Dubuc Élisa, Pagé Isabelle, Boucher Pierre B, Brousseau Danica, Robidoux Sébastien, Blanchette Marc-André
J Chiropr Educ. 2022 Oct 1;36(2):84-92. doi: 10.7899/JCE-21-32.
The chiropractic techniques that chiropractors learn during their training strongly influence the nature of treatments provided by chiropractors and their professional identity. The objective of this project is to provide an exhaustive description of all chiropractic techniques and treatment modalities taught in chiropractic educational institutions.
International experts were solicited to provide feedback on the exhaustivity and clarity of our preliminary questionnaire. Following the expert suggestions, we administered our cross-sectional survey representatives of all chiropractic education institutions listed on the World Federation of Chiropractic website. We also asked the contact information for an additional contact from each institution and surveyed them for triangulation purposes.
Among the 47 chiropractic education institutions surveyed, 29 completed our survey (response rate: 62%) of which 18 (62%) had 2 respondents. Among all the chiropractic techniques and treatment modalities investigated, only the Diversified technique was included in the core curriculum of all responding institutions. A considerable proportion of the techniques or modalities studied were not included in the educational activities of the institutions, particularly within the manual tonal or reflex techniques, instrument-assisted articular techniques, as well as the other techniques or modalities categories. Surprisingly, exercise prescription was not included in the core curriculum of all the institutions. Some scientifically challenged approaches were included in the educational activities of more than 40% of the institutions.
The portfolio of therapeutic teaching varies greatly between chiropractic educational institutions. A more standardized therapeutic curriculum could be beneficial to reduce public and interprofessional confusion toward therapeutic approaches in chiropractic.
脊椎按摩师在培训期间所学的脊椎按摩技术强烈影响着他们提供的治疗性质及其职业身份。本项目的目的是详尽描述脊椎按摩教育机构所教授的所有脊椎按摩技术和治疗方式。
我们征求了国际专家对初步调查问卷的详尽性和清晰度的反馈。根据专家建议，我们对脊椎按摩疗法世界联合会网站上列出的所有脊椎按摩教育机构的代表进行了横断面调查。我们还询问了每个机构另一位联系人的联系信息，并对他们进行调查以进行三角测量。
在接受调查的47所脊椎按摩教育机构中，29所完成了我们的调查（回复率：62%），其中18所（62%）有两名受访者。在所有调查的脊椎按摩技术和治疗方式中，只有多样化技术被纳入了所有回复机构的核心课程。相当一部分所研究的技术或方式未被纳入这些机构的教育活动中，特别是在手法整复或反射技术、器械辅助关节技术以及其他技术或方式类别中。令人惊讶的是，运动处方并未被纳入所有机构的核心课程。一些受到科学质疑的方法被超过40%的机构纳入了教育活动中。
脊椎按摩教育机构之间的治疗教学内容差异很大。更标准化的治疗课程可能有助于减少公众和跨专业人士对脊椎按摩治疗方法的困惑。
