The Benefits of Interprofessional Care.

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Overview - 5 sections

About Chiropractic

SECTION 1

Chiropractic Care

Chiropractic Facts: Canada

Chiropractic Education in Canada

4 year - 4,500 hour program at accredited college (12 in North America)

Prerequisites for admission:

Academic Program

First professional baccalaureate degree.

Multi-disciplinary faculty and training:

4th year – internship:

Chiropractic in Ontario

SECTION 2

Chiropractic Facts: Ontario

Scope of Practice: Ontario

“The practice of chiropractic is the assessment of conditions related to the spine, nervous system and joints, and the diagnosis, prevention and treatment, primarily by adjustment, of:

Dysfunctions or disorders arising from the structures or functions of the spine and the effects of those dysfunctions or disorders on the nervous system; and,

Dysfunctions or disorders arising from the structures or functions of the joints.”

- The Chiropractic Act

Chiropractic in Ontario

Controlled acts

Licensing and Regulation

Licensure

Regulation

Distribution of complaints

Distribution of complaints graph related to chiropractic treatment.

Shekelle et. al., 1998

Treatment Modalities

Distribution of modalities used in Chiropractic treatment.

Treatment Goals

Acute Care:

Return to normal activities of daily living as quickly as possible.

Treatment Goals

Evidence-based Practice

SECTION 3

What is spinal adjustment or manipulation?

Manipulation vs. Mobilization

Stages of adjustment and definition of joint manipulation (Sandoz R.)

Graph of Manipulation versus Mobilization.

Rationale for Manipulative Therapy

Low Back Pain Trials

Rationale for Manipulative Therapy

Cervical Spine Trials

Adverse Events

Adverse Events

Evidence Summary

Strong support for efficacy of conditions making up highest proportion of cases seen by chiropractors.

Recent Data

SECTION 4

Ontario WSIB

Manitoba WCB

Average days lost on the left versus average cost per claim on the right.

WSIB in Manitoba

Effectiveness: US Evidence

Archives of Internal Medicine

Retrospective study of claims data

Legoretta & Metz

Models of Interaction

SECTION 5

Indications for Referral

Referrals: What to Expect

Collaborative Care: Patient-Centred Model

Patient centred care model

Models of interaction: putting it all together.

Models of interaction: putting it all together.

Contact Dr. Mitch Ormond

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| Email Dr. Mitch Ormond | torontochiropractor.ca home |

Call: 416.598.4999 Fax: 416.598.0606

Related Links:

| Ontario Chiropractic Association | Canadian Chiropractic Association |