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	<title>Comments on: Researching the Subluxation Complex</title>
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	<link>http://www.chiro.org/wordpress/?p=2878</link>
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		<title>By: Michael Fiske DC -- Vacaville Chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=2878&#038;cpage=1#comment-10197</link>
		<dc:creator>Michael Fiske DC -- Vacaville Chiropractor</dc:creator>
		<pubDate>Sat, 19 Jun 2010 06:58:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=2878#comment-10197</guid>
		<description><![CDATA[Sensorimotor integration is so fundamentally important to our functioning, yet it is so basic and subtle that most people are not very aware of its importance.  The challenge is to develop ways to measure it and demonstrate its presence and absence to patients.  I like the authors idea of a specific questionnaire -- this could be a useful outcome measure.]]></description>
		<content:encoded><![CDATA[<p>Sensorimotor integration is so fundamentally important to our functioning, yet it is so basic and subtle that most people are not very aware of its importance.  The challenge is to develop ways to measure it and demonstrate its presence and absence to patients.  I like the authors idea of a specific questionnaire &#8212; this could be a useful outcome measure.</p>
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		<title>By: Dr. Lisa (USA)</title>
		<link>http://www.chiro.org/wordpress/?p=2878&#038;cpage=1#comment-9917</link>
		<dc:creator>Dr. Lisa (USA)</dc:creator>
		<pubDate>Sun, 13 Jun 2010 17:13:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=2878#comment-9917</guid>
		<description><![CDATA[Make this front page of every trade journal.]]></description>
		<content:encoded><![CDATA[<p>Make this front page of every trade journal.</p>
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		<title>By: Terry A. Rondberg, DC</title>
		<link>http://www.chiro.org/wordpress/?p=2878&#038;cpage=1#comment-9736</link>
		<dc:creator>Terry A. Rondberg, DC</dc:creator>
		<pubDate>Mon, 07 Jun 2010 18:42:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=2878#comment-9736</guid>
		<description><![CDATA[This is an important research paper and it&#039;s great that you got permission to reprint it here. The more we understand about the neurological impact of subluxations and adjustments, the closer we will come to being the &quot;first line of defense&quot; in the health care field.

&lt;HR&gt;

&lt;B&gt;RESPONSE from Frank:

Thanks Dr. Terry,

As far back as 1993 Manga suggested that &quot;A very good case can be made for making chiropractors the gatekeepers for management of low-back pain in the Workers&#039; Compensation System in Ontario&quot; [&lt;FONT COLOR=&quot;#B22222&quot;&gt;1&lt;/FONT&gt;].

Since that time numerous studies have demonstrated chiropractic&#039;s efficacy and cost-effectiveness [&lt;FONT COLOR=&quot;#B22222&quot;&gt;2&lt;/FONT&gt;], not to mention safety [&lt;FONT COLOR=&quot;#B22222&quot;&gt;3&lt;/FONT&gt;],  in treating neck pain, headaches, and thoracic spine pain, so that it&#039;s now reasonable to recommend chiropractors as the gatekeepers in all hospitals, for any patients presenting with neuromusculoskeletal complaints. 

If the patient then needs additional imaging or medical management, we can refer them to appropriate providers, but otherwise it would slash the costs asscociated with unnecessary special studies ordered by doctors to compensate for their low level of training in NMS disgnosis. [&lt;FONT COLOR=&quot;#B22222&quot;&gt;4&lt;/FONT&gt;]

&lt;BIG&gt;REFERENCES:&lt;/BIG&gt;
1.  &lt;FONT COLOR=&quot;#B22222&quot;&gt;A Study to Examine the Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain  (akas The Manga Report 1993)&lt;/FONT&gt;
&lt;a HREF=&quot;http://www.chiro.org/LINKS/GUIDELINES/Manga_93.shtml&quot; TARGET=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;www.chiro.org/LINKS/GUIDELINES/Manga_93.shtml&lt;/A&gt;

2.  &lt;FONT COLOR=&quot;#B22222&quot;&gt;The Cost-Effectiveness of Chiropractic Page&lt;/FONT&gt;
&lt;a HREF=&quot;http://www.chiro.org/LINKS/Cost_Effectiveness.shtml&quot; TARGET=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;www.chiro.org/LINKS/Cost_Effectiveness.shtml&lt;/A&gt;

3. &lt;FONT COLOR=&quot;#B22222&quot;&gt;The Safety of Chiropractic Page&lt;/FONT&gt;
&lt;a HREF=&quot;http://www.chiro.org/LINKS/Safety.shtml&quot; TARGET=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;www.chiro.org/LINKS/Safety.shtml&lt;/A&gt;

4.  &lt;FONT COLOR=&quot;#B22222&quot;&gt;End Medical Mis-Management of Musculoskeletal Complaints&lt;/FONT&gt;
&lt;a HREF=&quot;http://www.chiro.org/ChiroZine/End_Medical_Mis-Management_of_Musculoskeletal_Complaints.shtml&quot; TARGET=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;www.chiro.org/ChiroZine/End_Medical_Mis-Management_of_Musculoskeletal_Complaints.shtml&lt;/A&gt;&lt;/B&gt;]]></description>
		<content:encoded><![CDATA[<p>This is an important research paper and it&#8217;s great that you got permission to reprint it here. The more we understand about the neurological impact of subluxations and adjustments, the closer we will come to being the &#8220;first line of defense&#8221; in the health care field.</p>
<hr />
<p><b>RESPONSE from Frank:</p>
<p>Thanks Dr. Terry,</p>
<p>As far back as 1993 Manga suggested that &#8220;A very good case can be made for making chiropractors the gatekeepers for management of low-back pain in the Workers&#8217; Compensation System in Ontario&#8221; [<font COLOR="#B22222">1</font>].</p>
<p>Since that time numerous studies have demonstrated chiropractic&#8217;s efficacy and cost-effectiveness [<font COLOR="#B22222">2</font>], not to mention safety [<font COLOR="#B22222">3</font>],  in treating neck pain, headaches, and thoracic spine pain, so that it&#8217;s now reasonable to recommend chiropractors as the gatekeepers in all hospitals, for any patients presenting with neuromusculoskeletal complaints. </p>
<p>If the patient then needs additional imaging or medical management, we can refer them to appropriate providers, but otherwise it would slash the costs asscociated with unnecessary special studies ordered by doctors to compensate for their low level of training in NMS disgnosis. [<font COLOR="#B22222">4</font>]</p>
<p><big>REFERENCES:</big><br />
1.  <font COLOR="#B22222">A Study to Examine the Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain  (akas The Manga Report 1993)</font><br />
<a HREF="http://www.chiro.org/LINKS/GUIDELINES/Manga_93.shtml" TARGET="_blank" rel="nofollow">http://www.chiro.org/LINKS/GUIDELINES/Manga_93.shtml</a></p>
<p>2.  <font COLOR="#B22222">The Cost-Effectiveness of Chiropractic Page</font><br />
<a HREF="http://www.chiro.org/LINKS/Cost_Effectiveness.shtml" TARGET="_blank" rel="nofollow">http://www.chiro.org/LINKS/Cost_Effectiveness.shtml</a></p>
<p>3. <font COLOR="#B22222">The Safety of Chiropractic Page</font><br />
<a HREF="http://www.chiro.org/LINKS/Safety.shtml" TARGET="_blank" rel="nofollow">http://www.chiro.org/LINKS/Safety.shtml</a></p>
<p>4.  <font COLOR="#B22222">End Medical Mis-Management of Musculoskeletal Complaints</font><br />
<a HREF="http://www.chiro.org/ChiroZine/End_Medical_Mis-Management_of_Musculoskeletal_Complaints.shtml" TARGET="_blank" rel="nofollow">http://www.chiro.org/ChiroZine/End_Medical_Mis-Management_of_Musculoskeletal_Complaints.shtml</a></b></p>
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