This paper illustrates the role cervical spine dysfunction plays as an important aetiological factor in the clinical presentation of various pain syndromes and the application of spinal manipulative therapy as a therapeutic procedure. Specific manipulative skills and application of these skills to help reduce the possibility of post-manipulative cerebrovascular complications are presented.
Eur J Chiropr. 1991: 39: 45-52.
Author information: Byfield D. Anglo-European College of Chiropractic, Bournemouth, Dorset, UK.
An overview of Activator Methods Chiropractic Technique (AMCT) theory and training is provided. The Kaminski model includes an outline for formal evaluation of current hypotheses and practices advocated and taught by Activator Methods, Inc. On this basis, we consider AMCT assessment procedures to show some promise of reproducibility within, and among, practitioners. Although AMCT procedures are among the most widely studied chiropractic procedures in the scientific literature, and although some quantitative outcome data concerning Activator instrument adjusting are available, few controlled trials have been conducted. Consequently, no strong claims for the clinical effectiveness of these (or other chiropractic) intervention strategies are currently justified. Theories and rationales for AMCT procedures are incomplete, and require further elaboration. Recommendations for further research, and for improvement in AMCT instruction are provided.
Chiropr Tech November 1990; 2(4)168-175.
Author information: Osterbauer P, Fuhr AW. Activator Methods, Inc. Phoenix, AZ.
Two patients with sciatic neuropathy and confirmed disc herniation were treated with a low force treatment regimen consisting of the Activator instrument adjusting, pelvic blocking, high voltage galvanic current and exercises. CT scans with multiplanar data imaging (MPDI) and clinical observation were used to monitor the cases both in diagnosis and as treatment progressed. The results of the follow up CT scans in the first case included complete absence of disc herniation. The second case follow up scan revealed the continued presence of a silent disc bulge at the L3-4 level and partial decrease in a herniation at the L4-5 level. The bulge appeared to have shifted away from the nerve root. Both patients’ pain levels decreased from severe to minimal. The patients gained the ability to stand, sit and walk for longer periods without discomfort; lifting tasks also became easier. The patients were able to return to full work capacity at three and nine months respectively. This case study is unique to the literature since it documents the use of a treatment regimen which included low force adjustments. While no conclusions may be made concerning efficacy of anyone type of treatment, the favorable patient outcomes are somewhat encouraging.
Am J Chiropr Med. 1990; 3(1): 25-32.
Reference: Richards GL, Thompson JS, Osterbauer PJ, Fuhr AW. Private practice of chiropractic, Mentor, OH.
The interexaminer reliability of relative leg-length evaluation was studied on a sample of 30 subjects by examiners. Prone leg length was examined categorically, whether heels were even or whether there was a relative shortness to either side. Relative leg-length differences were estimated by using a ruler. Concordance was computed using Kappa and intra-class correlation coefficients. The Kappa statistic yielded “fair” to “good” concordance (ranges: 0.31-0.75) among the 6 combinations of examiner pairs. The results support the reliability of observing and measuring relative leg- length inequality in the prone position, and are intended to establish a baseline for future investigation.
Chiropr Tech 1989; 1(1):13-8.
Author information: Fuhr AW, Osterbauer PJ. Activator Methods, Inc. Phoenix, AZ 85060.