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Biomedical subjects

J C Keating

Publications and source records attributed to J C Keating.

At least 19 recordsLinked to original sources

A descriptive analysis of the Journal of Manipulative and Physiological Therapeutics, 1989-1996.

BACKGROUND: Two previous reports have summarized the content, institutional affiliations, academic training and funding sources for articles published in the Journal of Manipulative and Physiological Therapeutics (JMPT) from 1978-1986 and 1987-1988. OBJECTIVES: (a) to quantitatively assess the types of articles published in the JMPT from 1989-1996; (b) to identify the affiliations of contributors to the JMPT during this period; (c) to identify the academic backgrounds of contributors to the JMPT from 1989-1996; (d) to identify funding sources for scholarly works published in the JMPT during this period; (e) to identify the proportionate contributions of female authors; (f) to assess the proportion of articles contributed, i.e., foreign vs. domestic sources; and (g) to compare findings for the JMPT from 1989-1996 with similar data for 1978-1988. STUDY DESIGN: Survey of the contents of the JMPT from 1989-1996. METHODS: The contents of the 69 issues of the JMPT from 1989-1996 were reviewed by all authors. Characteristics extracted included category of the article, academic backgrounds of authors, institutional affiliations of authors, funding sources, gender of authors and nation(s) of origin of articles. RESULTS: The annual rate of published contributions to the Journal has more than doubled compared with its first 11 yr of publication, and the proportion of original data reports has grown slightly. Controlled and quasicontrolled clinical trials were 7 times more numerous (n = 28 articles) during the past 8 yr. Chiropractic colleges were the most frequently mentioned affiliation of authors, followed by private practice and nonchiropractic colleges. Collaborative articles submitted by authors at two or more chiropractic colleges grew from only 4 articles from 1978-1988 to 31 articles from 1989-1996. As in previous years, the National College of Chiropractic continued to be the most frequently mentioned academic affiliation of authors. The numbers of articles contributed by those holding scientific (e.g., PhD) and medical degrees have grown substantially. The number of articles mentioning financial support grew from 78 from 1978-1988 to 179 from 1989-1996, and 58 new funding sources were identified. The Foundation for Chiropractic Education and Research continues to be the most frequently mentioned source of funding. Of all articles published in the JMPT from 1989-1996, 21% were authored or coauthored by women. Of 1050 articles, 286 (27%) were authored or coauthored by individuals residing outside the United States of America. CONCLUSIONS: Substantial increases in scholarly activities within the chiropractic profession are suggested by the growth in scholarly products published in the discipline's most distinguished periodical. Increases in controlled outcome studies, collaboration among chiropractic institutions, contributions from nonchiropractors, contributions from nonchiropractic institutions and funding for research suggest a degree of professional maturation and growing interest in the content of the discipline.

Authorship

Cleveland chiropractic: the early years, 1917-1933.

Although the Cleveland family is well known in the profession for the two colleges that carry its name, relatively few of the details of the early activities of these chiropractic pioneers are recalled. This paper traces the early lives and careers of Ruth Ashworth and Carl S. Cleveland, Sr. from their education and marriage at the Palmer School in 1917 through their college operations and national professional activities before the start of the National Chiropractic Association's educational reform initiatives in the mid-1930s. The pair was active in Missouri chiropractors' struggles for licensure in the 1920s and fought to prevent the enactment of basic science legislation later on. The Clevelands remained allied to B. J. Palmer and the Chiropractic Health Bureau (today's International Chiropractors' Association) after the introduction of the neurocalometer (NCM) in 1924. However, they followed a less strident and less extreme course within straight chiropractic than did their Davenport mentor. The Cleveland College perpetuated a full-spine approach to chiropractic technique and always included diagnostic instruction. In the late 1920s and early 1930s, Carl Cleveland's more moderate stance found favor within the unification efforts centered in the International Chiropractic Congress, and he served during 1931-1933 as president of the Congress' division of school leaders. The Cleveland Chiropractic College's battle for economic survival during the lean days of the nation's economic depression is a testimony to its founders' vision and commitment to chiropractic education.

Chiropractic

Origins of the LACC, 1901-1922.

The Los Angeles College of Chiropractic (LACC) can trace its history from D. D. Palmer through Thomas H. Storey, D.C. to Charles A. Cale, D.C., N.D., the LACC's founder. The formation and early history of the College is intimately intertwined with the naturopathic movement and to a lesser extent the osteopathic profession in southern California during the first two decades of this century. Although the school would eventually become the largest producer of chiropractors in the densest chiropractic jurisdiction in the world, its early survival was not always certain, and its later status as a bellwether for the rest of the profession was not yet in evidence. Organized by Charles Cale in 1910 and chartered in 1911, the school would suspend operations for several years (1914-6) while Charles and Linnie Cale acquired osteopathic credentials. The school's rebirth in 1916 marked the beginning of the final push for the initiative act of 1922 that licensed chiropractors and ended some of the most intensive legal persecutions by organized medicine that chiropractors would ever experience. This initial phase of LACC's history (through 1922) set the stage for at least 12 subsequent mergers and reorganizations to form today's LACC. The College would later lead the state's and the profession's efforts to broaden and deepen the chiropractic curriculum during the middle ages of chiropractic.

Chiropractic

Interexaminer reliability and discriminant validity of inclinometric measurement of lumbar rotation in chronic low-back pain patients and subjects without low-back pain.

The interexaminer reliability of an inclinometer procedure to measure lumbar rotation was evaluated by two chiropractic clinicians who examined 25 chronic (greater than 6 months) low-back pain patients and 25 subjects without low-back pain. These groups were compared for differences in mean left, right, and total rotation. Patients who had lumbar spinal surgery were excluded. Twenty-eight men and 22 women, ranging in age from 28-38 years, were evaluated. Reliability between examiners was evaluated by Pearson's correlation coefficient and the intraclass correlation coefficient. All coefficients were significant (P less than 0.01). Errors in prediction and examiner disagreement were evaluated by the standard error of estimate and the interexaminer measurement error. The standard errors of estimate (range: 1.4-4.4) and the interexaminer measurement errors (range: 3.8-10.4) were large compared to the scale of measurement. An analysis of variance of differences between the chronic low-back pain patients and asymptomatics revealed significantly more left rotation in the asymptomatic subjects (F = 8.4; df = 1; P less than 0.006). Also, there was significantly more total rotation in the asymptomatic subjects (F = 4.143; df = 1; P less than 0.048). However, because of the large error attributed to this procedure, it is not possible to say whether the difference between the two groups is a result of the large error or some "real" difference. Therefore, the procedure described in this study should not be used as a clinical outcome measure.

Adult

Who's interested in chiropractic history?

OBJECTIVE: To determine the extent of interest in chiropractic history among chiropractors in various nations, states and provinces. DATA SOURCES: The worldwide chiropractor population distribution was determined by noting the circulation of the biweekly magazine, Dynamic Chiropractic. Interest in chiropractic history among chiropractors was implied by inclusion in the Membership Directory of the Association for the History of Chiropractic (AHC). DATA EXTRACTION: An interest index was derived by expressing the number of members of the AHC as a percentage of the chiropractor population in each region. DATA SYNTHESIS: Worldwide membership in the AHC involves less than 1% of the total estimated chiropractor population; Canadian chiropractors demonstrated twice as much interest proportionately compared to all other members of the profession. CONCLUSIONS: Reasons for the minimal interest in chiropractic history are considered, and recommendations for increasing historical interest and scholarship are provided.

Australia

Interexaminer reliability of eight evaluative dimensions of lumbar segmental abnormality.

The interexaminer reliability of noninvasive methods of examining lumbar spinal segments is not well established. In this project the interexaminer reliability of three experienced chiropractic examiners, who evaluated 21 symptomatic and 25 asymptomatic subjects, was explored. Eight noninvasive segmental examination strategies (dimensions) were employed at each spinal segment from T11/T12 through L5/S1. Marginal to good agreement beyond chance was noted for palpatory pain over osseous structures and in paraspinal soft-tissues. Weaker and less frequently, significant concordance between examiners was noted for detection of temperature differences (greater than or equal to 1.5 degrees F) between adjacent segments and for visual inspection for segmental abnormality. Little significant agreement between examiner was found for active and passive motion palpation, muscle tension palpation and misalignment palpation. This study suggests that "subjective" findings (pain) may be among the most reliable of conservative spinal observations. Weak but significant correlations were found when positive findings for the eight dimensions at each lumbar segment were summed to form a composite joint abnormality index. When the multidimension index was developed using the four most reliable dimensions, slightly stronger correlations were found. The strongest agreement between examiners tended to be found in the lower lumbar spine.

Adult

Interexaminer reliability of the innatometer.

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Chiropractic

Intra- and interobserver reliability of passive motion palpation of the lumbar spine.

Sixty student volunteers were assessed for fixation in the lumbar spine using a passive motion palpation protocol. Subjects were examined in random order by two experienced chiropractors. Every subject was evaluated twice by each examiner. Fixations were judged present or absent for each of five lumbar motion segments. Moderate test-retest agreement beyond chance was noted at L1/2, minimal reliability at L4/5, and no significant agreement within examiners was detected for mid-lumbar segments. Interexaminer agreement beyond chance was poor for all segments assessed. When segments were grouped regionally and re-evaluated, some increase in intrarater agreement was evident, especially at L4/5/S, but interrater agreement was still absent.

Chiropractic

Journal of Manipulative & Physiological Therapeutics: a bibliographic analysis.

The first 9 years of the Journal of Manipulative and Physiological Therapeutics (JMPT) (1978-1986) were surveyed to determine concentrations of research activity, educational backgrounds of contributors, sources of funding for chiropractic science, and the volume and kinds of research in chiropractic. Most articles were authored by chiropractors but a fourth of all articles included contributors with scientific/academic doctorates. Most chiropractors were affiliated with a chiropractic college, but collaboration among chiropractic colleges was rare. A recent increase in contributions from private practitioners was also evident. Authors with medical training were uncommon (6%). National College and Canadian Memorial together accounted for 43% of all articles, and 72% of papers whose authors gave chiropractic college affiliations. Authors acknowledged 30 funding sources, and the Foundation for Chiropractic Education and Research (FCER) accounted for a third of all grants (18 of 55). Empirical studies increased in frequency from 1978 to 1986, but accounted for less than half of the papers. Case reports have been the most common form of original data report; 39 were published in JMPT during the 9 year period. Controlled clinical trials of chiropractic healing methods were extremely rare (3 of 334 papers). A need for greatly expanded clinical research in chiropractic is suggested.

Abstracting and Indexing