Objective: The purpose of this study was to evaluate the inter-and intraexaminer reliability of the Blair protractoview radiographic method. Methods: This retrospective study evaluated 25 participants attending a Blair technique seminar. Participants included chiropractic students and doctors of chiropractic with more than 11 years of experience. Participants evaluated 100 Blair protractoview radiographs (oblique nasium). A κ analysis was used to determine the inter-and intraexaminer reliability because of the nominal categorical value of the variables. For the interexaminer reliability, a κ score was given for each examiner combination. The scores were then averaged to give the total interexaminer reliability. Results: The overall interexaminer reliability showed substantial reliability at 0.62. Withingroup κ values were as follows: no certification = 0.61, proficiency = 0.66, primary level = 0.61, and advanced level = 0.74. The overall intraexaminer reliability showed outstanding reliability at 0.81. Within-group κ values were as follows: no certification = 0.76, proficiency = 0.84, primary level = 0.82, and advanced level = 0.92. All κ values had a P value b .001. Conclusion: The participants in this study showed good inter-and intraexaminer reliability using the Blair protractoview radiographic method.

Objective: The purpose of this case report is to describe the chiropractic management using upper cervical techniques of a 25-year-old woman diagnosed with juvenile myoclonic epilepsy (JME). Clinical Features: A 25-year-old woman had a history of JME, which was diagnosed at the age of 14 years. Her seizure episodes began shortly after trauma to her cervical spine and the onset of menarche. Intervention and Outcome: After case history and physical examination, the patient received high-velocity, low-amplitude chiropractic spinal manipulation to her upper cervical spine using the Blair upper cervical chiropractic technique protocol. There was improvement in her seizure episodes and menstrual cycles following 12 weeks of chiropractic care.Conclusion: This case study demonstrated improvement in a young woman with a seizure disorder after she received upper cervical chiropractic manipulation. This case suggests the need for more rigorous research to examine how upper cervical chiropractic techniques may provide therapeutic benefit to patients with seizure disorders.