Orthospinology Procedures: An Evidence-Based Approach to Spinal Care

346 Pages·2007·14.447 MB·English

by  Kirk Eriksen, Roderic Rochester DC

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i
ORTHOSPINOLOGY
PROCEDURES
An Evidence-Based Approach to Spinal Care
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ORTHOSPINOLOGY
PROCEDURES
An Evidence-Based Approach to Spinal Care
Kirk Eriksen, DC
President, Society of Chiropractic Orthospinology
Part-time Faculty, Northwestern Health Sciences University
Bloomington, Minnesota
Board Member, College of the Upper Cervical Spine
Private Practice
Dothan, Alabama
Roderic P. Rochester, DC
Secretary and Immediate Past President
Society of Chiropractic Orthospinology
Private Practice
Clarkesville, Georgia
Based on the John F. Grostic Model and Procedure
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© 2007 by Lippincott Williams & Wilkins, a Wolters Kluwer business
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LWW.com
All rights reserved. This book is protected by copyright. No part of this book may be
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________________________________________________________________________
Library of Congress Cataloging-in-Publication Data
Orthospinology procedures : an evidence-based approach to spinal care /
authors, Kirk Eriksen, Roderic P. Rochester.
p. ; cm.
"Based on the John F. Grostic model and procedure."
Includes bibliographical references and index.
ISBN-13: 978-0-7817-8436-8 (case)
ISBN-10: 0-7817-8436-0 (case)
1. Spine--Diseases. 2. Lumbar vertebrae--Diseases. 3. Chiropractic. 4.
Evidence-based medicine. I. Eriksen, Kirk, DC. II. Rochester, Roderic P., DC.
[DNLM: 1. Grostic, John F. (John Francis), 1907–1964. 2. Spinal
Diseases—therapy. 3. Cervical Vertebrae. 4. Manipulation,
Chiropractic—methods. WE 725 O7726 2007]
RD768.O7858 2007
617.4'71—dc22
2007000119
________________________________________________________________________
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D E D I C A T I O N S
1950s, Dr. Laney bore most of the expense of the state
association by paying the salary of the secretary and
president who worked almost full-time in the pursuit of
the Alabama chiropractic law. In 1955, he gave a key
speech before a legislative committee in Montgomery in
support of the chiropractic bill. The speech appeared to
have a profound effect as it rallied the chiropractic
forces and became the first move in the direction of get-
ting the Alabama chiropractic law passed. In 1958, the
medical profession charged many of the Birmingham
area chiropractors with practicing medicine without a
license. Laney was arrested and convicted first, most
likely because of his legislative speech and his high-
profile practice. Fortunately, Dr. Laney had the resources
and the will to fight. Laney hired four attorneys and
fought the state’s medical profession in court on two
occasions, with both ending in mistrials. This helped
CECIL D. LANEY, DC assure that chiropractors in Alabama would get their
law.
Cecil Laney, DC, is a 1949 Palmer School of Chiropractic Dr. Laney began researching instrument cervical
graduate. Before becoming a chiropractor, he served adjusting in 1954, and he is known as “The Father of
aboard United States submarines in World War II and Instrument Cervical Adjusting.” In the 1960s, he
received the Presidential Citation for Heroism in invented the hand-held solenoid-powered cervical
Action. During his chiropractic career, Dr. Laney served adjusting instrument. He shipped about 600 to over 40
one term each as the International Chiropractors states and some foreign countries at less than his cost
Association (ICA) Assemblyman from Alabama and on of manufacturing the instrument. Laney also invented
the Alabama State Board of Chiropractic Examiners. the table-mounted Torque Specific cervical adjusting
Interestingly, he completed postgraduate courses in instrument. He spent an enormous amount of money
roentgenology conducted by Texas Chiropractic College and thousands of hours of time in the process and orig-
and became board eligible for obtaining a Diplomate of inally made it a gift to Life University. Dr. Laney made a
the American Chiropractic Board of Radiology (DACBR). pledge early in his career that he would not profit from
In 1975, the Alabama State Chiropractic Association a fellow chiropractor nor accept remuneration for help
(ASCA) elected him “Chiropractor of the Year.” He man- he would give to his fellow colleagues. He has lectured
aged chiropractic practices in three cities (Anniston, at countless seminars across the U.S., as well as in
Birmingham, and Homewood) for 37 years before retiring Japan and Canada. He has donated fees obtained out-
in 1986. However, he has remained very active in the chi- side of his practice back to the profession. He pur-
ropractic profession for over 20 years since leaving pri- posely did not seek patents on any of his inventions so
vate practice. Dr. Laney is clearly the single most impor- that others could copy them. Throughout the years he
tant individual in the history of Orthospinology since the has been a regular financial contributor to Life
organization’s inception. His contributions to the University. In 1998, he was the top contributor to the
advancement of The Work are reviewed in Chapter 14 institution. He established the “Cecil D. Laney
and throughout this text. Endowment Fund” for Life University that will eventu-
Dr. Cecil Laney was a key player in the formation of ally put more than two million dollars in the chiroprac-
the ASCA in 1951. For a period of three years in the mid- tic profession.
v
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vi DEDICATIONS
Palmer College of Chiropractic (PCC) in 1964. Upon Dr.
Grostic’s death, Dr. David D. Palmer (President of PCC)
issued the following statement:
John Grostic was a man who lived nobly. We need not
fear that he will have lived in vain. ‘That something’
which radiated from him with an inner light has given our
profession a scientific principle that will mean a great
deal in years to come. His countless number of loyal
friends join with me in feeling shock and regret.
As an individual he was filled with a fervor to help
mankind with breadth of vision, with courage and
endurance. Men like John ‘history delights to honor, for,
in the end, time endorses God’s evaluation.’ John was
one of the great and distinguished alumni of the Palmer
College.
L. W. Rutherford, D.C. (former ICA President)
reflected on Dr. Grostic’s contributions to the profes-
JOHN F. GROSTIC, DC (1907–1964) sion and mankind:
For his having lived, our lives are richer, richer with
Research is the delving for facts and principles. Any fact or the knowledge and potential of the application of the chi-
principle laid down by one researcher which can and has ropractic principle. Dr. John Grostic lived chiropractic. He
been applied by others can be applied by all—providing exemplified the truth chiropractic holds. By example, he
all elements are understood and utilized with accuracy. demonstrated the depth and width of one of the most won-
With this thought in mind, we may rest assured that the derful services man can offer to help his fellow man, that
vast mass of suffering humanity may benefit by this work of the spinal adjustment releasing the imprisoned
which, God willing, you Chiropractors shall give to them impulse, re-establishing a normal flow of energy from
through the more skillful use of your hands. brain to body, and allowing a full innate expression to
restore and maintain health. To him, the principle was all-
It is rare that one man can have such a profound encompassing and all-inclusive. And every problem was a
impact on history and the health and well being of challenge. But the great Universal Intelligence has seen fit
mankind. One such man is John Francis Grostic and his to call him away from us—why we know not—nor should
legacy has lived on through thousands of dedicated chi- we know. We only know that the work he has started in
ropractors and their countless patients. Chapter 1 of applying this principle will live and be further developed.
this text chronicles his life before and after becoming a At this period in the evolution of chiropractic, his life, as
chiropractor. Dr. Grostic graduated from Palmer School an example, should and will help unite this great profession
of Chiropractic in 1933. He was one of 11 founding mem- closer to the philosophy, science, and art of chiropractic.
bers of the Palmer Standardized Chiropractors Council. He so aptly demonstrated what could be accomplished
Grostic was vice president of the Palmer College Alumni through spinal adjustment to those who came far and wide
Michigan chapter and was known to be politically active for his services. To his family, as President of ICA, may I
on issues related to his profession. Dr. Grostic was given express our deepest sorrow. As a member of ICA, we shall
the first-ever Daniel David Palmer Scientific award by miss him, his example and genius.
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C O N T E N T S
Reviewers and Contributors ix
About the Authors xi
Forewords by Guy F. Riekeman and Gerard W. Clum xiii
Preface xv
Acknowledgments xvii
CHAPTER 1 History of the Grostic/Orthospinology Procedure 1
CHAPTER 2 X-Ray Equipment, Alignment, and Patient Safety 38
CHAPTER 3 Patient Placement for Cervical Radiographs 48
CHAPTER 4 Analyzing the Lateral Cervical X-Ray 60
CHAPTER 5 Analyzing the Nasium X-Ray 70
CHAPTER 6 Analyzing the Vertex X-Ray 86
CHAPTER 7 Height Factors 93
CHAPTER 8 X-Ray Analysis Validity 97
CHAPTER 9 Supine Leg Check and Postural Assessment 109
CHAPTER 10 Outcome Assessments and Documentation 122
CHAPTER 11 General Types of Upper Cervical Subluxations 150
CHAPTER 12 Table Placement 154
CHAPTER 13 Hand Adjustment 159
CHAPTER 14 Instrument Adjusting 171
CHAPTER 15 Neurophysiology and the Upper Cervical Subluxation 183
CHAPTER 16 Upper Cervical Biomechanics 214
CHAPTER 17 High/Low Factors, Levers and Wedges 223
CHAPTER 18 Pediatric Spinal Care 231
CHAPTER 19 Managing Difficult Cases and Patient Instructions 242
CHAPTER 20 Postadjustment X-Ray Evaluation 263
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viii CONTENTS
CHAPTER 21 Review of Studies on the Validity of Upper Cervical
Chiropractic Care 269
Glossary 287
Index 297
See www.lww.com/orthospinologyfor Table of Resultant Angles for Instrument Adjusting.
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R E V I E W E R S A N D C O N T R I B U T O R S
REVIEWERS CONTRIBUTORS
Roger Hinson, DC Richard J. Grostic, DC (Chapter 1)
Private Practice, Atlanta, Georgia Private Practice, Kennesaw, Georgia
James K. Humber, Jr, DC Julie Mayer Hunt, DC, DICCP (Chapter 18)
Vice President, Society of Chiropractic Orthospinology Board Member, Society of Chiropractic Orthospinology
Semi-retired from Private Practice Diplomate, ICA Council on Chiropractic Pediatrics
Secretary, Academy of Upper Cervical Chiropractic
Cecil D. Laney, DC Organizations
Advisory Board Member, Society of Chiropractic Private Practice, Clearwater, Florida
Orthospinology
Designer, Laney hand-held and Torque Specific
adjusting instruments
Retired from Private Practice
Melissa Olmsted, MA, DC
Private Practice, Trinity, Florida
Other Peer Reviewers
Dr. Gene Giggleman, DMV
Dean, Parker College of Chiropractic, Dallas, Texas
Dr. Christopher Kent, DC
Co-Founder, Chiropractic Leadership Alliance,
Mahwah, New Jersey
Dr. Thomas Redenbaugh, DC
Chair, Parker College of Chiropractic, Dallas, Texas
Dr. Matthew McCoy, DC
Editor, Journal of Vertebral Subluxation Research,
Woodstock, Georgia
Dr. Robert Irwin, DC
Assistant Professor, Clinical Science, Sherman College
of Chiropractic, Spartanburg, South Carolina
Dr. Claudia Seay, DC
Associate Professor, Clinical Science, Sherman College
of Chiropractic, Spartanburg, South Carolina
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