Purpose: To determine the most commonly used diagnostic methods for detecting the spinal entity that chiropractors adjust/manipulate and the preferred term for describing this entity.

Design: Postal survey (self-completed questionnaire).

Setting: Victoria, Australia.

Participants: All 554 chiropractors registered May 30, 1994, with the Chiropractors and Osteopaths Registration Board of Victoria.

Main outcome measures: Frequency of use and opinion with respect to reliability of 16 specific methods, measured on a 7-point, Likert-type scale [never used (1) to always used (7) and very unreliable (1) to very reliable (7), respectively]; the respondent’s preferred term for describing the spinal entity that chiropractors adjust/manipulate.

Results: The response rate was 85%. The most commonly used method was static palpation (mean score 6.6 +/- 1.1). Seven other methods, including pain description of the patient, orthopedic tests, motion palpation, visual posture analysis, leg length discrepancy, neurological tests and plain static X-rays had mean scores greater than 4.0. All of these methods, as well as functional X-ray views and kinesiological muscle testing, were considered reliable, with mean reliability scores greater than 4.0. Motion palpation was regarded as the most reliable method (mean reliability score 5.9 +/- 1.2). Seventy-five different terms for describing the spinal entity were named by 440 respondents. “Subluxation” was included in the preferred term of 294 respondents (67%), 46 included “dysfunction” (11%), 35 included “fixation” (8%) and 20 included “manipulable” (4.5%).

Conclusion: Chiropractors commonly use a variety of methods to identify the spinal entity that they manipulate. There is no consensus as to the preferred term for describing this entity.

Grant Value: $ 4,345
Chief Investigator: Dr Bruce Walker – Monash University
Status: Complete

Publications:

  • Journal of Manipulative and Physiological Therapeutics, Volume 20, Issue 9, November 1997, Page 583 – 589
    Walker BF, Buchbinder R. Most commonly used methods of detecting spinal subluxation and the preferred term for its description: a survey of chiropractors in Victoria, Australia.

Researcher Final Report: