Fw: Fwd: Neuromechanical News, June 12, 2001

[Guest guest]

--------- Forwarded message ----------

From: DrC100@...

info@...

Date: Tue, 12 Jun 2001 21:55:35 EDT

Subject: Fwd: Neuromechanical News, June 12, 2001

Message-ID: <b6.16cbe6be.28582217@...>

From the Desk of J. Colloca, D.C.

Neuromechanical News for June 12, 2001

Subject: Reflexes in Whiplash Injury Demonstrate Underlying Mechanism of

Post-Traumatic Headache

Dear Doctors:

Last weekend, we finished the last of our Spring seminars in San

Francisco and before I discuss this week's article, I want to reflect on

the season and give you some insight as to the future. As in any new

start-up, it was a major challenge, but yet came to be a great sucess. I

feel very fortunate to have the support of so many of you who turned out

to spend a weekend of your life with me in 12-hours of post-graduate

education. We certainly had fun while we studied together. For those of

you who haven't made it to a seminar yet, check the website to see " what

others are saying, " and be sure to look for us this fall.

We are just now completing our fall schedule and we will again be going

coast-to-coast with this exciting new program - A Neuromechanical

Approach to Chiropractic. In addition to appearances for other

conventions, this summer I will lecture outside of London July 14-15, so

any of you who would like to travel to Europe this summer, this may be a

great opportunity to do so and study at the same time!

I have also spent the last number of months working on our new

video/Interactive CD-Rom series " Understanding Chiropractic " which will

debut this fall. Broken down into the most pertinent subjects you as a

DC want to address, this series will enable you to not only self-study

the most up-to-date chiropractic effectiveness and rationale studies

availble, but place it in your hands in a very user friendly and

applicable manner for you to take public - to other physicians,

industries, and patients. All good things take time, and I can assure

you that this program is well worth the wait.

In other news, one of our vendors, J-Tech Medical, has packaged " The

Colloca Tracker System " (I asked them to call it the Neuromechanical

program, but they chose Colloca ... just for those of you who think that

I came up with the name) This completely computerized system is both

reliable and valid with Range of Motion assessment utilizing Dual

Inclinometry (to meet the AMA Guidelines) and Pressure Algometry (Based

on Fischer's Protocols)! We developed this system for true,

evidence-based diagnostics. With the click of a button, reports and

graphs are quickly generated for bullet-proof documentation for both

patients and payors. The benefits are endless. Doctors can also add

muscle strength testing, grip, and pinch strength dynamometry to our

modulated system .... simply adding on as they go... and wait till you

see what we are bringing to the table in the very near future! Visit the

website for more info on this fabulous system!

Last, as many of you know, for the past several years, I have

collaborated with Dr. Tony Keller, professor and interim Chair of the

Department of Mechanical Engineering at the University of Vermont. In

much of the work that we did, Dr. Keller and I were supported by the

National Institute of Chiropractic Research, a non-profit organization.

This year, after asking for continued support in January, Dr. Keller and

I have just been informed that the NICR did not have funding available

for the projects that we proposed. Inasmuch, we are seeking financial

support from other funding agencies and private contributions from

doctors like yourself.

In the past 4 years, Dr. Keller and I have completed 16 peer-reviewed

research papers/conference presentations and currently we have an

additional 7 studies in progress. The opportunities that we now have

include investigating the anti-nociceptive effects of adjustments and the

ability of adjustments to inhibit hyperactive paraspinal muscles. These

projects, by far to date will represent our most important work. Dr.

Keller and I will be collaborating this summer here in Phoenix continuing

our longitudinal data draw on patients in this office as well so that we

may document the benefits of chiropractic care. I will be in contact

with you about how you can help keep this important research agenda

going, and in the meantime, if you have any ideas or contacts, please

don't hesitate to let me know.

Now, on to this week's article!

We have heard alot about the recent Duke University review on effective

treatments for headache. In this meta-analysis, Chiropractic care was

clearly shown to be effective in the management of some types of headache

- a message that you should be taking to your patients and to the public!

But how are these headaches caused? What associations may lead us to

believe that chiropractic care would be the most rational intervention in

these types of cases?

A new study published in the June iss ue of the Journal, Pain,

investigates the anti-nociceptive reflex alteration in post-traumatic

headache patients. In this work, researchers from the Department of

Neurology, at the University of Essen, in Essen, Germany measured

temporalis muscle reflexes in post-injury patients demonstrating maked

differences from normal subjects. With the new research available that

demonstrates the convergence of nociceptive signals on the

trigeminocervical nucleus as being causitive in cervicogenic headache

generation, one can add this research to the existing base of knowledge

that demonstrates a clear physiological basis for the symptoms that our

patients present with. Just how chiropractic care influences these

reflexes is one of my great interests.

On that note, see below for the full citation and abstract of this

research. Finally, on the subject of reflexes, I want to congratulate my

friend, Dr. Don Dishman, from the reseach department at New York

Chiropractic College in winning the Haldeman Award at the recent

World Federation of Chiropractic Congress in Paris. Dr. Dishman's paper

continuing his work in understanding reflex responses to spinal

manipulation is not only very well done, but is now making NYCC a major

player in the chiropractic research arena! Great job, Don!

_______________________________________

Keidel M, Rieschke P, Stude P, Eisentraut R, van Schayck R, Diener H.

Antinociceptive reflex alteration in acute posttraumatic headache

following whiplash injury. Pain 2001 Jun;92(3):319-26.

Brainstem-mediated antinociceptive inhibitory reflexes of the temporalis

muscle were investigated in 82 patients (47 F, 35 M, mean age 28.3 years,

SD 9.4) with acute posttraumatic headache (PH) following whiplash injury

but without neurological deficits, bone injury of the cervical spine or a

combined direct head trauma on average 5 days after the acceleration

trauma. Latencies and durations of the early and late exteroceptive

suppression (ES1 and ES2) and the interposed EMG burst (IE) of the EMG of

the voluntarily contracted right temporalis muscle evoked by ipsilateral

stimulation of the second and third branches of the trigeminal nerve were

analyzed and compared to a cohort of 82 normal subjects (43 F, 39 M, mean

age 27.7 years, SD 7.1). Highly significant reflex alterations were found

in patients with PH with a shortening of ES2 duration with delayed onset

and premature ending as the primary parameter of this study, a moderate

prolongation of ES1 and IE duration and a delayed onset of IE. The

latency of ES1 was not significantly changed. These findings indicate

that acute PH in whiplash injury is accompanied by abnormal

antinociceptive brainstem reflexes. We conclude that the abnormality of

the trigeminal inhibitory temporalis reflex is based on a transient

dysfunction of the brainstem-mediated reflex circuit mainly of the late

polysynaptic pathways. The reflex abnormalities are considered as a

neurophysiological correlate of the posttraumatic (cervico)-cephalic pain

syndrome. They point to an altered central pain control in acute PH due

to whiplash injury.

Until next time,

Colloca, D.C.

P.S. Please feel free to share our Newsletter with your friends and

colleagues and encourage them to join our ever-growing mailing list to

receive our newsletter directly!

*************************************************

J. Colloca, D.C.

Neuromechanical Innovations, L.L.C.

11011 S. 48th St., Suite 205

Phoenix, AZ 85044 U.S.A.

Tel. 480-785-8448

Fax. 480-893-2412

Email. CJColloca@...

www.neuromechanical.com

*************************************************

__________________________________________________________

To subscribe or unsubscribe to our free newsletter simply visit:

www.neuromechancial.com

or email your name,address, city, state and postal code to:

newsletter@...

Feel free to forward our newsletter to your friends and colleagues!

__________________________________________________________

© 2001 Neuromechanical Innovations, LLC. All rights reserved.

NeuromechanicalNews is a trademarked and free service of Neuromechanical

Innovations, LLC. and is not liable for any errors in content,

interruptions, or ceasing in deliveryor for any actions taken in reliance

thereon. (480) 785-8442.

__________________________________________________________