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Unfortunately, these criticisms were at times based on guidelines development literature published only after the CCP guides were created and distributed. This new literature was reviewed carefully and the recommendations incorporated into the current process of revision and updating.

In particular the panel found the article by Shaneyfelt et al particularly helpful.18 Many of the key elements outlined in the article were utilized in the development of the guidelines and are used as topic headings throughout this document. Table 1 summarizes these key elements.

Purpose of the CCP Guidelines

The CCP has developed practice guidelines for vertebral subluxation and one of the purposes of these guidelines is to provide the doctor of chiropractic with a “user friendly” compendium of recommendations based upon the best available evidence. The purpose is to facilitate, not replace, clinical judgment and ultimately to improve the quality of health care.

These guidelines are for informational purposes, utilization of these guidelines is voluntary and they are not intended to replace the clinical judgment of the chiropractor. It is acknowledged that alternative practices are possible and may be preferable under certain clinical conditions. The appropriateness of a given procedure must be determined by the judgment of the practitioner and the needs and preferences of the individual patient.

It is not the purpose or intent of these guidelines to provide legal advice, or to supplant any statutes, rules, and regulations of a government body having jurisdiction over the practice of chiropractic.

These guidelines address vertebral subluxation in chiropractic practice, and do not purport to include all procedures which are permitted by law in the practice of chiropractic. They do not purport to include the management of conditions or clinical findings other than vertebral subluxation and its components. Lack of inclusion of a procedure in these guidelines does not necessarily mean that the procedure is inappropriate for use in the practice of chiropractic. The reader is encouraged to consult other guidelines that address the application of chiropractic in other clinical situations.

Participation in the guidelines development process does not necessarily imply agreement with the final product. This includes persons who participated in the technique conferences, leadership conference, open forum, and peer review process. Listing of names acknowledges participation only, not necessarily approval or endorsement.


_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision

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