IndianaBoard of Chiropractic Examiners - Minutes
Jan 8, 2004 8:00 AM EST

INDIANA BOARD OF CHIROPRACTIC EXAMINERS

MEETING HELD JANUARY 8,  2004

The meeting of the Indiana Board of Chiropractic Examinerswas held in Room W064 of the Indiana Government Center South, 402  West Washington Street ,Indianapolis ,Indiana , on Thursday, January 8, 2004, at 9:00 a.m.

DISCUSSION
 
Correspondence from CHARLES L. BLUM, D.C., regarding the practice of cranialadjusting and TMJ adjusting was reviewed.  After discussion, a motionwas made by Mr. Riley and seconded by Dr. Dyer to send a response to Dr.Blum that the Board has not denied any practitioner to perform these procedures. 

 


INDIANA BOARD OF CHIROPRACTIC EXAMINERS
Health Professions Bureau
402 West Washington Street, Room 041
Indianapolis, IN 46204



November 13, 2003


INDIANA BOARD OF CHIROPRACTIC EXAMINERS
Health Professions Bureau
402 West Washington Street, Room 041
Indianapolis, IN 46204
FAX: (317) 233-4236

On March 27, 2003, I sent a letter via fax and was notified that it would be presented for discussion at the next board meeting, and I should anticipate that it might take a few months to get a reply. I again had contact on August 28, 2003 at which time it was recommended that I review the statutes and rules. After reviewing the statutes and rules I submitted a question of clarificationbased on the statues and rules. 

Please review the enclosed request for information and I would greatly appreciate your help with these questions.

Sincerely,

Charles L. Blum, DC, CSCP


ARTICLE 10: Chiropractors   
IC 25-10-1-1
Definitions
Sec.1. As used in this article:
(1) "Chiropractic" means the diagnosis and analysis of any interferencewith normal nerve transmission and expression, the procedure preparatoryto and complementary to the correction thereof by an adjustment of the articulations of the vertebra column, its immediate articulation..."

[Question #1: Can chiropractic cranial adjusting and TMJ adjusting be considered (a) "procedure(s) preparatory to and complementary to the correction thereof by an adjustment of the articulations of the vertebra column, its immediate articulation?"]

TITLE 846 BOARD OF CHIROPRACTIC EXAMINERS
ARTICLE 1.  GENERAL PROVISIONS
Rule 2.  Educational Standards
846 IAC 1-2-1  Objective and educational standards required of applicants for licensure
Authority:  IC 25-10-1-1.5
Affected:    IC 4-21.5; IC 25-10-1-2
Sec. 1.(b) "Professional standards for licensure.  Every applicantshall be a graduate of a chiropractic school or college
(3) "which has a curriculum including at the least the following disciplines:...principles and practices of chiropractic; adjustive technique of the articulations and adjacent tissues of the body, included but not limited to the spine, cranium, extremities and adjacent tissues."

[Question #2: If the educational standard's of a licensed Indiana chiropractor assumes having studied a curriculum including diagnosis and treatment of the"cranium" and "adjacent tissues," could this be construed to mean that adjustingof the cranium and TMJ would be within the scope of practice of chiropractorsin Indiana?]

Rule 3. Scope of Practice: Standards for Competent Practice; Code of Professional Conduct
546 IAC 1-3-1 Scope of practice; diagnostic, treatment procedures
Authority:  IC 25-10-1-1.5
Affected:    IC 25-10-1-1
Sec.1.(a) "The practice of chiropractic will include and permit the useof such diagnostic and treatment procedures as are taught by board approved chiropractic colleges except as prohibited by law and/or rules and regulations of this board."

[Question #3: Since the majority of chiropractic colleges teach TMJ diagnosis and treatment in their clinics and undergraduate programs would this mean that TMJ diagnosis and treatment is within the scope of practice of chiropractors in Indiana?]


March 3, 2003


INDIANA BOARD OF CHIROPRACTIC EXAMINERS
Health Professions Bureau
402 West Washington Street, Room 041
Indianapolis, IN 46204
FAX: (317) 233-4236

My name is Charles Blum and I represent a chiropractic teaching and research organization entitled, “Sacro Occipital Technique Organization (SOTO) – USA.”  We have a website which can be viewed at: http://www.soto-usa.org.

We are attempting to gather information about your state’s scope of practice for chiropractors as it specifically might relate to our teaching programs.  We want to make sure that we respect your state board’s position with regards to teaching any seminars in your state.

In an article, Lamm LC, Pfannenschmidt K,  Chiropractic Scope of Practice:  What the Law Allows - Update 1999, Journal of the Neuromusculoskeletal System, Fall 1999; 7(3): 102-6, your board was not listed as one queried regarding whether chiropractors in your state are allowed to perform "Temporomandibular Joint (TMJ) Evaluation and/or Treatment" or “Craniopathy.”

At this time are chiropractors in your state allowed to perform: “Craniopathy” or “Cranial manipulative therapy” or  "Temporomandibular Joint (TMJ) Evaluation and/or Treatment?”   If so can you please share this information with me?

Your response will be greatly appreciated, as it will allow us to update our files and share this with other chiropractors.  If you need more information about the relationship of the chiropractic profession and the cranial manipulative therapies or chiropractic management of TMJ dysfunction, please let me know.  (see attached list of some articles)

Sincerely,


Charles L. Blum, DC

enclosures

Articles Relating to the Relationship of Chiropractic and “Cranial ManipulativeTherapy” or “Craniopathy”

Pederick FO, "Developments in the Cranial Field", Chiropractic Journal of Australia, Mar 2000;30(1):13-23.

Blum, CL, "Cranial Therapeutic Treatment of Down’s Syndrome" Chiropractic Technique", May 1999; 11(2): 66-76.

Blum, CL, "Spinal/Cranial Manipulative Therapy and Tinnitus: A Case History," Chiropractic Technique, Nov 1998; 10(4): 163-8.

Blum, CL, Curl, DD, "The Relationship Between Sacro-Occipital Techniqueand Sphenobasilar Balance. Part One: the Key Continuities," ChiropracticTechnique, Aug 1998, Vol. 10, No. 3, Pp. 95-100.

Blum, CL, Curl, DD, "The Relationship Between Sacro-Occipital Techniqueand Sphenobasilar Balance. Part Two: Sphenobasilar Strain Stacking," Chiropractic Technique, Aug 1998; 10(3): 101-107.

Connelly, DM, Rasmussen, SA, "The Effect of Cranial Adjusting on Hypertension: a Case Report," Chiropractic Technique, May 1998; 10(2): 75-78.

Pederick FO, "A Kaminski-type evaluation of cranial adjusting", Chiropractic Technique, Feb 1997;9(1): 1-15.

Phillips CJ, Meyer JJ, Chiropractic Care, Including Craniosacral Therapy, During Pregnancy: A Static-Group Comparison of Obstetric Interventions during Labor and Delivery Journal of Manipulative and Physiological Therap 1995 Oct;18(8): 525-9.

Pick, MG, "A Preliminary Single Case Magnetic Resonance Imaging Investigation into Maxillary Frontal-Parietal Manipulation and its Short-Term Effect upon the Intercranial Structures of an Adult Human Brain," Journal of Manipulative and Physiological Therapeutics, Mar-Apr 1994; 17(3): 168-73.

Pederick FO, "For Debate: Cranial Adjusting -- An Overview", Chiropractic Journal of Australia, Sept 1993; 23(3):106-12.

Blum, CL, Cranial "Therapeutic Approach to Cranial Nerve Entrapment Part II: Cranial Nerve VII," ACA Journal of Chiropractic, Dec 1990; 27(12): 27-33.

Howatt, J, "Chiropractic: The Cranial Sacral Complex", the Journal of Orthopaedic Medicine, 1988; (1) : 13-20.

Blum, CL, "Cranial Therapeutic Approach to Cranial Nerve Entrapment Part I: Cranial Nerves III, IV, and VI," ACA Journal of Chiropractic, July 1988; 22(7): 63-7.

Blum, CL, "The Effect of Movement, Stress and Mechanoelectric Activity Within the Cranial Matrix," International Journal of Orthodontics, Spring 1987; 25(1-2):6-14.

Blum, CL, "Biodynamics of the Cranium: A Survey," The Journal of Craniomandibular Practice, Mar/May 1985: 3(2):, 164-71.

Peterson, K.; A Review of Cranial Mobility, Sacral Mobility, and Cerebrospinal Fluid Journal of the Australian Chiropractic Association. 1982 Apr ; 12(3): 7-14.

Pick MG, Spinal-cranial morphology and physiology: A review of the relationships between osseous, meningeal and neuronal structures and their role in the cranio-sacralrespiratory rhythms Association of Swiss Chiropractors Conference: BŸrgenstockHotels and Resorts : September 18, 1998.

Phillips CJ, Chiropractic and Pediatrics Cranial Compression and Distraction: a Possible Implication in Otitis Media Proceedings of the 1994 International conference on Spinal Manipulation: Palm Springs, California Jun 10-11, 1994: 136-39.

Vail B, Evaluation and Cranial Treatment of the Pediatric Patient With Sagittal Suture Synostosis: A Case Report Proceedings Of The National Conference On Chiropractic 1993 Oct: 58-63.

Phillips C, Case Study: The Effect of Utilizing Spinal Manipulation andCraniosacral Therapy as the Treatment Approach for Attention Deficit-HyperactivityDisorder Proceedings Of The National Conference On Chiropractic 1991 Nov:57-74.

Shambaugh P, Pearlman RC, Hauck K, Changes in Brain Stem Evoked Response as a Result of Chiropractic Treatment, Proceeding of the 1991 International Conference on Spinal Manipulation, Apr 1991: 227-9.

Cottam C, MacGillivray Smith E, The Roots of Cranial Manipulation NephiCottam and "Craniopathy" Chiropractic History 1981 ; 1(1): 31-5.


Articles Relating to the Relationship of Chiropractic and the Temporomanibular Joint

Chinappi AS, Getzoff H,  Chiropractic/Dental Cotreatment of Lumbosacral Pain with Temporomandibular Joint Involvement  Journal of Manipulative and Physiological Therapeutics, Nov/Dec 1996; 19(9): 607-12.

Chinappi AS, Getzoff H,  The dental-chiropractic cotreatment of structural disorders of the jaw and temporomandibular joint dysfunction., Journal of Manipulative and Physiological Therapeutics,  Sep 1995; 18(7): 476-81.

Chinappi AS, Getzoff H,  A new management model for treating structural-based disorders, dental orthopedic and chiropractic co-treatment Journal of Manipulative and Physiological Therapeutics,  1994; 17: 614-9.

Gregory TM,.  Temporomandibular Disorder Associated with Sacroiliac Sprain   Journal of Manipulative and Physiological Therapeutics   May 1993; 16(4): 256-65.

O'Reilly A, Pollard H, TMJ Pain and Chiropractic Adjustment - A Pilot Study   Chiropractic Journal of Australia. 1996  Dec; 26(4): 125-9.

Alcantara J, Plaugher G, Klemp DD, Salem C, Chiropractic Care of a Patient With Temporomandibular Disorder and Atlas Subluxation treatment  Journal of Manipulative and Physiological Therapeutics,. 2002  Jan; 25(1):  63-70.
     
Chiropractic Approaches to Temporomandibular Joint Dysfunction (TMD)   Journal of The American Chiropractic Association. 2001  Apr; 38(4): 9-17.
     
Skaggs C, Liebenson C, Orofacial Pain   Topics in Clinical Chiropractic. 2000  Jun;  7(2): 43-50.

Knutson G, Jacob M, Possible Manifestation of Temporomandibular Joint Dysfunction on Chiropractic Cervical X-Ray Studies   treatment  Journal of Manipulative and Physiological Therapeutics,1999  Jan; 22(1): 32-7.