TABLE OF CONTENTS
Spinal Adjustment and Spinal
Ethical and Professional Competent Review of Chiropractic
Low Force Adjustive Techniques
Spinal Sprain and Strain Injuries
Unethical Patient Recruitment
The Use of Anabolic Steroids
Immunization and Vaccination
The Use of X-ray in Chiropractic
Definitions Related to Radiological
Open Access to Chiropractic Licensure
The Multi-Disciplinary Practice
Organization Membership And Postgraduate Credentialing
Continuing Education: Certification and Diplomate Programs
Policy of "Manipulation"
The Right To Practice Chiropractic
Questionable Qualifier Terms
The International Chiropractors Association is the oldest national chiropractic
organization in the world. Established in 1926 by B.J. Palmer, the ICA represents
thousands of practitioners, educators, students and lay persons dedicated to the
The ICA brings together professionals with common goals and backgrounds and
provides them with benefits and services to enhance their personal growth and professional
development. It also represents and promotes the interests of chiropractic, chiropractors
and the patients they serve through advocacy, research and education.
The ICA has traditionally been and continues to be recognized as representing
the moderate voice of the chiropractic profession. Included in this handbook are policies
which have been approved by ICA's Board of Directors and the ICA Code of Ethics. This
handbook presents ICA's stand on the practice of chiropractic in their practices. It also
presents ICA's position on issues affecting the public health and the citizen's inherent
right of freedom of choice.
The ICA Code of Ethics is based upon the fundamental principles of moral and
professional behavior. The ICA recommends these principles be guiding factors for doctors
of chiropractic and that they follow and uphold this Code of Ethics at all times to ensure
the dignity and integrity of the chiropractic profession.
THE PRACTICE OF CHIROPRACTIC
Throughout its long history, the International Chiropractors Association has
sought to educate and inform the public, other health care professions and health
policy makers on the principles and definitions of chiropractic in order to foster a
broader understanding and acceptance of the profession. Equally important, the ICA has
sought to establish standards of ethical, technical and professional excellence as
guideposts for the Doctor of Chiropractic.
Vital to these endeavors is a clear, carefully reasoned and concise statement of
what the Board of Directors understands the basic principles and definitions of
chiropractic to be.
Building upon over a century of growth and experience, and in concert with
changing state legislation, court-mandated standards of care and enhanced educational
requirements, the Board of Directors of the International Chiropractors Association adopts
the following statement on the Practice of Chiropractic in an effort to update and clarify
the position of the ICA in a rapidly changing health care world.
I. The SCIENCE of chiropractic deals with the
relationship between the articulations of the skeleton and nervous system and the role of
this relationship in the restoration and maintenance of health. Of primary concern to
chiropractic are abnormalities of structure or function of the vertebral column known
clinically as the vertebral subluxation complex. The subluxation complex includes any
alteration of the biomechanical and physiological dynamics of contiguous spinal structures
which can cause neuronal disturbances.
- II. The PHILOSOPHY of chiropractic holds that the
body is a self healing organism and that a major determining factor in the development of
states of disease or dysfunction is the body's inability to comprehend its environment
either internally and /or externally. Directly or indirectly, all bodily function is
controlled by the nervous system, consequently a central theme of chiropractic theories on
health is the premise that abnormal bodily function may be cause by interference with
nerve transmission and expression due to pressure, strain or tension upon the spinal cord,
spinal nerves, or peripheral nerves as a result of a displacement of spinal segments or
other skeletal structures (subluxation).
- III. The ART of chiropractic pertains to the skill
and judgment required for the detection, location, analysis, control, reduction and
correction of primarily the vertebral subluxation complex. It also involves the
determination of any contraindications to the provision of chiropractic care to any
particular method of adjusting.
The ICA holds that the chiropractic spinal adjustment is unique and singular to
the chiropractic profession due to its specificity of application and rationale for
- IV. The DOCTOR OF CHIROPRACTIC is a portal of entry,
primary health care provider, and, as such, is well-educated in the basic, clinical and
chiropractic sciences and other health-related areas. This broad range of education is
taught within the context of the philosophy of science, principles, and ethics of
The Doctor of Chiropractic is trained in physical, clinical, laboratory,
analytical and diagnostic procedures, as well as in the monitoring of body functions thus
enabling him or her to responsibly and effectively care for his or her patient in health
and disease, to engage in timely consultation with other health care professionals, and to
refer and accept referrals when in the patients' best interest.
The International Chiropractors Association recognizes that the various state
legislatures have the right to grant Doctors of Chiropractic the option to qualify, and
thereafter utilize procedures which are not within the Association's view of the
parameters of the clinical application of traditional chiropractic.
While respecting individual and state rights, the International Chiropractors
Association holds that it is in the best interest of the chiropractic profession and the
consuming public to advocate and promote a standardized and consistent scope of practice
The International Chiropractors Association holds that the best interests of
both the public and the chiropractic profession are served by maintaining chiropractic as
a separate and distinct, drugless, non-surgical alternative form of health care, and as
such, does not include in its practice any form of allopathic or homeopathic
pharmaceutical prescription or surgery.
- V. The PRACTICE of chiropractic consists of the
analysis of interference with normal nerve transmission and expression produced by
abnormalities of one or more vertebral motor units or other skeletal structures and the
correction thereof by adjustment of these structures for the restoration and maintenance
of health , without the use of drugs or surgery. The ICA considers the therapeutic use of
drugs and surgery to be the practice of medicine. The term "analysis" in this
context includes the use of x-ray and other analytical instruments generally used in the
practice of chiropractic.
Chiropractic care utilizes the inherent recuperative powers of the body for the
restoration and maintenance of health through the normalization of the relationship
between the spinal musculoskeletal structures and the nervous system. Chiropractic science
recognizes that essentially only the body heals and, therefore, holds forth no cure for
- VI. The CLINICAL APPLICATION of chiropractic
includes the adjustment of the spinal vertebrae, the sacrum, the ilia, the coccyx and
other skeletal articulations; the use of analytical and diagnostic x-rays of the skeletal
system and of its adjacent tissues; those procedures necessary to interpret disorders of
the neuromuscular skeletal system and those conditions related thereto; and the use of
physical, clinical and laboratory diagnostic procedures to ascertain the nature of the
patient's problem and respond appropriately so as to secure the optimal care of the
patient. Inherent in this concept is the obligation to consult with or refer to other
health care providers before, during or after the rendering of chiropractic care, if in
his/her professional opinion, it is appropriate and in the best interest of the patient.
The Doctor of Chiropractic may elect to use appropriate ancillary and rehabilitative
procedures appropriate to the area of subluxation complex dysfunction in support of the
chiropractic adjustment, nutritional advice for the overall enhancement of the health of
the patient, and counsel for the restoration and the maintenance of health.
The Doctor of Chiropractic is educated in the basic clinical and chiropractic
sciences, in other health related subjects, and in appropriate physical, clinical,
laboratory and radiological investigative procedures. A Doctor of Chiropractic is
considered by the International Chiropractors Association to be a portal of entry, primary
The ICA holds that it is a basic responsibility of the doctor of chiropractic to
employ such diagnostic processes as are necessary in his or her professional judgment to
determine the need for care and, in particular, to detect the presence, location and
nature of chiropractic lesions (subluxation and attendant biomechanical, biochemical,
structural and neurophysiological problems, etc.) and prepare and administer an
appropriate course of care within the realm of chiropractic specialty.
In addition, Doctors of Chiropractic use diagnostic procedures for the purpose
- Determining appropriate case management.
- To ascertain the nature of the patient's problem and respond appropriately so as
to secure the optimal care for the patient. Inherent is this concept is the obligation to
consult with or refer to other health care providers before, during or after the rendering
of chiropractic care, if in his/her professional opinion, it is appropriate and in the
best interest of the patient.
- To Assess any subluxation complexes discovered in the patient along with related
biomechanical, biochemical and neurophysiological presentations.
- To identify any associated, aggravating or complicating conditions that are found
to exist concomitantly with the subluxation complexes.
- To administer a regimen of care and the response thereto which includes
appropriate monitoring of the body's physiology.
- Monitoring the effectiveness of chiropractic care.
- To monitor changes in the patient's condition and to determine whether or not
chiropractic care is answering the needs of the patient.
- To ascertain whether or not a significant reduction in previously detected
abnormal conditions is occurring.
- Provide the patient counseling and a prognosis for the
The ICA is committed to the concept that the chiropractic profession is a
specialized field in the health care delivery system and that its primary focus and
expertise in diagnosis relates to the functional alignment of the osseous structures of
the human body, particularly the spine, to determine the relationship of these structures
with the nervous system and how this relationship affects the restoration and preservation
The ICA holds that the chiropractic spinal adjustment is unique and singular to
the chiropractic profession. The chiropractic adjustment shall be defined as a specific
directional thrust that sets a vertebra into motion with the intent to improve or correct
vertebral malposition or to improve it juxtaposition segmentally in relationship to its
articular mates thus reducing or correcting the neuroforaminal/neural canal encroachment
factors inherent in the chiropractic vertebral subluxation complex.
The adjustment is characterized by a specific thrust applied to the vertebra
utilizing parts of the vertebra and contiguous structures as levers to directionally
correct articular malposition. Adjustment shall be differentiated from spinal manipulation
in that the adjustment can only be applied to a vertebral malposition with the express
intent to improve or correct the subluxation, whereas any joint, subluxated or not, may be
manipulated to mobilize the joint or to put the joint through its range of motion.
Chiropractic is a specialized field in the healing arts, and by prior rights,
the spinal adjustment is distinct and singular to the chiropractic profession.
SUBLUXATION AS AN
ACCEPTABLE PRIMARY DIAGNOSIS
Subluxation is a responsible and credible diagnosis for the doctor of
chiropractic and this condition should be recognized and reimbursed as a primary diagnosis
by all third-party payment organizations, both public and private.
The analytical/diagnostic determination of a subluxation indicates the need for
The unique, non-duplicative role of the Doctor of Chiropractic
as a primary health care provider is a product of the system of chiropractic education and
the licensing and regulatory authority of the states. The primary obligation of Doctors of
Chiropractic is to provide the highest quality of care to each patient within the confines
of their education and their legal authority. It is the position of the International
Chiropractors Association that this primary obligation includes recognizing when the
limits of skill and authority are reached. At that point, it is the ICA's position that
doctors in all fields of practice are ethically and morally bound to make patient
referrals to practitioners in other field of healing when such referrals are necessary to
provide the highest quality of patient care. This interchange of professional referrals
includes, but should not be limited to, doctors of medicine, osteopathy and chiropractic.
Doctors of Chiropractic are also obligated to receive referrals from other
health care providers, applying to those patients the same considerations for quality and
appropriateness of care as with any other patients. It is the position of the ICA that the
professional obligation to the patient includes honest, full and straightforward
communication with the referring provider on the issue of optimal patient care.
Furthermore, the Doctor of Chiropractic is ethically bound to accept only those patients
who have probability of satisfactory results.
The International Chiropractors Association
recognizes that infants suffer many birth traumas including traction, rotation and lateral
flexion of the head relative to the thorax. With the use of forceps, such forces can be
extreme (Towbin, 1969, Developmental Child Neurology). Forces of traction, rotation and
lateral flexion, etc., sustained by the cervical spine when the skull is used as a lever
during delivery, have been shown to subluxate the atlanto-occipital and atlanto-axial
joints (Gutmann, G, 1987, Manuelle Medizin).
It is also recognized that day-in, day-out trauma is a continual part of
childhood life which can create spinal misalignment and aberrant motor function.
Asymmetrical development is extremely rare in fetuses (Farfan, 1973), but is
actually a developmental process of growth due to asymmetrical stresses on growing
tissues. Abnormal posture and spinal misalignment cause abnormal stresses, strains
compression, tension, etc., on vertebral structures, para-spinal tissues, the pelvis and
lower extremities during development which may lead to permanent structural change and
spinal malformation, e.g. scoliosis. The ICA recommends the earliest possible evaluation,
detection and correction of chiropractic lesions (subluxation) in children, especially
infants, to maximize the potential for normal growth and development.
Of the challenges facing Doctors of
Chiropractic as we enter the new decade, few have greater ethical, operational or economic
importance than the issues of peer review, IMEs and the standards and methods employed by
insurance consultants to evaluate and make decisions on appropriateness of care in
insurance cases. Decisions by claims review personnel in the employ of insurance carriers
directly affect the continuation or termination of third-party payment of claims. The
emergence of an unregulated class of decision-makers and the imposition of their economic
authority between the Doctor of Chiropractic and the patient, raises serious questions
about quality of care and presents a potential threat to the professional autonomy and
status of the practitioner.
In response to expressions of concern from members, and in recognition of the
need to promote a better understanding of these issues, the ICA submits the following
statement of policy to the chiropractic profession and the insurance industry.
It is the hope of the ICA Board of Directors that this policy statement will
foster an expanded discussion of the issue of insurance consultants, and contribute to the
development of practical and effective administrative or legislative solutions through
which fair treatment in the process can be secured for patient and doctor of chiropractic
- The International Chiropractors Association recognizes that in the present health
care economy, peer review for appropriateness of care supplied by all classes of providers
is a necessary and established fact.
- It is the position of the ICA that, because of the unique and non-duplicative
nature of the science, art and philosophy of chiropractic, the decision of a doctor of
chiropractic on the care of a particular patient can only be accurately and competently
evaluated by another licensed doctor of chiropractic actively practicing in the same
- It is the position of the ICA that the review of patient case files to determine
the appropriateness of care in insurance claims is the practice of chiropractic and may
only be competently and ethically done by a licensed, practicing doctor of chiropractic.
- Doctors of Chiropractic reviewing case files to determine whether care should be
continued are obliged to bring the same technical, professional and ethical considerations
to that process as they would apply to a patient in their office. Furthermore, judgments
must be based on a complete evaluation of all records and files, the identity of the
provider being blinded.
- Independent physical examinations of insurance beneficiaries to determine
validity of claims must be performed by licensed, practicing doctors of chiropractic. The
patient must be given ample advance notice (no less than five working days), with the
treating doctor and his/her representative as well as the patient and his/her witness
having the right and opportunity to be present for the entire IME process.
- The treating doctor and his/her representative and the patient and his/her
witness have the right to record the IME process and have the right to receive a copy of
the IME doctor's report on a timely basis.
- The payment of doctors of chiropractic for reviewing insurance claims raises
serious ethical questions. The ICA acknowledges that there are circumstances under which
this is appropriate but holds that doctors of chiropractic who agree to accept a
percentage of claims reduced as compensation, or who enter into agreements guaranteeing to
reduce reviewed claims by an established percentage, have crossed an ethical boundary and
are engaging in unfair and grossly inappropriate behavior.
- The ICA holds that the licensing and regulatory boards in the various states are
the appropriate authorities through which to regulate the operations of insurance
consultants. The ICA shall support efforts undertaken by the chiropractic community to
legislate state certification of insurance review consultants, including programs of
education and certification via accredited chiropractic colleges. Furthermore, the ICA
supports the concept of certification based on state-approved standards as a basic
requirement for insurance claims review by doctors of chiropractic.
- The ICA shall seek to establish, in a cooperative effort with other national and
state chiropractic associations, an agreed statement of Insurance Review Principles and
Methods. Such a statement of practical and ethical guideline could then be communicated to
the insurance industry as the acceptable basis by which claims reviews might be conducted.
- Of particular concern to ICA is the degree to which insurance companies promote
the comprehensive nature of their products in vigorous marketing programs. In operation,
however, the plans often then seek to interpose care evaluation criteria based on their
own, often economically-based, standards. The gap between the provider's judgment and the
industry standard is then explained to the beneficiary as inappropriate or unnecessary
care. The chiropractic profession must demand truth in insurance marketing and accept no
standard that does not provide for the optimal care of the patient.
The ICA stands ready to cooperate in a broad-based, nationwide campaign on the
part of the chiropractic profession to establish insurance review procedures that are
ethically sound, economically fair, and which will ensure that the insurance industry and
the chiropractic profession can collectively meet the legitimate health care needs of the
The International Chiropractors
Association recognizes chiropractic techniques that utilize low force adjustments and soft
tissue contacts to achieve correction of the varied components of the subluxation complex.
Such techniques, when utilized in attempts to reduce and stabilize biomechanical lesions
through alteration of the biodynamics of the musculosketal system, are recognized as part
of chiropractic practice.
Inherent in most spinal sprain and
strain injuries, there exists a biomechanical, neurological component of articular
malposition referred to chiropractically as subluxation. Such subluxation, if not
addressed and merely treated with soft tissue therapeutics and/or joint immobilization
forms of care, may lead to joint fixation and/or instability and loss of motor unit
It is the opinion of the International Chiropractors Association that in such
injuries evidence of the chiropractic vertebral subluxation complex should be analyzed
and, if present, be corrected by specific chiropractic articular adjustment before
immobilization procedures are applied. Lack of such correction of articular misalignment
(subluxation) may result in permanent impairment, for waiting more than an hour, much less
days, may lead to joint fixation, motion impairment, neurological insult and/or
hypermobility of the intervertebral motor unit. Adjustive reduction of the articular
subluxation must be accomplished with due regard to soft tissue injury, attempt to enhance
recovery and contribute to the prevention of future joint motion impairment, neurological
impairment and deteriorative pathological consequences.
Chiropractors Association holds that Thermography or thermal diagnostic analysis has been
an integral part of chiropractic since the 1930's. It is valid diagnostic modality in the
practice of chiropractic.
The International Chiropractors Association further recognizes the value of
thermographic examination and protocol procedures, having been established in refereed,
peer-reviewed scientific journals, as well as being taught and used under the auspices of
CCE accredited chiropractic colleges.
It is the position of the International Chiropractors Association that
Thermography studies are a reasonable and customary method of chiropractic examination to
evaluate the autonomic components of the vertebral subluxation complex, when clinical need
for the study has been established by the attending doctor of chiropractic.
Dynamic Spinal Visualization or Cineradiography is the specific, chiropractic,
radiographic procedure, study, and interpretation of the dynamics and kinetic properties
of the spinal column and it immediate articulations.
The International Chiropractors Association holds that videofluoroscopy, also
known as cineradiography or dynamic spinal visualization, is a technology that is
especially useful in the observation, determination and classification of kinetic
irregularity as seen in the vertebral subluxation complex. A significant body of valid
scientific literature has been found to support this conclusion.
The International Chiropractors Association officially recognizes
videofluoroscopy to be an acceptable part of chiropractic care for the doctor of
chiropractic who is trained in this procedure.
Chiropractors Association recognizes that in the highly competitive modern health care
economy, the doctor of chiropractic often must engage in public education, various methods
of practice promotion and, perhaps, advertising, to establish and maintain a viable
practice. The ICA further recognizes that this process is a difficult and challenging one.
The difficulty of the marketing task, however, does not absolve the doctor of chiropractic
from maintaining the highest ethical and professional standards in the marketing process.
The International Chiropractors Association holds that the enticement of
potential patients into any chiropractic clinic or office on the basis of the assertion or
representation to the potential patient that research will or is being conducted, at no
charge to that subject patient, is inherently suspect. The ICA further holds that attempts
to convert such "research subjects" into paying patients, either via
self-payment or through third-party payers, represents unethical behavior contrary to the
interest of the consumer, the chiropractic profession and the insurance system.
ICA recognizes the danger such schemes hold for the chiropractic profession at
large and the damage these unethical and repugnant activities can and will do to public
perception of the integrity and reliability of the chiropractic profession as a whole.
The ICA encourages appropriate authorities to carefully examine patient
recruitment schemes that contain the elements of deception and misrepresentation embodied
in such research-practice promotion schemes, and take such action as is appropriate to
protect the public.
of anabolic steroids presents a serious health hazard to athletes of all age groups. The
use of such growth and performance drugs is rapidly on the rise in all forms of sports.
The easy availability of such drugs from illegal sources is increasing to feed a growing
The International Chiropractors Association recognizes the hazards presented by
the illegal distribution and use of anabolic steroids and other related drugs and strongly
encourages doctors of chiropractic to incorporate factual information on this problem, as
appropriate, in patient and community education programs.
The ICA supports strong legislation to deter the distribution and use of these
substances and urges a vigorous program of education be undertaken by public health
authorities. The ICA pledges to do all it can as a responsible professional society, to
educate the public both to the damages of steroid use and to the benefits of drug-free
countries of the world are facing an increasingly complex and serious problem with respect
to the delivery of pure drinking water to their citizens.
The addition of any medication or substance to public drinking water constitutes
a form of mass medication.
The proponents of artificial water fluoridation have not proven it to be safe
and/or without possible cause of future bodily harm.
The International Chiropractors Association considers public water fluoridation
to be possibly harmful and deprivation of the rights of citizens to be free from unwelcome
mass medication. The ICA is opposed to the addition of fluoride in any of its forms to the
drinking water supplies of our nation's cities and municipalities.
International Chiropractors Association recognizes that the use of vaccines is not without
The ICA supports each individual's right to select his or her own health care
and to be made aware of the possible adverse effects of vaccines upon a human body. In
accordance with such principles and based upon the individual's right to freedom of
choice, the ICA is opposed to compulsory programs which infringe upon such rights
The International Chiropractors Association is supportive of a conscience clause
or waiver in compulsory vaccination laws, providing an elective course of action for all
regarding immunization, thereby allowing patients freedom of choice in matters affecting
their bodies and health.
ICA holds that the major clinical concern of the doctor of chiropractic, in respect to his
or her realm of specialized health care, is the detection, location, analysis, control,
reduction and correction of the vertebral subluxation.
X-ray is a primary diagnostic/analytical tool in the detection of subluxation,
in determining segmental mobility/immobility and in ascertaining the reduction and/or
correction of subluxation(s) and spinal distortions.
The ICA holds that the use of x-rays by the doctor of chiropractic, when
clinically indicated, is common practice necessary in diagnosis, analysis, prognostic
evaluation and in the evaluation of subluxation location, correction, reduction and total
Plain film x-rays of the human body structures, primarily of the spine, should
be taken only for clinical reasons as determined by the chiropractor. Original x-rays,
being a part of the patient's clinical record, should not be released from the patient's
file. Copies can be requested by the patient or third party payers.
The doctor of chiropractic may perform radiographic studies of the spine and
other body articulations to accomplish one or more of the following:
- Evaluation of the biomechanical components of the vertebral subluxation
complex(es) in terms of misalignment(s) and shifts in particular body planes;
- Determination of biomechanical distortion in terms of articular misalignments,
curvatures which might be related to vertebral subluxation complex(es);
- Provision of a documented source of significant radiological findings which can
be described in terms of changes in size, shape and density in order to be categorized
either as congenital, developmental, traumatic, degenerative or pathological'
- A prioritization of these radiological finding as to their significance in case
management, in terms of:
- any necessary modifications of the chiropractic adjustment or contraindications
to certain chiropractic techniques; and/or
- whether referral to another health care provider is appropriate;
- Assessment of subluxation reduction or correction and subsequent stabilization;
- Serial evaluations of spinal curvatures;
- Determination of the appropriate prognosis; and
- Addressing any sudden loss or reduction of efficacy of the care plan that would
indicate a change in the patient's condition.
Any spinal or biomechanically-related radiological findings which have developed
either previously to, in conjunction with, or independently of the principal chiropractic
diagnostic entities (vertebral Subluxations) and other structural distortions constitute
complication factors of the chiropractic diagnosis. These radiological findings can derive
from traumatic, metabolic, infections, degenerative, autoimmune, malignant, congenital,
developmental, and/or compensatory origins. These findings are significant because they
exacerbate vertebral Subluxations and may therefore interfere with or retard their
adjustment studies can be performed in order to assess the vertebral subluxation's
reduction or correction and its subsequent stabilization.
A serial evaluation can be performed in order to monitor biomechancially-related
radiological findings (i.e. structural distortions, curvatures, area (s) of vertebral
hypomobility, which have developed either previously to, in conjunction with, or
independently of vertebral Subluxations.
X-rays commonly taken in chiropractic practice include but are not limited to
- full spine radiographic studies
- cervical spine radiographic studies
- thoracic spine radiographic studies
- lumbar spine (and/or pelvic) radiographic studies
- upper extremity radiographic studies
- lower extremity radiographic studies
OTHER RADIOGRAPHIC STUDIES
Interpretation of radiographic studies performed elsewhere
When radiographs have been taken by another chiropractor, hospital or physician,
the role of the chiropractor is to review the radiological findings and to analyze the
biomechanical components of the vertebral Subluxations in terms of vertebral
misalignment(s) and shifting movement(s) in particular body planes, as well as to evaluate
structural distortions (i.e. articular misalignments, spinal curvatures).
Digital radiographic mensuration (per spinal region)
Digital radiographic mensuration is a biomechanical analysis technique.
Anatomical landmarks from plain film radiographic studies are recorded in a computer
program for the assessment of the biomechanical components of the vertebral subluxation(s)
and spinal distortions. The computer's analysis compares the computerized biomechanical
model to the patient's data and generates a report
Unlisted radiographic study.
International Chiropractors Association supports the principle of free and open licensure
for qualified candidates in all states and jurisdictions. Furthermore, the ICA holds that
any licensing authority which restricts access to licensure for qualified graduates for
political reasons or restricts competition in a state or jurisdiction is in violation of
the public trust and is engaging in grossly unfair behavior at the expense of the consumer
and the chiropractic profession.
International Chiropractors Association recognizes that doctors of chiropractic may employ
or be employed by other licensed professionals, but that the establishment of such
relationships solely for the purpose of insurance or other payment raises serious ethical
International Chiropractors Association holds that it is inappropriate to require initial
membership, and/or continued membership in a political organization to receive, hold, or
maintain a postgraduate specialty certification or diplomate in chiropractic.
International Chiropractors Association holds that all chiropractic graduate education,
continuing education, certification and diplomate programs; and independent education
programs intended to advance the knowledge and skill of chiropractic practitioners and
chiropractic students, should be provided only to chiropractors holding a D.C. degree
granted by an accredited chiropractic college or to chiropractic students enrolled in an
accredited chiropractic college.
Programs promulgated and presented through accredited chiropractic colleges, and those
given by independent chiropractic educators, researchers, clinicians and technique
developers are intended for chiropractors and chiropractic students who possess baseline
knowledge that can only be obtained through a formal chiropractic education. Such courses
are not intended for those with no formal education in a doctor of chiropractic program.
The ICA holds that it is the responsibility of those providing such programs to carefully
monitor the participants to determine their status as chiropractic students of doctors of
Practitioners of other healing professions, therapists, lay people and anyone not enrolled
or a graduate of an accredited chiropractic college lack basic chiropractic skills and
information to properly utilize materials taught in postgraduate educational programs.
Attempting to utilize such information in their practice could be detrimental to patients
and under many circumstances could be nothing less than fraudulent.
International Chiropractors Association holds that within the armamentarium of
chiropractic techniques efficient methods exist that address the pain profiles of even the
most sensitive patient.
Furthermore, the chiropractic adjustment relies on the body's own inherent
constructive survival mechanisms to innately accomplish adjustic correction.
In light of the above considerations, the International Chiropractors
Association holds that anesthesia is inappropriate and unnecessary to the deliverance of a
Animal adjusting can, in many situations, be an effective and humane service.
Many doctors of chiropractic, through their own experiences, testify as to the beneficial
results of adjustments and as D.D. Palmer stated, chiropractic care applies to "all
vertebrata". The chiropractic adjustment of subluxations in animals applies to their
ills in the same manner as in humans. Recognizing the above considerations, the ICA
recommends that such services should be provided by chiropractors in accordance with
International Chiropractors Association has been alerted to attempts within healing arts
institutions to train health care providers other than chiropractors to deliver
chiropractic vertebral adjustments. Such efforts jeopardize the boundaries between the
healing arts professions. Competent expertise cannot be gained through such
"short" courses and they pose a danger to the health care consumer. The
International Chiropractors Association holds that the only person legally allowed to
provide chiropractic care should be one who has graduated with a Doctor of Chiropractic
degree granted by a Council on Chiropractic Education accredited chiropractic institution
or equivalent and who has passed the Boards required for licensure in the jurisdiction in
which he/she practices. The International Chiropractors Association holds that no
institution or entity should purport to prepare a practitioner to deliver the chiropractic
adjustment without filling the above stated requirement.
THROUGH SUBSTANCE ABUSE
impairment of a doctor of chiropractic through chemical dependence (drug or alcohol
addiction) represents a potentially serious threat to the delivery of quality care and to
public confidence in the chiropractic profession at large. ICA holds that it is the
responsibility of doctors of chiropractic suffering from such conditions to seek
appropriate professional help for reasons of personal health and professional reliability.
Furthermore, the ICA holds that ethical professional peers should make every effort to
assist doctors of chiropractic who are known to them to be impaired through chemical
dependency to obtain appropriate professional help in confidence and with dignity.
While encouraging chiropractic postgraduate education and chiropractic diplomate
programs, the International Chiropractors Association holds that Diplomate Programs are
not chiropractic specialties and qualifier terms used in conjunction with the title
chiropractor or the term chiropractic that imply specialization or skill in another health
care field is inappropriate. Such usages serves to confuse the public's perception of
chiropractic and is not in the public's and the profession's best interest.