American J O U R N a L of Clinical Chiropractic
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03 14 20 Reverse Causality The Why and Three Point Bending and Whiplash How of Practice Traction for Scoliotic Injury: Three Outreach Curvatures Recent Reviews January 2013 | Volume 23 No. 1 CONTENTS: 03 Research & Evidence A MERICAN 08 Business & Practice Tips JOURNAL 14 Editorial & Letters 17 BioPhysics Insights OF CLINICAL 20 Biomechanics Corner 22 Doctor Spotlight CHIROPRACTIC ISSN 1076-7320 | Published Quarterly Your source of information for Chiropractic BioPhysics® — The Science of Spinal Health An Aspirin a Day May Take Your Vision The Passing of a Chiropractic Pioneer, & Hearing Away vascular protective effects. A Family Man, A Dear Friend & Mentor Of concern, there have Non-steroidal anti- been a number of scientific to Countless Life Chiropractic College inflammatory drugs publications discussing in 1974, which became Life College (NSAID’s) are widely the potential negative and is now Life University. Twenty used for general pain health effects of regular Two students attended the first classes relief and specific use of NSAID’s whether inflammatory control in January of 1975. These students for prevention, pain, became known as the “Day one class”. after an injury. Ad- or other use. Two recent Under Dr. Williams’ direction, Life ditionally, there is an publications have identi- Chiropractic College became the larg- increasing number of fied some serious negative people that are us- health risks that appear to est chiropractic college in the world ing specific NSAID’s be linked to regular aspirin with an 89-acre campus and more and aspirin for and NSAID use: than 3,500 students. perceived cardio- On a personal note, for me (Dr. The Beaver Dam Eye Study1 Deed Harrison), I was deeply touched In a longitudinal Dr. Sidney Earl Williams by Dr. Williams loss. Though I met population-based study of age- March 18, 1928 - December 27, 2012 Dr. Williams just a handful of times related eye diseases, Klein and col- UTAH and exchanged only simple cordial PAID 1 NON-PROFIT leagues examined the association of Most of the profession is already U.S. POSTAGE U.S. conversation; it is a man like him that PERMIT 750 NO. SALT LAKE CITY SALT aspirin use with the incidence of age- aware that Dr. Sidney Earl Williams, keeps a person like me continuing to related macular degeneration (AMD). founder of Life University in Marietta, strive for excellence through Chiro- They performed examinations every passed away peacefully in his sleep practic principles, purpose, and pas- 5 years over an approximate 20-year early Thursday morning the 27th sion. When I heard of Dr. Williams period (1988-2010). There were 4,926 of December. He was 84 years old. participants between the ages of 43 to loss, I was reminded of one of my late Visitation was set from 2 to 4 p.m. 86 years. Study participants were asked father’s (Dr. Don Harrison) favorite if they used aspirin at least twice a on Saturday, December 29th, 2012, at sayings: “The person who says it cannot week for more than 3 months; which Mayes Ward-Dobbins Funeral Home be done, should not interrupt the person they termed ‘regularly’. in Powder Springs and services were doing it”! Looking at Dr. Williams’ life The study identified that ‘regular’ held at 2 p.m. on Sunday, also at achievements I bet that he lived by aspirin use 10 years prior examina- Mayes Ward-Dobbins, located at 3940 this motto in some regard. In the end, tion was associated with late AMD Macland Road in Powder Springs. Dr. Sid Williams did what few of us with an estimated incidence of 1.76% Along with his wife, Dr. Nell can but all of us strive for; he left See An Asprin a Day on page 9 Williams, Dr. Sid Williams founded Chiropractic BioPhysics Non-Profit, Inc. Non-Profit, BioPhysics Chiropractic ID, 83616 1361, Eagle Box P.O. See The Passing on page 9 Research & Evidence Jan 13 Reverse Causality It is usually stated in published methodological flaws. These authors conclude: “There studies, by insurance companies, • The best methodologically is a common perception that injury and Whiplash In- and by their representatives done studies show there is no compensation has a negative impact (lawyers, claims adjusters, IME association between litigation/ on health status among those with jury: Three Recent doctors, etc.) that injured patients compensation and recovery from verifiable and non-verifiable injuries, Reviews who seek compensation (ask for whiplash injury. and systematic reviews supporting compensation, hire a lawyer, etc.) • It is wrong to claim that chronic this thesis have been used to influence Dan Murphy, DC— Private Practice of (A), have worse health outcomes whiplash symptoms are primarily policy and practice. However, such Chiropractic; Diplomate American Board and slower recovery rates (B). the consequence of litigation and reviews are of varying quality and of Chiropractic Orthopedist; Faculty Life Chiropractic College West; Vice President However, such adverse health desire for monetary gain. See Reverse Casuality on page 24 ICA 2003-2009; outcomes do not consider or ICA Chiropractor of the Year 2009 evaluate the concept of Reverse Causality: “slower recovery (B) leads INTRODUCTION individuals to claim, seek legal Did You Know? By Dan Murphy DC. Reverse causality refers to advice, and litigate (A).” a direction of cause-and-effect The contemporary leaders in In patients suffering from chronic pain contrary to a common presumption. the research pertaining to injury subsequent to degenerative spinal disease, 59% can eliminate the need for pain drugs Reverse causality is cause and effect compensation, health outcomes, by consuming adequate levels of omega-3 in reverse. That is to say the effects and Reverse Causality are Natalie essential fatty acids. precede the cause. The problem is Spearing and colleagues from 59% (Surgical Neurology, 2006) when the assumption is A causes B the University of Queensland in when the truth may actually be that Australia. In 2011, they published a Removing aspartame and glutamate from the diet for 1 B causes A. study in the journal Injury, titled : Is 4 months can eliminate chronic pain symptoms. (Annals of Pharmacology, 2002) compensation “bad for health”? These authors performed a systematic 4 meta-review on this topic, which These published facts and hundreds lent for educating the chiropractor, A MERICAN constituted the most comprehensive more are available through my Article staff, patients and lecture preparation. JOURNAL Review Service, now in its 11th year. • Each Article Review is in PDF OF CLINICAL review pertaining to compensation Reviews are detailed, thorough, format for easy printing. CHIROPRACTIC and health outcomes through the timely and cutting-edge, with KEY • Sign up through my website with publication date. In this study, the POINTS summary and chiropractic a credit card on PayPal. Your source of information for Chiropractic BioPhysics® — The Science of Spinal Health Copyright Harrison Chiropractic authors used 11 studies that met practical applications. They are excel- BioPhysics Seminars and their stringent inclusion criteria and What our subscribers say: Dr. Dan, (DC) Deed E. Harrison, LLC Any chiropractor that truly cares about his noted that 9 of them were of low Dear Dan, Publisher: Deed E. Harrison, DC patients and not about just making a buck quality and suffered from a number I hope you can continue providing this needs to be subscribing to your Article Review 1-800-346-5146 or drdeed@ideal- information for many years to come. I have Updates. I certainly am going to do my part spine.com of methodological flaws. been in practice for 18 years and find these to see that each chiro I come in contact with The studies presented in this review citations to be the most informative, chiro- knows what an absolutely invaluable re- Editor: Deed E. Harrison, DC practically relevant information that I have source it is. I sat in amazement at the last two support these concepts: received in my career. I would be willing to Layout: Holmes & Co., articles you sent regarding antibiotic overuse • Studies that claim that those pay more for this information to make sure and atopic disorders. What crucial informa- Salt Lake City, UT 84102 that it keeps coming. tion to pass on to my practice members. suffering from chronic problems Printing/Labeling: Tooele Transcript, Thanks and keep up the awesome work. following whiplash injury Again, thank you! —Dr. G.M.; August 1, 2002 Tooele, UT 84074 do so in hope of gaining ARTICLE REVIEW SUBSCRIPTION | $100/year | www.danmurphydc.com Labels: American Journal of Clini- financial compensation have cal Chiropractic, P.O. Box 1361, Eagle, ID 83616 1-800-346-5146 American Journal of Clinical Chiropractic January 2013 03 Foot Posture and Foot Orthoses— The Lost Connection? Part II its intrerrater reliability5 and applicabil- a three dimensional ity to dynamic function.6 posture. Look- The Last Three Another attempt at quantification ing at some called the Foot Line Test (FLT) which is of the more College Football National Champions a measure of the medial prominence of the navicular in a mediolateral direction, was developed to investigate the relationship between Dr. Ed Glaser, DPM foot morphology Dr. Glaser is the President and and injury developer of Sole Supports orthotics. development. The measurement of medial/lateral INTRODUCTION posture that is to be achieved, it needs to movement of the medial prominence of recent measurements that have focused Previously, the midfoot was mod- be emulated and induced directly by the the navicular is primarily a frontal plane more on the medial longitudinal arch eled as one rigid segment based on the intervention, in this case a foot orthosis. measurement, and so while FLT has been reveals that there has been progress assumption that negligible motion took This direct intervention takes the form of shown to be a reliable measure,7 future with regards to defining more reliable, place within the midfoot.1 We now a full contact, weight-calibrated, ortho- work is needed to determine if this mea- clinically relevant measures.