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Author Topic: E. Ernst: "Chiropractic: a critical evaluation"  (Read 628 times)

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E. Ernst: "Chiropractic: a critical evaluation"
« on: May 01, 2008, 01:26:29 PM »

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NCBI
PubMed A service of the U.S. National Library of Medicine
and the National Institutes of Health

1: J Pain Symptom Manage. 2008 May;35(5):544-62. Epub 2008 Feb 14.

Chiropractic: a critical evaluation.
Ernst E.

Complementary Medicine, Peninsula Medical School,
Universities of Exeter & Plymouth, Exeter, United Kingdom.

Chiropractic was defined by D.D. Palmer as "a science of healing without
drugs." About 60,000 chiropractors currently practice in North America,
and, worldwide, billions are spent each year for their services. This
article attempts to critically evaluate chiropractic.

The specific topics include the history of chiropractic; the internal
conflicts within the profession; the concepts of chiropractic,
particularly those of subluxation and spinal manipulation; chiropractic
practice and research; and the efficacy, safety, and cost of chiropractic.
A narrative review of selected articles from the published chiropractic
literature was performed.

For the assessment of efficacy, safety, and cost, the evaluation relied on
previously published systematic reviews.

Chiropractic is rooted in mystical concepts. This led to an internal
conflict within the chiropractic profession, which continues today.

Currently, there are two types of chiropractors: those religiously
adhering to the gospel of its founding fathers and those open to change.

The core concepts of chiropractic, subluxation and spinal manipulation,
are not based on sound science.

Back and neck pain are the domains of chiropractic but many chiropractors
treat conditions other than musculoskeletal problems.

With the possible exception of back pain, chiropractic spinal manipulation
has not been shown to be effective for any medical condition. Manipulation
is associated with frequent mild adverse effects and with serious
complications of unknown incidence. Its cost-effectiveness has not been
demonstrated beyond reasonable doubt. The concepts of chiropractic are not
based on solid science and its therapeutic value has not been demonstrated
beyond reasonable doubt.

PMID: 18280103 [PubMed - in process]
Related Links
Legislative approaches to the regulation of the chiropractic profession. [Med Law. 1997]
Congruence between decisions to initiate chiropractic spinal manipulation for low back pain and appropriateness criteria in
North America. [Ann Intern Med. 1998]
Chiropractic: history and overview of theories and methods. [Clin Orthop Relat Res. 2006]
Chiropractic clinical practice guideline: evidence-based treatment of adult neck pain not due to whiplash. [JCCA J Can
Chiropr Assoc. 2005]
Patients using chiropractors in North America: who are they, and why are they in chiropractic care? [Spine. 2002]

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more:
http://www.ncbi.nlm.nih.gov/pubmed/18280103

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