Patient Perceptions of Chiropractic Treatment for Primary Care Disorders

Cambron, Jerrilyn A.; Cramer, Gregory D.; Winterstein, James F.

doi:10.1016/j.jmpt.2006.11.007

Cited by 17 publications

(11 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This growing reliance on chiropractic care is also of interest when considered against existing scepticism around the efficacy of chiropractic, which is fuelled by the absence of reliable evidence. [3][4][5][6][7][8][9][10] For example, the recent Cochrane review on spinal manipulation therapy (SMT) for lower back pain, one of the main conditions for which chiropractic is utilised, 11 reported no clinically relevant difference between bs_bs_banner SMT and other interventions aimed at reducing pain or improving function in patients. 12 Similarly, lacklustre findings of efficacy have been identified in reviews of chiropractic treatment for neck pain, 13 headache and migraine, 14 whiplash 15 and asthma.…”

Section: Introductionmentioning

confidence: 99%

The face of chiropractic: evidence‐based?

Shelley

Clark

Caulfield

2014

Focus on Alt & Comp Therapy

View full text Add to dashboard Cite

Background Chiropractors are the most accessed providers of complementary and alternative medicine care in Canada. However, some scepticism exists around the evidentiary base of the chiropractic profession. Objectives To examine the messages utilised by the chiropractic profession around issues of scope and efficacy through website communication with the public. Methods Website content of major Canadian chiropractic associations and colleges (n=11), and commercial clinics (n=80) was submitted to a mixed‐methods analysis. Content was reviewed to quantify specific health conditions described as treatable by chiropractic care. A qualitative textual analysis identified the primary messages related to evidence and efficacy utilised by the websites. Results Website content claimed that chiropractic is capable of addressing a wide range of health issues. Quantitative analysis revealed that association and college websites identified a total of 41 unique conditions treatable by chiropractic, while private clinic websites named 159 distinct conditions. The most commonly cited conditions included back pain, headaches/migraines and neck pain. Qualitative analysis revealed three prominent themes drawn upon in discussions of efficacy and evidence: grounded in science, the conflation of safety and efficacy and “natural” healing. Conclusions The chiropractic profession claims the capacity to treat health conditions that exceed those more traditionally associated with chiropractic. Website content persistently declared that such claims are supported by research and scientific evidence, and at times blurred the lines between safety and efficacy. The chiropractic profession may be struggling to define themselves both within the paradigm of conventional science as well as an alternative paradigm that embraces natural approaches.

show abstract

Section: Introductionmentioning

confidence: 99%

The face of chiropractic: evidence‐based?

Shelley

Clark

Caulfield

2014

Focus on Alt & Comp Therapy

View full text Add to dashboard Cite

show abstract

“…The role of the chiropractor in healthcare has been eloquently debated in several articles [1,2,5,16-18]. Our interest was to provide preliminary data in the process of determining if chiropractic training provides the chiropractor the ability to recognize undiagnosed LTC which is a fundamental requirement of all physicians.…”

Section: Discussionmentioning

confidence: 99%

Self-reported recognition of undiagnosed life threatening conditions in chiropractic practice: a random survey

et al. 2012

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to identify the type and frequency of previously undiagnosed life threatening conditions (LTC), based on self-reports of chiropractic physicians, which were first recognized by the chiropractic physician. Additionally this information may have a preliminary role in determining whether chiropractic education provides the knowledge necessary to recognize these events.MethodsThe study design was a postal, cross-sectional, epidemiological self-administered survey. Two thousand Doctors of Chiropractic in the US were randomly selected from a list of 57878. The survey asked respondents to state the number of cases from the list where they were the first physician to recognize the condition over the course of their practice careers. Space was provided for unlisted conditions.ResultsThe response rate was 29.9%. Respondents represented 11442 years in practice and included 3861 patients with a reported undiagnosed LTC. The most commonly presenting conditions were in rank order: carcinoma, abdominal aneurysm, deep vein thrombosis, stroke, myocardial infarction, subdural hematoma and a large group of other diagnoses. The occurrence of a previously undiagnosed LTC can be expected to present to the chiropractic physician every 2.5 years based on the responding doctors reports.ConclusionBased on this survey chiropractic physicians report encountering undiagnosed LTC’s in the normal course of practice. The findings of this study are of importance to the chiropractic profession and chiropractic education. Increased awareness and emphasis on recognition of LTC is a critical part of the education process and practice life.

show abstract

“…Whatever the eventual resolution, it is unclear what practical effects, if any, would ensue from a determination that chiropractors do or should practice primary care. 1,11 It may be that the issue is mainly one of semantics.…”

Section: Chiropractors Practicing Prevention: Survey Of the Literaturementioning

confidence: 99%

Prevention and Health Promotion by Chiropractors

Redwood

2008

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

Other areas where chiropractors could potentially help their patients to pursue healthier choices-most notably smoking cessation-are addressed far less frequently. Abstract: Chiropractic care includes a variety of minimally invasive approaches, with both treatment and prevention as essential elements of clinical practice. Although chiropractic adjustment (manipulation) is the signature therapy and best-known identifier of the profession, the practice of chiropractic involves more than manual therapeutics. In general, chiropractors seek to bring a holistic worldview to the doctor-patient encounter, seeking not only to relieve pain and restore neuromusculoskeletal function but also to support the inherent self-healing and self-regulating powers of the body. Aside from applying their diagnostic training to the evaluation of a variety of physical disorders and delivering manual adjustments and related therapeutic interventions, many chiropractors encourage patients to take an active role in restoring and maintaining health, with particular emphasis on doctor-guided self-care through exercise and nutrition. In this review, the authors summarize the peer-reviewed literature on chiropractic and prevention, describe health promotion and wellness approaches currently taught at chiropractic colleges and used in chiropractic clinical settings, discuss duration of care, emphasize the importance of interprofessional cooperation and collaboration, and address the hypothesis that chiropractic adjustments yield preventive effects.

show abstract

Patient Perceptions of Chiropractic Treatment for Primary Care Disorders

Cited by 17 publications

References 11 publications

The face of chiropractic: evidence‐based?

The face of chiropractic: evidence‐based?

Self-reported recognition of undiagnosed life threatening conditions in chiropractic practice: a random survey

Prevention and Health Promotion by Chiropractors

Contact Info

Product

Resources

About