Government inquiries, as well as independent investigations, have affirmed
that today's chiropractic academic training is of equivalent standard to medical
training in all pre-clinical subjects. The Council on Chiropractic Education
(CCE) and its Commission on Accreditation, as recognized by the U.S. Department
of Education, maintain high standards in chiropractic education.
Postdoctoral training in a variety of clinical disciplines and specialties is
available through accredited colleges and specialty councils. Postgraduate
Applied Chiropractic Sciences
Chiropractic is one of many occupations that are regulated by state licensing
agencies. The requirements for chiropractic licensure vary from state to state
(and country to country). Some states require a Bachelor's degree as a
prerequisite for licensure.
To assist the various regulatory agencies in assessing candidates for
licensure, the National Board of Chiropractic Examiners (NBCE) develops and
administers examinations to individuals currently in the chiropractic
educational system or who have completed a chiropractic education program. The
NBCE also offers an examination designed for previously licensed individuals. A
candidate for licensure may request that transcripts of scores from NBCE
examinations be forwarded to licensing agencies that assess eligibility for
Scores from NBCE examinations are made available to licensing agencies
throughout the U.S. and to many licensing authorities outside the U.S.
(NOTE: The NBCE does NOT distribute copies of the studies cited. These
must be obtained from the publisher or distribution source.)
Aker, Peter D., Anita R. Gross, Charles H. Goldsmith, and Paul Peloso. 1996.
"Conservative Management of Mechanical Neck Pain: Systematic Overview and
Meta-analysis." British Medical Journal 313 (23
Anderson, Robert, William C. Meeker, Brian E. Wirick, Robert D. Mootz, Diana
H. Kirk, and Alan Adams. 1992. "A Meta-Analysis of Clinical Trials of Spinal
Manipulation." Journal of Manipulative and Physiological
Therapeutics 15, no. 3: 181-194.
Astin, John A. 1998. "Why Patients Use Alternative Medicine." Journal of the American Medical Association 279, no. 19:
Bigos S, Bower O, Braen G, et al.
Acute Low Back Problems in Adults. Clinical Practice Guideline No. 14.
Rockville, MD: Agency for Health Care Policy and Research,
Public Health Service, U.S. Department of Health and Human Services; 1994
Blunt, Kelli L., Moez H. Rajwani, and Rocco C. Guerriero. 1997. "The
Effectiveness of Chiropractic Management of Fibromyalgia Patients: A Pilot
Study." Journal of Manipulative and Physiological
Therapeutics 20, no. 6: 389-399.
Boline, PD, Kassak, K, Br7nfort, G, Nelson, C, and Anderson, AV.
Spinal Manipulation vs. Amitriptyline for the Treatment of Chronic Tension-type Headaches:
ndomized Clinical Trial
J Manipulative Physiol Ther 1995 (Mar); 18 (3): 148–154
Brin, Dinah Wisenberg, July 2 1998, "Study Credits Chiropractors with Right
Procedures," The Scranton Times, 14+.
Bronfort, Gert. 1999. "Spinal Manipulation: Current State of Research and Its
Indications." Neurologic Clinics of North America 17,
no. 1: 91-111.
Cassidy, J. David, Haymo W. Thiel, and William H. Kirkaldy-Willis. 1993.
"Side Posture Manipulation for Lumbar Intervertebral Disk Herniation." Journal of Manipulative and Physiological Therapeutics 16,
no. 2: 96-103.
Cherkin, Daniel C., and Frederick A. MacCornack. 1989. "Patient Evaluations
of Low Back Pain Care from Family Physicians and Chiropractors." Western Journal of Medicine 150 (March): 351-355.
"Chiropractors File Supreme Court Response to AMA's Requests for Review."
1990. Press Release. November 5. Chicago, Illinois.
Davis, P. Thomas, James R. Hulbert, Kassem M. Kassak, and John J. Meyer.
1998. "Comparative Efficacy of Conservative Medical and Chiropractic Treatments
for Carpal Tunnel Syndrome: A Randomized Clinical Trial." Journal of Manipulative and Physiological Therapeutics 21,
no. 5: 317-326.
DiFabio, R.P. 1992. "Efficacy of Manual Therapy." Physical
Therapy 72, no. 12: 853-864.
Ebrall, Phillip S. 1992. "Mechanical Low-Back Pain: A Comparison of Medical
and Chiropractic Management within the Victorian WorkCare Scheme." Chiropractic Journal of Australia 22, no. 2: 47-53.
Eisenberg, David M., Roger B. Davis, Susan L. Ettner, Scott Appel, Sonja
Wilkey, Maria Van Rompay, and Ronald C. Kessler. 1998. "Trends in Alternative
Medicine Use in the United States, 1990-1997: Results of a Follow-up National
Survey." Journal of the American Medical Association
280, no. 18: 1569-1575.
Eisenberg, David M., Ronald C. Kessler, Cindy Foster, Francis E. Norlock, Dav
R. Calkins, and Thomas L. Delbanco. 1993. "Unconventional Medicine in the United
States." New England Journal of Medicine 328, no. 4:
Hack, D.G., G. Dunn et al. 1998. "The Anatomist's New Tools." 1998 Medical and Health Annual.
Chicago: Encyclopaedia Brittanica, Inc.
Howe, D. H., R. G. Newcombe, and M. T. Wade. 1983. "Manipulation of the
Cervical Spine-A Pilot Study." Journal of the Royal College
of General Practitioners 33: 574-579.
Hurwitz, Eric L., Peter D. Aker, Alan H. Adams, William C. Meeker, and Paul
G. Shekelle. 1996. "Manipulation and Mobilization of the Cervical Spine: A
Systematic Review of the Literature." Spine 21, no.
Klougart, Niels, Niels Nilsson, and Jens Jacobsen. 1989. "Infantile Colic
Treated by Chiropractors: A Prospective Study of 316 Cases." Journal of Manipulative and Physiological Therapeutics 12,
no. 4: 281-288.
Koes, Bart W., Lex M. Bouter, Henk van Mameren, et al. 1992. "A Blinded
Randomized Clinical Trial of Manual Therapy and Physiotherapy for Chronic Back
and Neck Complaints: Physical Outcome Measures." Journal of
Manipulative and Physiological Therapeutics 15, no. 1: 16-23.
Koes, Bart W., Lex M. Bouter, Henk van Mameren, et al. 1992a. "Randomised
Clinical Trial of Manipulative Therapy and Physiotherapy for Persistent Back and
Neck Complaints: Results of One Year Follow Up." British
Medical Journal 304 (7 March): 601-605.
Landmark Healthcare, Inc. 1998. The Landmark Report on
Public Perceptions of Alternative Care. Sacramento, CA: Landmark
Landmark Healthcare, Inc. 1999. The Landmark Report II on
HMOs and Alternative Care. Sacramento, CA:Landmark Healthcare, Inc.
Manga, Pran, Doug Angus, Costa Papadopoulos, and William Swan. 1993. The Effectiveness and Cost-Effectiveness of Chiropractic Management
of Low-Back Pain. Ottawa: University of Ottawa.
Manga, Pran, and Doug Angus. 1998. Enhanced Chiropractic
Coverage under OHIP as a Means of Reducing Health Care Costs, Attaining Better
Health Outcomes and Achieving Equitable Access to Health Services.
Meade, T. W., S. Dyer, W. Browne, J. Townsend, and A. O. Frank. 1990. "Low
Back Pain of Mechanical Origin: Randomized Comparison of Chiropractic and
Hospital Outpatient Treatment." British Medical
Journal 300, no. 6737: 1431-1437.
Micozzi, Mark. 1998. "Complementary Care: When is it Appropriate? Who Will
Provide It?" Annals of Internal Medicine 129: 65-66.
Mitchell, Barry S., B. Kim Humphreys, and Elizabeth O'Sullivan. 1998.
"Attachments of the Ligamentum Nuchae to Cervical Posterior Spinal Dura and the
Lateral Part of the Occipital Bone." Journal of Manipulative
and Physiological Therapeutics 21, no. 3: 145-48.
Mosley, Carrie D., Ilana G. Cohen, and Roy M. Arnold. 1996.
"Cost-Effectiveness of Chiropractic Care in a Managed Care Setting." American Journal of Managed Care 2, no. 3: 280-282.
Nilsson, Niels, Henrik Wulff Christensen, and Jan Hartvigsen. 1997. "The
Effect of Spinal Manipulation in the Treatment of Cervicogenic Headache." Journal of Manipulative and Physiological Therapeutics 20,
no. 5: 326-330.
Ottenbacher et al. 1985. "Efficacy of Spinal Manipulation/Mobilization
Therapy: A Meta-analysis. Spine 10, no. 9: 833-837.
Shekelle, Paul. G., Alan H. Adams, Mark R. Chassin, Eric L. Hurwitz, and
Robot H. Brook. 1992. "Spinal Manipulation for Low-Back Pain."
Annals of Internal Medicine 117, no. 7: 590-598.
Stano, Miron, and Monica Smith. 1996.
Chiropractic and Medical Costs of Low Back Care
Medical Care 1996 (Mar); 34 (3): 191–204
Stano, Miron. 1993. "A Comparison of Health Care Costs for Chiropractic and
Medical Patients." Journal of Manipulative and Physiological
Therapeutics 16, no. 5: 291-299.
Stano, Miron, Jack Ehrhart, and Thomas J. Allenburg. 1992. "The Growing Role
of Chiropractic in Health Care Delivery." Journal of American
Health Policy (November/December): 39-45.
Triano, John J., Marion McGregor, and Dennis R. Skogsbergh. 1997. "Use of
Chiropractic Manipulation in Lumbar Rehabilitation." Journal
of Rehabilitative Research and Development 34, no. 4: . 394-404.
Van Tulder, Maurits W., Bart W. Koes, and Lex M. Boater. 1997. "Conservative
Treatment of Acute and Chronic Nonspecific Low Back Pain: A Systematic Review of
Randomized Controlled Trials of the Most Common Interventions."
Spine 22, no. 18: 2128-2156.
Verhoef, Maria J., Stacy A. Page, and Stephen C. Waddell. 1997. "The
Chiropractic Outcome Study: Pain, Functional Ability and Satisfaction with
Care." Journal of Manipulative and Physiological
Therapeutics 20, no. 4: 235-240.
Wiberg, Jesper M. M., Jan Nordsteen, and Niels Nilsson. 1999. "The Short-term
Effect of Spinal Manipulation in the Treatment of Infantile Colic: A Randomized
Controlled Clinical Trial with a Blinded Observer." Journal
of Manipulative and Physiological Therapeutics 22, no. 1: 13-16.
Wilk et al. vs. American Medical Association et al., U.S. District Court
(Northern District of Illinois Eastern Division) No. 76 C 3777, Getzendanner J,
Opinion dated August 27, 1987.
Wolk, Steve. 1988. "An Analysis of Workers' Compensation Medical
Claims for Back-Related Injuries." ACA Journal of
Chiropractic (July): 50-59.
National Board of Chiropractic Examiners
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