Chiropractic Identity in the United States: Wisdom, Courage, and Strength

Good, Christopher J.

doi:10.1016/j.echu.2016.08.001

Cited by 11 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some chiropractors are certified in internal medicine, diagnostic imaging, or a variety of other areas. 20 As a result, it is possible that only those chiropractors that have a particular identity or practice style may be approached by patients to discuss DTC genomics results. This study found that graduates of the university also have a variety of practice styles consistent with what is known throughout the profession.…”

Section: Discussionmentioning

confidence: 99%

Making a case for genomics in chiropractic education

Burnham

Takaki

2021

Journal of Chiropractic Education

View full text Add to dashboard Cite

Objective To determine if an existing course in genetics should be revised to refocus on the topic of genomics and its impact on health and primary care, a survey of chiropractors was conducted regarding genomics and patient care. Methods A short survey was designed to ascertain chiropractors' knowledge and use of genomics in their practices, particularly regarding direct to consumer genetic testing. Nine closed-ended questions and 2 open-ended questions were included. Pearson correlation was used to evaluate relationships between close-ended responses. Content analysis was conducted on the final open-ended question that queried respondents for further comments. Results There were 181 completed surveys returned. Patients do ask chiropractors about their own direct to consumer genetic testing results—42% indicated that they are approached by patients 1–3 times per month to discuss genetics/genomics. Knowledge of genomics varies among chiropractors, yet 51% feel that teaching genomics is moderately (31%) or extremely (20%) important. Conclusion An introductory course in clinical genomics is necessary to prepare a chiropractor for patient care.

show abstract

Section: Discussionmentioning

confidence: 99%

Making a case for genomics in chiropractic education

Burnham

Takaki

2021

Journal of Chiropractic Education

View full text Add to dashboard Cite

show abstract

“…To date, neither side has been able to find true common ground [ 1 , 6 ], often using arguments and tactics that have increased division, further split the profession and negatively affected social standing [ 50 ].…”

Section: A Mixed Blessingmentioning

confidence: 99%

“…Internally, the divergences have manifested themselves as an identity struggle, with many chiropractors seeking a moderate, evidence based position while others strive to retain vitalistic ideas [ 1 , 2 ]. The disparity between these groups has divided the profession and invited ridicule from the both the scientific community [ 3 ] and the public at large [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Over several decades, researchers have sought to determine the origins of these conflicts [ 10 – 13 ] and offered solutions [ 6 , 14 – 17 ]. Condensed to simplest principles, the division reflects a deep ideological gulf which has historically been described as the schism between ‘mixers and straights’ with acceptance or rejection of treatment modalities other than ‘the adjustment’ as the dividing point [ 1 , 10 , 11 , 18 ]. This however is an overly simplistic and patently misleading understanding.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The schism in chiropractic through the eyes of a 1st year chiropractic student

Strahinjevich¹,

Simpson

2018

Chiropr Man Therap

View full text Add to dashboard Cite

Since its inception, the chiropractic profession has been divided along ideological fault lines. These divisions have led to a profession wide schism, which has limited mainstream acceptance, utilisation, social authority and integration.The authors explore the historical origins of this schism, taking time to consider historical context, religiosity, perpetuating factors, logical fallacies and siege mentality.Evidence is then provided for a way forward, based on the positioning of chiropractors as mainstream partners in health care.

show abstract

“…In 2016, this journal published a series of commentaries on the topic of chiropractic identity and opinions ranged from the idea of focusing on correction or management of subluxation in the more historical sense [9] to advanced clinical practice and spine care as a specialty for the profession [10,11]. Interestingly, one author summed it up in that, "For any statement of professional identity to be effective, it requires widespread adoption by the profession" [11].…”

Section: Introductionmentioning

confidence: 99%

Chiropractic Care for Spine Conditions: Analysis of National Health Interview Survey

Ndetan

Evans

Tanue

et al. 2020

J Health Care and Research

View full text Add to dashboard Cite

Objective: To estimate the use of chiropractic care and perceived value for spinal conditions. Methods: National Health Interview Survey (NHIS) data from the Sample Adult for 1997, 2002, 2007 and 2012 and the Adult Alternative Medicine for 2002, 2007, and 2012 files were analyzed. National Population Estimates (NPE) was generated by applying the complete survey design structure. Odds ratios (OR) and 95% confidence intervals (CI) were generated to explore the likelihood that the respondents reporting spine-related problems would see Doctors of Chiropractic (DC) or other providers compared to those reporting no spine-related problems. Results: Reported use of chiropractic increased from 7.61% in 1997 to 10.11% in 2012 (p-value<0.001); the NPE increased by 8,023,162 adults. The OR of seeing a DC among those with the spine-related complaint was significantly higher (ranging over time from 4.31 to 3.09) than other providers, except in 2012 in which physical therapists were highest. For respondents reporting spine-related complaints, the OR was 2.40 (95%CI=1.28-4.50) for using chiropractic compared to osteopathic manipulation. Respondents with spine-related conditions were more likely to have a DC as their personal healthcare provider [OR(95%CI=3.48(2.60-4.65)]. Over 96% of those who did reported that it helped and were less likely to report using prescription medication [OR(95%CI) = 0.44(0.35-0.55)], over-the-counter medication [OR(95%CI) = 0.80(0.65-0.99)], surgery [OR(95%CI) = 0.35(0.23-0.52)], or physical therapy [OR(95%CI)=0.50(0.40-0.63)]. They were less likely to report receiving a recommendation from a medical doctor to seek chiropractic manipulation [n=224 (19.15%); OR(95%CI=0.49(0.39-0.62)]. Conclusion: The general use of chiropractic in the United States is slowly increasing but utilization is still low compared to that of primary care providers like MDs and NPs. A majority of NHIS 2012 respondents with spine-related problems used chiropractic manipulation for treatment and those who did were more likely to report that it helped and less likely to report using prescription and over-the-counter medications, surgery or physical therapy. Yet chiropractic care was hardly being recommended by medical doctors.

show abstract

Chiropractic Identity in the United States: Wisdom, Courage, and Strength

Cited by 11 publications

References 22 publications

Making a case for genomics in chiropractic education

Making a case for genomics in chiropractic education

The schism in chiropractic through the eyes of a 1st year chiropractic student

Chiropractic Care for Spine Conditions: Analysis of National Health Interview Survey

Contact Info

Product

Resources

About