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Other views of vertebral subluxation consider it consequent to a neurological response to physical, emotional, or environmental stress. The neurological response may precipitate or be precipitated by misalignment(s) between articulations of the spinal column or its immediate weight bearing components of the axial skeleton. The integrity of the nervous system is diminished as changes occur in morphology/oscillation/tension of the tissues occupying the neural canal and/or intervetebral foramina.

Vertebral Subluxation & Evidence-Based Practice

Evidence-based clinical practice is defined as “The conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual patients... (it) is not restricted to randomized trials and meta-analyses. It involves tracking down the best external evidence with which to answer our clinical questions.”138

This concept was embraced by the Association of Chiropractic Colleges in its first position paper. This paper stated:

Chiropractic is concerned with the preservation and restoration of health, and focuses particular attention on the subluxation.

A subluxation is a complex of functional and/or structural and/or pathological articular changes that compromise neural integrity and may influence organ system function and general health.

A subluxation is evaluated, diagnosed, and managed through the use of chiropractic procedures based on the best available

rational

and

empirical

evidence.

137

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

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