Dynamic Chiropractic - November 20, 1995, Volume 13, Issue 24

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Book Review

Title: Grieve's Modern Manual Therapy, The Vertebral Column, second edition Editors: Jeffrey D. Boyling and Nigel Palastanga Publisher: Churchill Livingstone Publication: doctor education Price: $159

Please see T-169 on the Preferred Reading and Viewing List on pages 40-41 for ordering information.

This very comprehensive text was both a joy and a chore to review. As I said, this is a most comprehensive text on manual therapy of the vertebral column and rightfully so. The text is 870 pages with plentiful diagrams, illustrations, imaging studies and photographs. Reading the list of contributors, one finds many familiar names from the scientific literature regarding the vertebral column.

The book is well organized into five sections: structure and function; clinical considerations; some common clinical problems; examination and assessment; and a review of clinical procedures and rationale. Unlike many works on the vertebral column, this book devotes considerable space to the cervical spine and does mention the thoracic spine. There is also very good information relating to extremity pain from spinal dysfunction.

The section on common clinical problems covers those problems typical seen in an ambulatory practice which may be amenable to manual treatment. The chapter on cervical causes of headache and dizziness by Bogduk is information not commonly encountered in the "medical" literature and provides very interesting reading. Bogduk and many other chapter authors address the adverse reaction by some patients to manual therapy of the cervical spine. This is important information for chiropractors to understand in this increasingly litigious society.

Section five covers the various physiotherapy approaches to manual manipulation with the work of Maitland, Paris, McKenzie, and others. This section also spends considerable time discussing manipulation trial and the "accidents of manipulation." It is in this section where chiropractic receives the most attention. Many of the trials we are familiar with appear in chapter 48. As this work was written and edited by (for the most part) physical therapists they spend time discussing why chiropractic was found to be in a more favorable light, particularly in the studies by Burton, 1981 and Meade et al., 1990. The more recent reports by Manga and AHCPR are not included. There is much discussion regarding chiropractic philosophy in chapter 49, "Incidents and Accidents of Manipulation and Allied Techniques." I found it strange to see so much space devoted to chiropractic philosophy while there was virtually no space devoted to chiropractic technique or procedures. It seems the author takes exception with the chiropractic concept of improved health through proper function of the neuromusculoskeletal systems. Although I expect some subtle "chiropractic bashing" is going to occur, it is common in many texts authored by chiropractors to "bash" the medical establishment. The chapter does include an excellent discussion on recognition of potential hazards and pretreatment protocols for the protection of the patient.

Overall, I found the book to be quite good. I initially got somewhat defensive over the manner in which my profession was covered, but looking past that item, was very impressed by this second edition of Manual Modern Therapy. For anyone who seriously studies the spine, this book is a valuable resource.

Savoie Rating: 9.5 out of 10


History Book Review

by Joseph Keating Jr., PhD

Title: In the Making of a Profession: The National College of Chiropractic, 1906-1981 Author: Ronald P. Beideman, BA, DC, ND, FICC Publisher: National College of Chiropractic 200 E. Roosevelt Road Lombard, IL 60148 (708) 889-6527 Publication: hardcover, 300+ pages Price: $39.00

In this year of the profession's centennial, the National College of Chiropractic has published a self-history, the only educational institution to my knowledge to have done so. Authored by Dr. Ronald P. Beideman, a faculty member and administrator for nearly four decades (and now the college's archivist), this hardbound book is comprised of 16 chapters and more than 300 pages. A minor criticism involves the page-setting. There are too many words on any given page, and the page margins are very narrow. This can be ignored. The volume is a labor of love on the part of its author, whose attention to detail and documentation are in evidence throughout.

In the Making reveals many of the strengths and weakness typical of institutional self-studies. Its main virtues lie in the wealth of material that the author has carefully sifted through in preparing this view of the school. Predictably, an important weakness is found in the tendency to present a positive image for the 89-year old college; National is credited with a few more "firsts" than it actually deserves. The correspondence course of National's early days are dealt with gently, while the significant part the school has played in promoting higher academic standards in the profession is emphasized. Moreover, given the central role that the National College family has played in the intra-professional feuding which characterizes so much of the chiropractic century, the reader will not be surprised at who is seen to wear the white hats and who the villian's garb. Perhaps the reviewer might also be forgiven for sharing some of these biases.

The National College of Chiropractic is the third oldest surviving chiropractic school, and probably the second oldest in continuous operation (Western States College suspended operations during the bleak, early days of the great depression). Accordingly, the story of National provides a window on almost the entire span of the chirocentury. Moreover, the college has a special niche within the chirosaga, owing to the influential leadership of three of its first four presidents. Dr. Beideman appropriately gives a great deal of attention to the lives of these men: John F.A. Howard, DC (founder and president, 1906-1918); William C. Schulze, MD, DC (president 1918-1936); and Joseph Janse, DDT, DC, ND (president 1945-1981). Collectively, their terms at the helm of the institution encompass the period which the author wishes to relate, and so provide insight concerning the directions of the school. About half of the volume is devoted to describing their contributions in chronological sequence.

Dr. Joe Janse has become such a legend in chiropractic and has been gone such a short period (he died in 1984) that his story is somewhat familiar to many if not most chiropractors. Of special delight to this reviewer, therefore, was the author's elaborate portrait of the college's earlier developments, that is, the years that led up to and shaped Janse's 1945 appointment as president. Beideman provides both the mechanical details and some sense of the personalities and motivations of John Howard and W.C. Schulze. It's not a complete analysis, owing to some considerable missing data. What, for instance, were the circumstances involved in the dark financial days (during World War I: 1917-18) which seemingly prompted Howard to pass the reins to Schulze? Beideman cannot tell us; on the other hand, this reviewer had not previously known of this crisis, and is therefore appreciative of the new mystery. In this respect the book may be thought of as a launching point for further scholarly inquiry.

The author deals not only with the careers of the school's prominent leaders, but with the alumni, college activities, and the crises of the institution. Beideman does a competent job of describing various aspects of campus life and internal organization, and provides a review of the various campuses and facilities that have served the college since 1906. He takes on thorny issues as well, such as policies towards minorities and female students, and provides a wider historical context for judging the college's sometimes discriminatory policies in its earlier years. The histories of the dozens of schools which have been absorbed by National over the decades (e.g., Chiropractic Institute of New York, Lincoln Chiropractic College, Lindlahr School of Natural Therapeutics) are briefly reviewed in a chapter called "Intercollegiate adoptions, marriages, melds, and mergers." This reviewer also very much appreciated chapters devoted to the role which National graduates have played in influencing other chiropractic schools, institutions, and professional affairs, and the influence that military veterans have had on National.

This book will have two principal audiences: firstly, the students, faculty, and alumni of the National College, and secondly, those with an interest in the history of the profession. Given National College's prominent and significant role in the development of chiropractic, the volume is essential reading for anyone who wishes to understand the roots of the still humble traditions of scholarship, scholarly publishing, and scientific research in the conservative healing arts. The National College of Chiropractic has been the leading pioneer for higher standards of education, research and professionalism in this discipline, and Beideman's work tells us how this unfolded. It is a worthy contribution to the history of chiropractic.

Keating Rating: B+