Winter 2013 Speaks
Logan Speaks is a publication from the Offices of Institutional Advancement and Public Relations from Logan College of Chiropractic/University Programs.
LOGAN SPEAKS WINTER 2013 | Logan Speaks is produced by the offices of Public Relations and Institutional Advancement 2 Loganâ€™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 Logan Prepares for ACC-RAC with 19 Research Submissions Page 4 SCIENCE AND NATURE ALIGNED IN BALANCE Did You Know Logan Names New President ? 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. Excerpts Dynamic Chiropractic Back Pain Is Number One Cause of Disability Worldwide each age for adults who were inactive, somewhat active and active. DCs Report Job Satisfaction J. Clay McDonald, DC, MBA, JD, has been appointed as the next President for Logan College of Chiropractic/ University Programs. Dr. McDonald graduated from Logan in August 1982 and currently serves as Provost for Texas Chiropractic College in Pasadena, Texas, where he leads the institution’s academic, business and administrative operations. Dr. McDonald brings extensive experience in chiropractic education, university administration and clinical practice to his new role, having served in leadership roles at New York Chiropractic College and Palmer College of Chiropractic in Iowa. He has nearly a decade of clinical experience, founding and managing a Montana-based private practice and rehabilitation clinic. In addition to holding a Doctor of Chiropractic degree, he earned a master’s degree in business administration from St. Ambrose University and a law degree from Valparaiso University. Dr. McDonald will replace Dr. George A. Goodman, who has retired after serving as Logan’s President for more than 20 years. During his tenure, Dr. Goodman played a significant role in increasing university enrollment and program offerings, as well as establishing an endowment of more than $25 million. Dr. Carl W. Saubert IV , Vice President of Academic Affairs, will serve as interim President until Dr. McDonald formally joins the university on March 1, 2013. In a recent study from the Global Burden Disease 2010 Project—led by a consortium including Harvard University, the Institute for Health Metrics and Evaluation at the University of Washington, Johns Hopkins University, the University of Queensland, and the World Health Organization— low-back pain has been identified as the number one cause of disability worldwide with musculoskeletal conditions representing the second leading cause of global disability. Study of CAM and Chiropractic Expenditures According to a recent survey in MyPlan.com, Doctors of Chiropractic ranked 45th out of 300 careers as having the highest job satisfaction among working professionals. The survey rated careers for job satisfaction based on averages taken from responses of 13,871 MyPlan.com users during registration. ACA News ACA Celebrates 50 Years Findings from a recent nationwide study of complementary and alternative medicine (CAM)-related health care expenditures of 12,000-plus adults (ages 17 and older) with spinal conditions appeared in the December 2012 issue of Medical Care. According to researchers, the study supports the notion that CAM in general, and chiropractic specifically, is a cost-effective alternative to traditional medical care, and these cost savings were “primarily due to lower inpatient expenditures among CAM users.” Chiropractic Economics Exercise Can Add Five Years to Life The American Chiropractic Association is celebrating its 50th anniversary with a gala in conjunction with the National Chiropractic Legislative Conference (NCLC). The event is scheduled for March 7 at the Capital Hilton in Washington, D.C. For tickets and more information, please visit http://www.acatoday.org. Foundation for Chiropractic Progress The Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, recently issued a position paper, “A Safer Approach to Long-term Relief from Back Pain: Understanding the role of chiropractic care as the first option in providing drug-free, noninvasive effective back pain management,” which has earned significant media coverage. The Baltimore Sun first reported on the paper with a front-page article followed by numerous syndicated versions in high-profile media outlets covering 12 states, including the Chicago Tribune, Sun Herald, The Olympian, The Bellingham Herald, Centre Daily Times, Bradenton Herald, ArcaMax, The Sacramento Bee, Anchorage Daily News, Leader-T elegram, The Tribune and Sentinelsource.com. According to a new study in the American Journal of Preventive Medicine, adults who spend at least 150 minutes performing physical activity each week can enjoy a prolonged life, versus those who don’t. Researchers used data from the National Health and Nutrition Examination Survey, the National Health Interview Study mortality lineage and U.S. Life Tables to compare life expectancy at 2 SCIENCE AND NATURE ALIGNED IN BALANCE Marketing Motivation Expanding Your Network Getting the Most Out of Face-to-Face Interaction Friend requests. Webinars. LinkedIn. Blogs. Ten years ago, these words were, for the most part, nonexistent in our everyday language. But today, it’s difficult to go one week without hearing a single mention of any one of them. Research Look into the organizations that fit your particular interests or industry, or consider volunteering. Whether it’s a local chamber of commerce, Rotary Club, Business Networking International (BNI), Kiwanis or an industry-specific organization, each will offer a plethora of benefits for joining. Ask yourself: What goals do I have in joining a particular organization? Which is best for me? By Jennifer Reynolds-Reed, Director of Health Centers Marketing Engage Always be on the lookout for ways to enhance your trustworthiness. Offer your skills for the organization’s use. Have a background in writing? Serve as an editor for the monthly newsletter. Do you enjoy planning events? Organize the annual fundraiser. Make a name for yourself as a powerful resource for others. This will open the door to even more opportunities. The concept of what these words are associated with—connecting with others in lieu of an actual meeting—is becoming more and more commonplace as tablets, smartphones and online communities rise in popularity. But, as with all forms of technological advances, there is a downside: Whatever happened to good oldfashioned face-to-face meetings? In this digital age, it’s easy to forget the importance of in-person, social interaction. Fortunately, actual community engagement isn’t dead. In fact, if done right, networking is a powerful marketing tool that can lead to a variety of business opportunities. So, how do you make joining an organization worth your time? Network Now that you’re a member of your new group (or two), it’s time to get out there and start meeting people. Join a committee and engage with members to share ideas. Always follow up, get business cards to remember names and build a contact base, and never forget the power of a positive first impression. Interact Go further in interacting with your fellow members than just distributing your business card at each meeting. Make a difference by taking a leadership position and building upon the trust you have already created. Once you’re in a leadership role, use it to partner with other organizations—expanding your circle of connections and fully utilizing the power of effective networking. Build trust Think of it this way: Instead of joining an organization to build business, join to build connections. At meetings, be genuine and dependable, and look for opportunities to grow the organization as a whole. Once you’ve done that, your fellow members and leaders will take notice of your efforts. LOGAN SPEAKS WINTER 2013 3 2013 ACC-RAC Strong Showing of Logan Faculty, Students at 2013 ACC-RAC Logan College of Chiropractic/University Programs will highlight student authors and 19 research submissions at the joint meeting of the Association of Chiropractic Colleges (ACC) and Research Agenda Conference (RAC). The conference, which gathers distinguished international members of the chiropractic academic and research community, will take place March 14 -16 in Washington, D.C. and will focus on topics highly relevant to education, research and clinical practice. For this year’s theme, ACC-RAC leadership chose “Chiropractic and Healthcare Reform: Improving Outcomes, Delivery and Affordability of Healthcare.” Rodger Tepe, PhD, Logan’s dean of research and development, said Logan will send 13 faculty and 11 student authors, representing 19 Dr. Rodger Tepe submissions (four workshops, six poster presentations and nine platform presentations). “Each year, the number of submissions goes up, and each year, we go there with more student authors than any other chiropractic college,” said Dr. Tepe. “The fact that this year we had 19 submissions accepted is a real testament to our research and the caliber of our students and faculty.” Logan Faculty and Student Representation WORKSHOPS Incorporating current standards for health promotion, disease prevention and wellness into chiropractic programs. The U.S. Affordable Care Act of 2010 places a strong emphasis on chronic disease prevention and health promotion. Within the chiropractic profession in 2007, the Council on Chiropractic Education (CCE) adopted a set of competencies in wellness, and in 2012, “best practice” recommendations were made by a multidisciplinary panel concerning chiropractic care for the purpose of wellness, prevention and health promotion. This workshop will help prepare DCs for the increasing emphasis on chronic disease prevention and health promotion in the health care system. A panel of speakers will present a framework to integrate recent CCE competencies and consensus recommendations on these topics within the context of chiropractic education and practice, and will gather information from the participants on practical ways to implement the framework, as well as identify barriers to such an implementation and possible strategies to overcome them. Cheryl Hawk, DC, PhD, Logan College of Chiropractic/ University Programs Daniel Redwood, DC, Cleveland Chiropractic College Bryce Conrad, B Chir, M Chir, private practice and Chair, Research Committee, Chiropractors’ Association of Australia Martha Kaeser, DC, Logan College of Chiropractic/University Programs Chiropractic Colleges’ research coursework and curricula: Implications for Evidence-based Education (EBE) and Evidence-based Practice (EBP) and NBCE exams. The purpose of this workshop is to present chiropractic colleges’ research curricula: credit hours and course descriptions, current issues in, and the importance of, EBE and EBP; conduct a nominal group process to generate recommendations about optimal research curriculum for chiropractic education, goals of research curricula, credit hours and sequence of courses; and assess information literacy and science/research literacy. A consensus statement to NBCE requesting the inclusion 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 M I S S ION Logan University is a diverse and engaging community committed to excellence in health sciences, education and service, guided by integrity, commitment and passion. M I S S ION LOGAN UNIVERSITY LOGAN COLLEGE OF CHIROPRACTIC Logan College of Chiropractic prepares students to become doctors of chiropractic who are superbly educated and clinically competent, practicing portal-of-entry chiropractic physicians. This mission is accomplished through our dedicated faculty, recognized for student-centered excellence; comprehensive science-driven, knowledge-based and information-facilitated curriculum; enhanced by community and public service. The institution is committed to the conduct of research and other scholarly activities. 4 SCIENCE AND NATURE ALIGNED IN BALANCE n at the ACC-RAC 2013: Workshops, Presentations and Posters PLATFORM PRESENTATIONS Evidence-based practice: What good is it? The Rapid Response Team of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) assists practitioners who have encountered issues with payers in the authorization of necessary patient care. They do this through a structured process based solidly on the appropriate use of scientific evidence. The purpose of this workshop is to explain the Rapid Response Team process, demonstrate the practical value of research with clinical vignettes, and interact with participants to identify institutional research and educational opportunities in which practitioners and academicians can collaborate to promote evidence-based practice. This is a highly interactive 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 introduction to assessing information literacy (IL) experientially by taking an IL test and didactically through an overview of ACRL standards, librarians’ and educators’ roles in IL, the R25s, and CCE’s MetaCompetency #6. Presenters will demonstrate the extent of current efforts for IL and the importance of psychometrically sound IL assessment. The small group process should leave attendees with a sense of the importance IL to EBE and EBP and the need for NBCE to include IL questions. There is a need for increased involvement in IL education and assessment 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 Predictors of national board of chiropractic examiners (NBCE) performance Angela Reeves McCall, PhD, and Richard Harvey Differences between learning and study strategies inventory subtest and factor scores and grade point averages for chiropractic students tested in trimesters one 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 carpal tunnel syndrome is associated with peripheral 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 anterior talofibular ligament Daniel Haun, DC, Eve Bonic, DC, Norman Kettner, DC Sonographic assessment of the normal suprascapular nerve and inferior belly of the omohyoid muscle Patrick Battaglia, DC, Daniel Haun, DC The effects of dietary modification and whole food supplements on cardiovascular disease risk factors in overweight and obese adults with total cholesterol over 180* Rodger Tepe, PhD, Robert Davidson, PhD Ethnicity differences in serum levels of 25-hydroxyvitamin D and parathyroid hormone and bone mineral density among healthy individuals* Weiwen Chai, PhD, Robert Davidson, PhD, Martha Kaeser, DC, Norman Kettner, DC Mechanical behavior of sacral and iliac cartilage under compression Dennis Enix, DC, Douglas Smith Continued on page 7 LOGAN SPEAKS WINTER 2013 POSTER PRESENTATIONS Thyroid carcinoma: incidental finding while assessing cervical lymphadenopathy Martha Kaeser, DC, JinPu Li, Norman Kettner, DC Diagnosis and serial sonography of a proximal fifth metatarsal stress fracture Martha Kaeser, DC, Patrick Battaglia, DC, Norman Kettner, DC The sonographic squeeze test: assessing reliability of the dorsal scapholunate ligament Kenneth Reckelhoff, DC, Thomas Clark, DC, Norman Kettner, DC An observational study of “normal” and “best” posture in normal weight, overweight, and obese chiropractic college students Rodger Tepe, PhD, Deborah England, Holly Tucker, Sara Jerman, Jacquelyn Bowman-Garrett A survey of chiropractic physicians’ practices for patient history, physical exam, and diagnosis Rodger Tepe, PhD, Chabha Tepe A single blind, one-group pretest, posttest pilot study of the effects of active release technique on cervical and thoracic range of motion* Rodger Tepe, PhD, Lindsay Roseman, Hans Hengel, Jane Oschner-Ndessokia, Daniel Jablonski * Denotes abstract coverage on pages 7 and 9 5 Examining the Thinking Body Chronic pain can act like a thief, creeping into patients’ bodies and robbing them of their ability to live a carefree life. For some patients, every day demands courage to Dr. Norman Kettner face their physical challenges and the aches of isolation and depression that often invade their spirit. A recent Institute of Medicine Report, Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research, finds chronic pain not only plagues more than 100 million patients; it’s also exhausting our health care system. The report attributes at least $560 to $635 billion annually to the cost of treating pain, an amount equal to nearly $2,000 for every person living in the United States. The figure includes the cost of health care and lost productivity, which accounts for roughly $300 billion. For health care professionals, managing patients’ chronic pain can prove a daunting task, especially in cases fraught with subjective findings. To effectively treat pain, we have to relentlessly seek its source. Karel Lewit, MD, DSc, an international authority on manual medicine, reminds us, “He who treats the site of pain is lost.” Today, researchers and Logan’s Radiology Department Chair Norman Kettner, DC, DACBR, FICC, are pointing to—what at one time seemed—an unlikely source of pain: the brain. “The brain exhibits bidirectional pain processing pathways, which travel to the cortex from the pain source within the body but also to a descending inhibitory pathway that may reduce pain signals at the entry into the spinal cord,” said Dr. Kettner. “This is an important finding. In years past, some of the greatest neurosurgeons believed the cortex had nothing to do with pain because their surgical ablation, focused in the sensory cortex, did little to interrupt pain. They didn’t know there was a complex pain processing network. But today through advanced neuroimaging, we can map cortical and subcortical circuitry during the experience of experimental or clinical pain.” Dr. Kettner says one of the unexpected derivatives of pain neuroimaging research has been the clarification of placebo response mechanisms. These mechanisms, he explained, demonstrate the inherent healing power in the mind-body interplay. A patient or subject who is placed in a healing context with the perception, expectation or belief in the clinical benefit of a particular treatment often experiences significant pain reduction and healing benefit even when the intervention, such as a placebo pill, has no active ingredient. Likewise, Dr. Kettner says there is a converse mechanism known as nocebo response where expectation and belief of negative outcomes translate into poorer clinical outcomes. Patient expectations and beliefs are influenced by psychosocial as well as the biological factors (tissue damage) and are important to understand to optimize clinical outcomes. As physicians, how do we then treat patients who think they are in pain? Dr. Kettner advises a thorough biopsychosocial assessment recognizing that the mind and body (biopsychosocial) are not only connected, they are inseparable. The biopsychosocial model he subscribes to considers patients’ attitudes, emotions and beliefs as playing a role in the evolution of their pathophysiology and their clinical management. To support this hypothesis, Dr. Kettner points to the data that the hypothalamic-pituitary-adrenal (HPA) axis regulates the body’s homeostatic balance. “Where there is disruption of the HPA axis by internal or external stressors, patients can experience a variety of neurological symptoms, which can range from pain and clinical depression to irritable bowel syndrome,” said Dr. Kettner. “When our research team and others have imaged the effects of acupuncture, for example, our findings suggest the brain may be responsible for transducing the needle stimulus into a complex network of signals that restore and maintain homeostatic balance. Essentially, the brain (mind) has the capability to reach down into the body and modulate pain and normalize autonomic function in the HPA axis assisting the healing response.” According to Dr. Kettner, disease arises from the confluence of anatomic, physiologic and psychosocial events. The problem, he says, with health care is that we approach these three areas separately. The Brain and Patients’ Pain This past December, Dr. Kettner took his lessons on chronic pain and the mindbody relationship to some unlikely students: first- and second-year medical students on the Saint Louis University (SLU) campus. There, the renowned chiropractor and radiologist exposed the class of future medical doctors to the biopsychosocial model, addressing how patients’ beliefs and emotions can influence their physical health. “Why does pain chronify?” Dr. Kettner asked the SLU medical students. “Alterations in neuronal activity identified as sensitization, although initially protective, may persist until longlasting effects known as neuroplasticity develop in the central nervous system. Simultaneously, self-defeating patient beliefs and expectations (catastrophization) are interacting withpain-reducing neural networks promoting pain chronicity. 6 SCIENCE AND NATURE ALIGNED IN BALANCE Typically, the presence of chronic pain is dominated by subjective clinical findings. When clinicians encounter complaints without objective findings, they often dismiss them as imaginary. The patient senses this unfounded suspicion of their pain experience and an adversarial, rather than healing, relationship may evolve.” To offer the SLU students a closer look at the brain’s influence on pain, Dr. Kettner shared images and findings from several acupuncture studies. The investigations employed functional magnetic resonance imaging (fMRI) to study acupuncture’s effects in pain patients with neuroplastic reorganization as an outcome measure. Dr. Kettner and his research team found: • Acupuncture changed cortical and subcortical function and increased communication and connectivity among the brain networks involved with pain processing and antinociception • Chronic pain patients use a maladaptive form of cortical and subcortical neuroplasticity to maintain chronic pain Often, the initial tissue injury (bio) has resolved but beliefs, fear, anxiety and expectations of continued pain (psychosocial) have become learned (neuroplasticity) fostering the pain chronicity. Dr. Kettner said these findings are directly in line with the very definition of pain, as recommended by the International Association for the Study of Pain: an unpleasant sensory and emotional experience associated with actual or potential tissue damage (Merksey 1979). For these cases, Dr. Kettner recommends physicians follow a specific course of action: Consider the patient’s psychosocial influences along with the biological and do not dismiss claims of pain when clinical testing, i.e., physical exam, MRI or labs, provide little objective explanation for the patient’s pain presentation. A trial of chiropractic management will often benefit the chronic pain patient serving as the most useful and cost-beneficial diagnostic test. An Early Introduction to Chiropractic Listening attentively to Dr. Kettner’s lecture sat Linda Smith, DC, an August 1982 Logan graduate. Dr. Smith Dr. Linda Smith paved a path for integrative health education on the SLU Medical School campus. “I’ve been in private practice now for 30 years and during this time I have been subjected to interruptions in my patient care by other health practitioners who didn’t understand or wish to co-manage chiropractic patients,” she said. Dr. Smith served as a panelist for the Complementary and Alternative Geriatric Health Care conference organized by Dr. Kettner and held on the Logan campus in collaboration with Saint Louis University School of Medicine. There, she approached fellow conference speaker Joseph Flaherty, MD, a professor of medicine at SLU and its Geriatric Research, Education and Clinical Center, about addressing SLU’s medical students. Coincidentally, the medical school’s dean of curriculum was contemplating a new course to help his students understand alternative health practices. A school survey, at the time, had uncovered that SLU’s medical students were eager to understand and learn about other health options, and the dean of curriculum was committed to closing this information gap. No stranger to the classroom after teaching for Logan in the 1980s, Dr. Smith returned to teaching, but this time she would instruct, and influence, future medical doctors. Her elective course “Alternative Skills” introduces students to the philosophies and health benefits of chiropractic, acupuncture, massage therapy, meditation and yoga. Now, in her fourth year of teaching at SLU Medical School, Dr. Smith says the response to the material has been “very positive.” “I am hopeful that as a result of this class, the future doctors I have taught will have a better understanding of alternative skills and an appreciation for mind-body practices,” she said. Below are abstracts from select platform and poster presentations being presented at the 2013 ACC-RAC: Continued from page 5 The effects of dietary modification and whole food supplements on cardiovascular disease risk factors in overweight and obese adults with total cholesterol over 180. Rodger T epe, PhD, Robert Davidson, PhD The objective of this study was to investigate the effects of dietary modification and whole food supplements on cardiovascular disease risk factors in overweight and obese adults with total cholesterol over 180. A convenience sample of 40 consenting adult participants with total cholesterol >180 and body mass index >25 had 12 cardiovascular risk factors assessed before and after 21 days of following their normal diet and again after 21 days of following a nutritional intervention. Results showed statistically significant post-intervention improvements (range P = 0.034 to <.0001) in 10 out of 12 known cardiovascular risk factors: systolic and diastolic blood pressure, weight, body mass index, total cholesterol, total cholesterol/high density lipoprotein, low density lipoprotein, low density lipoprotein/high density lipoprotein, and triglycerides, C-reactive protein, and heart rate variability total power. This study demonstrates that a conservative intervention can significantly reduce cardiovascular risk factors without medication. A single blind, one-group pretest, posttest pilot study of the effects of active 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 to investigate the effects of active release technique on cervical and thoracic spine ranges of motion in asymptomatic adult participants with restricted range of motion. A sample of 26 consenting adults had goniometric cervical and thoracic Continued on page 9 LOGAN SPEAKS WINTER 2013 7 Sports Chiropractic: Beating the Odds 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. With big dreams and small probability, athletes invest enormous amounts of time and money into specialized doctors and training programs. Sports researcher John Lather estimates athletes must spend 20 hours of intense training per week for a period of eight years (approximately 10,000 cumulative hours) to reach a world-class level of performance. Nearly 22 years ago, a Dynamic Chiropractic article posed the question: Is there a trend toward chiropractic in sports care? To answer that question today, Logan faculty member Gary Oden, MEd, PhD, offers a resounding yes. As an online instructor for Sports and Exercise Testing and Prescription and Sports Exercise Science, teaching for both Logan’s sports science and nutrition master-level programs, Dr. Oden provides real-world training to help students make athletes stronger, faster and more agile. His online instruction offers performance testing 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 affects performance 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 food restrictions. “At one time, the literature reported anaerobic athletes, like the sprint runners, could eat whatever they wanted,” he said. “Now, we know that nutrition has a small, acute performance impact but a significant effect on athletes’ long-term health and careers.” He also examines specific training regimens. “Contemporary research and case studies show that aerobic athletes don’t have to train to the extent we once prescribed,” he said. Trainers and health professionals once recommend marathoners run 120 miles each week, he explained. Dr. Oden says modern training protocols have condensed the mileage to 60-80 miles per week. “The health community has realized that if an athlete trains at a higher intensity for a shorter period of time, the performance outcome is just as strong as lower intensity training for a longer time period,” said Dr. Oden. “The greatest benefit for the athlete with a high-intensity training protocol is the reduced chance for athletic injury.” Playing to Win As for the future outlook, Dr. Oden sees a “tremendous market” for chiropractors to expand on their knowledge and training to advance athletic performance and build a robust patient pipeline. “More high schools and even junior high schools are promoting specialized training to help their players make the varsity team and perform at their highest capacity,” he said. “Chiropractors, especially those with specialized sports science and rehab training, can make a measurable difference in their athletic careers, helping them develop their full potential—whether it means making the varsity team or advancing to the collegiate or professional levels—and preventing sidelining injuries.” The Chiropractic Sports Movement The 1991 Dynamic Chiropractic story credited chiropractors’ expertise in biomechanics and neuromusculoskeletal dysfunction as the driving forces propelling professional and amateur athletes alike to seek chiropractic care. Now, with master-level programs, such as Logan’s Master of Science in Sports Science and Rehabilitation, Dr. Oden equips chiropractors with specialized training to help them edge out the competition. 8 SCIENCE AND NATURE ALIGNED IN BALANCE 2013 ACC-RAC Abstracts: Continued from page 7 spine measurements taken in a counterbalanced order by blinded examiners before and after a single active release treatment. Results showed statistically significant increases (P<0.05) in 8 of the 11 ranges of motion measured: cervical flexion, cervical right rotation, cervical left rotation, cervical left lateral flexion, cervical right lateral flexion, thoracic flexion, thoracic left rotation, and thoracic left lateral flexion. This study demonstrates that a single active release technique treatment improved 8 out of 11 cervical and thoracic range of motion measures. Ethnicity differences in serum levels of 25-hydroxyvitamin D and parathyroid hormone and bone mineral density among healthy individuals Weiwen Chai, PhD, Robert Davidson, PhD, Martha Kaeser, DC, Norman Kettner, DC The objective of this study was to examine ethnicity differences in serum levels of 25hydroxyvitamin D and parathyroid hormone and bone mineral density among healthy individuals. Serum levels of 25hydroxyvitamin D (25(OH)D, indicator of vitamin D status), parathyroid hormone (PTH) and bone mineral density (BMD) were assessed in 18 African Americans and 19 Caucasians recruited from Logan College of Chiropractic/University Programs. Consistent with literature, African Americans had significantly lower serum 25(OH)D concentrations, higher PTH levels and higher BMD compared to Caucasians in the current sample of healthy 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 to assess how the plantar fascia responds to stress caused by the gait cycle. Participants either walked on a treadmill for 10 minutes or ran on a treadmill for 30 minutes and the plantar fascia thickness was measured with diagnostic ultrasound before and after. The study has been submitted to the Journal of Manipulative and Physiological Therapeutics for publication consideration. LOGAN SPEAKS WINTER 2013 Dr. Oden also sees greater opportunity to take chiropractic’s performance training and fundamentals into the corporate arena, supporting companies’ growing investments in wellness programs. “Whether in a family practice setting or through customized programs targeting the athletic patient or corporate America, my goal is to provide students with information they can apply,” he concluded. “Information is only useful when it’s applicable.” Articles Ursula, C. Baker, Edward M. Heath, Darla R. Smith, and Gary L. 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). The Effect of Ellipical Cross Training on VO2max of Highly trained Runners. International Journal of Exercise Science. Vol. 4, Issue 1, March 2011. Hyman, W., Oden, G. and Wagner, M. (2010) The Aging Progress. Physiological Changes and Implications for Educators and Practitioners. Journal of Activities, Adaptation and Aging. Vol. 34, Issue 2, March 2011. Oden, G. and M. Bass. “Pre-game Nutrition and Athletic Performance.” Manuscript in preparation. About Dr. Gary Oden Since fall 2009, Dr. Oden has taught for Logan’s Master of Science in Sports Science and Rehabilitation. He currently teaches the online sections of Sports Exercise Science and Sports and Exercise Testing and Prescription, which he also offers for Logan’s Master of Science program in Nutrition and Human Performance. Dr. Oden serves as a faculty member for the Department of Health and Kinesiology at Sam Houston State University in Huntsville, Texas, where he resides. He earned his doctorate in applied exercise physiology from Texas A&M and holds a license as an Exercise Test Technologist from the American College of Sports Medicine and a teaching certificate in physical education and history from the state of Alabama. He has authored and co-authored several book chapters and journal articles (see listing), and serves as a reviewer for the International Journal of Sports Medicine. 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., Oden G.L. (2011) Clinical Exercise Physiology Laboratory Manual. 1st edition. Kendall/Hunt ISBN# 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 9 Doctor Doctor TO Chiropractic and Professional Development at Logan Dr. Hillgartner has taught professional development courses at Logan for more than 30 years, ensuring Logan students are prepared to make a smooth transition from the classroom to practice. He discusses the addition of professional development courses in chiropractic and how he strives to make personal and career advancement part of the Logan culture. 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 with Logan College of Chiropractic/University Programs for publication in Logan Speaks. Logan claims no copyright interest in Dr. Hillgartner’s work. Dr. Roy Hillgartner What benefits come from taking advantage of professional development opportunities? One of the main benefits of the professional development courses is that it allows us to occasionally get outside the box and off the grid covering topics and material that are extremely relevant to our student’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 normal pattern. We not only discuss timely topics—including ethics, communication skills, current practice models, specialty practice possibilities, multi-disciplinary practices, health care trends, legislative issues, 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, equipment leasing, practice building, legal issues, malpractice liability and other insurance needs, chiropractic and medical field practitioners. If you would like to submit a practice tip to Doctor to Doctor, please email your tip to firstname.lastname@example.org. Professional development is not only a series of courses at Logan, but a constant interwoven fiber that our faculty and administration are conscious of instilling in our students. Our goal is for this to occur intentionally and not accidentally. We have designated one-on-one consulting times for students to review and discuss employment contracts, office leases, equipment purchases and practice purchases. Our director of health centers marketing and our director of career development services meet with our students on a regular basis through our professional development courses. Additionally, many of our faculty not only serve as lead instructors, but also as frequent guest speakers. In the end, what we have are new doctors who are consciously aware of a model 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 implement elements of professional development into your practice. Three, stay current and realize that professional development is a lifelong course. 10 SCIENCE AND NATURE ALIGNED IN BALANCE A Publication of Logan College of Chiropractic/University Programs for Alumni, Students, Employees and Friends of the College LOGAN SPEAKS Winter 2013 Logan Speaks is published three times a year: Winter, Summer and Fall. Logan Board of Trustees Steven C. Roberts, JD, LLM Chair of the Board Debra L. Hoffman, DC Vice Chair of the Board Logan Board Members Nicole Bennett, DC Richard M. Bruns, DC Christophe Dean, DC Paul Henry, DC Ronald Grant, DC Gregg E. Hollabaugh Carmen Jacoby Hutchcraft, DC Rick A. McMichael, DC Mark O. Reeve, DC Robert J. Stearley Rodney Williams, DC Logan Advisory Board Marc G. Malon, DC Logan Administration George A. Goodman, DC, FICC President Laura McLaughlin, MA, JD General Counsel Boyd Bradshaw, EdD Vice President of Enrollment Management Carl W. Saubert, IV, PhD Vice President of Academic Affairs Sharon Kehrer, MBA Vice President, Administrative Affairs Patricia Marcella, MBA Chief Financial Officer Ralph Barrale, DC Vice President of Chiropractic Affairs Patricia C. Jones Vice President, Institutional Advancement Elizabeth A. Goodman, DC, PhD Dean of University Programs James Paine, PhD Dean of Student Services Angela Reeves-McCall, PhD Associate Vice President of Academic Affairs Thomas F. Keller, MA Associate Vice President Office of Public Relations Logan Speaks Editor Logan Speaks is produced by the offices of Public Relations and Institutional Advancement. Reader comments can be sent to the editor via e-mail at email@example.com. Professional development is built on a foundation of what I like to 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 of your soul; the blueprints of your ultimate achievements.” All of this results in a passion-driven practice that separates an ordinary life from an extraordinary life. Don’t settle for anything less than perfection. How does Logan keep up with professional development? More so, now than ever before, health care delivery is changing. There’s more emphasis today on results, outcomes and assessments. Working with other health care disciplines is a must, teaching them about the benefits of chiropractic care and staying current with the literature is essential in our lifelong development professionally. One of the main benefits of the professional development courses is that it allows us to occasionally get outside the box and off the grid and cover topics and material that are extremely relevant to our student’s growth and development. At Logan, we use a term called the “Logan Advantage.” We have an incredible faculty and administration that work constantly 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 and administration 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 professional development advantages that students have now are tremendous. We have many faculty members who are also in private practice and share valuable information on clinical conditions and personal experiences with their classes. There is something to be said about having a professor at the podium and who can say, “Let me tell you about something that actually 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/patient experiences. 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. LOGAN SPEAKS Logan College of Chiropractic/ University Programs 1851 Schoettler Road, PO Box 1065 Chesterfield, MO 63006-1065 firstname.lastname@example.org www.logan.edu 1-800-782-3344, Ext. 2401 LOGAN SPEAKS WINTER 2013 11 LOGAN SPEAKS A PUBLICATION OF LOGAN COLLEGE OF CHIROPRACTIC UNIVERSITY PROGRAMS 1851 Schoettler Road, PO Box 1065 Chesterfield, MO 63006-1065 Non-Profit Org. U.S. Postage PAID Logan College of Chiropractic RETURN SERVICE REQUESTED NO SATIN AQUEOUS ON MAIL PANEL Postgraduate Seminars All programs on campus unless otherwise stated March – June 2013 April 20-21 June 1-2 March 23-24 Whole Food Nutrition #7 Instructor: Joseph Olejak, DC Insurance Consultant #7 Instructor: Mario Fucinari, DC, CCSP®, MCS-P Internal Health Specialist #5 Instructor: Howard F. Loomis, Jr., DC, FIACA March 2-3 Internal Health Specialist #3 Instructor: Howard F. Loomis, Jr., DC, FIACA April 6-7 Internal Health Specialist #4 Instructor: Howard F. Loomis, Jr., DC, FIACA May 18 Biomechanics of Golf Instructor: Mike Murphy, DC Location: Far Oaks Golf Club – Caseyville, IL June 8-9 Chiropractic Nutrition Specialist #1 Instructor: David Seaman, DC, DABCN March 9-10 Insurance Consultant/ Peer Review #6 Instructor: D. Robert Kuhn, DC, DACBR, ART April 13 Whole Food Nutrition #8 Instructor: Joseph Olejak, DC May 18-19 June 22-23 Insurance Consultant/ Peer Review #8 Instructor: Mario Fucinari, DC, CCSP®, MCS-P Basic Acupuncture #1 Instructor: Zev Myerowitz, DC, Dipl.Ac. (NCCAOM), Lac. Basic Acupuncture #6 Instructor: Zev Myerowitz, DC, Dipl.Ac. (NCCAOM), Lac. April 20 Peer Review Instructor: Michael Hillyer, DC Location: Louisville, KY June 22-23 Laser/SRA Instructor: Nelson Marquina, DC, PhD SCIENCE AND NATURE ALIGNED IN BALANCE