TITLE

Chiropractic Management of a Patient With Systemic Lupus Erythematosus

AUTHOR(S)
DeVocht, James W.; Owens Jr., Edward F.; Gudavalli, M. Ram; Bhogal, Ramneek; Strazewski, John
PUB. DATE
March 2008
SOURCE
Journal of Chiropractic Education (Association of Chiropractic C;Spring2008, Vol. 22 Issue 1, p55
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Toggle recoil students practice thrusting on a speeder board to develop motor control. We are exploring the feasibility of evaluating student thrusts in comparison to their instructors. We first attempted to compare the peak force and thrust duration measured from recorded force/time profiles. However, we did not anticipate some of the variables in the observed force/time profiles. Methods: The speeder board has a padded, hinged top portion supported by a "drop" mechanism that releases under pressure. We instrumented a speeder board with a load cell interfaced to a laptop computer. Students in a toggle recoil class were invited to participate and signed an Institutional Review Board-approved consent form. Thrusts were recorded at three time points during a term. Results: The force/time profiles we recorded were not found to resemble previous reports. Instead of a smooth rise and fall from a single peak, the plot had two peaks of varying relative magnitudes. The first peak was relatively constant and corresponded to the force required to trigger the speeder board drop mechanism. The second peak varied from being smaller than the first peak to being much larger. It corresponded to the maximum force applied after the drop. There was considerable variation among the profiles of the instructors as well as among the profiles of the students. Conclusion: The force/time profile generated by thrusting on a speeder board is complex and valuable. The triggering of the drop mechanism can be seen in plots and its position and amplitude relative to the doctor's thrust are new variables that must be considered in comparisons of students' and teachers' thrusts. Before profiles can be used as an effective teaching tool, decisions will have to be made about what constitutes an optimal profile. (This is an abstract from a conference presentation only and does not represent a full work that has been peer-reviewed and accepted for publication.)
ACCESSION #
31727598

 

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