The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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WHO Collaboration Presents Public Health Opportunities for Chiropractic

The World Health Organization (WHO) held its 71st Assembly May 21-26, 2018 at the United Nations headquarters in Geneva. WHO is the directing and coordinating authority on international health, and uses the annual Assembly to set norms and standards for ethical and evidence-based healthcare policy. I had the honor of attending the Assembly this year as part of the World Federation of Chiropractic (WFC) delegation. Over four days of plenary sessions, committee meetings, and technical briefings, I observed an impressive breadth and depth of operations at WHO—and a chiropractic profession that is primed for more meaningful engagement with the broader public health community.

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Article rating: 5.0

An Open Letter to the National Center for Complementary and Integrative Health

In her open letter to the National Center for Complementary and Integrative Healthcare, ACA Senior Scientific Advisor Christine Goertz, DC, PhD, offers suggestions to NCCIH on how to meet some of today's pressing healthcare challenges and, in particular, how complementary and integrative health care can play a role. She writes, "We desperately need a healthcare delivery system 1) that is able to consistently provide evidence-based, patient-centered care to the right individual at the right time, 2) for which the patient care trajectory for chronic conditions begins with the safest, most conservative, effective option available and, 3) that empowers patients and providers with the knowledge and tools they need to make informed decisions that are deeply rooted in disease prevention and health promotion. Much work lies ahead in identifying how CIH practices can best contribute to this effort."

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On Leadership: Lighting the Way for the Future with Grilled Cheese, Candles and Beer

Anticipation for the McAndrews Leadership Lecture at this year’s National Chiropractic Leadership Conference (NCLC 2018) was heightened by the mystery surrounding the title of the talk – “Grilled Cheese, Candles and Beer”—and what it could possibly have to do with leadership. Presenter Stephen M. Perle, DC, MS, a respected author, journal editor, lecturer and professor of clinical sciences at the University of Bridgeport College of Chiropractic, not only served some valuable lessons based on his personal experiences and observations on leading “from the middle,” in the end he gave all gathered plenty to chew on.

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Collaboration for Low Back Pain Treatment in Older Adults

Part of the Evidence in Action series by Palmer College of Chiropractic

The inclusion of chiropractic practitioners into various collaborative health systems has increased over the past decade. The addition of chiropractic within these multi-disciplinary settings has been embraced by many as a way to manage spinal conditions, such as back and neck pain, using noninvasive therapies. However, taking a patient-centered approach to such integration involving various health care practitioners leads to new questions and challenges and requires novel research to optimize patient outcomes in these settings.

Author: Zac Shannon
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Research Review: Best Practices for Chiropractic Care of Children

Integrating high-quality evidence into our clinical acumen is a crucial aspect of the evolution of the chiropractic profession. However, we must also continue to respect and include expert consensus, based on years of clinical experience. Papers like this help us achieve this valuable combination! Dr. Cheryl Hawk and colleagues give us a great overview of the literature pertaining to chiropractic care for children, incorporating evidence and consensus-based advice you can apply in your practice…enjoy! -- Shawn Thistle, DC, RRS Education 

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Q&A with NCLC 2018 Presenters: Dr. Jay Greenstein

Presentation Reviews the Relevance of Clinical Practice Guidelines to Better Patient Care and Proper Reimbursement

ACA’s annual meeting, the National Chiropractic Leadership Conference (NCLC), is packed with great educational content and world-class presenters. Join us Feb. 28-March 3 in Washington, D.C., to hear from some of the profession’s most compelling thought leaders. Here we pose several questions to one of our featured speakers: Jay Greenstein, DC. Dr. Greenstein will be speaking about the relevance of clinical practice guidelines.   

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10 Changes for the Better in Chiropractic History

Driven by rising health care costs, the constant barrage of new research knowledge and the increasing integration of technology, the way in which all health care providers take care of patients in this country--in this world--is changing rapidly. This evolving health care environment means that, while we remain steadfast at the core of who we are and what we do stand for as a chiropractic profession, expectations regarding some of the ways in which we practice are beginning to change.

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Research Review: Biological Mechanisms May Provide Insight into Effectiveness of Spinal Manipulation

One of the most complex and misinterpreted lines of research in chiropractic and manual medicine is the immuno-physiological-endocrine (I made up that term, but you know what I mean!) effects of spinal manipulation and other manual interventions.  The research group out of the Canadian Memorial Chiropractic College (CMCC) in Toronto, Canada has done the bulk of the work in this area.  This Research Review discusses their latest publication, which had some very interesting results...enjoy!
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Publication Bias and Outcome Switching: Threats to Evidence Assessment

Publication bias is a growing problem in evidence-based practice. In the hierarchy of evidence, systematic reviews and meta-analyses lie at the top of the evidence pyramid because they are regarded as the most rigorous form of evidence for possible clinical decision-making. But publication bias can color the results of those reviews and meta-analyses in ways not easily seen nor understood. 

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Interpreting “Quality” and “Strength” in a Practice Guideline

Part of the Evidence in Action series by Palmer College of Chiropractic

The American College of Physicians (ACP) recently released a clinical practice guideline for noninvasive treatments for low back pain. The goal of this guideline is to inform care decisions by systematically evaluating and summarizing available scientific evidence for treating acute, subacute and chronic low back pain. Many treatments used by doctors of chiropractic, such as spinal manipulation, superficial heat, acupuncture, motor control exercise and low level laser are included as recommended first-line treatments.

 

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