Dear Colleague: The SOT® Research Update is a service offered by SOTO-USA to help doctors become aware of the latest Sacro Occipital Technique® (SOT) research related events, papers, and concepts affecting our practices. Please contact me directly at [email protected] if you are aware of others who might be interested in receiving this quarterly newsletter. For information on SOT and Cranial Certification Series seminars, now taking place in University of Western States - Portland, Oregon and Davenport, Iowa, and Daytona Beach, Florida, please go to the SOTO-USA Events page for more information.
Also the SOT Cranial Certification Series will take place in San Jose, California starting October, to view the dates and topics, click here. An early bird special rate is available for those who want to save a space at the seminar and save money. Remember, you can always have SOTO-USA come to you by: Designing Your Own SOT or Cranial Seminar - Click Here to contact our home office and start the process of designing your own seminar. In this current update issue we will share information about "Who determines how you practice chiropractic." and information about the Landmark Joint ACC, RAC, WFC, NCLC, and ACA Conference in Washington, DC March 15-18, 2017. Also shared will be various related research studies and information about sacroiliac joint fusion, which I hope will be of interest to SOT practitioners. Research takes time and money and will not happen without support of the doctors who benefit from our efforts. Please consider donating to SOT Research so we can protect your future, continue to maintain an active research program, and offer you as many services as possible. A donation of as little as one patient visit a month could go far to helping us build a future for SOT Research. Please contact Dr. Blum at [email protected] to find out how to donate.
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Landmark ACC-RAC, WFC, NCLA, ACA Research Conference
March 15-18, 2017
This year's ACC-RAC Conference in Washington DC, March 15-18, 2017 will be a landmark event not likely seen again for many many years. This year's Association of Chiropractic (ACC) and Research Agenda for Chiropractic (RAC) Conferences will be joined with the World Federation of Chiropractic (WFC) Biennial Congress and National Chiropractic Leadership Conference (NCLC) with the whole conference hosted by the American Chiropractic Association (ACA). Traditionally the ACC RAC Conferences have had close to 500 in attendance, however this upcoming one will have well over 1500 of the most influential doctors in chiropractic. If you want to have your voice heard and become influential in your own rights then please make sure you come to the conference.
This year SOTO-USA was actively involved in submitting many papers to this conference so there is great hope that aside from having clinically-minded doctors attending the conference we will have research to represent diverse methods of chiropractic care. If you want chiropractic to be more than just gross non-specific mobilization of the spine to treat only head, neck and low back pain, then the time is now to attend this conference and make your voice heard loud and clear.
In this arena you can help determine how you practice chiropractic and what types of research might be considered for future studies.
ACC-RAC, WFC, NCLA, ACA Research Conference
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Articles of Interest for SOT Practitioners
Is there evidence for our methods of care?
The following are some interesting abstracts of article pertinent to chiropractors and particularly those who practice SOT.
Head movement, an important contributor to human cerebrospinal fluid circulation.
The suboccipital muscles are connected to the upper cervical spinal dura mater via the myodural bridges (MDBs). Recently, it was suggested that they might work as a pump to provide power for cerebrospinal fluid (CSF) circulation.
Repeat-measures longitudinal study evaluating behavioural and gastrointestinal symptoms in children with autism before, during and after visceral osteopathic technique (VOT)
In a novel research approach, researchers in the United Kingdom assessed the application of visceral osteopathic technique (VOT) to children aged between 3½ and 8 years who had a diagnosis of autism spectrum disorder (ASD) and whose medical records included significant gastrointestinal dysfunction. Forty-nine children met inclusion criteria of ASD and gastrointestinal symptoms, including abdominal distention or pain, constipation, chronic diarrhea, and foul-smelling stools or flatulence.
Effect of cranial osteopathic manipulative medicine on cerebral tissue oxygenation.
The ventricular compression or CV4 technique was studied for its affect on oxygenation. The cranial osteopathic manual medicine suppression technique effectively and progressively reduced cerebral tissue oxygen saturation in both prefrontal lobes with the treatment time.
Therapeutic effects of cranial osteopathic manipulative medicine: a systematic review.
A systematic review was performed of cranial osteopathic manipulative medicine to identify and critically evaluate the literature regarding the clinical efficacy of cranial OMM. While suggesting further study is needed the investigators did find that "positive clinical outcomes were reported for pain reduction, change in autonomic nervous system function, and improvement of sleeping patterns."
Cranial osteopathic manipulative medicine's growing evidence base.
In 2012 Dr. Hollis King presented an overview of the growing evidence base of literature related to cranial bone manipulative therapies.
Assessment of calvarial structure motion by MRI.
The use of MRI technology was able to demonstrate calvarial structure motion at a level exceeding the resolution threshold, and provides a means for further research on phenomena related to the cranial concept.
Low Back Pain and Sciatica
SOT doctors often get patients with low back pain and sciatica better so quickly with category three and two that we don't understand what is happening outside our practices with allied care of this condition. This overview is a research based with a focus on physical therapeutic interventions for the spine divided into passive and active therapies.
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Sacroiliac Joint Fusion for Joint Instability
What about category two treatment?
Apparently there is a huge market for treating sacroiliac (SI) joint pain and according to Lorio et al, "if we assume that 15% of the $100B spent on LBP should be directed at treating SI joint pain, a conservative estimate of the cost of SI joint pain is upwards of $15B in the US alone [1]." SI joint fusion is being marketed as a means to treat lumbopelvic and SI joint pain, though some studies are questioning its secondary side effects.
In a retrospective study by Schütz and Grob of clinical and radiological outcomes with bilateral SI fusion they found on "follow-up (on average 39 months after surgery), 3 patients reported moderate or absent pain, 8 marked pain and 6 severe pain. Seven patients showed a symptomatic non-union; union occurred in only 6 cases. Eighteen percent of the patients were satisfied, but in the other 82% the results were not acceptable. Reoperation was performed in 65% of the patients. Our results with bilateral posterior SIJ fusion were disappointing, which may be related with difficulties in patient selection, as well as with surgical technique [2]."
The most recent study assessing SI joint fusion by Schoell et al cautioned "that minimally invasive SI joint fusion could possibly carry higher risks of complications than previously stated [3]." Even though with a subset of patients' surgical interventions for SIJ pain may be beneficial, "with the difficulty in accurate diagnosis and evidence for the efficacy of SIJ fusion itself lacking, serious consideration of the cause of pain and alternative treatments should be given before performing the operation [4]."
Logically it would seem that conservative care for SI joint instability such as SOT's assessment and treatment for the category two complex would be preferred before joint fusion would be considered. Even if SI joint fusion were considered it would seem that having the joint in as functional position as possible prior to fusion would optimize any successful outcome. Clinically I have found that a progression toward fusion (which I have not yet ever felt a patient needed) would follow incremental increases as follows: SOT Category Two assessment and treatment [5], prone SI joint stabilizing leg lifts [6] , specific prolotherapy injections in regions of instability as directed by "sacral cup findings" [7], if the prolotherapy isn't successful then possibly platelet rich plasma (PRP) injections, and then fusion. So far I have never seen a patient that required fusion.
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Sacro Occipital Technique Organization - USA is a 501c3 non-profit, professional organization formed to promote the awareness, understanding and utilization of the Sacro Occipital Technique method of chiropractic as founded and developed by Dr. Major Bertrand DeJarnette. Look to the SOTO-USA Events page for up to date listing of regional seminars coming to an area near you. The SOT and SOT Cranial certification series will be a great opportunity to learn the essence of SOT or advance your SOT training with integrative classes in SOT, CMRT, and Cranial along with new innovative procedures taught by SOT doctors with decades of experience. The "Sacro Occipital Technique®" mark is owned by SOTO-USA. The "SOT®" mark is owned by SORSI and SOTO-USA is licensed to use the trademark.
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