Doing the Same Thing and Expecting a Different Outcome: It Is Time for a Questioning Philosophy and Theory-Driven Chiropractic Research

Leach, Robert A.

doi:10.1016/j.echu.2019.08.002

Cited by 5 publications

(1 citation statement)

References 95 publications

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“…Despite wellness being a fundamental principle of chiropractic [ 45 ] and wellness-related goals being important to many patients and practitioners, they are not important to all [ 35 , 46 ] as wellness appear to be sought after by a small percentage of the total number of patients presenting to chiropractors [ 47 ]. Most patients present for mainly musculoskeletal care [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Reframing a debate in chiropractic

Pollard¹

2021

Chiropr Man Therap

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The chiropractic profession is 125 years old and has evolved a culture beset with internal conflict. The internal ructions have been particularly noticeable during the last 20 years. These polarising viewpoints are worsening to the degree that there are calls for the profession to break into two separate entities. Key to the recognition of the differences within the profession is the recognition of title for particular sub populations of patients presenting to chiropractors. For many of the sub populations such as sport or paediatrics there has grown appropriate post professional specialist educational training sometimes leading to a protected title. However, this is not occurring in that group of practitioners that choose to focus on wellness care. A recommendation is made that wellness chiropractic be viewed as a post professional specialty program within chiropractic, as it is in medicine and elsewhere, and that recognition follow after appropriate post professional educational programs have been completed, as is customary in the other special interest groups. In order to do so, consensus will be required from all stakeholders within the profession on the level, scope and depth of such programs. Furthermore, it is possible that different jurisdictions around the world may require different post graduate educational levels based on local competitive, legal and professional circumstances. In such cases, transitioning to the higher level over a period of time may be undertaken. Recognition of the wellness specialty by the profession would allow for vertical integration with other healthcare providers as well as help bridge a gap between the entrepreneur and academic groups that would be responsible for creating these programs at tertiary education institutions. Finally, should these programs acquire evidence to underpin them, a process that would be taught within the programs, it is likely that recognition of an extended scope of practice would occur increasing the appeal of chiropractic to the public.

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Section: Introductionmentioning

confidence: 99%

Reframing a debate in chiropractic

Pollard¹

2021

Chiropr Man Therap

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The Conatus Doctrine: A Rational Interpretation of Innate Intelligence

Thornhill

2022

Journal of Chiropractic Humanities

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Profession-based manual therapy nomenclature: exploring history, limitations, and opportunities

Degenhardt,

van Dun,

Jacobson

et al. 2023

Journal of Manual & Manipulative Therapy

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Objective The International Consortium on Manual Therapies (ICMT) is a grassroots interprofessional association open to any formally trained practitioner of manual therapy (MT) and basic scientists promoting research related to the practice of MT. Currently, MT research is impeded by professions’ lack of communication with other MT professions, biases, and vernacular. Current ICMT goals are to minimize these barriers, compare MT techniques, and establish an interprofessional MT glossary. Methods Practitioners from all professions with training in manual therapies were encouraged by e-mail and website to participate ( www.ICMTConferene.org ). Video conferences were conducted at least bimonthly for 2.5 years by profession-specific and interprofessional focus groups (FGs). Members summarized scopes of practice, technique descriptions, associated mechanisms of action (MOA), and glossary terms. Each profession presented their work to the interprofessional FG to promote dialogue, understanding and consensus. Outcomes were reported and refined at numerous public events. Results Focus groups with representatives from 5 MT professions, chiropractic, massage therapy, osteopathic, physical therapy and structural integration identified 17 targeting osseous structures and 49 targeting nonosseous structures. Thirty-two techniques appeared distinct to a specific profession, and 13 were used by more than 1. Comparing descriptions identified additional commonalities. All professions agreed on 4 MOA categories for MT. A glossary of 280 terms and definitions was consolidated, representing key concepts in MT. Twenty-one terms were used by all MT professions and basic scientists. Five terms were used by MT professions exclusive of basic scientists. Conclusion Outcomes suggested a third to a half of techniques used in MT are similar across professions. Additional research is needed to better define the extent of similarity and how to consistently identify those approaches. Ongoing expansion and refinement of the glossary is necessary to promote descriptive clarity and facilitate communication between practitioners and basic scientists.

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Doing the Same Thing and Expecting a Different Outcome: It Is Time for a Questioning Philosophy and Theory-Driven Chiropractic Research

Cited by 5 publications

References 95 publications

Reframing a debate in chiropractic

Reframing a debate in chiropractic

The Conatus Doctrine: A Rational Interpretation of Innate Intelligence

Profession-based manual therapy nomenclature: exploring history, limitations, and opportunities

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