Posts Tagged ‘Adjusting Instrument’

The Art of Chiropractic - Art 6

Monday, March 28th, 2011

Art 6. ADJUSTMENTS

“A Chiropractic adjustment is the RESTORATION of a subluxated vertebra to its normal position, by Innate Intelligence.

“This restoration is brought about by Innate recoil or Innate contraction of forces. The contraction of forces takes place in the supporting tissues of the vertebra in question… The Palmer method of arousing Innate to do this… is by means of the Palmer Toggle Recoil.

“…no other method teaches that adjusting is restoration performed by Innate Intelligence.”

In Torque Release Technique (TRT) we teach that an adjustment is “communication through touch”: This builds on this concept that we deliver a correctional vector with intent, but then the body has to do something intelligent with this force, energy and/or information. In other words the real healing begins after your hands have finished.

The defining attributes of a Toggle Recoil adjustment include:

  • Highly specific contact point
  • High speed low amplitude thrust
  • Recoil
  • Torque

During the design of the original TRT research project a statistical problem had to be solved: This was the statistical confounding of touch. Because chiropractic is “done by hand” it is actually quite difficult to achieve statistical significance - a large sample size or huge clinical difference between active treatment and control group is required. Not to mention the “placebo” stigma of human touch. (You know some researchers think that chiropractic works because we are nice to people?)

To avoid this Jay Holder designed a totally new adjusting instrument so that the adjustment could be delivered by a reproducible, reliable and specific tool that reproduce what the hands intend during a Toggle Recoil. While some DCs mistakenly think that an Integrator is just another variation of other standard impact hammers that have been used by Chiropractors for some time, it is important to understand that there are very few similarities in engineering and construction.

The Integrator delivers all of the above factors of the Toggle Recoil but with less force, higher speed and greater specificity than ever possible with the human hand. And the findings of the research suggested that something extra beneficial had been created, so much so that demand for the Integrator in the market place predicated its manufacture. And the assessment and adjusting protocol used by the practitioners during the research project were similary demanded for use in clinical practice - and so began the teaching of Torque Release Technique.

To check out when the next TRT program is go to this link: http://www.torquerelease.com.au/TRT-Seminar.htm

MAKING EVERY ADJUSTMENT COUNT

Saturday, February 6th, 2010

I’ve organised a lot of seminars over quite a few years now (my first was in 1996) and as a result I have had the privilege of meeting every “type” of Chiropractor – and I have found that there is one constant trait that exists across all philosophies, techniques, practice management styles and scopes of practice – and that is a strong desire to provide the best possible therapeutic benefit from each and every “treatment”. Ignoring the very small segment of the profession that is more interested in the bottom line, than the spinal column – I know that each one of us hopes for and even expects that when we adjust someone, something good is going to happen for that person.

And that encounter can look quite different between practitioners. For example, it’s Monday morning and the first patient for the day is waiting, eagerly anticipating that they will be feeling “better” after their adjustment: Here are some possible generic scenarios:

1) The Chiropractor goes through their standard procedure of adjusting both sides of the neck, thrusts on a few thoracics, then rolls the patient onto both sides to loosen up the low Back.

2) The Chiropractor checks their notes from the last progress exam to see which segments had been determined to be needing adjustment for the next course of corrections, and then follows that recipe.

3) The Chiropractor palpates down the spine to find tight and tender points then proceeds to manipulate those symptomatic areas to improve the mechanical function of the spinal joints.

4) The Chiropractor uses some form of orthopaedic or neurological examination which can lead them to adjust anywhere between 6 and 12 subluxations on any given visit.

But there are some inherent weaknesses in the above approaches which must be reconciled if our goal is truly to deliver adjustments with that something extra:

1) If we don’t have a method to prioritise where someone really needs to be adjusted then should we call ourselves practitioners or technicians? One root of burnout is boredom: When every spine starts to look the same and when we start to diminish the value of each adjustment, then our sense of importance and passion also diminishes.

2) If we believe that adjustments initiate change, then shouldn’t the adjustments need to change through time? If a person’s spine and nervous system is healing, adapting and even evolving under our care, then why would today’s adjustment be the same as last month’s adjustment? And if someone’s life circumstances have altered since they started care, wouldn’t the pattern of Subluxation change to reflect this, and last week’s adjustment would now be inappropriate?

3) Chiropractors have long made the claim to be treating the cause. But if we treat based on symptoms, whether pain or tenderness, then don’t we make a mockery of this claim? If we claim to be removing interference from the nervous system, then shouldn’t we have some means of determining where that interference is, and how best to reduce that interference?

4) Most chiropractic techniques have talked about concepts such as primary and secondary subluxations, compensations, referral, distant effects from local interference, reflex projection. In other words not all Subluxations are created equal, and not all Subluxations need to be adjusted on every visit, because adjusting the “primary” subluxation will influence and reduce the connected secondary and compensatory malfunction. If we don’t have a method to differentiate between these types of Subluxations then won’t we be wasting some of our precious time?

Now consider a fifth option: On any given day, at the very moment that you are examining a spine, depending on the most recent physical, chemical and emotional stresses to your practice member’s nervous system, and superimposed over the long term accumulation of tension in their spinal system – there is one predominating subluxation, which if adjusted will produce bigger neurological changes than adjusting any other segment in the spine at that time. You would want to know how to differentially diagnose that segment wouldn’t you?

Watch Short Video Explaining The Concept of Primary Subluxations…

(If you can’t view this video try this link: http://www.screencast.com/t/YjliZjgwN )

This model has been developed during the research method design for a ground breaking, randomised, placebo controlled, prospective scientific project run in conjunction between Holder Research Institute, Turning Point Addiction Recovery facility, and the University of Miami School of Medicine’s famous Biostatistician Bob Duncan. This technique is today called Torque Release Technique and has been published in major journals such as Molecular Psychiatry, the Journal of Psychoactive Drugs, and Journal of Vertebral Subluxation Research, as well as being featured on the Discovery Health Channel.

Thankfully modern chiropractic can stand on the shoulders of its technique pioneering giants: Palmer, Thompson, DeJarnette, Van Rumpt, Logan, Toftness and more contemporary ground breakers like Epstein; and the development of TRT saw the best of the best being integrated to produce an amazingly streamlined and efficient means of determining which segment of the spine needs to be adjusted, with precise correctional vectors, and to confirm the success of a single adjustment or plot the objective improvement in indicators of subluxation through time.

Another gift from the research project was the Integrator – the first chiropractic instrument to be specifically designed and patented for the correction of Subluxations. What makes the Integrator stand alone is its ability to deliver a three-dimensional correction which includes all of the defining features of a Toggle Recoil adjustment – high speed, recoil, and torque. Plus it offers a feature that takes reproducibility and reliability to new levels – a preloading trigger that means that every adjustment delivers just the right amount of force and frequency.

Because of these breakthroughs TRT developed the reputation for being the twenty first century technique for Chiropractors to shift their practice model away from a mechanical and orthopaedic paradigm, towards a neurological and tonal application of our wonderful vitalistic philosophy.

And the consistent feedback from the hundreds of Chiropractors who have now completed TRT training is that it provides that missing piece in the technique puzzle – how to provide an adjustment which responds to the current physiological needs of the practice members’ nervous system, and how to generate big changes in state of wellbeing on each and every adjustment – physical, chemical and emotional.

2010 sees TRT in its 8th year of training Australian Chiropractors with Dr Nick Hodgson offering training programs in varied locations each year. Nick has organised numerous TRT training programs, has been personally mentored by the developer of TRT, Dr Jay Holder, and is one of Australia’s most experienced practitioners.

Click Here To See Upcoming Dates and Locations…

CHIROPRACTIC EVOLUTION

Tuesday, July 3rd, 2007

Through the mid-nineties pivotal chiropractic research was conducted and was published at the beginning of the 21st Century, and yet a large segment of the profession missed it! Why?

1) The findings weren’t published in a peer-reviewed chiropractic journal – they were actually published in two major psychiatric journals; the Journal of Molecular Psychiatry (published by Nature) and the Journal of Psychoactive Drugs: No chiropractor would have received these journals in their post-box.

2) The research involved a patient population commonly ignored by comfortable middle-class chiropractors, namely an addicted population. But this study population was chosen for very specific scientific reasons – they biogenetically possess an inability to achieve a state of wellbeing.

Why was this research potentially so paradigm shifting for the chiropractic profession?

1) The design of the study was overseen by a leading medical biostatistician from the University of Miami, School of Medicine: Nothing was included in the study unless it stood up to his rigorous statistical and evidence-based standards.

2) The study involved randomization, and all of the scientific design expected of longitudinal clinical research, and, three-arms – not just active treatment and control groups, but also a placebo-control group.

3) The acceptance and rejection of various chiropractic examination procedures which lead to a short-list of evidence-based indicators of Subluxation, ultimately synthesizing a technique for analyzing and differentially diagnosing a Primary Subluxation.

4) The need to design an adjusting instrument that provided true reproducibility of the adjustive thrust and the vectors of the classic chiropractic adjustment – the Toggle Recoil.

5) Acceptance of the research results by peer review panels far more rigorous and skeptical than normal chiropractic peer review.

6) A documentary featured on Discovery Health Channel highlighting the findings of the research and giving chiropractic a glowing review.

What was so impressive about the results? To understand this we need to tell you a little about the clients accepted into the trial: These were recovering addicts with many substance-abusing habits, who were undergoing normal 30-day withdrawal in an in-patient facility… Nasty stuff: Major withdrawals, cravings, severe physical and mental symptoms, abstinence-based challenges… all going on at the same time. What happened when they received specific chiropractic adjustments?

1) They finished the program: The gold-standard of recovery is how many clients make it to the end of the thirty days? Good rehab facilities achieve somewhere around 70% retention. When they were adjusted as well, the retention rate increased to 100%… That’s right no-one left! In recovery circles it is common knowledge that if someone drops out of care it isn’t because they’ve started a new job, or had a miraculous healing and didn’t need to hang around. No, they’ll usually be back in their old haunts doing the same old stuff. This finding is huge – if they stayed they must have been doing really well.

2) Their anxiety levels dropped dramatically: This research project didn’t just measure one outcome, it also utilized internationally accepted state of wellbeing questionnaires: When the clients were adjusted the Spielberger’s State of Anxiety Test scores dropped the same amount that it normally takes six months of standard care to achieve.

3) Their depression levels dropped markedly. When the clients were adjusted the Beck’s depression inventory scores dropped the same amount that it normally takes twelve months of standard care to achieve.

4) They didn’t need the usual nursing and first-aid measures demanded by this population. Nursing station visits are actually the biggest overheads in running a rehab facility: When the clients were adjusted only 9% needed to make any nursing station visits – the placebo and normal care groups made visits in 56% and 48% of cases respectively (that’s right the placebo group was more miserable than the normal care group – so much for the argument that chiropractic is a good placebo – this suggest it’s actually a “nocebo”!)

Now wait a minute I hear many of you saying – “I have no interest in treating drug addicts in my practice, so why would I want to learn a technique to treat them?”

Here is the point… the CHIROPRACTIC IN THIS STUDY DID NOT TREAT ADDICTION, IT ADJUSTED SUBLUXATIONS. The in-patient program treated the addiction with the normal abstinence strategies, group therapy, counseling etc. The chiropractic produced massive increases in state of wellbeing, helping the recovery to be more effective. You need to learn how to produce such massive increases in state of wellbeing to, in all of your practice members…

Isn’t this what great chiropractic is about? We don’t fix them, but when we adjust them their body’s healing and recuperative processes are exponentially released to fulfill their true potential – great chiropractic that is…

So why would you learn Torque Release Technique the chiropractic model that evolved through this scientific process?

1) Wouldn’t you love your client retention to reach record proportions? There’s only one thing that really increases retention – RESULTS. You might be a great salesperson and be able to coerce people into hanging around, but when they FEEL the benefits they don’t need any convincing.

2) No-one refers like an excited customer: Do you think that massive changes in emotional and mental status would excite your clients? When their back pain’s gone they quickly forget why they are coming to see you: But when the lights get turned on every adjustment, you’ll be impressed when they start to ask if it is alright for them to regularly come back for more, and and can they bring someone else with them?

3) If we are truly a wellness profession, then our clients’ dependence on symptomatic and crisis care should start to vanish. How thankful do you think your clients will be when they notice how they aren’t spending so much on panadol, panadeine and nurofen, and they no longer have to spend ages sitting in the MD’s waiting room with all those miserably infectious people? How much easier will your practice hours be when no-one is winging and whining about their latest ache?

4) Wouldn’t you like to get to the end of the day after having seen more clients than ever before, and not be emotionally and physically spent? With TRT you can speed up your decision making, reduce the number of adjustments per visit, and minimise all the extra stuff you do trying to hit the right spot.

5) So you can be sure you are using the most evidence-based technique ever available to the chiropractic profession. Make sure you have total proficiency in the procedures accepted by one of medicine’s top biostatisticians – discover if you’re wasting your time doing stuff that was rejected?

6) So you can access the Integrator Adjusting Instrument, the only instrument with pre-loading, recoil, torque, stunningly high speed (1/10,000 sec), low force, and neurologically-based impulse frequency.

7) To be trained in the technique that provides you with the vitalistic, tonal, non-linear, neurologically-based adjusting technique to go hand-in-hand with your vitalistic chiropractic philosophy – Leave behind the mechanistic methods that have held back chiropractic practice in the twentieth century.