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October 2004 Table of Contents
CBP® Research Update • Conventional Wisdom • Don's Opinion • CBP® and Geriatrics: A Case Report • Enough of Chiropractic is for This Pain or That Pain • Chiropractic Passion • The Purpose Driven Practice • Three New and Important Whiplash Articles • You Hired Me To Do A Job • ACA Lawsuit Dismissed • CBP® Online Cyber Update • Harrisons' and Caillet • ICA Files 'Amicus' Brief • A Response to Dr Fuhr • Life University Achieves Financial Goal • Structural Rehab Tool • CBP®'s Chiropractor of the Year • CBP®'s Annual Awards
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CBP® Research Update
by Sanghak O. Harrison, DC
Treasurer, CBP® Nonprofit, Inc.
 Dr. Sang Harrison attended the University of Delaware and Life Chiropractic College in Atlanta, graduating in 1983. She interned with Dr. Don Harrison in Sunnyvale, California in 1983 and practiced in Fremont, California from 1984 to 1986, when she and Don were married and moved to Wyoming. She has been the financial officer for CBP®, Nonprofit since 1986. She has drawn all the skeletal drawings in the CBP® Technique textbooks. She is the co-author of 10 published, accepted, or in review research papers in the Index Medicus.
As the year 2004 draws to an end, we are edging closer to 90 publications in the Index Medicus. Of course our first goal years ago was 10 publications, but now we see the reality for more than 100! This has all been made possible by the DCs, who have generously donated to CBP Nonprofit. We thank you for your continuing support of our research efforts.
As I try to do each year, I have listed our donators and their amounts in order that our bookkeeping is above board.
We have our fall fund drive in progress. We need to raise $50,000 more to complete our neurological and biomechanical studies on live sheep spines in Australia with collaborators Robert Gunzburg, MD, PhD, Rob Moore, DVM, PhD, Tony Keller, PhD, Chris Colloca, BS, DC, and Deed Harrison, DC.
Please send in your 2004 dues to CBP Nonprofit by December 1, 2004. Thank you.
CBP® RESEARCH PROJECTS as of April 2004
I. X-Ray/Posture Reliability
1. Jackson BL, Harrison DD, Robertson GA, Barker WF. Chiropractic Biophysics Lateral Cervical Film Analysis Reliability. J Manipulative Physiol Ther 1993;16(6): 384-91.
2. Troyanovich SJ, Robertson GA, Harrison DD, Holland B. Intra- and Interexaminer Reliability of the Chiropractic Biophysics Lateral Lumbar Radiographic Mensuration Procedure. J Manipulative Physiol Ther 1995;18(8):519-524.
3. Troyanovich SJ, Harrison DE, Harrison DD, Holland B, Janik TJ. A Further Analysis of the Reliability of the Posterior Tangent Lateral Lumbar Radiographic Mensuration Procedure: Concurrent Validity of Computer Aided X-ray Digitization. J ManipulativePhysiol Ther 1998; 21(7): 460-467.
4. Troyanovich SJ, Harrison SO, Harrison DD, Harrison DE, Payne M, Janik TJ, Holland B. Chiropractic Biophysics Digitized Radiographic Mensuration Analysis of the Anteroposterior Lumbar View: A Reliability Study. J Manipulative Physiol Ther 1999; 22(5): 309-315.
5. Troyanovich SJ, Harrison DE, Harrison DD, Harrison SO, Janik TJ, Holland B. Chiropractic Biophysics Digitized Radiographic Mensuration Analysis of the Anteroposterior Cervico-thoracic View: A Reliability Study. J Manipulative Physiol Ther 2000; 23: 476-82.
6. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb Method or Harrison Posterior Tangent Method: Which is Better for Lateral Cervical Analysis? Spine 2000; 25(16): 2072-78.
7. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. Centroid, Cobb or Harrison Posterior Tangents: Which to Choose for Analysis of Thoracic Kyphosis? Spine 2001; 26(11): E227-E234.
8. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. Radiographic Analysis of Lumbar Lordosis: Cobb Method, Centroidal Method, TRALL or Harrison Posterior Tangents? Spine 2001; 26(11): E235-E242.
9. Janik TJ, Harrison DE, Harrison, DD, Payne MR, Coleman RR, Holland B. Reliability of lateral bending and axial rotation with validity of a New Method to determine Axial Rotations on AP Radiographs. J Manipulative Physiol Ther 2001; 24(7): 445-448.
10. Harrison DE, Holland B, Harrison DD, Janik TJ. Further Reliability Analysis of the Harrison Radiographic Line Drawing Methods: Crossed ICCs for Lateral Posterior Tangents and AP Modified Risser-Ferguson. J Manipulative Physiol Ther 2002; 25: 93-98.
11. Normand MC, Harrison DE, Cailliet R, Black P, Harrison DD, Holland B. Reliability and Measurement Error of the BioTonix Video Posture Evaluation System. Part I: Inanmate objects. J Manipulative Physiol Ther 2002; 25(4): 246-250.
12. Harrison DE, Harrison DD, Colloca CJ, Betz JW, Janik TJ, Holland B. Repeatability Over Time of Posture, X-ray Positioning, and X-ray Line Drawing: An Analysis of Six Control Groups. J Manipulative Physiol Ther 2003; 26(2):87-98.
13. Harrison DE, Haas JW, Harrison DD, Janik TJ, Holland B. Sagittal Skin Contour of the Cervical Spine: Inter-examiner and Intra-examiner Reliability of the Flexicurve Instrument. J Manipulative Physiol Ther 2004; in press.
14. Harrison DE, Haas JW, Cailliet R, Harrison DD, Janik TJ, Holland B. Concurrent Validity of the Flexicurve Instrument Measurements: Sagittal Skin Contour of the Cervical Spine Compared to Lateral Cervical radiographic Measurements. J Manipulative Physiol Ther 2004; in press.
15. Harrison DE, Betz JW, Colloca CJ, Cailliet R, Haas JW, Harrison DD, Janik TJ. Production of Radiographic Pseudo-Scoliosis from Lateral Thoracic Translation Posture (Trunk List). 2003; in review.
II. Spinal Modeling
16. Harrison DD, Janik TJ, Troyanovich SJ, Holland B. Comparisons of Lordotic Cervical Spine Curvatures to a Theoretical Ideal Model of the Static Sagittal Cervical Spine. Spine 1996;21(6):667-675.
17. Harrison DD, Janik TJ, Troyanovich SJ, Harrison DE, Colloca CJ. Evaluations of the Assumptions Used to Derive an Ideal Normal Cervical Spine Model. J Manipulative Physiol Ther 1997; 20(4): 246-256.
18. Troyanovich SJ, Cailliet R, Janik TJ, Harrison DD, Harrison DE. Radiographic Mensuration Characteristics of the Sagittal Lumbar Spine From A Normal Population with a Method to Synthesize Prior Studies of Lordosis. J Spinal Disord 1997;10(5): 380-386.
19. Harrison DD, Cailliet R, Janik TJ, Troyanovich SJ, Harrison DE, Holland B. Elliptical Modeling of the Sagittal Lumbar Lordosis and Segmental Rotation Angles as a Method to Discriminate Between Normal and Low Back Pain Subjects. J Spinal Disord 1998; 11(5): 430-439.
20. Janik TJ, Harrison DD, Cailliet R, Troyanovich SJ, Harrison DE. Can the Sagittal Lumbar Curvature be Closely Approximated by an Ellipse? J Orthop Res 1998; 16(6): 766-770.
21. Harrison DE, Janik TJ, Harrison DD, Cailliet R, Harmon S. Can the Thoracic Kyphosis be Modeled with a Simple Geometric Shape? The Results of Circular and Elliptical Modeling in 80 Asymptomatic Subjects. J Spinal Disord Tech 2002; 15(3): 213-220.
22. Harrison DE, Harrison DD, Janik TJ, Cailliet R, Haas JW. Do alterations in vertebral and disc dimensions affect an elliptical model of the thoracic kyphosis? Spine 2003; 28(5): 463-469.
23. Harrison DD, Harrison DE, Janik TJ, Cailliet R, Ferrantelli JR, Haas JW, Holland B. Modeling of the Sagittal Cervical Spine as a Method to Discriminate Hypo-Lordosis: Results of Elliptical and Circular Modeling in 72 Asymptomatic Subjects, 52 Acute Neck Pain Subjects, and 70 Chronic Neck Pain Subjects. Spine 2004; in press.
24. McAviney J, Schulz D, Bock R, Harrison DE, Burt Holland B. Determining a clinical normal value for cervical lordosis. J Manipulative Physil Ther 2004; in press.
25. Harrison DE, Harrison DD, Haas JW, Janik TJ, Cailliet R. Normal Spine Model from T1 to S1: Adjoining Portions of Ellipses at T12. 2003; In preparation.
26. Harrison DD, Harrison DE, Haas JW, Janik TJ, Colloca CJ. The Harrison Normal Ellipsoidal Spinal Model from C1 to S1. 2004; in preparation.
27. Harrison DE, Harrison DD, Janik TJ, Cailliet R, Colloca CJ, Keller TS. The Optimal Sagittal Geometric Configuration of the Thoracic and Lumbar Spine: Biomechanical Analysis of Buckling, Vibration, Osteoporotic Deformity, Osteoarthritis Loading, and Sagittal Balance of 80 Normal Subjects. 2004; In preparation.
28. Keller TS, Colloca CJ, Harrison DE, Harrison DD, Janik TJ. Morphological and Biomechanical Modeling of the Thoracoc-lumbar Spine: Implications for the Ideal Spine. Spine Journal 2004; in press.
29. Harrison DE, Haas JW, Harrison DD, Janik TJ, Holland B. Do Sagittal Plane Anatomical Variations (Angulation) of the Cervical Facets and C2 Odontoid Affect the Geometrical Configuration of the Cervical Lordosis? Results from Digitizing Lateral Cervical Radiographs in 252 neck pain subjects. Clin Anatomy 2004; in press.
III. Technique
30. Harrison DD, Jackson BL, Troyanovich SJ, Robertson GA, DeGeorge D, Barker WF. The Efficacy of Cervical Extension-Compression Traction Combined with Diversified Manipulation and Drop Table Adjustments in the Rehabilitation of Cervical Lordosis. J Manipulative Physiol Ther 1994;17(7):454-64.
31. Harrison DD, Janik TJ, Harrison GR, Troyanovich SJ, Harrison DE, Harrison SO. Chiropractic Biophysics Technique: A Linear Algebra Approach to Posture in Chiropractic. J Manipulative Physiol Ther 1996;19(8):525-535.
32. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. New 3-Point Bending Traction Method of Restoring Cervical Lordosis Combined with Cervical Manipulation: Non-randomized Clinical Control Trial. Archives Phys Med Rehabil 2002; 83(4):447-453.
33. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Holland B. Changes in Sagittal Lumbar Configuration with a New Method of Extension Traction: Non-randomized Clinical Control Trial. Archives Phys Med Rehabil 2002; 83(11): 1585-1591.
34. Harrison DE, Harrison DD, Betz J, Janik TJ, Holland B, Colloca C, Haas JW.
Increasing the Cervical Lordosis with CBP Seated Combined Extension-Compression and Transverse Load Cervical Traction with Cervical Manipulation: Non-randomized Clinical Control Trial. J Manipulative Physiol Ther 2003;26(3) :139-151
35. Harrison DE, Cailliet R, Betz JW, Haas JW, Harrison DD, Janik TJ, Holland B. A Conservative Methods for Reducing Lateral Translation Postures of the Head: A Non-randomized clinical Control Trial. J Rehabil Res Dev 2004; 41(4): in press.
36. Colloca CJ, Keller, TS, Black P, Normand M, Harrison DE, Harrison DD. Biomechanical Comparison of Mechanical Force Manually Assisted Chiropractic Adjusting Instruments. J Manipulative Physiol Ther 2004; in press.
37. Harrison DE, Cailliet R, Betz JW, Harrison DD, Haas JW, Janik TJ, Holland B.A Non-randomized Clinical Control Trial of Harrison Mirror Image Methods for Correcting Trunk List (Lateral Translations of the Thoracic Cage). Euro Spine J 2004; in review.
38. Meyer D, Harrison DE. Cohort study of consecutive patients with anterior head translation posture. Being written.
IV. Practice Protocols
39. Troyanovich SJ, Harrison DE, Harrison DD. Review of the Scientific Literature Relevant to Structural Rehabilitation of the Spine and Posture: Rationale for Treatment Beyond the Resolution of Symptoms. J Manipulative Physiol Ther 1998;21(1):37-50.
40. Troyanovich SJ, Harrison DD, Harrison DE. Low back pain and the lumbar intervertebral disc: Clinical considerations for the doctor of chiropractic. J Manipulative Physiol Ther 1999; 22(2): 96-104.
40. Harrison DE, Harrison DD, Troyanovich SJ, Harmon S. Its Time to Accept the Evidence for a Normal Spinal Position. J Manipulative Physiol Ther 2000; 23: 623-644.
V. Reviews of the Literature
42. Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ. A Normal Sagittal Spinal Configuration: A Desirable Clinical Outcome. J Manipulative Physiol Ther 1996;19(6):398-405.
43. Harrison DE, Harrison DD, Troyanovich SJ. The Sacroiliac Joint: A Review of Anatomy and Mechanics. J Manipulative Physiol Ther 1997; 20(9): 607-17.
44. Harrison DE, Harrison DD, Troyanovich SJ. Three-Dimensional Spinal Coupling Mechanics. Part I: A Review of the Literature. J Manipulative Physiol Ther 1998; 21(2): 101-113.
45. Harrison DE, Harrison DD, Troyanovich SJ. Three-Dimensional Spinal Coupling Mechanics. Part II: Implications for Chiropractic Theories and Practice. J Manipulative Physiol Ther 1998; 21(3): 177-86.
46. Harrison DE, Cailliet R, Harrison DD, Troyanovich SJ, Harrison SO. A Review of Biomechanics of the Central Nervous System. PART I: Spinal Canal Deformations Due to Changes in Posture. J Manipulative Physiol Ther 1999; 22(4):227-234.
47. Harrison DE, Cailliet R, Harrison DD, Troyanovich SJ, Harrison SO. A Review of Biomechanics of the Central Nervous System. PART II: Strains in the Spinal Cord from Postural Loads. J Manipulative Physiol Ther 1999; 22(5):322-332.
48. Harrison DE, Cailliet R, Harrison DD, Troyanovich SJ, Harrison SO. A Review of Biomechanics of the Central Nervous System. PART III: Spinal Cord Stresses from Postural Loads and Their Neurologic Effects. J Manipulative Physiol Ther 1999; 22(6):399-410.
49. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting Biomechanics Part I: Review of the Literature. J Manipulative Physiol Ther 1999; 22(9): 594-609.
50. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting Biomechanics Part II: Optimal Car Driver’s Seat and Optimal Driver’s Spinal Model. J Manipulative Physiol Ther 2000; 23(1): 37-47.
51. Betz JW, Haas JE. Langworthy, Harrison, and History of Spine Traction: Setting the record straight. J Manipulative Physil Ther 2004; in review.
VI. Critical Appraisal of Chiropractic Methods
52. Harrison DD, Colloca CJ, Troyanovich SJ, Harrison DE. Torque: An Appraisal of Misuse of Terminology in Chiropractic Literature and Technique. J Manipulative Physiol Ther 1996;19(7):454-62.
53. Harrison DE, Harrison DD, Troyanovich SJ. Reliability of Spinal Displacement Analysis on Plane X-rays: A Review of Commonly Accepted Facts and Fallacies with Implications for Chiropractic Education and Technique. J Manipulative Physiol Ther 1998;21:252-66.
54. Troyanovich SJ, Harrison DD, Harrison DE. Commentary, Motion Palpation: It’s Time to accept the evidence. J Manipulative Physiol Ther 1998; 21(8): 569-571.
55. Harrison DD, Colloca CJ, Troyanovich SJ, Harrison DE. Commentary, Torque Misuse Revisited. J Manipulative Physiol Ther 1998; 21(9): 649-655.
VII. X-Ray Projection
56. Coleman RR, Bernard BB, Harrison DE. The Effects of Real Life X-axis Vertebral Translation on Projected Y-axis Vertebral Rotation Images. J Manipulative Physiol Ther 1998;21:333-40.
57. Coleman RR, Bernard BB, Harrison DE, Harrison SO. Correlation and quantification of projected 2-D radiographic images with actual 3-D y-axis vertebral rotations. J Manipulative Physiol Ther 1999; 22(1): 21-25.
58. Coleman RR, Harrison DE, Fischer T, Harrison SO. Correlation and Quantification of Relative 2-D Projected Vertebral Endplate Z-axis Rotations with 3-D Y-axis Vertebral Rotations and Focal Spot Elevation. J Manipulative Physiol Ther 2000; 23(6): 414-419.
59. Coleman RR, Harrison DE, Bernard BB. The Effects of Combined X-axis Translations and Y-axis Rotations on Projected Lamina Junction Offset. J Manipulative Physiol Ther 2001; 24(8): 509-513.
VIII. Case Studies
60. Colloca CJ, Polkinghorn BS. Chiropractic Management of Ehlers-Danlos Syndrome: A Report of Two Cases. J Manipulative Physiol Ther 2003; 26: 448-459.
61. Paulk GP, Harrison DE. Management of a chronic lumbar disk herniation with CBP methods following failed chiropractic manipulative intervention. J Manipulative Physiol Ther 2004; in press.
62. Ferrantelli J, Harrison DE, Harrison DD, Steward D. Conservative management of previously unresponsive whiplash associated disorders with CBP methods: A Case Report. JMPT 2004; in press.
63. Bastecki AV, Harrison DE, Haas JW. Cervical Kyphosis is a Possible Link to ADHD: A CBP® Case Study. JMPT 2004, in press.
64. Harrison DE, Bula J, Harrison DD. Non-operative Correction of flat back syndrome with conservative lumbar extension traction: Case Series of Three. 2004; in review.
65. Harrison DE, Haas JW, Harrison DD, Bymers B. Reduction of symptoms in a patient with syringomyelia, cluster headaches, and cervical kyphosis: A CBP® case report. JMPT 2004; in review.
66. Berry R, Oakley PA, Harrison, DE. A Structural Approach to the Post-Surgical Laminectomy: A CBP” Case Study. 2004; in review.
67. Harrison DE, Haas JW, Harrison DD. Improvement following spinal rehabilitation in a Progressive Multiple Sclerosis Patient: A CBP® Case Study. 2004, being written.
68. Harrison DE, Haas JW. Positive Outcomes with Tourett’s Syndrome and Chronic Tic Disorder Following Cervical Lordosis Restoration: a CBP Case Report. 2004, being written.
69. D’Andrea T, Harrison DE. Multiple Sclerosis: A CBP® Case Series. 2004; being written.
IX. Biomechanics
70. Harrison DE, Cailliet R, Harrison DD, Janik TJ, Troyanovich SJ, Coleman RR. Lumbar Coupling During Lateral Translations of the Thoracic Cage Relative to a Fixed Pelvis. Clin Biomech 1999; 14(10): 704-709.
71. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ. Cervical Coupling During Lateral Head Translations Creates an “S”-Configuration. Clin Biomech 2000; 15: 436-440.
72. Harrison DE, Harrison DD, Janik TJ, Holland B, Siskin L. Slight Head Extension: Does it Reverse the Cervical Curve? Euro Spine J 2001; 10: 149-153.
73. Harrison DE, Harrison DD, Janik TJ, Jones EW, Cailliet R, Normand M. Comparison of Axial and Flexural Stresses in Lordosis and Three Buckled Modes in the Cervical Spine. Clin Biomech 2001; 16(4): 276-284.
74. Harrison DD, Jones EW, Janik TJ, Harrison DE. Evaluation of Flexural Stresses in the Vertebral body Cortex and Trabecular Bone in Three Cervical Configurations with an Elliptical Shell Model. J Manipulative Physiol Ther 2002; 25(6): 391-401.
75. Harrison DE, Cailliet R, Harrison DD, Janik TJ. How Do Anterior/Posterior Translations of the thoracic cage affect the Sagittal Lumbar Spine, Pelvic Tilt, and Thoracic Kyphosis? Euro Spine J 2002; 11(3): 287-293.
76. Keller TS, Harrison DE, Colloca CJ, Harrison DD, Janik TJ. Prediction of osteoporotic spinal deformity. Spine 2003; 28(5): 455-462.
77. Keller TS, Colloca CJ, Beliveau JG. Force-deformation response of the lumbar spine: a sagittal plane model of posteroanterior manipulation and mobilization. Clin Biomech 2002: 17(3):185-96.
78. Keller TS, Colloca CJ, Gunzburg R. Neuromechanical characterization of in vivo lumbar spinal manipulation. Part I: Vertebral motion. J Manipulative Physiol Ther 2003;26:567-78.
79. Colloca CJ, Keller TS, Gunzburg R. Neuromechanical characterization of in vivo lumbar spinal manipulation. Part II: Neurophysiological Response. J Manipulative Physiol Ther 2003: 26:579-91.
80. Colloca CJ, Keller TS, Peterson TK, Seltzer DE. Comparison of dynamic posteroanterior spinal stiffness to plain film radiographic images of lumbar disc height. J Manipulative Physiol Ther 2003; 26:233-41.
81. Roy AL, Keller TS, Colloca CJ. Posture dependent isometric trunk strength and EMG activity in normal male and female subjects. J Electromyography & Kinesiology 2003; 13(5):469-76.
82. Colloca CJ, Keller TS, Gunzburg R. First Prize - Biomechanical and neurophysiological responses to spinal manipulation in patients with lumbar radiculopathy. J Manipulative Physiol Ther 2004: accepted for publication.
83. Keller TS, Colloca CJ, Beliveau JG. Determination of lumbar spine static and dynamic motion patterns: a twenty-one degree of freedom sagittal plane model. Clin Biomech 2003: in review.
84. Colloca CJ, Keller TS. Active trunk extensor contributions to dynamic posteroanterior lumbar spinal stiffness. J Manipulative and Physiol Ther 2004; accepted for publication.
85. Colloca CJ, Keller TS. Muscular contributions to dynamic posteroanterior spinal stiffness. JMPT 2004; in press.
86.Harrison DE, Colloca CJ, Keller TS, Harrison DD, Janik TJ, Haas JW. Anterior Thoracic Posture Increases Thoracolumbar Disc Loading. Euro Spine J 2004; In press.
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