67-593: [REDACTED] Look up alignment in Wiktionary, the free dictionary. [REDACTED] Look up align in Wiktionary, the free dictionary. For controlling alignment in Misplaced Pages articles, see Category:Positioning templates . Alignment may refer to: Archaeology [ edit ] Alignment (archaeology) , a co-linear arrangement of features or structures with external landmarks Stone alignment ,
134-462: A Doctor of Chiropractic (D.C.) degree and be referred to as "doctor" but is not a Doctor of Medicine (M.D.) or a Doctor of Osteopathic Medicine (D.O.) . While many chiropractors view themselves as primary care providers, chiropractic clinical training does not meet the requirements for that designation. Systematic reviews of controlled clinical studies of treatments used by chiropractors have found no evidence that chiropractic manipulation
201-407: A campaign to eliminate untestable dogma and engage in critical thinking and evidence-based research. ↓ Restoration of structural integrity ↓ Improvement of health status ↓ Innate intelligence ↓ Body physiology Although a wide diversity of ideas exist among chiropractors, they share the belief that the spine and health are related in a fundamental way, and that this relationship
268-595: A crossroads, and that in order to progress it would need to embrace science; the promotion by some for it to be a cure-all was both "misguided and irrational". A 2007 survey of Alberta chiropractors found that they do not consistently apply research in practice, which may have resulted from a lack of research education and skills. Specific guidelines concerning the treatment of nonspecific (i.e., unknown cause) low back pain are inconsistent between countries. Numerous controlled clinical studies of treatments used by chiropractors have been conducted, with varied results. There
335-471: A family doctor. Quackwatch , an alternative medicine watchdog, cautions against seeing chiropractors who: Writing for the Skeptical Inquirer , one physician cautioned against seeing even chiropractors who solely claim to treat musculoskeletal conditions: I think Spinal Manipulation Therapy (SMT) is a reasonable option for patients to try ... But I could not in good conscience refer
402-543: A given musical work Partition alignment , letting address ranges of hard disk drive partitions start at certain physical boundaries or at multiples of units such as 4 KB or 1 MB Linguistics and typography [ edit ] Morphosyntactic alignment , the linguistic system used to distinguish between the arguments of transitive and intransitive verbs Parallel text alignment , the identification of corresponding sentences in original and translated texts Typographic alignment , placement of printed matter relative to
469-431: A linear arrangement of upright, parallel megalithic standing stones Biology [ edit ] Structural alignment , establishing similarities in the 3D structure of protein molecules Sequence alignment , in bioinformatics, arranging the sequences of DNA, RNA, or protein to identify similarities Alignment program , software used in sequence alignment Engineering [ edit ] Road alignment ,
536-414: A page, column, margin, etc. Other forms of alignment [ edit ] Alignment of random points in statistics representing data points that lie on a relatively straight path Alignment of the body in a dance hall, see Direction of movement#Basic directions of movement with respect to the room Chiropractic alignment, another term for chiropractic adjustment Coital alignment technique ,
603-431: A patient to a chiropractor... When chiropractic is effective, what is effective is not 'chiropractic': it is SMT. SMT is also offered by physical therapists, DOs, and others. These are science-based providers ... If I thought a patient might benefit from manipulation, I would rather refer him or her to a science-based provider. Chiropractors emphasize the conservative management of the neuromusculoskeletal system without
670-569: A sex position Constructive alignment , a method of devising teaching activities that directly address learning outcomes Ontology alignment , the process of determining correspondences between concepts Planetary alignment , in astronomy, a straight line configuration of three celestial bodies Politics and organization [ edit ] Alignment (Israel) , political party from 1965 to 1992 Strategic alignment , lining up an organization's strategy with its culture Entertainment [ edit ] Alignment (role-playing games) ,
737-496: A significant structural displacement, which can be seen with static imaging techniques such as X-rays . The use of X-ray imaging in the case of vertebral subluxation exposes patients to harmful ionizing radiation for no evidentially supported reason. The 2008 book Trick or Treatment states "X-rays can reveal neither the subluxations nor the innate intelligence associated with chiropractic philosophy, because they do not exist." Attorney David Chapman-Smith, Secretary-General of
SECTION 10
#1732765048305804-544: A single factor, vertebral subluxation . Homeostasis emphasizes the body's inherent self-healing abilities. Chiropractic's early notion of innate intelligence can be thought of as a metaphor for homeostasis. A large number of chiropractors fear that if they do not separate themselves from the traditional vitalistic concept of innate intelligence, chiropractic will continue to be seen as a fringe profession. A variant of chiropractic called naprapathy originated in Chicago in
871-400: A slight majority favored allowing them to write prescriptions for over-the-counter drugs . A 2010 survey found that 72% of Swiss chiropractors considered their ability to prescribe nonprescription medication as an advantage for chiropractic treatment. A related field, veterinary chiropractic , applies manual therapies to animals and is recognized in many US states, but is not recognized by
938-536: A small but vocal and influential number of chiropractors spread vaccine misinformation . Chiropractic is generally categorized as complementary and alternative medicine (CAM), which focuses on manipulation of the musculoskeletal system , especially the spine . Its founder, D. D. Palmer, called it "a science of healing without drugs". Chiropractic's origins lie in the folk medicine of bonesetting , and as it evolved it incorporated vitalism , spiritual inspiration and rationalism . Its early philosophy
1005-508: A spring-loaded tool to deliver precise adjustments to the spine), Thompson Technique (which relies on a drop table and detailed procedural protocols), Gonstead (which emphasizes evaluating the spine along with specific adjustment that avoids rotational vectors), Cox/flexion-distraction (a gentle, low-force adjusting procedure which mixes chiropractic with osteopathic principles and utilizes specialized adjusting tables with movable parts), adjustive instrument, Sacro-Occipital Technique (which models
1072-534: A strong political base and sustained demand for services. In the last decades of the twentieth century, it gained more legitimacy and greater acceptance among conventional physicians and health plans in the United States. During the COVID-19 pandemic , chiropractic professional associations advised chiropractors to adhere to CDC , WHO , and local health department guidance. Despite these recommendations,
1139-510: A subluxation-based clinical approach may be of limited utility for addressing visceral disorders , and greatly favored non-subluxation-based clinical approaches for such conditions. The same survey showed that most chiropractors generally believed that the majority of their clinical approach for addressing musculoskeletal/biomechanical disorders such as back pain was based on subluxation. Chiropractors often offer conventional therapies such as physical therapy and lifestyle counseling, and it may for
1206-483: A wider variety of treatment procedures; and that physical therapists emphasize machinery and exercise. Chiropractic diagnosis may involve a range of methods including skeletal imaging, observational and tactile assessments, and orthopedic and neurological evaluation. A chiropractor may also refer a patient to an appropriate specialist, or co-manage with another health care provider. Common patient management involves spinal manipulation (SM) and other manual therapies to
1273-557: Is effective , with the possible exception of treatment for back pain . A 2011 critical evaluation of 45 systematic reviews concluded that the data included in the study "fail[ed] to demonstrate convincingly that spinal manipulation is an effective intervention for any condition." Spinal manipulation may be cost-effective for sub-acute or chronic low back pain, but the results for acute low back pain were insufficient. No compelling evidence exists to indicate that maintenance chiropractic care adequately prevents symptoms or diseases. There
1340-496: Is different from Wikidata All article disambiguation pages All disambiguation pages Chiropractic Chiropractic ( / ˌ k aɪ r oʊ ˈ p r æ k t ɪ k / ) is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine . It is based on several pseudoscientific ideas. Many chiropractors (often known informally as chiros ), especially those in
1407-490: Is mediated through the nervous system . Some chiropractors claim spinal manipulation can have an effect on a variety of ailments such as irritable bowel syndrome and asthma . Chiropractic philosophy includes the following perspectives: Holism assumes that health is affected by everything in an individual's environment; some sources also include a spiritual or existential dimension. In contrast, reductionism in chiropractic reduces causes and cures of health problems to
SECTION 20
#17327650483051474-487: Is no conclusive evidence that chiropractic manipulative treatment is effective for the treatment of any medical condition, except perhaps for certain kinds of back pain. Generally, the research carried out into the effectiveness of chiropractic has been of poor quality. Research published by chiropractors is distinctly biased: reviews of SM for back pain tended to find positive conclusions when authored by chiropractors, while reviews by mainstream authors did not. There
1541-440: Is not sufficient data to establish the safety of chiropractic manipulations. It is frequently associated with mild to moderate adverse effects , with serious or fatal complications in rare cases. There is controversy regarding the degree of risk of vertebral artery dissection , which can lead to stroke and death, from cervical manipulation . Several deaths have been associated with this technique and it has been suggested that
1608-580: Is the most common treatment used in chiropractic care. Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. Its defining factor is a dynamic thrust, which is a sudden force that causes an audible release and attempts to increase a joint's range of motion. High-velocity, low-amplitude spinal manipulation (HVLA-SM) thrusts have physiological effects that signal neural discharge from paraspinal muscle tissues, depending on duration and amplitude of
1675-555: The American Chiropractic Association as being chiropractic. It remains controversial within certain segments of the veterinary and chiropractic professions. No single profession "owns" spinal manipulation and there is little consensus as to which profession should administer SM, raising concerns by chiropractors that other medical physicians could "steal" SM procedures from chiropractors. A focus on evidence-based SM research has also raised concerns that
1742-508: The World Federation of Chiropractic , has stated that "Medical critics have asked how there can be a subluxation if it cannot be seen on X-ray. The answer is that the chiropractic subluxation is essentially a functional entity, not structural, and is therefore no more visible on static X-ray than a limp or headache or any other functional problem." The General Chiropractic Council , the statutory regulatory body for chiropractors in
1809-507: The chiropractic subluxation was defined by the World Health Organization as "a lesion or dysfunction in a joint or motion segment in which alignment, movement integrity and/or physiological function are altered, although contact between joint surfaces remains intact. It is essentially a functional entity, which may influence biomechanical and neural integrity." This differs from the medical definition of subluxation as
1876-422: The materialism of science. However, most practitioners tend to incorporate scientific research into chiropractic, and most practitioners are "mixers" who attempt to combine the materialistic reductionism of science with the metaphysics of their predecessors and with the holistic paradigm of wellness . A 2008 commentary proposed that chiropractic actively divorce itself from the straight philosophy as part of
1943-554: The US and UK that cover other chiropractic techniques exclude KST from coverage because they consider it to be "experimental and investigational". Medicine-assisted manipulation, such as manipulation under anesthesia , involves sedation or local anesthetic and is done by a team that includes an anesthesiologist ; a 2008 systematic review did not find enough evidence to make recommendations about its use for chronic low back pain. Many other procedures are used by chiropractors for treating
2010-460: The US remains primarily a manual medical system; physical therapists work alongside and cooperate with mainstream medicine, and osteopathic medicine in the U.S. has merged with the medical profession. Practitioners may distinguish these competing approaches through claims that, compared to other therapists, chiropractors heavily emphasize spinal manipulation, tend to use firmer manipulative techniques, and promote maintenance care; that osteopaths use
2077-763: The US, their scope of practice varies by state, based on inconsistent views of chiropractic care: some states, such as Iowa , broadly allow treatment of "human ailments"; some, such as Delaware , use vague concepts such as "transition of nerve energy" to define scope of practice; others, such as New Jersey , specify a severely narrowed scope. US states also differ over whether chiropractors may conduct laboratory tests or diagnostic procedures, dispense dietary supplements, or use other therapies such as homeopathy and acupuncture; in Oregon they can become certified to perform minor surgery and to deliver children via natural childbirth. A 2003 survey of North American chiropractors found that
Alignment - Misplaced Pages Continue
2144-563: The United Kingdom, states that the chiropractic vertebral subluxation complex "is not supported by any clinical research evidence that would allow claims to be made that it is the cause of disease." As of 2014, the US National Board of Chiropractic Examiners states "The specific focus of chiropractic practice is known as the chiropractic subluxation or joint dysfunction. A subluxation is a health concern that manifests in
2211-404: The body's function and its inborn ability to heal itself. D. D. Palmer repudiated his earlier theory that vertebral subluxations caused pinched nerves in the intervertebral spaces in favor of subluxations causing altered nerve vibration, either too tense or too slack, affecting the tone (health) of the end organ. He qualified this by noting that knowledge of innate intelligence was not essential to
2278-467: The chiropractic community have been used to generate practice guidelines outlining standards that specify which chiropractic treatments are legitimate (i.e. supported by evidence) and conceivably reimbursable under managed care health payment systems. Evidence-based guidelines are supported by one end of an ideological continuum among chiropractors; the other end employs antiscientific reasoning and makes unsubstantiated claims. Chiropractic remains at
2345-419: The competent practice of chiropractic. This concept was later expanded upon by his son, B. J. Palmer, and was instrumental in providing the legal basis of differentiating chiropractic from conventional medicine. In 1910, D. D. Palmer theorized that the nervous system controlled health: Physiologists divide nerve-fibers, which form the nerves, into two classes, afferent and efferent . Impressions are made on
2412-445: The early twentieth century. It holds that manual manipulation of soft tissue can reduce "interference" in the body and thus improve health. Straight chiropractors adhere to the philosophical principles set forth by D. D. and B. J. Palmer, and retain metaphysical definitions and vitalistic qualities. Straight chiropractors believe that vertebral subluxation leads to interference with an "innate intelligence" exerted via
2479-462: The field's early history, have proposed that mechanical disorders of the joints , especially of the spine , affect general health, and that regular manipulation of the spine ( spinal adjustment ) improves general health. The main chiropractic treatment technique involves manual therapy , especially manipulation of the spine, other joints, and soft tissues , but may also include exercises and health and lifestyle counseling. A chiropractor may have
2546-579: The 💕 [REDACTED] Look up align in Wiktionary, the free dictionary. Align may refer to: Align (album) , an album released by the band Halifax The process of alignment (disambiguation) Align Technology , a medical device company align and align* , environments that use the amsmath package used for arranging equations of multiple lines in LaTeX For controlling alignment in Misplaced Pages articles see Category:Positioning templates Topics referred to by
2613-763: The human nervous system and is a primary underlying risk factor for many diseases. Straights view the medical diagnosis of patient complaints, which they consider to be the "secondary effects" of subluxations, to be unnecessary for chiropractic treatment. Thus, straight chiropractors are concerned primarily with the detection and correction of vertebral subluxation via adjustment and do not "mix" other types of therapies into their practice style. Their philosophy and explanations are metaphysical in nature and they prefer to use traditional chiropractic lexicon terminology such as "perform spinal analysis", "detect subluxation", "correct with adjustment". They prefer to remain separate and distinct from mainstream health care. Although considered
2680-518: The intended objective Alignment level , an audio recording/engineering term for a selected point in the audio that represents a reasonable sound level Business–IT alignment , how well an organization is able to use Information Technology to achieve objectives Data structure alignment , arranging data in computer memory to fit machine design, also known more simply as an alignment structure Music alignment , linking various music representations (sheet music, audio, video, MIDI, etc.) related to
2747-410: The joints and soft tissues, rehabilitative exercises, health promotion, electrical modalities, complementary procedures, and lifestyle advice. Chiropractors are not normally licensed to write medical prescriptions or perform major surgery in the United States (although New Mexico has become the first US state to allow "advanced practice" trained chiropractors to prescribe certain medications ). In
Alignment - Misplaced Pages Continue
2814-570: The label "back and neck pain specialists" was regarded by 47% of them as a least desirable description in a 2005 international survey. Chiropractic combines aspects from mainstream and alternative medicine, and there is no agreement about how to define the profession: although chiropractors have many attributes of primary care providers, chiropractic has more attributes of a medical specialty like dentistry or podiatry . It has been proposed that chiropractors specialize in nonsurgical spine care, instead of attempting to also treat other problems, but
2881-607: The lay person be difficult to distinguish the unscientific from the scientific. In science-based medicine, the term "subluxation" refers to an incomplete or partial dislocation of a joint , from the Latin luxare for 'dislocate'. While medical doctors use the term exclusively to refer to physical dislocations, Chiropractic founder D. D. Palmer imbued the word subluxation with a metaphysical and philosophical meaning drawn from pseudoscientific traditions such as Vitalism . Palmer claimed that vertebral subluxations interfered with
2948-445: The length, breadth, and depth of chiropractic clinical training do not support the requirements to be considered primary care providers, so their role on primary care is limited and disputed. Chiropractic overlaps with several other forms of manual therapy, including massage therapy, osteopathy , physical therapy, and sports medicine . Chiropractic is autonomous from and competitive with mainstream medicine, and osteopathy outside
3015-485: The majority group, many of them retain belief in vertebral subluxation as shown in a 2003 survey of 1,100 North American chiropractors, which found that 88 percent wanted to retain the term "vertebral subluxation complex", and that when asked to estimate the percent of disorders of internal organs that subluxation significantly contributes to, the mean response was 62 percent. A 2008 survey of 6,000 American chiropractors demonstrated that most chiropractors seem to believe that
3082-933: The minority group, "they have been able to transform their status as purists and heirs of the lineage into influence dramatically out of proportion to their numbers." Mixer chiropractors "mix" diagnostic and treatment approaches from chiropractic, medical or osteopathic viewpoints and make up the majority of chiropractors. Unlike straight chiropractors, mixers believe subluxation is one of many causes of disease, and hence they tend to be open to mainstream medicine. Many of them incorporate mainstream medical diagnostics and employ conventional treatments including techniques of physical therapy such as exercise, stretching , massage , ice packs , electrical muscle stimulation , therapeutic ultrasound , and moist heat . Some mixers also use techniques from alternative medicine, including nutritional supplements , acupuncture , homeopathy , herbal remedies , and biofeedback . Although mixers are
3149-410: The minority, emphasize vitalism , " Innate Intelligence ", and consider vertebral subluxations to be the cause of all disease; and "mixers", the majority, are more open to mainstream views and conventional medical techniques, such as exercise, massage , and ice therapy . D. D. Palmer founded chiropractic in the 1890s, claiming that he had received it from "the other world". Palmer maintained that
3216-443: The moral and ethical perspective of the characters, monsters, and societies Alignment ( Dungeons & Dragons ) The Alignment , a 2012 album by Samestate Alignments (album) , a 2020 album by Double Experience See also [ edit ] Realignment (disambiguation) Unaligned (disambiguation) Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with
3283-567: The more expansive view of chiropractic is still widespread. Mainstream health care and governmental organizations such as the World Health Organization consider chiropractic to be complementary and alternative medicine (CAM); and a 2008 study reported that 31% of surveyed chiropractors categorized chiropractic as CAM, 27% as integrated medicine, and 12% as mainstream medicine. Many chiropractors believe they are primary care providers, including US and UK chiropractors, but
3350-438: The overwhelming evidence that vaccination is an effective public health intervention, there are significant disagreements among chiropractors over the subject, which has led to negative impacts on both public vaccination and mainstream acceptance of chiropractic. The American Medical Association called chiropractic an "unscientific cult" in 1966 and boycotted it until losing an antitrust case in 1987 . Chiropractic has had
3417-530: The peripheral afferent fiber-endings; these create sensations that are transmitted to the center of the nervous system. Efferent nerve-fibers carry impulses out from the center to their endings. Most of these go to muscles and are therefore called motor impulses; some are secretory and enter glands; a portion are inhibitory, their function being to restrain secretion. Thus, nerves carry impulses outward and sensations inward. The activity of these nerves, or rather their fibers, may become excited or allayed by impingement,
SECTION 50
#17327650483053484-514: The relationship is causative , a claim which is disputed by many chiropractors. Chiropractic is well established in the United States, Canada, and Australia. It overlaps with other manual-therapy professions such as osteopathy and physical therapy . Most who seek chiropractic care do so for low back pain . Back and neck pain are considered the specialties of chiropractic, but many chiropractors treat ailments other than musculoskeletal issues. Chiropractic has two main groups: "straights", now
3551-540: The result being a modification of functionality – too much or not enough action – which is disease. Vertebral subluxation, a core concept of traditional chiropractic, remains unsubstantiated and largely untested, and a debate about whether to keep it in the chiropractic paradigm has been ongoing for decades. In general, critics of traditional subluxation-based chiropractic (including chiropractors) are skeptical of its clinical value, dogmatic beliefs and metaphysical approach. While straight chiropractic still retains
3618-691: The resulting practice guidelines could limit the scope of chiropractic practice to treating backs and necks. Two US states (Washington and Arkansas) prohibit physical therapists from performing SM, some states allow them to do it only if they have completed advanced training in SM, and some states allow only chiropractors to perform SM, or only chiropractors and physicians. Bills to further prohibit non-chiropractors from performing SM are regularly introduced into state legislatures and are opposed by physical therapist organizations. Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment",
3685-599: The route of a road, defined as a series of horizontal tangents and curves, as defined by planners and surveyors Railway alignment , three-dimensional geometry of track layouts Transfer alignment , a process for initializing and calibrating the inertial navigation system on a missile or torpedo Shaft alignment , in mechanical engineering, aligning two or more shafts with each other Wheel alignment , automobile wheel and suspension angles which affect performance and tire wear Technology [ edit ] AI alignment , steering artificial intelligence systems towards
3752-407: The same term [REDACTED] This disambiguation page lists articles associated with the title Align . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Align&oldid=1143336426 " Category : Disambiguation pages Hidden categories: Short description
3819-441: The skeletal joints, and, through complex anatomical and physiological relationships, affects the nervous system and may lead to reduced function, disability or illness." While some chiropractors limit their practice to short-term treatment of musculoskeletal conditions, many falsely claim to be able treat a myriad of other conditions. Some dissuade patients from seeking medical care, others have pretended to be qualified to act as
3886-424: The spine and related tissues. There are several schools of chiropractic adjustive techniques, although most chiropractors mix techniques from several schools. The following adjustive procedures were received by more than 10% of patients of licensed US chiropractors in a 2003 survey: Diversified technique (full-spine manipulation, employing various techniques), extremity adjusting, Activator technique (which uses
3953-423: The spine as a torsion bar), Nimmo Receptor-Tonus Technique , applied kinesiology (which emphasises "muscle testing" as a diagnostic tool), and cranial. Chiropractic biophysics technique uses inverse functions of rotations during spinal manipulation. Koren Specific Technique (KST) may use their hands, or they may use an electric device known as an "ArthroStim" for assessment and spinal manipulations. Insurers in
4020-946: The spine, other joints and tissues, and general health issues. The following procedures were received by more than one-third of patients of licensed US chiropractors in a 2003 survey: Diversified technique (full-spine manipulation; mentioned in previous paragraph), physical fitness /exercise promotion, corrective or therapeutic exercise, ergonomic / postural advice, self-care strategies, activities of daily living , changing risky/unhealthy behaviors, nutritional/dietary recommendations, relaxation / stress reduction recommendations, ice pack/cryotherapy , extremity adjusting (also mentioned in previous paragraph), trigger point therapy, and disease prevention /early screening advice. A 2010 study describing Belgian chiropractors and their patients found chiropractors in Belgium mostly focus on neuromusculoskeletal complaints in adult patients, with emphasis on
4087-471: The spine. The diversified technique is the most often applied technique at 93%, followed by the Activator mechanical-assisted technique at 41%. A 2009 study assessing chiropractic students giving or receiving spinal manipulations while attending a United States chiropractic college found Diversified, Gonstead, and upper cervical manipulations are frequently used methods. Reviews of research studies within
SECTION 60
#17327650483054154-415: The tenets of chiropractic were passed along to him by a doctor who had died 50 years previously. His son B. J. Palmer helped to expand chiropractic in the early 20th century. Throughout its history, chiropractic has been controversial . Its foundation is at odds with evidence-based medicine , and is underpinned by pseudoscientific ideas such as vertebral subluxation and Innate Intelligence. Despite
4221-410: The thrust are factors of the degree in paraspinal muscle spindles activation. Clinical skill in employing HVLA-SM thrusts depends on the ability of the practitioner to handle the duration and magnitude of the load. More generally, spinal manipulative therapy (SMT) describes techniques where the hands are used to manipulate, massage, mobilize, adjust, stimulate, apply traction to, or otherwise influence
4288-457: The title Alignment . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Alignment&oldid=1245563051 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages align From Misplaced Pages,
4355-584: The traditional vitalistic construct espoused by the founders, evidence-based chiropractic suggests that a mechanistic view will allow chiropractic care to become integrated into the wider health care community. This is still a continuing source of debate within the chiropractic profession as well, with some schools of chiropractic still teaching the traditional/straight subluxation-based chiropractic, while others have moved towards an evidence-based chiropractic that rejects metaphysical foundings and limits itself to primarily neuromusculoskeletal conditions. In 2005,
4422-499: The use of medicines or surgery, with special emphasis on the spine. Back and neck pain are the specialties of chiropractic but many chiropractors treat ailments other than musculoskeletal issues. There is a range of opinions among chiropractors: some believed that treatment should be confined to the spine, or back and neck pain; others disagreed. For example, while one 2009 survey of American chiropractors had found that 73% classified themselves as "back pain/musculoskeletal specialists",
4489-495: Was based on deduction from irrefutable doctrine , which helped distinguish chiropractic from medicine, provided it with legal and political defenses against claims of practicing medicine without a license, and allowed chiropractors to establish themselves as an autonomous profession. This "straight" philosophy, taught to generations of chiropractors, rejects the inferential reasoning of the scientific method , and relies on deductions from vitalistic first principles rather than on
#304695