Primary Prevention in Chiropractic Practice: A Systematic Review
Written by Editor   
Wednesday, April 05, 2017 02:56 PM

News bite:  Chiropractors are primarily concerned with musculoskeletal disorders but have the responsibility to deal also with prevention in other areas.  This study found that the proportion of chiropractors who stated that they had a positive opinion of primary prevention was generally higher than the proportion of chiropractors actually offering primary prevention. Only a small proportion of chiropractic patients consult for primary prevention, despite the readiness of the profession to offer such services.


Chiropractors are primarily concerned with musculoskeletal disorders but have the responsibility to deal also with prevention in other areas.

To establish the prevalence of chiropractors who have a positive opinion of, actually use and the proportion of patients who consult for primary prevention  in relation to musculoskeletal disorders, public health issues, or chiropractic treatment for wellness, a systematic search for literature was done.

Twenty-five articles were included, reporting on twenty-six studies, 19 of which dealt with wellness. This study found that the proportion of chiropractors who stated that they had a positive opinion of primary prevention was generally higher than the proportion of chiropractors actually offering primary prevention. It also found that most chiropractors offered some type of primary prevention for musculoskeletal disorders and more than a half stated that they did so in the public health area but also for wellness. 

For all types of primary prevention, however, it was rarely stated to be the reason for patients consulting. The proportion of patients who actually consulted specifically for primary prevention was much smaller than the proportion of chiropractors offering primary prevention.

More research efforts have been put into wellness than into prevention of musculoskeletal disorders or public health-related disorders. Only a small proportion of chiropractic patients consult for primary prevention, despite the readiness of the profession to offer such services.


Source: http://chiro.org/wordpress/2017/03/primary-prevention-in-chiropractic-practice-a-systematic-review/