Mirtz Timothy A, Perle Stephen M
Indiana Institute of Technology, School of Education, Fort Wayne, Indiana USA.
Chiropr Man Therap. 2011 Jun 17;19:14. doi: 10.1186/2045-709X-19-14.
The subluxation construct has been a divisive term in the chiropractic profession. There is a paucity of evidence to document the subluxation. Some authors have questioned the propriety of continuing to use the term.
The purpose of this study is to examine current North American English language chiropractic college academic catalogs and determine the prevalence of the term subluxation in the respective chiropractic program curricula.
Sixteen current English-language North American chiropractic college academic catalogs were studied. The term subluxation was searched for in each of the catalogs. Categories were developed for the usage of the term. These included "total times mentioned", "subluxation mentioned in a course description", "subluxation mentioned in a course title", "subluxation mentioned in a technique course description", and "subluxation mentioned in a philosophy course description." The prevalence of the "subluxation mentioned in a course description" was compared to the total programmatic curriculum.
Palmer College in Florida devoted 22.72% of its curriculum to courses mentioning the subluxation followed by Life University (Marietta, GA) and Sherman College with 16.44% and 12.80% respectively. As per specific coursework or subjects, an average of 5.22 courses or subjects have descriptions mentioning the term subluxation. Three schools made no mention of the term subluxation in their academic catalogs; they were National University of Health Sciences, Canadian Memorial Chiropractic College, and Southern California University of Health Sciences.
Despite the controversies and paucity of evidence the term subluxation is still found often within the chiropractic curricula of most North American chiropractic programs. Future research should determine if changes in accreditation standards and research on evidence based practice will affect this prevalence.
半脱位这一概念在整脊疗法领域一直颇具争议。证明半脱位存在的证据不足。一些作者对继续使用该术语的恰当性提出了质疑。
本研究旨在审查当前北美英语版的整脊疗法学院学术目录，并确定半脱位这一术语在各个整脊疗法课程中的出现频率。
研究了16份当前北美英语版的整脊疗法学院学术目录。在每份目录中搜索半脱位这一术语。为该术语的使用制定了类别。这些类别包括“提及的总次数”、“在课程描述中提及半脱位”、“在课程标题中提及半脱位”、“在技术课程描述中提及半脱位”以及“在哲学课程描述中提及半脱位”。将“在课程描述中提及半脱位”的出现频率与整个课程体系进行比较。
佛罗里达州的帕默学院将其课程的22.72%用于提及半脱位的课程，其次是生命大学（佐治亚州玛丽埃塔）和谢尔曼学院，分别为16.44%和12.80%。就具体课程或学科而言，平均有5.22门课程或学科的描述中提及了半脱位这一术语。有三所学校在其学术目录中未提及半脱位这一术语，它们是国立卫生科学大学、加拿大纪念整脊疗法学院和南加州大学健康科学学院。
尽管存在争议且证据不足，但半脱位这一术语在大多数北美整脊疗法课程的课程体系中仍经常出现。未来的研究应确定认证标准的变化和基于证据的实践研究是否会影响这一出现频率。
