ChiroSH (Chiropractic Subject Headings) is a controlled vocabulary created by members of the Chiropractic Library Collaboration, an organization affiliated with the Association of Chiropractic Colleges. ChiroSH is used by the Index to Chiropractic Literature’s indexers, and by catalogers in health sciences libraries. This online version (under development) is an innovation we hope will be widely used by students, chiropractors and researchers. The first edition of ChiroSH was released in 1984 and the seventh edition is currently in production.
- Read about the history of ChiroSH: Hardy SB. Analyzing a unique controlled vocabulary: Chiropractic subject headings [ChiroSH] – Past, present and future. Chiropr Hist. 2014 Summer;34(1):21-27. ICL record
- Kempke A, Boni BA. Chiropractic Subject Headings 6th ed. Chiropractic Library Collaboration, 2009.
Developed by Major Bertrand De Jarnette, DO, DC; evolved from Bloodless Surgery.
In essence, CMRT involves using occipital fiber reflexes, which are palpated for patient sensitivity and then vertebra found in a specific reflex arc related to the occipital fiber are palpated also for sensitivity. While CMRT protocols need more reliability and validity study, the palpation for pain does help its reliability since palpation for pain alone has been shown to have reliability.
The sensitive vertebra in that reflex arc are then evaluated to determine if they have any visceral referred pain patterns. A patient clinical history is taken to guide any possible diagnosis. Lastly laboratory tests can be used to further help hone in on where treatment needs to be focused.
The treatment involves treating the reflex arc from the occipital fiber to the vertebra, adjusting the vertebra, and performing specific visceral reflex and organ manipulation. If this alone helps then nutritional and dietary modifications may not be needed. If nutritional and dietary modification are added and still there is no positive response referral for allopathic, acupuncture, or other allied health practitioners may be indicated.
Source: Chiropractic Manipulative Reflex Technique. WikiChiro. Accessed November 24, 2020.
See also: Bloodless Surgery, Full Spine Techniques, Reflex, Somatovisceral, Reflex, Viscerosomatic