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Chiropractic Journal of Australia : CJA September 2013
Chiropractic Journal of Australia Volume 43 Number 3 September 2013 117 of the foods that tested positive with AK muscle screening procedures. These serum tests confrmed 19 of the 21 food allergies (90.5%) suspected based on the AK screening procedures. This study represented a conceptual expansion of the standard neurological examination process for food allergies As in the present study and the one by Schmitt and Leisman, Jacobs and a research team from Northwestern College of Chiropractic61 conducted a multi-center clinical trial in 1984 involving 65 patients who were independently evaluated for thyroid dysfunction by AK and laboratory testing. They found that therapy localisation of the neurolymphatic and neurovascular refexes for the teres minor muscle (associated in AK with the thyroid gland), tended to correlate with standard clinical assessments of thyroid function. Each patient was rated on a scale of 1 (unquestionably hypothyroid) to 7 (unquestionably hyperthyroid). AK ratings correlated with clinical ratings (rs = .36, p < .002) and with laboratory ratings (rs = .32, p < .005). Correlation between clinical and laboratory diagnosis was .47, p < 0.000. Three AK therapy localisations had a signifcant correlation with the laboratory diagnosis (p < .05). In a fascinating study by Gregory et al at the Hedley Atkins Breast Unit, Guy's Hospital in London (UK),62 88 women with self-rated moderate or severe mastalgia (breast pain) were treated using applied kinesiology neurolymphatic (Chapman’s) refexes for the tensor fascia lata muscle. The women were predominantly pre-menopausal, and patients with both cyclical and non-cyclical pain were included in the study. Patients' self-rated pain scores, both before and immediately after applied kinesiology were compared, together with a further score 2 months later. Immediately after treatment there was considerable reduction in breast pain in 60% of patients with complete resolution in 18%. At the visit after 2 months, there was a reduction in severity, duration and frequency of pain of 50% or more in about 60% of cases (P<0.0001). The authors concluded "this preliminary study suggests that applied kinesiology may be an effective treatment for mastalgia, without side-effects and merits testing against standard drug therapies." Case and case-series reports (n = 1-50) have been published about the AK treatment of other female conditions, including infertility,63-66 menstrual headaches,67 low back pain and nausea associated with pregnancy,68,69 endometriosis,70 and pre-menstrual syndrome.71 Chiropractic research on menopause The published research on the chiropractic treatment for menopausal women specifcally is surprisingly small. However, in 2004, Jamison presented a survey of 781 chiropractic patients in Australia showing that one in three chiropractic patients were interested in obtaining information on managing menopause and avoiding the complications of osteoporosis from their chiropractors.72 Weber and Masarsky (who employ AK methods in their practices and reports) performed a time-series study of a woman with a four-year history of hot fashes related to peri-menopause. A downward trend in the frequency of hot fashes (based on entries from the patient’s diary and clinical MENOPAUSE AND CHIROPRACTIC CUTHBERT • ROSNER records) was noted following intervention with cervical and upper thoracic adjusting. 73 Another case study was published by these authors regarding a 31 year old female experiencing hot fashes following injections of leuprolide acetate which artifcially induces menopause. In this case, adjustments to the upper cervical and cervicothoracic spine resulted in resolution of both hot fashes and concomitant neck pain.74 Porthoff also describes a multi-modal chiropractic approach to support symptomatic and asymptomatic women through menopause.75 Masarsky and Weber in their two case reports on the chiropractic treatment of menopause speculate about how upper cervical and cervicothoracic subluxations of the spine could be related to hot fashes, by describing how the superior cervical sympathetic ganglion is responsible the sympathetic innervation to the blood vessels of the inner cranium, including those of the hypothalamus and pituitary gland, and how this neuro-endocrine junction is the primary locus of control over the physiology of menopause. They also describe how the stellate ganglion is responsible for cutaneous vasomotor control of the face, the primary zone of disturbances in hot fash. Finally, the authors discuss the infuence of cranial disturbances upon the mechanics, vasomotor tone, and neurology of the head and neck. The neuroendocrine aspect of cranial dysfunctions has been discussed in detail in the chiropractic and osteopathic worlds.76-80 In this report, the MRS proved to be an effective tool during the course of care. The physiological disturbances that might be responsible for each of the menopausal disturbances described in the scale pointed the clinician toward potential underlying causes. Additionally, as the case progressed, the complex cluster of symptoms associated with symptomatic menopause in the patient could be monitored and therapeutically targeted. However, not until each of these areas of disturbance was addressed, was the chiropractic treatment of menopause in the particular case halted or the patient considered to have reached MMI. The resolution of a number of the specific physical fndings at the time of the MMI assessment (the absence of inhibited muscles and sensorimotor provocations that could inhibit strong muscles or strengthen weak muscles -- "negative challenge" in AK nomenclature -- to the spine, pelvis and cranium, and viscerosomatic refexes associated with menopausal symptoms) suggests that the treatment regime may have been effective. This indicates that the physiological changes associated with the improvements in menopausal symptomatology may be at least partially attributed to the AK chiropractic treatments. Additionally, since the correlation between the salivary hormone fndings and the manual muscle tests and other physical fndings were signifcant, the effect of the AK treatments upon the hormone dysfunctions related to the menopausal symptoms may support this correlation as well. Goldman suggests that, when patients with musculoskeletal complaints only temporarily respond to manipulative treatment (in spite of correctly treating physical dysfunctions), it may be useful to specifcally consider abnormal adrenal hormone levels, nutritional assessments and interventions, and endocrine dysfunctions.81
CJA June 2013
CJA December 2013