Chiropractic Treatment & Anatomy Terms and Acronyms
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Vertebral Column and Thorax
Introduction to Human Osteology Chapter 4: Vertebral Column and Thorax Roberta Hall Kenneth Beals Holm Neumann Georg Neumann Gwyn Madden Revised in 1978, 1984, and 2008 The Vertebral Column and Thorax Sternum Manubrium – bone that is trapezoidal in shape, makes up the superior aspect of the sternum. Jugular notch – concave notches on either side of the superior aspect of the manubrium, for articulation with the clavicles. Corpus or body – flat, rectangular bone making up the major portion of the sternum. The lateral aspects contain the notches for the true ribs, called the costal notches. Xiphoid process – variably shaped bone found at the inferior aspect of the corpus. Process may fuse late in life to the corpus. Clavicle Sternal end – rounded end, articulates with manubrium. Acromial end – flat end, articulates with scapula. Conoid tuberosity – muscle attachment located on the inferior aspect of the shaft, pointing posteriorly. Ribs Scapulae Head Ventral surface Neck Dorsal surface Tubercle Spine Shaft Coracoid process Costal groove Acromion Glenoid fossa Axillary margin Medial angle Vertebral margin Manubrium. Left anterior aspect, right posterior aspect. Sternum and Xyphoid Process. Left anterior aspect, right posterior aspect. Clavicle. Left side. Top superior and bottom inferior. First Rib. Left superior and right inferior. Second Rib. Left inferior and right superior. Typical Rib. Left inferior and right superior. Eleventh Rib. Left posterior view and left superior view. Twelfth Rib. Top shows anterior view and bottom shows posterior view. Scapula. Left side. Top anterior and bottom posterior. Scapula. Top lateral and bottom superior. Clavicle Sternum Scapula Ribs Vertebrae Body - Development of the vertebrae can be used in aging of individuals. -
Chiropractic & Osteopathy
Chiropractic & Osteopathy BioMed Central Debate Open Access Subluxation: dogma or science? Joseph C Keating Jr*1, Keith H Charlton2, Jaroslaw P Grod3, Stephen M Perle4, David Sikorski5 and James F Winterstein6 Address: 16135 North Central Avenue, Phoenix, AZ, 85012, USA, 2School of Medicine, Mayne Medical School, University of Queensland, Herston, Queensland 4006, Australia, 3Department of Graduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto ON, M2H 3J1, Canada, 4Department of Clinical Sciences, College of Chiropractic, University of Bridgeport, 225 Myrtle Ave., Bridgeport, CT 06604, USA, 5Department of Chiropractic Procedures, Southern California University of Health Sciences, 16200 E. Amber Valley Drive, Whittier, CA 90604, USA and 6President, National University of Health Sciences, 200 East Roosevelt Road, Lombard, IL 60148, USA Email: Joseph C Keating* - [email protected]; Keith H Charlton - [email protected]; Jaroslaw P Grod - [email protected]; Stephen M Perle - [email protected]; David Sikorski - [email protected]; James F Winterstein - [email protected] * Corresponding author Published: 10 August 2005 Received: 25 May 2005 Accepted: 10 August 2005 Chiropractic & Osteopathy 2005, 13:17 doi:10.1186/1746-1340-13-17 This article is available from: http://www.chiroandosteo.com/content/13/1/17 © 2005 Keating et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Subluxation syndrome is a legitimate, potentially testable, theoretical construct for which there is little experimental evidence. -
The Effects of Chiropractic Spinal Manipulation on Central
www.nature.com/scientificreports OPEN The efects of chiropractic spinal manipulation on central processing of tonic pain - a pilot study using Received: 10 September 2018 Accepted: 8 April 2019 standardized low-resolution brain Published: xx xx xxxx electromagnetic tomography (sLORETA) Muhammad Samran Navid 1,2,3, Dina Lelic1, Imran Khan Niazi 3,4,5, Kelly Holt3, Esben Bolvig Mark1, Asbjørn Mohr Drewes1,2 & Heidi Haavik3 The objectives of the study were to investigate changes in pain perception and neural activity during tonic pain due to altered sensory input from the spine following chiropractic spinal adjustments. Fifteen participants with subclinical pain (recurrent spinal dysfunction such as mild pain, ache or stifness but with no pain on the day of the experiment) participated in this randomized cross-over study involving a chiropractic spinal adjustment and a sham session, separated by 4.0 ± 4.2 days. Before and after each intervention, 61-channel electroencephalography (EEG) was recorded at rest and during 80 seconds of tonic pain evoked by the cold-pressor test (left hand immersed in 2 °C water). Participants rated the pain and unpleasantness to the cold-pressor test on two separate numerical rating scales. To study brain sources, sLORETA was performed on four EEG frequency bands: delta (1–4 Hz), theta (4–8 Hz), alpha (8–12 Hz) and beta (12–32 Hz). The pain scores decreased by 9% after the sham intervention (p < 0.05), whereas the unpleasantness scores decreased by 7% after both interventions (p < 0.05). sLORETA showed decreased brain activity following tonic pain in all frequency bands after the sham intervention, whereas no change in activity was seen after the chiropractic spinal adjustment session. -
The Evolution of Chiropractic
THE EVOLUTION OF CHIROPRACTIC ITS DISCOVERY AND DEVELOPMENT BY A. AUG. DYE, D.C. (P.S.C., 1912) COPYRIGHTED 1939 Published by A. AUG. DYE, D.C. 1421 ARCH STREET PHILADELPHIA, PENNA. Printed in U. S. A. C O N T E N T S Chapter Title Page 1 Introduction—Discoverer of Chiropractic............................ 9 2 The Discovery of Chiropractic............................................. 31 3 “With Malice Aforethought” ............................................... 47 4 Early Development; Early School........................................ 61 5 Early Controversies; The Universal Chiropractors’ Asso- ciation; Morris and Hartwell; The Chiropractic Health Bureau; Lay Organization ................................................ 81 6 Medicine vs. Chiropractic.................................................... 103 7 The Straight vs. the Mixer ................................................... 113 8 The Straight vs. the Mixer ................................................... 127 9 The Straight vs. the Mixer; the Final Outcome .................... 145 10 The Chiropractic Adjustment; Its Development ................... 157 11 Chiropractic Office Equipment; Its Development ................ 175 12 The Spinograph; Its Development........................................ 189 13 Chiropractic Spinal Analyses; Nerve, Tracing; Retracing; the Neurocalometer .......................................................... 203 14 The Educational Development of Chiropractic; Basic Science Acts.................................................................... -
Bagnaro N. Improvement in Subjective, Academic and TOVA Measures in a Child with ADHD Following Upper
CASE STUDY Improvement in Subjective, Academic and TOVA Measures in a Child with ADHD Following Upper Cervical Chiropractic Management Nick Bagnaro D.C.1 ABSTRACT Purpose of study: The case study is to report the improvement of an 11 year old boy with Attention Deficit Hyperactivity Disorder (ADHD) and neck pain utilizing the NUCCA Upper Cervical Chiropractic Technique, neurological exercises and nutritional support. Clinical Features: An 11 year old male presented with primary health concerns of ADHD with noted difficulties in concentration, completion of schoolwork, preparation for tests and reading comprehension. The patient also presented with daily neck pain for 3 years since having his head physically twisted by a teacher attempting to get him to pay attention in class. Intervention and Outcomes: The patient was treated for 3 months with the NUCCA upper cervical technique being monitored with 2 office visits per week for 3 months. Daily nutritional supplementation, dietary changes and chiropractic neurological exercises 6 days per week were also utilized. ADHD symptoms reduced, Test of Variables of Attention (TOVA) and academic performance improved. Conclusion: In this case study NUCCA chiropractic care, dietary changes, and neurological exercises improved the parameters of attention and quality of life for this child suffering with ADHD. Key Words: ADHD, NUCCA , upper cervical chiropractic, vertebral subluxation, TOVA, nutritional supplementation, chiropractic neurology Introduction Attention deficit hyperactive disorder (ADHD) is a condition alarm that the medical community maybe over diagnosing and known to cause bouts of inattention, hyperactivity, thereby over medicating children.2 impulsivity, poor academic performance and disruptive social behavior. It is has been shown to effect 5% of children and Although medication has been shown to help in the 1 4% of adults. -
Anatomy of the Spine
12 Anatomy of the Spine Overview The spine is made of 33 individual bones stacked one on top of the other. Ligaments and muscles connect the bones together and keep them aligned. The spinal column provides the main support for your body, allowing you to stand upright, bend, and twist. Protected deep inside the bones, the spinal cord connects your body to the brain, allowing movement of your arms and legs. Strong muscles and bones, flexible tendons and ligaments, and sensitive nerves contribute to a healthy spine. Keeping your spine healthy is vital if you want to live an active life without back pain. Spinal curves When viewed from the side, an adult spine has a natural S-shaped curve. The neck (cervical) and low back (lumbar) regions have a slight concave curve, and the thoracic and sacral regions have a gentle convex curve (Fig. 1). The curves work like a coiled spring to absorb shock, maintain balance, and allow range of motion throughout the spinal column. The muscles and correct posture maintain the natural spinal curves. Good posture involves training your body to stand, walk, sit, and lie so that the least amount of strain is placed on the spine during movement or weight-bearing activities. Excess body weight, weak muscles, and other forces can pull at the spine’s alignment: • An abnormal curve of the lumbar spine is lordosis, also called sway back. • An abnormal curve of the thoracic spine is Figure 1. (left) The spine has three natural curves that form kyphosis, also called hunchback. an S-shape; strong muscles keep our spine in alignment. -
The Chiropractic Adjuster (1921)
THE CHIROPRACTIC ADJUSTER A Compilation of the Writings of D. D. PALMER by his son B. J. PALMER. D. C., Ph. C. President THE PALMER SCHOOL OF CHIROPRACTIC Davenport, Iowa, U. S. A. The Palmer School of Chiropractic Publishers Davenport, Iowa Copyright, 1921 B. J. PALMER, D. C., Ph. C. Davenport, Iowa, U. S. A. PREFACE My father was a prolific writer. He wrote much on many subjects. Some were directly apropos to chiropractic, many of them were foreign to it. He was very versatile in thinking, writing and speaking. He was a broad reader and a radical thinker. Away back in the years past, when I was but a boy, I recall going to his waste-basket each night, picking out the many sheets of long-hand, hand-written copies of his writings. I saved them. I saved them through the years, as much as I could. The compilation of these constituted my first step towards a scrapbook. Although chiropractic was not so named until 1895, yet the naming of “chiropractic” was much like the naming of a baby; it was nine months old before it was named. Chiropractic, in the beginning of the thoughts upon which it was named, dates back at least five years previous to 1895. During those five years, as I review many of these writings, I find they talk about various phases of that which now constitutes some of the phases of our present day philosophy, showing that my father was thinking along and towards those lines which eventually, suddenly crystallized in the accidental case of Harvey Lillard, after which it sprung suddenly into fire and produced the white hot blaze. -
Occipital Neuralgia: a Literature Review of Current Treatments from Traditional Medicine to CAM Treatments
Occipital Neuralgia: A Literature Review of Current Treatments from Traditional Medicine to CAM Treatments By Nikole Benavides Faculty Advisor: Dr. Patrick Montgomery Graduation: April 2011 1 Abstract Objective. This article provides an overview of the current and upcoming treatments for people who suffer from the signs and symptoms of greater occipital neuralgia. Types of treatments will be analyzed and discussed, varying from traditional Western medicine to treatments from complementary and alternative health care. Methods. A PubMed search was performed using the key words listed in this abstract. Results. Twenty-nine references were used in this literature review. The current literature reveals abundant peer reviewed research on medications used to treat this malady, but relatively little on the CAM approach. Conclusion. Occipital Neuralgia has become one of the more complicated headaches to diagnose. The symptoms often mimic those of other headaches and can occur post-trauma or due to other contributing factors. There are a variety of treatments that involve surgery or blocking of the greater occipital nerve. As people continue to seek more natural treatments, the need for alternative treatments is on the rise. Key Words. Occipital Neuralgia; Headache; Alternative Treatments; Acupuncture; Chiropractic; Nutrition 2 Introduction Occipital neuralgia is a type of headache that describes the irritation of the greater occipital nerve and the signs and symptoms associated with it. It is a difficult headache to diagnose due to the variety of signs and symptoms it presents with. It can be due to a post-traumatic event, degenerative changes, congenital anomalies, or other factors (10). The patterns of occipital neuralgia mimic those of other headaches. -
Vertebral Column
Vertebral Column • Backbone consists of Cervical 26 vertebrae. • Five vertebral regions – Cervical vertebrae (7) Thoracic in the neck. – Thoracic vertebrae (12) in the thorax. – Lumbar vertebrae (5) in the lower back. Lumbar – Sacrum (5, fused). – Coccyx (4, fused). Sacrum Coccyx Scoliosis Lordosis Kyphosis Atlas (C1) Posterior tubercle Vertebral foramen Tubercle for transverse ligament Superior articular facet Transverse Transverse process foramen Facet for dens Anterior tubercle • Atlas- ring of bone, superior facets for occipital condyles. – Nodding movement signifies “yes”. Axis (C2) Spinous process Lamina Vertebral foramen Transverse foramen Transverse process Superior articular facet Odontoid process (dens) •Axis- dens or odontoid process is body of atlas. – Pivotal movement signifies “no”. Typical Cervical Vertebra (C3-C7) • Smaller bodies • Larger spinal canal • Transverse processes –Shorter – Transverse foramen for vertebral artery • Spinous processes of C2 to C6 often bifid • 1st and 2nd cervical vertebrae are unique – Atlas & axis Typical Cervical Vertebra Spinous process (bifid) Lamina Vertebral foramen Inferior articular process Superior articular process Transverse foramen Pedicle Transverse process Body Thoracic Vertebrae (T1-T12) • Larger and stronger bodies • Longer transverse & spinous processes • Demifacets on body for head of rib • Facets on transverse processes (T1-T10) for tubercle of rib Thoracic Vertebra- superior view Spinous process Transverse process Facet for tubercle of rib Lamina Superior articular process -
Chiropractic Scope of Practice Sunrise Review
Information Summary and Recommendations Chiropractic Scope of Practice Sunrise Review December 2013 Publication Number 631-046 For more information or additional copies of this report contact: Health Systems Quality Assurance Office of the Assistant Secretary PO Box 47850 Olympia, WA 98504-7850 360-236-4612 John Wiesman, DrPH, MPH Secretary of Health This page left intentionally blank. Page Contents 1 The Sunrise Review Process 3 Executive Summary 7 Summary of Information 19 Review of Proposal Using Sunrise Criteria 21 Detailed Recommendations 23 Summary of Rebuttals to Draft Recommendations Appendix A: Applicant Report Appendix B: Proposed Bill Appendix C: Applicant Follow-Up Appendix D: Public Hearing Transcript and Participant List Appendix E: Written Comments Appendix F: Pre-participation Physical Evaluation Form Recommended by the Washington Interscholastic Activities Association (WIAA) Appendix G: Medical Examination Report for Commercial Driver Fitness Determination Appendix H: Rebuttals to Draft Recommendations This page left intentionally blank. THE SUNRISE REVIEW PROCESS A sunrise review is an evaluation of a proposal to change the laws regulating health professions in Washington. The Washington State Legislature’s intent, as stated in chapter 18.120 RCW, is to permit all qualified people to provide health services unless there is an overwhelming need for the state to protect the interests of the public by restricting entry into the profession. Changes to the scope of practice should benefit the public. The Sunrise Act (RCW 18.120.010) says a health care profession should be regulated or scope of practice expanded only when: Unregulated practice can clearly harm or endanger the health, safety or welfare of the public, and the potential for the harm is easily recognizable and not remote or dependent upon tenuous argument; The public needs and can reasonably be expected to benefit from an assurance of initial and continuing professional ability; and The public cannot be effectively protected by other means in a more cost-beneficial manner. -
Chiropractic History: a Primer
PracticeMakers_504474 3/21/05 3:35 AM Page 1 Chiropractic History: a Primer Joseph C. Keating, Jr., Ph.D. Secretary & Historian, National Institute of Chiropractic Research Director, Association for the History of Chiropractic Carl S. Cleveland III, D.C. President, Cleveland Chiropractic Colleges Director, Association for the History of Chiropractic Michael Menke, M.A., D.C. Faculty Member, National University of Health Sciences Faculty Member, University of Arizona 1 PracticeMakers_504474 3/21/05 3:35 AM Page 2 The NCMIC Insurance Company is proud to make this primer of chiropractic history possible through a grant to the Association for the History of Chiropractic. NCMIC recognizes the importance of preserving the rich history of our profession. This primer will hopefully stimulate your interest in this saga, help you to understand the trials and tribula- tions our pioneers endured, and give you a sense of pride and identity. Lee Iacocca, in his book about LIBERTY said: I know that liberty brings with it some obligations. I know we have it today because others fought for it, nourished it, protected it, and then passed it on to us. That is a debt we owe. We owe it to our parents, if they are alive, and to their memory if they are not. But mostly we have an obligation to our own kids. An obligation to pass on this incredible gift to them. This is how civilization works... whatever debt you owe to those who came before you, you pay to those who follow. That is essentially the same responsibility each of us has to preserve and protect the extraordinary history of this great profession. -
Cervical Vertebrae 1 Cervical Vertebrae
Cervical vertebrae 1 Cervical vertebrae Cervical vertebrae or Cervilar Position of human cervical vertebrae (shown in red). It consists of 7 bones, from top to bottom, C1, C2, C3, C4, C5, C6 and C7. A human cervical vertebra Latin Vertebrae cervicales [1] Gray's p.97 [2] MeSH Cervical+vertebrae [3] TA A02.2.02.001 [4] FMA FMA:72063 In vertebrates, cervical vertebrae (singular: vertebra) are those vertebrae immediately inferior to the skull. Thoracic vertebrae in all mammalian species are defined as those vertebrae that also carry a pair of ribs, and lie caudal to the cervical vertebrae. Further caudally follow the lumbar vertebrae, which also belong to the trunk, but do not carry ribs. In reptiles, all trunk vertebrae carry ribs and are called dorsal vertebrae. In many species, though not in mammals, the cervical vertebrae bear ribs. In many other groups, such as lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The transverse processes of mammals are homologous to the cervical ribs of other amniotes. Cervical vertebrae 2 In humans, cervical vertebrae are the smallest of the true vertebrae, and can be readily distinguished from those of the thoracic or lumbar regions by the presence of a foramen (hole) in each transverse process, through which passes the vertebral artery. The remainder of this article focuses upon human anatomy. Structure By convention, the cervical vertebrae are numbered, with the first one (C1) located closest to the skull and higher numbered vertebrae (C2-C7) proceeding away from the skull and down the spine.