Thompson Chiropractic Technique in Holland Park, Brisbane
If you are exploring different chiropractic methods available in Holland Park, Brisbane, you may encounter specific named systems like the Thompson Chiropractic Technique (also known as the Thompson Terminal Point Technique). Developed by Dr. J. Clay Thompson, this technique is a distinct system utilized by some chiropractors worldwide. It is characterized by its specific analysis protocol, often involving leg length comparisons, and the use of a specialised ‘drop piece’ table for adjustments. At Silky Oak Chiropractic, Dr. Jan Jones is knowledgeable in the Thompson Technique and may incorporate elements of this system into patient care when deemed appropriate based on a comprehensive assessment.
Understanding the Thompson Chiropractic Technique: Characteristics and Approach
The Thompson Technique provides a structured framework for both assessing and adjusting the spine and pelvis. Key components include:
1. The Segmental Drop Piece Table: A cornerstone of the Thompson Technique is the use of a specially designed chiropractic table. This table has sections (or ‘drop pieces’) corresponding to different areas of the spine and pelvis. These sections can be slightly raised and tensioned by the chiropractor. When a gentle adjusting thrust is applied to the patient’s body over that section, the drop piece releases and lowers a small distance. This mechanism uses gravity and the patient’s own body weight to assist the adjustment, allowing for a controlled force application often perceived as gentle.
2. Leg Length Analysis Protocol: A distinguishing feature of the Thompson Technique is its specific protocol for analysing apparent differences in leg length while the patient is lying face down. Practitioners using this technique observe the patient’s leg length equality or inequality in a neutral position and then assess how this changes during specific movements, such as turning the head to either side or flexing the knees (Derifield leg check). Within the framework of the Thompson Technique, these observed changes in relative leg length are interpreted by the practitioner as potential indicators of nerve system irritation or dysfunction at different levels of the spine or pelvis. This analysis helps guide the chiropractor regarding where to apply the adjustment according to the technique’s specific listings and rules. It is important to note that the reliability and diagnostic validity of specific leg check procedures are topics discussed within the broader healthcare literature.
3. Targeted Drop Piece Adjustments: Based on the findings derived from the technique’s specific analysis protocol (including the leg length checks), the chiropractor applies adjustments using the drop piece table. The adjustment is typically a quick, gentle thrust delivered to the specific spinal segment or pelvic area identified through the analysis. The simultaneous lowering of the table section assists the movement, often making the adjustment comfortable for the patient.
4. Systematic Approach: The Thompson Technique is known for its systematic nature. The assessment findings (particularly the leg length analysis results) directly inform the adjustment procedure in a structured way, following the protocols established within the technique system.
5. Patient Experience: Patients undergoing Thompson Technique adjustments typically lie face down on the specialised table. They will experience the leg length checks being performed, followed by the application of gentle thrusts accompanied by the slight dropping sensation and sound of the table sections activating. Many patients find this method comfortable due to the low force involved and lack of direct manual twisting.
6. Role within Chiropractic Care & Evidence Considerations: The Thompson Technique utilizes drop piece adjustments as its primary mode of applying force. As discussed regarding instrument adjusting and drop piece techniques generally, the adjustive component aims to influence joint mobility and function. While many patients find this approach comfortable, the scientific evidence comparing the clinical effectiveness of drop piece adjustments (used within Thompson or other frameworks) versus traditional manual spinal manipulation therapy (SMT) shows mixed results in research literature (Reference 1, 2). Furthermore, the specific diagnostic validity of the leg length analysis protocols used within the Thompson Technique framework is subject to ongoing scientific discussion and requires further high-quality research (Reference 3).
Therefore, at Silky Oak Chiropractic, the Thompson Technique is offered as one potential approach within a comprehensive chiropractic care plan. The decision to use elements of this technique is based on Dr. Jones’s clinical judgment, the patient’s overall presentation, patient preference, and integration with other assessment findings and therapies (like soft tissue work or exercise prescription). The overall goal remains focused on managing musculoskeletal conditions for which general chiropractic care and manual therapies have established evidence (Reference 4, 5).
Our Process: Incorporating the Thompson Technique at Silky Oak Chiropractic
If the Thompson Technique is considered as part of your care, the process typically integrates with our standard procedures:
1. Comprehensive Assessment: Your visit begins with a thorough consultation covering your health history, symptoms, goals, and lifestyle. A standard physical examination follows, including postural checks, range of motion testing, relevant orthopaedic and neurological tests, and palpation.
2. Thompson Protocol Integration: If appropriate, the specific Thompson Technique leg length analysis protocol will be performed as part of the physical examination. This involves observing your relative leg lengths while you are lying prone and noting changes during specific head or leg movements.
3. Analysis and Clinical Impression: Dr. Jones synthesises findings from your history, the standard physical examination, and the Thompson protocol analysis to form a clinical impression and develop a proposed management plan.
4. Discussion and Informed Consent: The findings and recommended plan, including the potential use of Thompson Technique adjustments, will be discussed with you. The rationale, procedure, and what to expect will be explained to ensure you can provide informed consent.
5. Performing Thompson Adjustments: If proceeding, you will be positioned comfortably on the drop piece table. Dr. Jones will apply gentle, specific thrusts to the areas identified through the analysis, utilising the table’s drop mechanism to assist the adjustment.
6. Re-Assessment: Progress is monitored using standard functional measures (pain levels, mobility) and potentially by re-checking Thompson Technique indicators, such as leg length analysis findings, to gauge response according to the technique’s model.
7. Integrated Care and Advice: Thompson Technique adjustments are provided as part of a holistic care plan, typically including advice on exercises, posture, ergonomics, or other lifestyle factors to support your recovery and well-being.
References:
(Note: These references provide context on drop piece/manual therapy evidence and acknowledge the status of LLI research. Direct high-level evidence for the efficacy of the complete Thompson system for specific conditions may be limited.)
- Instrument/Drop Piece vs. Manual (Example Study): Schneider M, Haas M, Glick R, Stevans J, Landsittel D. Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial. Spine (Phila Pa 1976). 2015;40(4):209-217. (Example comparing approaches, highlighting varied results in literature).
- Systematic Review (General Manual Therapy Context): Coulter ID, Crawford C, Hurwitz EL, et al. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J. 2018;18(5):866-879. (Provides context on manual therapies, including techniques like drop piece adjustments).
- Leg Length Inequality Assessment (Reliability Reviews – Example finding variability): Nguyen C, Shamus E, V S. The reliability and validity of leg length discrepancy measurement methods: A literature review. Int J Sports Phys Ther. 2021;16(5):1189-1201. (Literature reviews often highlight variability and debate regarding the reliability/validity of clinical LLI assessment methods).
- General Chiropractic Guideline (Low Back Pain): Globe G, Farabaugh RJ, Hawk C, et al. Clinical Practice Guideline: Chiropractic Care for Low Back Pain. J Manipulative Physiol Ther. 2016;39(1):1-22. (Contextualises chiropractic care within evidence-based guidelines).
- General Chiropractic Guideline (Neck Pain): Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther. 2014;37(1):42-63. (Contextualises chiropractic care for another common condition).
Disclaimer: The information provided on this page describes the Thompson Chiropractic Technique as utilised within our practice and is for general informational purposes only. It does not constitute medical or chiropractic advice or guarantee specific outcomes from using this specific technique. The effectiveness and suitability of any chiropractic technique depend on the individual patient, the condition being addressed, the practitioner’s skill, and other factors. The scientific evidence supporting specific components of the Thompson Technique, such as the diagnostic validity of its leg length analysis protocols, is subject to ongoing research and discussion. It is essential to consult with a qualified healthcare professional, such as a registered chiropractor, for a thorough assessment, diagnosis, and discussion of appropriate treatment options based on your individual circumstances and health status. Do not disregard professional advice or delay seeking it because of something you have read on this website. All healthcare interventions carry potential risks and benefits. Treatment outcomes can vary between individuals.
