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Reviews
By Keith Innes, DC, Dean of the MPI Faculty
Title: The Mears Technique; a bio-mechanical study of
occipital-cervical spine displacement and correction
Author: D.B. Mears Sr., DC, PhC
Publisher: D.B. Mears Jr., DC
(203) 749-2789
Category: Education: upper cervical technique manual
Publication: Softcover, approximately 89 pages of text and note
space
This technique manual is based on an extensive x-ray analysis and
blatant overuse and abuse of x-rays. On page 75 in the manual, Dr.
Mears states: "The patient is adjusted and immediately re-x-rayed.
I adjust and re-x-ray on the basis of three times per week for
those living in the area." The first nine chapters deal with x-ray
marking and a few adjustive procedures. Chapter 10 deals with the
neurological connections between the thoracic, lumbar, and cervical
spine. Chapter 11 is about care of the acute case. The balance of
the text deals with some office procedures, spinal analysis, and
extremity adjusting.
There are no references other than a few name dropping techniques
and buzz words here and there. I realize that this is Dr. Mears'
life's work and I am sure that he is very proud of it. However, in
the face of the abundant wealth of literature in today's world, it
is not something that I would recommend to any chiropractor or
student who is genuinely interested in the best possible care of
his or her patient.
Innes rating: 1
Stephen Savoie, DC, DABCO
Title: "Beyond Carpal Tunnel: The Other Tunnels You Need to
Know"
Author: Scott R. Cramer, DC, DABCO
(719) 633-7246
Publisher: Bear La Bay Productions, Inc.
Category: Doctor education
Publication: Videotape
"Beyond Carpal Tunnel" is a video presentation of the differential
diagnosis of entrapment syndromes of the cervical spine and upper
extremity.
Dr. Cramer is a board certified chiropractic orthopedist who
recently published an article on double crush syndrome. He also
lectures on entrapment syndromes.
As is explained by Dr. Cramer, there is more to entrapment
syndromes than carpal tunnel. He describes a number of upper
extremity entrapment syndromes which may be encountered in
chiropractic practice. He discusses this area of diagnosis as it
relates to repetitive motion injuries in the workplace and its
growing importance in workers' compensation.
The format of the program revolves around Dr. Cramer examining a
patient with complaint of upper extremity pain. He systematically
covers the various entrapments syndromes, from the cervical spine
to the wrist, pointing out the various anatomic landmarks, and
examination procedures used to differently diagnosis entrapments of
the cervical spine, axilla, radial, median and ulnar nerves.
Although the basic material is well researched, the presentation is
difficult to follow. Dr. Cramer's patient is not gowned and when
he points out alteration of posture in the head, neck and
shoulders, the viewer cannot see this at all. The program's
effectiveness is inhibited by the absence of any artwork or
diagrams of the anatomical areas being evaluated. This coupled
with the use of terms not readily familiar to many chiropractors
makes the program hard to absorb.
During the orthopedic examination of the patient, Dr. Cramer
discusses an alternate means of recording positive findings (grades
1-4) without sufficient explanation to make clear how he is grading
the tests. This makes that portion of the tape somewhat confusing.
In some parts of the examination, the camera angle makes it
difficult to see what is being tested and what the expected result
should be.
I believe the focus of this presentation is important information
for the profession to know. However, the format of this tape makes
it difficult to follow and adequately absorb.
Savoie Rating: 5
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