关于大关节半脱位的激烈争论：一位中间派的观点。
The great subluxation debate: a centrist's perspective.
作者信息
Good Christopher J
机构信息
Professor, University of Bridgeport College of Chiropractic, Bridgeport, CT 06604.
出版信息
J Chiropr Humanit. 2010 Dec;17(1):33-9. doi: 10.1016/j.echu.2010.07.002. Epub 2010 Sep 21.
OBJECTIVE
This commentary describes the debate and some of the associated issues involving the subluxation construct.
DISCUSSION
The long-standing debate regarding the chiropractic subluxation has created substantial controversy within the profession. Currently, this phenomenon can be compared with a country with a 2-party system that has a large silent majority sitting between the 2 factions. It is argued that the position held by those in the middle (the centrists) may be the most rational view when considering all of the available evidence. It is also suggested that the subluxation construct is similar to the Santa Claus construct in that both have a factual basis as well as social utility. Ultimately, the centrists must become proactive if they want to protect the profession and further advance the evidence in regard to the subluxation. They must not only engage in the debate, but fund the research that will investigate various aspects of the subluxation and then help disseminate this evidence to fellow doctors of chiropractic, other practitioners, health care policy makers, and society at large.
CONCLUSION
The role of subluxation in chiropractic practice, the progression of this debate, and the future of the profession will be directly determined by the role that centrists choose to play.
目的
本评论描述了关于半脱位概念的争论及一些相关问题。
讨论
关于脊椎按摩疗法半脱位的长期争论在该行业内引发了大量争议。目前，这种现象可与一个两党制国家相比较，在这两个派别之间有大量沉默的多数派。有人认为，考虑到所有现有证据，中间派（温和派）所持的立场可能是最合理的观点。还有人指出，半脱位概念类似于圣诞老人概念，两者都有事实依据和社会效用。最终，如果温和派想要保护该行业并进一步推进关于半脱位的证据，他们必须积极主动。他们不仅要参与争论，还要资助研究，以调查半脱位的各个方面，然后帮助将这些证据传播给脊椎按摩疗法的同行医生、其他从业者、医疗保健政策制定者以及广大社会。
结论
半脱位在脊椎按摩疗法实践中的作用、这场争论的进展以及该行业的未来将直接由温和派选择扮演的角色决定。
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