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2502 NYCC TRANS FINAL2 - New York Chiropractic College

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news<br />

BRIEFS<br />

Drs. Cartica and Nicchi Address Vertebrobasilar Artery Insufficiency<br />

by Jaclyn McDermott, 7 th Trimester<br />

Dr. Frank Cartica<br />

<strong>NYCC</strong>’s Dr. J. Donald Dishman<br />

Receives Federally Funded<br />

Research Grant<br />

<strong>NYCC</strong> researcher J. Donald<br />

Dishman, D.C., M.Sc., was<br />

recently notified he will be<br />

receiving a research grant from<br />

the National Institutes of Health.<br />

His proposal, “Spinal<br />

Manipulation and Motor Systems<br />

Physiology,” is a one-year grant<br />

investigating the effects of spinal<br />

manipulation on the activity of<br />

the cervical spine alpha<br />

motoneurons and cortex. The<br />

research will use transcranial Dr. J. DonaldDishman<br />

magnetic stimulation (TMS), a<br />

novel approach for studying the human motor system in which the<br />

motor cortex is stimulated and changes in motor excitability are<br />

directly measured from any skeletal muscle. TMS is a safe and painless<br />

technique not previously employed for the study of manipulation<br />

effects. Dr. Dishman and his <strong>NYCC</strong> co-investigators, Drs. Jeanmarie<br />

Burke and Paul Dougherty, together with Dr. Patrick Zhu of SUNY<br />

Upstate Medical University in Syracuse, plan to begin the project in<br />

2002. This research extends the group’s previously published<br />

investigations. Currently, Dr. Dishman and his team of researchers<br />

receive funding from the Foundation for <strong>Chiropractic</strong> Education and<br />

Research to perform similar physiology research involving lumbar<br />

spinal manipulation.<br />

<strong>NYCC</strong> Trustee Frank<br />

Cartica, D.C., and President<br />

Frank Nicchi, D.C., recently addressed<br />

a campus audience about<br />

vertebrobasilar artery insufficiency<br />

(VBAI), an extremely rare<br />

occurrence, following cervical<br />

spinal manipulation, as well as<br />

pathophysiology and associated<br />

legal aspects. Dr. Nicchi urged<br />

the audience never to re-manipulate<br />

the neck immediately after<br />

someone sustains a<br />

vertebrobasilar event following<br />

cervical manipulation.<br />

Dr. Cartica spoke to the reduction<br />

of all risks that lend<br />

themselves to the likelihood of<br />

stroke. He remarked that the<br />

very term “chiropractic adjustment”<br />

presumes consideration of<br />

the three components of the vertebral<br />

subluxation complex: 1)<br />

osseous malalignment 2) soft tissue<br />

structures and 3) temporal<br />

nature of the vertebral subluxation<br />

complex. Dr. Cartica repeatedly<br />

emphasized the importance<br />

of oxygenated blood flow<br />

to the brain.<br />

He also outlined precautions<br />

and office procedures that minimize<br />

patients’ risk of stroke following<br />

treatment. These included<br />

case histories, general<br />

physical exams, standing evaluations,<br />

neurological assessments,<br />

x-rays, lab exams, and<br />

prescreening maneuvers. It is always<br />

prudent to inquire into factors<br />

that affect the blood’s viscosity,<br />

including blood thinning<br />

agents such as NSAIDS,<br />

coumadin, vitamin E and aspirin,<br />

and to investigate blood thickening<br />

agents such as smoking, hormones,<br />

and other medications.<br />

Study Determines Incidence of Stroke<br />

Associated With Neck Adjustments Rare<br />

The Foundation for <strong>Chiropractic</strong> Education and Research reports<br />

that the risk of stroke following neck adjustment (also known<br />

as cervical manipulation) is one in every 5.85 million adjustments,<br />

based upon an October 2001 study reported in the Canadian Medical<br />

Association Journal (CMAJ). Other non-chiropractic treatments for<br />

headache, neck and back pain carry much higher risks of serious<br />

complications. The study supports recent research published in the<br />

CMAJ by the Institute for Clinical Evaluative Studies, which found<br />

that the incidence of stroke associated with neck adjustments is so<br />

rare, it was not possible for the researchers to establish a meaningful<br />

rate of occurrence. The study identified 23 reported cases of stroke<br />

following neck adjustment, as diagnosed by the treating physician,<br />

over the ten-year period. This was compared to the estimated 134.5<br />

million neck adjustments performed by chiropractors in Canada over<br />

the same time frame.<br />

<strong>NYCC</strong> Faculty Member Appointed to<br />

Board of Sports Physicians<br />

<strong>NYCC</strong> faculty member Dale J. Buchberger, D.C., DACBSP,<br />

was recently elected to serve as a board member for the American<br />

<strong>Chiropractic</strong> Board of Sports Physicians (ACBSP). The<br />

board’s first meeting occurred during its Denver Sports Symposium,<br />

at which Dr. Buchberger was appointed chairperson for<br />

the board’s upcoming 2003 symposium slated for April 2003 in<br />

Baltimore, Maryland. Dr. Buchberger currently serves on<br />

ACBSP’s ethics and practical examinations committees.<br />

www.nycc.edu<br />

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