Use of the term subluxation in publications during the formative years of the chiropractic profession

Johnson, Claire

doi:10.1016/j.echu.2011.10.004

Cited by 11 publications

(9 citation statements)

References 5 publications

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“…For the detractors of subluxation, the term itself can be a source of confusion,26, 27, 28 and the lack of substantial and ongoing quality research is particularly concerning. Although, a few research studies have been done and have been included in chiropractic textbooks26, 27, 29 Recent studies by DCs30, 31 and physical therapists 32 have focused on creating clinical decision rules for the use of manipulation in patients with spinal pain and disability and have found the existence of “segmental dysfunction” to be a key criterion when trying to identify patients who will respond well to care.…”

Section: Discussionmentioning

confidence: 99%

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

Good

2016

Journal of Chiropractic Humanities

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ObjectiveThe objective of this paper was to discuss the chiropractic profession’s identity and 3 contentious issues related to identity.DiscussionThe various clinical specialties and independent groups in the chiropractic profession are so different in their beliefs, practice styles, and political agendas that a common identity is unlikely to be created. Areas of disagreement, including advanced practice, vertebral subluxation, and the philosophy of chiropractic, continue to separate those in the profession. Doctors of chiropractic should accept that differences within the profession will remain for the foreseeable future and that the profession should allow each group to live peacefully and supportively alongside each other.ConclusionsIf the profession embraces the ideals of truth, respect, and tolerance, it can continue to grow and provide diverse health care services well into the future.

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Section: Discussionmentioning

confidence: 99%

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

Good

2016

Journal of Chiropractic Humanities

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“…For this review, the following inclusion criteria were used 1 : full-text studies available, 2 at least one outcome measure reported, 3 study available in English, 4 and no abstracts, redundancies, or studies not reporting specific treatment methods and outcomes. We were left with a total of 27 studies for evaluation that were published between January 2000 and February 2016.…”

Section: Resultsmentioning

confidence: 99%

“…3 Chiropractic medicine was originally created under the premise that spinal misalignments, called vertebral subluxations, could adversely affect nearby peripheral nerves and result in downstream organic health disorders. 4 Despite chiropractic medicine's declared focus on the spine and conditions thereof, comparatively little research has been performed on the relationship between chiropractic care and idiopathic scoliosis. Because of the variety of treatment methods employed by doctors of chiropractic, 5 it is difficult to compare the effectiveness of various methods against one another.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

Morningstar¹,

Stitzel²,

Siddiqui

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this review was to evaluate the current body of literature on chiropractic treatment of idiopathic scoliosis against the 2014 consensus paper of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) and the Scoliosis Research Society (SRS) Non-Operative Management Committee for outcome reporting in nonoperative treatments. Methods: A search of the PubMed and Index to Chiropractic Literature databases for studies published from January 2000 through February 2016 detailing specific treatments and outcomes for idiopathic scoliosis was conducted. Results: A total of 27 studies that discussed chiropractic scoliosis treatments were identified. Of these, there were 15 case reports, 10 case series, 1 prospective cohort, and 1 randomized clinical trial. Of the 27 studies, only 2 described their outcomes as recommended in the 2014 SOSORT and SRS Non-Operative Management Committee consensus paper. Conclusion: The 2014 SOSORT and SRS Non-Operative Committee consensus paper details the format and types of outcomes they collectively believe are the most important and relevant to the patient. Among the chiropractic studies located in this review, 2 described outcomes consistent with how SOSORT recommends they be reported. Given that these consensus papers form the basis for nonoperative treatment recommendations and outcome reporting, future chiropractic studies should seek to report their outcomes as recommended by these papers. This will allow for better interprofessional collaboration and methodologic comparison. (J Chiropr Med 2017;16:64-71)

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“…bone-out-of-place "luxation" and nerve pressure to explain the spinal lesions chiropractors treated, but did not initially use the term subluxation. 7…”

Section: Introductionmentioning

confidence: 99%

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

Leach¹

2019

Journal of Chiropractic Humanities

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Objective: The purpose of this commentary is to discuss the philosophical and hypothetical underpinnings of chiropractic and consider whether there is a need for chiropractic to have a questioning philosophy and theory-driven process to guide future scientific endeavors in the profession. Discussion: The earliest beliefs of the chiropractic founders centered on chiropractic vertebral subluxation but differed on whether this was a static, bone-out-of-place misalignment or a lesion whereby joints had lost their normal direction or range of motion. More recently, new hypotheses such as dyskinesia, inflammation, and neuroplasticity attempt to explain the purported clinical effects of chiropractic. Yet practitioners and students advocate for both traditional viewpoints that typically tout misalignment and embrace a science of chiropractic. I propose that chiropractors should not have to choose between philosophy and science. Instead, they should advocate for adoption of a modern questioning philosophy that not only informs their clinical questions and drives their theories, but also that is in turn influenced by outcomes from their research. Such a questioning philosophy is in stark contrast with the dogma that some have mislabeled as "philosophy" in the profession. I recommend that a review of chiropractic hypotheses and a theory-driven research process is needed to help guide the profession's research agenda given its wide range of clinical activities and limited resources. As the chiropractic profession increasingly embraces evidenceinformed practice, enhanced integration within the wider health care community may then result in further gains in utilization. Conclusion: Theory-driven research that results from and subsequently informs a questioning philosophy may expose truths related to practice behaviors, activities, and outcomes, and spur more complete integration of chiropractic within the wider health care community.

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Use of the term subluxation in publications during the formative years of the chiropractic profession

Cited by 11 publications

References 5 publications

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

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

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

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

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