Technology Assessment of the Chiropractic Subluxation: Reprise

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:    Frankp@chiro.org

From:   Topics in Clinical Chiropractic 2002; 9 (3): 10–18

Osterbauer, P.J.; Hansen, D.T

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Purpose:   The chiropractic concept of vertebral subluxation has served the purpose of unifying early doctors of chiropractic by contrasting a unique approach to health problems offered by chiropractors to allopathic medicine. However, confusion over the use of this term, and concepts surrounding it, has existed because of a lack of consensus among chiropractors.

Methods:   Literature from multiple scientific and clinical disciplines and proceedings from scientific symposia and consensus conferences was surveyed for evidence related to the technology assessment of the chiropractic subluxation.

Summary:   Several methods have been offered to identify and measure the effects of vertebral subluxation in order to provide evidence regarding its existence. How the chiropractic profession deals with its belief systems and model building in this era of increasing accountability may be more important than the search for the subluxation itself. To assist practitioners to cope with this dilemma, an overview of selected subluxation assessment procedures is provided including a qualitative review of relevant studies examining reliability and validity of the various approaches. Criteria for assessing technology are presented. Recommendations are made regarding the value of a number of currently available assessment strategies. A discussion of future technology assessment issues is offered.

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