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Quarterly World Report APRIL 2021

Carlos Ayres named as new WFC President

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WFC News Education news Research news World news and more!


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3 PRESIDENT'S MESSAGE

Tak in g ou r r igh t f u l place in h ealt h car e As the first WFC President from the Latin American region, it is a huge honor to be taking the helm of this organization at such an important time. As we emerge from what will almost certainly be the most challenging period of our professional and personal lives, chiropractors around the world will be pressing the reset button and looking ahead to a future of success and prosperity. How can I be confident of this? Well, history has shown the chiropractic profession to be both strong and resilient in the face of adversity. Chiropractors, so often misunderstood, misrepresented and mischaracterized, remain true to their purpose and dedicated to their patients. We have already seen that in those countries where lockdown restrictions have been lifted, patients are flooding back into chiropractic offices and clinics and are expressing utter relief that they are again able to benefit from the care and compassion that only visiting their doctor of chiropractic provides. Covid-19 has been a brutal experience for many, and the surge in the incidence of neuromusculoskeletal disorders is testament to home confinement and suboptimal working conditions. Throughout this period, the WFC has remained connected to its Members, national associations of chiropractors, who have dealt magnificently with the pressures of memberships fearful for their futures. We have witnessed the pressure that association executives are under as they grapple with public health directives and have seen their unwavering dedication to serving the chiropractic profession. Support and empowerment are the first and second of our four strategic pillars. They are key reasons why the WFC was formed and why it continues to be the voice of the chiropractic profession worldwide. Our third strategic pillar is promotion of the profession. There are so many positive elements to chiropractic, and it saddens me when those within our profession choose to spend time focusing on

Dr Carlos Ayres the minority whose conduct and ethics are below the standards the profession sets for itself. Every day, millions of people around the world benefit from chiropractic care that enables them to enjoy happier, healthier and more active lives. Advancement is the fourth pillar. As we continue to support and endorse our #BeEPIC brand, we must focus on continuous improvement. As we embrace evidence-based practice and ensure that people are at the heart of everything we do, so must we commit ourselves to integration. We must break down silos and contribute to a shared understanding and willingness to work with other health disciplines. The future is collaborative, both within and outside the profession. Let us resolve to take our rightful place in healthcare and discharge those responsibilities that come with it. Together, we can seize the future with great optimism. CA


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Fr om t h e Boar dr oom The WFC Board of Directors met on February 16, 2021. It was the first meeting since the Board elected Dr Carlos Ayres to the presidency and he thanked his fellow directors for the trust they had placed in him by his appointment. In reporting to the Board, the Secretary-General gave an overview of his activities, noting in particular that he had been in communication with numerous association leaders, many of whom expressed appreciation that the WFC was keeping iin touch and reaching out during what remained a challenging environment. As part of its continuous development, the Board was advised that governance training had been arranged and would be delivered later in the year. As part of good governance of

the WFC, the Board received an organizational risk register and undertook to review this at all future meetings. The Board approved two position papers: (1) claims of effectiveness, cure and prevention made by chiropractors and (2) support of globally and scientifically accepted healthcare practices by chiropractors. The Board agreed that these position statements were both timely and relevant and noted that they were consistent with many of the WFC's existing 20 Principles. The Board received from the auditor a draft copy of the financial statements for the year to December 31, 2020, noting that careful stewardship had prevented a deficit being recorded. The statements were duly adopted by the Board.

In respect of future meetings and events, the Board received a report from the Secretary-General about the forthcoming WFC Biennial Congress 2021, which is now being held virtually with the support of Parker Seminars. With international travel still being seriously curtailed, it noted that WFC representation was being conducted through participation in online events. The Board was advised that the first meeting of the new expanded Research Committee had taken place and that future meetings would set a clear agenda for its future work. Finally, the Board noted the appointment of Dr Michele Maiers to the presidency of the American Chiropractic Association, and congratulated her on her appointment

OUR PEOPLE WFC BOARD OF DIRECTORS

RESEARCH COMMITTEE

Carlos Ayres (President)

Latin American Region

Christine Goertz DC, PhD (Chair)

Michele Maiers (Vice President)

North American Region

Kei Takeyachi (Secretary-Treasurer)

Asian Region

Kendrah da Silva

African Region

Efstathios Papadopoulos

Eastern Mediterranean Region

Gian Joerger

European Region

Vivian Kil

European Region

Ryan Coster

North American Region

DISABILITY & REHABILITATION COMMITTEE

Glenn Guilderson

North American Region

Richard Nicol (Interim Chair)

John Maltby

North American Region

Holly Tucker

North American Region

Andrew Lawrence

Pacific Region

Corrian Poelsma

Pacific Region

USA

PUBLIC HEALTH COMMITTEE Claire Johnson DC, MS, PhD (Chair)

SECRETARIAT Richard Brown DC, LL.M (Secretary General) Khalid Salim (Finance & Administration Manager) Sarah Villarba (Administrative Assistant)

USA

Switzerland


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6 SECRETARY-GENERAL'S MESSAGE

Hope sh in es at t h e en d of a dar k t u n n el It is one of the enduring characteristics of the chiropractic profession that its members are often, by nature, optimists. Throughout its relatively short, but tortuous history, it has emerged from periods of challenge and adversity with a renewed vigor, ready to pursue its purpose and communicate hope and aspiration. 'Hope Springs Eternal', wrote Alexander Graham Pope back in 1732 in his Essay on Man. Throughout this dark period, chiropractors have navigated unprecedented challenges with the same spirit that our forefathers summoned up to resist persecution and incarceration a century ago. They have displayed courage, selflessness, and determination to ensure that their patients and communities remained well served even through the most difficult of times. As programs of vaccination roll out in nations around the world, there is, at last, a bright light at the end of what has been a dark tunnel. We mourn, with great sadness, the passing of so many - friends, colleagues and relatives - from this terrible virus, but we must look to the future and the opportunities that will spring forth like green shoots peeking out from a barren wasteland.

voices to be heard and understood. Representatives from our 7 world regions form the WFC Board of Directors and bring with them the experiences of chiropractic on all continents. With perspectives shaped from both outstanding achievement and bitter experience, the WFC serves as a forum for all, where the mission of advancing awareness, utilization and integration of chiropractic is at the forefront of everything we do. As our planet recovers from the devastating tragedy of Covid-19, we must come together to build a picture of tomorrow's chiropractic. More importantly, we must plot the steps that we will need to take to ensure that hope becomes reality. For our great profession, the hope that we can realistically aspire to is that, despite our differences, we can work together on agreed outcomes and make sure that things are better tomorrow than they are today; this is what it is to be a community. RB

But for hope to truly spring eternal, we must work together as a global community. It is often said that is is perfectly acceptable to disagree, but not to be disagreeable. The weaponization of journal publications, video blogs and social media in pitching one part of the profession against the other has been divisive and unhelpful. As we emerge from the darkness of the pandemic, we must seize the opportunity to discover a mutual understanding and a willingness to engage in positive dialogue. A respect for cultural norms and differences is one of the fundamental tenets of diplomacy. The imposition of beliefs of one culture on another has been at the root of all conflicts since time immemorial. The WFC provides a platform for all

Dr Richard Brown, WFC Secretary-General


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CONTACTING THE WFC Wr it e t o u s: World Federation of Chiropractic 160 Eglinton Avenue East (Suite 601) Toronto, Ontario M4P 3B5, Canada Call u s: +1 416 484 9978 Em ail u s: General enquiries

info@wfc.org

Richard Brown

rbrown@wfc.org

Khalid Salim

ksalim@wfc.org

Sarah Villarba

svillarba@wfc.org

NEWS ITEM S The WFC welcomes news items, digital images and feature stories to include in the QWR. Send all submissions QWR@wfc.org. Please note all submissions may be subject to editing.

QWR ADVERTISING OPPORTUNITIES Full page color US$995 Half page color US$595 Quarter page color US$395 A discount of 10% is applied to orders for multiple issues of the Quarterly World Report. The WFC Quarterly World Report is published on January 1, April 1, July 1 and October 1 of each year. Advertising copy, in high resolution pdf or jpeg format, is required fifteen days in advance of the publication date. The World Federation of Chiropractic reserves the right to decline advertising. Inclusion of any advertising in the WFC Quarterly World Report does not in any way imply endorsement of any product or service.

Video an d podcast ser ies sh ow casin g t h e Wor ld of Ch ir opr act ic The WFC's new World of Chiropractic (WoC) video and podcast series is receiving positive reviews from viewers across the globe. Hosted by Dr Rebekah Wilks, WoC interviews leaders from around the world, giving a unique perspective on the social determinants and characteristics of practicing in different continents. The series kicked off in January with Dr Matthew Fisher, Chief Executive Officer of the Australian Chiropractors Association, who gave fascinating insights into chiropractic in the Pacific region.Next, WoC traveled to the Asian region where President of the Association of Professional Chiropractors of the Philippines, Dr Martin Camara, described how chiropractic was thriving throughout the country. Dr Clay McDonald, President of Logan University, and Dr Christine Goertz, Chair of the WFC Research Committee, represented the U.S. from the perspective of education and research, while Dr Daniel Facchini, from Brazil, has shone a light on practicing in Latin America. Past episodes can be viewed on YouTube here.


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Car los Ayr es becom es f ir st Lat in Am er ican WFC Pr esiden t In January 2021, the WFC Board of Directors announced the appointment of Dr Carlos Ayres, of Lima, Peru, as President of the World Federation of Chiropractic (WFC). Dr Ayres is the first Latin American representative to hold the office of WFC President in its 33-year history. Dr Ayres has served on the Board of the WFC since 2011. He represents the Latin American region and has previously held the Executive offices of Secretary-Treasurer, Second Vice-President and First Vice President. Having initially embarked on pre-med programs in Peru and in the U.S., Dr Ayres subsequently learned about chiropractic and changed his major, graduating from New York Chiropractic College in 1981. He explains, "I have never regretted changing my career direction, and feel that I am in the best profession. I always wanted to help people by being part of a health profession. As a chiropractor, I derive great satisfaction from seeing people get better without the use of drugs or surgery." Dr Ayres' early career was spent practicing in the United States, where he established and maintained a clinic in Long Island, New York, specializing in the treatment of Workers' Compensation and No-fault road traffic injuries. He subsequently became an Independent Medical Examiner and expert witness for a number of insurance companies. In 2002, Dr Ayres moved back to his native Peru. With his main office located in the capital city of Lima, he developed a number of offices in northern and southern parts of Peru. This promoted chiropractic throughout the country as well as providing opportunities for early career chiropractors to work in Latin America whilst developing their skills and knowledge under the careful guidance of an experienced mentor.

Dr Carlos Ayres representing the Peruvian Chiropractic Association at the WFC Congress in Washington DC (2017)

Dr Ayres has been heavily involved in chiropractic leadership in the Latin American region, having been elected Treasurer and then President of the Peruvian Chiropractic Association in 2006. In 2007, a meeting in Panama resulted in a reactivation of the Latin American Chiropractic Federation (FLAQ) and Dr Ayres served two periods as FLAQ President between 2007 and 2012. Dr Ayres is very clear on his main priorities as he steps into the role of WFC President. "Covid-19 has presented enormous challenges and difficulties in every country where chiropractors serve patients and the public. The profession has responded magnificently but as we pass grim global milestones in terms of deaths and confirmed infections, it is clear that we need to remain vigilant and resilient in the face of adversity. Working with my colleagues, my aim is for the WFC to provide strong and stable leadership in support of the profession worldwide".


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10 WFC NEWS

WFC Bien n ial Con gr ess par t n er s w it h Par ker t o go 100% vir t u al The WFC's 2021 Biennial Congress will be fully virtual after the effects of the Covid-19 pandemic meant that an in-person event was not possible. As the chiropractic profession's premier chiropractic scientific and academic meeting, the WFC is used to hosting delegates from across its 7 world regions at its biennial event. Originally, the WFC's flagship event was scheduled to be hosted in May in Tokyo, Japan. However, circumstances related to the rescheduling of the 2021 Olympic Games meant that the venue had to be changed. This led to Kuala Lumpur being planned as a reserve venue, with the date being put back to September. Movement restrictions in Malaysia meant that this venue, too, could not go ahead, leading the WFC organizers to conclude that a virtual event was the best option.

innovation and latest research as well as implementation strategies and knowledge synthesis. In keeping with its commitment to its #BeEPIC campaign, the 2021 Congress will champion the values of evidence-based, people-centered, interprofessional and collaborative chiropractic practice. The virtual WFC Congress will take place September 23-25 and will feature six-hour sessions on each day. This year, it hopes to attract a record number of participants as it moves to a virtual platform, providing access to thousands of chiropractors who will be able to enjoy outstanding plenary speakers, stimulating debates, inspiring workshops and groundbreaking research presentations from the comfort of their home or office. As the largest chiropractic scientific meeting in the world, the WFC is expecting a significant volume of abstracts, which it will host using a digital poster system. The call for abstracts is already open and information about submission, and about the Congress in general, can be accessed at wfc.org/congress. The event will also feature a virtual exhibition hall, where visitors can access vendor booths and schedule meetings with exhibitors to discuss products and services.

Announcing an exciting partnership with Parker Seminars, the WFC Congress will utilize state-of-the-art studios, digital poster sessions and virtual presentation facilities to create a unique user experience. The theme of the Congress is Chiropractic For A New Normal, and will feature professional

Secretary-General Dr Richard Brown said, "The opportunity to host a virtual congress means that we can reach our entire global community of chiropractors. We want this event to be for the many, not for the few, and we're committed to making the Congress accessible for chiropractors at all stages of their careers, including chiropractic students."


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WFC lau n ch es " Back To Back " t h em e f or Wor ld Spin e Day 2021 World Spine Day takes place each year on October 16 and is coordinated by the WFC. The theme of this year 's World Spine Day will be Back 2Back . The theme reflects the need to reset and refocus on spinal pain and disability as part of the global burden of disease. With an estimated 540 million people in the world suffering with low back pain at any one time, it remains the leading cause of years lived with disability. World Spine Day also recognizes the lack of access to quality spine care and rehabilitation in under-served communities, which results in chronicity and permanent deformity. Back 2Back will focus on highlighting ways in which people can help their spines by staying mobile, avoiding physical inactivity, not overloading their spines and adopting healthy habits such as weight loss and smoking cessation.

organizations concerned with spine care. Back 2Back will focus attention on spinal pain and disability at home, in the workplace, in schools and in our communities. As is now customary, the WFC will be running its annual World Spine Day competition, inviting WFC Member associations, educational institutions and private clinics to take part. WFC Secretary-General, Dr Richard Brown, said, "As evidence-based, people-centered health professionals, chiropractors are increasingly being expected to contribute to their communities by engaging in public health initiatives. "World Spine Day provides a perfect opportunity to demonstrate expertise in spinal disorders and proactively participate in their communities.

Despite Covid-19, WSD20 proved extremely popular

The WFC has coordinated World Spine Day since 2008. Thought to be the largest global public health event dedicated to promoting spinal health and wellbeing, World Spine Day is observed by health professions and public

"We call on all chiropractors and chiropractic students worldwide to get involved in World Spine Day 2021". The World Spine Day organizing team will be producing materials to support local initiatives around the world. To find out more, go to www.worldspineday.org.


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13 WFC NEWS

WFC an n ou n ces global M ast er s sch olar sh ip in par t n er sh ip w it h Par ker Un iver sit y The WFC is honored to be partnering with Parker University to offer a global scholarship for a Masters degree in one of a range of programs offered at the university. The mission of the WFC is to advance awareness, utilization and integration of chiropractic internationally. We recognize that education is the foundation stone of the chiropractic profession and that attainment of our mission will depend on the quality of undergraduate and postgraduate chiropractic education and lifelong learning. The WFC is calling for applications for a full academic scholarship for one of a range of online Masters programs being offered in association with Parker University . Parker University currently offers Masters degree programs in business administration, public health, functional nutrition, strength and human performance, and clinical neuroscience. Details of the programs can be found at https://www.parker.edu/academic-resources The successful applicant will be a chiropractor who demonstrates academic, leadership and ambassadorial potential within the profession. They will demonstrate a strong track record of academic excellence and an attitude of service to the chiropractic profession. The WFC Parker University Scholarship Program is designed to equip successful candidates with the skills to pursue leadership and ambassadorial roles within the chiropractic profession. Applicants must download and complete an

application form and submit it to the WFC by June 30, 2021.

The WFC Parker University Scholarship will be open to any duly qualified chiropractor, located anywhere within the WFC?s seven world regions (Africa, Asia, Eastern Mediterranean, Europe, Latin America, North America, Pacific).

PARKER UNIVERSITY M ASTERS DEGREE PROGRAM S -

Master of Business Administration (MBA) Master of Public Health (MPH) Master of Functional Nutrition (MS) Master of Clinical Neuroscience (MS) Master of Strength and Human Performance (MS)

The WFC will be responsible for oversight of the selection of the successful candidate and will work closely with Parker University in developing criteria and procedure. Applications will be shortlisted on the basis of analysis of a covering letter of application, evidence of prior learning and academic attainment. WFC Secretary-General, Dr Richard Brown, said, "We are delighted to partner with our friends at Parker University to offer this scholarship. It is an outstanding opportunity for skills acquisition and career advancement." Full terms and conditions are available at www.wfc.org/scholarship.


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New Resear ch Com m it t ee u n der scor es WFC's #BeEPIC com m it m en t Wor ld Feder at ion of Ch ir opr act ic an n ou n ces expan ded com m it t ee as par t of dr ive t o st r en gt h en global advocacy f or eviden ce-based, people-cen t er ed, in t er pr of ession al an d collabor at ive ch ir opr act ic car e. The World Federation of Chiropractic (WFC) has expanded its Research Committee as part of its mission to advance awareness, utilization and integration of chiropractic internationally. The WFC Research Committee, under the leadership of its Chair, Professor Christine Goertz, exists to advise the Board on matters of science and research and provide expertise in peer review and abstract selection at the WFC Biennial Congresses, the world's largest chiropractic scientific meetings. Following a call for applications to the Research Committee, issued in October 2020, the WFC Board convened a sub-committee to rigorously evaluate and recommend candidates, which were then

ratified by the Board in January.

chiropractic practice.

Speaking after the appointments were confirmed, Professor Goertz commented, "I am very excited to see the outstanding group of scientists appointed to the WFC Research Committee. I look forward to working with this diverse and talented team to aid the WFC in its efforts to stay current on the latest research and communicate the value of evidence-based chiropractic care to clinicians and patients across the globe."

The new Research Committee reflects the WFC's commitment to equity, diversity and inclusion. The newly-populated committee is widely representative of geographic regions, culture and ethnicity, research background and specialty interests.

In 2018, the WFC launched its #BeEPIC campaign, which urges chiropractors and chiropractic organizations to promote and utilize evidence-based, people-centered, interprofessional and collaborative approaches to

WFC President Carlos Ayres remarked, "A commitment to science and research is the hallmark of any respected health profession. As we work to advance the profession globally, input from our scientific community is critical in informing our strategy. We welcome the new members of the Research Committee and thank Professor Goertz for her leadership as Chair."

RESEARCH COMMITTEE


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WFC Resear ch Com m it t ee m em ber sh ip Pr of essor Ch r ist in e GOERTZ DC, Ph D (Ch air ) (USA). Professor of Musculoskeletal Research, Duke Clinical Research Institute. Director of System Development and Coordination for Spine Health, Dept. Orthopaedic Surgery, Duke University. Chairperson, Board of Governors, PCORI (Patient Centered Outcomes Research Institute, U.S.). CEO Spine Institute for Quality. Former Vice Chancellor of Research and Health Policy, Palmer College of Chiropractic. Primary research interest in patient-centered, non-pharmacological treatment for spine-related disorders. Dr Scot t HALDEM AN DC, M D, Ph D, FRCP (Ch air Em er it u s) (USA). Adjunct Professor, School of Epidemiology, University of California (Los Angeles). Clinical Professor, Dept. Neurology University of California (Irvine), Past President, North American Spine Society. International Ambassador for the Decade of the Bone and Joint (presided over Task Force on Neck Pain and its Associated Disorders). Founder, World Spine Care. On Editorial Board of 8 journals. Over 20 publications in peer-reviewed journals. Author/Editor of 8 text books. Dr M ar c-An dr é BLANCHETTE DC, M Sc, Ph D (Can ada). Assistant Professor at University of Quebec à Trois Rivières (UQTR). Special interest in occupational back pain, musculoskeletal epidemiology, health services research. Doctorate in Public Health (2017, University of Montreal). Recipient of post-doc CIHR Health System Support Scholarship. Research Collaboration with McGill University, Chiropractic Knowledge Hub (Denmark) and University of Montreal.

Dr M it ch HAAS DC, BS, M A (USA). Adjunct Assoc. Professor, Integrative Health and Wellbeing Program, Earl E. Bakken Center for Spirituality and Healing, University of Minnesota. Principal investigator for a number of federally-funded grants awarded by the NCCAM/NIH and HRSA, evaluating chiropractic care for low back pain and headaches, as well as developing evidence-based practice culture. He has been principal investigator on five randomized trials investigating the dose-response of spinal manipulation. Serves on editorial board of six journals. 2010 ACA Researcher of the Year. Dr An n e JENSEN BSc, DC, DPh il, M Sc, M S (Au st r alia). Lecturer, Dept. of Chiropractic, Central Queensland University. Doctorate in Philosophy in Evidence-based Healthcare (University of Oxford, 2015), Masters in Evidence-based Social Interventions (University of Oxford, 2007), Master in psychology (Capella University, 2007). Research interest in kinesiology.

Dr M elissa KIOH BSc (Ch ir o), M Sc(PH), Ph D(c) (M alaysia). Lecturer, International Medical University, Malaysia. PhD candidate, Department of Medicine, University of Malaya. Masters in public health (University of Dublin, 2017). Research interests in falls, postural stability, geriatrics and nutrition.

Dr Im r an Kh an NIAZI M S, Ph D (New Zealan d). Senior Research Fellow, New Zealand College of Chiropractic. PhD biomedical science and engineering (University of Aalborg, 2012), Masters in biomedical engineering (University of Lübeck). Research interests in patient-centered rehabilitation engineering using brain-computer interfaces. Currently investigating neurophysiological effects of chiropractic care on the central and peripheral nervous systems. Currently engaged in 12 international collaborations.


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WFC Resear ch Com m it t ee m em ber sh ip Dr Keser i PADAYACHY Ph D, M Ch ir o (Sou t h Af r ica). Lecturer and Chair of Research Dept., Dept. of Chiropractic, Durban University of Technology. Member, Ethics Review Committee, Durban University of Technology. PhD in Anatomy (University KwaZulu-Natal, 2017). Active in clinical chiropractic practice.

Pr of essor St even PASSM ORE DC, M S, Ph D (Can ada). Faculty of Kinesiology and Recreation Management, University of Manitoba PhD in Kinesiology (McMaster University, 2013). CCRF Professorship in Spine Biomechanics and Human Neurophysiology. Assistant Professor, Ontario Tech University. Assistant Professor, New York Chiropractic College. Member, Canadian Pain Task Force, External Advisory Panel. Canadian Chiropractic Guideline Initiative guideline development initiative member. 2020 Canadian Chiropractic Association Researcher of the Year. Dr Kat ie POHLM AN DC, M S, Ph D (USA). Director of Research, Parker University. PhD in Pediatrics (University of Alberta, 2019). Masters in Clinical Research, 2010. Formerly Clinical Research Fellow and Project Manager, Palmer College of Chiropractic. Member, Academy of Integrative Health and Medicine Research Review Committee. Research interests: chiropractic pediatrics, patient safety. 2020 American Chiropractic Association Researcher of the Year .

Assoc. Pr of essor Sidn ey RUBINSTEIN DC Ph D (Net h er lan ds). Dept. Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam. PhD in adverse events following chiropractic care (VU University, 2008). Member Cochrane Back and Neck Review Group. Former Chair, ECU Research Committee. Former Research Director, European Academy of Chiropractic. Research Committee member, Netherlands Chiropractic Association. Independent reviewer, multiple peer-reviewed journals. Netherlands-registered epidemiologist. Author, Cochrane Systematic Reviews (acute and chronic low back pain). Active in clinical chiropractic practice. Dr St acie SALSBURY RN, M SN, Ph D (USA). Assoc. Professor of Research, Palmer Center for Chiropractic Research, Palmer College of Chiropractic. Registered Nurse. PhD in Nursing (University of Iowa, 2007). Masters degree in Nursing (1999). Research and Development, U.S. Veterans Affairs Health Care System. Board Member, Chiropractic Educators Research Forum.Research interests: geriatrics, chiropractic care, interprofessional care, chronic low back pain, patient safety, qualitative methodology. Independent reviewer, multiple peer-reviewed journals.

Pr of essor M ich ael SCHNEIDER DC, Ph D (USA). Professor, Department of Physical Therapy, University of Pittsburgh. PhD Rehabilitation Science (University of Pittsburgh, 2008). 2013 American Chiropractic Association, Researcher of the Year. Author, 8 book chapters and books. Member, Institutional Review Board, University of Pittsburgh. Research interests: profiling biomechanical, biological and behavioral phenotypes of chronic low back pain; spinal manipulation and patient self-management in the prevention of chronic low back pain; resolving the burden of low back pain in military service members.


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For 2021, the WFC brings its Biennial Congress directly to your home or office. With inspiring keynote speakers, outstanding debate, groundbreaking research and stimulating workshops, this virtual world congress presents an unmissable opportunity.

wfccongress.org


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New WFC m obile app 'in valu able r esou r ce' The World Federation of Chiropractic has released a new mobile app that Secretary-General Dr Richard Brown says is 'an invaluable resource' for the chiropractic profession. The app, made possible with the generous support of the International College of Chiropractors (ICC), was launched in February after months of development and testing. It is powered by Piota, a specialist healthcare app company based in the United Kingdom. It is downloadable to devices from the Apple Store or Google Play. It is maintained by chiropractors, for chiropractors, and features the latest research and emerging news and social media. The WFC app has the following features: -

Events Social media Information News Resources Evidence/Research Corporate partner information Feedback Contacts

Mobile apps provide better user experience, load content faster and are easier to use. Unlike websites, they also have push notifications, allowing important messages to be instantly downloaded to the user 's device. The WFC mobile app allows for quick data retrieval. It also allows for personalized content, meaning that region-specific news and information can be selected as an preference. With more and more people conducting their day-to-day business using a smartphone rather than a conventional laptop, the app provides an easy, accessible source of information. The new app is yet another way that the WFC is connecting with the chiropractic profession globally, reflecting its mission to advance awareness, utilization and integration of chiropractic internationally. For any chiropractor, chiropractic student or other chiropractic stakeholder, the app is a resource that should be on every mobile device.


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Back pack m an u f act u r er is lat est WFC su ppor t er Taiwanese schoolbag manufacturer Rock et ee has become the latest WFC corporate partner. In describing their product, Rock et ee stated, "We're dedicated to the production of high quality and comfortable bags with ergonomic design and diverse styles.

With a commitment to sustainability and environmental protection, Rock et ee plans to produce their backpacks using recycled PET bottles. The WFC welcomes Rock et ee and expresses gratitude for its support .

" Each bag is sewn manually using master craftsmanship and is adapted to ensure the perfect fit, growing with their owners. They are designed so as to distribute weight from the shoulders to the pelvic area. "Our bags are REACH compliant and are made in conformity with the Taiwan CNS 15331 inspection standard.

WFC sign s u p t o r eh abilit at ion st at em en t . In the lead up to World Health Day on April 7, the WFC has joined with 10 other global organizations to call for greater access to rehabilitation and assistive technology. With more than 50% of people requiring rehabilitation unable to access it, the unmet needs are immense. Sustainable Development Goal 3 is to "Ensure healthy lives and promote well-being for all at all ages." The statement calls for strengthening of rehabilitation services, understanding and addressing barriers and re-orienting of health decision-making. It refers specifically to the ageing population and the increasing prevalence of non-communicable diseases, musculoskeletal disorders and injuries. See the full statement at https://bit.ly/2QQZIjj.


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WFC Su ggest ed Readin g List m igr at ed t o m ain w ebsit e The WFC's Suggested Reading List (SRL) is now accessible from the main wfc.org website. The SRL was established as a repository of leading scientific papers relevant to the chiropractic profession and now contains references under over 20 topic categories. The list is curated by a team of subject experts, who have trawled the literature to ensure that the papers represent the best available knowledge in a

particular topic area.

a link to the abstract is provided.

With thousands of papers being published every week, and this number beingmagnified by the Covid-19 pandemic, keeping up to date is no easy task. The SRL aims to stay current with regular reviews of materials and the WFC welcomes volunteer curators for any of the subject areas listed.

The SRL has proved popular with chiropractic students, clinicians, educators and policymakers wishing to find out more about the state of the scientific literature in a discrete category.

Where they are openly accessible, links to full papers are provided; in other instances,

By bringing the SRL under the main WFC website, maintenance of the site will be simplified and more flexible, allowing the latest research to be rapidly updated. To access the site, visit wfc.org/readinglist


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Power your practice with the WFC Suggested Reading List -

Find the best evidence to support and inform your practice Over 20 different subject areas relevant to chiropractic Curated by a team of leading content experts Links to full papers where available

wfc.org/readinglist


22 FEATURE ARTICLE

Palm er West gr adu at e secu r es pr est igiou s Fellow sh ip Wr en Bu r t on appoin t ed at Osh er Cen t er f or In t egr at ive Healt h An early-career chiropractor has become the first Chiropractic Research Fellow at the Osher Center for Integrative Health, a collaboration between Harvard Medical School and Brigham and Women's Hospital.

Having reflected on the chiropractic care she received following a car accident, Wren began to consider training to become a chiropractor and, following a period of shadowing, she made the decision that was to prove life-changing.

Dr Wren Burton, a 2020 graduate of Palmer College of Chiropractic (West), San Jose, California, was selected for the Fellowship after initially having started to apply for PhD programs.

Having completed a Bachelors in Kinesiology and Exercise Science at the University of New England, in 2017 Wren chose to attend Palmer West,

She says, "I remember reading the application and thinking to myself, 'this is exactly what I want to be doing for the next three years'." Wren will be participating in an intensive summer program in clinical effectiveness at the Harvard School of Public Health, where she will also have the opportunity to pursue an MPH degree. She will also take part in experiences designed to improve teaching skills and supervised clinical activities. The Osher Center, created in 2001, is focused on enhancing human health, resilience and quality of life through translational research, clinical practice and education in integrative medicine. In 2010, it underwent a restructuring that disseminated its academic effort broadly across the Harvard Medical School community, while maintaining its clinical activities at Brigham and Women's Hospital.

With colleague Dr Robert Butler, Dr Wren Burton won first prize in the Tom Hyde Poster Award while at Palmer West.

attracted by its evidence-based curriculum and the opportunity to volunteer through the Sports Council. She admits that the prospect of spending time in the Californian sunshine was also a factor in her decision-making!

Originally from San Antonio, Texas, as a young child, Wren moved with her family to a small farming town just outside Kalamazoo, Michigan. She attended school in the city, which she says gave her an early opportunity to witness the disparities that existed across the United States.

With small classes sizes and attractive volunteering opportunities, Wren quickly realized that she had made a great choice by going to Palmer West. In particular, she found working with under-served communities highly rewarding and a key motivator during her studies. She comments,

With a keen interest in chemistry, Wren's initial career goal was to become a pharmacist. However, while this seemed like a solid career choice, she was plagued by the 'why?' question and struggled morally with her career choice.

"Working directly with homeless, disabled and


23 FEATURE ARTICLE

Palm er West gr adu at e secu r es pr est igiou s Fellow sh ip (con t in u ed) disadvantaged populations revealed to me first-hand the extreme and indiscriminate impact of chronic pain. I poured my heart and soul into these clubs when I was in school because I found every aspect of involvement fulfilling." Wren also involved herself in the Student California Chiropractic Association (SCCA) and Student American Chiropractic Association (SACA), undertaking advocacy work at both state and national level on multiple occasions. Her interest in research was fueled by undertaking a project with a peer, which led to her accepting a clerkship with the U.S. Department of Veterans Affairs, where she was

able to refine her research interests while gaining clinical proficiency. She says, "I was very fortunate to have a full six-month experience through my clerkship as the pandemic was occurring. Working with such a unique patient population afforded me many experiences I don't think I would have ever gotten otherwise. My mentors throughout my clerkship at the VA also played a pivotal role in instilling both clinical competence and confidence. I would never have applied for the Osher Fellowship without their support." Wren has recently been working with Dr Christine Goertz at Duke University. As a research assistant/consultant, she has been involved in the implementation of best practices in spine care. Among others, she credits Dr Goertz as one of her most important mentors. "I've seen Dr Goertz as a role model ever since I began at chiropractic school. When she offered me the opportunity to work with her at Duke University and Spine IQ, I was so excited that I couldn't focus on my work for the rest of the day. I have so much respect for her work ethic and contributions to the chiropractic profession, and can only hope to begin to follow in her footsteps." Wren is positive about the work she sees being undertaken at the WFC. "The WFC is an organization I supported throughout my time as a student," she says. "The principles behind the #BeEPIC campaign align closely with my patient care philosophy, which was largely shaped by my time working with under-served populations. Students, new graduates and veteran chiropractors alike should be considering these principles as the profession moves forward." Wren Burton was speaking to Richard Brown.

Dr Wren Burton graduated from Palmer West in 2020.


24 WORLD NEWS

ACA celebr at es f ir st w om an Pr esiden t in 58-year h ist or y Dr Michele Maiers DC, MPH, PhD has become the first woman President in the American Chiropractic Association's 58-year history. Elected by the ACA Board of Governors ahead of its February Engage 2020 online conference, Dr Maiers replaces outgoing president Dr Robert Jones. Dr Maiers is a researcher and academic who serves as the Executive Director of Research and Innovation at Northwestern Health Sciences University (NWHSU) in Bloomington, Minnesota. Originally from a farming community in Iowa, Dr Maiers completed her Doctor of Chiropractic degree at NWHSU before completing a Masters in Public Health degree at the University of Minnesota. She undertook a PhD at the University of Southern Denmark, where her thesis focused on chiropractic and exercise for the elderly. As well as having served in leadership for the ACA, Dr Maiers has been on the Board of Directors of the WFC since 2016 and was elected Vice-President in 2018, serving a period as Interim President 2020-21. A respected international speaker, Dr Maiers is highly sought after and regularly appears at national and global conferences, where she advocates for evidence-based, people-centered practice and for the chiropractic profession to actively pursue interprofessional collaboration. Dr Maiers is a board member of the Integrative Healthcare Policy Consortium and has previously served as a Councillor within the Chiropractic Section of the American Public Health Association. In 2015, she was elected to Fellowship of the International College of Chiropractors. Dr Maiers has been a driving force behind the

Dr Michele Maiers DC, PhD

establishment of NextGen, an ACA initiative aimed at developing leadership in early-career chiropractors. Such has been her influence that, in 2020, an annual award, The Michele Maiers NextGen Member of the Year Award, was created in her name. Speaking on her appointment as President, Dr Maiers said, "The American Chiropractic Association is leading a modern movement of chiropractic in the US, based on patient-centered, evidence-informed, collaborative care. It is a privilege to work alongside talented volunteer leaders and staff at the ACA, as we create new opportunities for the chiropractic profession and better health in the communities we serve." WFC Secretary-General Dr Richard Brown commented, "Dr Maiers is an outstanding leader and richly deserves her outstanding international reputation. We wish her every success during her presidency and have no doubt that the ACA will continue to thrive under her leadership."


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26 WORLD NEWS

Em ir at es associat ion goes f r om st r en gt h t o st r en gt h as n ew Pr esiden t n am ed The Emirates Chiropractic Association (ECA) celebrated its success at its January annual general meeting, reflecting on the achievements of recent years and the growth of the profession in the United Arab Emirates (UAE).

East Chiropractic Federation. The ECA is also working on matters of scope of practice, particularly in the area of diagnostic

Dr Nageena Akhtar was elected as the new ECA President, taking over from Dr Gerry Nastasia, who was the recipient of a special award in recognition of his achievements. Dr Akhtar, a graduate of AECC University College, has been a member of the ECA Board since 2019. Through her work with the Dubai Health Authority Health Committee, she has been integral in improving professional relationships. In her new role as President, she is keen to help promote chiropractic in the UAE and surrounding regions with an approach of integrative and collaborative healthcare. She is enthusiastic about developing strong working relationships within the healthcare system and working with her Board to gain further access to chiropractic services. The ECA was formed in 2008 and is a member of the WFC and Eastern Mediterranean and Middle

Dr Nageena Akhtar, President of the Emirates Chiropractic Association

Dr Nageena Akhtar (second right) with other members of the newly-elected ECA Executive.

imaging. During the AGM, Dr Mohammed Raslan announced the recipient of the Sheikh Zayed Award for TCAM as Dr Salim Khamis, who was duly congratulated.


27 WORLD NEWS

Dr . J m ak in g space f or t h e n ext gen er at ion of Black ch ir opr act or s Dr. Joel Kerr, Dr. J, has experienced the power of mentorship. His path to chiropractic began when he was introduced to his mentor at 17. ?Seeing a Black chiropractor succeed gave me the power to say, ?If this man can do it, I can do it, too,?? he says. Until that point, Dr. Jhad faced blatant racism from many angles. After learning about chiropractic through a summer mentorship program at the University of Toronto, he wanted to become a chiropractor. But after donning his best dress clothes and walking into a local chiropractor ?s office, résumé in hand, he was told, 'You can?t do this.' ?She didn?t know I had good grades,? he says. ?She didn?t know anything about me. She just decided chiropractic was too hard for me based on what I looked like.? Then he met Dr. Christopher Morgan, a chiropractor who looked like him. After seeing his mentor make a difference in so many lives, Dr. J knew he had found his calling.

Dr. Jis now the owner and founder of The Health Institute (THI), a community-based clinic in Scarborough, Ontario, dedicated to bringing movement and exercise to his patients. He encourages patients to make healthy lifestyle changes, using the slogan ?Exercise is medicine.? He hires African and West Indian chiropractors, naturopaths, physiotherapists, health coaches and personal trainers because he wants his team to reflect the community in which they practice. ?I want our patients to see someone that looks like them. Then they?ll know adopting a healthy lifestyle is feasible,? he says. ?Our community is not big on prevention. Patients may come to me because of neck pain, but have other issues going on that we can address ? not sleeping, not drinking enough water, not eating well, not exercising. "We provide an exercise prescription with every appointment. No one is going to see me, get passive care and be out the door. That?s not going to work.? Th e m en t or in g zon e Dr. Jcalls his clinic a mentoring zone where he coaches high-school students and aspiring healthcare practitioners. While focusing on practical skills, he also discusses discrimination and social injustice. These conversations have happened often in the wake of increased support for the Black Lives Matters movement in 2020. He also uses his Instagram account to address injustices and challenge stereotypes. ?We encourage dialogue with these difficult conversations. Every single workplace should be doing that.?

Dr. Jand his daughter, Nijayah Paris Kerr, at his clinic

One of his mentorship success stories is Dr. Cassandra Laleye. She met Dr. Jeleven years ago and now works alongside him at THI. Dr. J challenged her in many areas, including supplementing her lessons at chiropractic school and ensuring her voice is heard.


28 WORLD NEWS

Dr . J m ak in g space f or t h e n ext gen er at ion of Black ch ir opr act or s (con t in u ed) ?Dr. Laleye is not only a woman, but a Black woman. So now she has two challenges to overcome in our society,? he says. ?I made it very clear that she needs to deal with discriminatory remarks ASAP. It?s the only way that racism is going to go away ? we have to continue having these conversations.? Dr. Jhopes that more Black Canadians will seek out mentors that look like them and become chiropractors. ?Within the Black community there?s this weird dynamic where we don?t like to ask for help because it?s a sign of weakness,? he says. ?But it?s not. I wouldn?t be where I am today without my mentor.? Par t of t h e solu t ion Dr. Jtook part in the CCA?s members webinar on Diversity, Equity and Inclusion in November 2020. When presented with the opportunity to address

his colleagues, he knew he needed to be part of the conversation. ?We really don?t need any more lip service. We need results,? he said. ?We can?t just say ?Yes, Black lives matter.?We need to talk about this, but at the same time, we shouldn?t even need to have these conversations. We should just be able to treat everyone with the same amount of respect and love.? Dr. J?s words were powerful, focusing on modeling inclusive behavior and setting young people up for success to ensure everyone has a fair playing ground. ?It?s important that we understand the power we have to be role models,? he said. ?It doesn?t matter what the kid looks like, what they do, what they smell like, what they dress like? we need to be better at welcoming everyone into our spaces.?

Nor w egian s h ost su ccessf u l digit al gen er al assem bly Due to the ongoing Covid-19 pandemic, members of the Norwegian Chiropractors Association (NCA) decided last year to postpone the association's biannual National General Assembly and implement it digitally in February 2021. Ten representatives from the NCA Board, administration and other meeting officials gathered physically in a studio at the congress center The Qube at Oslo Airport for a seven-hour digital broadcast, supported by two companies specializing in digital conferences. A total of 472 registered

delegates (including proxies), plus 30 observers, made for a historically high turnout for an NCA Assembly. President Espen Ohren was unanimously re-elected for two more years (2021-2022). Ohren graduated from AECC in 1997. He has worked both in England and at various locations in Norway but since 2000 he has been based in Vestfold county where he now works part-time as a clinician and runs three local chiropractic clinics. Mette Wangberg Storhaug was also re-elected as Vice-President. Former board members Anette Tryti and Tom Magne Jonassen

will also remain in office for another two years. The three new board representatives in the NCA are Marcus Karlsen Ogre, Erik Glæstad and deputy representative Elisabeth Sørensen.

Espen Ohren, NCA President


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30 WORLD NEWS

Texas ch ir opr act or s celebr at e af t er Su pr em e Cou r t r u lin g Scope of pr act ice vict or y af t er n er ve t est in g ch allen ge Following a 10-year court battle, chiropractors in Texas were jubilant earlier this year after the Supreme Court ruled in favor of the Texas Board of Examiners following a legal suit filed by the Texas Medical Association (TMA). The matter, which started in 2011, followed claims that the practice of nerve and related diagnoses exceeded the scope of practice of a chiropractor. The split decision overturned an earlier ruling by the Austin Court of Appeal that had supported the TMA. After the Supreme Court judgment was handed down, Dr Mark R. Bronson, President of the Texas Board of Chiropractic Examiners, said, " On behalf of the Texas Board of Chiropractic Examiners, I extend our sincere thanks and appreciation to everyone whose

Texas State Capitol Building, Austin, Texas

efforts resulted in the Texas Supreme Court's decision. The decision properly affirmed the validity of the board's scope of practice rule, which the court clearly said does not exceed our statutory scope of chiropractic practice. "This decision recognizes the common sense and long standing inclusion of associated nerves in chiropractic diagnosis and treatment". The case involved rules established by the Texas Board of Chiropractic Examiners in relation to evaluation of the musculoskeletal system and improving the subluxation complex, previously confirming that both involved nerves in addition to muscles and bones. The Board had also stated that vestibular-ocular-nystagmus testing (VONT) was also within a chiropractor 's scope of practice, which was challenged by the TMA.

Dr Mark R. Bronson, President, Texas Board of Chiropractic Examiners

In its ruling, the court stated, "Every act that a physician may do is not automatically the unlawful act of a non-physician, and terminology in one field may overlap with that of another. We reverse that part of the Court of Appeal's judgment declaring the rules invalid and render judgment that they are valid."


31 WORLD NEWS

Ch ir opr act ic in M alaysia r egu lat ed af t er law com es in t o f or ce Following a published announcement on February 9, 2021, by the Malaysian Minister of Health, significant sections of the Traditional and Complementary Medicine Act 2016 came into force on March 1, 2021 and the Register

came into force on March 15, 2021.

Chiropractic: Malaysian Definition Chiropractic is a primary health care profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health. There is an emphasis on manual techniques, including spinal adjustment and/or joint and soft tissue manipulation with a particular focus on improving joint dysfunction, reducing pain and disability, and promoting rehabilitation. The regulations reference disciplinary matters and require the formation of an Investigation Committee, process for the submission of complaints, and the establishment of a Disciplinary Authority that will make recommendations for action to the Council.

The Traditional and Complementary Medicine Regulations (2021) set out the minimum qualifications of chiropractors, these being a Bachelors degree in chiropractic or equivalent as recognized by the Council. The Act further provides for the establishment of the Federation of Complementary and Natural Medical Associations, and requires that all chiropractors and osteopaths are duly registered with the Federation, setting out the requirements and fee involved. Provisions are also made for non-Malaysian practitioners to acquire temporary practicing certificates. The regulations provide for the establishment of a register of provisional, temporary and registered practitioners. The regulations also establish a register of watch list and black-listed practitioners. Chiropractic in Malaysia (credit: IMU)


32 WORLD NEWS

BCA w or k s w it h t h e NHS t o secu r e pr ior it y access t o COVID-19 vaccin at ion s f or ch ir opr act or s The British Chiropractic Association (BCA) reports that it has been working with the National Health Service (NHS) and Public Health England to ensure that those members who choose to have the COVID-19 vaccine may be placed on the priority list for vaccination, as they provide an important frontline healthcare service and are exposed to the virus through this work. BCA?s President, Catherine Quinn said, ?Whilst respecting the right of all members to choose [whether they get vaccinated], the BCA has been pleased to assist chiropractors in accessing their COVID-19 vaccinations. "We have been able to work directly with the NHS to help them contact chiropractors as one of the priority groups to receive their jabs. The Board thanks the BCA staff team for their diligence in undertaking this mammoth challenge across all four nations of the United Kingdom. This is another great example of the BCA being nimble and responsive to the needs of members, competently delivering tangible outcomes? Healthcare workers, including those from the independent (private) sector, are to be prioritized in the early tranches of vaccination and NHS

BCA President Dr Catherine Quinn and Treasurer Dr Tim Button have worked with the NHS to secure vaccinations for members.

guidance confirms this. To assist members, the BCA has also drafted a letter of support/confirmation of professional status for its members to use when attending their vaccination appointment, and this initiative has proved successful.

UK r egu lat or r epor t s in cr easin g aw ar en ess of ch ir opr act ic The UK?s regulator, the General Chiropractic Council?s 2021 publication, ?Public Perceptions of Chiropractic?report a 7% increase in awareness of chiropractic since 2004. The findings reported: "When prompted with a list of

statements about chiropractic, awareness increases significantly, with three-quarters of people (73%) correctly identifying that 'reducing pain and immobility by manipulating the spine?is an accurate description of what

chiropractors do. In 2004, public awareness of a chiropractor ?s role was considerably lower, with just 66% of people correctly identifying the same description."


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34 WORLD NEWS

M alaysian WFC M em ber an n ou n ces f or m at ion of ch ir opr act ic spor t s cou n cil The Association of Chiropractic Malaysia (ACM) has announced the formalization of a National Chiropractic Sports Council (NCSC). The Sports Chiropractic Council Malaysia (SCCM) has also been officially recognized as Malaysia?s NCSC by the International Federation of Sports Chiropractic (FICS). The ACM is an official member of FICS. Speaking on behalf of the SCCM, member Dr Hayden Pooke said, "I must thank all of those ACM members involved for taking the necessary inspired action that has culminated in the formation of this Chiropractic Sports Council. "A special thanks must also go to the team at FICS, who encouraged and guided us through the entire process". FICS offers its highly acclaimed International Certificate in Sports Chiropractic, awarded after successful completion of a combination of hands-on seminars, work experience with athletes and online learning. Detailed information is available at fics.sport/education/.

time, it will be encouraging as many members as possible to obtain ICSC certification, which will give members the opportunity to represent FICS Sports Chiropractic delegations at international sports events and obtain hands-on experience treating world class athletes - which, says Dr Pooke, is every Malaysian sports chiropractor 's dream! The SCCM has committed itself to do whatever is necessary to introduce sports chiropractic care to Malaysia?s many sportspeople at all levels of participation. With chiropractic care becoming increasingly popular in Malaysia, the sporting community is already showing interest. Despite the challenges of Covid-19, the SCCM aims to approach as many institutions and sporting bodies as possible during 2021 to see where it can collaborate and offer assistance and services to athletes.

The SCCM currently has 13 members and has set a target to triple its membership by 2022. At the same

ECU an n ou n ces n ew Secr et ar y-Gen er al Ann Blackmore has been announced as the new Secretary-General of the European Chiropractors' Union (ECU).

She has also previously served as Secretary of the Public Affairs and Economic Committee of the European Council of Optometry and Optics.

Ms Blackmore comes to the ECU after five years as head of policy and strategy at the Federation of Ophthalmic and Dispensing Opticians in the United Kingdom.

In addition, Ms Blackmore has served as head of media and public affairs at the Electoral Commission and spent 13 years at the National Council for Voluntary Organizations, latterly

as head of campaigns and communications. On her appointment, she commented, "What really excites me about this new opportunity is working with an organization that promotes a distinct European voice in a worldwide profession engaged in the fight against a prevalent cause of misery and economic loss."


35 WORLD NEWS

People-cen t er edn ess ch am pion ed by On t ar io associat ion Patient-centered care begins with the patient's voice, says OCA Canada's largest provincial chiropractic association, the Ontario Chiropractic Association (OCA), is stressing the importance of people-centered care with its new Par t n er sh ip4Bet t er Healt h online patient advisory community. The OCA has created an innovative online community which gathers feedback from a diverse community of patients and families who are already using chiropractic services in Ontario, as well as consumers who have yet to receive chiropractic care. The feedback, shared confidentially, will inform enhanced people-centered care by gathering information on needs, motivations, concerns, habits and choices of patients and the public. Although the Par t n er sh ip4Bet t er Healt h community primarily aims to engage chiropractic patients, it equally seeks to understand the views of those that have used other health care services, either in combination with chiropractic or exclusively. The OCA is aiming to engage 1000

patients, family members, caregivers and consumers across the province of Ontario. who will act as Par t n er sh ip4Bet t er Healt h advisors. Advisors will: -

Provide feedback regarding preferences and/or experiences; Provide recommendations to enhance chiropractic care; and Participate in activities such as surveys and virtual focus groups.

The OCA's initiative seeks to build on traditional Patient and Family Advisory Councils, which limited participation to 10-15 members and did not appear to reach deep into the needs of communities and patient care networks. By obtaining information on values, perspectives and viewpoints from a broad range of stakeholders, the OCA hopes to create a stronger organization and advance the delivery of people-centered care by its members.

"People-centered care requires that people have the education and support they need to make decisions and participate in their own care. It is organized around the health needs and expectations of people rather than diseases." Wor ld Healt h Or gan izat ion


36 WORLD NEWS

WHO lau n ch es Reh abilit at ion Com pet en cy Fr am ew or k In many countries, the rehabilitation workforce is under-equipped to meet population needs due to large-scale shortages across professions and specializations, and issues of quality and relevance. As the demand for rehabilitation escalates, the need to expand workforce production and strengthen regulation and quality assurance mechanisms becomes increasingly critical, especially in low-resource settings. Competency frameworks are a key tool for aligning the workforce with population needs through supporting competency-based education and training and regulatory standards, and the development of instruments for performance appraisal and gap analysis, among other applications. Recognizing the need for a competency framework that can be ?adapted and adopted?by any rehabilitation professional group or specialization and for any setting, WHO, along with partners, including the WFC, developed the Rehabilitation Competency Framework (RCF). The RCF defines the core values and beliefs shared by the rehabilitation workforce, and encompasses the competencies, behaviors, knowledge and skills required to

perform the range of activities and tasks involved in rehabilitation practice and service delivery. The RCF is accompanied by two guides that support its uptake and use: a guide for adapting it to specific contexts; and a guide for developing a rehabilitation program and curriculum based on a contextualized competency framework. Collectively, these tools support competency-based approaches to strengthening the rehabilitation workforce so that it is prepared to meet the needs of populations in the 21st century.

A vast unmet need for rehabilitation globally has been identified.

ACM appoin t s n ew pr esiden t The Association of Chiropractic Malaysia has appointed a new president. Dr Newell S.A. Tan, a 2014 graduate of International Medical University (IMU), steps up to lead the association having served as treasurer since 2018. Dr Tan works in private practice in Selangor and Kuala Lumpur and has a range of interests, including

neurology, posture, and taping. He has been a member of the IMU Chiropractic Programme Industry Advisory Committee and in both 2018 and 2019, he led the ACM's World Spine Day initiatives. Dr Tan takes over as president from Dr Yi Kai Wong, who has recently taken over as program lead at IMU. Dr Newell Soen Aik Tan


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38 WORLD NEWS

Au sCA get s t h e pu blic m ovin g w it h M obilit y M on t h Mobility and the impact of persistent pain on quality of life were key insights from the survey generated for last year ?s launch of ?Consider a Chiro?, a new three- to five-year public engagement campaign by the Australian Chiropractors Association (AusCA). The survey, facilitated by public relations firm OPR, uncovered that 32% of those living with pain struggle with their mobility and a quarter admit that their pain impacts their ability to work. The reality of persistent pain even appears to impact the relationships we hold dear, according to the survey data. One in ten Australians claim their pain hindered their ability to play with their children, another one in ten indicated impacts on their sex life and one in 20 said their persistent pain causes them to fight with their partner. A n ew cam paign The AusCA is pleased to introduce ?Mobility Month?, a new campaign for the month of March. This campaign fits under the Consider a Chiro umbrella and offers a new public engagement opportunity in the calendar between our Back to School and Spinal Health Week campaigns. Mobility Month will feature a simple test that can be done at home to discover how ?mobile?you are. The test will be used to engage journalists and television presenters, encouraging them to try the test themselves live on air.

resources will be provided to members to assist in rolling out the campaign at a local level and tie into the national media exposure gained. M obilit y M on t h Cam paign Our Mobility Month test features four simple tests, covering flexibility, functional strength and balance. These are exercises commonly given to patients and can be done at home. The exercises are: -

Accompanying the test will be resources to help guide people on improving their mobility. These -

-

Neck Rotation: testing how far and evenly a patient can turn their neck on each side. Trunk Side Bend: testing how far a patient can run their hand down each side of their body. Sit-to-Stand: testing the ease at which a patient can rise from a chair with crossed arms. Single Leg Stance: testing how a patient balances on each leg.

AusCA members were provided with a campaign toolkit to promote Mobility Month to their patients and local community. For more information on Mobility Month, including a video guide, visit mobilitymonth.org.au.


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40 WORLD NEWS

BCA lau n ch es n ew vir t u al even t s pr ogr am t o gr ow on lin e com m u n it y

New Pr esiden t f or Ch ir opr act ic Associat ion of Ir elan d

The British Chiroporactic Association (BCA) has

Dr Andrew Doody has been named as the new President of the Chiropractic Association of Ireland (CAI).

launched a new virtual events program to help its members connect online. Titled 'The BCA Sessions?, the event program includes learning opportunities, business updates and social events exclusively for BCA members.

Dr Doody is a 2000 graduate of AECC University College in the UK, prior to which he studied physiology at Trinity College, Dublin. He previously serviced as Vice-President of the CAI 2008-2010 and for four years served as the Irish representative on the General Council of the European Chiropractors' Union. Dr Doody, who practices in at Stillorgan Chiropractic Clinic in Dublin, takes over the presidency from Dr Tony Accardi. The WFC wishes his every success during his time in office and thanks Dr Accardi for his service.

Lisa King, BCA Director of Communications

The BCA?s Director of Communications & Marketing, Lisa King, said ?Feedback from members had consistently shown that connecting with like-minded professionals was not only something members wanted, but is central to their experience of the BCA community. Providing a structured online program is one way we can deliver this to our members and in time we hope to expand this in some form to others in the MSK community.?

Dr Andrew Doody, newly-appointed President of the Chiropractic Association of Ireland


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42 WORLD NEWS

F4CP Olym pic Com m er cial an d Opt im izin g Per f or m an ce w it h Ch ir opr act ic Car e Cam paign Ar e LIVE! Sh er r y M cAllist er DC, Pr esiden t , F4CP The Foundation for Chiropractic Progress (F4CP) has officially launched its Optimizing Performance with Chiropractic Care campaign, where professional athletes tout their positive experiences with chiropractic care and how it has impacted their health and performance. The campaign is complete with it?s :30 second, chiropractic TV commercial set to air FIVE TIMES during the Summer Olympics, reaching over 204 million individuals. To watch the commercial, visit w w w.f 4cp.or g/ olym pics. The F4CP is proud to share the latest 3 posters/flyers in the campaign, along with its 18x24, color poster, Elevate Your Career, Health and Future with Chiropractic, featuring Dr. Erica Witter-Davis, past Olympian turned doctor of chiropractic and the STAR of the Foundation's :30 secon d Olym pic TV com m er cial on NBC Networks! If you are not already a member of the Foundation, you can review the benefits and/or join at f 4cp.or g/ pack age, where you can also access the materials below. Each month moving forward, the F4CP will release a series of three athletes' posters to members, along with video testimonials.


43 EDUCATION NEWS

Alu m n u s appoin t ed t o lead M alaysian ch ir opr act ic pr ogr am For the first time, the chiropractic program at Malaysia's International Medical University (IMU) is being led by one of its alumni. Dr Yi Kai Wong graduated from IMU in 2014 as part of its first cohort and went on to complete his MSc in Public Health in 2019. Dr Wong takes over from Dr Tamara Gien Pooke, a graduate of Durban Institute of Technology in South Africa. Since graduating, Dr Wong has taken an active role in the development of the chiropractic profession. He has served as the President of the Association of Chiropractors Malaysia (ACM), overseeing considerable growth in the numbers of chiropractors in Malaysia and representing the ACM at the World Federation of Chiropractic, Traditional and Complementary Medicine Division at the Malaysian Ministry of Health, and the Federation of Complementary Natural Medicine Association Malaysia. He hopes to see more chiropractors in Malaysia stepping up to take leadership roles and represent the profession both nationally and internationally. Dr Wong is a passionate advocate for chiropractic and believes that everyone should benefit from chiropractic care. He says, "Most people perceive chiropractic as a treatment option for pain management, but in fact it is so much more than that and should properly be seen as a holistic approach for health maintenance and wellness care. My vision for Malaysia is that affordable and evidence-based chiropractic should be available in the community." The IMU Chiropractic Program is accredited by the Council on Chiropractic Education Australasia (CCEA) and the Malaysian Qualification Agency (MQA). Having seen a significant growth in student numbers in

Dr Yi Kai Wong is the first alumnus of International Medical University to lead the chiropractic program.

recent years, IMU hopes to become the chiropractic educational powerhouse in the Southeast Asian region. The chiropractic program is a four-year course leading to a BSc (Hons) degree. There are two intakes each year, in February and September. For students wishing to divide their study location between different institutions, IMU partners with the Royal Melbourne Institute of Technology (RMIT) in Australia, and AECC University College and the University of South Wales in the United Kingdom. From just a handful of chiropractors a decade ago, the ACM now has over 260 members. Alumni of IMU are also practicing in a number of other countries in the region and worldwide. Both the ACM and IMU's active chiropractic student body participates internationally in events such as World Spine Day.


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45 EDUCATION NEWS

New Logan Un iver sit y h ealt h cen t er of f er s af f or dable car e January 2021 saw the opening of Logan University 's newest health center at the Stephen A. Orthwein Center at Paraquad, St Louis. The new, full-service health center will allow clinicians and student doctors to expand patient-centered care for individuals of all ages and abilities in the St Louis community. Open to the public, it will offer affordable, quality health care following a $10 flat fee model. Services

NYCC in n ovat es w it h on lin e cam pu s visit s f or pr ospect ive st u den t s Continuing to stay connected through the pandemic, while still upholding health and safety best practices, New York Chiropractic College (NYCC) is offering new ways to tour the college's Seneca Falls campus - now 100% through a mobile phone or computer. Prospective students are now being welcomed to campus by admissions counselors and student ambassadors during personalized live video from their phones. Admissions Counselor Autumn Pollock and Student Ambassador Katy Kennedy recently guided a Facetime Tour, showcasing the NYCC library, residence halls and fitness center.

The new Logan Health Center at Paraquad will provide affordable, quality health care.

Recently launched on https://nycc.edu, an enhanced interactive online campus tour, featuring slideshows and video, brings the College to life in a 360-degree experience for prospective students who visit the campus from any location, day or night. As well as a personal welcome from NYCC President Dr Michael Mestan, the online tour guides students through the underground tunnels and by the campus pond just as if they were on campus.

include chiropractic adjustments, acupuncture, pediatric chiropractic and nutritional counseling. Logan University will facilitate integrative internship rotations for Logan Doctor of Chiropractic students, enabling hands-on experiences in a variety of complex patient encounters. Serving as teaching sites, Logan Health Centers provide structured and unique clinical education opportunities for Logan University students, permitting them to provide care under the direct supervision of licensed and experienced clinicians.

Prospective students are being welcomed to the NYCC campus by student ambassadors via their smartphones


46 EDUCATION NEWS

Syn apse: Hu m an Per f or m an ce Cen t er s r ecogn ize Br ain In ju r y Aw ar en ess M on t h Synapse: Human Performance Centers, located on the Parker University campus, is dedicated to enhancing the quality of life of those suffering from any type of brain injury and recently celebrated Brain Injury Awareness Month. With more than 5.3 million children and adults in the United States suffering with a permanent brain injury-related disability, recognizing the need for brain injury awareness and associated education is of particular importance. The Brain Injury Association of America (BIAA) leads the nation in observing Brain Injury Awareness Month annually in March. The 2021-2023 theme is 'More Than My Brain Injury' and it helps educate people about what it is actually like to live with a brain injury. The movement focuses on increasing the understanding of brain injuries as chronic conditions, reducing the stigma associated with brain injuries, showcasing then diversity of injuries, and increasing support for individuals and families suffering from a brain injury.

Synapse: Human Performance Centers? state-of-the-art facility offers the latest in neuroscience and evidence-based therapies. A multi-disciplinary team of doctors and therapists, with an expert understanding of how to stimulate and regenerate brain and nervous system function, give patients a unique experience using the most

innovative equipment and technology. Synapse has professionals from diverse fields such as chiropractic, neurology, physiology, occupational therapy, massage therapy, and nutrition working together to provide a patient-centered approach to care. At Synapse we come together to ensure patients experience the maximum expression of life by removing the barriers to good health.

Clevelan d Un iver sit y KC ach ieves gold f or h ealt h Cleveland University - Kansas City (CUKC) was recently named one of the healthiest places to work in Kansas City for 2020.

Action Team, a dvision of the Greater Kansas City Chamber of Commerce..

CUKC achieved "Gold Level Healthy KC Certified" for its continuing efforts to promote health and wellness among students, faculty, staff and administration.

Dale Marrant, vice-president of human resources and organizational development at CUKC, said, "We are thrilled to have been recognized as one of Kansas City's healthiest workplaces again in 2020."

The certification was awarded to CUKC by the KC Workplace

CUKC has been recognized as a healthy workplace each year

since 2016. Awards are given for efforts across five pillars of health.


47 EDUCATION NEWS

Varatharajullu named new head of chiropractic at DUT Dr Desiree Varatharajullu has been appointed as the new head of chiropractic at Durban University of Technology (DUT). Dr Varatharajullu, is a 2006 graduate of DUT and has been on faculty as a lecturer since 2008. In 2018, she was appointed Clinic Director before being named as Head of Department earlier this year. The Department of Chiropractic is a department within the Faculty of Health Sciences at the Durban University of Technology. The program was started in 1989 and besides for being accredited by the South Africa authorities (CHE and SAQA as agents of the DoHET) it has international accreditation with the European Council on Chiropractic Education (ECCE). The program consists of a 4-year professional Bachelor ?s degree (BHSc : Chiropractic) followed by a Master ?s degree (MHSc : Chiropractic).

Dr Desiree Varatharajullu, MTech (Chiropractic)


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49 EDUCATION NEWS

Un iver sit y of Sou t h Wales an n ou n ces n ew ch ir opr act ic t each in g f acilit y The University of South Wales (USW) has announced the development of a new teaching facility to support the delivery of the chiropractic program. Located in Rhondda Cynon Taf, just north of Cardiff in Wales, the Welsh Institute of Chiropractic has been providing chiropractic education since 1997. Located on the main USW campus, the refurbishment will commence in March/April 2021 for completion for the commencement of the 2021/22 academic year in September.

Chiropractic technique lab at the University of South Wales

The new facility will include a state of the art AV clinical skills lab with force-sensing table technology, rehabilitation suite, and a diagnostic imaging room with the Anatomage technology. The building will also integrate student work rooms, staff offices and meeting rooms. The new development will be fit for purpose and unify teaching delivery and also bring staff and students into the same facility to promote an enhanced collaborative environment and student experience. This development demonstrates the confidence that USW has in the chiropractic program as a key subject in the healthcare portfolio.

The new refurbishment will create a modern, exciting learning environment.

The new facility will also provide an opportunity to engage in more inter-professional teaching and research activity within the School of Health, Sport and Professional Practice particularly around sport and exercise science, sport activity and sports therapy degree programs. The academic team and students, led by Professor David Byfield and Dr Karl New, are excited about this development which it is felt will set the stage for the future of the chiropractic program at USW.

Both students and faculty are excited about the plans to refurbish accommodation of the Welsh Institute of Chiropractic at the University of South Wales


50 WORLD NEWS

In t er n at ion al Ch ir opr act ic Regu lat or y Societ y: Updat e. Don n a Liew er Coh en , Execu t ive Dir ect or , ICRS Regulation gets a bad rap sometimes ? too expensive, over-controlling, restricts innovation. However, the fact is that laws bring order to our lives. Most people inherently respect and act within the boundaries of proper behavior. Formally and legally framing the expectations for professionals is an important mechanism to protect the public from the indiscriminate, inappropriate or the incompetent delivery of health care services Chiropractic laws and regulations are adopted to set limits for the very small percentage of chiropractors who either unknowingly or willingly do not follow rules designed for the public good. The challenging work of public protection has continued to adapt in the face of the COVID-19 pandemic. Complaints from the public are filed, hearings held, licenses issued, and regulations updated. Currently,

the issue of vaccination has caused boards to engage in vigorous discussion about what type of guidance to offer their registrants / licensees. The initial hot issue was whether chiropractors could continue to practice while much of society was shut down. Are they ?essential workers?? Most government authorities and regulatory boards opined they are. With increased hygiene measures, screening, the uniform wearing of masks, and adherence to public health guidelines, chiropractic care can be delivered safely. If they are ?essential workers? do chiropractors qualify to go to the front of the line for vaccinations? What if doctors either favor or are opposed to vaccinations? What should they tell their patients? The Chiropractic Board of Australia is among the early regulatory agencies to conduct an in-depth review of these issues. Following multiple cross-professional meetings and many drafts, the overarching health professions agency (Ahpra) recently issued practitioner guidance in partnership with its 15 boards. This complements previous advice provided by the CBA in its policy on Provision of Health Information. Briefly, the regulators developed the guidance from the patient viewpoint. They concluded that advice to patients about health practices should follow several criteria:

The issue of vaccination has impacted on chiropractic regulation

1. Information should be accurate and supported by evidence.


51 WORLD NEWS

In t er n at ion al Ch ir opr act ic Regu lat or y Societ y: Updat e. (con t in u ed) 2. The practitioners?scope of practice and training should qualify them to offer such advice.This principle is applied to all healthcare advice, not just vaccinations. 3. All practitioners have a responsibility to participate in efforts to promote the health of communities. They also urged all chiropractors and students to get vaccinated unless medically contraindicated: -

to contribute to achieving the highest possible level of community immunity, and to protect practitioners?and students?own health if exposed at work or elsewhere.

In short, when the chiropractor says, ?Trust me ? I?m your doctor ? any recommendations to patients must be supported by evidence and training.

Ch ir opr act ic-ow n ed gr ou p acqu ir es lar gest Hon g Kon g m edical lab NYMG, one of the leading chiropractic groups in Asia, has acquired the largest private medical laboratories in Hong Kong, which were established over 40 years ago. It was one of the first local institutions recognized by the government to conduct COVID-19 nucleic acid screening tests. The medical laboratory company provides full diagnostic laboratory testing services to MDs and medically-related institutions with over 40 registered medical laboratory technicians, which is one of the largest teams in terms of lab professionals in the private sector. The operation currently operates five medical laboratories and provides diversified medical testing services, such as allergy profiles, anti-aging, cancer markers, dengue fever profile, orthopedic related tests.

The vast majority of healthcare providers genuinely care about their patients. However, it is critical that they practice within their area of competency and not offer recommendations that are outside their scope of practice. This is why it is so important for boards and practitioners to deliver a clear and definitive message that is consistent with both public health policy and their expertise. Additionally, professional associations can help in disseminating board policies to their members and stakeholders.

Dr Eric Chu DC, founder of NYMG and co-owner of Union Medical Healthcare said, "As the local demand for COVID-19 nucleic acid testing has surged during the pandemic, the laboratories will enable the chiropractic industry to provide COVID-19 testing related services to our patients. In addition, the laboratory conducts diverse diagnostic tests so it will become an indispensable part of the entire chiropractic-wellness population, enabling the private chiropractors to develop different related preventative testing.

The ICRS does not promote any particular regulatory practice over another. However, we do encourage both boards and associations to engage early and openly in dialogue to provide practitioners with appropriate guidance about their professional behavior including what conduct and performance is legally and ethically acceptable.

Dr Chu has been actively looking for opportunities for suitable investment to implement a strategy for supporting the chiropractic industry. He reports that the acquisition will create a new growth driver that will positively contribute to scope of practice.

Patients trust you ? you are their doctor. Visit the ICRS website at www.chiroregulation.org

We believe that the acquisition can further expand the scope of chiropractic services, consolidate its industry leadership as a one-stop comprehensive primary care provider,


52 EDUCATION NEWS

Palm er College gr adu at e com m it s $1m t o alm a m at er A 1955 graduate of Palmer College of Chiropractic has committed a $1 million legacy gift to his alma mater to support students. Dr Charles Keller, from New York City, is a

PIE Con f er en ce t o pr ovide t each in g on eviden ce-in f or m ed pr act ice Designed for chiropractic educators, the Process of Integrating Evidence (PIE) conference takes place August 12-14. This 3-day program (August 12-14, 2021) is designed to provide CIH (complementary and integrative healthcare) educators training in the principles, practice and teaching of Evidence-Informed Practice (EIP). Two tracks are available: a teaching track aimed at classroom and clinic educators, and an administrative/curriculum development track aimed at institutional administrators and curriculum designers. The Planning Committee is thrilled to announce the conference keynote speaker is Gordon Guyatt, MD, MSc, FRCP, OD. Dr. Guyatt is known as the originator and developer of evidence-based medicine. He is a Distinguished Professor for the Department of Medicine and Health Research Methods, Evidence and Impact at McMaster University in Hamilton, Ontario. He founded the gold-standard Evidence-Based Faculty Training workshop at McMaster. As that training workshop comes to a close this summer, the PIE team gladly accepts the baton? to be the evidence-based training program for chiropractic faculty.

Dr Charles Keller is a 1955 graduate of Palmer College

longstanding supporter of Palmer College. His gift supports capital improvements of the College taking place both in Davenport, Iowa and the College's Port Orange campus in Florida. The gift comes at a time of unprecedented growth at Palmer College, despite the challenges that Covid-19 has presented to hands-on education.

Learn more about the conference at www.thepieconference.org.


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Lif e West celebr at es 40 year s of ch ir opr act ic edu cat ion Life Chiropractic College West, located in Hayward, California, USA, celebrated its 40th anniversary in March. Life Chiropractic College West traces its founding to 1976, when the institution was known as Pacific States Chiropractic College. In April 1978, the first group of students at Pacific States Chiropractic College began attending classes. With Pacific States Chiropractic College facing closure, Drs Sid Williams, President of Life University and George Anderson, Chair of the Pacific States Chiropractic College Board of Regents came together to rescue the institution. In 1981, Life Chiropractic College West was born and

President Gerard Clum stepped in as the new leader, a position he was to hold for 30 years until his retirement in 2010. The Presidency was then held by Dr Brian Kelly between 2010 and 2016. Chair of the Board of Regents, Dr Ron Oberstein, then took over as Interim President before his position was confirmed in 2017. The vision of Life Chiropractic College West is to create a brighter future for humanity. Its mission is to support the full career life cycle, from the classroom to retirement, and help graduates leave a mark on the world through chiropractic. Life Chiropractic College West is accredited by both the Western Association of Schools and Colleges (WASC) and the Council on Chiropractic Education (CCE-US), agencies recognized by the U.S. Department of Education. For more information on Life West, visit https://lifewest.edu/.

ACC Pr esiden t appoin t ed t o NAICU Execu t ive Com m it t ee David O'Bryon, JD, CAE, President of the Association of Chiropractic Colleges, has been appointed to the Executive Committee of the National Association of Independent Colleges and Universities. NAICU serves as the national voice of independent higher education and reflects the diversity of private, nonprofit higher education in the United States. With more than 5 million

students attending 1,700 independent colleges and universities in all 50 states, and more than 1 million employees, the private sector of American higher education has a dramatic impact on the U.S.'s larger public interests. The ACC Secretariat consists of 29 member associations representing the many regional and special-purpose independent colleges and universities across the country.

David O'Bryon JD, CAE. President of the Association of Chiropractic Colleges.


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CCEB adapt s t o Covid-19 w it h r apid r espon se The Canadian Chiropractic Examining Board (CCEB) administers examinations in support of the 10 provincial regulatory colleges, as part of the colleges' duty to protect the public and retain confidence in the chiropractic profession. There was anxiety when, in light of the Covid-19 pandemic, restrictions impacted on in-person contact meaning that standard CCEB exams could not take place. However, within 12 weeks, CCEB had made full arrangements for a remote proctoring system for the written components. Committed to seeking a solution that maintained its need for psychometric excellence, including as it related to exam security, CCEB elected to use a real-time, live-proctored, remote experience: the gold standard in remote testing security.

CCEB remained focused on public protection.

immediate public health crisis. The CCEB takes public safety extremely seriously, mindful that it is part of its core mission. It continues to work diligently to align with public health orders and, where necessary, cancel its in-person administrations. The CCEB guidelines mirror the types of protocols that are in place in chiropractic offices across the country, including masking, sanitization, and physical distancing to the extent possible while conducting the examination

CCEB adapted immediately to the challenges faced by Covid-19

This system allowed for over 800 individual examinations to be conducted in October 2020 and February 2021. Remote proctoring has proved to be an extremely reliable and secure method of testing the written examination components and, as a result, the CCEB Board of Governors unanimously approved the inclusion of remote proctoring as an administration tool of the CCEB beyond the

CCEB commented, "While adaptation and nimble responses have been the necessary bi-product of the global pandemic for all organizations including the CCEB, there is a critical need to continue to remain focused on the purpose of the organization. Adaptation should not jeopardize the purpose; in the case of the CCEB, the purpose is entry-to-practice examination in support of the regulatory role in public protection".


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AECC Un iver sit y College r eceives $3.7m f u n din g f or st at e-of -t h e-ar t r eh abilit at ion cen t er In a major boost to healthcare innovation and allied health professions, a UK Local Enterprise Partnership (LEP) has announced £2.7m of funding towards the creation of a new state-of-the-art rehabilitation center at AECC University College (AECC UC). The new Integrated Rehabilitation Centre is set to be a national leader for community rehabilitation, bringing much needed capacity for rehabilitation services to the region. It will aim to offer patients with multiple conditions (for example musculoskeletal problems together with other issues) coordinated access to different clinical services and diagnostic tests within one facility so they can be supported to overcome their co-existing problems. Construction of an Integrated Rehabilitation Centre (IRC) will be on a recently purchased site, directly across the road from the main AECC UC campus. The state-of-the-art rehabilitation center will build on AECC UC's health sciences educational portfolio as well as its current clinical services in radiology, musculoskeletal care, sport and exercise rehabilitation to deliver a greater breadth and range of services to local people in a new, more integrated way.

The combination of academic teaching and research, and the development of integrated clinical services in community and musculoskeletal rehabilitation, mental health and sports therapy and performance is unique in the south of England and has the potential to significantly enhance the health and welfare of the local population.

and social care budgets.

Run by staff at AECC University College, in partnership with the National Health Service (NHS) and other local healthcare providers, the Integrated Rehabilitation Centre will combine a fully integrated rehabilitation clinic with leading-edge teaching and applied research.

?The new facilities will also enhance placement opportunities for our students and those from other higher education providers.

This will create new treatment approaches and service improvements. It is also expected that the center will see an increased number of healthcare professionals graduating from AECC University College, helping to improve economic and social activity, and reducing the burden on health

Professor Lesley Haig, Vice-Chancellor of AECC University College, said: ?We are delighted to be announcing such an exciting development. We are uniquely well-placed to establish and manage a center like this, dedicated to improving the quality of life of local people.

?The outbreak of COVID-19 has created immediate challenges for health and social care services. Community rehabilitation can help address some of these challenges in a cost effective and patient-centered way.The facilities will allow us to grow provision into new areas in allied health, advanced clinical practice and other areas and specialisms in response to the demands of the local and regional health and care workforce.?


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Pediat r ic ch ir opr act ic exper t pr ovides er gon om ic edu cat ion t o sch oolch ildr en du r in g lockdow n . Cyprus, like every other country in the world, has been significantly affected by the Covid -19 pandemic. Children have been home schooled for many months and the effects of lockdown are evident both on physical and psychological levels. The number of pediatric cases seeking chiropractic treatment for tension headaches, upper and lower back pain has increased dramatically during the pandemic. Based on this, the idea of providing children with basic information on how to adapt their home environment to support both their learning and musculoskeletal health needs was highlighted. Dr Anna Papadopoulou, from the capital city of Nicosia, offered a free educational webinar titled ?Posture and Desk Ergonomics?to the students of The Junior School and The Senior School, Nicosia during the second wave of Covid-19 pandemic. Between January 2021 and March 2021, over 800 students ranging in age from 5 to 15, along with their teachers, received information on how to set up their home learning environment to best support their developmental and musculoskeletal needs. This interactive webinar educated the children in setting up their work space and stressed the importance of good spinal hygiene. The ?Straighten Up Cyprus?exercises, demonstrated by Dr Papadopoulou, were also popular and well received.

Anna Papadopoulou (left) with members of staff of The Junior School, Nicosia, Cyprus

This initiative was welcomed by the schools, teachers and students. Dr Papadopoulou is a member of the Cyprus Chiropractic Association.

National welcomes new Assistant Dean of Chiropractic Medicine Dr Jeffrey Ware has been appointed Assistant Dean of Chiropractic Medicine at National University of Health Sciences, Lombard Illinois.

Dr Jeffrey Ware

Dr. Ware holds extensive and diverse clinical, academic and practice

experience. Previously, he held the positions of executive director of chiropractic programs, and assistant professor of clinical sciences at D'Youville College in Buffalo, New York. Dr. Ware is a 1989 Logan

University graduate. He also holds a Master of Science in Nutrition and Human Performance, and is a Diplomate, American Board of Chiropractic Internist, a certified insurance consultant, and has authored several research papers.


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60 RESEARCH NEWS

CCRF celebr at es ear ly car eer r esear ch er s w it h gr an t f u n din g The Canadian Chiropractic Research Foundation (CCRF) is affirming its commitment to the future of health science and the chiropractic profession by announcing over $130,000 in new funding for Early Career Researchers (ECRs). ?We?re proud to support these five Canadian-led ECR projects,? said CCRF Chair Dr. Chad Kulak. ?As our profession?s national evidence-based research organization we?re very pleased to be investing in a new generation. Their innovation, energy and commitment to positive social change will help us continuously improve.? Under the direction of its volunteer Research Committee, CCRF issues semi-annual Requests for Proposals (RFPs); a general call in the spring, followed by a more focused opportunity every fall. ?We were thrilled by the response to our most recent RFP,? stated Dr. Richard McIlmoyle, Research Committee Chair. ?We received ECR submissions from across the country, as well as collaborations from Canadian researchers working abroad. We were also impressed by the range of proposals as we strive to engage with traditionally underserved populations, provide improved patient benefits and deliver high-quality data to inform public policy.? Gr an t f u n din g r ecipien t s

Diana de Carvalho

Mona Frey

Quantitative validation of the heat capsaicin model of pain induction for the low back Aw ar d: $28,600 Lead: Dr Mona Frey and Dr Diana De Carvalho, Memorial University of Newfoundland Im pact : This study explores the validation of pain induction for the purpose of studying low back pain (LBP).It?s the first study to 1) validate the heat-capsaicin model of pain induction in the low back 2) to compare biomarkers in the heat-capsaicin induction and sitting-induced LBP induction procedures, and 3) to compare subjective pain ratings to these objective measures.The findings of this study will provide the foundation for future LBP research for decades to come. can adian ch ir opr act icr esear ch f ou n dat ion .ca


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CCRF celebr at es ear ly car eer r esear ch er s w it h gr an t f u n din g (con t in u ed) Promotion of Physical Activity by Postpartum Women with Lumbopelvic Pain Aw ar d: $10,000 Lead: Dr Heather Hollman, University of Victoria Im pact : This 3-in-1 project will promote physical activity, decreased pain, and improved function in postpartum women with lumbopelvic pain by reviewing physical activity, determining the barriers to exercise faced by new mothers, and developing virtual health delivery through communication and monitoring of physical activity and rehabilitation.

Heather Holman

What is the effect of chiropractic or physiotherapy on medical health utilization and costs in adults with low back pain? A population-based matched cohort study. Aw ar d: $47,000 Lead: Dr Jessica Wong, Doctoral Candidate, Epidemiology Division, Dalla Lana School of Public Health, University of Toronto Im pact :This is the first study to assess the effects of chiropractic and physiotherapy on medical care utilization costs in Canada. This research leverages novel data that captures all medical encounters and direct person-level costs over a 15-year period in a population-based sample of Ontario adults with back pain.

Jessica Wong

The role of sensitization and sensorimotor integration in understanding the biological basis of Chiropractic Aw ar d: $26,600 Lead: Dr Nicolas Antony, Ontario Tech University Im pact : Chronic musculoskeletal pain is burden for the people who suffer with it and for health care systems. This study seeks to advance effective treatment strategies by evaluating neurophysiologic mechanisms of motor control during central sensitization states and chronic neck pain. This involves determining the neurophysiological effects of central sensitization (CS), on motor control/sensorimotor integration and identifying whether spinal manipulative therapy can play a role in normalizing sensorimotor integration in central sensitization states. Nicolas Anthony

can adian ch ir opr act icr esear ch f ou n dat ion .ca


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CCRF celebr at es ear ly car eer r esear ch er s w it h gr an t f u n din g (con t in u ed) The clinical course of spinal pain in adolescents: a feasibility study Aw ar d: $20,000 Lead: Dr. Michael Swain, Macquarie University

Michael Swain

Im pact : This study will provide better understanding of adolescent patients with MSK pain and is an essential first step to conducting a definitive clinical cohort study on this important but under researched group. It will break new ground in the recruitment and follow up of young people seeking care and lead to new care models for early-on episodes of spinal pain that may inform preventative efforts to reduce the impact of chronic-recurrent spinal pain later in life. Testing will be done by multi-site team of collaborators in Canada and the United States.

About the CCRF Dr Chad Kulak, Chair of the CCRF, said, ?Since 2019, thanks to the generous support of our partners, CCRF has invested over $625,000 and we?re confident this new series of grants will provide excellent value for patients, practitioners and other stakeholders? He continued,?We also want to invite all Canadian researchers in chiropractic and adjacent healthcare fields to consider applying to our General Spring 2021 RFP. Please visit our website on March 31, 2021 for details.? For more than four decades the Canadian Chiropractic Research Foundation (CCRF) has been funding chiropractic research. Today CCRF invests in national evidence-based research to improve health outcomes for the over 11,000,000 Canadians who suffer with musculoskeletal pain and disability.

Chad Kulak, Chair, Canadian Chiropractic Research Foundation


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St r on g Dan ish pr esen ce at CARLoqu iu m Danish researchers made a significant contribution to the virtual conference, CARLoquium, which took place on March 2-4. The pandemic has temporarily restricted the possibility of the members of CARL II meeting physically. Instead, the mentors behind CARL devised a virtual conference, CARLoquium. Researchers and PhD students from the Chiropractic Knowledge Hub, the Department of Sports Science and Clinical Biomechanics at the University of Southern Denmark and the Spine Center of Southern Denmark participated in large numbers in the virtual conference, as did Greg Kawchuk, who is both mentor and co-organizer of the conference and Rikke Krüger Jensen won 1st prize in the Best Unpublished Work Poster category

During A 2-Year Period In Participants Enrolled In Supervised Education And Exercise Therapy: A Prognostic Study Of 3,657 Participants With Hip Osteoarthritis".

University of Southern Denmark

adjunct professor at SDU. Danish researchers made a significant contribution to the more than 100 posters at CARLoquium. Posters from five Danish researchers received prizes at the conference: Senior researchers and associate professor Rikke Krüger Jensen won 1st prize in the Best Unpublished Work Poster category with her poster "The development in surgery rates for lumbar spinal stenosis in Denmark between 2002 and 2018: A retrospective registry-based cohort study". PhD-student Stine Haugaard Clausen won 2nd prize in the category Best Student Poster with her contribution "Prognostic Factors Of Hip Replacement

In the same category, PhD-student Simon Dyrløv Madsen won 3rd prize with his poster "Low Back Pain Management by Chiropractors, Physiotherapists and General Practitioners: a prospective survey in primary care". Chiropractors Mette Sørensen and Nina Engmark won second prize in the Best Early Career Researcher Poster category with their contribution "Are chiropractors' characteristics associated with the number of referred patients from general practitioners? A cross-sectional study of Danish chiropractors"


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WFC Past Pr esiden t Den n is Rich ar ds aw ar ded Ph D Past President of the World Federation of Chiropractic, Dr Dennis Richards, has been awarded a PhD from Australia's Southern Cross University. Dr Richards, who served as WFC President 2012-2014, studied and successfully defended his thesis on 'The Meaning and Value of Vitalism in

Chiropractic'. Dr Richards' thesis sought to ask what chiropractors mean when they talk about vitalism and what values chiropractors believe that vitalistic thinking and practices might offer in address current global prevalence of global non-communicable lifestyle-related conditions. Chiropractors from Australia and New Zealand were invited to participate in a survey, which included closed and open-ended questions. Synthesis of this and other data from the study revealed that chiropractors attribute multiple meanings to vitalism, ranging from innate intelligence to an obsolete and unscientific doctrine. The majority of respondents proposed a vitalistic practice model composed of chiropractic adjustive care and healthy lifestyle advice.

Dr Dennis Richards served as WFC President 2012-2014

There are currently five chiropractors enrolled in PhD studies at Southern Cross. Dr Richards will continue to work at the university. His thesis can be accessed here.

Dan ish CARL II Fellow su ccessf u lly def en ds Ph D t h esis A Danish researcher who is part of the prestigious team of CARL II Fellows, has successfully defended his PhD thesis. Casper Glissman Nim, who undertook his research at the University of Southern Denmark, was awarded his PhD after an online oral defense on February 26, 2021. The subject of Dr Nim's research thesis was 'What determines a positive outcome of spinal manipulation for persistent low back pain: stiffness or pain

sensitivity?' Six manuscripts were prepared during the PhD, two of which have already been published.

Chiropractors Association, over 20 Danish chiropractors have a PhD with a further 10 due to complete their studies shortly.

Dr Nim explained his work: "We know that both stiffness and pain can decrease as a result of spinal manipulative therapy," he said, "The thesis examined if a specific target helped the patient improve. Afterwards, we explored and compared the results systematically with similar literature." According to the Danish

Casper Glissman Nim PhD


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Du t ch -Belgian Resear ch In st it u t e t akes sh ape The QWR has previously reported on the establishment of a Dutch-Belgian Research Institute (DBRIC). DBRIC is now officially formed. DBRIC is officially a new joint venture of the NCA and the BCU, and funded primarily by the members of the two associations. This foundation funds, promotes and facilitates research of relevance to patients and the chiropractic professions in Belgium and the Netherlands. All research and education funded by DBRIC should benefit the public in general, and patients in particular, with emphasis on neuromusculoskeletal conditions. The vision of DBRICS is to elevate the quality of chiropractic care and neuromusculoskeletal research through a number of separate yet interrelated topics: sponsoring PhD and post-doc research projects; supporting aspiring researchers and educators through (part-time) post-grad grants; forming partnerships with universities in both countries and wider international collaboration focused on neuromusculoskeletal research; nurturing chiropractic students with an interest in academia/research; bridging academia and clinical life through strategic knowledge transfer; and being an active participant in the public health debate.

from each of the two national chiropractic associations in Belgium and the Netherlands. Both association presidents are on the board of DBRIC and they take turns being president and vice president of DBRIC. For the year 2021 Bart Vandendries - the BCU president - is chairman of the board, while Gitte Tønner - president of the NCA - serves as vice-chairman and treasurer. For the year 2022, these two positions will interchange. The board is completed by Tom Michielsen and Anne Lau. The board acknowledges the role and the importance of good solid communication with the boards of directors of the NCA and BCU, with the universities and chiropractic colleges in Europe, with the European Centre for Chiropractic Research Excellence (ECCRE), with the ECU and WFC, and with the media. For more information, please visit www.dbric.eu.

The DBRIC board consists of two representatives

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67 RESEARCH NEWS

Span ish r esear ch er s explor e r ole f or ch ir opr act ic in viscer al pain A research team from the Madrid College of Chiropractic is examining whether there is a role for chiropractic in the management of visceral pain.

Posit ive ou t com es f or SM T in t r eat m en t of h eadach e in ch ildr en A recently published groundbreaking study concluded that manipulation resulted in fewer cases of headache in children aged 7 - 14 years, but did not decrease the intensity of the headache when it occurred.

A new research project is being undertaken in collaboration with the prestigious Alcala de Henares University (UAH) in Madrid. Spearheaded by Dr. Arantxa Ortega (MCC Director of Research), the project is based on the search for biological markers of pain using mass spectrometry analysis. Dr. Ortega and her team will be using an experimental model of visceral pain in mice developed by the UAH. This model is used by UAM researchers to study inflammatory bowel disorders, since it reproduces the symptoms experienced by patients suffering from these disorders. By inducing both acute and chronic inflammation, the team will evaluate the development of hyperalgesia using vFrey-hair technique, pathological changes in macro and microanalysis of the colon, and biomarkers for pain in the dorsal nerve root ganglia. To date, there is not adequate pharmacological treatment for these type of chronic visceral pain. Dr. Ortega´ s team will join the UAH researchers using the model to test new approaches to the treatment of chronic visceral pain, and for that purpose, the experiment will introduce the instrument-assisted Spine Manipulative Therapy (IASMT) Activator V. Alcala de Henares University is a public university and one of the oldest universities in Europe. It was founded in 1293 and it is in the top 500 positions of the QS World University Ranking.

The chiropractic spinal manipulation group experienced significantly fewer days with headaches than the sham group.

199 children with recurrent headaches participated in the study - which compared manipulation with simulated manipulation - to learn more about how effective manipulation is as a treatment for recurrent headaches in children. The participating children were divided into 2 groups that were treated over a period of 4 months. One group was treated with manipulation while the other group treated with simulated manipulation. The study is the first major randomized clinical trial of the effectiveness of chiropractic treatment of recurrent headaches in children and adolescents. Treatment by a chiropractor can be considered as a treatment option for children and adolescents with recurrent headaches. Reference [1]: Lynge S, Boe Dissing K, Vach W, Christensen HW, Hestbaek L. Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7-14 years - a randomised clinical trial. Chiro Man Ther 2021: 29(1) https://doi.org/10.1186/s12998-020-00360-3 (open access)


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