H. Gemmell DC, BA, MSc, EdD, DAAPM, FIACA

Hugh Gemmell began practicing chiropractic medicine in Australia in 1977, and for the past 25 years has been practicing in the United States. After obtaining his doctor of education degree in 1990 he continued to practice while teaching part-time at Oklahoma State University. Dr Gemmell is currently a senior lecturer in chiropractic sciences at the Anglo-European College of Chiropractic where he is lead tutor for orthopaedics and geriatrics.


Presentation:

Development of a multidimensional testing regime for detection of the spinal manipulable lesion

At the Anglo-European College of Chiropractic (AECC) we have instituted a case-based problem-solving curriculum, and in conjunction with that we are reconsidering our approach to the detection of spinal manipulable lesions. To that end we conducted a systematic review of the literature to determine reliability of common methods for detecting the spinal manipulable lesion. Also, all chiropractic schools in the world were surveyed to determine what is currently being taught and if change is anticipated to the methods currently used for detecting manipulable lesions. A consensus process was then initiated using a focus group of the technique instructors, researchers, and clinicians from the school. Prior to the first focus group meeting, all participants were surveyed to obtain feedback on opinions as to what the institution should be teaching as concerns diagnosis of the manipulable lesion, and to note areas of disagreement. After this first focus group meeting all participants received a transcript of the meeting with a list of themes accompanied by thick quotes to illustrate how the themes evolved.
A second focus group meeting will be held to develop an AECC model and to come to a consensus of what changes need to be made to the current teaching of detection of the spinal manipulable lesion. A multidimensional approach will then be developed and tested for reliability, validity (if possible), and affect on clinical outcome. The final results will be presented at the ECU conference.