Nervoscope Research Papers

1. Uematsu E, Edwin DH, Jankel WR, Kozikowski J, Trattner M. Quantification of thermal asymmetry, part 1: normal values and reproducibility. J Neurosurg. 1988;69(4):552–555.[PubMed]

2. Guyton AC. Philadelphia: W.B. Saunders. Ch; 1986. Body temperature, temperature regulation and fever in AC Guyton ed. Textbook of Medical Physiology 7th Edition.72

3. Rademacher WJ. A premise for instrumentation. Chiropr Tech. 1994;6(3):84–94.

4. Palmer BJ. Chiropractic clinical controlled research. 1951. 587 Vol. XXV. Hammond, IN. W.B. Conkey Co.

5. Duff SA. San Francisco: Paragon Printing; 1976. Chiropractic clinical research. Interpretation of spinal bilateral skin temperature differentials. San Francisco: Paragon Printing. pp. vi–vii.

6. Hart JF, Boone WR. Pattern Analysis of Paraspinal Temperatures: A Descriptive Report. Journal of Vertebral Subluxation Research. 2000;3(4):1–8.

7. Miller JL. April. International Review of Chiropractic; 1967. Skin temperature instrumentation. pp. 39–41.

8. Schram SB, Hosek RS, Owens ES. Computerized paraspinal skin surface temperature scanning: A technical report. J Manip Physiol Ther. 1982;5(3):117–122.[PubMed]

9. Ebrall PS, Iggo A, Hobson P, Farrant G. Preliminary report: The thermal characteristics of spinal levels identified as having differential temperature by contact thermocouple measurement (Nervo Scope). Chiropr J of Australia. 1994;24(4):139–143.

10. Stewart MS, Riffle DW, Boone WR. Computer-aided pattern analysis of temperature differentials. J Manip Physiol Ther. 1989;12(5):345–352.[PubMed]

11. Plaugher G. Skin temperature assessment for neuromusculoskeletal abnormalities of the spinal column. J Manip Physiol Ther. 1992;15(6):368–381.[PubMed]

12. Senzon SA. The Theory of Chiropractic Pattern Analysis Based on the New Biology. Proceedings of the Eighth Annual Vertebral Subluxation Research Conference Sponsored by Sherman College of Straight Chiropractic. Journal of Vertebral Subluxation Research. 2000;4(1):17–18.

13. Hart JF. Analyzing the neurological interference component of the vertebral subluxation with the use of pattern analysis: A Case Report. Abstracts of Association of Chiropractic Colleges Eighth Annual Conference. The Journal of Chiropractic Education. 2001;15(1):30.

14. Brand N, Gizoni C. Moiré contourography and infrared thermography: Changes resulting from chiropractic adjustments. J Manipulative Physiol Ther. 1982;5(3):113–116.[PubMed]

15. Kyneur JS, Bolton SP. Chiropractic instrumentation: an update for the 90's. Chiropr J. Aust. 1991;21(3):82–94.

16. Spector B, Fukuda F, Kanner L, Thorschmidt E. Dynamic thermography: a reliability study. J Manipulative Physiol Ther. 1981;4:30–38.

17. DeBoer KF, Harmon RO, Chambers R, Swank L. Inter- and intra-examiner reliability study of paraspinal infrared temperature measurements in normal students. Res Forum. 1985;2:4–12.

18. Keating JC, Bergmann TF, Jacobs GE, Finer BA, Larson K. Interexminer reliability of eight evaluative dimensions of lumbar segmental abnormality. J Manipulative Physiol Ther. 1990;13:463–70.[PubMed]

19. Owens EF, Hart JF, Donofrio JJ, Haralambous J, Mierzejewski E. Paraspinal skin temperature patterns: An interexaminer and intraexaminer reliability study. J Manipulative and Physiol. Ther. 2004;27(3):155–159.[PubMed]

20. Perdew W, Jenness ME, Daniels JS, Speijers FH, Fiorenzo JA, et al. Dig Chiro Econ May/June; 1976. A determination of the reliability and concurrent validity of certain body surface temperature measuring instruments. pp. 60–65.

21. Plaugher G, Lopes MA, Melch PE, Cremata EE. The inter and intra-examiner reliability of a paraspinal skin temperature differential instrument. J Manipulative Physiol Ther. 1991;14(6):361–7.[PubMed]

22. Owens E. Thermographic pattern analysis using objective numeric methods. The Journal of Chiropractic Education. 2000;14(1):44–45.

23. Owens E, Stein T. Computer aided analysis of paraspinal thermographic patterns: A technical report. Chiropractic Research Journal. 2000;7(2):65–69.

24. Hart J, Omolo B, Boone WR, Brown C, Ashton A. Reliability of three methods of computer-aided thermal pattern analysis. J Can Chiropr Assoc. 2007;51(3):175–185.[PMC free article][PubMed]

25. 2011) SAS Institute Inc Website (accessed January 12,

26. Bartko JJ. The intra class correlation coefficient as a measure of reliability. Psychological Reports. 1966;19:3–11.[PubMed]

27. Lin L. A concordance correlation coefficient to evaluate reproducibility. Biometrics. 1989;45:255–268.[PubMed]

28. Haber M, Barnhart H, Song J, Gruden J. Observer Variability: A New Approach in Evaluating Inter observer Agreement. Journal of Data Science. 2005;3:69–83.

A difficult area to analyze with a NervoScope (or Delta-T, Go-Scope, etc) is the cervicothoracic junction. I recall seeing a video of Dr. Gonstead correcting a doctor who wasn’t tilting the NervoScope properly over that region.

It is important to maintain the instrument perpendicular to the spine (as seen from the side). It is not uncommon for the plane line of the C7 disc to be angled quite acutely from horizontal. With the patient in the sitting position, and if the patient is hunched over slightly, the angle is often 60° or near vertical. The angle diminishes as the instrument runs cephalically and reduces rapidly when gliding over “the hump” and into the upper thoracic spine. It is common to see those new to the instrument glide the instrument at less than a 45° angle at the C7 and C6 levels. Usually, they miss breaks at those levels, because, in many cases, the sensors wires completely miss the C6-C7 region and often aren’t even touching the skin.

Use a dry model with the correct curves and compare the tilt of your instrument to the spine, in particular, the C7 disc. You will quickly discover that to keep the instrument parallel to the C7 disc line, a substantial acute angle to the horizon is required. Stand at the side of a patient and visualize the angle that the C7 disc plane line is to the horizon. Place your instrument at C7 and angle it until it is parallel to the visualized C7 disc plane line. Practice gliding the instrument from T3 to C5 and vice versa while being cognizant of the degree of tilt of the instrument at each level. Practice that a thousand times until it becomes automatic. You will find that you will pick up cervicothoracic breaks that you were missing.

PHOTO 1: Dry spine: notice the angle of C7 and the NervoScope.

PHOTO 2: Notice how the doctor has to angle the NervoScope.

0 thoughts on “Nervoscope Research Papers”


Leave a Comment

Your email address will not be published. Required fields are marked *