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Council on Chiropractic Practice - page 135 / 202

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Kinesiopathology and Neuropathology. Kinesiopathology deals with issues related to misalignment and/or abnormal motion and neuropathology deals with the neurological changes related to the abnormal motion and/or misalignment. 1

In discussing kinesiopathology the most significant basic science information relative to this is Wolf’s Law, which states:

As bones are subjected to stress demands in weight bearing posture, they will model or alter their shape accordingly. 2

Wolf’s Law has a less well-known corollary for soft tissue called: Davis’ Law that states:

Soft tissue will model according to imposed demands.

3

These two Laws form the foundation of the rheology associated with subluxation and these rheological properties are essential elements in the epidemiology of vertebral subluxation, which must be considered with regards to care plans that have as their goal to make structural changes. Rheology is the study of the change in form and the flow of matter including elasticity, viscosity and plasticity. The longer a subluxation is allowed to set in the further along the path of immobilization degeneration the subluxation is allowed to progress.4 The extent of immobilization degeneration and the patient’s individual ability to reverse it may be a determining factor in the frequency of the initial care plan and its duration. This will also affect long term care whether from a palliative or wellness perspective once a substantial correction has been made.

The other significant basic science issue related to frequency and duration of care has to do with neuroplasticity.5-14 This has to do with the nervous system’s propensity to undergo “plastic” changes and learn to habituate a response and is a fundamental aspect of the nature of self- regulating repair processes that use the plasticity of the nervous system as it's conduit. In order to overcome plastic neurological changes that have set in secondary to subluxation the nervous system will need to “rewire” in order to create new plastic changes for the better. This may necessitate frequent adjustments and other inputs into the CNS over a long duration in order to make these changes. This neuroplasticity and the accompanying rheological changes discussed above secondary to subluxation are what need to be overcome in order for the patient to have a reduction in vertebral subluxation.

Vertebral Subluxation and Well-Being

The 1996 Paradigm Statement by the Association of Chiropractic College includes a section titled "Health Promotion" where it states that:

"Doctors of Chiropractic advise and educate patients and communities in structural and spinal hygiene and healthful living practices." 15

135

_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision

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