Chiropractic Philosophy and Principles – Flashcards
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Who provided most of the health care in the 19th century?
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Family members in the home
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Explain how hospitals were viewed in the mid 19th century
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As places of doom where the terminally ill went to die
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Why was the AMA formed?
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Created by medical profession to try to protect their own economic interests
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Define iatrogenesis
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Illness caused by treatment
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What did George Washington die from?
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Blood-letting at the hands of his doctors who sought to remove impurities from his blood circulation
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Who promoted homeopathic medicine?
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Samuel Hahnemann, M.D.
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What is "animal magnetism"?
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A vital and transferable force in living things
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List three alternative health care schools that were influenced by the magnetic healing concepts
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Christian science, osteopathy, and chiropractic
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How many years before the discovery of chiropractic did the Iowa medical statute pass?
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Nine years. 1886-1895.
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What country was DD Palmer born in?
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Canada
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After nine years of clinical experience, what did DD Palmer decide was the essential characteristic of all disease?
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Inflammation
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How did DD Palmer treat inflammation?
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He sought to locate it in his patients and used a magnetic treatment which involved pouring his personal, excess, vital energy into the site of inflammation so as to cool it off
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What was DD Palmer's theory of the cause of all or most "dis-ease" by 1895?
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They were displacements of anatomic structures which caused inflammation
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What did Harvey Lillard say that DD Palmer did to him and why?
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Lillard said that DD Palmer treated his spine because Palmer said that Lillard's deafness came from an injury of the spine. Within two treatments, Lillard was able to hear again.
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Who helped DD come up with the name "chiropractic"?
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Reverend Samuel Weed. It means "from the hand"
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How old was BJ when he took over management of the Palmer School?
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BJ Palmer was 20 years old.
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What did Dr. Langworthy introduce into the curriculum that DD objected to?
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Naturopathic remedies such as stretching machines and herbal remedies.
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Why did the Palmers persuade the governor of Minnesota to veto legislature governing chiropractic?
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Because they did not believe that they were practicing medicine when they were practicing chiropractic
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Why was DD arrested in 1905?
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For practicing without a license. The medical profession was quite upset with him because he was using testimonial advertising; saying things that work for one person won't necessarily work for everybody.
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Wht was the length of the book authored by DD in 1910?
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A thousand pages.
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What field did BJ invest in during the 1920s?
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The field of radio
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What claim did BJ Palmer make regarding the NCM?
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BJ announced that practicing chiropractic without a Neurocalometer (NCM) would be considered unethical, and that it is the only scientifically valid method of detecting spinal subluxations.
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The Chiropractic Health Bureau was the forerunner of which national association today?
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Today's International Chiropractor's Association (ICA)
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When did BJ commit the school to strict adherence to the upper cervical technique?
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In the mid-1930s
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What does HIO stand for?
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Hole-in-One
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Chiropractic training at Palmer was an 18 month program from _____ until _____
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the 1920s until well into the 1950s
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How would BJ Palmer feel about requiring a university degree as a prerequisite to a chiropractic education?
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He did not like it, as their minds had no room for the simple truths that BJ Palmer wished to impart. He felt that education constipates the mind.
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How many chiropractic schools were there in the first half of the 1920s?
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There were more than 80.
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Why did most of the schools from the first half of the 1920s "evaporate"?
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Because the veterans' benefits from WWI expired.
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How did the ICA react to the NCA's efforts to press for non-profit schools and a four-year curriculum, with improvements in diagnostic and basic science instruction?
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They viewed it as an attempt to "medicalize" the profession, and predicted dire consequences including decreased enrollment and capitulation to organized medicine.
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When did the NCA establish the Council on Education?
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1947
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What was the legal basis for DD's conviction?
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That he put out an advertisement in a school magazine which claimed to cure various diseases.
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The UCA's first test case involved a chiropractor by the name of ____________
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Dr. Shegataro Morikubo
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The chiropractor-osteopaths that testified in the first test case presented what argument?
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They presented the argument that osteopathy was based on the "rule of the artery" and is not interested in the nervous system whereas chiropractic was based on the "supremacy of the nervous system" and was not interested in the influence of the circulation upon health and illness.
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Morris and his team won an estimated __% of the cases they handled
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75%
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What was the first state to pass a chiropractic statute?
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Kansas in 1913.
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Why were the basic science statutes enacted according to the authors?
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To prevent non-MDs from securing licenses.
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Why were the basic science laws eventually repealed?
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Largely due to the insistence of the medical profession, whose graduates were experiencing difficulty in passing the tests.
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Which organization established the NBCE (National Board of Chiropractic Examiners)?
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The Federation of Chiropractic Licensing Boards (FCLB)
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How does the licensing law in Washingtion compare to the law in Oregon?
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In Washington, Chiropractors are primarily permitted to use subluxation-detection and correction by adjustment techniques, whereas in Oregon the legal scope of the practice is broader and permits minor surgery and obstetrics.
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What is the obstacle to standardizing chiropractic licensing laws?`
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It is difficult because they vary form state to state.
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How did DD Palmer modify his theory of disease in 1903?
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He reduced the focus of his theory to any displaced anatomical part to exclusively the joints of the body, specifically those of the spine. He came to believe that when these joints became misaligned/subluxated, they could pinch the nerve roots of the spine as the nerves exited through the vertebral foramina.
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How did DD Palmer modify his theory of disease circa 1904?
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He introduced the theory of Innate Intelligence
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How did DD Palmer modify his theory of disease in 1908?
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He rejected his earlier notion that subluxations caused spinal nerves to be pinched in the spinal foramina and argued instead that nerves were impinged when joints were subluxated, causing them to be too tense (causes inflammation) or too slack (which causes underfunctioning, which leads to tumors, cancer).
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Why were the Palmers considered "segmentalists"?
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They held to a view which suggests that individual joints of the spine subluxate independently of one another.
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What do "Meric" charts show?
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They relate individual spinal segments to specific organs of the body.
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What are three causes of subluxation according to Old Dad Chiro?
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Toxins, physical trauma, and auto-suggestion (thoughts/physchological stuff which has an impact on the nervous system)
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Briefly describe Willard Carver's "structural approach" to chiropractic.
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The behavior of the backbone is seen as a coordinated system. His theories involved the idea of distortion patterns involving multiple segments, compensatory (secondary) subluxations, and the relentless influence of gravity on these structures.
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What is the perspective of the Logan Basic Technique?
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The sacrum provides a platform upon which the vertebral segments rested, and was therefore a determiner (the "centrum of the body" in Hugh B. Logan's terminology) of subluxation patterns in the spine.
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Who developed the Activator Methods Chiropractic Technique?
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Arlan W. Fuhr
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What is "spinography"?
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It is BJ Palmer's term which refers to his unique application of his x-ray equipment
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Which procedure has enjoyed considerable success in clinical trials for patients with low back pain?
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Side-posture lumbar manipulation
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What happened when veterans' educational benefits expired in the mid-1950s?
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Chiropractic schools once again saw dramatic declines in students and tuition revenues.
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When was the CCE (Council on Chiropractic Education) approved by USOE (US Office of Education)?
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26 August 1974
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What was the purpose of SCASA (Straight Chiropractic Academic Standards Association)?
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Briefly with the USOE as an accreditor of straight chiropractic educational institutions
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Which state was the last to authorize the practice of chiropractic by statute?
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Louisiana, 1974
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What was the purpose of the AMA's Committee on Quackery?
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"first the containment of chiropractic and, ultimately, the elimination of chiropractic"
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How many years did George McAndrews spend of the Wilk case?
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14 years (1976-1990) and it involved two trials and numerous appeals
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What was the conclusion of the NINCDS (National Institute of Neurologic and Communicatice Diseases and Stroke) conference in Bethesda, Maryland?
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That the clinical value of spinal manipulative therapy was unproved, but merited serious investigation.
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Hole-in-One (HIO)
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An upper cervical technique developed by BJ Palmer
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Foundation for Chiropractic Progress (F4CP)
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An organization that is currently most active in educating the public about the chiropractic profession
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American Medical Association (AMA)
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The professional or trade association that medical practitioners may join that looks after their economic interests. Formed in 1848.
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High Velocity Low Impact (HVLA)
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This chiropractic adjustment involves a thrust
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Diplomate of the American Chiropractic Board of Radiology (DACBR)
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Chiropractors that do extensive post graduate study in radiology and pass a difficult exam are allowed to put these letters after their name
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National Board of Chiropractic Examiners (NBCE)
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You will be taking four major exams prior to graduation developed by these guys
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American Chiropractic Association (ACA)
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The largest chiropractic professional or trade association
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Federation Internationale de Chiropratique du Sport/The International Federation of Sports Chiropractic (FICS)
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The major sports organization for Earth chiropractors
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Doctor of Podiatric Medicine (DPM)
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A podiatrist has these initials after their name
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Canadian Chiropractic Association (CCA)
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The major professional or trade association for chiropractors in Canada
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Agency for Health Care Policy and Research (AHCPR)
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Developed guidelines for management of low back pain that included NSAIDs and spinal manipulation
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American Public Health Association (APHA)
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Includes chiropractors and addresses issues of public health
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Congress of Chiropractic State Associations (COCSA)
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An umbrella organization whose members include representatives from each of the state associations
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Diplomate of the American Chiropractic Neurology Board (DACNB)
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A person who has done post graduate study in chiropractic neurology.
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International Classification of Diseases (ICD)
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A document which is updated periodically and includes coding and classification of diseases
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Journal of Manipulative and Physiologic Therapeutics (JMPT)
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The first chiropractic peer reviewed journal, founded in 1978. From the National College of Chiropractic. Included in Index Medicus in 1981
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National Center for Complementary and Alternative Medicine (NCCAM)
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Chiropractic researchers and researchers from other alternative healing arts have obtained NIH (National Institutes of Health) grants indirectly through this group
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Personal Injury (PI)
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This type of case refers to a case where a doctor is treating a patient that has been involved in an accident, such as an auto accident
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Workers Compensation (WC)
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This type of case refers to a doctor treating a patient that was injured in the work place
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World Federation of Chiropractic (WFC)
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An umbrella organization which includes representatives from each of the national chiropractic associations from around the world.
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European Chiropractors' Union (ECU)
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The professional or trade asociation for European chiropractors
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Federation of Chiropractic Licensing Boards (FCLB)
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The umbrella organization for representatives of the various state licensing board. Headquarters are in Colorado.
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North Central Association of Colleges and Schools (NCA)
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Palmer College of Chiropractic has regional accreditation through the HLC (Higher Learning Commission) of this association
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Council on Chiropractic Education (CCE)
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Palmer College of Chiropractic has programmatic accreditation through these guys
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Epistemology
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A branch of philosophy that aims to determine the nature, basis, and extent of knowledge
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Metaphysis
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The study of the fundamental nature of reality and existence and of the essence of things
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Hygeian
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Philosophy of ancient Greece which was based on vis medicatrix nature (the healing power of nature), rejected the separation of mind body and adopted a holistic approach to health
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Ad Hoc
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Hypotheses that are justifications which prevent theories from being justified. Can't be proven or disproven.
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Association of Chiropractic Colleges (ACC)
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Represents chiropractic college presidents
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Association of Chiropractic Colleges/Research Agenda Conference (ACC-RAC)
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Annual meeting to present research
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Agency for Healthcare Research and Quality (AHRQ)
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Mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.
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Applied Kinesiology (AK)
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Chiro technique, muscle testing, low efficacy
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Complementary and Alternative Medicine (CAM)
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The mission of NCCAM is to define, through rigorous scientific investigation, the usefulness and safety of complementary and alternative medicine interventions and their roles in improving health and health care.
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California Chiropractic Association (CCA)
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California legislation on chiropractic
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Council on Chiropractic Education International (CCEI)
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Umbrella organization, worldwide CCEs, more general standards
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What are some of the health conditions for which joint manipulation was used in ancient China?
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Fatigue, rheumatism, nervous disorders, insomnia, lumbago, and some forms of paralysis
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How was manipulation used in India?
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It was considered a part of hygiene and was usually performed by bath attendants, not considered a medical procedure.
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What does Ayurvedic medicine refer to?
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It refers to preventative measures such as hygiene, diet, and proper living
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Palmer referred to a greek named _________ and his teachings as a foundation for what he termed chiropractic
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Aesculapius
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Lomax states that manipulation was ubiquitous, and its utility was not seriously questioned until the ___ century
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18th
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Johan Schultes, who died in ____ was the last published author to teach spinal manipulation as a part of regular medicine.
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1945
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In medicine, which tissue became the center of attention after vertebral dislocations and subluxations were discarded from medical attention?
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Soft tissue
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How did methods of communication affect how manipulation was perceived?
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The bonesetter of lay person's speech was criticized because it lacked eloquence and was therefore considered unprofessional.
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Explain the difference between lesion osteopaths and broad osteopaths
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Lesion osteopaths closely adhere to manipulation and Still's tenets (no drugs). Broad osteopaths align more strongly to drugs and surgery. Similar to "straight" chiropractors vs "mixers".
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The osteopathic lesion was later referred to as ____________
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Somatic dysfunction
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Andrew Taylor Still
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Founder of osteopathy
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Explain Palmer's ideas about nerve tone
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He claimed disease resulted from fluxation in nerve tone. "Nerves too tense or too slack, too much or not enough energy is disease."
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What are Palmer's three primary forms of challenges or stressors?
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Traumas, toxins, and/or thoughts.
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Eventually BJ Palmer asserted the only area of the spine capable of true subluxation was the __________
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Upper cervical
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List the 5 areas of controversy
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• Procedures that should appropriately be included and applied in the scope of chiropractic practice • Range of effects of chiropractic care for the patient • Clinical value of subluxation correction • Appropriate terminology with which to describe chiropractic methods and their effects • Questions that are related to isolation from or integration with other health care practitioners and professions, especially allopathic practitioners
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List 6 "adjunctive procedures" used by "mixer" practitioners
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Physiotherapy, dietary counseling and nutritional supplementations, acupuncture, midwifery, herbology, and massage
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Healthy inter-professional relations must be based on ______ and _______
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Respect and understanding
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Explain the "traditional paradigm"
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• The body is a self-regulating and self-healing organism • The nervous system is the master system that regulates and controls all other organs and tissues and relates the individual to his or her environment • Spinal biochemical dysfunction in the form of vertebral subluxation complex may adversely affect the nervous system's ability to regulate function • The central focus of the doctor of chiropractic is to optimize patient health by correcting, managing, or minimizing vertebral subluxation through the chiropractic spinal adjustment
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Explain the additional components of the "biopsychosocial paradigm"
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• Health is the natural state of individuals, and any departure from this state represents a failure of the individual to adopt to the internal and external environment or is the result of adverse adaptation. The innate tendancy of the body is to restore and maintain health by (compensating) homeostatic mechanisms. • Health is an expression of biologic, psychologic, social, and spiritual factors, and disease and illness is multicasual. This view is a holistic philosophy of health • Optimal health is unique for any individual. Health involves enabling individuals to fulfill their biologic, human, and social potentials realistically. This viewpoint also implies individual responsiblity for health. The chiropractor is simply the facilitator and, through cooperation with the patient, patient education, and adherence, they together achieve health for the patient. Health also implies a belief in healthy living (good nutrition, constructive exercise, stress management, and good posture). • The structure and functioning of the neuromusculoskeletal system is central to maintaining good health and combating disease. The functioning of the muscoloskeletal system is integrated with neurologic function and is expressed by the various regulatory systems of the body.
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According to the ACC paradigm, the fundamental purpose of chiropractic is to ________________
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optimize health
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Most people who consult chiropractors for certain types of care alse see a _________________ for other needs
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medical physician
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Health is not a state but rather a _________
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process
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The philosophy of chiropractic should be taught and developed in a manner that is _________________ in the discipline of philosophy
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intellectually defensible
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What are the components of dualism?
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Thinkers and practitioners striving to understand science & philosophy, matter & intelligence, and structure & function. Seeing things in terms of "either - or" rather than "both - and" appears to be a general human tendency, and chiropractic is no stranger to this tendency.
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The founder
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DD Palmer
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The developer
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BJ Palmer
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__________ was a form of energy healing involving the laying on of hands. It may also have included vigorous rubbing and manipulation of various kinds.
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Magnetic healing
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DD Palmer accepted his first student in _____
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1897
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In _____ DD Palmer and his son BJ Palmer formed an equal partnership, which was to continue until _____
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1903, 1906
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In 1906, DD was found guilty of what?
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Practicing medicine without a license
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BJ Palmer insisted that chiropractic remain _________________
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"pure and unadulterated"
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BJ Palmer felt that raising educational standards would _______ the profession and cause a ________________ in the number of chiropractors
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weaken, large reduction
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The first textbook on chiropractic in 1906 was called
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A Textbook on Modernized Chiropractic
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In one year alone, ____ chiropractors were jailed in California for practicing medicine without a license
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450
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_________________________ became the first fifth-generation chiropractor, and she currently serves as an administrator and faculty member at Cleveland Chiropractic College - Kansas City
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Sylvia's great-great grand-daughter, Ashley E. Cleveland
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In 1924, BJ Palmer introduced the neurocalometer to the profession in a speech entitled _______________. The marked the beginning of the _______ of BJ's influence in the field
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"The Hour Has Struck", decline
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The ICA constitution required a ____________ vote to achieve merger. Antimerger forces were led by _______________
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two-thirds, Dr. Sid Williams
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The AMA's campaign to eliminate chiropractic started in the _______. In 1963, the AMA found its Committee on Quackery, originally called the ________________________
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1920s, Committee on Chiropractic
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When chiropractic sought inclusion in Medicare, The Secretary of Health, Education, and Welfare's report recommended chiropractic not be included. What were the reasons given?
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It was "not based upon the body of basic knowledge...that has been widely accepted by the scientific community," and that "the scope and quality of chiropractic education do not prepare the practitioner to make an adequate diagnosis and provide appropriate treatment."
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___________ is often referred to as the "Abraham Flexner" of chiropractic.
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John Nugent (is responsible for raising the educational standards of chiropractic)
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_________________________ was the first entity to effectively bridge the gap among the various factions in chiropractic education.
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Council on Chiropractic Education (CCE)
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Currently more than ______ of all federal, state, and private health plans include chiropractic coverage.
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one-half
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In 1987, US District Judge Susan Getzendanner found the AMA guilty of what?
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An illegal effort to destroy the profession of chiropractic through boycott.
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In ____________, President Bush signed legislation to establish a chiropractic benefit with the _________________________ health care system. The struggle to achieve this began in ____.
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January 2002, Department of Veteran Affairs (DVA), 1944
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The 5-year Chiropractic Health Care Demonstration Program included ___ test sites. 81.5% of the chiropractic patients described their improvement as _________.
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13, "excellent"
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After the victory in the antitrust suit _________ began to open their doors again to chiropractors.
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hospitals
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In North America, the clinical management of back pain is mainly provided by
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Medical Physicians, Physical Therapists, and Chiropractors
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In Ontario, the average number of chiropractic visits per episode of care was
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10
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Most cases of extracranial vertebral arterial dissection are thought to occur
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spontaneously
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The true incidence of vertebrobasilar dissection is
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unknown
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Patients with vertbrobasilar artery dissection commonly present with
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neck pain and headache
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Is there an association between chiropractic care and vertebral artery dissection and VBA stroke in this study?
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Yes for people under the age of 45
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Is there an association between PCP care and vertebral artery dissection and VBA stroke in this study?
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Yes for all ages
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Patients with head and neck pain due to vertebral artery dissection seek care for these symptoms which precede more than __% of VBA strokes
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80%
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Because the association between chiropractic visits and VBA stroke is not greater than the association between PCP visits and VBA stroke, there is ___ excess risk of VBA stroke from chiropractic care
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no
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The name of the primary author of VBA Stroke study is
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J. David Cassidy, DC, PhD, DrMedSc
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The VBA Stroke study was published in a reputable medical journal called
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Spine
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The date of the Cassidy Article publication was
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2008
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Joint Manipulation Procedures
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Mobilization Manual Traction Distraction Adjustments
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Soft Tissue Manipulation Therapies
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Point Pressure Techniques. Massage. Therapeutic Muscle Stretching. Visceral Manipulation.
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Passive Motion
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• Clinician moves the joint through each of its normal motions from neutral to resistance or pain • Prevents stiffening or shortening • Maintains motion and lubrication
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Active Motion & Exercise
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• Used when patient sufficiently recovered • Through full, pain free ROM • Exercise adds resistance to develop strength
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Mobilization
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• To increase ROM beyond resistance barrier, which may be limiting passive ROM or exercise • Often referred to as "non-thrust" techniques • Maitland's classification of mobilization
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Maitland's Classification of Mobilization
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Grade I: Fine oscillation; little force or depth; early portion of ROM Grade II: More depth and motion; 1st half of ROM Grade III: Deeper, more aggressive; at limits of motion Grade IV: Deep, fine oscillation; at limits of ROM Grade V: A manipulation; increased speed and force; "click" or "pop"; HVL; paraphysicological joint space
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Spinal manipulation has been practiced by:
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• Early inhabitants of North, South, and Central America • 2700 BC China - according to the Kung Fu document • Indian and Arabic cultures
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Manipulation movements which developed concurrently with chiropractic
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• Osteopathy • Naprapathy • Manual Medicine • Physical Therapy
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Germ Theory
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Robert Koch, 1860, Allopathy
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The Palmers
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Daniel David Palmer, The Founder. Bartlet Joshua Palmer, The Developer. Dave Palmer, The Educator. Vickie Palmer
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Terminology Debates
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• Chiropractor vs Chiropractic Physician • Subluxation vs Fixation or Lesion • Innate Intelligence vs Nature or Homeostasis • Analysis vs Diagnosis • Adjustment vs Manipulative Therapy
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Early 19th Century Procedures
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• Bloodletting • Blistering • Cupping (leeching) • Sweating • Purging • Toxic chemicals
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Heroic Medicine
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Benjamin Rush (1746-1813) The harshness of the remedy should be in proportion to the severity of the patient's condition
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Herbal Treatment
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• Samuel Thomson (1769-1843). • Patented his remedies in 1813. • Wrote a compendium in 1822. • Influential until 1900.
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Bonesetting
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• Earliest text by Friar Moulto (1656) • Identified with the humble, oral tradition of uneducated peasant and working people • Refused access to hospitals • Very popular with patients but disdained by physicians
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Magnetic Healing
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• Influenced the development of osteopathy and chiropractic • DD Palmer practiced for 9 years before formulating his theory of chiropractic • Practitioners of magnetic, faith, and mental healing often made contact with their hands
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Spinal Irritation
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• Referenced in several places in medical journals of the 19th century • A connection was drawn between the spine, spinal nerves, and pain or diseased organs
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Osteopathy
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• Andrew Taylor Still - 1874 • Rule of the artery • Long-lever moves • To reform medicine, not replace it • No drugs • Surgery only in an emergency
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Naprapathy
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• 1905 - Oakley Smith, DC • Principle: "Ligatites" cause vertebrae to draw too closely together obstructing nerves and blood vessels, resulting in disease •1986 - between 800 to 1000 in Illinois • Now also licensed in New Mexico • Now focus on connective tissue manipulation and include exercise, posture, and nutrition counseling
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Manual Medicine
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• European medical doctors did not share the disdain for manual medicine evidenced by Americans and British • Included in the specialties of general practice, physical medicine and rehabilitation, rheumatology, orthopedics, and neurology
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Physical Therapy
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• Originally (around 1900) used massage and exercise as primary treatment approach • Have historically worked under the guidance of medical authority • Hours of manipulative therapy instruction are increasing • Low back pain is the most frequently treated condition • Use mobilization techniques
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Clinical Competency Evaluation Program (CCEP)
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Board exams in 5Q, 8/9Q, 11Q
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Council on Chiropractic Guidelines and Practice Parameters
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Set up guidelines based on current literature
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Canadian Federation of Chiropractic Regulatory and Educational Accrediting Boards (CFCREAB)
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The federation up in Canada, similar to CCE and FCLB
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Chiropractic Information Network/Board Action Databank (CIN-BAD)
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Tracks all your bad stuff (i.e. license revocation)
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Diplomate of the American Chiropractic Board of Orthopedics (DACBO)
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ACA-specialized program after chiropractic program, for orthopedics
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Diplomate of the American Chiropractic Board of Sports Physicians (DACBSP)
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ACA-specialized program after chiropractic program, for sports physicians
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Diplomate of the American Chiropractic Rehabilitation Board (DACRB)
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ACA-specialized program after chiropractic program, for rehabilitation
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Doctor of Chiropractic (DC)
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~94% of all spinal manipulations done in the US
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Doctor of Osteopathy (DO)
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Started out simliar to chiropractic but now more similar to MD
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International Chiropractors Association (ICA)
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Philosphical medium - upper cervical and spine adjustments, no extremities
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International Conference of Spinal Manipulation (ICSM)
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Multidisciplinary group conference
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National Association of Chiropractic Medicine (NACM)
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Consumer advocacy association of chiropractors, no longer in existence.
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National Chiropractic Mutual Insurance Company (NCMIC)
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Most popular malpractice carrier in US
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National Institutes of Health (NIH)
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Funding agency for research and healthcare (government body)
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Randomized Clinical Trial (RCT)
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A type of scientific experiment where the people being studied are randomly allocated one of the different treatments under study
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Sacro-Occiptal Technique (SOT)
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Padded wedges, no thrust, low force technique
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Universal Chiropractor's Association (UCA)
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1st trade association, organized by BJ Palmer in 1906. Provided attorney services to member DCs charged with unlicensed medical practice
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World Chiropractic Alliance (WCA)
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Smallest, straightest chiropractic association
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World Health Organization (WHO)
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The United Nations public health arm
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Harvey Lillard
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• DD Palmer's first chiropractic patient. • Suffered from deafness for 17 years. • 2 treatments
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Reverend Samuel Weed
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• A patient of DD Palmer. • Suggested the term chiropractic (greek origins).
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Abraham Flexner, PhD
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Flexner Report 1910, Reported to the Carnegie Foundation on the sorry state of medical education in the US and Canada
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Shegatoro Morikubo
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• PSC graduate • Defended by Tom Morris in UCA's first test case
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UCA's First Test Case
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• 1907 • Shegatoro Morikubo defended by Tom Morris • Chiropractic or Osteopathy? • Nervous system vs rule of the artery • "Philosophy" saved the day • Separate and distinct
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Chiropractic education in 1897
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• Original curriculum was 3 months • 20 years later it was 18 months • The Palmer School had 3000 students by 1922, with 82 schools by 1925 • 12,000 chiropractors by 1930
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Recognition of CCE by US Office of Education
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1974, federally guaranteed student loans
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First and last chiropractic statutes
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Kansas 1913 Louisiana 1974
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Exams for basic science legislation
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• Passed in 1925 in Connecticut and Wisconsin. • Chiropractic, medicine, naturopathy, and osteopathy. • Last of basic science statutes repealed in 1979. • NBCE organized by FCLB in 1963 and gradually replaced the basic science exams.
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National Associations Formation
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• UCA - 1906 • ACA - 1922 • ACA and UCA merge to form NCA - 1930 • NCA becomes ACA - 1963 • CHB formed by BJ Palmer in 1925 • Later becomes the ICA
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National Associations - Current
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• ACA - 20,000 members • ICA - 10,000 members • WCA - World Chiropractic Alliance; exclusively subluxation based • NACM - National Association of Chiropractic Medicine; advocates subordination to allopathic diagnostician
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Neurocalometer
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• Introduced to the profsseion by BJ Palmer in 1924 • BJ proclaimed practice without an NCM to be unethical • 10 year lease for $2000 • Could find "the cause of all disease of the human race"
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Wilk Antitrust Lawsuit
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• Charged AMA and 14 co-defendants with a conspiracy to restrain trade • Violation of Sherman Antitrust Act • Federal judge Susan Getzendanner awarded damages to plaintiffs, issued and injunction against further abuse by political medicine, ordered ruling distributed to all AMA members and to be published in JAMA • First trial was in 1976, Finished in 1990
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Health
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A state of optimal physical, mental, and social well-being, not merely the absence of disease or infirmity
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State of the Organism
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• Biological Spectrum • State of the Organism Equation • Calisthenic Dynamic
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Biological Spectrum
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• Ideal functional wellness • Departure from wellness • Dis-ease • Disease • Death
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State of the Organism Equation
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Each individual possesses an intrinsic biologic dynamic that interacts with and greatly modifies the external forces with which it comes in contact
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Calisthenic Dynamic
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The body increases its survivability by fully experiencing its surroundings. When the body is called upon to function throughout a wide range of conditions, it becomes generally strengthened and enjoys an enlarged scope of adaptability.
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Dave Palmer
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The Educator
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Hormesis
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• Generally favorable biological responses to low exposures to toxins and other stressors • A pollutant or toxin showing hormesis has the opposite effect in small doses than in large doses • 1888 - yeast growth stimulated by small doses of poisons
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Chiropractor's Role
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• Correct the vertebral subluxation. • Restore a regard for the common rules of health.
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Mechanistic Thinking
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• Everything that is real is potentially measurable • Anything that is not measurable is unreal • Natural processes can be completely explained by the laws of physics and chemistry
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Reductionist Thinking
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• Breaking down complex phenomena to fundamental elements • Explaining the whole in terms of the parts
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"Universal Intelligence" and "Innate Intelligence"
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DD Palmer used these terms to speak of the organizing force that pervades everything
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Hippocrates
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• Greek physician • 400 BC • Common lineage of medicine and chiropractic