American Chiropractic Association - guidelines

ICSC Spotlight: An Osteopathic Physician Unpacks the Evidence for Manual Therapy

The Interprofessional Collaborative Spine Conference (ICSC) will bring together members of the chiropractic, osteopathic medicine and physical therapy professions to tackle topics related to manual therapy and its use—amid the opioid epidemic—in treating low back pain and other conditions. In his presentation, “Implementation Science/Knowledge Translation Session: Osteopathic Perspective,” Michael Seffinger, DO, a professor at the College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, unpacks the sometimes conflicting and sometimes incomplete evidence using his osteopathic lens.

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Guidelines on Disaster Service for DCs Provides Useful Information to Volunteers

The American Chiropractic Association’s Policy Quality Review Committee (PQRC) has been performing an extensive review of all ACA policies.  The public-facing policy center on the website is also in the process of being reorganized and will be available soon.  As part of the review, the "Disaster Scene - Primary Care Providers" policy was ratified by the House of Delegates in January and reassigned as the "Guidelines for Disaster Service by Doctors of Chiropractic." The guideline provides useful information, including basic skills needed, to those who have an interest in volunteer work with emergency preparedness or disaster response teams and proposes a sample plan for how ACA and state associations might work together during a local crisis response.

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Choosing Wisely: Separating Facts from Fears

It has been just over a year since many in the chiropractic profession first learned that the American Chiropractic Association (ACA) joined more than 80 medical specialty society partners to participate in an initiative that is sponsored by the American Board of Internal Medicine Foundation. This initiative’s mission is to “promote conversations between clinicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.” It is called the Choosing Wisely campaign1 and it has generated more spirited discussion among doctors of chiropractic than I can recall since release of the Mercy Conference Proceedings in 1993.

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Article rating: 3.8

Research Review: Clinical Practice Guideline: Chiropractic Care for Low Back Pain

It is now well known that low back pain (LBP) is the leading cause of disability worldwide and that chiropractors can play a pivotal role in the management of this condition. However, the chiropractic profession can achieve wider acceptance and improved cultural authority, particularly within integrated health care delivery systems, by embracing and integrating current scientific research into our approach to evidence-based health care. It is in this context that this Clinical Practice Guideline (CPG) was developed. The aim of this systematic review was to update and combine three previously published clinical guidelines, while answering this question: “What is the effectiveness of chiropractic care, including spinal manipulation (SMT), for nonspecific low back pain?” 

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Article rating: 5.0

Choosing Wisely X-ray Recommendations Reflect Evolving Evidence, Accepted Standards

The first ACA Choosing Wisely® recommendation states: In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain. Some doctors of chiropractic may be surprised that ACA included this recommendation. There are many DCs who are committed to delivery of high-quality patient care that currently take or order X-rays on a majority of their patients because they believe that X-rays are a necessary component of the examination process. There are a number of reasons why this is the case.

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Article rating: 2.8

Upcoming Webinar: The Treatment of Whiplash Associated Disorders: A Clinical Practice Guideline

Representatives of ACA and the Canadian Chiropractic Guideline Initiative together will present a free webinar on guidelines for whiplash-associated disorders on June 20 at 9 pm ET. Presenters Dr. Andre Bussieres, Dr. Joel Weisberg and Dr. Michele Maiers take a moment to share why the  topic is relevant to your practice…and why you won’t want to miss this information-packed webinar.

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