How am I? A discussion on self-care practices
‘If I am not for myself, who will be for me? If I am only for myself, what am I? And, if not now, when?’
Sources of stress include the emotional component of their work, isolation and lack of support, work and role demands including concerns regarding making errors, complaints and financial concerns.
Cite: Walker K. How am I? A discussion on self-care practices. Asia-Pac Chiropr J. 2020;002 DOI https://doi.org/10.46323/2021002
In Memoriam: Dr Dave Russell
“I am a chiropractor, a curious clinician, in private practice with an interest in the assessment of vertebral subluxation, and how the reduction of vertebral subluxation may impact on human function and quality of life. My investigations and publication interests to date includes individual clinical case reports and series, clinical chiropractic assessment, and population studies.”
Vale Dr Dave, friend, colleague, teacher, chiropractor; a curious clinician indeed.
Cite: Thomas H, Sim P, McDonald R, Foote C. Dr Dave Russell [In Memoriam]. Asia-Pac Chiropr J. 2020;1:003 DOI https://doi.org/10.46323/2021003
An evidence-based narrative of the evidence-base concept
Abstract: This narrative review examines the limited and varied interpretation of what constitutes evidence in evidence based chiropractic practice. The authors report a bias towards only one of the three evidential pillars that Sackett proposed as the basis for evidence-based practice. The literature reveals an increasing number of papers that suggest evidence can be compromised and may therefore at times be of questionable value in the practical clinical setting. The application of evidence to chiropractic practice is shown to be less than inclusive and this paper recommends that bodies with influence over the profession must broaden their understanding and acceptance of the full spectrum of evidence that sits within Sackett et al’s established model. To continue with a view that the only acceptable evidence are published studies in medical journals will continue to diminish the value of evidence drawn from the experience of chiropractors and the expectation of their patients. Regulators are urged to accord the same evidential value to the literature of chiropractic as to the broad literature of medicine; to do otherwise is to create an elitist perspective to the detriment of the conventional chiropractic practitioner.
Indexing terms: evidence, EBP, EBM, chiropractic
Cite: Rome P. Waterhouse JD. An evidence-based narrative of the evidence-base concept. Asia-Pacific Chiropr J. 2020;1:004 DOI https://doi.org/10.46323/2021004
An initial case-mix report of chiropractic practice in the Philippines
Abstract: This paper is a short, descriptive report of conventional chiropractic practice in the Philippines. The first data reported represent a Case-Mix report where the presenting problem of 100 consecutive patients are reported along with basic demographics. The second data are extracted from a representative sample of 695 patients from which a smaller sample of n=47 was extracted and reported. The Case-Mix data are from three distinctly different clinical settings (metro Manila, Mindanao Island, and Cavite) and the larger sample is drawn from a larger number of clinics through the country. The analysis shows approximation to known case-mix data from other countries and practice settings. As with all early reports the data raise more questions than they answer, however the prime intent is to inform the development os a university-based educational program in the Philippines. A baseline is now set for further reports of chiropractic practice throughout the Philippines.
Indexing Terms: Chiropractic, Philippines, Case-Mix, conventional chiropractic.
Cite: Tetrault MY. An initial case-mix report of chiropractic practice in the Philippines. Asia-Pac Chiropr J. 2020;1:006 DOI https://doi.org/10.46323/20210...
Whilst some chiropractors actively chose to downgrade themselves from anything that might be recognisable as a healthcare professional, even fewer seem to strive in the opposite direction for the excellence that might also help buffer them from the risks of receiving a complaint.’
Indexing Terms: chiropractic, clinical audit, patient complaint, quality
Cite: Young M. Going pear-shaped. [Editorial]. Asia-Pac Chiropr J. 2020;1:005. DOI https://doi.org/10.46323/2021005
Australian Spinal Research Foundation. Research Agenda
The Foundation recognises the importance of creating a research agenda that is congruent with the traditional principles of chiropractic to further investigate the vertebral subluxation and its potential effects on human function
Cite: Australian Spinal Research Foundation. Research Agenda. Asia-Pac Chiropr J. 2020;019 DOI https://doi.org/10.46323/2021019