Chiropractors can read us anywhere, anytime
Second Quarter 2026
(Apr-June)
Volume 6, Issue 6-4
read with your mind, care with your heart
PACBACK study and its relationship to Chiropractic: Is Chiropractic spinal manipulative therapy?
Dateline: Melbourne (26 February 2026)
Narrative: The PACBACK trial invites not only interpretation of its data, but reflection on how Chiropractic is being defined within contemporary research. If we study Chiropractic as generic SMT, we should not be surprised when the results describe generic SMT.
The deeper challenge is this: Can Chiropractic research design methodologies be robust enough to withstand scientific scrutiny while still honouring the complexity of the Chiropractic clinical encounter?
Until that question is addressed directly, we risk confusing what is measurable with what is meaningful, and mistaking the reduction of Chiropractic for its representation.
Indexing Terms: Chiropractic; PACBACK study; professional identity; SMT; adjustment.
Cite: PACBACK study and its relationship to Chiropractic: Is Chiropractic spinal manipulative therapy? Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#BlumPACBACK
Global Chiropractic education development expands to India through AI-supported academic platform
Narrative: The world’s newest program of Chiropractic education is launching in India in August, 2026.
As Director, Chiropractic Education and Research with Chiropractic India®, which is delivering this development in association with Sri Sri University, Odisha, I provide an overview of the events in progress along with the education component and the introduction of National Standards for the nation of India.
This is the first Chiropractic program globally to be delivered to learners on their devices supported by state-of-the-art teaching and learning spaces using AI to deeply enhance the student experience.
Indexing terms: Chiropractic; Chiropractic Education; Global Health; Faculty Development; International Collaboration; India; standards.
Cite: Ebrall PS. Global Chiropractic education development expands to India through AI-supported academic platform. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#EbrallIndiaLaunch
Establishment of Chiropractic in South Australia: And the story of Ross Coulthard
Narrative: Mainstream chiropractic was introduced into Australasia in 1914 through Henry Otterholt, a Palmer graduate, who set up practice in Dunedin, New Zealand. Walter Williams, Helen MacKenzie, Hector and Janet McBeath, had been referred to the Palmer School by Otterholt. The fifth practitioner was Mary Emma Redmond, an Australian, who had been referred to Palmer by Harold Williams.
Most remarkable is the story of Dr Ross Coulthard, which I present in detail drawing from personal information, historical research and oral histories.
We honour our Chiropractic pioneers by remembering them and connecting with their stories.
Indexing terms: Chiropractic; History; South Australia; Australia; mainstream.
Cite: Peters RE, OAM. Establishment of Chiropractic in South Australia Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#PetersSouthAustralia
Australian Chiropractic College Graduation 2025: President’s speech
Narrative: Speech as delivered by the President of the Australian Chiropractic College, Dr Patrick Sim, at the 2025 Graduation Ceremony, Adelaide Australia.
Indexing terms: Chiropractic; History; South Australia; Australian Chiropractic College; Graduation.
Cite: Sim P. Australian Chiropractic College Graduation 2025: President’s speech. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#ACC25Sim
Australian Chiropractic College Graduation 2025: Keynote address
Narrative: Speech as delivered by the Chair of Te Poari Kaikorohiti O Aotearoa, the Chiropractic Board of New Zealand, Dr Tim Cooper, at the 2025 Graduation Ceremony, Adelaide Australia.
Indexing terms: Chiropractic; History; South Australia; Australian Chiropractic College; Graduation; Chiropractic Board of New Zealand.
Cite: Cooper T. Australian Chiropractic College Graduation 2025: Keynote address. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#ACC25Cooper
Australian Chiropractic College Graduation 2025: Valedictorian
Narrative: Speech as delivered by the class Valedictorian, Dr Thomasine Teague, at the 2025 Graduation Ceremony, Adelaide Australia.
Indexing terms: Chiropractic; History; South Australia; Australian Chiropractic College; Graduation.
Cite: Teague T. Australian Chiropractic College Graduation 2025: Valedictorian. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#ACC25Valedictorian
Australian Chiropractic College Graduation 2025: The Bell-ringer’s address to the Class of '25
Narrative: Speech as delivered to the Class of '25 by the ‘Ringer of the Bell’ Dr Adelle Semmier, at the 2025 Graduation Ceremony, Adelaide Australia.
Indexing terms: Chiropractic; History; South Australia; Australian Chiropractic College; Graduation.
Cite: Semmier A. Australian Chiropractic College Graduation 2025: The Bell-ringer’s address to the Class of '25. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#ACC25BellRinger
Hypothesis on the Neuroreflex mechanism of blood pressure correction
Narrative: We present the hypothesis underpinning our new, innovative, non-pharmacological method of neuroreflex therapy for arterial hypertension (AH).
The purpose of this publication is to present the scientific rationale for testing the hypothesis that correction of sensory afferentation using the P-DTR method can lead to a sustained reduction in BP in patients with essential hypertension. Rigorous randomised controlled trials designed to evaluate its efficacy and safety are necessary to validate this approach.
This hypothesis is testable and meets the criteria of novelty, offering a new perspective on the therapeutic modulation of the neurogenic component of AH.
Indexing terms: Chiropractic; Arterial hypertension, neurogenic mechanism, treatment with neuroreflex method.
Cite: Palomar JL, Zabrodin M, Kuznetsova LL. Hypothesis on the Neuroreflex mechanism of blood pressure correction. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#PalomarHypothesis
P-DTR Neuroreflex Therapy Method: Theoretical basis and practical application
Narrative: This article presents for the first time a new therapeutic method: neuroreflex correction of body dysfunctions which can be used in the complex therapy and rehabilitation of various pathologies.
The method is effective, safe, non-invasive, requires no medications or equipment, and takes about 30 minutes of a doctor’s appointment.
A randomised clinical trial has been initiated to scientifically substantiate its application.
Indexing terms: Chiropractic; P-DTR; Proprioceptive Deep Tendon Reflex; neurogenic mechanism; neuroreflex method.
Cite: Palomar JL, Zabrodin M, Kuznetsova LL. P-DTR Neuroreflex Therapy Method: Theoretical Basis and Practical Application. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#PalomarTheoreticalBasis
Effectiveness of P-DTR treatment for athletes and patients with physical inactivity
Narrative: The purpose of the work was to study the effectiveness of treatment and rehabilitation with a new method of therapy, P-DTR (Proprioceptive Deep Tendon Reflex). The P-DTR method is intended for the diagnosis, treatment and rehabilitation of injuries and diseases; it is a reflexive way of working with somatic dysfunctions in the human body.
Materials and methods: 47 people were examined and treated using the P-DTR method: 17 athletes and 30 patients with physical inactivity and not involved in sports. The group of athletes had sports injuries; in the group of patients with physical inactivity, there was chronic pain in the spine and joints associated with a sedentary lifestyle. In all subjects, symptoms were studied, graded on a VAS scale from 0 to 10 in the area of the patient’s complaints, muscle strength using dynamometry, joint mobility using goniometry, innervation, emotional state using the HADS questionnaire.
Discussion: After treatment with the P-DTR method, both groups showed significant improvement in all parameters without exception. Pain syndrome decreased most significantly in both groups and muscle strength increased. The index of joint mobility after treatment also increased in both groups.
Conclusion: treatment with the P-DTR method is safe, effective, painless, does not require drugs, injections or surgeries, or complex equipment, takes 15-30 minutes and has no contraindications.
Indexing terms: Chiropractic; Arterial hypertension, neurogenic mechanism, treatment with neuroreflex method’ clinical effectiveness; Proprioceptive Deep Tendon Reflex; treatment of athletes and people with physical inactivity.
Cite: Palomar JL, Shemyakin AS, Zabrodin M, Kuznetsova LL. Effectiveness of P-DTR treatment for athletes and patients with physical inactivity. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#PalomarEfectiveness
Neuroreflex Mechanism of Arterial Pressure Correction
Narrative: An innovative non-pharmacological method of neuroreflex therapy for arterial hypertension (AH) is presented. It targets the key mechanism of AH pathogenesis the neurogenic mechanism, with the leading executive factor being increased activity of the sympathetic nervous system.
The method is characterised by safety, non-invasiveness, and high efficacy with a procedure duration of 15-30 minutes.
To obtain evidence of efficacy, a randomised clinical trial, which is the ‘gold standard’ of evidence-based medicine, has been initiated.
Indexing terms: Chiropractic; Arterial hypertension, neurogenic mechanism, treatment with neuroreflex method.
Cite: Palomar JL, Kuznetsova LL, Zabrodin M. Neuroreflex Mechanism of Arterial Pressure Correction. Asia-Pac Chiropr J. 2026;6.4. https://apcj.net/Papers-Issue-6-4/#PalomarArterialPressureCorrection
The Four Realms and Purpose: Setting standards ‘above the line’
Narrative: The Australian College of Chiropractic has established a council representing four aspects of Chiropractic: philosophy, science, art, and practice. This paper briefly outlines its purpose and goals.
Indexing terms: Chiropractic; philosophy; science; art; practice; Australian College of Chiropractic.
Cite: Sim P. The Four Realms and Purpose: Setting standards ‘above the line’. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#SimFourRealms
An Interpretation of the Safer Care Victoria Review into Chiropractic spinal manipulation of children under 12: Its ambiguity, internal contradictions, and inconsistencies
Introduction: A Safer Care Victoria (SCV) review of chiropractic manipulation of children under 12 appears to have been misinterpreted and misquoted in the media and elsewhere. (1) The Review’s recommendation did not ban spinal manipulation, it did however, advise all four professions who provide the manual therapy that they should not provide spinal manipulation of the cervical spine for children under 12 years of age for a certain range of conditions as it claimed there was a lack of evidence of safety or efficacy. (Recommendations 2, 5, 6, SCV p 6, 7) There was no recommendation for a ban on Chiropractic spinal manipulation, due to the lack of evidence of harm.
Although not specified in 2020 or 2023, in June 2024, the Chiropractic Board of Australia (CBA) ‘reinstated’ its ‘2020 interim policy’ regarding paediatric patients of 2-years of age. (2 - 5) This followed a request of health ministers (COAG) due to ‘community concerns’ attributed to a misinterpretation of Chiropractic manipulative techniques. It is not known how the two years of age limit was derived in June 2024, as no evidence was cited. Board chairman Dr Wayne Minter stated ‘Following a request from health ministers in June, the Board has reinstated the interim policy on the spinal manipulation of children under two years of age, pending further consultation with ministers.’ (4)
The authors could not locate where the aged 2 years limit advice or evidence had been published earlier in any CBA statement.
Claims in the SCV Review that there was little evidence to support the involvement of Chiropractors in the limited range of non-musculoskeletal conditions that were studied. (SCV p24) We produce examples of evidence which tend to contradict such claims of limited evidence.
Objective: It would seem that the SCV recommendation has been misinterpreted by health authorities and reflected incorrectly by the media, that a ban on manipulating the spine of under 12-year-old children was recommended and implemented.
The recommendation stated ‘Spinal manipulation, as defined in Section 123 of National Law, should not be provided to children under 12 years of age’. (SCV p 2) This statement did not advocate a ban as it recommended only that treatment should not be provided ‘for the management of the following conditions’ (p 6), as it claimed there was ‘weak’ evidence to substantiate it.
It was not stated that spinal manipulation should not be administered due to harm.
Method: A critical analysis of the SCV Review was conducted. A search of The Index to Chiropractic Literature was undertaken with key words placed in the All Fields search box. A PubMed search was also undertaken with emphasis on the European medical literature and on the limited number of Chiropractic journals listed on the PubMed portal
Review: The SCV Review states: ‘Spinal manipulation, as defined in section 123 of National Law, should not be provided to children under 12 years of age, by any practitioner, for general wellness or for the management of the following conditions: developmental and behavioural disorders, hyperactivity disorders, autism spectrum disorders, asthma, infantile colic, bedwetting, ear infections, digestive problems, headache, cerebral palsy and torticollis’. (p 6) We challenge the narrow term of reference of this study by Cochrane Australia as it denied many studies and clinical reports which would have been applicable under different terms. And we note that other manipulative techniques are available that fall outside Section 123.
Summary: The misinterpretation of the findings of the SCV Review that manipulation of children was banned led to misconceptions being dispersed though the media and community. The recommendation was addressed to all manipulative professions, and was applicable to the treatment of certain conditions.
There was no evidence of prior serious adverse events in Australia to justify the falsely claimed ban on spinal manipulation of children under 12 years of age.
In additional research, the SCV Review claimed there was insufficient evidence for spinal manipulation to address certain disorders. It omitted to state that it may be appropriate for spinal manipulation to address and manage certain symptoms associated with these conditions, patient preference and patient demand, as well as the many clinical studies that were supportive of this model of care.
Conclusion: Given the volume of other forms of evidence that are available for specified conditions, more appropriate research reporting should be implemented on such matters.
Such a discrepancy raises the question as to the particular selection of evidence cited in the SCV Review.
Claims that there was a ban placed on cervical spinal manipulation of children due to harm are grossly inaccurate. Claims that such a ban applied to the whole spine of children under 12 are also inaccurate. It is maintained here that the term ‘should not’ is not a ban.
Large sections of the media have been irresponsible and misleading in the inaccurate reporting of this matter. In doing so, a false image is generated which in turn, plays into the hands of the uninformed and monopolistic critics.
Claims of a lack of evidence supporting aspects of the Chiropractic model are challenged depending where and in what sources one conducts research.
There is a noted absence of evidence of serious harm through spinal manipulation by Chiropractors, on children in Australia. As such, the Safer Care Victoria Review is dismissed as a misleading anomaly.
The motive of the Review would seem to have been compromised by the apparent inconsistencies, contradictions, and ambiguities as well as what would appear to be an absence of neutrality of input.
Indexing terms: Chiropractic; Safer Care Victoria; paediatrics; Chiropractic Board of Australia.
Cite: Rome PL. Waterhouse JD. The Vertebral Subluxation premise: Principle 5, the intent is to correct dysfunction and restore normal function. Asia-Pacific Chiropr J. 2026;6.4. apcj.net/papers-issue-6-4/#RomeWaterhouseSCVInterp
The Leg Length Check and its importance to the complete practice of Chiropractic
Objective: To discuss the Leg length check as practiced by Chiropractors; its techniques, rationale, clinical value, physiological and neurophysiological roots and ramifications.
Background: In the process of performing various Chiropractic workshops, we have found that a significant portion of attendees did not uniformly incorporate complete leg length checks in their protocols. Furthermore, even those that did employ leg length tests in their protocols did not fully employ all the variations, nor did they comprehend the physiological and neurophysiological rational as to the entirety of what or why these tests reveal the findings that they do, and how that information is crucial to the treatment of the patient
Methods: An investigative meta-research study was undertaken perusing the existing published research both domestic and foreign, Chiropractic, Osteopathic, Allopathic, and Physiotherapeutic, to be as comprehensive as possible. This in order to illustrate all manner and variation (to our knowledge) of leg length check tests. The goal is to attempt to explain what those tests demonstrate, why and how they demonstrate their findings through spinal, fascial, osseous, and neurological reflex factors.
Conclusion: This study has attempted to explain the importance of proper procedures, the protocols, and the possible findings related to leg length checks. There was a presentation to explain how those findings can be physiologically justified. Factors such as fascia, muscle, spinal structure, osseous growth, and neurological reflexes were substantially discussed. It is our sincere hope that upon reading this study practitioners will come away with a new respect for this tool, making leg length checks a pivotal procedure in their office protocols, and comprehend the benefit of the information gleaned from these tests. It is recommended that further studies are needed to further corroborate these findings and those studies should include proper examiner training and patient population selection.
Indexing terms: Chiropractic; Subluxation; leg length; Derifield; neurological postural reflexes; dural torque; fascia; Lovett Brother; DeJarnette; SOT; Sacro Occipital Technique; Osseous growth factors.
Cite: Weiner G. The Leg Length Check and its importance to the complete practice of Chiropractic. Asia-Pac Chiropr J. 2026;6.4 www.apcj.net/papers-issue-6-4/#WeinerDerifield
Rethinking Foot Dysfunction: How weak foundations create pain up the chain
Narrative: the foot is one of the most neurologically dense and mechanically sophisticated regions of the body. dysfunction of the feet can lead to pain and dysfunction in specific patterns elsewhere in the body.
The body is organised in myofascial lines, not isolated muscles. Tension, force, and sensory information travel along predictable pathways. Some of the key myofascial lines connected to the feet are the superficial back line, the deep front line, the spiral line, and the lateral line.
The feet are the foundation of the body’s stability to the ground, and when they are dysfunctional, the rest of the kinetic chain may compensate.
This is leading clinicians to ask if there should be an increased role in foot rehabilitation.
Indexing terms: Chiropractic; orthotics; foot rehabilitation; fascial planes; compensation.
Cite: Traster D. Rethinking Foot Dysfunction: How weak foundations create pain up the chain. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#TrasterFootDysfunction
The Logic and Science of the Vertebral Subluxation Complex: In defence of the VSC
Narrative: The contemporary term Vertebral Subluxation Complex (VSC) is preferred as a more accurate and appropriate term applied to a vertebral subluxation. It encompasses the wider ramifications of components involved with this biomechanical disorder of perturbed vertebral function initiating somato-autonomic reflexes from noxious sensory input. Numerous other terms have appeared in the literature with neuro-articular lesion and ortho-spondylo-dysarthrics among 296 others. (Dalgleish, 1960; Rome 1996, 2016; Rome,Waterhouse 2019, 2025; Stump 2004)
To claim that VSC's do not exist is a specious accusation. These claims may only be supported by individual opinion, but have not been supported by formal research studies as evidence.
Indeed, no scientific or alternative model has been put forward, let alone published. Nor have sceptics outlined that type or degree of evidence they require. We suggest that there is more evidence both clinically and scientifically in support of the VSC model than the mere opinion opposing it.
The rejection by some of the Chiropractic subluxation model is inconsistent with available published evidence in both the medical and Chiropractic literature. It is further inconsistent due to the fact that the case of the dissenters is without substance and appears to be purely assertions by not citing formal referenced evidence or supporting research to justify their opinions.
Indexing terms: Chiropractic; subluxation; Vertebral Subluxation Complex; evidence; deniers.
Cite: Rome PL. Waterhouse JD. The Logic and Science of the Vertebral Subluxation Complex: In defence of the VSC. Asia-Pacific Chiropr J. 2026;6.4. apcj.net/papers-issue-6-4/#RomeWaterhouseLogicScienceVSC
Random and generic verses selective forces in spinal adjustment or manipulation
Objective: To illustrate the challenge of selecting optimal directions for the application of adjustments or manipulations by chance or by using a generic, one adjustment fits all type of approach.
Methods: Simple mathematics was used to show the number of possible directions for the application of adjustive or manipulative forces.
Complicating Factors: Confounders introduced by soft tissue, joint mobility and spinal alignment.
Conclusion: A generic, one direction of force application for most or all cases or a random selection for the direction of forces is not an optimum approach to utilise when selecting the vector of force to be applied during chiropractic adjustment or manipulation.
Methods are needed to select appropriate directions for the application of adjustments or manipulations.
Indexing terms: Spine; Chiropractic; Adjustment; Clinical Decision Making; Gonstead
Cite: Coleman RR, Hynes RJR, Lopes MA. Random and generic verses selective forces in spinal adjustment or manipulation. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#ColemanSelectiveForces
Mastery vs. perfection
'… mastery as an ongoing quest for balancing all the various forces in our complex world toward a beautiful harmony, even if ephemeral, is itself a thing of beauty …’
Indexing terms: Chiropractic; mastery; perfection; self-improvement
Cite: Meyer CJ. Mastery vs. perfection. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#MeyerMastery
A snapshot of Holistic health
Narrative: A common condition impairing muscle function is low-grade chronic inflammation.
Addressing chronic inflammation through dietary manipulation is relatively simple and can bring rapid results. Removing junk foods and replacing them with unprocessed natural items can quickly break the cycle with significant benefits.
Supplementing with items such as fish oil, vitamin D3, or others whose requirements are not met by a real food diet is important.
Indexing Terms: Chiropractic; nutrition; inflammation; health.
Cite: Maffetone P. A snapshot of Holistic health. Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#MaffetoneHolistic
Channeling Healing Energy: Awareness of Adverse Childhood Events in the Chiropractic clinical encounter
Narrative: Chiropractic is a low-tech hi-touch discipline. We recommend that Chiropractors approach all patients with the assumption that ACEs may be present, whether consciously or unconsciously recognised. The most challenging situations often involve patients who are unaware of their trauma and lack effective coping mechanisms. Even so, heightened sensitivity is warranted whenever patients exhibit bracing, hyper-reactivity, or disproportionate responses to seemingly benign stimuli.
Indexing terms: Chiropractic; touch; Adverse Childhood Events.
Cite: Blum CL, Blum JD. Channeling Healing Energy: Awareness of Adverse Childhood Events in the Chiropractic clinical encounter. Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#BlumBlumACE
Perspectives on the ICEC/CMCC statement on the subluxation
Narrative: The International Chiropractic Education Collaboration sponsored by the University of Southern Denmark issued a position statement regarding education in Chiropractic institutions. The Canadian Memorial Chiropractic College is a signatory to this statement.
I offer 16 observations of the flaws in this statement not the least being it has no supporting evidence in a time when evidence for more sensible positions is demanded by these institutions.
I conclude with an evidence-based position that is accurately representative of the discipline of Chiropractic.
Indexing terms: Chiropractic; ICEC; CMCC; University of Southern Denmark; subluxation; vertebral subluxation complex; vitalism.
Cite: Rome PL. Perspectives on the ICEC/CMCC statement on the subluxation. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/papers-issue-6-4/#RomeICEC
Case Reports
Treatment of Low Back Pain by Cranial Adjustment: A case report
Narrative: Lower back pain (LPB) is a commonly occurring reason for patients to present themselves for chiropractic care. Here I report the case of a 39 year old male policeman with chronic low back and knee pain post work injuries.
Standard clinical assessment protocols were performed and treatment delivered using the Van Rumpt cranial technique.
Resolution was rapid and this relative immediate response to care and the prior unremitting nature of the condition (4 weeks), as well as its lack of improvement to rest or physical therapy, suggests a compelling temporal relationship between this care and the resolution of the presenting problem.
I also give a brief historical overview of the development of the Van Rumpt cranial technique.
Indexing terms: Chiropractic; Van Rumpt technique; low back pain; work-related injury, cranial.
Cite: Boro WJ, Blum CL. Treatment of Low Back Pain by Cranial Adjustment: A case report. Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#BoroBlumLBP
Relief of neurological symptoms by SOT Category I block placement, secondary to surgical removal of Thoracic Astrocytoma and Laminectomy: A case report
Narrative: Astrocytomas originate from a particular kind of star-shaped glial cell found in the cerebrum portion of the brain, cells called astrocytes. This type of tumour usually does not spread outside the brain and spinal cord nor does it usually affect other organs. Here I report the case 28-year-old nulliparous female with a history of a 4” thoracic pilocytic astrocytoma and subsequent laminectomy.
The patient sought care post laminectomy for dull, constant lower back pain, neuropathy, paresthesias and visceral dysfunction.
The purpose of this case report is to describe the clinical course, treatment, and immediate and repeated positive response of a female patient suffering from symptoms of post-surgical laminectomy and resection of a thoracic pilocytic astrocytoma. This included Chiropractic treatment utilising Sacro Occipital Technique (SOT) Category I block placement. The patient outcomes were beneficial.
Indexing terms: Chiropractic; SOT, Category 1; post-laminectomy; astrocytoma.
Cite: Boro WJ, Blum CL. Relief of neurological symptoms by SOT Category I block placement, secondary to surgical removal of Thoracic Astrocytoma and Laminectomy: A case report. Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#BoroBlumPostSurgerySOT
Intervention in menorrhagia through chiropractic adjustment and spondylotherapy: A case report.
Narrative: Low back pain and female reproductive problems are the source of frequent consultations to a Chiropractor. Menorrhagia, described as excessive uterine bleeding, yearly affects up to 10 million American women in their forties and fifties.
This patient indicated that her menstrual cycle had never been ‘normal’, and since the age of 16 her cycles were of 36-45 days duration with bleeding lasting about seven days. On her heaviest days of bleeding, days 2 and 3, she had to use a super plus tampon every 1 – 1½ hours.
The patient was treated with SOT blocking, instrument adjusting, Von Rumpt cranial technique, and Spondylotherapy. She continues care for other matters and but has had no menstrual or bleeding complaints throughout this time.
Indexing terms: Chiropractic; menorrhagia; Category 2; spondylotherapy; Van Rumpt; cranial.
Cite: Boro WJ, Blum CL. Intervention in menorrhagia through Chiropractic adjustment and spondylotherapy: A case report. Asia-Pac Chiropr J. 2026;6.4 apcj.net/Papers-Issue-6-4/#BoroBlumMenorrhagia
Sacro-Occipital Technique (SOT) and Cranial Treatment for Hemicrania Continua: A case report
Narrative: A 55-year-old female patient presented to my office for treatment of HC of four years’ duration, requiring daily indomethacin use to control her severe headaches.
The patient was treated using sacro-occipital technique (SOT) protocols and cranial/TMJ therapies which I describe. At the three-month mark in care (six office visits), the patient reported that she had not experienced a headache in three weeks and was no longer taking indomethacin.
Quantitative outcomes measures confirmed her subjective report. The literature indicates that Chiropractic care for headaches carries low risk and may provide benefit.
At one- and two-year follow-up evaluations, this patient remained free of headaches.
Indexing Terms: Chiropractic; Sacro-Occipital Technique (SOT); Cranial Technique; Hemicrania Continua.
Cite: Blum CL. Sacro-Occipital Technique (SOT) and Cranial Treatment for Hemicrania Continua: A case report. Asia-Pac Chiropr J. 2023;6.4. apcj.net/papers-issue-6-4/#BlumHemicrania
Complete Resolution of Traumatic Spinal Cord Compression Using Chiropractic Care: A case report detailing the radiologic justification, with pre- and post-scans, for conservative care
Narrative: A 52-year-old female presented to a Chiropractor with both pain and weakness in the right side of the neck, as well as the upper limb, following a rollercoaster ride one week prior. The patient was examined clinically and found to show a mixture of both upper and lower motor neuron signs, and the subsequent MRI scan revealed a paracentral disc herniation compressing the spinal cord at C7-T1.
This case report describes how the radiologic characteristics of the offending anatomy were used to rationalise this clinical presentation and ultimately warrant a trial of conservative care in light of standard clinical guidelines.
Importantly, this case report demonstrates how a thorough examination of radiologic findings, beyond routine diagnosis, can open effective and alternative healthcare pathways which successfully and safely bypass significant surgical or pharmacological intervention.
Indexing Terms: Chiropractic; Sacro-Occipital Technique (SOT); Traumatic Spinal Cord Compression; imaging.
Cite: Bento MP. Complete Resolution of Traumatic Spinal Cord Compression Using Chiropractic Care: A case report detailing the radiologic justification, with pre- and post-scans, for conservative care. Asia-Pac Chiropr J. 2023;6.4. apcj.net/papers-issue-6-4/#BentoTraumaticCordCompression
Reversal of severe spinal ligament instability as well a Mercury and Arsenic toxicity leading to an improvement of emotional and neurological regulation, as well as muscle control in a 42-year old male with cerebral palsy: A case report
Background: A 42-year-old male presented for Chiropractic care with primary complaints of severe episodic dizziness and ‘blackouts’. He also reported current and past medical history of cerebral palsy and hypertension.
Intervention: The patient commenced a course of concentrated Chiropractic care using the Averio Functional Neurological Technique. He eventually completed four separate weeks of concentrated care.
Outcomes: The patient was able to achieve dramatic results, with a reversal of severed spinal ligament instability, emotional wellbeing, and muscle control, concurrent with significant reductions in arsenic and mercury toxicity.
Conclusion: Further research examining how optimal neurological function, enabled through gentle, concentrated, subluxation-based Chiropractic care, may influence heavy mental toxicity and mood is warranted
Indexing Terms: Chiropractic; subluxation; episodic dizziness; blackouts; heavy metal toxicity; arsenic; mercury; well-being.
Cite: Kotlerman S, Martin A, Clark J, Dhaliwal A, Scheunemann Z, Postlethwaite R, McIvor C. Reversal of severe spinal ligament instability as well a Mercury and Arsenic toxicity leading to an improvement of emotional and neurological regulation, as well as muscle control in a 42-year old male with cerebral palsy: A case report. Asia-Pac Chiropr J. 2026;6.4. www.apcj.net/Papers-Issue-6-4/#KotlermanMercuryArsenicToxicity
Decrease in pain, and increase in athletic performance and recovery time 44-year-old male: A case report
Background: A 44-year-old male presented for chiropractic care with primary complaints of back and neck pain that had been intermittent over the course of the past twenty years. Though his initial complaints were not novel, his outcomes beyond pain alone were notable.
Intervention: The patient was checked and adjusted using the Advanced Biostructural Correction Technique.
Outcomes: After a twelve-week course of care, the patients abnormal clinical findings had reduced from 23/45 to 5/45 alongside a significant improvement in posture, and a decrease in pain. A novel finding was that the patient also reported marked increase in athletic performance and recovery time.
Conclusion: Chiropractic care belongs in the conversation around human performance and recovery, not just in the world of neck and back pain.
Indexing Terms: Chiropractic; Subluxation; Advanced Biostructural Correction Technique; ABC; athletic performance; well-being.
Cite: Hartmann R, Postlethwaite R, McIvor C. Decrease in pain, and increase in athletic performance and recovery time 44-year-old male: A case report. Asia-Pac Chiropr J. 2026;6.3. www.apcj.net/papers-issue-6-3/#HartmannAthleticPerformance
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Here are the returns from the AI prompt given on the landing page
From Grok on iPad (a rather good summary and quiz), rated accurate:
The meta-research investigation authored by Gilbert Weiner (2026) in the Asia-Pacific Chiropractic Journal underscores the pivotal diagnostic utility of the leg length check, with particular emphasis on the Derifield (or Derifield-Thompson) test, in holistic chiropractic practice. Employing a comprehensive literature synthesis from chiropractic, osteopathic, allopathic, and physiotherapeutic domains, the study critiques the suboptimal integration and neurophysiological comprehension of leg length inequality assessments by many practitioners. Procedural variants are delineated, encompassing prone medial malleoli observations in neutral position, knee flexion maneuvers to 90 degrees for distinguishing Derifield-positive (ilium dysfunction, where the short leg lengthens or equalizes) from Derifield-negative (sacral involvement) presentations, supine evaluations aligned with Sacro Occipital Technique protocols, and supplementary tests including femoral abduction with medial rotation to appraise psoas-iliacus tone asymmetries, alongside the Allis test for osseous leg length discrepancies.
Physiological rationales for observed functional leg length asymmetries integrate myofascial continuity, whereby torsional forces propagate from craniocervical structures to the pelvis and lower limbs through the myodural bridge, thoracolumbar fascia, and plantar aponeurosis; osseous growth factors and structural variants; and neurophysiological mechanisms such as cervico-ocular and vestibulo-ocular reflexes, reticulospinal tract modulation of extensor/flexor tone, and primitive reflex influences on postural stability. These assessments facilitate identification of vertebral subluxations, sacroiliac joint restrictions, dural torque effects, and associated symptomatology including cervicogenic headache or post-traumatic instability. Weiner advocates stringent procedural standardization, postural normalization prior to testing, adjunctive radiographic evaluation for alteration of motion segment integrity, and prospective studies with trained examiners to substantiate clinical correlations.
Derifield leg length analysis differentiates pelvic syndromes: positive indicates ilial subluxation or restriction, negative implicates sacral base involvement, based on response to knee flexion.
Myodural bridge-mediated dural torque and fascial chains transmit craniocervical influences to lumbopelvic posture, manifesting as dynamic leg length changes with head rotation or gaze shifts.
Comprehensive leg length evaluation enhances detection of multifactorial contributors to musculoskeletal imbalance, including neurological postural reflexes, muscle tone asymmetries, and growth-related osseous discrepancies, informing targeted chiropractic interventions.
Quiz: 5 Questions (Multiple Choice)
What is the primary methodological approach utilized in Weiner’s 2026 paper?
a) Randomized controlled trial
b) Meta-research literature review
c) Case series analysis
d) Prospective cohort studyIn the Derifield test, a ‘positive’ finding (D+) typically indicates:
a) Pure sacral dysfunction
b) Ilium or pelvic dysfunction where the short leg changes with knee flexion
c) No leg length inequality
d) Osseous femur length discrepancy onlyWhich anatomical structure is highlighted for transmitting dural torque from the upper cervical region to influence lower extremity alignment?
a) Anterior longitudinal ligament
b) Myodural bridge
c) Iliolumbar ligament
d) Sacrotuberous ligamentAccording to the paper, leg length checks in chiropractic practice should always incorporate:
a) Only supine positioning
b) Postural normalization and observation of multiple variations including head rotation effects
c) Immediate radiographic confirmation
d) Pharmacological interventionOne key recommendation for future research mentioned is:
a) Elimination of leg length checks from protocols
b) Utilization of properly trained examiners and appropriate patient population selection
c) Exclusive reliance on MRI for all assessments
d) Focus solely on pediatric populations
From ChatGPT on iPad (poor & rated rubbish, unusable):
The paper by Weiner and Derifield examines the theoretical and neurophysiological basis of the chiropractic concept of vertebral subluxation and its correction through spinal adjustment. The authors argue that subluxation represents a complex functional disturbance within the neuromusculoskeletal system that influences both peripheral and central nervous system activity. Drawing on literature concerning brain plasticity and neurochemistry, the paper proposes that biomechanical alterations in spinal segments can modify afferent sensory input to the central nervous system, thereby influencing neural processing and biochemical signaling in the brain. These changes may affect adaptive physiological responses across multiple body systems. (Asia-Pacific Chiropractic Journal)
Furthermore, the authors suggest that chiropractic adjustments may produce measurable changes in neural function by restoring normal biomechanical motion and sensory signaling. According to the analysis presented, alterations in neural input can influence brain plasticity, potentially leading to broader functional changes such as improved cognitive processing, emotional regulation, and adaptive capacity. The article emphasizes the need for continued empirical research to validate these proposed mechanisms and to clarify the relationship between spinal biomechanics, neural regulation, and systemic health outcomes. (Asia-Pacific Chiropractic Journal)
Key Points
Vertebral subluxation is described as a functional biomechanical disturbance that may alter neural signaling within the central nervous system.
Chiropractic adjustments are proposed to restore spinal motion and normalize sensory input pathways affecting brain neurochemistry.
Neuroplasticity mechanisms may explain broader systemic effects of spinal adjustments, though further research is required.
Quiz (5 Questions)
What is the primary concept examined in the Weiner and Derifield paper?
How do the authors propose vertebral subluxations influence the nervous system?
What role does neuroplasticity play in the authors’ theoretical model?
What is the proposed effect of chiropractic adjustments on neural signaling?
Why do the authors emphasize the need for further research in this area?
If you want, I can also convert this into lecture slides, flashcards, or a multiple-choice quiz version for teaching or studying.
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.
The name 'Asia-Pacific Chiropractic Journal' is a registered business name with ASIC, the Australian Securities and Investment Commission.
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