Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 17622
  Title Estimate of the number of treatment visits involving cervical spine manipulation carried out by members of the British and Scottish Chiropractic Associations over a one-year period
Journal Clin Chiropr. 2004 Dec;7(4):163-167
Peer Review Yes
Publication Type Article
Abstract/Notes Background context: Neck pain is a leading cause of morbidity and health care utilisation worldwide, and spinal manipulative therapy (SMT) has become an increasingly popular therapeutic approach for the treatment of mechanical neck disorders and headache. Within the UK, the chiropractic profession is one of the main providers for SMT, however, the frequency with which neck manipulations are carried out is unknown.

Purpose: To establish the number of annual patient visits at which at least one cervical manipulation treatment had been performed by practising members of the British (BCA) and Scottish (SCA) chiropractic associations.

Methods: A self-administered questionnaire was sent to 399 registered chiropractors chosen from the membership databases of the BCA and SCA. The chiropractors were asked to enter the total number of patient visits in which at least one cervical manipulation had been administered during a predetermined study week.

Results: A total of 291 questionnaires were returned (response rate 72.9%). Based on 281 usable data files, one BCA or SCA chiropractor performs on average a minimum of 40 cervical spine manipulations each week. Assuming that the average BCA/SCA chiropractor works for 49 weeks per year, this equates to 1975 treatment visits per year at which at least one cervical spine manipulation is administered. At the time the sample was taken for this study, a combined total of 1139 chiropractors were registered on the BCA and SCA databases. By extrapolation, the combined membership of the BCA and SCA, would therefore perform a minimum of 2,250,664 cervical spine manipulations or adjustments in 1 year.

Conclusions: This study, for the first time, established that, for 2003, the average BCA and SCA chiropractor administered a weekly minimum of 40 cervical spine manipulations and that, on an annual basis, a conservative estimate of 2.25 million cervical spine manipulations are carried out.

This abstract is reproduced with the permission of the publisher; full text by subscription. Click on the above link for the journal record.

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