News & Information
Chiropractic Integration into Multidisciplinary Rehabilitation: A Descriptive Study
Written by Editor   
Tuesday, December 11, 2018 07:04 PM

Individuals rehabilitating from complex neurological injury require a multidisciplinary approach, which typically does not include chiropractic care. This study describes inpatients receiving multidisciplinary rehabilitation including chiropractic care for brain injury, spinal cord injury (SCI), stroke, and other complex neurological conditions.

Chiropractic services were integrated into a 62-bed subacute multidisciplinary rehabilitation, skilled nursing facility through this project. Patient characteristics and chiropractic care data were collected to describe those receiving care and the interventions during the first 15 months when chiropractic services were available.

Brain injury was the most common admitting condition caused by trauma, hemorrhage, infarction, and general anoxia. Three patients were admitted for cervical SCI, one for ankylosing spondylitis, one for traumatic polyarthropathy, and two for respiratory failure with encephalopathy. 

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Chiropractic Integration into Multidisciplinary Rehabilitation: Stakeholder Expectations
Written by Editor   
Tuesday, December 11, 2018 06:56 PM

Few studies have investigated patient and provider expectations of chiropractic care, particularly in multidisciplinary settings. This qualitative study explored stakeholder expectations of adding a chiropractor to the healthcare team at a rehabilitation specialty hospital.  

In this study sixty stakeholders, including patients, families, hospital staff, and administrators, were interviewed or participated in focus groups. Expectations for the chiropractic program were mostly positive with themes consistently reported across stakeholder groups.

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Chiropractic in Interdisciplinary Rehab: a Case Report
Written by Editor   
Tuesday, December 11, 2018 06:49 PM

Approximately 70% of patients suffering from spinal cord injury (SCI) experience persistent pain, which can substantially influence cognition, emotional status, activities of daily living, and quality of life. Musculoskeletal pain is commonly experienced in both acute and chronic postinjury phases and pharmacotherapy is often an insufficient pain management strategy.  Rehabilitative care for patients with SCI requires multi-specialty coordination to address the common presence of multiple overlapping conditions.

This case report describes interdisciplinary rehabilitation, including chiropractic, for a 51-year-old male recovering from incomplete cervical SCI and multiple comorbidities following an automobile accident.

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VONT Case: Even Though...
Written by Chris G Dalrymple, DC, FICC   
Tuesday, December 11, 2018 05:38 PM

On November 21, 2018, the Third District Court of Appeals in Austin issued a ruling in the appeal of the “VONT case.”   “We have overruled appellants’ issues related to the Rule’s references to nerves and its provision related to VONT. We have sustained their issues related to the Rule’s use of the word ‘diagnosis.’ … we affirm the remaining portions of the court’s judgment.

Even though the founder of Chiropractic, D.D. Palmer, before the 1900s,  stated:

“I founded Chiropractic on Osteology, Neurology, and Functions—bones, nerves and the manifestations of impulses”

even though it appears that the first Doctor of Chiropractic in Texas who had studied and graduated from D. D. Palmer’s School of Chiropractic in 1898 authored the medical text Osteopathy Illustrated; Neurology; Neuropathy; even though the earliest advertisments of doctors of chiropractic included the claim that they were “nerve specialists”, the court has seen fit to exclude nerves from the purview of chiropractic.

Even though the court notes that:

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VONT Case: The History
Written by Chris G. Dalrymple, DC, FICC   
Tuesday, December 11, 2018 04:53 PM

Recent History

On November 21, 2018, the Third District Court of Appeals in Austin issued a ruling in the appeal of the “VONT case”, stating 

we have overruled appellants’ issues related to the Rule’s references to nerves and its provision related to VONT. We have sustained their issues related to the Rule’s use of the word 'diagnosis.' We therefore reverse the trial court’s judgment as far as it declares that the use of 'diagnosis' in section 78.13(d) exceeds the scope of chiropractic practice and is void. We affirm the remaining portions of the court’s judgment,” 

This refers to the portion of the rules:

  • allowing certain chiropractors to perform VONT,
  • the definition of ‘musculoskeletal system’ as including the nerves; and
  • the definition of "subluxation complex" as a "neuromusculoskeletal condition". 
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