There have historically been groups of chiropractors in the profession that choose to practice in various ill defined categories where scope is the limiting or expanding factor. These various groups are becoming more clearly defined and as a result of this, more specific guidelines such as these that seek to address vertebral subluxation only, are extremely important.64 The importance is manifested when chiropractors or organizations dialogue with payor groups, the government, legal issues/groups and especially the consumers of chiropractic services. Recent accreditation and legal issues confronting the chiropractic profession only serve to heighten the importance of these distinctions and the importance of guidelines that address them. 65,66
The importance of a guideline that addresses vertebral subluxation is also illustrated by the widespread adoption of the Association of Chiropractic Colleges Paradigm Statement.67 This Statement was discussed briefly in the 1998 CCP Guidelines publication, however since that time this Statement, developed and signed by the Presidents of all of the North American Chiropractic Colleges, has enjoyed unprecedented endorsement throughout the chiropractic profession.68 It has received such widespread support that some have remarked that never in the history of the profession has there been this extent of agreement on anything. This statement has been endorsed and/or adopted by every major national and international chiropractic organization in the profession including:
The World Chiropractic Alliance The Council on Chiropractic Practice The Council on Chiropractic Education The International Chiropractor's Association The American Chiropractor's Association The World Federation of Chiropractic The Congress of Chiropractic State Associations The Association of Chiropractic Colleges The Foundation for Chiropractic Education & Research The Federation of Chiropractic Licensing Boards National Board of Chiropractic Examiners The National Association of Chiropractic Attorneys
The Paradigm Statement defines the responsibility of chiropractors to include the detection and correction of vertebral subluxation and its resultant neurological interference. The existence of subluxation is in accordance with this paradigm statement and the ACC defines the purpose, principles and practice of chiropractic as the finding and reduction of vertebral subluxations, which will prevent and restore health by removing interference to the body's inherent recuperative powers.
_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision