Vitalism in contemporary chiropractic: a help or a hinderance?

Simpson, Jenny; Young, Kenneth J.

doi:10.1186/s12998-020-00307-8

Cited by 19 publications

(14 citation statements)

References 129 publications

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“…Additionally, the term "subluxation" has become associated with wellness and according to some practice management groups, clinical success will be limited without its use [61]. This contrasts to the viewpoint of the "science" group who suggest that subluxation has little or no evidence for it, thus further dividing the groups [62][63][64]. It is perhaps with such "education" that the association between subluxation, non-symptomatic care, wellness and clinical success derives.…”

Section: Education By Practice Managementmentioning

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: Education By Practice Managementmentioning

confidence: 99%

Reframing a debate in chiropractic

Pollard¹

2021

Chiropr Man Therap

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“…A total of 21 of the 25 eligible articles (84%) examined in this review were written by authors with a background in chiropractic 2–6,11,12,15–28 . A total of 11 of the eligible articles were reviews of existing literature, which examined evidence surrounding the use of FLS X‐rays in chiropractic in isolation, or as a part of wider studies examining the utilisation of medical imaging by chiropractors 2–6,12,19,24,25,28 .…”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 articles described the use of FLS radiography as prescribed by contemporary chiropractic techniques or treatment systems 2–6,11,12,15,20,24–28 . Six published techniques were identified which require the use of FLS radiography including the Gonstead, Chiropractic BioPhysics, Applied Spinal Biomechanical Engineering, Universal Chiropractic College, Pierce/Stillwagon, Spinal Stressology and Logan techniques 4,5,12,24 .…”

Section: Resultsmentioning

confidence: 99%

“…These blockages are said to be caused by minute misalignments of the spinal column termed ‘chiropractic vertebral subluxations’ (CVS), which could reportedly be treated through manual adjustment and identified using spinal radiography 3,4 . It has been argued that beliefs such as these, which are historical in nature and do not reflect the contemporary understandings of physiology taught to chiropractors, 5 have to some extent pushed chiropractic to the periphery of the broader Australian healthcare system 6 . However, chiropractic remains a prominent health profession in Australia, with a substantial client base in the community 1 …”

Section: Introductionmentioning

confidence: 99%

“…3,4 It has been argued that beliefs such as these, which are historical in nature and do not reflect the contemporary understandings of physiology taught to chiropractors, 5 have to some extent pushed chiropractic to the periphery of the broader Australian healthcare system. 6 However, chiropractic remains a prominent health profession in Australia, with a substantial client base in the community. 1 As registered health practitioners, Australian Chiropractors can refer their patients for diagnostic investigations, including radiological studies, based on…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review

Readford

Hayes

Reed

2022

J of Medical Radiation Sci

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Chiropractors often refer their patients for full‐length (three‐ to four‐region) radiographs of the spine as part of their clinical assessment, which are frequently completed by radiographers in medical imaging practices. Overuse of spinal radiography by chiropractors has previously been reported and remains a contentious issue. The purpose of this scoping review was to explore the issues surrounding the utilisation of full‐length spinal radiography by chiropractors and examine the alignment of this practice with current evidence. A search of four databases (AMED, EMBASE, MedLine and Scopus) and a hand search of Google was conducted using keywords. Articles were screened against an inclusion/exclusion criterion for relevance. Themes and findings were extracted from eligible articles, and evidence was synthesised using a narrative approach. In total, 25 articles were identified, five major themes were extracted, and subsequent conclusions drawn by authors were charted to identify confluent findings. This review identified a paucity of literature addressing this issue and an underrepresentation of relevant perspectives from radiographers. Several issues surrounding the use of full‐length spinal radiography by chiropractors were identified and examined, including barriers to the adherence of published guidelines for spinal imaging, an absence of a reporting mechanism for the utilisation of spinal radiography in chiropractic and the existence of a spectrum of beliefs amongst chiropractors about the clinical utility and limitations of full‐length spinal radiography. Further investigation is required to further understand the scope of this issue and its impacts for radiation protection and patient safety.

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