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I have edited out all the sections on the Philosophy an Controversy issues, and tried to leave an article which fairly reflects the profession. Those other sections belong in the articles on Philosophy and History, if anyone still cares. дрсйпдц 19:12, 5 December 2009 (UTC)
I've removed the effectiveness conditions sections because they need work. D. Matt 01:10, 15 December 2009 (UTC)
Available evidence covers the following conditions:
- Low back pain. There is continuing conflict of opinion on the efficacy of SMT for nonspecific (i.e., unknown cause) low back pain. A 2008 review found strong evidence that SM is similar in effect to medical care with exercise. A 2007 review found good evidence that SM is moderately effective for low back pain lasting more than 4 weeks; a 2008 literature synthesis found good evidence supporting SM for low back pain regardless of duration. Of four systematic reviews published between 2000 and May 2005, only one recommended SM, and a 2004 Cochrane review found that SM or mobilization is no more or less effective than other standard interventions for back pain. Methods for formulating treatment guidelines for low back pain differ significantly between countries, casting some doubt on their reliability.
- Whiplash and other neck pain. There is no overall consensus on manual therapies for neck pain. A 2009 systematic review of controlled clinical trials found no evidence that chiropractic spinal manipulation is effective for whiplash injury. A 2008 review found evidence that educational videos, mobilization, and exercises appear more beneficial for whiplash than alternatives; that SM, mobilization, supervised exercise, low-level laser therapy and perhaps acupuncture are more effective for non-whiplash neck pain than alternatives but none of these treatments is clearly superior; and that there is no evidence that any intervention improves prognosis. A 2007 review found that SM and mobilization are effective for neck pain. Of three systematic reviews of SM published between 2000 and May 2005, one reached a positive conclusion, and a 2004 Cochrane review found that SM and mobilization are beneficial only when combined with exercise. A 2005 review found consistent evidence supporting mobilization for acute whiplash, and limited evidence supporting SM for whiplash.
- Headache. A 2006 review found no rigorous evidence supporting SM or other manual therapies for tension headache. A 2005 review found that the evidence was weak for effectiveness of chiropractic manipulation for tension headache, and that it was probably more effective for tension headache than for migraine. A 2004 review found that SM may be effective for migraine and tension headache, and SM and neck exercises may be effective for cervicogenic headache. Two other systematic reviews published between 2000 and May 2005 did not find conclusive evidence in favor of SM.
- Other. There is a small amount of research into the efficacy of chiropractic treatment for upper limbs, and limited or fair evidence supporting chiropractic management of leg conditions. There is very weak evidence for chiropractic care for adult scoliosis (curved or rotated spine) and no scientific data for idiopathic adolescent scoliosis. A 2007 systematic review found that few studies of chiropractic care for nonmusculoskeletal conditions are available, and they are typically not of high quality; it also found that the entire clinical encounter of chiropractic care (as opposed to just SM) provides benefit to patients with asthma, cervicogenic dizziness, and baby colic, and that the evidence from reviews is negative, or too weak to draw conclusions, for a wide variety of other nonmusculoskeletal conditions, including ADHD/learning disabilities, dizziness, high blood pressure, and vision conditions. Other reviews have found no evidence of benefit for asthma, baby colic, bedwetting, carpal tunnel syndrome, fibromyalgia, kinetic imbalance due to suboccipital strain (KISS) in infants, menstrual cramps, or pelvic and back pain during pregnancy.
- Murphy AYMT, van Teijlingen ER, Gobbi MO (2006). "Inconsistent grading of evidence across countries: a review of low back pain guidelines". J Manipulative Physiol Ther 29 (7): 576–81, 581.e1–2. doi:10.1016/j.jmpt.2006.07.005. PMID 16949948. http://jmptonline.org/article/S0161-4754(06)00186-2/fulltext.
- Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S (2008). "Evidence-informed management of chronic low back pain with spinal manipulation and mobilization". Spine J 8 (1): 213–25. doi:10.1016/j.spinee.2007.10.023. PMID 18164469.
- Chou R, Huffman LH; American Pain Society; American College of Physicians (2007). "Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline". Ann Intern Med 147 (7): 492–504. PMID 17909210. http://annals.org/cgi/content/full/147/7/492.
- Lawrence DJ, Meeker W, Branson R et al. (2008). "Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis". J Manipulative Physiol Ther 31 (9): 659–74. doi:10.1016/j.jmpt.2008.10.007. PMID 19028250. An earlier, freely readable version is in: Meeker W, Branson R, Bronfort G et al. (2007). "Chiropractic management of low back pain and low back related leg complaints" (PDF). Council on Chiropractic Guidelines and Practice Parameters. http://ccgpp.org/lowbackliterature.pdf. Retrieved 2008-11-28.
- Assendelft WJJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG (2004). "Spinal manipulative therapy for low back pain". Cochrane Database Syst Rev (1): CD000447. doi:10.1002/14651858.CD000447.pub2. PMID 14973958.
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- Vernon H, Humphreys BK (2007). "Manual therapy for neck pain: an overview of randomized clinical trials and systematic reviews" (PDF). Eura Medicophys 43 (1): 91–118. PMID 17369783. http://www.minervamedica.it/en/getfreepdf.php?cod=R33Y2007N01A0091.
- Ernst E (2009). "Chiropractic spinal manipulation for whiplash injury? A systematic review of controlled clinical trials". Focus Altern Complement Ther 14: 85–6. http://www.medicinescomplete.com/journals/fact/current/fact1402a05t01.htm.
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- Gross AR, Hoving JL, Haines TA et al. (2004). "Manipulation and mobilisation for mechanical neck disorders". Cochrane Database Syst Rev (1): CD004249. doi:10.1002/14651858.CD004249.pub2. PMID 14974063.
- Conlin A, Bhogal S, Sequeira K, Teasell R (2005). "Treatment of whiplash-associated disorders—part I: non-invasive interventions". Pain Res Manag 10 (1): 21–32. PMID 15782244.
- Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, Miangolarra JC, Barriga FJ, Pareja JA (2006). "Are manual therapies effective in reducing pain from tension-type headache?: a systematic review". Clin J Pain 22 (3): 278–85. doi:10.1097/01.ajp.0000173017.64741.86. PMID 16514329.
- Biondi DM (2005). "Physical treatments for headache: a structured review". Headache 45 (6): 738–46. doi:10.1111/j.1526-4610.2005.05141.x. PMID 15953306.
- Bronfort G, Nilsson N, Haas M et al. (2004). "Non-invasive physical treatments for chronic/recurrent headache". Cochrane Database Syst Rev (3): CD001878. doi:10.1002/14651858.CD001878.pub2. PMID 15266458.
- McHardy A, Hoskins W, Pollard H, Onley R, Windsham R (2008). "Chiropractic treatment of upper extremity conditions: a systematic review". J Manipulative Physiol Ther 31 (2): 146–59. doi:10.1016/j.jmpt.2007.12.004. PMID 18328941.
- Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W (2009). "Manipulative therapy for lower extremity conditions: expansion of literature review". J Manipulative Physiol Ther 32 (1): 53–71. doi:10.1016/j.jmpt.2008.09.013. PMID 19121464.
- Everett CR, Patel RK (2007). "A systematic literature review of nonsurgical treatment in adult scoliosis". Spine 32 (19 Suppl): S130–4. doi:10.1097/BRS.0b013e318134ea88. PMID 17728680.
- Romano M, Negrini S (2008). "Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review". Scoliosis 3: 2. doi:10.1186/1748-7161-3-2. PMID 18211702. PMC 2262872. http://scoliosisjournal.com/content/3/1/2.
- Hawk C, Khorsan R, Lisi AJ, Ferrance RJ, Evans MW (2007). "Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research". J Altern Complement Med 13 (5): 491–512. doi:10.1089/acm.2007.7088. PMID 17604553.
- Hondras MA, Linde K, Jones AP (2005). "Manual therapy for asthma". Cochrane Database Syst Rev (2): CD001002. doi:10.1002/14651858.CD001002.pub2. PMID 15846609.
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- Husereau D, Clifford T, Aker P, Leduc D, Mensinkai S (2003) (PDF). Spinal Manipulation for Infantile Colic. Technology report no. 42. Ottawa: Canadian Coordinating Office for Health Technology Assessment. ISBN 1-894978-11-0. http://cadth.ca/media/pdf/177_spinal_manipulation_tr_e.pdf. Retrieved 2008-10-06.
- Glazener CM, Evans JH, Cheuk DK (2005). "Complementary and miscellaneous interventions for nocturnal enuresis in children". Cochrane Database Syst Rev (2): CD005230. doi:10.1002/14651858.CD005230. PMID 15846744.
- O'Connor D, Marshall S, Massy-Westropp N (2003). "Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome". Cochrane Database Syst Rev (1): CD003219. doi:10.1002/14651858.CD003219. PMID 12535461.
- Sarac AJ, Gur A (2006). "Complementary and alternative medical therapies in fibromyalgia". Curr Pharm Des 12 (1): 47–57. doi:10.2174/138161206775193262. PMID 16454724.
- Schneider M, Vernon H, Ko G, Lawson G, Perera J (2009). "Chiropractic management of fibromyalgia syndrome: a systematic review of the literature". J Manipulative Physiol Ther 32 (1): 25–40. doi:10.1016/j.jmpt.2008.08.012. PMID 19121462.
- Ernst E (2009). "Chiropractic treatment for fibromyalgia: a systematic review". Clin Rheumatol 28 (10): 1175–8. doi:10.1007/s10067-009-1217-9. PMID 19544042.
- Brand PL, Engelbert RH, Helders PJ, Offringa M (2005). "[Systematic review of the effects of therapy in infants with the KISS-syndrome (kinetic imbalance due to suboccipital strain)]" (in Dutch). Ned Tijdschr Geneeskd 149 (13): 703–7. PMID 15819137.
- Proctor ML, Hing W, Johnson TC, Murphy PA (2006). "Spinal manipulation for primary and secondary dysmenorrhoea". Cochrane Database Syst Rev (3): CD002119. doi:10.1002/14651858.CD002119.pub3. PMID 16855988.
- Pennick VE, Young G (2007). "Interventions for preventing and treating pelvic and back pain in pregnancy". Cochrane Database Syst Rev (2): CD001139. doi:10.1002/14651858.CD001139.pub2. PMID 17443503.
- I just added back the references that left with the sections removed. Good work! BTW: in case you want to see the references at the bottom of an article, you can simply create a section with the following code <references/>
- I agree with you that these conditions should be dealt with under separate sections anyway, especially as this is a Chiro website and we don;t need to put all of the profession in one article. дрсйпдц 22:59, 12 November 2010 (UTC)
I would like to propose a rewording of the opening to our chiropractic definition. We currently show: 'Chiropractic' is a health care profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these on general health. However, as doctors, our training goes far beyond this, and as a clinician, I am frequently concerned and involved with diagnosing far more than NMS issues. I participate in robust referrals to other healthcare disciplines in the cases where treatment is outside of my scope. I suggest the following edit: 'Chiropractic' is a health care profession concerned with the diagnosis, treatment and prevention of disorders of the human body, including a focus on the neuromusculoskeletal system and the effects of these on general health. DanaS (talk) 14:27, 29 March 2014 (MST) DanaS 11 Mar 2014
Today I am changing the word "complimentary" to "complementary". Surely an oversight, but this is out there all over the place and I could make a career of fixing it. A "compliment", per Merriam-Webster, is "a polite expression of praise or admiration". To "complement" something, as a verb (same source, but this is basic grammar and I am not going to cite it) is "to complete something else or make it better". As a noun, it applies even better here - and we should be mindful of that grammar, since words are important - it is: 1(a) "Something that fills up, completes, or makes perfect". DanaS (talk) 14:27, 29 March 2014 (MST)DanaS 29 Mar 2014