Author:
Dubuc Élisa,Pagé Isabelle,Boucher Pierre B.,Brousseau Danica,Robidoux Sébastien,Blanchette Marc-André
Abstract
ABSTRACT
Objective
The chiropractic techniques that chiropractors learn during their training strongly influence the nature of treatments provided by chiropractors and their professional identity. The objective of this project is to provide an exhaustive description of all chiropractic techniques and treatment modalities taught in chiropractic educational institutions.
Methods
International experts were solicited to provide feedback on the exhaustivity and clarity of our preliminary questionnaire. Following the expert suggestions, we administered our cross-sectional survey representatives of all chiropractic education institutions listed on the World Federation of Chiropractic website. We also asked the contact information for an additional contact from each institution and surveyed them for triangulation purposes.
Results
Among the 47 chiropractic education institutions surveyed, 29 completed our survey (response rate: 62%) of which 18 (62%) had 2 respondents. Among all the chiropractic techniques and treatment modalities investigated, only the Diversified technique was included in the core curriculum of all responding institutions. A considerable proportion of the techniques or modalities studied were not included in the educational activities of the institutions, particularly within the manual tonal or reflex techniques, instrument-assisted articular techniques, as well as the other techniques or modalities categories. Surprisingly, exercise prescription was not included in the core curriculum of all the institutions. Some scientifically challenged approaches were included in the educational activities of more than 40% of the institutions.
Conclusion
The portfolio of therapeutic teaching varies greatly between chiropractic educational institutions. A more standardized therapeutic curriculum could be beneficial to reduce public and interprofessional confusion toward therapeutic approaches in chiropractic.
Reference26 articles.
1. Haldeman
S,
Dagenais
S.
A supermarket approach to the evidence-informed management of chronic low back pain.
Spine J.
2008;8(1):1–7.
doi:10.1016/j.spinee.2007.10.009
2. Beliveau
PJH,
Wong
JJ,
Sutton
DA,
et al.
The chiropractic profession: a scoping review of utilization rates, reasons for seeking care, patient profiles, and care provided.
Chiropr Man Therap.
2017;25(1):35.
doi:10.1186/s12998-017-0165-8
3. Blanchette
MA,
Cassidy
JD,
Rivard
M,
Dionne
C.
Chiropractors' characteristics associated with their number of workers' compensation patients.
J Can Chiropr Assoc.
2015;59(3):202–215.
4. Blanchette
M-A,
Rivard
M,
Dionne
C,
Cassidy
JD.
Chiropractors' characteristics associated with physician referrals: results from a survey of Canadian chiropractors.
J Manipulative Physiol Ther.
2015;38(6):395–406.
doi:10.1016/j.jmpt.2014.11.001
5. Good
CJ.
Chiropractic identity in the United States: wisdom, courage, and strength.
J Chiropr Humanit.
2016;23(1):29–34.
doi:10.1016/j.echu.2016.08.001