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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Choosing Outcome Assessments for Back Pain

Patient-reported outcome measures quantify patients’ subjective symptoms and are often more in line with accomplishing patient-centered goals. Patient-reported outcomes can give valuable information to evaluate the success of a treatment plan and aid in determining a prognosis based on past response. They are also used by insurance companies for re-imbursement purposes, such as determining medical necessity. Chiarotto et al. developed a core outcome set for use in clinical practice with accompanying suggested measures for patients with low back pain.

Author: Zac Shannon
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Q&A with NCLC 2019 Presenters: Dr. James Lehman

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: James J. Lehman, DC, MBA, whose program is titled, “A Neuromusculoskeletal Medicine Residency: An Example of Interprofessional Collaboration.”

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Q&A with NCLC 2019 Presenters: Dr. Alan K. Sokoloff

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Alan K. Sokoloff, DC—known to his patients as “Dr. Sok”who is team chiropractor for the two-time Super Bowl-champion Baltimore Ravens.

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ACA and APTA Collaborate on Dry Needling Code

Update: The Following a successful nine-year collaboration between the American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA), a new CPT® code for dry needling will likely be available to providers sometime in late 2019, paving the way potentially for proper coverage, national standards and a greater understanding of how this relatively new modality helps patients in pain.details on the collaboration between ACA and APTA will be reposted soon. The story contained information that was not final and will be announced later in the process.

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If Not Bone Out of Place, Then What?

Learn ACA Survey Course Shows How Chiropractic Theory Has Changed and Where the Science Is Taking Us

For more than a century, chiropractic science—at least as offered by many chiropractors—was frozen in late 19th century medical thought. Because the founders spoke of “tone” and the “safety-pin cycle,” it became almost a rallying cry for many of the followers. But has chiropractic science advanced since that time, and if so, will chiropractors embrace it? Many of you have read my theory textbooks through the years, but have you kept up with our modern science? There is a new story to tell. The new story is based on solid science that dovetails nicely with science from related healthcare disciplines, and that places [the chiropractic profession] squarely in the middle of interdisciplinary recommendations for conservative spine care and positions us as a substitute for old-school use of opioids and back surgery--instead of putting us out on a ledge, preaching against interdisciplinary care.

Author: Robert Leach
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5 Conditions Chiropractic Care Can Improve During Pregnancy

A recent study found that more than 75 percent of pregnant women experience pregnancy-related low back pain, pelvic pain, or a combination; and that this pain increases as pregnancy progresses. Chiropractic care is a safe, effective, and drug-free way to manage these and other musculoskeletal (MSK) symptoms during pregnancy. In this post, we review five common MSK conditions that respond well to chiropractic treatment. 

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Chiropractic Education and Radiography Best Practices

ACA’s Choosing Wisely recommendations are consistent with X-ray guidance in today’s classroom and trusted texts.

In the past year, many chiropractors have discussed indications for radiographic examination with renewed interest. In particular, they have questioned the X-ray recommendations of the Choosing Wisely initiative, a project of the American Board of Internal Medicine that seeks to promote more effective use of healthcare resources. The recommendations are hardly revolutionary, and well in line with current radiology education. In my own final radiology classes, professors emphasized that what we learned was only the foundation of what we would need in practice, and a mere fraction of what our peers would learn should they choose to become chiropractic radiologists. The recommendations in Choosing Wisely are shorthand for what we already know. 

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Essential Skills for Managing Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. The condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. Chiropractors are uniquely suited to differentiate BPPV from the similar-looking cervicogenic vertigo. Both conditions are very amenable to treatment; however, each is managed quite differently. Successful outcomes are predicated upon a solid understanding of both.

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Language Matters: Spanish in the U.S.

Every year Sept. 15-Oct. 15 is recognized as National Hispanic Heritage Month in the United States. According to the United States Census Bureau, there are 58.9 million individuals of Hispanic heritage, making this group the largest minority group at 18.1 percent of the U.S. population.1 The data set, part of the department’s National Hispanic Heritage Month fact sheet, indicates a 10-state block with more than 1 million individuals of Hispanic heritage. ACA's new Commission on Diversity is developing projects and resources to help expand access to information about ACA and chiropractic to Spanish speakers as well as other populations.

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SACA Leadership Conference: A Tribe of Future Leaders

More than 120 Student ACA (SACA) members gathered Sept. 7-9 in Milwaukee, Wis., for the 2018 SACA Leadership Conference, an annual event promoting leadership development and community building. “The Leadership Conference is the place where it all seems to come together, where attendees not only learn how to be better leaders and better future healthcare providers, but also how to be great colleagues and even friends,” writes student Jocelyn Tierney, SACA national vice chair. Highlighting the event was a diverse line-up of the profession’s leaders, who shared their insights on leadership and personal development.

 

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