ASRF Case Report Project

The ASRF Case Report Project

In 2021, we raised funds through our Spinal Research Hero Month, for some very important research – the inaugural ‘ASRF Case Report Project’. This exciting project was designed to gather front-line evidence in the form of case study information, from Chiropractors around the globe.

We know you see incredible stories and transformations take place in your practice all the time, but did you know they can contribute powerfully to the evidence and narrative about our profession?

We are capturing your stories and transforming them into much-needed case reports focused on the effects of chiropractic care on things like stress, immunity and adaptability.

As a result of the inaugural project in 2021, we are now publishing 30+ Case Reports. Those published to date are below, with more to come soon.

ASRF Case Report Project

ANNOUNCING the ASRF Case Report Project 2022…

Are you ready to become a published Author? 

We’re doing it again! Funds raised through Spinal Research Hero Month in March are going towards the 2022 round of case reports. We are hoping this round will result in at least 30 more case reports being published in late 2022 – early 2023. This is incredible news for chiropractic and we couldn’t be more proud of the project. Thank you to all of our Spinal Research Heroes, Sponsors, Donors and Members – your contributions are deeply appreciated and are resulting in world-class research outcomes that are relevant around the globe. And a special thank you to the Asia-Pacific Chiropractic Journal, for supporting the project and publishing the case reports – we’re honored to collaborate with you!

Would you like to submit a case study for consideration? You will be named as Co-Author of the resulting case report, alongside the ASRF Writers. Find out more about ASRF Case Report Project authorship HERE.

If you submitted a case last year, you will see that the process has changed for 2022, in order to streamline and ensure adequate information is given to our Writers.

Submission steps:

  1. Download the Project Guide for more information. We are focusing on non-musculoskeletal presentations in cases that highlight the effects of chiropractic care on stress, immunity and/or adaptability.
  2. Gather your case information, including a consent form from your patient (consent forms are included in the Project Guide).
  3. Fill in the online form, which gives us all of the information we need for the initial submission. Button is below. Submissions must be received by COB Mon 16th May (AEST). No late submissions will be accepted. 
  4. Once we have decided on which cases to move forward with, we will contact you to let you know if you have been successful.
  5. If successful, we will ask you for your patient case notes and consent forms.
  6. ASRF will write up your case and send you the final copy for approval.
  7. Your case report will be published according to the Asia-Pacific Chiropractic Journal’s timeline for publications.

PUBLISHED CASE REPORTS:

We are so thrilled to bring you the published and indexed Case Reports from the inaugural ASRF Case Report Project in 2021.

We had some AMAZING cases put forward by Chiropractors in our tribe, and these are the published releases to date, with more studies to be published by the Asia-Pacific Chiropractic Journal soon.

Chiropractic management of a 30-year-old male with Motor Neurone Disease: A case report. (Ullman E, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 30-year-old male presented for chiropractic care, with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) type of Motor Neurone Disease (MND). He became symptomatic in 2017 and was diagnosed in March of 2019. At the time of presentation, he was newly diagnosed, receiving acupuncture, and was beginning to see a physiotherapist. [See more in full report]

Intervention/Outcomes: Predominant adjustments included Sacro-Occipital Technique (SOT) blocking, activator methods technique, shoulder mobilisation, TMJ adjustments and muscle releases, as well as wrist diversified adjustments, Talus traction pull, drop piece adjusting, and gentle diversified technique at approximately 10% of the normal strength used on an adult of that age and size. The focus was on the whole body due to the nature of disease.

Conclusion: This case suggests that subluxation-based, whole-of-body focused chiropractic care may contribute to successful management of ALS type Motor Neurone Disease. See the full report here.

Decrease in allergies, nocturnal enuresis and sleep problems in a 3-year-old under chiropractic care. (Steinberg B, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A three-year old female presented for chiropractic care, with her mother citing primary concerns of allergies and a stuffy nose for the past two months. Secondary concerns included behavioural issues, poor sleep and a 6-7 month history of bed-wetting.

Intervention/Outcomes: A course of subluxation-base chiropractic care commenced, with torque release technique, toggle board and HVLA adjustments delivered in age appropriate measures. Chiropractic care was concomitant with an improvement in allergies and mood, decrease in temper tantrums and bed-wetting (nocturnal enuresis), and improved sleep.

Conclusion: This case report indicates that chiropractic care to reduce subluxations may result in improved immune system function as seen in the decrease in allergies in this case. See the full report here.

Chiropractic Management of an 18-year old female with lupus: A Case Report. (Kolterman S, Martin A, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: An 18 year old female presented with a diagnosis of Lupus, and had been advised to commence medical management of the condition. Her condition was, at that point in time, presenting as chronic neck and joint pain.

Intervention/Outcomes: A week of concentrated care during which she received 56 low level force chiropractic adjustments. The adjusting technique used was the Functional Neurological Technique, a sustained contact low-level force adjusting technique.

Conclusion: Following two courses of concentrated care at the Averio Institute (which included chiropractic care), the Medical Doctor reversed the diagnosis of Lupus. See the full report here.

Improvement in migraines and chronic neck pain in a 42 year old male under chiropractic care (Hassan F, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 42-year old male presented for chiropractic care with a chief complaint of migraines and neck pain he believed to be involved with poor posture. A course of chiropractic care (Diversified Technique, combined with Chiropractic Biophysics exercises) was concomitant with a decrease in the frequency and severity of migraine, decrease in pain and pain-related stress, and an increase in range of motion and coping skills.

Conclusion: This case report indicates that chiropractic care may be of benefit for the reduction of stress, pain and migraine. Further research is required. See the full report here.

Improvement in posture, sleep and energy in a 25 year old female under chiropractic care. (Leahy A, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 25-year old female presented for chiropractic care to address her postural concerns. She described herself as ‘healthy but fatigued.’. Chiropractic care for the reduction of vertebral subluxations involved special attention to the thoracic and cervical spine, where a forward head carriage was noted, and stabilising of the pelvis which was found to be tilted.

Intervention/Outcomes: Following a course of chiropractic care, objective findings confirmed a reduction in forward head carriage, an increase in pelvic stability, and was concomitant with patient reported increases in sleep quality, energy, vitality, and immune function (i.e. resistance to coughs, colds and flus)

Conclusion: In this case, an improvement in sleep, energy, vitality, and immunity was concomitant with a course of chiropractic care. See the full report here.

Chiropractic Management of chronic sinusitis and breathing difficulty in a 67-year-old male. (Luc A, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 67 year old male presented for chiropractic care with a chief complaint of chronic sinusitis, post-nasal drip, breathing difficulty and generalised discomfort, from which he had suffered for ten years. ENT Specialists had failed to diagnose an underlying cause.

Intervention/Outcomes: Chiropractic care for the reduction of vertebral subluxations using the Advanced BioStructural Correction technique was concomitant with a significant improvement in sinusitis.

Conclusion: Chiropractic care was concomitant with a 50-60% reduction in chronic sinusitis, and a 50% reduction in sinus medication. See the full report here.

Resolution of severe hypoacusia and first degree tinnitus concomitant with chiropractic care. (Alarcon EM, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 62-year-old female presented for chiropractic care after a medical diagnosis of severe hypoacusia and first degree tinnitus following weight overload.

Intervention/Outcomes: A four-visit course of care was undertaken, using Diversified Technique for the diagnosis and adjustment of subluxations. After four weeks of care, a 90% increase in hearing was noted on the left side. Her subluxation listings remained consistent.

Conclusion: Chiropractic care may be of assistance in the management of hypoacusia. Further research is required. See the full report here.

Improvement in memory, balance and hearing in a 91-year-old male under chiropractic care: A Case Report. (Kolterman S, Martin A, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 91-year-old male presented for chiropractic care following recent weight loss and worsening memory loss. It was reported that his vocabulary was roughly 50-60% of its prior capacity.

Intervention/Outcomes: He received chiropractic care via the Functional Neurological Technique which uses a friction plate and a friction coefficient in order to determine subluxation, line of drive, completion of treatment and order or adjustment (more in full report).

Conclusion: Further research is required to confirm and explain this effect, as well as to investigate any inflammatory-brain connections involved in memory loss in older adults without a diagnosis of neurodegenerative conditions under chiropractic care. See the full report here.

Resolution of nocturnal enuresis in 9 year-old male under chiropractic care: A case report. (Blonigen A, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 9-year-old male presented for chiropractic care with nocturnal enuresis (bedwetting). The child had a history of chiropractic care, but there was a significant time period from his last adjustment. During this time the bedwetting frequency had increased to 3-4 nights in a row. The child had received repetitive antibiotic prescriptions from the ages 0-7 and had injured their ‘tailbone’ two years previous. .

Intervention/Outcomes: Followed a schedule of 2 sessions per week for 6 weeks, followed by a review. Techniques employed included Diversified Manual, Thompson and Logan Protocols. Following the review the schedule of care was revised to weekly sessions for a duration of 4 weeks (more in full report).

Conclusion: Chiropractic care may be of assistance in the management of nocturnal enuresis. See the full report here.

Improved scoliosis in 13-year-old female: A Case Report. (Marsilla-Alarcon EM, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: 13-year-old female presented with the primary concern of scoliosis. There was no history of major surgeries or significant diseases, illnesses, or comorbidities. The patient practices Taekwondo and her reported hip and left knee pain was preventing her from training. The preliminary radiological evaluation revealed a scoliosis of 13°, with dysmetria of 14 millimetres.

Intervention/Outcomes: The patient attended 12 appointments. Chiropractic checks and adjustments were performed with Diversified Technique. Evaluation of vertebral subluxations were performed with leg checks, motion palpation, algometry, and thermography.

Conclusion: Further research should examine the possibility that improvements of scoliosis under chiropractic care may be related to an increase in proprioceptive ability and spinal/skeletal adaptability. See the full report here.

Improvement in digestion and coordination following chiropractic care in a 4-year-old male: A case report. (Pryjma S, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: 4-year-old male presented for chiropractic care with digestion and coordination issues. One year prior to presenting, the child had their tonsil and adenoids removed. Through a recent assessment by an occupational therapist, the child was found to have poor balance (more in report).

Intervention/Outcomes: The schedule of care was 2 sessions a week for 6 weeks, after which a review was done. Following the review the schedule was revised to 2 sessions a week for 4 weeks, and further revised to one session a week for 4 weeks (more in report).

Conclusion: Chiropractic care may contribute to improvements in adaptability manifesting, in this case, as an improvement in digestion and coordination concomitant with chiropractic care. See the full report here.

Improved posture and physical resilience through chiropractic care in 3-year-old female: A case report. (Pryjma S, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 3-year-old female presented for chiropractic care for poor posture, poor motor control and low energy levels. Examination revealed retained primitive reflexes and vertebral subluxations.

Intervention/Outcomes: Three consecutive courses of care commenced, during which chiropractic care for vertebral subluxation was concomitant with steady improvements in posture and physical resilience as well as integration of retained primitive reflexes and an improvement in gross motor skills.

Conclusion: Chiropractic care for the reduction of vertebral subluxations may result in changes at the brainstem level and lead to better integration of primitive reflexes and an increase in posture, gross motor skill and generalised physical resilience. Further research is required to isolate and confirm the mechanisms behind such improvements. See the full report here.

Improvement in Physical Resilience and Management of ADHD in a 12-year-old Male under Chiropractic Care: A Case Report. (Steinberg B, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 12-year-old male presented for chiropractic care with the primary concerns of ADHD, a mood disorder, and growing pains in his legs that had started a month prior (more in report).

Intervention/Outcomes: The patient was seen twice a week for twelve weeks. During this time, Torque Release Technique (TRT) and analysis was used. After the 12 weeks, the patient was reassessed. The parents reported a decrease in leg pain, and a complete resolution of allergies and strep infection. The patient was less confrontational and generally has a more positive demeanor. The mid spine hypotonicity was returning to normal and there was a significant change seen in the thoraco-lumbar junction.

Conclusion: Chiropractic care for the reduction of vertebral subluxations may result in an improvement in physical resilience and the severity of ADHD related symptomatology. Further research is required. See the full report here.

Improved Physical Adaptability in a 3.5-Year-Old Female with an Abnormal Birth History: A case report. (Treahy-Geofreda T, Lanoue B, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A 3½ year old female presented for chiropractic care with primary complaints of flat feet, bed wetting and poor balance. Additional health history included eczema, repetitive ear infections requiring antibiotic medication, and a difficult birth history. Subluxations through the cervical and thoracic spine were noted.

Intervention/Outcomes: A course of chiropractic care for the resolution of vertebral subluxation commenced, during which Activator Methods and Diversified Technique were used to adjust subluxations. The course of care was concomitant with a significant reduction in symptomatology which included digestion, mood, attention, and bedwetting.

Conclusion: Chiropractic care may be associated with improved mood, attention, digestion and bedwetting. Further research is required to isolate the mechanisms behind such improvements. See the full report here.

Resolution of Periodic Fever Syndrome in 3-year-old female: A case report. (Ullman E, Postlethwaite R, McIvor C.)

ABSTRACT

Objective/Clinical Features: A three-year-old female presented for chiropractic care with a primary concern of a ‘clicky wrist’ and a request for a spinal check. An existing diagnosis of Periodic Fever Syndrome was discovered during the history and examination: a condition which affected the patient significantly approximately every two weeks.

Intervention/Outcomes: A course of chiropractic care commenced, during which the focus was a reduction in vertebral subluxations. Over the course of care, the frequency and severity of the periodic fever syndrome reduced significantly.

Conclusion: Chiropractic care for the reduction of vertebral subluxation may impact physical resilience and adaptability, which in this case manifested as a significant improvement in Periodic Fever Syndrome. Further research is required to isolate and confirm the mechanisms behind such improvement. See the full report here.