Manipulative Therapies Flashcards
Chiropractic medicine
treatment based on the belief that the nervous system, skeletal system, and muscular system interact, and if that interaction is blocked, disease and/or pain will occur
Belief that body has inherent ability to heal itself if nerve impulses can travel freely between brain and rest of body
Chiropractic method of treatment
relieve blockage by using spinal manipulations or adjustments
Subluxation
1+ bones of the spine that have moved out of position and cause pressure on or irritate the spinal nerves
Adjustment/spinal manipulation
manipulating misaligned vertebrae or other joints in the body back in place
Adjust the spinal vertebrae that surround the spinal cord to release pressure on spine/nerves that connect to and innervate body
Bonesetters
people who set the broken bones without conducting surgery
Practiced in Europe, North Africa, Asia
Western folk medicine contains references to bonesetters; said to be early chiropractors
Daniel David Palmer (1845-1913)
1895 - founded chiropractic medicine
Manipulated misaligned vertebrae into place to cure patient of deafness
1898 - Palmer School of Chiropractic
Many problems; jailed for treating without license
David Daniel Palmer believed spinal manipulation could heal ~____% of all diseases
~95%
chiropractors believe good health is determined by a healthy nervous system, particularly a healthy ______ ________
spinal column
Primary belief
= using natural and conservative methods of health care and to allow the body to heal itself without the use of surgery or medication
3 Camps of Chiropractic Philosophy
- Chiropractic Straights
- Chiropractic Mixers
(3) Reform Chiropractic (offshoot of mixers)
Chiropractic straights
~15%
1. Objective straights:
- sole focus is correction of vertebral subluxations
- Do no claim subluxations cause any disease
- more modern than traditional
- Traditional straights:
- adjustments are a plausible treatment for a wide range of diseases
- Believe in innate intelligence = criticism
- Follow Palmer’s doctrine (subluxations cause/contribute to most disease)
- Use only spinal or joint manipulations to cure every sort of disease (no heat)
Chiropractic Mixers
- majority of chiropractors
- Believe that disease is caused by pathogens
- Subluxations cause lower resistance to disease or cause neurological imbalance
- Use spinal adjustments + other adjuncts (heat, light, vitamins, physical/mechanical adjustments)
reform chiropractic
- Offshoot of mixers
- Considered most biomedical of group
- Rejected Palmer philosophy, avoiding alternative medicine
- Chiropractic care only for musculoskeletal disorders
- Did not believe spinal joint dysfunction is the cause of disease = did not focus on subluxations only
- Aimed to create “orthopractic group” = failed
Vaccination
Historically opposed to vaccination and water fluoridation
- belief that all diseases were traceable to causes in the spine, and therefore could not be affected by vaccines
- body is conditioned to fight off disease and that vaccines may be lulling people into a “false sense of security
Many do not promote the use or nonuse
Fluoridation
more controversial
Many countries rejecting because they believe drinking water is not the appropriate vehicle for delivering medication
- believe ingesting is less effective than topical application
Known toxic effects
- Children developing dental fluorosis, discolored teeth
- before units filtered out fluoride, people on dialysis were developing bone disease
_______ are a major diagnostic tool for chiropractors
X-rays
Diagnosis
○ X-rays are a major diagnostic tool
○ Physical examination of injured area
○ History is taken
Treatment plan formulated
Chiropractic Techniques
- Basic Chiropractic Adjustments
- Thompson Chiropractic Technique
- Cox Flexion/Distraction Chiropractic Technique
- Gonstead Chiropractic Technique
- Basic Chiropractic Adjustments
= most common
*Velocity (high or low speed)
*Force (high or low)
*Lever (short or long)
*Recoil
= Most used = high velocity, short lever, low force
- Thompson Chiropractic Technique
AKA drop-table technique
- Analyzing the length of the leg and using a drop table for adjustment
- Gentle thrust is applied to joints, setting drop table into motion
*high velocity, low force
- Cox Flexion/Distraction Chiropractic Technique
- Restore range in motion in joints and muscles
- Uses special table that flexes and bends various joints
- Restore herniated discs, reduce headaches, and improve posture
*Low velocity, low force
**uses activator sometimes
- Gonstead Chiropractic Technique
- Application of different levels of pressure to address subluxations
- Increase muscle and joint mobility
- Short lever, high velocity, low force
- Use different types of tables and often patient is sitting up