Chiropractic as spine care: a model for the profession

Nelson, Christine; Lawrence, Dana J.; Triano, John J.; Brønfort, Gert; Perle, Stephen M.; Metz, R. Douglas; Hegetschweiler, Kurt; LaBrot, Thomas

doi:10.1186/1746-1340-13-9

Cited by 88 publications

(44 citation statements)

References 22 publications

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“…Importantly it will not be seen as a collective of alternative medicine practitioners with a strange belief system and a large minority displaying derision of science and medicine. The “spine care model” [7] is a means of developing chiropractic cultural authority and relevancy. The benefits that will accrue from this decision alone are potentially immense including helping to integrate chiropractic care into the mainstream health system while still retaining self-identity for the profession.…”

Section: Discussionmentioning

confidence: 99%

The new chiropractic

Walker

2016

Chiropr Man Therap

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BackgroundPhysical manipulation and manual therapies are thousands of years old. The most popular western world iteration of these therapies is delivered by chiropractors. It can be argued that the collective public health benefit from chiropractic for spinal pain has been very substantial, however as chiropractic has transitioned from craft to profession it has encountered many internally and externally driven machinations that have retarded its progress to a fully accepted allied health profession. This article sets out a ten point plan for a new chiropractic that will achieve full acceptance for this troubled profession.DiscussionThis article is based on a keynote speech known as the FG Roberts Memorial Address delivered on October 10, 2015, in Melbourne, Australia at the Chiropractic & Osteopathic College of Australasia and Chiropractic Australia national conference.The ten point plan consists of the following: improving the pre-professional education of chiropractors, establishing a progressive identity, developing a special interest for the profession, marginalising the nonsensical elements of the profession, being pro-public health, supporting the legitimate organised elements of the profession, improving clinical practice, embracing evidence based practice, supporting research and showing personal leadership.ConclusionAdherence to this fresh ten point plan will, over time, see the chiropractic profession gain full legitimacy in the allied health field and acceptance by other health providers, policy makers and the public at large.

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Section: Discussionmentioning

confidence: 99%

The new chiropractic

Walker

2016

Chiropr Man Therap

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“…A small subset, approximately 5%, of patients have headache as a primary complaint. Any reasonable estimate would place the percentage of chiropractic patients with somatic pain at >95%.” 25 This is not to say that the chiropractic profession must be defined by its existing patient base; even if the public and other health care professionals were to view doctors of chiropractic differently, the conditions for which manual therapies are most effective are somatic 25 …”

Section: Discussionmentioning

confidence: 99%

“…Spinal manipulation (SM) is offered by a number of professions, but chiropractic doctors have been most closely identified as providers of this procedure, which has been a distinguishing characteristic of the profession since its inception 25, 27. Ninety-four percent of SM for which reimbursement is sought in the United States is delivered by doctors of chiropractic 26, 28.…”

Section: Discussionmentioning

confidence: 99%

Professional Identity at Los Angeles College of Chiropractic

Kimura

Russell

Scaringe

2016

Journal of Chiropractic Humanities

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ObjectiveThe objective of this article is to describe chiropractic professional identity as espoused by the Los Angeles College of Chiropractic.DiscussionProfessional identity is a construct that begins formation prior to career selection, can be considered the backbone of health care education, and has been linked to career success. Los Angeles College of Chiropractic’s professional identity is shaped by a philosophy of health care that is focused on vitalism, holism, naturalism, therapeutic conservatism, critical rationalism, phenomenology, humanism, and interprofessionalism. Other distinguishing aspects include portal-of-entry professionals with broad diagnostic skills; a focus on spine care; promotion of public-health; and delivery of manual treatments.ConclusionThe chiropractic professional identity at the Los Angeles College of Chiropractic focuses on serving the needs of the people who entrust their health to its graduates and will continue to evolve on the basis of many factors, such as politics, social perceptions, and economic conditions.

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“…Nelson 18,19 and others 20 take the view that chiropractors should concentrate on the spine and its attendant problems of back pain, neck pain and headache. One of the authors of this paper (PE) has argued this is professionally restrictive and destructive.…”

Section: Spine Therapists or Health And Wellness Practitioners?mentioning

confidence: 99%

“…[18][19][20] This paper argues the emerging scope of chiropractic practice delineated by Jamison 24 and Hawk [25][26][27] is in effect the 21 st Century paradigm for chiropractic. Paradoxically, given the introductory comments regarding Palmer, everything old becomes new again.…”

Section: Shifting Towards Wellnessmentioning

confidence: 99%

Towards a 21st Century Paradigm of Chiropractic: Stage 1, Redesigning Clinical Learning

Ebrall

Draper

Repka

2008

Journal of Chiropractic Education

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Objective: To describe a formal process designed to determine the nature and extent of change that may enhance the depth of student learning in the pre-professional, clinical chiropractic environment. Methods: Project teams in the Royal Melbourne Institute of Technology (RMIT) School of Health Sciences and the Division of Chiropractic explored questions of clinical assessment in several health care disciplines of the School and the issue of implementing change in a manner that would be embraced by the clinicians who supervise studentlearning in the clinical environment. The teams applied to RMIT for grant funding within the Learning and Teaching Investment Fund to support two proposed studies. Results: Both research proposals were fully funded and are in process. Discussion: The genesis of this work is the discovery that the predominant management plan in the chiropractic teaching clinics is based on diagnostic reductionism. It is felt this is counter-productive to the holistic dimensions of chiropractic practice taught in the classroom and non-supportive of chiropractic's paradigm shift towards wellness. A need is seen to improve processes around student assessment in the contemporary work-integrated learning that is a prime element of learning within the clinical disciplines of the School of Health Sciences, including chiropractic. Conclusion: Any improvements in the manner of clinical assessment within the chiropractic discipline will need to be accompanied by improvement in the training and development of the clinicians responsible for managing the provision of quality patient care by Registered Chiropractic Students. (J Chiropr Educ 2008;22(2):152-160)

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Chiropractic as spine care: a model for the profession

Cited by 88 publications

References 22 publications

The new chiropractic

The new chiropractic

Professional Identity at Los Angeles College of Chiropractic

Towards a 21st Century Paradigm of Chiropractic: Stage 1, Redesigning Clinical Learning

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