst the noise

Temporal Bone Cranial Dysfunctions:

A resume of ‘The Trouble Maker of The Head’ with a focus on prevalent Vestibulo-Ocular Proprioceptive Syndromes in Chiropractic Practice

Narrative:

Indexing Terms: Chiropractic; AK; Applied Kinesiology; temporal bone; tone.

Cite: Cuthbert S. Temporal Bone Cranial Dysfunctions: A resume of ‘The Trouble Maker of The Head’ with a focus on prevalent Vestibulo-Ocular Proprioceptive Syndromes in Chiropractic Practice. Asia-Pac Chiropr J. 2024;4.3. apcj.net/papers-issue-4-4/#CuthbertTemporalBone

One element of a subluxation complex: Disruption of articular motion through the intervertebral foramen influencing the IVF, CSF, and neural transmission [Hypothesis]

Narrative: This report discusses possible factors thought to alter nerve transmission as influenced by segmental mechanical disturbance being one of the elements in a Vertebral Subluxation Complex (VSC). In addition to noxious sensory input, this discussion raises the possibility of the following physical modifier under the influence of segmental biomechanical disturbance.

We hypothesise on the potential influence of an intersegmental functional fixation effect on vascular and Cerebrospinal Fluid (CSF) circulation may have on neural function within the Intervertebral Foramen (IVF). 

As the adjacent lips of articular facets form a part of the IVF margin, it is proposed here that the intersegmental articular fixation element of a VSC has the potential to also limit motion within the foramen, and potentially modify the flow of CSF within the neural sleeves which bathe the spinal nerve roots. We speculate that the effect of the fixation may lead to CSF stasis, or at least reduced CSF circulation within that radicular setting. In turn, that this may effect the spinal nerve root neurons and nerve transmission. Telano & Baker (2022) and Whedon and Glassey (2009) state that CSF ‘appears to be particularly prone to stasis due to the relatively high capacitance of the lumbar cistern and lower intrathecal pressures in the distal spinal canal.

Indexing Terms: Chiropractic; Vertebral Subluxation Complex; Subluxation; IVF; Intervertebral foramen; CSF; Hypothesis.

Cite: Rome PL, Waterhouse JD. One element of a subluxation complex: Disruption of articular motion through the intervertebral foramen influencing the IVF, CSF, and neural transmission [Hypothesis]. Asia-Pacific Chiropr J. 2024;4.4. apcj.net/papers-issue-4-4/#RWHypothesis 

Editors note: Read this paper along with Pessa’s report (Plast Reconstr Surg Glob Open 2022;10:e4126; DOI 10.1097/GOX.0000000000004126) discussed in the Editorial of this issue regarding CSF within neural sheaths throughout the body.

Management of common clinical syndromes of the Low Back and Pelvis

Narrative: The interplay of bony, muscular, and ligamentous structures about the low back and pelvis can present a challenge to the Chiropractor to accurately diagnose and correct.

Here I present a selection of common clinical findings of this region and describe my diagnostic approach which uncovers the source of the issue to allow its effective treatment.

The technique of choice is the NeuroImpulse Protocol,™ a low force technique which is very specific in its application.

This paper is taken from Module 1 of the NeuroImpulse learning materials© and manual and provides the busy practitioner with a clean and tidy clinical approach to what are frequently difficult problems to resolve.

Indexing Terms: Chiropractic, Clinical management; Low Back; Pelvis; NeuroImpulse Protocol. 

Cite: Davies NJ. Management of common clinical syndromes of the Low Back and Pelvis. Asia-Pac Chiropr J. 2024;4.4. apcj.net/papers-issue-4-4/#DaviesLowBackPelvis

Assessment clarifiers [The wide-angle lens]

Narrative abstract: Skilled palpation is a powerful assessment method for trained Chiropractors. There are times when a little finesse is needed to reduce the noise of other tissues and allow the doctor to make a more clear assessment.

Here I present several ‘clinical tricks’ that better isolate the segments and tissues I am assessing. 

Indexing terms: Chiropractic; self reflection; clinical assessment; subluxation.

Cite: Masarsky CS. Assessment clarifiers [The wide-angle lens]. Asia-Pac Chiropr J. 2024;4.3. apcj.net/papers-issue-4-3/#MasarskyClarifiers

Subluxation as a fuzzy narrative

Abstract: Chiropractic is the diagnosis and management of the neuromusculoskeletal system of the human body with the emergent problem of an increasing shrinkage of the constitutional framework of the discipline where current arguments continue to remove reference to subluxation from the profession’s lexicon, even flagitiously mandating against teaching the idea within its natural context.

The challenge I address in this paper are my observations that subluxation on the one hand is not real as a materialist would want it to be, yet is alive and well in the majority of practices globally where fully-trained Chiropractors address and resolve this clinical entity many times a day.

I hold that a Chiropractor carries spontaneous unspoken trust in what they see and feel, with the paradox that they can only convey this by constructing and conducting fuzzy narratives. Narration conveys the idea of the Chiropractor’s perspectival truth of a particular subluxation in a particular patient, to allow correction by hand in a manner which the patient understands and accepts as their clinical reality.

Indexing Terms: chiropractic; subluxation; narrative; narration; ethics; Rawlsian social contract.

Cite: Ebrall P. Subluxation as a fuzzy narrative. Asia-Pac Chiropr J. 2024;4.4. apcj.net/papers-issue-4-4/#EbrallFuzzyNarrative 

Battles of a Chiropractic student

Narrative: Higher education can be a battle, and being a chiropractic student brings many.

Here I share my thoughts on the difficulties of students and new graduates finding their own identity within the chiropractic community due to the ever-growing health politics.

Indexing terms: Chiropractic; World Congress of Chiropractic Students, WCCS; Leadership; new graduate; student perspective. 

Cite: Author withheld. Battles of a Chiropractic student. [WCCS]. Asia-Pac Chiropr J. 2024;4.3 URL apcj.net/papers-issue-4-3/#BattlesofaStudent

Case Reports - An ASRF Research Project
Case Reports

An ASRF Research Project

Reversal of Cervical Artery Stenosis and improvement in physical functioning in a 78-year-old stroke survivor under concentrated Chiropractic care: A Case Report

Background: A 78-year-old female presented for chiropractic care following a week long stay in hospital for multiple Transient Ischemic Attacks (Mini-strokes). She had been advised that more mini-strokes would very likely occur as her medical doctors could not adequately diagnose the source of any bleeding, of which there were likely several. This caused further health-related anxiety and difficulty with sleep. 

Management: The patient undertook three five-day courses of concentrated Chiropractic care over the course of three months. During this time, a variety of Chiropractic adjustments were deployed alongside complementary therapies. 

Outcomes: Notably, the forecasted repeat strokes did not occur, and arterial regeneration was achieved concomitant with regenerative chiropractic care.

Indexing Terms: Chiropractic; Subluxation; TIA; stroke; Cervical Artery Stenosis; concentrated care.

Cite: Kotlerman S, Martin A, Carter M, Postlethwaite R, McIvor C. Reversal of Cervical Artery Stenosis and improvement in physical functioning in a 78-year-old stroke survivor under concentrated Chiropractic care: A Case Report. Asia-Pac Chiropr J. 2024;4.3. apcj.net/Papers-Issue-4-3/#AverioStenosisReversal

Disclaimer

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.

 

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