L4-Chiro Flashcards

1
Q

Briefly describe the early history of chiropractic (i.e. the works of D.D. Palmer).

A
  • September 18, 1895: D.D. Palmer in Iowa, performed the first spinal adjustment (who had lost hearing when he felt his back give way.
  • readjustment of spine led to re-gaining his hearing
  • this shaped chiropractic in the early years, w an intrest in determining the cause of dis-ease.
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2
Q

Briefly describe the early history of chiropractic (i.e. the works of B.J. Palmer).

A

-his son later employed many new techs (ie x-ray)
>research department utilized insruments that measured skin temp diffs to show areas of dysfunction.
>today many other HCPs use thermography and instruments that measure skin temp change as sign of dysfunction

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3
Q

Describe the current status of chiropractic in the world (3 points).

A
  • Grown into the third largest healthcare profession
  • Developed 400 techniques for assessing/adjusting the spine
  • Regulated in every province in Canada but not regulated throughout the world
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4
Q

Describe the chiro education and testing process.

A

-Requires (total) seven years university‐level education
>min of 3-yr university program

-Hands‐on clinical experience >includes clinical assessment, Dx, treatment, and referral protocols.
>100s of hours of specialized training in spinal adjustments

-Once in practice, must complete CEs

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5
Q

What are the 2 chiro school in Canada called and where are they located?

A
  1. Canadian Memorial Chiropractic College (CMCC) in Toronto

2. Université du Québec à Trois‐Rivières (UQTR) in Quebec

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6
Q

Describe the licensing process - include the name of the licensing board!

A

-National exam by Canada Chiro Examining Board (CCEB)
>applies to both students from CAN AND entering country

-must pass 3 national academic, clinical skills, and prov jurisprudence board exams; also have OSCEs

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7
Q

How many times can you re-write the licensing exam?

A

Maximum of 4 re-writes - if you do NOT pass w/in this time you can not practice in Canda

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8
Q

Who is responsible for the regulatory process in Canada? What are the 3 main things they are responsible for?

A
-Governed by provincially-legislated regulatory & licensing authorities
>responsible for:
 1. granting a licenses
 2. establishing standards of practice
3. Protecting public interest
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9
Q

What dos the regulatory process include?

A
  1. Peer review programs
  2. Continuing education requirements
  3. Investigating complaints
  4. Disciplining practitioners who fail to meet provincial licensing standards.
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10
Q

What is the Manitoba Chiro Association?

A

-Represents the practice of Chiropractic in Manitoba.
> It is legislated, self governing body with the dual role of service to the public and the Chiropractors of Manitoba
-Includes chiropractors & lay people

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11
Q

What is the MCAs mission statement?

A

Foster & ensure the highest standard of chiropractic healthcare for all Manitobans.

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12
Q

What are MCA’s primary responsibilities? How is it achieved? (5 points)

A

-To protect public interest - which is achieved through the enforcement of:
1. Guidelines
2. Practice Directives
3. Standards of Practice
4. Code of Ethics
5. Code of Conduct
>Once you pass the national licensing exam in MB, you have to write an ethics exam

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13
Q

FAQ: What should I expect on my first visit (3)?

A
  1. Paperwork: basic information about self, reason for consult, consent
  2. Consultation: includes health history and examination
    >Exam includes range of motion testing, motor, neuro and orthopedic tests
    >Dx imaging may be required
  3. Dx/care plan: may recommend chiropractic care and/or referral
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14
Q

FAQ: How long should I have to go? (i.e. describe the main types of care)

A

Chiropractors provide three 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 ew problems before they become serious
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15
Q

FAQ: Do I need a referral to see a chiropractor?

A

No, chiropractors are considered primary contact doctors

>However, some insurance policies require a referral in order to cover

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16
Q

Who do chiropractors treat? Provide some examples (5).

A

Everyone! 4.5 milli Canadians a year.

  1. Children - may be at risk thru play/other activities
  2. Adults - at risk thru work, work, recreation, household activities
  3. Athletes - helps restore function, eliminate pain
  4. Localized pain (back, neck, headaches, etc)
  5. Car accidents - Chiro dr. works directly w MPI & Workers Compensation Board (WCB) to get back to norm functioning
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17
Q

List the factors chiros take into consideration.

A
  • Personalize care to fit each person’s unique requirements
  • Provide extra consideration & care to the needs of all fam members (of the injured).
  • Provides safe & effective care for MSK conditions.
18
Q

Describe the varying philosophies w/in chiropractic.

A

Chiropractors vary widely in how they practice and can be generally viewed on a spectrum:
1. Conservative (“straights”) & 2. Liberal (“mixers”): mixes elements of modern & alt therapies into the practice of chiropractic
>incorporates chiropractic as an independent technique into other treatment therapies.

19
Q

Describe the philosophy of the conservatives.

A
  • Continuing the chiro traditions

- “Straights” follows of the Palmer’s vision of vitalism and traditional hands only adjustments of the spine.

20
Q

Describe the philosophy of the liberals.

A
  • mixes elements of modern & alt therapies into the practice of chiropractic
  • incorporates chiropractic as an independent technique into other treatment therapies.
21
Q

Define MSK.

A

The interaction between the muscular, skeletal and nervous systems.

22
Q

What do curios do as MSK experts?

A

The assessment, diagnosis, treatment and preventative care of biomechanical disorders originating from the muscular, skeletal and nervous systems.

23
Q

What is the vision of Canadian Chiro Association?

A

Chiropractors will be an integral part of every Canadian’s healthcare team.

24
Q

Define vertebral subluxation.

A

Chiropractic term that is used to describe a myriad of signs and symptoms (syndrome) thought to occur as a result of a misaligned or dysfunctional spinal segment.

25
Q

Define chiropractic subluxation complex.

A

-functional biomechanical spinal lesion with purported altered neurological function that can result in neuro‐musculoskeletal and visceral disorders

26
Q

What is the World Health Organization’s definition for chiropractic vertebral subluxation?

A

A lesion or dysfunction in a joint or motion segment in which alignment, movement, and/or physiological function are altered DESPITE contact btwn joint surfaces are intact
>It is essentially a functional entity, which may influence biomechanical and neural integrity.

27
Q

What is the World Health Organization’s definition for chiropractic vertebral subluxation?

A

-A significant structural displacement, and therefore visible on static imaging studies.

28
Q

List the components of vertebral subluxations complex.

A
  1. Spinal Kinesiopathology
  2. Neuropathophysiology/Neuropathology 3. Myopathology
  3. Histopathology
  4. Pathophysiology/Pathology
29
Q

How is the vertebral subluxation complex differentiated?

A

Differentiated by the fifth component, general systemic disturbances secondary to the spinal misalignment (vertebral subluxation).

30
Q

How do chiros locate/Dx Subluxations?

A
  1. X‐ray findings
  2. Physical examination findings: >Pain and tenderness
    >Asymmetry/misalignment
    >Range of motion abnormality
    >Tissue/tone changes
31
Q

Describe how chiros fit within the healthcare system.

A

MSK experts!
-Play a complementary role to medical care in managing MSK conditions/injuries
>i.e. assessing, Dx’ing, managing (conservatively) MSK conditions.
-Expertise is primarily but not limited to the back and neck

32
Q

Describe the relationship with allied HCPs.

A
  • Trained to actively communicate w other HCPs
  • Trained to refer patients with MSK complaints that CI manual therapy
  • Provide effective pt-center care
33
Q

List the evidence-based principles that form the foundation of chiro educations.

A
  1. Consortium of University-Based Research Centres
  2. International Collaboration
  3. World Class Research
  4. Building a Research Culture
  5. Chiropractic Research Agenda
  6. University Chairs in Chiropractic
34
Q

Describe the link between research & practice.

A

-Research provides evidence for the best practices & patient‐centred treatment –
>known as “evidence-based T
-Research keeps chiropractors informed
>CCA disseminates information about the Chiropractic Guideline Initiative that include all new knowledge based on chiropractic research.

35
Q

Describe chiro research.

A
  • Collaborate in inter‐professional research initiatives, providing the scientific basis on using chiropractic Tx to improve MSK conditions/injuries.
  • Research topics include clinical, biomedical, health services and population research.
  • Publish in both peer and non-peer reviewed journals
36
Q

Who funds the research?

A

Diff agencies - such as:

  1. The Canadian Institutes of Health Research,
  2. Health Canada
  3. Provincial Ministries of Health
  4. Natural Sciences and Engineering Research Council of Canada
  5. Industry Canada
  6. Alberta Provincial CIHR Training Program in Bone and Joint Health
  7. WCB (Manitoba)
37
Q

In what 3 ways does the profession promote research culture?

A
  1. Promotes further education (i.e. to obtain Masters and PhD degrees)
    >One of primary goal of Canadian Chiropractic Research Foundation (CCRF)
  2. Provide funding for doctoral & fellowship awards
    >Canadian Institutes for Health Research (CIHR) helps fund this
  3. Implemented the Research Chair program
    >All CAN provinces have chiro research chair at a major university within the prov
    >Has significantly built the profression’s intellectual research capacity and help Cnds live healthier lives
38
Q

Describe the importance of chiros as MSK experts.

A
  • Builds awareness of the importance of MSK conditions
  • Promotes health system innovations
  • Understanding, preventing and treating
  • Builds an understanding of how chiropractic strengthens the health care team for every Canadian
  • Goal in having chiropractors integrated into the Canadian healthcare system
39
Q

Describe role within the CAN forces.

A
  • Improved access for the military
  • Partnership under development for pilot project
  • Strong political support
40
Q

Case 1: 22 year old hockey player, acute onset right sided lower back pain.
What qs would you ask him?
What Tx would you recommend?

A
  • When did it start?
  • How do they think it happened?
  • Severity of pain?
  • Have they taken anything yet for the pain?
  • Have they had this before?
  • Pinpoint pain

For acute pain,
Ice treatment, anti-inflammatories was fine in a couple days

41
Q

Case 2: 62 year old female with mid and lower back back pain, accompanied with nausea.
What qs would you ask her?
What Tx would you recommend?

A

-Any medical conditions?
-Radiating?
-Anything that makes it better or worse?
See’s a NP doctor no family doctor
How long has it been going on for?
When she has the pain? worse at night (woke her)
Is the nausea and pain always together
No trauma
She had significant weight loss recently
She was nervous appearance (yellow eyes)
= Encourage her to go to the physician, diagnosed with colon cancer (stage 4)
passed away 3 weeks later
Not everyone that presents with back pain is treatable!!

42
Q

Case 3: 31 year old male, injured his neck and lower back when rear‐ended at a stop while driving his motorcycle.
What qs would you ask him?
What Tx would you recommend?

A
  • How long ago did this happen?
  • How’s the mobility?
  • Was their an ambulance on scene?
  • Have you see the doctor?
  • Patient has had a history of back pain
  • Has he taken anything for it?
  • Ordered an xray
  • Neck was whiplash
  • Had a compression fracture: heals over time
  • Good idea to not adjust lower back until healed but ok to adjust neck