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Towards the Development of a Standardized Chiropractic Technique

Program

Presentation · March 2018

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Towards the Development of a
Standardized Chiropractic Technique
Program

Brian J. Gleberzon DC, MHSc (CMCC)

Christopher B. Roecker DC (Palmer)
Charles Blum DC (SCUHS)
Christopher Good DC, MA(Ed) (UBCC)
Robert Cooperstein DC, MSc (Palmer)
 Introduction

Chiropractic is probably the least

standardized regulated healthcare profession

Manifests as diverse ideologies, behaviors,

linguistics and practice activities
 Introduction

Leads to confused patients, allied healthcare

providers and government agencies

Negatively impacts utilization and

reimbursement rates

Time for more inter-collegiate

educational consistency?
Obstacles (Stigmas) to Chiropractic Success

• Trustworthiness and ethics (individual)

• Lexicon (jargon)

• Practice management programs

• Discussion of non-MSK conditions

• Diversity: Core v Complementary Chiropractic

Triano JJ, McGregor M. Core and Complementary Chiropractic: Lowering

Barriers to Patient Utilization of Services. J Chiropr Humanit 2016;23:1-13
 Chiropractic Practices
Core Complimentary
Diversified (96%) Botanical Medicine
Extremity adjusting (96%) Acupuncture/Chinese Medicine
Activator Methods (63%) Mind-Body Practices (yoga, TCM)
Gonstead (59%) Manual/Instrumented Soft Tissue Tmt
Thompson (56%) Nutrition/Dietary Recommendations (97%)?
Cox-FD (53%) Rehabilitation (92%)?
Physiotherapy (65+%)?

Based on a 50% utilization rate cut-off point from

NBCE survey data

Triano JJ, McGregor M. Core and Complementary Chiropractic: Lowering

Barriers to Patient Utilization of Services. J Chiropr Humanit 2016;23:1-13
Previous Workshop Accomplishments
Previous Workshop Accomplishments
What role should licensing bodies play?

General consensus was licensing bodies should

defer to educational institutions rather than list
what can/cannot be used for patient care

• With the exception of limits dictated by

legislation pertaining to chiropractic scope
of practice
 In most Canadian provinces, in order to use
a Technique System or Device for Patient
Care, the following steps must be followed:

• Technique or device must be taught at accredited

college in core, elective or CE program

• Individual examined to confirm minimal competence

• Malpractice coverage

• May need ‘special’ or ‘additional’ consent

 Previous Workshop Accomplishments (2016)

Representatives from CMCC, Palmer, Bridgeport, Cleveland,

Life expressed universal agreement the following Diagnostic
Procedures should be taught:

• Motion Palpation (static, motion, joint play)

• Ranges of Motion
• Orthopedic testing
• Diagnostic testing (ie cardiac exam, vitals)
• Posture and General Observation/Visualization
• Gait
• Radiology for Pathology.
• No consensus on X-ray line marking
 First Things First…

• Please generate a list of the diagnostic and

therapeutic procedures taught at your
chiropractic institution
 Break Out Session #1

• Four groups, each with a facilitator

• Finalize list of diagnostic tests to be taught;

specifically try to reach consensus on:

(i) X-ray line marking

(ii) Leg Length Analysis
(iii) Instrumentation
Small Group Results
 Therapeutic Procedures
• HVLA SMT (spine, extremities)
• LVLA Mobs (spine, extremities)
• STT (manual and instrumented)
• Instrumented adjusting
• Pelvic blocking
• Cox-Flexion/ Specialized Tables
• Drop table
• Others?

• Entire Technique System?

• Core, Elective, CE
 Break Out Session #2
• Four Groups, each with a facilitator

• Develop a list of Therapeutic procedures

and devices that ought to be taught at all
chiropractic programs

• Devices versus Technique System

• Core, Elective, CE
Small Group Results
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