4 - Chiropractic Medicine Flashcards
Describe the early history of chiropractic
- D.D. Palmer opened the first school in Davenport
- D.D.’s son, BJ went on to develop and shape chiropractic
- BJ imported the fifth x-ray unit in the US in 1911
- He was interested in instruments that measured skin temperature differences to show areas of dysfunction.
- Today, lots of health professions use thermography and instruments that measure skin temperature change as a sign of dysfunction
Briefly describe chiropractic education and training
- 7 years university level education (3 yr degree before then 4 yr program)
- 2 schools in Canada
- hands on experience
- 3 board exams
What does the Manitoba Chriopractor’s Association do?
- The mission of the Manitoba Chiropractor’s Association is to foster and ensure the highest standard of chiropractic healthcare for all Manitobans.
- The Manitoba Chiropractor’s Association represents the practise of Chiropractic in Manitoba. It is a legislated, self governing body with the dual role of service to the public and the Chiropractor’s of Manitoba.
FAQ’s:
What should someone expect on their first visit?
1) Paper work - basic information about yourself and reason for consult
2) Consultation with chiropractor - health history and examination
3) The examination will include a range of motion testing, motor and neurological examination and orthopaedic tests
4) Diagnostic imaging may be required to complete the examination
5) Diagnosis and care plan will be provided recommending chiropractic care, or a proper referral will be made if it is determined that your problem requires care other than chiropractic care.
FAQ’s:
How long will someone have to go to the chiropractor?
Chiropractors provide 3 main types of care:
1) Short term relief care for a specific problem
2) Long term corrective care to undo years of damage
3) Lifetime wellness care to support healing and detect new problems before they become serious
FAQ’s:
Does someone need a referral to see a chiropractor?
- No, chiropractors are considered primary contact doctors
- No referral from a medical doctor is necessary
**ALTHOUGH some insurance policies require a referral from a medical doctor
What puts people at risk of injuries that they would see a chiropractor about?
- work
- recreation
- household activities
- sports
Chiropractic care is a safe and effective form of conservative care for _____ conditions
MSK
There are conservative chiropractors and liberal chiropractors:
Describe conservative chiropractors
“straights”
-who believe in continuing the traditions of chiropractic
There are conservative chiropractors and liberal chiropractors:
Describe liberal chiropractors
“mixers”
-more interested in mixing elements of modern and alternative therapies into the practice of chiropractic
_______ were followers of the Palmer’s vision of vitalism and traditional hands only adjustments of the spine
straights
_____ sought to incorporate chiropractic as an independent technique into other treatment therapies
mixers
What is the MSK definition?
The interaction between the muscular, skeletal and nervous systems
What do chiropractors do as MSK experts?
The assessment, diagnosis, treatment and preventative care of biochemical disorders originating from the muscular, skeletal and nervous systems
What is a vertebral subluxation?
It is a chiropractic term that is used to describe a myriad of signs of symptoms (syndrome) thought to occur as a result of a misaligned or dysfunctional spinal segment.
What is the chiropractic definition of a a subluxation?
The chiropractic subluxation complex is a functional biomechanics spinal lesion with purported altered neurological function that can result in neuro-MSK and visceral disorders.
What is the WHO (world health organization) definition of a chiropractic vertebral subluxation?
A lesion or dysfunction in a joint or motion sement in which alignment, movement integrity and/or physiological fcn are altered, although contact between joint surfaces remains intact. It is essentially a functional entity, which may influence biomechanics and neural integrity.
What is the medical definition according to WHO for spinal subluxation?
A significant structural displacement, and therefore visible on static imaging studies.
What are the 5 components that form the chiropractic subluxation?
1) Spinal Kinesiology
2) Neuropathophysiology or Neuropathology
3) Myopathology
4) Histopathology
5) Pathophysiology/Pathology
How does vertebral subluxation complex differ in terms of components?
It’s differentiated by the fifth component, general systemic disturbances secondary to the spinal misalignment.
**slide 19
How are subluxations (spinal misalignments) detected by a chiropractor?
X-ray findings and physical examination
What do physical examination findings include?
- Pain and tenderness
- Asymmetry/misalignment
- Range of motion abnormality
- Tissue/tone changes
Chiropractor’s expertise in MSK health is primarily, but not limited to the _____ and _____
back and neck
Inter-professional collaboration with other HCPs promotes effective ______-______ ____.
patient-centered care
What is one of the primary goals of the CCRF (Canadian Chiropractic Research Foundation) ?
To support chiropractors to obtain their Masters and PhD degrees and support their research projects.
List the 3 parts of the Chiropractic Guideline Initiative ?
1) Vision
2) Mission
3) Strategies
3 Parts of Chiropractic Guideline Initiative:
Describe Vision
-Enhance the health of Canadians by fostering excellence in chiropractic care
3 Parts of Chiropractic Guideline Initiative:
Describe Mission
-Develop evidence-based clinical practice guidelines and best practice recommendations, and facilitate their dissemination and implementation within the chiropractic profession
3 Parts of Chiropractic Guideline Initiative:
Describe strategies
- Transform the culture of the profession to one that is guided by evidence-based practice.
- Produce, adapt or endorse recommendations relevant to chiropractic practise to enhance patient care, based on the best available evidence.
- Create and apply innovative knowledge translation strategies to influence chiropractic practice.
What are some key questions that chiropractors ask when someone comes to see them?
(from the cases)
-When did it start?
-How do they think it happened?
-Severity of pain?
-Done anything to treat it?
-Has this happened before?
-Any other medical conditions?
etc.
