The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline

Amorin-Woods, L.; Evans, Marion W.; Whedon, James M.; Daniels, Clinton J.; Williams, Ronald D.; Parkin-Smith, Gregory F.; Taylor, David N.; Anderson, Derek R.; Farabaugh, Ronald J.; Walters, Sheryl; Schielke, Alec L; Minkalis, Amy L.; Crivelli, Louis S.; Alpers, Cameron; Hinkeldey, Nathan; Hoang, Johanna; Caraway, Daniel; Whalen, Wayne M.; Cook, Jo; Redwood, Daniel

doi:10.1089/acm.2021.0184

Cited by 9 publications

(9 citation statements)

References 112 publications

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“…Claims for the use of wellness-based chiropractic for health require evidence. At present there is little evidence for primary prevention in MSK conditions [ 52 ] and particularly in MSK low back pain [ 53 ], so it may be challenging for wellness-based chiropractors to create evidence for primary prevention.…”

Section: Introductionmentioning

confidence: 99%

“…Clearly, claims currently outstrip evidence in this area and it remains a key goal for this group to validate their claims. A recent best practice guideline in chiropractic health promotion is recommended as a possible way forward [ 52 ]. The challenge to the wellness group will be to find evidence to support the teaching of any prevention strategies in evidence-based wellness practitioner training programs.…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

confidence: 99%

Reframing a debate in chiropractic

Pollard¹

2021

Chiropr Man Therap

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“…By nature of training and scope, chiropractors also address public health issues and supportive measures for healthy human development during the clinical encounter. 20 These may include advice regarding injury prevention, healthy diet, physical activity needs, sleep advice, reduced screen time (including mobile/cell phone use), healthy social relationships, and vigilance around childhood trauma. 21–23 It has been found that, in general, children with a decreased health-related quality of life have higher utilization of complementary and integrative medicine.…”

Section: Introductionmentioning

confidence: 99%

Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process

Keating,

Hawk,

Amorin-Woods

et al. 2024

Journal of Integrative and Complementary Medicine

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Objective: To build upon existing recommendations on best practices for chiropractic management of children by conducting a formal consensus process and best evidence synthesis. Design: Best practice guide based on recommendations from current best available evidence and formal consensus of a panel of experienced practitioners, consumers, and experts for chiropractic management of pediatric patients. Methods: Synthesis of results of a literature search to inform the development of recommendations from a multidisciplinary steering committee, including experts in pediatrics, followed by a formal Delphi panel consensus process. Results: The consensus process was conducted June to August 2022. All 60 panelists completed the process and reached at least 80% consensus on all recommendations after three Delphi rounds. Recommendations for best practices for chiropractic care for children addressed these aspects of the clinical encounter: patient communication, including informed consent; appropriate clinical history, including health habits; appropriate physical examination procedures; red flags/contraindications to chiropractic care and/or spinal manipulation; aspects of chiropractic management of pediatric patients, including infants; modifications of spinal manipulation and other manual procedures for pediatric patients; appropriate referral and comanagement; and appropriate health promotion and disease prevention practices. Conclusion: This set of recommendations represents a general framework for an evidence-informed and reasonable approach to the management of pediatric patients by chiropractors.

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“…Chiropractors may have a role in preventing IPV if they have appropriate screening tools. 6 A chiropractors' knowledge and skills in recognizing IPV is likely to affect their clinical reasoning, decisionmaking, and clinical outcomes. Furthermore, they are obliged to comply with clinical and legal responsibilities.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of Australian chiropractors' and students' readiness to identify and support patients experiencing intimate partner violence

Moore

Amorin‐Woods

Amorin-Woods

et al. 2023

Journal of Chiropractic Education

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Objective To explore Australian chiropractors' and final year students' readiness to identify and support patient's experiencing intimate partner violence (IPV). Methods This cross-sectional study used the Chiro-PREMIS, an adaptation of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) to explore chiropractors' and final year students' readiness. Survey responses were analyzed through a lens of Miller's framework for developing clinical competence and chiropractic graduate competencies. Results One hundred forty participants completed the online survey (n = 99 chiropractors and n = 41 students). Reports of practice over the 4 weeks prior to completing the survey showed 21% of chiropractors and 20% of students consulted with patients who had disclosed they were involved in IPV. Thirty-three percent of chiropractors and 27% of students suspected a patient was involved, but that patient did not disclose. Participants report meager training in IPV. Many are unclear about appropriate questioning techniques, documentation, referrals, identifying available resources, and legal literacy. Overall, participants do not “know” about IPV, they do not “know how” to and may not be able to “show how” or “do” when it comes to managing IPV-related clinical scenarios. Further studies are needed to confirm if chiropractors have the appropriate clinical capabilities. Conclusion With proper preparation, chiropractors have an opportunity to make a positive contribution to this social problem. We anticipate chiropractic-specific discourse surrounding these escalating growing social concerns will highlight the intent of the chiropractic profession to make a substantial contribution to the health care of the Australian public. More studies are needed.

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The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline

Cited by 9 publications

References 112 publications

Reframing a debate in chiropractic

Reframing a debate in chiropractic

Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process

A cross-sectional study of Australian chiropractors' and students' readiness to identify and support patients experiencing intimate partner violence

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