Professional Practice

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A survey of chiropractic students reveals that they regard chiropractors as a knowledgeable source of information about nutrition. While the dissonance produced by the use of nutrients in clinical practice may be overcome by denying that this constitutes drug therapy, the controversies of appropriate use need to be addressed. The challenge faced by chiropractic undergraduate nutrition education involves identification of justifiable nutritional interventions, selection of effective doses and an awareness of the potential side effects.

Author(s): 
Jamison, J. R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Philosophical commitment to a natural form of health care does not exempt practitioners who function in a drug-utilizing health care system from an appreciation of the potential use and abuse of pharmaceutical agents. The strategies used for evaluating drug therapy may provide a framework for ascertaining the clinical appropriateness of drugless forms of health care.

Author(s): 
Jamison, J. R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The aim was to survey chiropractic practice in Europe. DESIGN: A postal questionnaire survey of all chiropractors in the European Chiropractors' Union (1990) yielded demographic information and practice characteristics. Patient case forms, completed by randomly selected practitioners, revealed the demographic features, presenting complaints, diagnoses and management procedures used. SETTING: The survey was conducted in private chiropractic practices of 13 European countries.

Author(s): 
Pedersen, P.
Breen, A. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine on a state by state, province by province basis what diagnostic and treatment procedures are allowed by statute in the various practice acts. DESIGN: A survey administered by mail. SUBJECTS: All state and provincial licensing boards. RESULTS: The response rate to the survey was 90%.

Author(s): 
Lamm, L. C.
Wegner, E.
Collord, D.
Publication Title: 
Canadian Bulletin of Medical History = Bulletin Canadien D'histoire De La Médecine

Physiotherapy is part of the new female-dominated paramedical occupations which have witnessed considerable growth in Canada since World War II. This article examines the main dimensions of physiotherapy's professionalizing drive in Ontario between 1950 and 1980. It discusses the leadership's continuing efforts to make physiotherapy a self-regulated profession, efforts which will be seriously challenged by the provincial government's growing intervention in the health sector in the 1970s.

Author(s): 
Heap, R.
Publication Title: 
Health Affairs (Project Hope)

This study projects that the per capita supply of alternative medicine clinicians (chiropractors, naturopaths, and practitioners of oriental medicine) will grow by 88 percent between 1994 and 2010, while physician supply will grow by 16 percent. This increase is associated with growth in the number and size of alternative medicine colleges and in the opportunities these graduates have for licensure and practice. This study calls for an assessment of the education and regulation of clinicians across the range of disciplines who will be providing patient care in the twenty-first century.

Author(s): 
Cooper, R. A.
Stoflet, S. J.
Publication Title: 
Medical Anthropology Quarterly

As biomedicine evolved into the preserve of upper-class and upper-middle-class physicians, working-class and lower-middle-class individuals turned to chiropractic as a vehicle of upward social mobility. Practice-building seminars constitute a largely overlooked strategy by which many chiropractors have sought to address their marginal status within the U.S. medical system.

Author(s): 
Baer, H. A.
Publication Title: 
Annals of Internal Medicine

BACKGROUND: Low back pain is a common reason for visiting a physician. Authors of guidelines and insurance payers are currently scrutinizing use of radiography and computed tomography (CT) or magnetic resonance imaging (MRI). OBJECTIVE: To study the determinants of the use of lumbar spine radiography and either CT or MRI in patients with acute low back pain. DESIGN: Prospective cohort study.

Author(s): 
Carey, T. S.
Garrett, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: The primary aim of this study was to (1) determine the clinical management approach of practicing chiropractors with regard to patients with adolescent idiopathic scoliosis and (2) measure the response rate of a telephone survey. METHODS: A survey instrument was developed and pretested, and a case-specific clinical vignette was generated for a hypothetical typical 12-year-old girl with adolescent idiopathic scoliosis.

Author(s): 
Feise, R. J.
Publication Title: 
Journal of Community Health

The purpose of this study was to identify the perceptions of nurses toward the effectiveness and safety, as well as their recommendations for and personal use of complementary and alternative medical therapies. A, random sample of 1000 nurses throughout the United States were surveyed using a three-wave mailing. About half of the respondents perceived there was conclusive evidence or preponderance of evidence that five therapies were effective: biofeedback, chiropractic, meditation/relaxation, multi-vitamins, and massage therapy.

Author(s): 
Brolinson, P. G.
Price, J. H.
Ditmyer, M.
Reis, D.

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