Veterinary Orthopedic Manipulation (VOM)

A Diagnostic Technology That Precedes Clinical Disease.
By Wm. L. Inman BS, DVM

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makes this approach more subjective than the objective VOM Diagnostic Technology.
The VOM Technology reduces this diagnostic process to a totally objective and readily duplicable system. Palpation as a means to diagnose is not then used.

Manual Palpation vs. VOM Reads

It is important to differentiate the difference between manual adjusting motion and the force delivered by the device. The former is too slow to demonstrate the reflexive reads. The device thrust will always demonstrate the pathological read if present. Manual techniques cannot be used for diagnosis using pathological reflexes.

The Device

A hand-held device called a spinal accelerometer is used to illicit pathological reflexes in all quadrupeds. It looks like a mechanical doorstopper and makes a very low motion, very high-speed pulse (1-4 milliseconds).

VOM Pathological Reads

The VOM reads seen by eliciting a reflexive response with a spinal adjusting device are seen in every case of neuronal subluxation. They are called Neurological Subluxation Sign (NSS). It is this means of detecting 100% of all subluxations and evaluation of their reduction by ablation of these reads. This is the basis of the VOM Technology, diagnosis and treatment.

Application to Disease Processes and Diagnosis

In every musculoskeletal disease that we see in veterinary medicine today, we can see a distinct pattern of subluxation as portrayed by specific diagnostic reads.
These patterns are predictable and are reproduced every time a disease process is seen. It is the detection and recognition of these patterns that gives rise to the diagnostic power and reproducibility of the VOM Technology.

Site of Subluxation

The location of the subluxation phenomenon is the interneuron of the facilitated spinal segment. It is at this location that the recurrent loop of the subluxation is held in place.
The chemical mediators of subluxation, such as, lactic acid, serotonin, bradykinins, H+ ions, prostaglandins, P-substance etc., propagate the subluxation phenomenon.
The pain and swelling caused by these mediators of subluxation create more pain and swelling and thereby promote a vicious recurrent loop that will stay in place for the rest of the animal's life.
Finally, the animal fuses the bones involved, fails completely with the affected organ system, or the animal dies from the effects of chronic subluxation. This process takes years and is detected from the very first onset of injury using the VOM Diagnostic Protocol.

Effects of Subluxation

With the chemical mediators of subluxation to help the body's response to a subluxation is to cause vasoconstriction and increase skeletal muscle tonus via the Golgi tendon apparatus and skeletal muscle fixation. These effects cause

 

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joint fixations, muscle and bone distractions, pain, swelling and lack of function. If allowed to persist, paresis, paralysis and bony changes will ensue.

Mechanism of Subluxation Reduction

Subluxation is only a switch that can potentially be turned back on. This is simply done by providing adequate force to the interneuron through the mechano-receptor inputs into the dorsal horn. (Please see diagram). Note: this is mechano-receptor force, not motion, thus the process is inherently safe and amazingly effective.

Anatomical Subluxation Sign (ASS)

This sign on the patient is evaluated with palpation as depicted above and is limited by subjectivity. It is important to note that only 40% of all subluxations demonstrate anatomical subluxation signs.

Neurological Subluxation Sign (NSS)

All subluxations produce neurological subluxation signs. Thus 100% of all subluxations can easily and objectively be located and evaluated using the VOM Diagnostic Technology and neurological subluxation signs.

Force and Sensitivity of the Device

The device can elicit a pulse that can detect subluxations in pets from the size of a hamster or a parakeet, up to a draft horse.
The variability of the device's force is due to the micro-adjustable collar that can titrate the force from 27.6 lbs. down to almost zero.
It is interesting to note that the pulse needed in a very large horse is often the same as is needed for a very small dog.
An Equine Adjusting Tool (EAT) is also available for large horses and adjusting the pelvis and the caudal cervical areas of the equine. This device is identical in size and shape to the original device except it delivers 48.3 lb of force, within 1 millisecond

Application of the Device in the Human

The device is really a dental instrument created to split teeth.
It has been modified and used in humans for chiropractic adjustment for over twenty years.
It cannot be used in the human for diagnostic purposes, as diagnostic reads are not present in the human due to the presence of the common recurrent meningeal nerves.
These nerves are not present or are not functioning the same in the quadruped, which is fortunate, as this situation allows the reflexive pathological reads that the VOM Diagnostic Technology is based.

Accuracy

The VOM Diagnostic Technology is amazingly accurate. Diagnostic reading patterns are demonstrable weeks to years before radiographic and other diagnostic technique will verify.
In some species, such as the cat, radiographic findings are not as readily seen making VOM reads a more reliable diagnostic protocol.
When applying the VOM Diagnostic Technology the practitioner is made aware of disease conditions that would otherwise go undiagnosed, often months to years before disease will appear.

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