Winter 2013 Speaks

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LOGAN SPEAKS WINTER 2013 | Logan Speaks is produced by the offices of Public Relations and Institutional Advancement Logan Prepares for ACC-RAC with 19 Research Submissions Page 4 2 Logan’s New President: J. Clay McDonald, DC, MBA, JD Did You Know? 3 Marketing Motivation 6 Examining the Biopsychosocial Model's Influence on Pain 8 Gaining the Advantage: Performance Training 10 Doctor to Doctor 12 Postgraduate Seminars SCIENCE AND NATURE ALIGNED IN BALANCE

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Logan Speaks is a publication from the Offices of Institutional Advancement and Public Relations from Logan College of Chiropractic/University Programs.

Transcript of Winter 2013 Speaks

Page 1: Winter 2013 Speaks

LOGAN SPEAKSWINT E R 2 0 1 3 | Logan Speaks is produced by the offices of Public Relations and Institutional Advancement

Logan Prepares for ACC-RACwith 19 Research SubmissionsPage 4

2 Logan’s New President: J. Clay McDonald, DC,MBA, JD

Did You Know?

3 Marketing Motivation

6 Examining the Biopsychosocial Model's Influence on Pain

8 Gaining the Advantage: Performance Training

10 Doctor to Doctor

12 Postgraduate Seminars

SCIENCE AND NATURE ALIGNED IN BALANCE

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Excerpts Dynamic Chiropractic

Back Pain Is Number One Cause of Disability Worldwide

In a recent study from the Global BurdenDisease 2010 Project—led by a consortiumincluding Harvard University, the Institutefor Health Metrics and Evaluation at theUniversity of Washington, Johns HopkinsUniversity, the University of Queensland,and the World Health Organization—low-back pain has been identified as the number one cause of disabilityworldwide with musculoskeletalconditions representing the secondleading cause of global disability.

Study of CAM and ChiropracticExpenditures

Findings from a recent nationwide study of complementary and alternativemedicine (CAM)-related health careexpenditures of 12,000-plus adults (ages 17 and older) with spinal conditionsappeared in the December 2012 issue ofMedical Care. According to researchers,the study supports the notion that CAMin general, and chiropractic specifically, isa cost-effective alternative to traditionalmedical care, and these cost savings were“primarily due to lower inpatientexpenditures among CAM users.”

Chiropractic Economics

Exercise Can Add Five Years to Life

According to a new study in the AmericanJournal of Preventive Medicine, adults whospend at least 150 minutes performingphysical activity each week can enjoy aprolonged life, versus those who don’t.Researchers used data from the NationalHealth and Nutrition ExaminationSurvey, the National Health InterviewStudy mortality lineage and U.S. LifeTables to compare life expectancy at

each age for adults who were inactive,somewhat active and active.

DCs Report Job Satisfaction

According to a recent survey inMyPlan.com, Doctors of Chiropracticranked 45th out of 300 careers as havingthe highest job satisfaction amongworking professionals. The survey ratedcareers for job satisfaction based onaverages taken from responses of 13,871MyPlan.com users during registration.

ACA News

ACA Celebrates 50 Years

The American Chiropractic Association is celebrating its 50th anniversary with agala in conjunction with the NationalChiropractic Legislative Conference(NCLC). The event is scheduled forMarch 7 at the Capital Hilton inWashington, D.C. For tickets and more information, please visithttp://www.acatoday.org.

Foundation for Chiropractic Progress

The Foundation for Chiropractic Progress(F4CP), a not-for-profit organizationdedicated to raising awareness about thevalue of chiropractic care, recently issued aposition paper, “A Safer Approach toLong-term Relief from Back Pain:Understanding the role of chiropractic care asthe first option in providing drug-free, non-invasive effective back pain management,”which has earned significant mediacoverage. The Baltimore Sun first reportedon the paper with a front-page articlefollowed by numerous syndicated versionsin high-profile media outlets covering 12states, including the Chicago Tribune, SunHerald, The Olympian, The BellinghamHerald, Centre Daily Times, BradentonHerald, ArcaMax, The Sacramento Bee,Anchorage Daily News, Leader-Telegram,The Tribune and Sentinelsource.com.

Did YouKnow? In an effort to keep you informed about recent news and industry changes that may

affect the profession and your practice, we’ve collected the following news briefs from

various trade publications and news articles. We hope you find this synopsis beneficial.

Logan Names New President

J. Clay McDonald,DC, MBA, JD, hasbeen appointed asthe next Presidentfor Logan College of Chiropractic/University Programs.Dr. McDonald

graduated from Logan in August 1982and currently serves as Provost for Texas Chiropractic College in Pasadena,Texas, where he leads the institution’sacademic, business and administrativeoperations.

Dr. McDonald brings extensiveexperience in chiropractic education,university administration and clinicalpractice to his new role, having servedin leadership roles at New YorkChiropractic College and Palmer College of Chiropractic in Iowa. He has nearly a decade of clinicalexperience, founding and managing aMontana-based private practice andrehabilitation clinic. In addition toholding a Doctor of Chiropractic degree,he earned a master’s degree in businessadministration from St. AmbroseUniversity and a law degree fromValparaiso University.

Dr. McDonald will replace Dr. George A. Goodman, who has retired afterserving as Logan’s President for morethan 20 years. During his tenure, Dr.Goodman played a significant role inincreasing university enrollment andprogram offerings, as well as establishingan endowment of more than $25 million.Dr. Carl W. Saubert IV, Vice President ofAcademic Affairs, will serve as interimPresident until Dr. McDonald formallyjoins the university on March 1, 2013.

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Friend requests.Webinars. LinkedIn.Blogs.

Ten years ago, thesewords were, for the mostpart, nonexistent in oureveryday language. Buttoday, it’s difficult to go one week withouthearing a single mentionof any one of them.

The concept of what these words areassociated with—connecting with othersin lieu of an actual meeting—is becomingmore and more commonplace as tablets,smartphones and online communities risein popularity. But, as with all forms oftechnological advances, there is adownside:

Whatever happened to good old-fashioned face-to-face meetings?

In this digital age, it’s easy to forget the importance of in-person, socialinteraction. Fortunately, actualcommunity engagement isn’t dead. In fact,if done right, networking is a powerfulmarketing tool that can lead to a varietyof business opportunities.

So, how do you make joining anorganization worth your time?

ResearchLook into the organizations that fit yourparticular interests or industry, or considervolunteering. Whether it’s a localchamber of commerce, Rotary Club,Business Networking International (BNI),Kiwanis or an industry-specificorganization, each will offer a plethora ofbenefits for joining. Ask yourself: Whatgoals do I have in joining a particularorganization? Which is best for me?

Network Now that you’re a member of your new group (or two), it’s time to get outthere and start meeting people. Join acommittee and engage with members to share ideas. Always follow up, getbusiness cards to remember names andbuild a contact base, and never forget the power of a positive first impression.

Build trust Think of it this way: Instead of joining an organization to build business, join to build connections. At meetings, begenuine and dependable, and look foropportunities to grow the organization as awhole. Once you’ve done that, your fellowmembers and leaders will take notice ofyour efforts.

EngageAlways be on the lookout for ways toenhance your trustworthiness. Offer yourskills for the organization’s use. Have abackground in writing? Serve as an editorfor the monthly newsletter. Do you enjoyplanning events? Organize the annualfundraiser. Make a name for yourself as a powerful resource for others. This will open the door to even more opportunities.

InteractGo further in interacting with your fellow members than just distributing your business card at each meeting. Makea difference by taking a leadership positionand building upon the trust you havealready created. Once you’re in aleadership role, use it to partner withother organizations—expanding yourcircle of connections and fully utilizing the power of effective networking.

Marketing Motivation

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By JenniferReynolds-Reed,Director of HealthCenters Marketing

Expanding Your NetworkGetting the Most Out of Face-to-Face Interaction

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LOGAN UNIVERSITYLogan University is a diverse andengaging community committed to excellence in health sciences,education and service, guided byintegrity, commitment and passion.

LOGAN COLLEGE OF CHIROPRACTICLogan College of Chiropractic prepares students to become doctors of chiropractic who are superblyeducated and clinically competent, practicing portal-of-entry chiropractic physicians. This mission isaccomplished through our dedicated faculty, recognized for student-centered excellence; comprehensivescience-driven, knowledge-based and information-facilitated curriculum; enhanced by community andpublic service. The institution is committed to the conduct of research and other scholarly activities.M

ISSION

MISSION

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WORKSHOPS

Incorporating current standards forhealth promotion, disease preventionand wellness into chiropractic programs. The U.S. Affordable Care Act of 2010places a strong emphasis on chronicdisease prevention and health promotion.Within the chiropractic profession in 2007,the Council on Chiropractic Education(CCE) adopted a set of competencies inwellness, and in 2012, “best practice”recommendations were made by amultidisciplinary panel concerningchiropractic care for the purpose ofwellness, prevention and healthpromotion. This workshop will helpprepare DCs for the increasing emphasison chronic disease prevention and healthpromotion in the health care system. Apanel of speakers will present a frameworkto integrate recent CCE competencies andconsensus recommendations on thesetopics within the context of chiropracticeducation and practice, and will gatherinformation from the participants on practical ways to implement theframework, as well as identify barriers tosuch an implementation and possiblestrategies to overcome them. Cheryl Hawk, DC, PhD, Logan College of Chiropractic/University ProgramsDaniel Redwood, DC, Cleveland Chiropractic CollegeBryce Conrad, B Chir, M Chir, private practice and Chair, Research Committee, Chiropractors’ Association of AustraliaMartha Kaeser, DC, Logan College of Chiropractic/University Programs

Chiropractic Colleges’ researchcoursework and curricula: Implicationsfor Evidence-based Education (EBE) and Evidence-based Practice (EBP) and NBCE exams. The purpose of this workshop is to presentchiropractic colleges’ research curricula:credit hours and course descriptions,current issues in, and the importance of,EBE and EBP; conduct a nominal groupprocess to generate recommendationsabout optimal research curriculum forchiropractic education, goals of researchcurricula, credit hours and sequence ofcourses; and assess information literacyand science/research literacy. A consensusstatement to NBCE requesting theinclusion of research questions will be developed. Rodger Tepe, PhD, Logan College of Chiropractic/University Programs Greg Cramer, DC, PhD, National University of Health Sciences Thomas J. Augat, DC, private practice and Chair, CCGPP Cynthia Long, PhD, Palmer, Davenport Kathleen Linaker, DC, D’Youville

2013 ACC-RAC

Strong Showing of Logan Faculty, Studentsat 2013 ACC-RAC Logan College of Chiropractic/UniversityPrograms will highlight student authorsand 19 research submissions at the joint meeting of the Association ofChiropractic Colleges (ACC) andResearch Agenda Conference (RAC).

The conference, which gathersdistinguished international members ofthe chiropractic academic and researchcommunity, will take place March 14 -16in Washington, D.C. and will focus ontopics highly relevant to education,research and clinical practice. For thisyear’s theme, ACC-RAC leadership chose“Chiropractic and Healthcare Reform:Improving Outcomes, Delivery andAffordability of Healthcare.”

Rodger Tepe, PhD,Logan’s dean ofresearch anddevelopment, saidLogan will send 13faculty and 11student authors,representing 19submissions (four

workshops, six poster presentations andnine platform presentations).

“Each year, the number of submissionsgoes up, and each year, we go there withmore student authors than any otherchiropractic college,” said Dr. Tepe. “Thefact that this year we had 19submissions accepted is a realtestament to our research and thecaliber of our students and faculty.”

Logan Faculty and Student Representation

Dr. Rodger Tepe

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Evidence-based practice: What good is it? The Rapid Response Team of the Councilon Chiropractic Guidelines and PracticeParameters (CCGPP) assists practitionerswho have encountered issues with payersin the authorization of necessary patientcare. They do this through a structuredprocess based solidly on the appropriate useof scientific evidence. The purpose of thisworkshop is to explain the Rapid ResponseTeam process, demonstrate the practicalvalue of research with clinical vignettes,and interact with participants to identifyinstitutional research and educationalopportunities in which practitioners andacademicians can collaborate to promoteevidence-based practice. This is a highlyinteractive workshop.

Thomas Augat, DC, private practice and Chair, CCGPP

Ronald Farabaugh, DC, private practice and Past Chair, CCGPP

Jay Greenstein, DC, private practice and Vice Chair, CCGPP

Cheryl Hawk, DC, PhD, Logan College of Chiropractic/University Programs and Chair, Scientific Commission, CCGPP

Assessing Information Literacy: Why, when, and how. This workshop will provide an introductionto assessing information literacy (IL)experientially by taking an IL test anddidactically through an overview of ACRLstandards, librarians’ and educators’ rolesin IL, the R25s, and CCE’s Meta-Competency #6. Presenters willdemonstrate the extent of current effortsfor IL and the importance ofpsychometrically sound IL assessment. Thesmall group process should leave attendeeswith a sense of the importance IL to EBEand EBP and the need for NBCE toinclude IL questions. There is a need forincreased involvement in IL education andassessment throughout chiropractic.

Rodger Tepe, PhD, Logan College of Chiropractic/University Programs

Chabha Tepe, Logan College of Chiropractic/University Programs

Daniel Wright, MA, MLIS, Palmer Florida Ron LeFebvre, DC, University of Western States

PLATFORM PRESENTATIONS

Predictors of national board ofchiropractic examiners (NBCE)performance

Angela Reeves McCall, PhD, and Richard Harvey

Differences between learning and studystrategies inventory subtest and factorscores and grade point averages forchiropractic students tested in trimestersone and seven

Rodger Tepe, PhD, Christine Schutz, PhD, Leanne Dalton

Plantar fascia dynamics in runners and walkers*

Aaron Welk, DC, Daniel Haun, DC, Thomas Clark, DC, Norman Kettner, DC

Altered brain morphometry in carpaltunnel syndrome is associated withperipheral nerve pathology

Norman Kettner, DC, Yumi Maeda,James Sheehan, Jieun Kim, Steve Cina,Christina Malatesta, Jessica Gerber, Claire McManus, Pia Hugus

Sonography of the injured anteriortalofibular ligament

Daniel Haun, DC, Eve Bonic, DC, Norman Kettner, DC

Sonographic assessment of the normalsuprascapular nerve and inferior belly ofthe omohyoid muscle

Patrick Battaglia, DC, Daniel Haun, DC

The effects of dietary modification and whole food supplements oncardiovascular disease risk factors inoverweight and obese adults with totalcholesterol over 180*

Rodger Tepe, PhD, Robert Davidson, PhD

Ethnicity differences in serum levels of25-hydroxyvitamin D and parathyroidhormone and bone mineral densityamong healthy individuals*

Weiwen Chai, PhD, Robert Davidson, PhD, Martha Kaeser, DC, Norman Kettner, DC

Mechanical behavior of sacral and iliaccartilage under compression

Dennis Enix, DC, Douglas Smith

POSTER PRESENTATIONS

Thyroid carcinoma: incidental finding while assessing cervicallymphadenopathy

Martha Kaeser, DC, JinPu Li, Norman Kettner, DC

Diagnosis and serial sonography of aproximal fifth metatarsal stress fracture

Martha Kaeser, DC, Patrick Battaglia, DC,Norman Kettner, DC

The sonographic squeeze test: assessing reliability of the dorsalscapholunate ligament

Kenneth Reckelhoff, DC, Thomas Clark, DC,Norman Kettner, DC

An observational study of “normal” and “best” posture in normal weight,overweight, and obese chiropracticcollege students

Rodger Tepe, PhD, Deborah England, Holly Tucker, Sara Jerman, JacquelynBowman-Garrett

A survey of chiropractic physicians’practices for patient history, physicalexam, and diagnosis

Rodger Tepe, PhD, Chabha Tepe

A single blind, one-group pretest,posttest pilot study of the effects ofactive release technique on cervical andthoracic range of motion*

Rodger Tepe, PhD, Lindsay Roseman, Hans Hengel, Jane Oschner-Ndessokia,Daniel Jablonski

* Denotes abstract coverage on pages 7 and 9

n at the ACC-RAC 2013: Workshops, Presentations and Posters

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Chronic pain can actlike a thief, creepinginto patients’ bodiesand robbing them oftheir ability to live acarefree life. For somepatients, every daydemands courage toface their physical

challenges and the aches of isolation anddepression that often invade their spirit.

A recent Institute of Medicine Report,Relieving Pain in America: A Blueprint forTransforming Prevention, Care, Education and Research, finds chronic pain not onlyplagues more than 100 million patients; it’salso exhausting our health care system.The report attributes at least $560 to $635billion annually to the cost of treatingpain, an amount equal to nearly $2,000 forevery person living in the United States.The figure includes the cost of health careand lost productivity, which accounts forroughly $300 billion.

For health care professionals, managingpatients’ chronic pain can prove adaunting task, especially in cases fraughtwith subjective findings. To effectivelytreat pain, we have to relentlessly seek its source. Karel Lewit, MD, DSc, aninternational authority on manualmedicine, reminds us, “He who treats the site of pain is lost.”

Today, researchers and Logan’s RadiologyDepartment Chair Norman Kettner, DC,DACBR, FICC, are pointing to—what atone time seemed—an unlikely source ofpain: the brain.

“The brain exhibits bidirectional painprocessing pathways, which travel to thecortex from the pain source within thebody but also to a descending inhibitory

pathway that may reduce pain signals atthe entry into the spinal cord,” said Dr. Kettner. “This is an important finding.In years past, some of the greatestneurosurgeons believed the cortex hadnothing to do with pain because theirsurgical ablation, focused in the sensorycortex, did little to interrupt pain. Theydidn’t know there was a complex painprocessing network. But today throughadvanced neuroimaging, we can mapcortical and subcortical circuitry duringthe experience of experimental or clinical pain.”

Dr. Kettner says one of the unexpectedderivatives of pain neuroimaging researchhas been the clarification of placeboresponse mechanisms. These mechanisms,he explained, demonstrate the inherenthealing power in the mind-body interplay.A patient or subject who is placed in ahealing context with the perception,expectation or belief in the clinical benefitof a particular treatment often experiencessignificant pain reduction and healingbenefit even when the intervention, suchas a placebo pill, has no active ingredient.

Likewise, Dr. Kettner says there is aconverse mechanism known as noceboresponse where expectation and belief ofnegative outcomes translate into poorerclinical outcomes. Patient expectationsand beliefs are influenced by psychosocialas well as the biological factors (tissuedamage) and are important to understandto optimize clinical outcomes.

As physicians, how do we then treatpatients who think they are in pain? Dr. Kettner advises a thoroughbiopsychosocial assessment recognizingthat the mind and body (biopsychosocial)are not only connected, they areinseparable.

The biopsychosocial model he subscribesto considers patients’ attitudes, emotionsand beliefs as playing a role in theevolution of their pathophysiology andtheir clinical management. To support thishypothesis, Dr. Kettner points to the datathat the hypothalamic-pituitary-adrenal(HPA) axis regulates the body’shomeostatic balance.

“Where there is disruption of the HPAaxis by internal or external stressors,patients can experience a variety ofneurological symptoms, which can rangefrom pain and clinical depression toirritable bowel syndrome,” said Dr. Kettner.“When our research team and others haveimaged the effects of acupuncture, forexample, our findings suggest the brainmay be responsible for transducing theneedle stimulus into a complex network ofsignals that restore and maintainhomeostatic balance. Essentially, the brain(mind) has the capability to reach downinto the body and modulate pain andnormalize autonomic function in the HPAaxis assisting the healing response.”

According to Dr. Kettner, disease arisesfrom the confluence of anatomic,physiologic and psychosocial events. Theproblem, he says, with health care is thatwe approach these three areas separately.

The Brain and Patients’ PainThis past December, Dr. Kettner took hislessons on chronic pain and the mind-body relationship to some unlikelystudents: first- and second-year medicalstudents on the Saint Louis University(SLU) campus. There, the renownedchiropractor and radiologist exposed theclass of future medical doctors to thebiopsychosocial model, addressing howpatients’ beliefs and emotions caninfluence their physical health.

“Why does pain chronify?” Dr. Kettnerasked the SLU medical students.“Alterations in neuronal activity identifiedas sensitization, although initiallyprotective, may persist until long-lasting effects known as neuroplasticitydevelop in the central nervous system.Simultaneously, self-defeating patientbeliefs and expectations (catastrophization)are interacting withpain-reducing neuralnetworks promoting pain chronicity.

Dr. Norman Kettner

Examiningthe ThinkingBody

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Typically, the presence of chronic pain isdominated by subjective clinical findings.When clinicians encounter complaintswithout objective findings, they oftendismiss them as imaginary. The patientsenses this unfounded suspicion of theirpain experience and an adversarial, rather than healing, relationship may evolve.”

To offer the SLU students a closer look atthe brain’s influence on pain, Dr. Kettnershared images and findings from severalacupuncture studies. The investigationsemployed functional magnetic resonanceimaging (fMRI) to study acupuncture’seffects in pain patients with neuroplasticreorganization as an outcome measure.

Dr. Kettner and his research team found:

• Acupuncture changed cortical andsubcortical function and increasedcommunication and connectivity amongthe brain networks involved with painprocessing and antinociception

• Chronic pain patients use a maladaptiveform of cortical and subcorticalneuroplasticity to maintain chronic pain

Often, the initial tissue injury (bio) hasresolved but beliefs, fear, anxiety andexpectations of continued pain(psychosocial) have become learned(neuroplasticity) fostering the painchronicity. Dr. Kettner said these findingsare directly in line with the very definitionof pain, as recommended by theInternational Association for the Study ofPain: an unpleasant sensory and emotionalexperience associated with actual orpotential tissue damage (Merksey 1979).

For these cases, Dr. Kettner recommendsphysicians follow a specific course ofaction: Consider the patient’s psychosocialinfluences along with the biological anddo not dismiss claims of pain whenclinical testing, i.e., physical exam, MRI orlabs, provide little objective explanationfor the patient’s pain presentation. A trialof chiropractic management will oftenbenefit the chronic pain patient serving as the most useful and cost-beneficialdiagnostic test.

An EarlyIntroduction to ChiropracticListening attentively to Dr. Kettner’s lecturesat Linda Smith, DC, an August 1982 Logangraduate. Dr. Smithpaved a path for

integrative health education on the SLU Medical School campus.

“I’ve been in private practice now for 30years and during this time I have beensubjected to interruptions in my patientcare by other health practitioners whodidn’t understand or wish to co-managechiropractic patients,” she said.

Dr. Smith served as a panelist for theComplementary and Alternative GeriatricHealth Care conference organized by Dr. Kettner and held on the Logancampus in collaboration with Saint LouisUniversity School of Medicine. There, she approached fellow conference speakerJoseph Flaherty, MD, a professor ofmedicine at SLU and its GeriatricResearch, Education and Clinical Center,about addressing SLU’s medical students.Coincidentally, the medical school’s deanof curriculum was contemplating a newcourse to help his students understandalternative health practices. A schoolsurvey, at the time, had uncovered thatSLU’s medical students were eager tounderstand and learn about other healthoptions, and the dean of curriculum wascommitted to closing this information gap.

No stranger to the classroom afterteaching for Logan in the 1980s, Dr. Smithreturned to teaching, but this time shewould instruct, and influence, futuremedical doctors. Her elective course“Alternative Skills” introduces students tothe philosophies and health benefits ofchiropractic, acupuncture, massagetherapy, meditation and yoga.

Now, in her fourth year of teaching at SLU Medical School, Dr. Smith says theresponse to the material has been “verypositive.” “I am hopeful that as a result of this class, the future doctors I havetaught will have a better understanding of alternative skills and an appreciation for mind-body practices,” she said.

Below are abstracts from selectplatform and poster presentationsbeing presented at the 2013 ACC-RAC:

The effects of dietary modification and whole food supplements oncardiovascular disease risk factors inoverweight and obese adults with totalcholesterol over 180.Rodger Tepe, PhD, Robert Davidson, PhD

The objective of this study was toinvestigate the effects of dietarymodification and whole food supplementson cardiovascular disease risk factors inoverweight and obese adults with totalcholesterol over 180. A conveniencesample of 40 consenting adultparticipants with total cholesterol >180and body mass index >25 had 12cardiovascular risk factors assessed beforeand after 21 days of following theirnormal diet and again after 21 days offollowing a nutritional intervention.Results showed statistically significantpost-intervention improvements (range P= 0.034 to <.0001) in 10 out of 12known cardiovascular risk factors: systolicand diastolic blood pressure, weight, bodymass index, total cholesterol, totalcholesterol/high density lipoprotein, lowdensity lipoprotein, low densitylipoprotein/high density lipoprotein, andtriglycerides, C-reactive protein, andheart rate variability total power. Thisstudy demonstrates that a conservativeintervention can significantly reducecardiovascular risk factors withoutmedication.

A single blind, one-group pretest,posttest pilot study of the effects ofactive release technique on cervical and thoracic range of motion.Rodger Tepe, PhD, Lindsay Roseman, Hans Hengel, Jane Oschner-Ndessokia, Daniel Jablonski

The objective of this study was toinvestigate the effects of active releasetechnique on cervical and thoracic spineranges of motion in asymptomatic adultparticipants with restricted range ofmotion. A sample of 26 consenting adultshad goniometric cervical and thoracic

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Dr. Linda Smith

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With big dreams and small probability,athletes invest enormous amounts of timeand money into specialized doctors andtraining programs. Sports researcher JohnLather estimates athletes must spend 20hours of intense training per week for aperiod of eight years (approximately10,000 cumulative hours) to reach aworld-class level of performance.

Nearly 22 years ago, a DynamicChiropractic article posed the question: Is there a trend toward chiropractic in sports care? To answer that questiontoday, Logan faculty member Gary Oden,MEd, PhD, offers a resounding yes.

The ChiropracticSports MovementThe 1991 DynamicChiropractic storycreditedchiropractors’expertise in

biomechanics and neuromusculoskeletaldysfunction as the driving forcespropelling professional and amateurathletes alike to seek chiropractic care.Now, with master-level programs, such asLogan’s Master of Science in SportsScience and Rehabilitation, Dr. Odenequips chiropractors with specializedtraining to help them edge out thecompetition.

As an online instructor for Sports andExercise Testing and Prescription andSports Exercise Science, teaching for bothLogan’s sports science and nutritionmaster-level programs, Dr. Oden providesreal-world training to help students makeathletes stronger, faster and more agile.His online instruction offers performancetesting reviews, explores these tests’validity and covers nutrition’s impact on aerobic and anaerobic athletes.

“Every year, there is something new we are learning and teaching that affectsperformance training from a physiological,biomechanical and nutritional aspect,” he offered.

For example, Dr. Oden says gone are the days of telling anaerobic athletes they don’t have to submit to any foodrestrictions. “At one time, the literaturereported anaerobic athletes, like the sprintrunners, could eat whatever they wanted,”he said. “Now, we know that nutritionhas a small, acute performance impact buta significant effect on athletes’ long-termhealth and careers.”

He also examines specific trainingregimens. “Contemporary research andcase studies show that aerobic athletesdon’t have to train to the extent we once prescribed,” he said. Trainers andhealth professionals once recommendmarathoners run 120 miles each week, he explained.

Dr. Oden says modern training protocolshave condensed the mileage to 60-80miles per week.

“The health community has realized that ifan athlete trains at a higher intensity for ashorter period of time, the performanceoutcome is just as strong as lower intensitytraining for a longer time period,” said Dr.Oden. “The greatest benefit for the athletewith a high-intensity training protocol isthe reduced chance for athletic injury.”

Playing to WinAs for the futureoutlook, Dr. Odensees a “tremendousmarket” forchiropractors toexpand on their

knowledge and training to advanceathletic performance and build a robustpatient pipeline.

“More high schools and even junior high schools are promoting specializedtraining to help their players make the varsity team and perform at theirhighest capacity,” he said. “Chiropractors,especially those with specialized sportsscience and rehab training, can make ameasurable difference in their athleticcareers, helping them develop their fullpotential—whether it means making the varsity team or advancing to thecollegiate or professional levels—andpreventing sidelining injuries.”

In 2011, a ChildFund Alliance survey identified the professional athlete as American

children’s number one career aspiration. Despite the overwhelming odds—it’s been

reported the chances of becoming a professional athlete is about 24,550 to one,

which means it’s more likely for someone to get struck by lightning or write a New

York Times bestseller—the playing field is packed with athletic hopefuls.

Sports Chiropractic: Beating the Odds

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Dr. Oden also sees greateropportunity to takechiropractic’s performancetraining and fundamentalsinto the corporate arena,supporting companies’growing investments inwellness programs.

“Whether in a family practice setting or throughcustomized programs targeting the athleticpatient or corporate America, my goal is toprovide students with information they canapply,” he concluded. “Information is onlyuseful when it’s applicable.”

Articles

Ursula, C. Baker, Edward M.Heath, Darla R. Smith, and GaryL. Oden (2011). Development of Wingate Anaerobic Test for Highly-Trained Women. Journal of Exercise Physiology.Vol. 14, No. 1, April 2011.

Joubert, Dustin, Gary L. Oden,and Brent Estes. (2011). TheEffect of Ellipical Cross Trainingon VO2max of Highly trainedRunners. International Journal ofExercise Science. Vol. 4, Issue 1, March 2011.

Hyman, W., Oden, G. and Wagner, M. (2010) The Aging Progress.Physiological Changes andImplications for Educators and Practitioners. Journal ofActivities, Adaptation and Aging.Vol. 34, Issue 2, March 2011.

Oden, G. and M. Bass. “Pre-game Nutrition andAthletic Performance.”Manuscript in preparation.

Books

Wagner, M., Oden, G. Nix, B. (2011). Fundamentals of Weight Training. 1st edition.Kendall/Hunt. ISBN# 978-0-7575-8600-2

Crouse, S.F., Coast, J.R., OdenG.L. (2011) Clinical ExercisePhysiology Laboratory Manual.1st edition. Kendall/HuntISBN# 978-0-0676-3234-1

Hyman, W., G. Oden, D.Bacharach, T. Sebesta, (2011)Fitness for Living. 4th edition.Kendall/Hunt. ISBN# 978-0-7575-9110-5

About Dr. Gary Oden

Since fall 2009, Dr. Oden has taught for Logan’s Master of Science in Sports Science andRehabilitation. Hecurrently teaches theonline sections of Sports

Exercise Science and Sports and ExerciseTesting and Prescription, which he alsooffers for Logan’s Master of Scienceprogram in Nutrition and HumanPerformance.

Dr. Oden serves as a faculty member forthe Department of Health and Kinesiologyat Sam Houston State University inHuntsville, Texas, where he resides. Heearned his doctorate in applied exercisephysiology from Texas A&M and holds alicense as an Exercise Test Technologistfrom the American College of SportsMedicine and a teaching certificate inphysical education and history from thestate of Alabama.

He has authored and co-authored severalbook chapters and journal articles (seelisting), and serves as a reviewer for theInternational Journal of Sports Medicine.

2013 ACC-RAC Abstracts:

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spine measurements taken in acounterbalanced order by blindedexaminers before and after a single activerelease treatment. Results showedstatistically significant increases (P<0.05)in 8 of the 11 ranges of motion measured:cervical flexion, cervical right rotation,cervical left rotation, cervical left lateralflexion, cervical right lateral flexion,thoracic flexion, thoracic left rotation, andthoracic left lateral flexion. This studydemonstrates that a single active releasetechnique treatment improved 8 out of 11cervical and thoracic range of motionmeasures.

Ethnicity differences in serum levels of25-hydroxyvitamin D and parathyroidhormone and bone mineral densityamong healthy individuals Weiwen Chai, PhD, Robert Davidson, PhD,Martha Kaeser, DC, Norman Kettner, DC

The objective of this study was to examineethnicity differences in serum levels of 25-hydroxyvitamin D and parathyroidhormone and bone mineral density amonghealthy individuals. Serum levels of 25-hydroxyvitamin D (25(OH)D, indicator ofvitamin D status), parathyroid hormone(PTH) and bone mineral density (BMD)were assessed in 18 African Americans and19 Caucasians recruited from LoganCollege of Chiropractic/UniversityPrograms. Consistent with literature,African Americans had significantly lowerserum 25(OH)D concentrations, higherPTH levels and higher BMD compared toCaucasians in the current sample ofhealthy individuals.

Plantar fascia dynamics in runners and walkers Aaron Welk, DC, Daniel Haun, DC, Thomas Clark, DC, Norman Kettner, DC

The aim of the plantar fascia study was toassess how the plantar fascia responds to stress caused by the gait cycle. Participantseither walked on a treadmill for 10 minutesor ran on a treadmill for 30 minutes andthe plantar fascia thickness was measuredwith diagnostic ultrasound before and after.The study has been submitted to theJournal of Manipulative and PhysiologicalTherapeutics for publication consideration.

Page 10: Winter 2013 Speaks

10

Doctor DoctorTO

Dr. Roy Hillgartner

This installment of Doctor to

Doctor features professional

development advice from

Dr. Roy Hillgartner, a January

1969 Logan graduate.

Dr. Hillgartner has served

on the Logan faculty for more

than 40 years and owns a

private practice in Ballwin, Mo.

Dr. Hillgartner shares his perspective withLogan College of Chiropractic/UniversityPrograms for publication in Logan Speaks.Logan claims no copyright interest in Dr. Hillgartner’s work.

If you would like to submit

a practice tip to Doctor to

Doctor, please email your

tip to [email protected].

SCIENCE AND NATURE ALIGNED IN BALANCE

Chiropractic and ProfessionalDevelopment at Logan

What benefits come from taking advantage of professional development opportunities?One of the main benefits of the professional development courses isthat it allows us to occasionally get outside the box and off the gridcovering topics and material that are extremely relevant to ourstudent’s growth and development.

Our professional development courses, which begin the students’ first trimester and continue through their 10th and final trimester,allow for multiple possibilities that don’t always fit into the normalpattern. We not only discuss timely topics—including ethics,communication skills, current practice models, specialty practicepossibilities, multi-disciplinary practices, health care trends, legislativeissues, managed health care, national health care and early planning for their patient clinic experience—but we also expose the student to professionals in the areas of banking, loan acquisitions, equipmentleasing, practice building, legal issues, malpractice liability and otherinsurance needs, chiropractic and medical field practitioners.

We have designated one-on-one consulting times for students toreview and discuss employment contracts, office leases, equipmentpurchases and practice purchases. Our director of health centers marketing and ourdirector of career development services meet with our students on a regular basis throughour professional development courses.

Additionally, many of our faculty not only serve as lead instructors, but also as frequentguest speakers. In the end, what we have are new doctors who are consciously aware of amodel of professionalism that will enhance their patient skills in private practice.

What are the best ways to maximize your practice and potential with professional development? First, start early with ongoing learning. Two, stay persistent and constantly implementelements of professional development into your practice. Three, stay current and realizethat professional development is a lifelong course.

Dr. Hillgartner has taught professional development courses at Logan for more than 30 years, ensuring Logan students areprepared to make a smooth transition from the classroom topractice. He discusses the addition of professional developmentcourses in chiropractic and how he strives to make personal and career advancement part of the Logan culture.

Professionaldevelopment is notonly a series ofcourses at Logan,but a constantinterwoven fiberthat our facultyand administrationare conscious of instilling in ourstudents. Our goalis for this to occurintentionally andnot accidentally.

Page 11: Winter 2013 Speaks

11LOGAN SPEAKS WINTER 2013

A Publication of Logan College ofChiropractic/University Programs forAlumni, Students, Employees and Friends of the College

LOGAN SPEAKSWinter 2013Logan Speaks is published three times a year: Winter, Summer and Fall.

Logan Board of TrusteesSteven C. Roberts, JD, LLMChair of the BoardDebra L. Hoffman, DCVice Chair of the Board

Logan Board MembersNicole Bennett, DCRichard M. Bruns, DCChristophe Dean, DCPaul Henry, DCRonald Grant, DCGregg E. HollabaughCarmen Jacoby Hutchcraft, DCRick A. McMichael, DCMark O. Reeve, DCRobert J. StearleyRodney Williams, DC

Logan Advisory BoardMarc G. Malon, DC

Logan AdministrationGeorge A. Goodman, DC, FICCPresidentLaura McLaughlin, MA, JDGeneral CounselBoyd Bradshaw, EdD Vice President of Enrollment ManagementCarl W. Saubert, IV, PhDVice President of Academic AffairsSharon Kehrer, MBAVice President, Administrative AffairsPatricia Marcella, MBAChief Financial OfficerRalph Barrale, DC Vice President of Chiropractic AffairsPatricia C. JonesVice President, Institutional AdvancementElizabeth A. Goodman, DC, PhDDean of University ProgramsJames Paine, PhDDean of Student ServicesAngela Reeves-McCall, PhDAssociate Vice President of Academic Affairs

Thomas F. Keller, MAAssociate Vice President Office of Public RelationsLogan Speaks Editor

Logan Speaks is produced by the offices of Public Relations andInstitutional Advancement.Reader comments can be sent to the editor via e-mail at [email protected].

LOGAN SPEAKSLogan College of Chiropractic/University Programs1851 Schoettler Road, PO Box 1065Chesterfield, MO [email protected] www.logan.edu1-800-782-3344, Ext. 2401

Professional development is built on a foundation of what I liketo call the four Ps: principles, purpose, perception and passion.To maximize growth, purpose must drive the practice every day.Everything in life is about perception, perceived value and your vision.

One of my favorite quotes is from Napoleon Hill. He wrote:“Cherish your vision and your dreams, they are the children ofyour soul; the blueprints of your ultimate achievements.” All of this results in a passion-driven practice that separates anordinary life from an extraordinary life. Don’t settle for anythingless than perfection.

How does Logan keep up with professionaldevelopment?More so, now than ever before, health care delivery is changing.There’s more emphasis today on results, outcomes andassessments. Working with other health care disciplines is a must,teaching them about the benefits of chiropractic care and stayingcurrent with the literature is essential in our lifelongdevelopment professionally.

At Logan, we use a term called the “Logan Advantage.” We have an incredible faculty and administration that workconstantly to help our students achieve their goals. Professional development is not only a series of courses at Logan, but a constant interwoven fiber that our faculty andadministration are conscious of instilling in our students. Our goal is for this development to occur intentionally and not accidentally.

It’s a different world today than it was when I started in practice, and the professionaldevelopment advantages that students have now are tremendous. We have many facultymembers who are also in private practice and share valuable information on clinicalconditions and personal experiences with their classes. There is something to be said abouthaving a professor at the podium and who can say, “Let me tell you about something thatactually happened in our clinic.”

Why is it important to focus on professional development right away, opposed to waiting until you’ve established your practice? Why not? The administration of Logan is very serious about doing and giving as much as necessary to produce our desired outcome. Our mission statement is clear and the professional development courses support that outcome. We want our students growing with the process, not after the process.

Early instruction can help add context to their other courses and their clinic/patientexperiences. At Logan, starting as early as the first trimester gives us the opportunity to truly address topics and issues that are current today and don’t always fit into a syllabus of the basic science or clinical science courses.

One of the mainbenefits of theprofessionaldevelopmentcourses is that it allows us tooccasionally getoutside the boxand off the gridand cover topicsand material thatare extremelyrelevant to ourstudent’s growthand development.

Page 12: Winter 2013 Speaks

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LOGAN SPEAKS

All programs on campus unlessotherwise stated

March 2-3Internal Health Specialist #3Instructor: Howard F. Loomis, Jr.,DC, FIACA

March 9-10Insurance Consultant/Peer Review #6Instructor: D. Robert Kuhn, DC,DACBR, ART

Basic Acupuncture #6Instructor: Zev Myerowitz, DC,Dipl.Ac. (NCCAOM), Lac.

March 23-24Whole Food Nutrition #7Instructor: Joseph Olejak, DC

April 6-7Internal Health Specialist #4Instructor: Howard F. Loomis, Jr.,DC, FIACA

April 13Whole Food Nutrition #8Instructor: Joseph Olejak, DC

April 20Peer ReviewInstructor: Michael Hillyer, DCLocation: Louisville, KY

April 20-21Insurance Consultant #7Instructor: Mario Fucinari, DC,CCSP®, MCS-P

May 18 Biomechanics of GolfInstructor: Mike Murphy, DCLocation: Far Oaks Golf Club –Caseyville, IL

May 18-19 Insurance Consultant/Peer Review #8Instructor: Mario Fucinari, DC,CCSP®, MCS-P

June 1-2 Internal Health Specialist #5Instructor: Howard F. Loomis, Jr.,DC, FIACA

June 8-9 Chiropractic NutritionSpecialist #1Instructor: David Seaman, DC,DABCN

June 22-23 Basic Acupuncture #1Instructor: Zev Myerowitz, DC,Dipl.Ac. (NCCAOM), Lac.

June 22-23 Laser/SRAInstructor: Nelson Marquina,DC, PhD

Postgraduate Seminars March – June 2013

SCIENCE AND NATURE ALIGNED IN BALANCE

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