Chiropractic is the health care discipline which focuses on the
relationship between structure and function, the musculoskeletal
system and the nervous system, and how that relationship affects
the preservation and restoration of health. Chiropractors perform
an examination to establish a diagnosis and then perform treatment
which consists of chiropractic adjustments (manipulation) to the
spine and/or other joints. We also use PT modalities, exercise
and nutrition when indicated.
DEFINITION
"Chiropractic is a health care discipline which emphasizes the inherent recuperative power of the body to heal itself without the use of drugs or surgery. The practice of chiropractic focuses on the relationship between structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship affects the preservation and restoration of health. In addition, Doctors of Chiropractic recognize the value and responsibility of working in cooperation with other health care practitioners when in the best interest of the patient."
"The principle of chiropractic is that the body's innate recuperative power is affected by and integrated through the nervous system."
The practice of chiropractic includes establishing a diagnosis; faciliatating neurological and biomechanical integrity through appropriate chiropractic case management; and advising and educating patients on spinal hygiene, rehabilitative exercise, nutrition, and healthful living practices.
"A subluxation is a complex of functional and/or structural and/or pathological articular changes that compromise neural integrity and may influence organ system function and general health. A subluxation is evaluated, diagnosed,and managed through the use of chiropractic procedures based on the bes available rational and empirical evidence."
The Association of Chiropractic Colleges, Position Paper
Maryland definition:
Practice chiropractic includes the diagnosing and locating of misaligned or displaced vertebrae and , through the manual manipulation and adjustments of the spine and other skeletal structures, treating disorders of the human body.
CHIROPRACTIC FACTS
1. To earn a Doctor of Chiropractic degree the candidate must complete a four year program consisting of 4800 hours of classroom, laboratory, and clinical study, including anatomy, physiology, chiropractic technique, radiology, biochemistry, toxicology, biomechanics, nutrition, diagnosis and physical examination, and a clinical internship consisting of one year of hands on clinical experience and training in a professional clinical setting.
The CCE is officially recognized as an accredition agency by the US Department of Education. The CCE is a member of the Council on Post-Secondary Accreditation
(COPA) and the Coucil of Specialized Accrediting Agencies (CSSA).
2. The D.C. must obtain a state license through examination before receiving the privilege of practice.
3. All 50 states, the District of Columbia, U.S. Virgin Islands, and Puerto Rico license doctors of Chiropractic. All these jurisdictions include Chiropractic health care in their workers' compensation statutes.
4. Chiropractic services are included in Medicare, the Vocational Rehabilitation Act, Federal Workers' Compensation laws, most Federal Employees' Benefits programs, the Railroad Retirement Act, and the Longsshoreman's & Harbor Workers' compensation Act.
5. In the private sector, virtually all commercial insurance carriers include Chiropractic services in their health plans.
6. The National Conference of Insurance Legislators adopted a model; bill for state health-insurance programs that defines "physician" to include the doctor of Chiropractic.
7. The Department of Health and Human Services classifies doctors of Chiropractic as category 1 providers, just like medical doctors, osteopaths, and dentists.
8. The U.S. Public Health Service classifies doctors of Chiropractic among "medical specialists and practitioners."
9. Chiropractic is the third largest health care profession in the Western world behind medicine and dentistry.
10. 94% of the spinal manipulation done in the U.S. is done by chiropractors.
CHIROPRACTIC EFFECTIVENESS
Chiropractic care is not only effective but has been documented as superior in many areas of health care. It is significant to note that almost all of the following studies were performed by M.D.'s.
1. One of Chicago's leading medical orthopedists testified about
the results he had noticed between two competing hospitals in
Chicago, one which was using doctors of Chiropractic and one
which was not. Since he was on the staff of both hospitals he
could evaluate the results of each. He found that the hospital
using Chiropractic care was sending patients home 7 to 9 days
sooner and that the reason was entirely due to the Chiropractic
care that they were receiving. Per Freitag, MD,PhD, US Federal Court Testimony, Chicago, IL.,
May, 1987. Comparing JFK Hospital with Lutheran General Hospital,
which does not use Chiropractic.
2. AV MED, the largest HMO in the southeastern U.S., tried an
experiment with 100 of its medically unresponsive patients by
sending them to a local doctor of Chiropractic. Within 3
weeks 86% of them had their ailments corrected. 12 of these
cases were medically diagnosed as needing disc surgery. All
12 of these cases ere corrected and none needed surgery. Just
these 12 cases saved the HMO $250,000 in surgical/hospital bills.
Later re-evaluation of these cases showed that the results were
permanent. Herbert Davis, MD, AVMED Health Maintenance Organization,
Miami, FL. 1982
3. In 1979, the Royal Commission of Inquiry on Chiropractic in
New Zealand, after an 18 month study in five nations, including
the U.S., concluded, "The Commission has found it established
beyond any reasonable degree of doubt that chiropractors have a
more thorough training in spinal mechanics and spinal manual
therapy than any other health professional." It found that
Chiropractic was a scientifically based, valid, safe and very
effective treatment that should be in the mainstream of health
care and should be used in hospitals. Chiropractic in New Zealand-Report of the Commission of
Inquiry, 1979
4. In 1971, the Oregon Workers' Compensation Study showed that
people under Chiropractic care were able to return to work in
half the time as those receiving medical care. Also that
chiropractic costs were less than 25% of medical costs.
5. In 1972, the California Workers' Compensation Study comparing
Chiropractic to medical care for back ailments on 1000 patients
showed that Chiropractic was twice as effective and the patients
lost half as many days as of work. Richard Wolf, MD, California Workers Compensation Records, 1972
6. In 1986 the Florida Workers' Compensation Study the duration
of disability was 51.3% shorter for chiropractic patients. The
cost of chiropractic care was 58.8% less than medical care.
7. The recent Utah Workers' Compensation Study followed 3062
cases. The record shows that Chiropractic care outperformed
medicine by 10:1 margin in compensation costs. Kelly Jarivs, DC. Red Philips, DC, Elliot Morris, JD MBA Workers
Compensation Fund of Utah, 1991.
8. A two year study conducted by the Italian government followed
17,000 patients. The dramatic results showed that patients under
chiropractic care had their hospitalization for back ailments
reduced by 87.6% and work loss by 75.5% Prof. F.Splendori, Chiropractic Therapeutic Effectiveness-Social
Importance. Incidence on Absence from Work and Hospitalization.
Italy
9. A ten year government study in Great Britain showed that
among all patients with severe and chronic pain, chiropractic
patients improved 13% more than medical patients. "If all the
patients were referred for chiropractic instead of hospital
treatments...there might be a reduction of some 290,000 days
in sickness absence during two years saving about $21,580,000
in output and $4,814,000 in social security payments."
T.W. Mead, FRCP, British Medical Research Council, 1990
10. In 1991, the RAND study from UCLA found Chiropractic care to
be an "appropriate" treatment for low back disorders. Shekelle PG, Adams A.et el. The Appropriateness of Spinal
Manipulation for Low Back Pain:Indications and Ratings by a
Multidisciplinary Expert Panel. RAND Corporation, Santa Monica,
California
11. Kirkaldy-Willis, M.D., world renowned medical orthopedist,
joined David Cassidy, D.C., PhD. to do an evaluation of the
clinical results of Chiropractic care on evaluation of the
clinical results of Chiropractic care on 171 chronic medically
unresponsive low back sufferers for a period of 7 years. Within
3 weeks, Dr. Cassidy eliminated 87% of the ailments. It is
significant to note that a reevaluation of these patients one y
ear later showed that they remained pain free! David Cassidy, DC, Kirkaldy
Willis, MD, University of Saskatchewan, 1985
12. A study conducted during WWII by a former AMA
(American Medical Association) trustee reported to the AMA the
impressive results a doctor of Chiropractic had in the Army
medical ward and that his over-all results compared with the
best that the department had to offer. The study was suppressed
for over 40 years until the
Wilk, et. al. v. AMA trial.
13. There are more controlled studies showing the effectiveness
of manipulation for low back pain compared to any other type of
treatment for low back pain.
14. In 1991 a Gallop Poll revealed that 90% of Chiropractic
users felt their treatment was effective. A report in the
Western Journal Of Medicine (March, 1989) stated that patients
of Chiropractors were 3 times more satisfied with their care
than patients of family practice medical doctors.
15. The Ontario government commissioned a study on Chiropractic
that analyzed all available clinical studies, statistics and
other pertinent data and found that there was an "overwhelming
body of evidence" that Chiropractic was superior, more
therapeutically effective, cost efficient, safer, more
scientifically based and had a much higher level of patient
satisfaction than Medical care. It cautioned the Ontario
government against many of the "untested, questionable or
harmful medical treatments" and urged the government to prefer
Chiropractic care over Medical care for some ailments. It also
recommended that Chiropractors be "gate keepers" in hospitals
when admitting back ailments. Manga Report to the Ontario
Ministry of Health, August, 1993.
RESEARCH AFFIRMS THE FOUNDATIONS OF CHIROPRACTIC
Tooth decay occurs well before you get the first warning signs
of pain. That is why the dental profession recommends regular check-ups
which include teeth cleaning and gum care as well as the regular home care
of brushing and flossing teeth. Wear and tear of the engine
in a car will occurs well before the oil runs out, but everyone knows to
change the oil every three thousand miles.
"Similarly, according to chiropractic theory and practice, vertebral
subluxation [the area of the spine or other joint which is stuck and
needs to be adjusted] may have a significant impact on health before
the appearance of pain or other signs and symptoms. For example, loss
of movement or stiffness in a spinal joint may lead to associated
degenerative changes [osteoarthritis] - changes that can
be prevented or even
reversed if there is timely treatment to restore movement in the joint,
but that may be irreversible before warning signs of pain appear."
In several experiments, the knee joints of rabbits
were immobilized [splinted so they could not bend] for 16 weeks.
Within ONE WEEK degenerative changes began to occur and by week 12 the
joints were completely fused.
The follow-up experiment was even more interesting. In one group of
rabbits which were immobilized for five weeks, the splints were then
removed. Over the next 18 months, some were released to "normal
cage activity" and some jogged on a treadmill five days per week.
The rabbits in both of these groups had NO increase in the level of
osteoarthritis once they resumed regular activity.
So what's the bottom line: Loss of movement in a joint leads to
significant degeneration (arthritis) and this may happen well before
symptoms occur. Timely restoration of this movement by chiropractic
adjustments and regular exercise will prevent, halt and may reverse
these degenerative changes.
Just as Chiropractic's effectiveness has been studied so
has its safety. Chiropractic's approach is drug-free and
non-surgical, therefore eliminating two of the largest
risk factors in the health care field. Reports of
danger are grossly exaggerated. Much misinformation
and misunderstanding of the safety issue has been
propagated by the (AMA) American Medical Association.
In the early 1960's, the AMA decided to try to contain
and eliminate Chiropractic as a profession. The AMA's
purpose was to prevent medical physicians from
referring patients to Chiropractors and accepting
referrals of patients from Chiropractors; to prevent
Chiropractors from obtaining access to hospital
diagnostic services; to prevent medical physicians
from teaching at chiropractic colleges or engaging
in any joint research; and to prevent any cooperation
between the two groups. The AMA unfairly told its
membership, medical students, insurance companies and
the general public that Chiropractic was an unscientific
cult. Once some of the AMA's policies became publicly
known they stopped some of their overt actions.
In 1976, five Chiropractors filed a lawsuit against the
AMA for violation of the Sherman Anti-trust Law. After
almost 15 years of vigorous litigation, the U.S. Court
of Appeals stated that the AMA intended to "destroy a
competitor," and that there was evidence "showing that
the AMA was motivated by economic concerns." The court
found that the AMA had concealed evidence showing its
guilt and was caught "doctoring" documents. The AMA
was "guilty of systematic, long term wrong doing and
has not acknowledged its lawlessness."
So, is Chiropractic safe? A number of literature
reviews of serious occurrences from chiropractic
adjustments have been documented. The most exhaustive
study discussed 113 cases of vertebro-basilar accidents
following spinal manipulative therapy, from 1934 to 1987,
a period of 53 years. Of the cases documented 66 were
chiropractic, 18 medical, 9 osteopathic, 2 physical
therapist and the remaining 13 were divided between
"wife," "self," and "unknown".
Let's put these numbers in perspective. There were
66 chiropractic cases in 53 years; a little more than
one per year. There are currently about 52,000
chiropractors in practice treating, on average, about
100 patients per week. That works out to 5.2 million
adjustments per week or 286 million adjustments per year. This works out to 1 to 2 cases of stroke, paralysis or death per 286 million adjustments. One author, a medical doctor, stated about manipulation in general, "there is probably less than one death of this nature out of several tens-of-millions of manipulations." Some medical authors state that the risk of manipulation to the neck is 0.0002% or 2-3 cases per million.
No matter how one interprets the results, more people die from
complications of drugs and surgery in one single afternoon than
in 20 years of cervical adjustments. As a comparison to the
risk of manipulation, the risk of death from surgery
to the cervical spine is 700 per million.
From 1947-1978 in cases of stroke related death following
manipulation, 9/10 death were attributed to manipulation by
MD, DO or PT.
"Researchers studying health-care quality have concluded that medical injuries
caused during hospital stays kill tens of thousands of American patients
annually, requireing at least 2.4 million extra hospital days resulting
in potential medical charges of $9.3 billion."
Wall Street Journal 10/08/03 p. A3
To put chiropractic safety in
perspective here are some facts about medical care:
1. A Yale New Haven hospital study showed that 100,000 to
200,000 people die per year from medication reactions.
A Johns Hopkins study found that 14% of hospital stays
are extended because of medication reactions.
2. A multi-hospital study found nearly 1000 people die
every week from UNNECESSARY surgery.
3. When medical doctors went on strike for one month
in Los Angles County, the death rate dropped by 153
persons based on state records.
4. A Harvard University study showed that in one year
medical negligence caused 7000 hospital deaths in New
York state.
5. The U.S. Office of Public Health found that 2/3's
of the over-the-counter drugs do NOT do what the
companies promise.
6. On August 26, 1992 the Food and Drug Administration
said that 415 ingredients in over-the-counter drugs DO
NOT WORK!
7. 1.5 million people/yr will be hospitalized with
iatrogenic reactions ACA 10/95
8. 100,000 people will die/yr due to iatrogenic
reactions ACA 10/95
9. 52,000 people/yr die from complications of
unnecessary surgery ACA 10/95
10. 1600 children die/yr due to allergic reactions to
aspirin ACA 10/95
11. 300/yr die from flying commercial airlines
ACA 10/95
12. Advisors to the FDA are expressing concern over
signs that many popular non-steroidal anti-inflammatory
drugs (NSAIDS) are more dangerous than doctors and the
public think. Forty-one thousand hospitalizations and
3300 deaths each year are blamed on such side effects.
According to the FDA, 299 American deaths have been
linked to Feldene (piroxicam) since 1982.
(Associated Press 10/11/95)
13. Adverse reactions to prescribed drugs now cost
the US $76 billion annually. 8.7 million hospital
admissions per year. (Associated Press 10/2/95)
ACA 10/95
Small intestine surgeries 1 in 4.76
Colon surgeries 1 in 14
Spinal fusion 1 in 51
Appendectomies 1 in 74
Cholecystectomy 1 in 100
Laminectomies 1 in 204
Coronary arteriography 1 in 222
Deaths per year from GI bleeding due to anti-inflammatory
drugs for osteoarthritis- 400 per 1 million.
16,500 deaths per year (Wolfe MM, Lichtenstein DR, Singh G
Gastrointestinal toxicity of non-steroidal anti-inflammatory
drugs. New England Journal of Medicine, 1999: 340(24):
1888-1899.
Out of every 100,000 women under 40 who take birth control
pills, 28 of them will suffer a stroke>
JCAHO Documents Alarming Increase in Surgical Mistakes
in US WESTPORT, CT (Reuters Health) Dec 05 -
Since 1998, the number of operations performed on wrong surgical
sites or wrong patients has increased dramatically in the US,
according to a report released Wednesday by the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO).
In 1998, the JCAHO issued a Sentinel Event Alert after 15
"wrong site" surgery cases were reported to the organization.
By the time the current report was released this number had
skyrocketed to 150. Orthopedic/podiatric operations were the
most common procedures linked to errors, accounting for 41%
of the 126 cases that were analyzed. General surgery procedures
accounted for 20% of the cases, neurosurgery operations for 14%,
and urologic surgery operations for 11%. The remaining cases
involved other procedures such as dental/oral maxillofacial
operations. Fifty-eight percent of cases occurred in an
ambulatory surgical setting, 29% in the inpatient operating
room, and 13% in other inpatient settings.
Most of the errors involved operations on wrong body parts or
sites, but 13% involved operations on the wrong patient and
11% involved the wrong surgical procedure.
The JCAHO identified a number of factors that seemed to increase
the risk of surgical mistakes. Among these, emergency status of
the case and unusual patient physical characteristics were the
most commonly cited. In addition, most cases involved a
breakdown in communication between surgical team members
and the patient or the patient's family. "Although the
wrong site surgery problem has been addressed on a local
level in many areas of the country, there has been no
organized national effort to eliminate wrong site surgery,"
Dr. S. Terry Canale, immediate past president of the
American Academy of Orthopaedic Surgeons, said in a
statement.
In the report, the JCAHO makes several recommendations to
eliminate surgical mistakes:
Mark the surgical site and involve the patient in the process.
Create and use verification checklists.
Before operating, verify with each team member the patient's
identity, the surgical site, and the procedure being performed.
Take a "time out" in the operating room to check one last
time that the correct procedure is being performed on the
correct patient at the correct site.
Monitor compliance with these procedures.
CHIROPRACTIC RESEARCH
In 1993, for the first time in history, Congress authorized $1.8 million in Chiropractic research. $750,000 was allocated for research studies at chiropractic colleges involving the collaboration of doctors of chiropractic and medical doctors. The other section of the bill allocates an additional $1 million in funding to increase the chiropractic profession's ability to assist in medically underserved rural areas.
(Pub. Law 103-112)
*Acute Low Back Problems in Adults- U.S. Department of Health and Human Services
Chiropractic manipulation was recommended as a treatment of choice for acute low back pain by the Agency For Health Care Policy and Research, a division of the Department of Health and Human Services. These guidelines were published in December, 1994.
* Independent research authorities such as RAND Corporation, which reported in 1991 that spinal manipulation was now proven to be an appropriate treatment for most back pain patients.
Shekelle, PG, Adams, A, et al. The Appropriateness of Spinal Manipulation for Low-Back Pain. RAND Corporation, Santa Monica, CA, 1992.
* Worker's Compensation studies suggest a
minimum 50% saving in overall costs when treatment is chiropractic
rather than medical.
California, 1972: Half the
work days were lost by chiropractic patients as compared to
medical patients. Wolf, CR, (1974), Industrial Back
Injuiry. Internation Review of Chiropractic, 26:6-7.
Wisconsin, 1978: Half the
work days were lost by chiropractic patients as compared to
medical patients. Chiropractic care about half the cost of
medical care. Duffy, DJ, (1978), A Study of Wisconsin
Industrial Back Injury Cases, University of Wisconsin,
unpublished monograph.
Florida, 1986: The duration
of disability was 51.3% shorter for chiropractic patients. The
cost of chiropractic care was 58.8% less than medical care.
Wolk,S (1988), An Analysis of Florida Workers' Compensation
Medical Claims for Back Related injuries, Foundation for
Chiropractic Education and Research, Arlington, VA.
Utah, 1991: Chiropractic
care outperformed medical care by a 10:1 margin in compensation
costs. The number of work days lost under medical care was
nearly 10 times higher than those receiving chiropractic care.
Jarvis KB, Phillips RD et al (1991), Cost Per Case Comparison of
Back Injury Claims of Chiropractic versus Medical Management for
Conditions with Identical Diagnostic Codes,
Journal of Occupational Medicine, 33(8): 847-852.
*The Meade Study
A ten year government study in Great Britain showed that among all
patients with severe and chronic pain, chiropractic patients
improved more than medical patients. "If all the patients were
referred for chiropractic instead of hospital treatments...there
might be a reduction of some 290,000 days in sickness absence
during two years saving about $21,580,000 in output and $4,814,000
in social security payments." "...for patients with low back
pain in whom manipulation is not contraindicated chiropractic
almost certainly offers worthwhile, long term benefit in
comparison with hospital outpatient management."
Meade, TW, Dyer, S, et al. Low Back Pain of Mechanical Origin:
Randomized Comparison of Chiropractic and hospital Outpatient
Treatment, British Medical Journal, 2 June 1990, Vol.300,
No.67137, pp. 1431-1437.
*The Meade Study- Follow-up
The author did a three-year follow-up to the study which
concluded that, "When chiropractic or hospital therapists
treat patients with low-back pain as they would in day-to-
day practice,those threated by chiropractic derive more
benefit and long term satisfaction than those treated by
hospitals." There was a 29% hreater improvement in
patients treated with chiropractic compared with hospital
care.
Meade, TW Randomized Comparison of Chiropractic and
Hospital Outpatient Management for Low Back Pain:
Results from an Extended Follow-up, British Medical Journal,
5 August 1995, Vol.311.
*The Duke Study
Based on a literature
review of several headached treatment options, a panel of
19 multidisciplinary experts concluded that spinal
manipulations resulted in almost immediate improvement for
cervicogenic headaches and had significantly fewer side effects and longer-lasting
relief of tension-type headache than a commonly-prescribed
medication. Researchers concluded the following:
Manipulation appeared to result in immediate improvement
in headache severity when used to treat episodes of cervicogenic
haedache when compared with an attention-placebo
control. Furthermore, when compared to soft-tissue therapies
(massage), a course of manipulation treatments resulted in sustained improvement
in headache frequency and severity."
McCrory DC, it al. Evidence Report: Behavioral and Physical
treatments for Tension-type and Cervicogenic Headache. Duke
University Evidence-Based Practice Center, Durham, North Carolina,
January, 2001.
* In 1991, a Gallop Poll
revealed that 90% of chiropractic patients felt their
treatment was effective. A report in the Western Journal
of Medicine in 1989 stated that patients of chiropractors
were 3 times more satisfied with their care than patients
of family practice medical doctors. Demographic
Characteristics of Users of Chiropractic Services.
The Gallup Organization, Princeton, N.J., 1991.
Back Pain Care from Family Physicians and Chiropractors,
Western Journal of Medicine, March 1989, Vol.150,
pp. 351-355.
* The Manga Report,
commissioned by the government of Ontario, Canada, in
1993, stated that chiropractic management is superior
to medical management for patients with low-back pain -
in terms of safety, scientific evidence of effectiveness,
evidence of cost-effectiveness and patient satisfaction.
· "There is an overwhelming body of evidence
indicating that chiropractic management of low-back pain
is more cost-effective than medical management."
· "Chiropractic services should be fully
integrated into the health care system." "There should
be a shift in policy to encourage and prefer chiropractic
services for most patients with low back pain."
· "Finally, the government should take all
reasonable steps to actively encourage cooperation
between providers, particularly the chiropractic,
medical and physiotherapy professions. Lack of
cooperation has been a major factor in the current
inefficient management of low back pain. Better
cooperation is important if the government is to
capture the large potential savings in question and,
it should be noted, is desired by an increasing number of
individuals within each of the professions.
Manga P, Angus, D it al (1993)
"The Effective and Cost-Effectiveness of Chiropractic
Management of Low-Back Pain," Pran Manga and Associates,
University of Ottawa, Canada.
* The Virginia Assessment
"The researchers conducted a through investigation between
chiropractic and traditional medical treatment. The evidence
shows that chiropractic care provides substantial benefits at
a relatively low cost. They concluded that adding chiropractic
benefits would have a very small impact on health insurance
expenditures and might actually lower overall health care costs."
Schifrin, Leonard G. (1992), Chancellor Professor of
Economics and Preventive Medicine, The College of William
and Mary, Williamsburg, Va.
* University of Richmond Research
"Researchers compared chiropractic care with treatment rendered
by general practitioners, internists, surgeons, physicians, and
non-physicians. When the treatment costs were compared,
chiropractic care was the lowest. Total treatment costs were
lower for those receiving chiropractic care, than for those
receiving care from other types of practitioners.
Researchers concluded that if chiropractic care was covered
by insurance to the degree of other types of care, it
would be the first choice by many patients."
Dean, David H., Ph.D., Schmidt, Robert M., Ph.D.,
A Comparison of the Costs of Chiropractors Versus
Alternative Medical Practitioners, Bureau of
Disability Economics Research, Robins School of Business,
University of Richmond, January 13, 1992, Page 25.
* The New Zealand Report
"In 1979, the government of New Zealand published an
objective study of chiropractic. The commission
concluded that spinal adjustments given by registered
chiropractic doctors are safe, and that their education
helps them assess and manage spinal problems at a very
high level. Based upon the commission's objective
findings, chiropractic care was recommended to be a
covered service under its Social Security and Accident
Compensation Acts." Chiropractic in New Zealand, Report
of the Commission of Inquiry, 1979, Page 78.s
* The Colic Study
When researchers compared spional manipulation for the
treatment of infantile colic to dimethicone (a medication
for colic), they came to a simple conclusion: "Spinal
manipulation is effective in relieving infantile colic."
Wilberg JMM, et al. Journal of Manipulative and Physiologic
Therapeutics. October 1999; Vol.22, No.8, pp.517-522.
