Posts Tagged ‘Differential Diagnosis’

THE TONAL MODEL OF CHIROPRACTIC - PART 2

Monday, February 14th, 2011

Do You Adjust Every Subluxation? Or do you know how to differentially diagnose the primary Subluxation?

What if some Subluxations are more significant than others? What if there was a way to determine which segment/subluxation most needs to be adjusted at any given moment in time? Let’s find out more about this concept in this short video…

To find out more about Torque Release Technique Training and how to learn the secret to differentially diagnosing the primary subluxation go to this link: http://www.torquerelease.com.au/TRT-Seminar.htm

WHAT IF YOU WERE ONLY ALLOWED TO MAKE ONE ADJUSTMENT?

Wednesday, October 17th, 2007

Imagine if every Australian was allowed to receive one adjustment per week, and that adjustment was covered under Medicare? But here’s the condition: You can only deliver one adjustment per week, per person, and you have to demonstrate the measure benefits of those adjustments every three months using impartial objective outcome tools. I guess there would be a minority of DCs who would think they had found easy street and delivered any old adjustment, in any old fashion, without much consideration for where or how they delivered that adjustment - just so long as the cheques kept rolling in. But for the rest of us, we would want to be completely diligent in ensuring that this one adjustment was a good one, a really good one, and that we adjusted the segment which most needed to be adjusted, and in the right direction because you can’t just hit it on both sides - you only get one shot!!

Think about this in the context of how you currently prioritise how you deliver your adjustments each and every day:

1) Do you start at the bottom and work your way up, or some other variation of this theme? Check and adjust the low back, check and adjust the thoracics, then roll them over and check and adjust their neck? Most DCs have an order in which they adjust everyone. It may not be the order I mentioned, but in most cases it will be a “routine” based on the practitioner’s habit as opposed to some patient-centred findings dictating where you start and finish. STOP IT: Take an extra few seconds to analyse your patients’ spines and make a decision about which is the most important adjustment to make on that visit.

2) Do you adjust the same segments in the same order, any three visits in a row? I thought your practice members were supposed to be getting better and progressing to a new level of health - why then would they continue to have the same subluxations? If you are activating retracing in their body then surely the next layer of subluxation should appear and need to be corrected? And, since they last saw you a lot of different stresses have presented, so they may have a new and different layer appearing on the next visit. Why do we say that the body is a self-healing adaptive organism and then fail to adapt and change our adjustments to keep up? BEWARE: If you check your notes and see that patients are getting the same mix of adjustments on every visit then there’s only two options - A) you put the stuck pattern there with your repetitive habituating stimulus, or, B) their spine isn’t evolving under your care - either way you need to try a new strategy.

3) Do you have a system that allows you to make a live analysis and differential diagnosis of which subluxation wants to be adjusted at any given moment in time? When we teach TRT we show you 14 different indicators of subluxation and train you in the differential diagnosis technique that gives you absolute certainty and precision in making this vital decision…

Click Here To Find Out More About TRT Training…

An interesting question arising from my hypothetical above is for our profession as wellness providers. I used the weekly example based on the observation that:

1) If I could get adjusted as often as I liked I would probably get an adjustment every week;

2) I conducted a highly informal survey of a group of my practice members when I asked them “if you could get adjusted whenever you liked and it didn’t cost you anything, how often would you get adjusted?” The most common reply was “I’d come every week”;

3) I have been using functional assessment technologies in my practice for over a decade and have observed qualitatively and quantitatively the biggest changes when clients are getting adjusted weekly (go beyond three weeks and you will see a significant percentage of clients start to deteriorate functionally);

4) Many chiropractors I have met who claim to be wellness DCs get adjusted weekly and recommend weekly adjustments.

But, how much would this cost the community if every man, woman and child was adjusted weekly: Using the round figure of 20 million people and $40 per adjustment, that comes to $800 million per week.

Here’s the ultimate challenge: We would have to be able to demonstrate without a shadow of a doubt that we were saving the Australian economy at least $1 Billion per week? Can we do this? Your thoughts are welcome…

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.