2502 NYCC TRANS FINAL2 - New York Chiropractic College

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esearch ROUNDUP Chiropractic’s Research Agenda by Ronald Bulbulian, Ph.D., Director of Research The official Chiropractic Research Agenda (CRA) lion’s share has bypassed chiropractic institutions. began in 1995, involving assorted research administrators who met at Washington, D.C.’s first Research way to allopathic medicine, allied health and college Traditional support for research has long found its Agenda Conference (RAC), sponsored by the department of Health Research and Services Administration HRSA and RAC conferences are lessening the dis- science departments. Change is afoot, however. The (HRSA). The administrators, driven by a public desiring alternative medicine and a government increasingly frastructure that will one day effectively compete parity. Chiropractic is busy erecting a research in- interested in funding chiropractic research, worked to for limited research dollars. The profession is acutely develop a chiropractic research agenda. Senator Harken aware that it pays to collaborate with established investigators outside chiropractic, and fully appreci- (R- Iowa) procured NIH funding for a Consortial Center for Chiropractic Research (CCCR), administered by ates the critical role played by peer review. It is generally left to seasoned health and medical research- the Center for Chiropractic Research at Palmer. Initial meetings led to consensus about research priorities and ers to assess the quality of the various research study resulted in publication of an agenda white paper in proposals submitted to the NIH. As chiropractors JMPT. Surveys revealed the amount of support the increasingly publish in peer reviewed journals and Ronald Bulbulian, Ph.D., various chiropractic colleges gave their research programs. It was measured in terms of faculty, staffing, National Center for Complementary and Alterna- participate in the NIH peer review process at the laboratory/research space, and budgetary commitment. Colleges reported tive Medicine (NCCAM), they gradually infiltrate the influential peer system. Admittedly, more must be done that elevates funding levels, devel- a mean commitment level at 2-3% of the total operating budgets for research. They thereafter resolved to achieve 5%. ops stronger chiropractic college research infrastructures, and boosts NIH CRA’s annual meetings now take the form of conferences that highlight current research activity among the various colleges and provide NYCC conducts an exemplary research effort, committing nearly research grants. valuable exposure and training to attending faculty. Seminar topics include statistical methods, grant writing, and publication skills. NYCC’s credentials and publications are commendable. These efforts translate 4% of the College’s operating budget. As a result, the research faculty’s faculty find the conferences instructive and feel that that their attendance is crucial to the development of an optimal research environment. help shape the profession’s research agenda. Ultimately, field practitio- into successful research grant proposals and professional accolades that Over the past two years NIH funding for alternative and complementary therapies has increased dramatically. Thus far, however, the ners and their patients will benefit greatly from chiropractic’s research investigations. NYCC Faculty Present Research Papers to Annual Meeting of the North American Spine Society trpaezius muscle, using a novel technique known as clinical microdialysis. Her work reveals startling information about the pathogenesis of trigger points. Her investigation reveals that blood flow increases near trigger points. The journal Pain recently published aspects of the work done by Dr. Sciotti-Dishman and her co-investigators. NYCC’s Drs. Paul Dougherty and John Ventura also attended the meeting. They participated in discussions about chiropractic integration: a Transcranial Magnetic Stimulation Study,” discussed how spinal manipulation leads to central motor excitability facilitation, producing an inhibition of a peripherally induced reflex. This is the first known study to reveal the basic mechanism behind of spinal manipulation. Dr. Sciotti-Dishman’s paper, “Investigating the Energy Crisis Theory of Myofascial Trigger Points: a Microdialysis Study,” involves the biochemical analysis of the myofascial trigger points in the Drs. J. Donald Dishman and Veronica Sciotti-Dishman recently presented research to the North American Spine Society (NASS), North America’s prestigious spine care organization. Seattle hosted NASS’s 16 th annual meeting, drawing orthopedic surgeons, neurological surgeons and physiatrists. The group also studies non-operative management of spine disorders. Dr. Dishman’s paper, “Motor Facilitation and Sensory Inhibition Following Spinal Manipula- Drs. Veronica Sciotti-Dishman and J. Donald Dishman tion into multidisciplinary spine care practices. NYCC’s faculty participation at the meeting was the only instance of chiropractic college involvement. 44
esearch ROUNDUP Visiting Chiropractic Researcher Shares Findings With NYCC Audience Dr. Partap Khalsa, D.C., Ph.D., F.A.C.O., Assistant Professor of Biomechanical Engineering, Orthopaedics & Neurobiology at SUNY Stony Brook and current Graduate Program Director for Biomedical Engineering, presented his research to NYCC faculty, staff and students on October 26. Discussing Capsule Strains During Physiological Motions Following Simulated Subluxation, he explored the biomechanical, neurophysiological and temporal aspects of subluxations. Dr. Khalsa explained how cells throughout the body – particularly nerve cells – respond to events or movement, and how nerve synapses change in response to training and learning. This observation proved relevant in his search to find spinal structures as likely candidates for investigating functional proprioception. In developing his research model, he considered a variety of tissues including muscles, ligaments, posterior annulus discs, skin, fascia, and joint capsules. “Nature,” as he put it, “ tends to concentrate lots of neurons in tissues that it cares about biologically.” For example, muscles have relatively few neurons, while joint capsules are densely populated with neurons. Hence, proprioception research is better served by investigating joint capsules rather than muscle. Dr. Khalsa began his study by removing the muscle tissue (though not the ligaments) from unembalmed, dissected spines. The spinal specimens were potted at the sacrum in a “Bondo type” material to secure the spine in an upright position during the experiment. To study the movement of the spine and the facet joint capsule, he placed measurement markers in a rectangular configuration to measure distortions in joint capsule resulting from spinal movements in various planes. The effects of simulated hypomobile subluxations on vertebrae above and below the subluxation were studied by inserting a single orthopaedic plate at L4-5 in the lumbar spine. With the sacrum firmly planted onto a solid base, a mechanical motordriven device moved the spine through various ranges of motion and a digital camera-type recording device measured the movement of the markers on the facet capsule. Follow-up analyses were able to calculate the stretch and shear forces exerted on the joint capsule in the frontal and sagittal planes. Dr. Khalsa reported that the restriction of the L 4-5 joint accurately modeled a hypomobile subluxation which significantly reduced, but did not eliminate, motion at L4-5. The result also confirmed a significant 20-30% increase in motion and plane strains in the joint capsules above and below the simulated subluxation. This finding confirms the chiropractic philosophy and teaching regarding the mechanical effects of one specific type of subluxation – the hypomobile variety – on adjacent structures possibly contributing to the pathologies associated with LBP. Dr. Khalsa urged students in the audience to consider their own research possibilities and potential contributions to the profession by offering valuable tips. “Find a topic that is sexy,” he urged. Dr. Khalsa’s use of the term “sexy” had an obvious economic implication. The National Institute of Health (NIH) found Dr. Khalsa’s research sufficiently sexy, in part, due to the $50 billion spent annually in the United States for the treatment of low back pain, along with an additional $50 billion in lost wages and consequential costs. The NIH currently has funded his research through the Consortial Center for Chiropractic Research (CCCR), which also currently funds the neurophysiology research of Drs. Dishman and Burke in the Research Department at NYCC. Dr. Partap Khalsa Dr. Khalsa, D.C., Ph.D., F.A.C.O. is an Assistant Professor of Biomechanical Engineering, Orthopaedics & Neurobiology at S.U.N.Y., Stony Brook and currently serves as the Graduate Program Director for Biomedical Engineering. He had a private practice in Massachussetts for 17 years and is boardcertified in chiropractic orthopaedics and has served terms as President and V.P. of his local chapter of the Massachussetts Chiropractic Society. Dr. Khalsa received his Chiropractic degree from L.A.C.C. in 1970, a master’s of biomechanical engineering from Boston University in 1992, and a Ph.D. of biomedical sciences from WPI in 1995. He is the recipient of numerous awards, and is one of only 3 chiropractors to receive a National Research Service Award from the NIH. He has authored many original research articles that have been published in the Journal of Neurophysiology, Journal of Biomechanics, Neuroscience Letters, Journal of Orthopaedic Research and a review article in the ACA’s Journal of the Neuromusculoskeletal System. www.nycc.edu 45
Page 1 and 2: Fall 2001/Winter 2002 Special Featu
Page 3 and 4: Fall 2001/Winter 2002 New York Chir
Page 5 and 6: President’s Council 2001 Presiden
Page 7 and 8: from the PROVOST Faculty Promotions
Page 9 and 10: our toy poodle, under her shirt to
Page 11 and 12: NYCC Intern Gerald Stevens Returns
Page 13 and 14: CHIROPRACTIC HEALTH CENTERS OF NYCC
Page 15 and 16: Interview With: Howard F. Loomis, J
Page 17 and 18: Treating Osteoporosis From an Exerc
Page 19 and 20: Dopamine, Obesity and Addiction Doe
Page 21 and 22: From Mighty Mice to Healthy Humans
Page 23 and 24: Turmeric: The Golden Root with the
Page 25 and 26: Interview With: Howard F. Loomis, J
Page 27 and 28: AN EXAMPLE OF EXCELLENCE for recomm
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Page 31 and 32: STUDENT/ALUMNI NETWORK PROGRAM In a
Page 33 and 34: news BRIEFS Drs. Cartica and Nicchi
Page 35 and 36: Unity Day 2001 by Alana Starr, 3rd
Page 37 and 38: center for POSTGRADUATE AND CONTINU
Page 39 and 40: Dr. Dennis Homack, D.C., C.C.S.P.,
Page 41 and 42: Ergonomic Nutrition by Dennis Homac
Page 43: y Daniel Kanaley, Library Director
Page 47 and 48: COMMENCEMENT commencement August 20
Page 49 and 50: What’s News? What’s News? What
Page 51 and 52: www.nycc.edu 51
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2502 NYCC TRANS FINAL2 - New York Chiropractic College

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