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Monthly Archives: June 2010

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Clinical Biomechanics: The Upper Extremity

By |June 29, 2010|Diagnosis, Education|

Clinical Biomechanics: The Upper Extremity

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 10 from RC’s best-selling book:

“Clinical Biomechanics:
Musculoskeletal Actions and Reactions”


Second Edition ~ Wiliams & Wilkins

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


CHAPTER 10: THE UPPER EXTREMITY

This chapter considers forces acting within and upon the shoulder girdle, arm, forearm, and hand, and their related clinical problems, with emphasis on the related musculoskeletal disorders. Therapy can be directed efficiently when the mechanisms of injury are appreciated and correction is applied in harmony with proven biomechanical principles.

The Shoulder Girdle and Arm

The structure of the upper extremity is composed of the shoulder girdle and the upper limb. The shoulder girdle consists of the scapula and clavicle, and the upper limb is composed of the arm, forearm, wrist, hand, and fingers. However, a kinematic chain extends from the cervical and upper thoracic spine to the fingertips. Only when certain multiple segments are completely fixed can these parts possibly function independently in mechanical roles. (more…)

European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain in Primary Care

By |June 25, 2010|Guidelines, Low Back Pain, News, Unnecessary Surgery|

European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain in Primary Care

The Chiro.Org Blog


You will enjoy these recent European evidence-based guidelines for the management of acute and chronic low back pain.

Both the Acute Back Pain Guideline and the
Chronic Back Pain Guideline recommend spinal manipulation
as an effective conservative treatment.


Interestingly, MOST of what’s considered “standard medical treatment” are listed as
Invasive treatments, that should NOT be recommended for non-specific CLBP.

Non-recommended medical treatments include:

  • Bed rest,
  • Acupuncture,
  • intradiscal injections,
  • epidural corticosteroid injections,
  • intra-articular (facet) steroid injections,
  • local facet nerve blocks,
  • trigger point injections,
  • prolotherapy,
  • botulinum toxin,
  • radiofrequency facet denervation,
  • intradiscal radiofrequency lesioning,
  • intradiscal electrothermal therapy,
  • radiofrequency lesioning of the dorsal root ganglion,
  • and spinal cord stimulation

(more…)

What Is the Chiropractic Summit?

By |June 22, 2010|News|

What Is the Chiropractic Summit?

The Chiro.Org Blog


The Chiropractic Summit was created in September 2007 in recognition of the profession’s desire for unity. The first Summit meeting, held in Washington, D.C., was comprised of 13 organizations; three years later, the Summit has 41 members, representing leadership from education, research, regulatory bodies, political action, practice management, chiropractic media and national associations. Within the Summit, there are four key committees: Communications, Documentation, Finance, and Government Relations.

The Group has since released a white paper titled:

The Path To Change in the US Healthcare System: The Chiropractic Perspective”.

The Executive Summary states: (more…)

Commonly Used Meridian Points

By |June 20, 2010|Acupuncture, Diagnosis, Education, Meridian Points|

Commonly Used Meridian Points

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 3 from RC’s best-selling book:

“Applied Physiotherapy in Chiropractic”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Chapter 3:   Commonly Used Meridian Points

This chapter delineates a few of the many theories attempting to explain the mechanisms of acupuncture point (acupoint) stimulation and meridian therapy. Stimulation of specific points on the body as a mechanism for pain control has achieved great interest in this country in recent years. The majority of studies center on stimulating endorphin production in the body. See Table 3.1. Antidotal and clinical evidence as well as patient records from Oriental cultures point to numerous cases where specific point stimulation has affected visceral and functional disease processes. In the context of physiologic therapeutics, the location, primary indications, and precautions associated with the major points (ie, those most commonly used) are reviewed.

Both Western and Eastern cultures developed systems for treating specific points on the body. It is hoped that future generations will be able to integrate the best of traditional Western and Oriental medicine into a single health-care delivery system for all people. [1]

(more…)

Spine Task Force Neck Pain Evidence Summary

By |June 19, 2010|Guidelines, News|

Spine Task Force Neck Pain Evidence Summary

The Chiro.Org Blog


Toronto, June 18, 2010 – A new neck pain guide offers a concise summary on both helpful and unhelpful approaches to treating Neck Pain, based on the evidence synthesis completed by the Bone and Joint Decade 2000-2010 Task Force on Neck Pain. IWH worked with the Canadian Memorial Chiropractic College, the Ontario Chiropractic Association and some members of the task force’s executive committee to prepare the summary.

In February 2008, Spine published a special edition dedicated to the task force’s reviews on the prevention, prognosis, diagnosis and management of neck pain. After publication, a network of Canadian chiropractic opinion leaders, coordinated by IWH, suggested distilling the evidence into a summary. “It’s exciting to see the chiropractic community take up the work of the task force this way,” says Dr. Sheilah Hogg-Johnson, a task force member and IWH senior scientist. “The Neck Pain Evidence Summary provides a way for health-care professionals to review the evidence easily in their practice, and if they need further information, they can refer to the full research papers.”The task force recommends treatments or further assessments, based on the severity of neck pain. They classified severity into four grades. In the Evidence Summary, a chart outlines the signs and symptoms, and further assessments for each grade. Then both helpful and unhelpful treatments are presented by grade and type of injury. (more…)

Cost-Effectiveness Revisited

By |June 14, 2010|Low Back Pain, Neck Pain, News|

Cost-Effectiveness Revisited

The Chiro.Org Blog


SOURCE:   The Chiropractic Report

David Chapman-Smith, LL.B (Hons)


As the United States faces the prospect of major reform to its healthcare system a dramatic new expert study from leading US health economists from Mercer Health and Benefits, and Harvard University analyses chiropractic management of back and neck pain and reports:

  • “Almost half of US patients with persistent back pain” seek chiropractic care.
  • “Low-back and neck pain are extremely common conditions that consume large amounts of healthcare resources”.
  • Effectiveness: chiropractic care is more effective than other modalities for treating low-back and neck pain”.
  • Cost-effectiveness: when considering effectiveness and cost together, chiropractic physician care for low-back and neck pain is highly cost-effective, and represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds”. (more…)