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Jan. 2004 Update of Research Activities

Introduction

Hello everyone for the first time in 2004. I hope that you all enjoyed the holiday period and the festive season was good to you.

This document will summarize the activities of the last six months or so in the area of research and course development. It is my belief that 2003 will go down as a significant period in the development and implementation of NET. The background work that has gone into setting up the research effort by people such as Drs Monti, Bablis, Walker and Pollard will in the next year bear significant fruit. This work will provide a springboard to other projects and further the credibility and acceptance of NET methods by practitioners the world over.

The following paragraphs will outline some of the activities of the Research Committee (Bablis (Chair), Walker & Pollard) undertaken in the recent past.

Regular meetings have been taken by the members of the group via face to face meetings (Pollard & Bablis) and email and telephone (all members). The communication is effective and frequent. Discussion is frank and helpful. Activity and resultant productivity has been high. The following report will outline the activities of the recent past.

Publications

This year should be a watershed year for publication at ONERF. After much preparation, two manuscripts have been accepted, several additional manuscripts have recently been completed and sent for peer review, and several other projects are in the very final stages of preparation. They will add to the list in the near future. In addition, the background science on NET is beginning to form and will be the subject of further publication at a later time.

This information will be very important as the results of the clinical trials begin to be collected and written up for publication. When that occurs over the next 1-2 years several additional papers will likely result from each trial. As several publications will have been secured by that time, the published works will then be referred to in the results of the randomised trials. This reporting of earlier works will then serve to demonstrate a lineage of scientific activity that is consistent with the best approaches in science. Once the foundation is laid it can be built upon by further works later, and so will grow the scientific and practitioner acceptance of NET. The list of current manuscripts is listed below.

Manuscripts

  1. Pollard H, Lakay B , Frances Tucker F, Watson B , Bablis P
    Interexaminer reliability of the deltoid and psoas muscle test.
    Accepted: Journal of Manipulative & Physiological Therapeutics
  2. Hypothyroidism: A new model for Conservative Management in two cases
    Bablis P, Pollard H
    Accepted: Chiropractic Journal of Australia.
  3. Practitoner perceptions of emotions associated with pain: A survey
    Walker S, Bablis P, Pollard H, McHardy A
    Submitted: Journal of Manipulative & Physiological Therapeutics
  4. Reflections on the "type O" disorder.
    Pollard H
    Submitted: Journal of Manipulative & Physiological Therapeutics
  5. Emotional disturbance in new patients presenting to chiropractors: A pilot study.
    Pollard H*, Bablis P , Eastwood S, Dillon N, Griffiths A
    Submitted in revised form: Journal of Manipulative & Physiological Therapeutics
  6. A mind-body treatment for hypothyroid dysfunction: a report of two cases.
    Pollard H, Bablis P
    Submitted in revised form: Journal of Manipulative & Physiological Therapeutics
  7. The somatovisceral reflex: How important for the “type O” condition?
    Pollard H
    Submitted: Chiropractic Journal of Australia
  8. Are chronic low back pain outcomes improved with co-management of concurrent depression?
    Middleton P, Pollard H
    Soon to be submitted to: Australasian Chiropractic & Osteopathy.

It should be noted that there is no guarantee that any of the submitted papers will actually be accepted by the journals. All journals are peer reviewed and very competitive to get into. It is also noteworthy that the process of publication is a SLOW one. The average manuscript will take at least six months to be reviewed and then up to 14 months to appear in print once accepted…….

NB: A type “O” disorder is a visceral complaint. A musculoskeletal complaint is sometimes referred to as a type “M” disorder. This terminology was first used in the New Zealand Royal Commission into Chiropractic in 1979.

Research Projects

This year should see the start of an exciting phase for ONERF. We were able to receive Ethics approval for the commencement of three research projects . These projects will begin sometime in March this year.

The research projects are:

i. Randomised controlled trial of chiropractic (NET) for neck pain.

ii. Inter examiner reliability study of the ileo-cecal valve point in low back pain patients.

All three projects will involve the talents of Peter Bablis, Rod Bonello and Henry Pollard.

An MSC student will research NET at Macquarie.

Later this year we will be submitting an additional project to Ethics for approval. The project will be called “A Randomised controlled trial of chiropractic (NET) for hypothyroidism”. It will be conducted by Dr Ben Brown as a requirement for a MSc degree under the supervision of Prof Bonello and Dr Pollard and follows from the earlier work of Bablis & Pollard.

The Phone Survey

Dr Walker came up with the idea to investigate the utilization of NET and practitioner knowledge of the effect of emotion in chiropractic practice. To this effect, Drs Walker, Bablis, Pollard & McHardy conducted a survey of over 1000 randomly assigned practitioners (half in the US and half in Aust) to determine the responses to six targeted questions on this topic. The results were analyzed and submitted to JMPT for publication. No word has been received on this manuscript to date.

The Cancer Study

In addition to the above, Dr Dan Monti has been hitting a few goals with his project: Desensitising distressing recollections in cancer patients. This project was funded by ONERF as a pilot and achieved excellent (and soon to be published) results. The seed funding has allowed Dr Monti to submit a larger grant to the NIH for a much larger study. It is fair to say that his project has attracted a lot of positive attention from the medical fraternity. I am sure that I speak on behalf of everyone at ONERF when we wish you good luck on the grant Dr Monti.

Macquarie University Research projects

As you have read above, much is happening at Macquarie. Despite the occasional difficulty in getting these projects through the Ethics Committee, all that have been submitted have now been approved to commence. This was a significant victory for us. It has been a challenge trying to educate some members of staff as to the merits of NET and the research we are trying to undertake. I am happy to say that we are making progress and our research efforts will move forward this year.

Director of Research

Dr Henry Pollard has recently been voted Director of Research in the Dept of Health & Chiropractic at Macquarie University. He will replace the outgoing Director, Dr Subra Vemulpad. We thank Dr Vemulpad for his efforts whilst at the helm of research in the Department.

NET course at Macquarie

The Department will be restructuring its technique programs in 2004-5, after some add-hoc changes in 2003. An opportunity exists for NET to be included in a revamped technique program in 2005-6.
I wish to acknowledge the fine effort of Dr Alison Griffiths, a twenty-year veteran of teaching at Macquarie. Dr Griffiths is an experienced technique lecturer and NET practitioner who assembled a new course outline with the assistance of Drs Bablis, Walker and Pollard. The course outline has already been presented to the Department for consideration and will receive scrutiny in various stages throughout this and next year. A process that is standard for any new course at the University.

Dr Griffiths has suggested that it is unlikely that any changes will be made to the technique program for 2004, but that opportunity exists for change in 2005 or 2006. To this end, her team has constructed a proposal for the Department to consider. The proposal outlines a complete introductory NET course including outline, synopsis and personnel and teaching materials. It includes the use of local certified NET practitioners to assist in the teaching as well as support from ONERF and NET Inc. for materials to support the course. I am sure that under the wise guidance of Dr Griffiths that this course will become a permanent addition to the curriculum in 2005 or 2006. It is an exciting first step that is being very carefully considered and implemented. As with all such proposals, success is not guaranteed, but we will all be working very hard to have NET in the curriculum of SEVERAL universities soon.

This development comes after the work of Dr Monti in presenting NET to an American University earlier the previous year.

Summary

ONERF is on track to achieve significant momentum this year. Publications, research and a potential new course will form a vanguard that will act as a template for implementation into other venues around the world. We are trailblazing a new way, a way that will set standards for others to follow whilst establishing NET as core technique for practitioners of all persuasions.

Regards,Dr Henry Pollard
Director Research ONERF
On behalf of the Research Committee
(Drs Walker and Bablis)

Stop the press……
Exciting new developments have occurred in May 2004.
These will be updated at Eagles 2004.

 

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