Chiropractic techniques and treatment modalities included in academic programs: A survey of chiropractic educational institutions

Dubuc, Élisa; Pagé, Isabelle; Boucher, Pierre B; Brousseau, Danica; Robidoux, S; Blanchette, Marc-André

doi:10.7899/jce-21-32

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Thus, it is offered in clinical contexts for which there is no evidence for its relevance, it is often overused in contexts where it is relevant, and it consumes an unnecessary amount of attention to technical detail– all at the expense of other clinical considerations. This is apparent not only in much of clinical practice but also in the education of chiropractors, where a plethora of adjustive techniques are taught, whilst other evidence-based approaches are sometimes lacking (e.g., exercise) [ 58 ].…”

Section: Introductionmentioning

confidence: 99%

A new role for spinal manual therapy and for chiropractic? Part I: weaknesses and threats

O’Neill,

Nim,

Newell

et al. 2024

Chiropr Man Therap

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Spinal manual therapy is central to chiropractic history, clinical practice, and professional identity. That chiropractors have developed an expertise in this domain has provided some considerable advantages. However, we contend it is also at the crux of the ideological schism that fractures the chiropractic profession. In this article, which is the first in a series of two, we discuss chiropractors’ understanding and use of spinal manual therapy and do so with particular emphasis on what we see as weaknesses it creates and threats it gives rise to. These are of particular importance, as we believe they have limited the chiropractic profession’s development. As we shall argue, we believe that these threats have become existential in nature, and we are convinced that they call for a resolute and unified response by the profession. Subsequently, in part II, we discuss various strengths that the chiropractic profession possesses and the opportunities that await, provided that the profession is ready to rise to the challenge.

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Section: Introductionmentioning

confidence: 99%

A new role for spinal manual therapy and for chiropractic? Part I: weaknesses and threats

O’Neill,

Nim,

Newell

et al. 2024

Chiropr Man Therap

View full text Add to dashboard Cite

show abstract

“…From an educational standpoint, there is wide variation in how SMT is taught within chiropractic institutions [20]. Stainsby et al conducted a best-evidence synthesis to evaluate the effectiveness of various teaching methods on learning SMT [21].…”

Section: Introductionmentioning

confidence: 99%

Factors that contribute to the perceived effect of spinal manipulative therapy: A qualitative study

Boylan

2024

Preprint

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Background: Despite the progress that has been made to better understand the potential mechanisms of SMT and its treatment eﬀects, a knowledge gap continues to exist when it comes to identifying the specific factors that contribute to the eﬀective utilization of SMT. The purpose of the study was to explore the perceptions of chiropractic clinicians, interns, and patients regarding what factors during a doctor-patient encounter contribute to the perceived treatment eﬀect associated with SMT. Methods: Participants were recruited from a chiropractic teaching clinic in the United States using convenience sampling. Semi-structured interviews were used as the main form of data collection, which took place from January-April 2024. The data was subsequently analyzed using a grounded theory approach and organized into themes through an iterative open coding process. Results: Six rounds of interviews were conducted for a total of 18 interviews. Each round consisted of one patient who received treatment including SMT, one intern who performed the treatment, and one clinician who oversaw the treatment. After analyzing the interview data, the following five themes were identified: Psychomotor Skills, Treatment Outcome, Significance of Cavitation, Adjunctive Therapies, and Therapeutic Alliance. Conclusion: This qualitative study identified several themes which describe factors that may contribute to the perceived effect associated with SMT. In addition to the psychomotor skills required to perform SMT, educators and practitioners should consider factors such as the therapeutic alliance between patient and provider, use of adjunctive therapies, and assessment of the outcome associated with the intervention.

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Factors that contribute to the perceived treatment effect of spinal manipulative therapy in a chiropractic teaching clinic: a qualitative study

Boylan

2024

Chiropr Man Therap

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Background Despite the progress made in better understanding the potential mechanisms of spinal manipulative therapy (SMT) and its treatment effects, a knowledge gap continues to exist when identifying the specific factors that contribute to the perceived treatment effect associated with SMT. The purpose of the study was to explore the perceptions of chiropractic clinicians, interns, and patients regarding what factors during a doctor-patient encounter contribute to the perceived treatment effect associated with SMT. Methods This study used convenience sampling to enroll participants from a chiropractic teaching clinic in the United States. Semi-structured interviews were used as the main form of data collection, which took place from January-April 2024. The data was subsequently analyzed using thematic analysis and organized into themes through an iterative open coding process. Results Six rounds of interviews were conducted for a total of 18 interviews. Each round consisted of one patient who received treatment including SMT, one intern who performed the treatment, and one clinician who oversaw the treatment. After analyzing the interview data, the following five themes were identified: Treatment Outcome, Therapeutic Alliance, Adjunctive Therapies, Significance of Cavitation, and Psychomotor Skills. Each theme consisted of multiple subthemes which were mentioned by the participant groups at varying frequencies. Patients frequently mentioned the importance of improvement in symptoms following treatment, as well as good communication skills and the use of adjunctive therapies. Interns valued functional change following treatment, while clinicians focused on confidence levels and psychomotor skills. There were differing views on the significance of cavitation, ranging from indifference to an indication of a successful treatment. Conclusion This qualitative study identified several themes which describe factors that may contribute to the perceived effect associated with SMT. In addition to the psychomotor skills required to perform SMT, educators and practitioners should consider factors such as the therapeutic alliance between patient and provider, use of adjunctive therapies, and assessment of the outcome associated with the intervention.

show abstract

Chiropractic techniques and treatment modalities included in academic programs: A survey of chiropractic educational institutions

Cited by 3 publications

References 20 publications

A new role for spinal manual therapy and for chiropractic? Part I: weaknesses and threats

A new role for spinal manual therapy and for chiropractic? Part I: weaknesses and threats

Factors that contribute to the perceived effect of spinal manipulative therapy: A qualitative study

Factors that contribute to the perceived treatment effect of spinal manipulative therapy in a chiropractic teaching clinic: a qualitative study

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