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18283

Title

Technique review: Derifield-thompson leg length analysis and adjusting protocol

URL

Journal

Chiropr J Aust. 2005 Mar;35(1):16-20

Author(s)

Homack DMJ

Subject(s)

Peer Review

Yes

Publication Type

Article

Abstract/Notes

Many doctors of chiropractic have relied on the Derifield leg length protocol as a method of determining pelvic and spinal dysfunction in patients. In most cases, practitioners do not use the Derifield technique in its entirely; rather, parts of it are used to supplement other analysis strategies, often as part of an amalgam of several methods, put together by the individual examiner. This has introduced and proliferated a number of misconceptions and inconsistencies that may lead to a widespread decrease in the reliability and accuracy of results and interpretation. The premise of the apparent presence of the short leg is predicated on the fact that the neurological basis for balance and posture is found in the reticular system of the brain stem. Theoretically, a neurological imbalance, such as might be initiated by spinal or pelvic subluxation or muscle spindle misinformation, will affect the musculature of the legs, resulting in the appearance of various leg-length discrepancies. For the Derifield-Thompson technique, these patterns have been arranged into 5 general categories, each with an associated clinical presentation and recommended treatment protocol. Although there has been material published on this subject, confusion continues to permeate the profession. Presented here is an attempt to organise the steps of the procedure and offer some rationale behind why the findings predicted occur, as well as adjustive recommendations found in the Derifield-Thompson protocol. Included is an algorithm that serves as a quick reference guide to the analytic procedures outlined.

This abstract is reproduced with the permission of the publisher; full text (print only) by subscription.

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