QWR2025A

1

Quarterly World Report JANUARY 2025

Ch ir opr act ic edu cat ion celebr at ed in Ku ala Lu m pu r

PREMIER CORPORATE PARTNER

WFC News Education news Research news World news and more!

2

3 PRESIDENT'S MESSAGE

Oppor t u n it ies t o im pact t h e h ealt h of all n at ion s As we step into this new year, I am filled with hope and enthusiasm for the opportunities that lie ahead. This year will be one of change and new beginnings - an opportunity for our profession to continue its evolution while honoring the foundations laid by those who came before us. It is through a global collective effort that our profession has been able to advance as it has, creating a legacy of care, innovation, and dedication to improving lives.

Chiropractic is a dynamic and forward-thinking profession, and our strength lies in our ability to adapt and thrive in an ever-changing world.

The WFC has supported the efforts of many, providing leadership and direction that has guided the profession towards greater heights. We have embarked on a journey of renewal, embracing new changes within our organization that will better serve our members, patients, and the global community. These changes reflect our commitment to excellence, collaboration, and innovation in chiropractic care. We encourage our members to continue with their individual efforts, as it is these collective actions that drive meaningful progress and transformation.

This year, 2025, is particularly special as it marks the year of the WFC Congress. I am thrilled to invite you to the 2025 WFC Congress in Denmark this May - a pivotal event for our global community.

This congress is not just a meeting; it?s a celebration of our shared mission and values. It?s an opportunity to connect with like-minded professionals, exchange ideas, and gain insights from leading experts who are shaping the future of chiropractic. This year also holds historical significance, as it marks 100 years of chiropractic in Denmark - a milestone worthy of grand celebration.

I hope you will join me and your colleagues in Denmark for a few days of learning, inspiration, and camaraderie, as we honor the past and look to

Dr Kendrah Da Silva, WFC President

the future.

Let us make this a year of connection, growth, and renewed purpose. Together, we can embrace change, advance our profession, and continue to make a profound impact on the health and well-being of the world.

As we move forward, let us remember that we are stronger and more effective when we work together. ?Better Together ? is not just a motto; it?s a call to action that underscores the power of unity and shared vision.

Wishing you a wonderful, prosperous, and inspiring year ahead filled with success, collaboration, and a shared commitment to excellence. May this year bring us closer to our goals and reaffirm the vital role of chiropractic in global health care. Together, through our dedication and vision, we can achieve extraordinary milestones and leave a lasting impact on the future of chiropractic. Here's to a year of progress, purpose, and shared success!

KDS

4

5 WFC NEWS

New s f r om t h e boar dr oom The Q4 meeting of the WFC Board of Directors, held on November 12, 2024, addressed a range of updates, policy implementations, and initiatives.

The agenda and minutes from the Q3 meeting were unanimously approved. President Dr Kendrah Da Silva opened the meeting by expressing gratitude for the dedication of Board members and highlighting exciting times ahead given the organization?s active initiatives.

The Board reiterated its responsibility to defend the best interests of its members and the wider profession. Policy updates included finalizing documents on non-interference, cybersecurity, and finance committee terms, now posted on the WFC website. An updated travel expenses policy was also adopted.

The meeting introduced Dr Bradley Beira as Secretary-General Designate. Dr Beira will transition into his role by July 1, 2025, supported by an onboarding plan. Governance discussions included adopting the risk register and a financial risk analysis report, reflecting efforts to address

vulnerabilities and ensure transparency.

Progress across committees was discussed, including updates from the Research and Disability and Rehabilitation Committees, advancing projects like the Global Patient Safety Initiative.

Celebrations of World Spine Day were noted as a significant success, reflecting global engagement.

Additionally, the WFC?s collaboration with IBCE marked a milestone in developing an International Test of Competence. Membership updates confirmed proposals for Kuwait and Laos to gain full membership at the upcoming 2024 Assembly.

Preparations for major events were reviewed, including the 2025 Assembly of Members and Biennial Congress in Copenhagen. The Board also noted the progression of WHO Benchmarks for Training in Chiropractic, anticipated for publication in early 2025.

The meeting concluded on a forward-looking note, with the next Board meeting scheduled for February 11, 2025.

WFC BOARD OF DIRECTORS (2024-26)

RESEARCH COMMITTEE

Kendrah Da Silva (President)

African Region

Sidney Rubinstein DC, PhD (Chair) Netherlands

Ryan Coster (Vice-President)

North American Region

Holly Tucker (Secretary-Treasurer) North American Region

PUBLIC HEALTH COMMITTEE

Carlos Ayres

Latin American Region

Claire Johnson DC, MSEd, PhD (Chair) USA

Glenn Guilderson

North American Region

Andrew Lawrence

Pacific Region

John Maltby

North American Region

DISABILITY & REHABILITATION COMMITTEE

Jakob Lothe

European Region

Katie de Luca MAppSc, PhD (Chair) Australia

Efstathios Papadopoulos

Eastern Mediterranean Region

Pernille Popp

European Region

Hayden Thomas

Pacific Region

Dale White

North American Region

Yi Kai Wong

Asian Region

SECRETARIAT Richard Brown DC, LL.M (Secretary General) Rebekah Wilks BS, DC (Director of Strategy and Policy) Khalid Salim (Finance & Administration Manager) Sarah Villarba (Administrative Assistant)

6 SECRETARY-GENERAL'S MESSAGE

Br in gin g ou r m ission t o lif e: t h e k ey t o m ak in g a global im pact As we reflect on 2024, we celebrate a year of progress for the chiropractic profession worldwide.

The World Federation of Chiropractic (WFC) continues to advance its mission of raising awareness, promoting utilization, and fostering the integration of chiropractic care. These three pillars - awareness, utilization, and integration - define the foundation of our work and remain central to our efforts as we move into 2025.

Awareness is the cornerstone of understanding and appreciating chiropractic care. As we head into the new year, the WFC will launch campaigns to educate the public about the benefits of chiropractic, emphasizing its role in managing musculoskeletal health and enhancing quality of life.

In 2024, through collaborative efforts with national associations, social media outreach, and public events such as World Spine Day, we reached millions with clear, evidence-based messages.

However, raising awareness must extend beyond the public. Among policymakers, healthcare professionals, and global organizations, we must continue advocating for the recognition of chiropractic as a vital component of non-invasive, person-centered care.

individuals seeking chiropractic care, driven by greater public understanding and enhanced accessibility. We will continue to promote evidence-based practices and highlight the value of chiropractic across the life course in addressing common health issues, including back pain, neck pain, and headaches.

We encourage our constituent member associations to implement community-based initiatives, making chiropractic care more accessible in both rural and urban settings. By working with healthcare providers and policymakers to remove barriers, we will promote access to chiropractic for people of all ages in all nations.

This includes supporting our national association members in their advocacy for better insurance coverage, encouraging public health campaigns that include chiropractic, and supporting education to enable more chiropractors to serve their communities.

Increasing awareness at all levels helps dispel misconceptions and fosters trust in the profession.

We must amplify these efforts, focusing on underrepresented regions and underserved populations. By expanding access to accurate, evidence-based information about chiropractic, we aim to ensure that more individuals understand the importance of spinal health and the value of chiropractic care.

Raising awareness is only the first step; converting that awareness into increased utilization of chiropractic services is equally vital. The WFC will support efforts to increase the number of

Richard Brown, WFC Secretary-General

7 WFC NEWS

Br in gin g ou r m ission t o lif e: t h e k ey t o m ak in g a global im pact Integration represents the future of healthcare, and chiropractic has a vital role in multidisciplinary approaches. In 2024, we saw growing recognition of chiropractic?s contribution to collaborative healthcare teams. Reports in the Quarterly World Report highlighted chiropractors working alongside physiotherapists, medical doctors, and other health professionals, improving patient outcomes through coordinated care.

The WFC has been a vocal advocate for integrating chiropractic into national health systems. Through partnerships with WHO and engagement with government health ministries, we have emphasized the cost-effectiveness and person-centered nature of chiropractic.

Looking ahead, integration will remain a key focus in 2025. We will continue supporting the inclusion of chiropractic in public health programs, encouraging research that demonstrates its efficacy, and fostering partnerships with other health professions. By ensuring that chiropractic is part of the broader healthcare conversation, we can secure its role as a valued and respected contributor to global health.

Awareness, utilization, and integration are interdependent pillars driving the advancement of chiropractic care. The achievements of 2024 have set the stage for even greater progress in 2025. As we strengthen collaborations, deepen advocacy efforts, and expand our reach, we invite the global chiropractic community to join us in advancing these tenets. Together, we can build a future where chiropractic care is universally recognized, widely utilized, and fully integrated into healthcare systems worldwide.

Thank you for your commitment to this shared mission - let?s make 2025 a year of transformative impact and growth. RB

CONTACTING THE WFC Wr it e t o u s: World Federation of Chiropractic, 2 St. Clair Avenue West,Toronto, Ontario M4V 1L5, Canada Call u s: +1 647 255 8030 Em ail u s: General enquiries

info@wfc.org

Richard Brown

rbrown@wfc.org

Rebekah Wilks

rwilks@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 (in Word format) to 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.

8

9 WFC NEWS

Cou n t dow n is on t o a f air y t ale WFC Con gr ess as ear ly bir d deadlin e appr oach es Registration for the 18th Biennial Congress of the World Federation of Chiropractic (WFC) is open and the clock is ticking on our exclusive Early Bird registration! Join us in Copenhagen, a city celebrated for its charm, beauty, and rich history, from May 7-10, 2025, for this landmark event.

This is your chance to secure your spot at the WFC Congress at the best possible rate. Early Bird registration guarantees your place at this unmissable event. Don?t delay - register before the Early Bird deadline on March 10!

The WFC Congress promises to be an unparalleled experience, featuring inspirational keynotes from global industry leaders sharing cutting-edge insights into chiropractic care.

You?ll engage in plenary sessions that tackle critical issues, participate in dynamic panel discussions exploring the latest challenges and opportunities in evidence-based chiropractic practices, and gain hands-on experience through practical workshops designed to enhance your skills. Breakthrough research presentations will ensure you remain at the forefront of chiropractic advancements.

Connecting the Dots of Evidence-Based Practice,? underscores the importance of integrating evidence-based approaches into patient care, empowering chiropractors to deliver exceptional, people-centered healthcare. By emphasizing the role of research, clinical expertise, and patient preferences, the theme highlights how evidence-driven practices can enhance outcomes, foster innovation, and strengthen the profession's credibility worldwide.

Held at the stunning Tivoli Hotel and Convention Center, the congress offers a perfect blend of state-of-the-art learning facilities and Danish hospitality. Stroll the cobblestone streets, savor authentic cuisine, and embrace the famous Scandinavian ?Hygge? while networking with peers

from around the globe.

This is more than a congress - it?s a celebration of the chiropractic community. Reunite with old friends, forge new connections, and immerse yourself in a vibrant professional environment.

Don?t wait until it?s too late - register now to take advantage of Early Bird pricing and benefits. Visit the official website at https://www.wfc25cph.org to reserve your place and explore all the event details.

The 18th Biennial Congress is your opportunity to connect, learn, and lead the way in evidence-based chiropractic care. This landmark event brings together global leaders, innovators, and practitioners to share insights, build networks, and shape the future of the profession.

Act fast - register now and join us in Copenhagen for this extraordinary gathering of chiropractic professionals. Don?t miss your chance to be part of the conversations that drive change and inspire progress. The Early Bird deadline won?t wait, and neither should you!

10 WFC NEWS

Br ad Beir a n am ed as Secr et ar y-Gen er al Design at e The World Federation of Chiropractic (WFC) is delighted to confirm Dr Bradley Beira as its next Secretary General. A distinguished leader in chiropractic practice, health governance, and international risk management, Dr Beira brings almost three decades of expertise and a forward-thinking vision to the WFC, where he will guide efforts to advance awareness, utilization and integration of chiropractic internationally.

South African Dr Beira qualified from Technikon Natal (now the Durban University of Technology) in 1996 with a Masters Degree in Technology in Chiropractic [MTechC].

Dr Beira?s career spans 28 years of diverse experience as a chiropractor, corporate executive, and medicolegal expert. Since establishing his clinical practice in 1996, he has made significant contributions to chiropractic and public health through his work with global healthcare organizations, major international sporting events, and educational initiatives.

Dr Beira has held several key leadership positions throughout his career. In the area of insurance and risk management, he served as a senior executive at AON South Africa and as a senior vice president and managing consultant at Marsh South Africa, working with both national and international clients.

Dr Beira acted in the role of risk manager at ASPETAR Orthopaedic Hospital and additionally was the chief executive officer of Jewish Care Cape, further showcasing his leadership capabilities.

Most recently, he served as an associate director and risk and regulatory lead at PwC South Africa, where he was instrumental in overseeing risk management and regulatory compliance in the health and insurance sectors.

His involvement with elite sports teams and events underscores his dedication to upholding the highest standards of health, safety, and safeguarding for practitioners and participants,

Dr Bradley Beira will become the WFC's next Secretary-General on July 1, 2025.

particularly in high-performance and high-stakes environments. Notably, he served as an advisor on the 2010 FIFA World Cup Risk Team during South Africa's hosting of the tournament and as a medical officer for the South African Ice Hockey Federation in their IIHF campaigns.

His dedication to ethical governance is further reflected in his numerous leadership roles across healthcare organizations, such as Chairperson of Safe Surgery South Africa, Council for Health Service Accreditation of Southern Africa, and Hospice Wits. In each of these roles, Dr Beira has worked to elevate standards of patient safety and

11 WFC NEWS

Br ad Beir a n am ed as Secr et ar y-Gen er al Design at e care, advocating for patient-centered practices that reflect the values of the WFC. In his capacity as Secretary General, Dr Beira will focus on strengthening WFC?s strategic initiatives, expanding the organization?s influence across member countries, and championing high standards of evidence-based, people-centered, interprofessional and collaborative chiropractic care. ?We are delighted to welcome Dr Beira to the WFC,? said Dr Kendrah Da Silva, President of the WFC.

?His wealth of experience, integrity, and global perspective make him an ideal leader to advance our mission of strengthening and promoting chiropractic care around the world. Dr Beira?s vision aligns seamlessly with our goals of enhancing patient outcomes, supporting evidence-based care, and positioning chiropractic as a vital component of healthcare.?

Dr Beira?s extensive qualifications underline his commitment to professional excellence and global health. In addition to his chiropractic qualifications, he holds an LLM in International Commercial Law from the University of Salford, a BCom in Law from the University of South Africa, and multiple certifications from institutions such as the University of California (Berkeley), and Georgetown University in areas of global health leadership, bioethics, medical law and enterprise risk management.

Dr Beira lives with his partner Gaby and their three feral cats in Muizenberg, Cape Town. He is a passionate trail runner, enjoying short runs as well as competing in 50 mile and 100 kilometer races.

Reflecting on his appointment, Dr Beira said, ?The chiropractic profession has given me a sense of community, inclusivity and purpose for more than 30 years. This role gives me the opportunity to repay this gift to our community around the world, to pay that forward for future generations of chiropractors and to work together to shape our profession for the people we care for ?.

Dr Bradley Beira brings an extensive portfolio of organizational leadership skills to the WFC.

Dr Beira will take over from the existing Secretary-General, Professor Richard Brown, on July 1, 2025. His leadership will be pivotal as the WFC continues to engage with international organizations such as the World Health Organization, enhance public awareness, and support professional development initiatives that ensure chiropractors are equipped to meet the evolving needs of patients globally.

12

13 WFC NEWS

WFC Edu cat ion Con f er en ce: in n ovat ion an d t ech n ology in f ocu s at h ist or ic M alaysian even t The 12th World Federation of Chiropractic (WFC) Global Education Conference took place from October 30 to November 2, 2024, at the Kuala Lumpur Convention Centre, Malaysia. Under the theme"Technology and Innovation: Shaping the Future of Chiropractic Education", the conference brought together a diverse delegation of educators, practitioners, researchers, students, accreditation agencies, and industry partners from all seven of the WFC's world regions.

Delegates from Africa, Asia, Europe, the Eastern Mediterranean, Latin America, North America and the Pacific, converged in Kuala Lumpur to participate in this premier event. Their attendance underscored the global nature of the conference and the shared commitment to advancing chiropractic education worldwide.

The conference opened with a cultural welcome to Kuala Lumpur, renowned for its cultural diversity and vibrant energy. Delegates were treated to a rich program, including keynote speeches by thought leaders, interactive workshops, panel discussions, and networking opportunities. These sessions aimed to inspire attendees and provide practical tools for integrating technological advancements into chiropractic education and clinical practice.

A cultural welcome from Malaysia greeted delegates

Association of Chiropractic (Malaysia) President, Dr Yi Kai Wong

Professor Richard Brown, WFC Secretary-General, set the tone for the event, emphasizing the importance of collaboration and innovation. ?This conference exemplifies the power of unity and innovation in shaping the future of chiropractic education. By embracing technology, we can ensure our profession thrives in an evolving healthcare landscape,? he said.

Cutting-edge technologies, such as virtual reality (VR), augmented reality (AR), telehealth, and data analytics, were explored for their transformative potential in education. Discussions included innovative teaching methodologies, personalized learning approaches, and interdisciplinary collaboration, as well as ethical considerations in the digital age and strategies for fostering inclusivity and accessibility in chiropractic education.

Outstanding support from the Association of Chiropractic Malaysia (ACM) and chiropractic students at International Medical University (IMU) enriched the conference experience. Delegates were invited to visit IMU University, where they toured state-of-the-art facilities and gained insights into Malaysia?s contributions to chiropractic education. The visit concluded with

14 WFC NEWS

WFC Edu cat ion Con f er en ce: in n ovat ion an d t ech n ology in f ocu s at h ist or ic M alaysian even t The conference was made possible through the generous support of Premier Sponsor Activator Methods International, alongside numerous institutions and vendors. Their contributions ensured the event?s success and allowed for the inclusion of world-class speakers, cutting-edge workshops, and an inspiring program. The vendor area provided an opportunity for delegates to explore the latest tools and innovations designed to enhance chiropractic education and clinical practice.

WFC President, Dr Kendrah Da Silva

Inspiring workshops focused on active learning techniques for remote engagement, telehealth

an evening reception hosted by IMU, offering a unique opportunity for attendees to network and celebrate the event in a collegial atmosphere.

The ACM played a pivotal role in ensuring the success of the conference, demonstrating Malaysia?s commitment to advancing chiropractic education on the global stage. Chiropractic students from IMU were integral to the event?s smooth execution, assisting with logistics and warmly welcoming delegates. Their enthusiasm and professionalism reflected the bright future of the profession in the region.

Opening session speaker, Dr Sharne Naidoo

integration, and blended learning models that combine in-person and virtual experiences.

Delegates left with actionable strategies to implement these innovations in their institutions.

Keynote speaker, Jeff Hayes

Keynote speakers and panel discussions addressed a range of critical topics, including the use of VR and AR for immersive learning, data analytics to inform personalized education, and the importance of cybersecurity in chiropractic practice. Ethical considerations and interdisciplinary collaboration were also highlighted, emphasizing the need for a balanced approach to technological integration.

15 WFC NEWS

WFC Edu cat ion Con f er en ce: in n ovat ion an d t ech n ology in f ocu s at h ist or ic M alaysian even t Delegates departed Kuala Lumpur inspired by the possibilities of technology and innovation in transforming chiropractic education. By fostering collaboration and embracing digital advancements, the chiropractic community is well-positioned to tackle the challenges of a rapidly changing healthcare landscape.

The WFC extended its gratitude to all attendees, contributors, and sponsors for their commitment to advancing chiropractic education. The 2025 conference theme will be announced later this year, continuing this global journey of innovation

Professor David Byfield

Conference delegates at IMU University

Dr William E. Morgan

and excellence.

The 12th WFC Global Education Conference showcased the dedication of the chiropractic community to enhancing education, improving clinical training, and elevating patient care.

The event?s success, bolstered by the outstanding support from Malaysia?s chiropractic community and global sponsors, ensures a lasting impact on the profession and sets the stage for a bright and innovative future.

The 13th WFC Global Education Conference will be held in 2026 in Utrecht, the Netherlands.

Dr Kendrah Da Silva, Dr Yi Kai Wong, Dr Rebekah Wilks, Prof Richard Brown and IMU University students

16 WFC NEWS

12TH WFC EDUCATION CONFERENCE KEY OUTCOM E STATEM ENTS Th e 12t h Wor ld Feder at ion of Ch ir opr act ic Global Edu cat ion Con f er en ce t ook place f r om Oct ober 30 t o Novem ber 2, 2024, at t h e Ku ala Lu m pu r Con ven t ion Cen t r e, M alaysia. Wit h t h e t h em e " Tech n ology an d In n ovat ion : Sh apin g t h e Fu t u r e of Ch ir opr act ic Edu cat ion ," t h e even t br ou gh t t oget h er r epr esen t at ives f r om ch ir opr act ic pr ogr am s, accr edit at ion agen cies, t est in g or gan izat ion s, st u den t s, an d in du st r y par t n er s f r om all seven of t h e WFC's w or ld r egion s.

The intent of these key outcome statements is to distill the collective insights, agreements, and strategic priorities identified by delegates into actionable guidance for advancing chiropractic education worldwide. These statements reflect the shared understanding of participants from all WFC regions, addressing critical challenges and opportunities related to technology, innovation, and lifelong learning.

By capturing the essence of the discussions and fostering global collaboration, the key outcome statements aim to inspire action, inform policy development, and shape the future of chiropractic education and training to meet the evolving needs of students, practitioners, and the communities they serve.

1.

In t egr at e M ixed Realit y an d Dat a An alyt ics

Chiropractic institutions are urged to move to integrating mixed reality technologies into teaching and learning structures to provide students with immersive 3D anatomical visualizations. They are likely to benefit from utilizing data analytics to personalize and enhance teaching and improve the connection between theory and practice.

2.

Develop Essen t ial Tech n ology Com pet en cies

Chiropractic students should be equipped with skills in digital diagnostics and t elehealth as essential components of the curriculum, which would in turn enhance patient care and practitioner adaptability in a technology-driven healthcare environment.

3.

Adapt Edu cat ion al St r at egies f or Tech -Sm ar t Lear n er s

To meet the unique preferences of Generation Z and Generation Alpha, educators should integrate interactive and flexible learning tools into the curriculum. These models will foster greater engagement through the use of collaborative online platforms and mixed reality experiences.

4.

Im plem en t Act ive Lear n in g Tech n iqu es f or Rem ot e En gagem en t

Institutions should implement active learning strategies to enhance student engagement in remote settings, fostering supportive virtual environments and utilizing dynamic technology tools while remaining flexible to evolving student needs.

5.

eHealt h : Sh if t f r om Tem por ar y Solu t ion t o Essen t ial Tool

Embracing telehealth is essential for ensuring patient continuity of care. Institutions should develop sustainable clinical education models to enhance students' communication and empowerment skills.

17 WFC NEWS

12TH WFC EDUCATION CONFERENCE KEY OUTCOM E STATEM ENTS

6.

Adopt Blen ded Lear n in g f or En h an ced Ch ir opr act ic Tr ain in g

Educational programs should adopt blended learning models that combine in-person and virtual experiences; these might include integrating mixed reality and telehealth to create engaging learning opportunities while prioritizing global accessibility.

7.

Em br ace Tech n ology f or In clu sive Gr ow t h

Chiropractic institutions should consider implementing simulation-based learning and artificial intelligence to improve training effectiveness, streamline administrative processes, and promote inclusive access to chiropractic education for all students.

8.

Em br ace Per son alized Lear n in g f or Com pet en cy

Personalized learning pathways based on competency-based education should be adopted to tailor training to individual needs, which might foster adaptable healthcare professionals.

9.

In t egr at e Digit al Solu t ion s f or Pat ien t -Cen t er ed Car e

Institutions should utilize technology to provide personalized, data-driven care that meets the growing demand for "digital front doors" (online platforms that facilitate patient access to healthcare services, enhancing convenience and communication). This approach aims to improve clinician-patient relationships in an increasingly digital healthcare environment.

10.

Advan ce Au gm en t ed Realit y in Pr act ice

The integration of augmented reality (AR) technologies should be promoted in chiropractic education and practice to improve patient understanding, treatment precision, and personalized care, while addressing ethical considerations and barriers to implementation.

11.

Pr ior it ize Cyber secu r it y

Chiropractic education and practice must prioritize data security by embedding cybersecurity training into curricula, fostering a culture of awareness, and preparing graduates to manage digital risks in independent practice.

DISCLAIM ER The Key Outcome Statements from the WFC Global Education Conference represent a summary of collective discussions and agreements made by the conference delegates. While these statements reflect the shared understanding and perspectives of participants at the time of the event, they are not intended to establish binding commitments or definitive policies.

The World Federation of Chiropractic (WFC) does not guarantee the universal applicability or implementation of these statements, as interpretations and applications may vary across different regions, institutions, and contexts. For further clarification or inquiries regarding these statements, please contact the WFC Secretariat.

18 WFC NEWS

WFC CERF Alan Adam s Edu cat ion Resear ch Aw ar ds 2024 The Chiropractic Educators Research Forum (CERF) ? World Federation of Chiropractic (WFC) Alan Adams Education Research Awards were presented at the 12th WFC Global Education Conference 2024, held in Kuala Lumpur, Malaysia.

The awards are named after Dr Alan Adams, a leader in chiropractic education, who devoted his career to improving chiropractic education and research for chiropractic, and fostering interdisciplinary relations.

The award winning papers were considered outstanding by the judging panel and will be published in the Journal of Chiropractic Education.

Fir st Pr ize Towards Culturally Competent Chiropractic Students: A South African University Study.

Authors: Fatima Ismail, Myra Wessels

Secon d Pr ize (t ied) Prevalence Of Burnout Among Chiropractic Students In International Medical University (IMU), Malaysia. Authors: Yi Kai Wong, Leslie Ryan Raj, Kenn Yung Evan Chan Prevalence Of Burnout Among Chiropractic Educators In International Medical University (IMU), Malaysia. Authors: Yi Kai Wong, Kenn Yung Evan Chan, Leslie Ryan Raj Hon or able M en t ion s In addition, two honorable mentions were noted during the award ceremony: Exploration Of Formative Assessment And Feedback In Chiropractic Skills Learning: Student Perception. Authors: Katarzyna (Katey) Paczek, Pou Zong Beh The Perceptions And Experiences Of Chiropractic

L>R: Richard Brown, Fatima Ismail, Leslie Ryan Raj, Yi Kai Wong, Desiree Varatharajullu, Katarzyna Paczek, Claire Johnson

19 WFC NEWS

WFC CERF Alan Adam s Edu cat ion Resear ch Aw ar ds 2024 Students With Regards To Objective Structured Clinical Examinations At A South African University Of Technology. Authors: Nabeel Vawda, Desiree Varatharajullu The Chiropractic Education Research Foundation (CERF) serves regions across the globe. Run entirely by volunteers, CERF was established to support chiropractic program faculty, staff, and administrators in building educational research capacity and advancing academic scholarship. The organization offers opportunities for chiropractic and other health professions' educators to enhance their skills, present new knowledge, and participate in scholarly activities.

For more information about Dr Adams, please read: In memoriam of Alan H. Adams, DC, MS, MSEd: Health professions educator and chiropractic research pioneer. JChiropr Educ 2021 https://doi.org/10.7899/JCE-21-35 The CERF mission is to build scholarship and research capacity for chiropractic educators throughout the world. Membership is free. CERF thanks and recognizes WFC for its sponsorship. https://cerfweb.org/

Dr Fatima Ismail (above center) won first prize in the 2024 WFC-CERF Alan Adams Education Research Awards. Dr Ismail is pictured with Richard Brown and Claire Johnson

Dr Alan H. Adams

Drs Yi Kai Wong and Leslie Ryan Raj (pictured center) were authors of tied second place prizes in the 2024 WFC-CERF Alan Adams Education Research Awards with Richard Brown and Claire Johnson

20

21 WFC NEWS

Hist or ic in au gu r al m eet in g of ICEA h eld in Ku ala Lu m pu r

Attendees at the inaugural International Chiropractic Education Alliance meeting, held in Kuala Lumpur, Malaysia

On October 30, 2024, the World Federation of Chiropractic (WFC) marked a historic milestone with the inaugural meeting of the International Chiropractic Education Alliance (ICEA) in Kuala Lumpur, Malaysia.

Held ahead of the 12th WFC Global Education Conference, this landmark event convened over 30 leaders representing chiropractic educational programs, accreditation bodies, and associated organizations from all seven of the WFC?s world regions.

Co-chaired by Dr Deborah Bushway and WFC Secretary-General, Professor Richard Brown, the ICEA seeks to create a unified, global platform for advancing chiropractic education. The Alliance?s establishment addresses the growing need for a centralized body to promote high standards, consistent competencies, and equitable access to quality chiropractic education worldwide.

The ICEA?s primary objectives include fostering collaboration, sharing best practices, and advocating for the continuous development of chiropractic education. As an apolitical entity operating under the WFC, the Alliance is

committed to ensuring that chiropractic education remains dynamic, forward-thinking, and responsive to global trends and challenges.

Through active discussion and consensus-building, it will address innovations, identify emerging needs, and guide the future of the profession.

During the course of the first meeting, introductions were made, global perspectives were shared and priorities for the development of chiropractic education were identified.

Members of the ICEA include programs and institutions conferring recognized chiropractic educational qualifications, which hold full voting rights. From these members, a Coordinating Council will be selected to guide the Alliance?s initiatives and strategic direction. This Council will convene biennially at the WFC Global Education Conference, ensuring ongoing dialogue and accountability. In addition, Associate Membership will be offered to organizations intimately involved in supporting chiropractic education, such as accreditation agencies, examining boards, student bodies, and regulators. While non-voting,

22 WFC NEWS

In au gu r al m eet in g of ICEA h eld in Ku ala Lu m pu r these members will actively contribute to discussions and participate in task forces.

During the meeting, the ICEA emphasized its purpose of strengthening the organizational framework of chiropractic education and promoting access for students from all backgrounds. This aligns with the WFC?s mission of advancing chiropractic awareness, utilization, and integration globally while maintaining high ethical and professional standards.

A core topic of discussion centered on the global disparity in access to chiropractic education. While over 50 educational programs currently exist

Prof Richard Brown co-chaired the day-long meeting

to support the profession?s ability to meet this demand by ensuring educational programs produce competent, evidence-informed graduates equipped to address diverse patient needs.

The meeting featured a number of breakout discussion sessions

The ICEA also aims to harmonize educational standards, liaise with accreditation organizations, and support the establishment of new chiropractic programs. By leveraging the WFC?s convening power as a non-state actor in official relations with WHO, the Alliance can drive collaboration and advocacy efforts to enhance chiropractic education globally.

across the WFC?s seven world regions, the distribution is uneven, particularly in low- and middle-income countries. This inequity highlights the need for strategic initiatives to expand access and align educational standards with transparent, evidence-based competencies.

The World Health Organization (WHO) has reported a critical shortage of healthcare workers globally, particularly in underserved regions. With low back pain identified as the leading cause of years lived with disability and neck pain also ranking prominently, chiropractors have a significant opportunity to contribute to neuromusculoskeletal health care. The ICEA aims

Chair of ICEA Coordinating Council, Dr Deborah Bushway

23 WFC NEWS

In au gu r al m eet in g of ICEA h eld in Ku ala Lu m pu r The formation of the ICEA underscores the importance of addressing global educational challenges through unity and shared purpose. As the chiropractic profession continues to grow, the ICEA will serve as a catalyst for innovation, collaboration, and the harmonization of standards across regions. By fostering dialogue and leveraging expertise, the Alliance is poised to strengthen the foundation of chiropractic education, enabling the profession to meet the evolving healthcare needs of the global population.

Commenting on the meeting, Prof Richard Brown said, "The realization of the ICEA will elevate

Dr Yi Kai Wong, IMU University

Dr Waleska Crespo (L) with Dr Claire Johnson

The meeting featured a number of breakout discussion sessions

consistency in chiropractic education and provide a vehicle for constructive discussion. I'm delighted to see this project come to fruition.

The WFC expressed gratitude to all participants for their contributions to the ICEA?s inaugural meeting, recognizing this as a pivotal step in the advancement of chiropractic education. The ICEA?s work will not only shape the future of chiropractic training but also reaffirm the profession?s commitment to improving health outcomes worldwide. This inaugural meeting marks the beginning of a new era for chiropractic education, one rooted in collaboration, inclusivity, and excellence.

Dr William E. Morgan (L) and Dr Daniel Moore

24

25 WFC NEWS

WFC in at t en dan ce at 2024 IM U Un iver sit y con vocat ion Professor Richard Brown, Secretary-General of the World Federation of Chiropractic (WFC), recently attended the convocation ceremony at International Medical University (IMU) in Kuala Lumpur, Malaysia. The event marked a significant milestone for graduates, including the chiropractic graduating class, as they embarked on their professional journeys.

As the only internationally-accredited course in the WFC's Asian region, IMU?s chiropractic program, recognized for its academic excellence, has played a pivotal role in developing the chiropractic profession in Malaysia and around the world. It has entered into numerous articulation agreements with other accredited programs

L>R: Drs Yi Kai Wong, Janice Chan Vey Lian and Richard Brown

The ceremony, which featured a number of schools within IMU University, highlighted the interprofessional nature of chiropractic training in Malaysia.

It also showcased the efforts of the Association of Chiropractic Malaysia (ACM) in advancing chiropractic education and practice. Professor Brown commended the ACM?s work in working closely with IMU and promoting high standards and raising awareness of chiropractic?s benefits.

including Australia and the United Kingdom and is known for its collaborative focus.

Commenting after the ceremony, Prof Brown noted that Malaysia is emerging as a hub for chiropractic excellence in the Asian region. "To have witnessed how Malaysia's dedication to quality chiropractic education has been rewarded is a testament to the commitment of faculty and staff at IMU," he said. "I look forward to seeing continued growth in the coming years."

With a growing demand for non-invasive, patient-centered musculoskeletal care, chiropractic has gained traction as a vital healthcare discipline in the region.

The event celebrated the achievements of the graduates and underscored the opportunities ahead for chiropractic to contribute to Malaysia?s evolving healthcare landscape.

IMU is responsible for the growth of the chiropractic profession in Malaysia

26 WFC NEWS

WFC Asian r egion al su m m it m eet in g set s vision f or 2030 On November 6-7, 2024, the World Federation of Chiropractic (WFC) Member Association leaders gathered for a landmark Asian Regional Summit in Manila, Philippines. Hosted at the offices of the Camara Institute for Chiropractic Sciences (CICS), hosted by the generosity of Martin Camara and the CICS team, the summit welcomed representatives from China, Hong Kong, Japan, Malaysia, the Philippines, Singapore, and a guest observer from Timor-Leste. The event provided a platform for regional collaboration, the exchange

of ideas, and strategic planning to shape the future of chiropractic care across Asia.

The first day of the summit featured presentations from delegates detailing achievements and challenges in their respective countries. Despite the diversity of contexts, common themes emerged, including the need for greater public awareness, enhanced legislative recognition, and the expansion of chiropractic education and workforce development.

Attendees highlighted innovative local initiatives

L>R: Kei Takeyachi (Japan), Peng Li (China), Beau woods (Timor Leste), Richard Brown (WFC), Eric Chu (Hong Kong), Martin Camara (Philippines), Ashley Liew (Singapore), Leonard Wong (Hong Kong), Newell Tan (Malaysia), Yi Kai Wong (WFC)

27 WFC NEWS

WFC Asian r egion al su m m it m eet in g set s vision f or 2030 A Chiropractic Vision for 2030 and Beyond".

Delegates collaboratively set goals and targets, laying the foundation for a strategic framework that will guide the profession's growth and integration into regional healthcare systems over the next decade.

Key discussions centered on workforce development, leveraging digital and research resources, public engagement, and legislative advocacy. Delegates committed to actionable policies to align their efforts across Asia, ensuring the profession remains dynamic and impactful.

Dr Peng Li chairs the Chiropractic Association of China

as well as shared obstacles, such as regulatory hurdles and a lack of standardized data.

These discussions underscored the importance of a united approach to advancing chiropractic care in the region. Leaders celebrated successes, including improved public perceptions and growing interest in chiropractic education, while collectively strategizing to address ongoing challenges.

The second day of the summit was dedicated to a visioning process under the theme "Aligning Asia: Dr Eric Chu is the past chair of the Chiropractic Doctors Association of Hong Kong

A. Developin g t h e Ch ir opr act ic Wor k f or ce Acr oss Asia -

-

-

Dr Leonard Wong is the president of the Hong Kong Chiropractors Association

In cr ease t h e Nu m ber of Pr act it ion er s: Encouraging regional graduates and attracting international expertise to Asia.

Expan d Wor k f or ce Th r ou gh Tech n ician s: Introducing chiropractic technicians to extend reach in underserved areas.

St r en gt h en Leader sh ip an d Edu cat ion: Leadership training and competency-based learning approaches were identified as critical to fostering future-ready professionals.

28 WFC NEWS

WFC Asian r egion al su m m it m eet in g set s vision f or 2030 B. Lever agin g Dat a f or Region al Gr ow t h -

-

-

Cen t r alized Resear ch Reposit or y: Establishing a hub for chiropractic research and data, tailored to Asian contexts.

Pr act ice An alyses: Collecting data on patient demographics and practices to inform policy and advocacy.

Cou n t r y-Specif ic Resear ch: Generating insights to address unique health challenges in each nation.

C. En h an cin g Aw ar en ess an d Et h ical Car e -

Pu blic Edu cat ion: Creating engaging social media campaigns aligned with global health

-

-

white papers and resources to support legislative efforts.

En gagin g Policym ak er s: Offering opportunities for policymakers to experience and understand chiropractic care.

Roadm aps f or Legal Recogn it ion : Establishing actionable plans to achieve legislative recognition in all Asian countries.

The summit concluded with a renewed sense of purpose and unity among the region's chiropractic leaders. By focusing on these strategic priorities, the WFC Asia region aims to build a robust workforce, utilize data-driven insights, enhance public awareness, and secure legislative support for chiropractic care.

Dr Kei Takeyachi is the past president of the Japanese Association of Chiropractors

-

-

initiatives.

Eviden ce-Based Car e: Empowering patients with accurate information and promoting chiropractic as a safe, effective healthcare option.

In f lu en cin g Healt h car e Leader s: Engaging with policymakers and interdisciplinary stakeholders to advocate for chiropractic integration.

D. Legislat ive Advocacy an d Regu lat ion -

Pr of ession al Advocacy Tools: Developing

Dr Ashley Liew is the president of The Chiropractic Association (Singapore)

The collaborative efforts initiated in Manila will undoubtedly drive the profession forward, ensuring it becomes an essential component of healthcare in Asia by fostering innovation, enhancing accessibility, and promoting interdisciplinary partnerships across the region.

29 WFC NEWS

WFC GPSI con t in u es qu est t o pr om ot e pat ien t saf et y The World Federation of Chiropractic (WFC) Global Patient Safety Initiative (GPSI) aims to promote awareness and foster a culture within the chiropractic profession that prioritizes minimizing adverse events and unintended patient harm.

Overseen by the WFC?s Research Committee and chaired by Dr Katherine Pohlman, the initiative emphasizes the importance of proactive strategies to ensure patient safety. In this article, Dr Pohlman highlights the pivotal role of partnering with patients and their families in addressing safety concerns and enhancing trust and confidence within the profession.

Patient safety is increasingly being recognized as a cornerstone of quality care in healthcare systems worldwide. As the complexity of healthcare delivery grows, so too does the need to prioritize strategies that minimize risks, prevent adverse events, and ensure the well-being of patients. This heightened focus reflects a broader understanding that patient safety is fundamental not only to achieving better health outcomes but also to

maintaining trust in healthcare providers and systems. Across all disciplines, including chiropractic care, fostering a culture of safety is no longer optional - it is an essential commitment to excellence in care and a reflection of ethical responsibility to patients.

Patient safety is a fundamental pillar of healthcare, critical for cultivating trust in both healthcare providers and the systems that underpin care delivery. It instills confidence in the care process and aligns with the WFC?s 20 Principles , which emphasize that ?Patients expect chiropractors to deliver safe, effective, and compassionate care". Ensuring the highest standard of care goes beyond clinical expertise, it requires active community engagement and the inclusion of patient and family voices to cultivate a culture where safety is prioritized and trust can thrive.

Dr Katie Pohlman chairs the WFC GPSI

The insights and experiences of patients and families provide valuable information that can identify potential safety issues and areas for quality improvement. By actively listening to their

30

31 WFC NEWS

WFC GPSI con t in u es qu est t o pr om ot e pat ien t saf et y patients and integrating their feedback, chiropractors can gain a deeper understanding of each patient?s unique needs and concerns. This approach not only enhances patient satisfaction but also fosters a safer clinical environment.

Initiating safety discussions with patients and their families can build knowledge and trust between healthcare providers and the community. When patients feel heard and valued, they are more likely to participate actively in their care, adhere to care plans, and report any concerns or adverse events.

Creating a partner advisory board within a chiropractic practice is an effective strategy for integrating community engagement into the clinic's patient safety culture. The board can be composed of a diverse group of individuals, including patients, family members, office staff, other healthcare providers, and community leaders. Its primary purpose is to serve as a platform for open dialogue and collaboration on patient safety and quality of care issues, while also supporting several other essential functions: 1.

Feedback and Recommendations: The board can gather and analyze feedback from patients and their families, providing recommendations to improve safety protocols and practices within the clinic.

2.

Policy Development: Clinics can ensure

that safety policies are patient-centered and reflect the community's needs and values by involving this community engagement board in policy development.

3.

Education and Awareness: The partner advisory board can help educate patients and their families about safety practices and encourage them to be proactive in their care. This can include workshops, informational sessions, and the distribution of educational materials.

4.

Monitoring and Evaluation: The board can assist in monitoring safety initiatives and evaluating their effectiveness. This continuous feedback loop helps to identify areas for ongoing improvement.

Community engagement in chiropractic clinics' patient safety culture can be beneficial for all involved. By amplifying the voices of patients and their families through initiatives such as a partner advisory board, chiropractors can create a safer, more inclusive, and responsive environment. This collaborative approach will ensure that patient safety remains a top priority and that the care provided is truly patient-centered. Through these or similar efforts, the chiropractic profession can continue to advance and uphold the highest standards of patient care.

Share your patient safety initiatives with the GPSI at info@wfc.org.

32 WFC NEWS

WFC Boar d adopt s policy on n on -in t er f er en ce an d r espect f or n at ion al au t h or it y The WFC Board of Directors has taken a significant step in affirming its commitment to ethical collaboration and mutual respect among its Member national associations.

At its Q3 meeting, the Board passed its Policy on Non-Interference and Respect for National Authority, ensuring the autonomy and independence of chiropractic associations within their respective nations.

The policy acknowledges the WFC?s Member national associations as the primary representatives of the chiropractic profession within their countries. It emphasizes the importance of understanding and respecting the cultural, social, and legal contexts in which these associations operate.

The resolution highlights key principles: -

-

-

-

Respect f or Nat ion al Au t h or it y: Member associations have the autonomy to represent and advance the chiropractic profession in their nations without external interference.

Collabor at ion Wit h ou t Over r each : The WFC will work collaboratively with its Member associations to enhance the profession?s development while respecting national contexts.

Et h ical St an dar ds: The WFC and its Members are committed to maintaining the highest ethical standards in all interactions, ensuring their conduct does not undermine another Member association or the reputation of chiropractic in other nations.

Pr oh ibit ion on Ext er n al Advocacy: Member associations will not advocate for changes in laws or regulations of another nation unless explicitly invited by the relevant national association.

WFC Secretary-General Professor Richard Brown commented on the adoption of the policy, stating, ?This resolution reinforces the WFC?s commitment to promoting unity, respect, and ethical collaboration among its Members.

"It ensures that the development of chiropractic is led by those who understand their national contexts best, fostering trust and mutual respect within the global chiropractic community.?

This policy represents a milestone in the WFC?s mission to advance chiropractic worldwide while upholding the autonomy and authority of its Member associations.

By codifying these principles, the WFC strengthens its commitment to ethical governance and collaboration, ensuring that the global chiropractic community works harmoniously to advance the profession for the benefit of all.

The full policy can be viewed at https://bit.ly/WFCpolicy_non-interference

33 WFC NEWS

Ph ilippin es Healt h su m m it explor es in t egr at ion of ch ir opr act ic an d TCIM f or h ealt h equ it y On November 3-4, 2024, Far East University in Manila hosted a groundbreaking health summit, Revolutionizing Integration of Chiropractic and TCIM Approaches Towards Health Equity in Low- and Middle-Income Countries (LMICs). Organized by Dr Martin Camara, President of the Association of Professional Chiropractors of the Philippines (APCP), the event gathered healthcare leaders, policymakers, and practitioners to explore innovative strategies for equitable healthcare access in underserved regions.

The summit commenced with an inspiring keynote

by WFC Secretary-General Professor Richard Brown, titled Breaking Down Barriers: Collaborative Care Models for Vulnerable Populations in the Global Setting. Professor Brown emphasized the importance of integrated public health strategies and the pivotal role of chiropractic care in addressing health disparities. He highlighted the potential of collaborative care models to improve patient outcomes and expand access in LMICs. Dr Martin Camara also delivered a powerful keynote presentation, Realizing a Vision for Chiropractic Care: Equitable Access for All, which outlined a roadmap for expanding chiropractic services to underserved communities. Dr Camara emphasized the need for strategic partnerships, advocacy, and alignment with global health goals to ensure chiropractic care reaches those who need it most.

The Philippines, a diverse nation of over 113 million people, faces significant healthcare challenges, including disparities in access, a dual burden of communicable and non-communicable diseases, and workforce shortages. The integration of traditional, complementary, and integrative medicine (TCIM) with modern approaches like chiropractic care offers innovative solutions to these challenges, particularly in rural and underserved areas.

L>R: WFC Secretary-General Richard Brown; Director of Philippines General Hospital Gerado Legaspi; former Philippines Minister of Health Manuel Dayrit and Philippines Under Secretary of Health Glen Mathew Bagao

Notable speakers included Dr Donald McDowell, Dr Todd Reiter, and WFC Public Health committee member, Dr Faye Deane Dr Ma. Teresa Co-Iñigo, Director General of the Philippine Institute of Traditional and Alternative Health Care (PITAHC), addressed integrating local resources and traditional practices in TCIM frameworks.

A panel discussion featured distinguished participants such as former Minister of Health Dr Manuel Dayrit, Philippines General Hospital Director Dr Gerardo Legaspi, and Hon. Robert Vincent Jude Bautista Jaworski Jr. The session provided critical insights into policy, community health, and the importance of local government collaboration.

The summit reinforced the importance of chiropractic and TCIM in addressing health inequities in LMICs, offering a platform for dialogue, collaboration, and innovation. Delegates left inspired to champion equitable healthcare access for all.

34

35 WFC NEWS

WFC Pu blic Healt h Com m it t ee developin g policy m at er ials The WFC Public Health Committee (PHC) continues to develop chiropractic-relevant materials to address public health information needs for the profession. The role of the PHC is to advise the WFC Board in the area of public health as it relates to the practice of chiropractic and provides information to individuals and communities served by chiropractors globally. The focus of the PHC goals relate specifically to public health and health promotion and include the following: a) Develop public health policy and/or position statements for professional, national, and international levels. b) Educate the profession about public health and how to apply public health and prevention in chiropractic practice. c) Inform the public about the roles that the chiropractic profession may contribute to improving public health. d) Improve interdisciplinary collaborations and relationships on a global level (related to public health).

As one means to accomplish the above goals, the WFC PHC has actively contributed to the following WFC position statements, which are in alignment with World Health Organization documents: Chiropractors support and promote physical activity Core elements of chiropractic health care, health promotion, and public health practices Chiropractors support and promote prevention and cessation of tobacco and nicotine use Chiropractors support strategies for the prevention and rehabilitation of unintentional injuries Chiropractors support and promote healthy diet and nutrition

Dr Claire Johnson chairs the WFC Public Health Committee

Chiropractors support and promote quality of care The PHC is currently working on proposals for additional public health and health promotion related position statements including children?s health and women?s health. The PHC invites the chiropractic community to join in public health and health promotion efforts.

36

37 WFC NEWS

WFC Sec-Gen u r ges pu blic h ealt h f ocu s at Br azilian con gr ess Hosted by the largest WFC constituent member association in the Latin American region, the IX Congress of the Brazilian Chiropractic Association (ABQ) welcomed over 300 delegates from across Brazil and beyond, offering a platform for advancing chiropractic education, practice, and collaboration.

Dr Daniel Facchini, ABQ President, with WFC Secretary-General, Prof Richard Brown

The keynote address, delivered by Professor Richard Brown, Secretary-General of the World Federation of Chiropractic (WFC), was titled "21st Century Chiropractic and What It Means to Be EPIC." The address, simultaneously interpreted into Portuguese by ABQ President Dr Daniel Facchini, presented a compelling vision for the future of chiropractic care in Brazil and globally.

Brazil, the largest country in South America, has a population of over 216 million, making it one of the world?s most populous nations. With a diverse demographic and significant health disparities, Brazil faces considerable healthcare challenges, including access to services in rural and

underserved areas, the growing burden of chronic diseases, and an aging population. Spinal pain and musculoskeletal conditions, which significantly contribute to disability worldwide, are prevalent in Brazil, underscoring the need for effective chiropractic interventions.

Professor Brown?s keynote emphasized the WFC?s vision of a world where people of all ages, in all nations, have access to quality chiropractic care.

He highlighted the global burden of spinal pain and disability and the shortfall in qualified health professionals needed to address these issues.

Drawing on the World Health Organization?s (WHO) definition of health and the United Nations Sustainable Development Goals (SDGs), particularly SDG3 on health and well-being, he stressed the relevance of chiropractic in promoting holistic, patient-centered care.

Key themes included the social determinants of health and whole-person care. Professor Brown outlined the WFC?s #BeEPIC campaign, advocating for evidence-based, people-centered, interprofessional, and collaborative chiropractic practice. He encouraged delegates to embrace opportunities for growth and innovation, particularly in addressing Brazil?s unique healthcare challenges.

Professor Brown?s address reinforced the chiropractic profession?s potential to meet health challenges and advance well-being for diverse populations in Brazil and around the world.

He also participated in a clinical breakout session on the subject of diagnostic imaging and clinical decision-making.

With a program that also featured ICA President, Dr Selina Sigafoose Jackson, and an enviable social program, the ABQ Congress was a resounding success, uniting attendees in their commitment to advancing chiropractic care in Latin America and beyond.

38 WFC NEWS

WFC an d IBCE sign h ist or ic in t er n at ion al com pet en cy t est in g agr eem en t

L>R: Dr Jason Jaeger, Dr Karlos Boghosian, Dr Norman Ouzts, Prof Richard Brown, Dr Kendrah da Silva, and Dr Igor Himelfarb

In a groundbreaking move to enhance the global standardization of chiropractic education and practice, the World Federation of Chiropractic (WFC) and the International Board of Chiropractic Examiners (IBCE) have signed a historic agreement to implement the International Test of Competence (ITC).

With senior members of both organizations present in Kuala Lumpur, Malaysia, the agreement was signed by Dr Norman Ouzts, Executive Vice Presidentof IBCE, and Prof Richard Brown, Secretary-General of the WFC. The ITC serves as a pivotal tool in ensuring chiropractors meet minimum competency

requirements, promoting safety, effectiveness, and consistency in patient care across the globe.

With a particular focus on unregulated jurisdictions, the ITC will support national chiropractic associations in ensuring that prospective members possess standards of competency that are consistent with maintaining public trust in the chiropractic profession.

The ITC, a standardized assessment designed in collaboration with the IBCE, evaluates the theoretical knowledge, clinical skills, and situational judgment of chiropractors. It provides an essential benchmark for countries where chiropractic is not yet statutorily regulated,

39 WFC NEWS

WFC an d IBCE sign h ist or ic in t er n at ion al com pet en cy t est in g agr eem en t offering reassurance to patients and the public about the competence and professionalism of practitioners.

A Rigor ou s Pr ocess t o En su r e Global St an dar ds The ITC comprises a series of meticulously crafted multiple-choice questions (MCQs) that test candidates on topics such as anatomy, physiology, biomechanics, chiropractic interventions, clinical assessment, and patient management. These questions undergo rigorous psychometric evaluation, ensuring their validity, reliability, and fairness across diverse cultural and educational contexts. An international committee of chiropractic academics from the WFC?s seven world regions played a central role in refining the exam structure to maintain cross-cultural relevance and consistency.

Psychometric testing evaluates the effectiveness of each question, analyzing factors such as difficulty, discrimination, and overall reliability. This process ensures that the ITC is a robust and credible measure of a chiropractor ?s ability to provide high-quality care.

St r eam lin ed Accessibilit y Th r ou gh Advan ced Pr oct or in g The ITC will employ state-of-the-art remote and online proctoring technologies to maintain the integrity of the examination. This innovative approach allows candidates to take the ITC from virtually any location, reducing logistical challenges while maintaining strict security standards.

A Ben ch m ar k f or Ch ir opr act ic Com pet en cy The ITC is tailored for chiropractors who have completed internationally recognized qualifications and seek licensure or membership in jurisdictions without statutory chiropractic regulation. Successful candidates demonstrate their ability to meet global competency requirements, positioning them to deliver evidence-based, patient-centered care.

The examination process begins with candidates applying through the national chiropractic association in their intended practice region.

Upon acceptance, candidates must provide proof of qualification, attend an approved location, and pay an examination fee.

Collabor at ive Ef f or t s f or Excellen ce The ITC initiative exemplifies the collaborative vision of the WFC and IBCE. By leveraging the IBCE?s expertise in global testing and the WFC?s commitment to advancing chiropractic care, the ITC ensures that chiropractic education aligns with the evolving needs of patients worldwide.

WFC Secretary-General Professor Richard Brown emphasized the significance of this partnership, stating, ?The ITC represents a vital step forward in ensuring that chiropractors globally meet the highest standards of competence and professionalism. This agreement is a testament to the dedication of both organizations to advancing chiropractic education and patient care.?

A New Er a f or Ch ir opr act ic Edu cat ion an d Pr act ice The ITC not only sets a benchmark for chiropractic competency but also reflects a commitment to enhancing the profession?s reputation globally. By providing a standardized assessment, the ITC facilitates the integration of chiropractors into multidisciplinary healthcare systems, ensuring that patients receive consistent, high-quality care regardless of geographic location.

This historic agreement between the WFC and IBCE underscores the importance of collaboration in advancing chiropractic education and practice.

As the ITC becomes a cornerstone of global chiropractic competency, it marks the beginning of a new era where chiropractic care is held to the highest standards of excellence worldwide.

40 WFC NEWS

CDAHK t r iu m ph s in WFC Wor ld Spin e Day com pet it ion Populations across the World Federation of Chiropractic's (WFC) seven world regions came together to celebrate World Spine Day on October 16.

Organized annually by the WFC, the 2024 theme, Support Your Spine, emphasized the importance of spinal health and well-being in reducing spinal pain and disability, which contribute significantly to the global burden of disease. The theme highlighted the critical role of physical activity and the need for quality, accessible spinal health services worldwide. With an estimated 619 million people suffering from low back pain at any given time, spinal disorders remain the leading cause of years lived with disability.

World Spine Day also acknowledged the lack of access to quality spine care and rehabilitation in underserved communities, which often leads to chronic conditions and permanent deformities.

Dr Rebekah Wilks, co-chair of the World Spine Day organizing committee, stated, "Public health initiatives like World Spine Day are critical in raising awareness, providing information, and empowering the public to support their spines. For spine health experts, it provides a perfect opportunity to engage with their communities through education."

As in previous years, the WFC?s annual World Spine Day competition drew creative and energetic entries from around the world. Co-chair Dr Dani Wiesner commented, "We were thrilled with another year of energy and innovation. WFC member associations, educational institutions, and private clinics embraced the spirit of World Spine Day." The national association category winner was the Chiropractic Doctors Association of Hong Kong, recognized for its innovative program, impactful public engagement, and community outreach. The Canadian Chiropractic Association, the 2023 winner, was the runner-up, while the Association

of Chiropractic (Malaysia) earned a highly commended award for their outstanding entry.

In the educational institution category, Malaysia?s International Medical University won first prize for its campaign, which actively engaged students and faculty while adhering closely to the theme.

The University of Johannesburg's chiropractic department secured second place for their impressive entry.

The individual/clinic category first prize went to Ethiopia?s First Spine Clinic for an outstanding campaign targeting occupational health and individuals. The Children?s Chiropractic Foundation in Hong Kong received a highly commended award for its impactful community program, which benefited thousands through self-help advice and education.

WFC Secretary-General Richard Brown expressed his gratitude to the organizing team, saying, "World Spine Day is the largest single day of action dedicated to spine care on the planet. I urge every chiropractor to plan an event in their community each year. By participating, chiropractors demonstrate their expertise and foster interprofessional collaboration."

He also thanked Foot Levelers for sponsoring the WFC World Spine Day competition, noting that their support enabled the financial incentives accompanying the awards.

41 WFC NEWS

2024 Wor ld Spin e Day h igh ligh t s

42 WFC NEWS

2024 Wor ld Spin e Day com pet it ion Clockwise from top: CDAHK mini-bus decals; CDAHK Youth Summit; Children's Chiropractic Foundation; IMU University; First Chiropractic Clinic (Ethiopia); Canadian Chiropractic Association

43

WFC WORLD SPINE DAY 2024 COM PETITION WINNERS WFC M EM BER ASSOCIATION CATEGORY FIRST PRIZE Ch ir opr act ic Doct or s Associat ion of Hon g Kon g (Hon g Kon g SAR) SECOND PRIZE Can adian Ch ir opr act ic Associat ion (Can ada) HIGHLY COMMENDED Associat ion of Ch ir opr act ic (M alaysia)

EDUCATIONAL INSTITUTION CATEGORY FIRST PRIZE In t er n at ion al M edical Un iver sit y (M alaysia) SECOND PRIZE Ch ir opr act ic St u den t Cou n cil, Un iver sit y of Joh an n esbu r g (Sou t h Af r ica)

PRIVATE CLINIC / INDIVIDUAL CLINICIAN

FIRST PRIZE Fir st Spin e Clin ics (Et h iopia) HIGHLY COMMENDED Ch ildr en Ch ir opr act ic Fou n dat ion (Hon g Kon g SAR, Ch in a)

Pr ou dly spon sor ed by

44

45 WORLD NEWS

Japan ese ch ir opr act ic adviser n am ed as pr im e m in ist er as JCR pr esen t ed t o h ealt h policy bu r eau h ead through university-based programs, aligning with international standards and enhancing professional recognition. These efforts represent a strategic step toward integrating chiropractic more fully into Japan?s healthcare system.

Dr Masahiro Goto (center, left) presents the Japanese Chiropractic Register to Dr Yasuhiro Nishijima

On October 1, 2024, Mr Shigeru Ishiba, a prominent political figure and Supreme Advisor to the Japan Chiropractic Register (JCR), assumed office as the Prime Minister of Japan. With a distinguished career that includes roles such as Minister of Defense and Secretary General of the Liberal Democratic Party (LDP), Mr Ishiba brings extensive experience and leadership to his new position, positioning him as a pivotal figure in advancing health policy and professional development initiatives.

On November 11, a significant milestone for chiropractic in Japan was marked at Mr Ishiba?s office in the Diet members' building. Dr Masahiro Goto, Chairperson of the JCR,

presented the "15th Roster of Registered Chiropractors" to Dr Yasuhiro Nishijima, Director of the Medical Professions Division, Health Policy Bureau, Ministry of Health, Labor and Welfare (MHLW). The roster, now listing 650 chiropractors, reflects the steady growth and increasing recognition of the profession in Japan, illustrating its critical role in addressing musculoskeletal health needs.

Dr Shimon Takayanagi, President of the Japanese Association of Chiropractors (JAC), used the opportunity to revisit last year ?s request for a chiropractic research study and proposed a new initiative by the MHLW. The study aims to advance approval for chiropractic education

The MHLW expressed optimism that the JCR?s roster would enhance public awareness and trust in the chiropractic profession, emphasizing its potential to contribute to Japan?s healthcare landscape.

Legislative support for integrating chiropractic education into university programs has also gained momentum, with backing from lawmakers advocating reforms aligned with WHO guidelines, further highlighting the importance of evidence-based practices.

These developments underscore the growing recognition of chiropractic in Japan, signaling progress toward global healthcare alignment and professional integration. They also reflect a broader commitment to improving healthcare standards, fostering public trust, and advancing the role of chiropractors within multidisciplinary healthcare teams.

46 WORLD NEWS

Zach ar y Cu pler appoin t ed t o PCORI advisor y pan el Dr Zachary Cupler, DC, MS, of Butler County, Pennsylvania, has been appointed to the United States' Patient-Centered Outcomes Research Institute (PCORI) Advisory Panel on Clinical Effectiveness and Decision Science (CEDS) for a three-year term.

PCORI is an independent, nonprofit organization established by Congress in 2010 under the Affordable Care Act. Its mission is to fund research that helps patients and caregivers make better-informed healthcare decisions by focusing on comparative clinical effectiveness research.

PCORI emphasizes engaging patients, clinicians, and other stakeholders in all aspects of its work to ensure the findings are practical, relevant, and accessible.

Since its inception, PCORI has funded over $3 billion in patient-centered research, demonstrating its commitment to improving healthcare outcomes nationwide. As a member of the CEDS panel, Dr Cupler will provide expert advice to PCORI?s Board of Governors on identifying National Priorities for Health and establishing a patient-centered research agenda.

His role will also involve evaluating strategies to improve clinical decision-making and patient outcomes across diverse healthcare settings, ensuring a broad range of perspectives are included in the process.

Dr Cupler, a member of the American Chiropractic Association, brings a wealth of clinical and research experience to this role. For the past nine years, he has served as a staff chiropractor within the Department of Veterans Affairs (VA) medical system in Butler, Pennsylvania, where he worked in an integrated care environment alongside other healthcare professionals.

He is also an active member of the North American Spine Society?s Clinical Practice Guideline Committee and serves on the scientific

Dr Zachary Cupler has joined PCORI's Advisory Panel on Clinical Effectiveness and Decision Science (CEDS)

commission of the Clinical Compass, a group focused on knowledge translation in chiropractic care.

ACA President Dr Leo Bronston commended Dr Cupler ?s appointment, stating, ?It is critical for patients to understand their options when making decisions about care. Dr Cupler makes a strong addition to PCORI?s Advisory Panel with his expertise in translational science and clinical experience in an integrated practice setting.?

Dr Cupler ?s appointment underscores the chiropractic profession?s growing role in advancing evidence-based care and promoting informed healthcare decisions through collaborative research, clinical leadership, and patient-centered approaches. This recognition reflects the increasing integration of chiropractic into broader healthcare systems and highlights the profession?s valuable contributions to improving healthcare delivery.

47 WORLD NEWS

Lat in Am er ican Feder at ion an n ou n ces n ew Pr esiden t The Latin American Chiropractic Federation (FLAQ) recently announced the appointment of Dr Gabriela Flores, of Guatemala, as its new President. This historic appointment marks a significant milestone in the advancement of chiropractic across Latin America, as Dr Flores brings a wealth of experience, passion, and dedication to the role.

Dr Flores, a highly respected chiropractor and advocate for evidence-based care, has played a pivotal role in promoting chiropractic education and practice in Guatemala and throughout Latin America. Her appointment as FLAQ President highlights her commitment to enhancing the profession?s presence, strengthening regional collaboration, and advocating for the integration of chiropractic into healthcare systems across the region.

Guatemala, a Central American nation with a population of over 17 million people, is known for its diverse demographics, and rapidly developing healthcare sector. With approximately 41% of its population under the age of 20, Guatemala faces unique healthcare challenges, including limited access to comprehensive care in rural areas. ?It is an honor to serve as President of FLAQ and to represent the chiropractic community across Latin America,? said Dr Flores. ?My vision is to build on the federation?s strong foundation, fostering unity among our members while championing excellence in education, clinical practice, and research.?

Dr Gabriela Flores was installed as the new President of FLAQ in October 2024

Dr Flores, a highly respected chiropractor and advocate for evidence-based care, has played a pivotal role in promoting chiropractic in Guatemala and throughout Latin America. Her appointment as FLAQ President highlights her commitment to enhancing the profession?s presence, strengthening regional collaboration, and advocating for the

Dr Flores?leadership will focus on advancing chiropractic through advocacy, professional development, and collaboration with national and international organizations. Her presidency aims to address key challenges, including expanding access to chiropractic care, increasing public awareness, and supporting the next generation of chiropractors through enhanced educational opportunities.

The appointment of Dr Flores is a proud moment for Guatemala and the entire region, celebrating the leadership of a dedicated professional committed to elevating chiropractic to new heights. Her presidency promises a bright future for chiropractic in Latin America, inspiring practitioners and communities alike.

48

49 WORLD NEWS

Advan cin g global spor t s ch ir opr act ic: FICS' vision , m ission , an d st r at egic evolu t ion The Fédération Internationale de Chiropratique du Sport (FICS) has reaffirmed its vision: "Every athlete deserves access to sports chiropractic."

This statement underscores FICS' commitment to equitable access to sports chiropractic care and the integration of the profession into the global sports landscape. Its mission, "To empower athletes to achieve their optimal performance naturally," highlights the importance of unified representation for sports chiropractic through collaboration with national sports councils and other key stakeholders.

Recently, FICS has undergone a transformative shift in its organizational approach. By formalizing strategic goals, the organization aims to evolve from being the world?s "best-kept secret" to a recognized global leader in sports chiropractic.

This mission is being pursued through a comprehensive strategy that includes education, research, mentoring, and collaboration with members, international sporting federations, and national sports organizations. FICS currently holds 13 standing agreements with international sports federations, providing qualified sports chiropractors for world championships and multisport events. For instance, at The World Games, over 25% of accredited athletes requested chiropractic care, resulting in 3,440 treatments delivered by FICS practitioners.

FICS' influence is also growing through its ongoing engagements with the International Olympic Committee (IOC). The IOC has established the Chiropractic, Osteopathy, Physiotherapy, and Sports Massage (COPS) division within its medical commission, reflecting the increasing recognition of sports chiropractic.

Currently, six sports chiropractors serve on medical commissions for international sports federations, including The World Games and CSIT

FICS Secretary-General, Dr Brian Nook and Education Commission co-chair Dr Faye Deane speaking at the WFC Education conference in Malaysia

games. Additionally, FICS is actively working to expand representation within other federations and is participating in preparatory meetings for the Los Angeles 2028 Olympic Games.

To support its mission, FICS provides opportunities for sports chiropractors to gain experience through its international events calendar and encourages interested individuals to participate.

The International Certification of Sports Chiropractic (ICSC) serves as FICS' flagship educational program, which was showcased

50 WORLD NEWS

Advan cin g global spor t s ch ir opr act ic: FICS' vision , m ission , an d st r at egic evolu t ion recently by FICS Secretary-General Dr Brian Nook and Education Commission co-chair, Dr Faye Deane. This certification is a prerequisite for inclusion in volunteer delegations at international federations and multisport events. Recently, the Education Commission finalized the curriculum plan for the ICSC and is exploring articulation agreements with chiropractic institutions to incorporate the certification into academic programs.

To further its objectives, FICS is conducting a comprehensive review of its rules, practices, and standards to ensure alignment with its mission.

Strengthening governance is a key focus, with efforts directed toward achieving the following goals: 1. Ef f ect ive Risk M an agem en t : Enhancing processes for identifying, assessing, and managing risks.

2. In cr eased Tr an spar en cy an d Accou n t abilit y: Providing stakeholders with clear insights into FICS' operations, finances, and decision-making processes.

3. Im pr oved Decision -M ak in g: Clearly defined roles and responsibilities to support informed decision-making.

4. Pr ot ect ion of St ak eh older In t er est s: Prioritizing ethical treatment and fostering trust among stakeholders to ensure alignment with member needs.

5. St r on ger Fin an cial Per f or m an ce: Establishing FICS as a well-managed, ethical organization with robust financial practices.

Vet er an edu cat or n am ed 2024 BCA Ch ir opr act or of t h e Year Dr Annabel Kier, a senior lecturer at the Welsh Institute of Chiropractic, University of South Wales, was honored as Chiropractor of the Year at the British Chiropractic Association?s (BCA) Excellence Awards at its 2024 annual conference. The award celebrates exceptional contributions to chiropractic care and education, aligning with the BCA?s patient-centred ethos.

With a 36-year career spanning clinical practice and education, Annabel worked in a number of locations across the UK. Her teaching career included roles at Health Sciences University, institutions in Canada, and ultimately the University of South Wales. Renowned for her compassionate, evidence-based approach, she has profoundly influenced students and the chiropractic profession.

Annabel, pictured below, expressed gratitude for the award, highlighting her passion for educating caring, patient-centered chiropractors.

FICS invites its members and stakeholders to participate in the upcoming General Assembly in Kuala Lumpur to contribute to the organization's ongoing growth and impact.

To learn more about FICS, and the education programs it offers, visit https://fics.sport/.

Annabel Kier was named 2024 BCA Chiropractor of the Year

51 WORLD NEWS

ICRS f eat u r e: w h y do r egu lat or y agen cies car e abou t w h er e you w en t t o sch ool?

Those applying to practice in a regulated jurisdiction may suddenly realize that regulators place significant importance on the educational institution issuing the graduate qualification before being approved for registration.

As of the most recent count, 25 countries encompassing 122 jurisdictions have ?full? regulatory authority over chiropractors.

This means that regulatory boards, authorized by governments, assess and approve qualifications deemed necessary for safe and effective practice.

These boards issue licenses or registrations and can revoke them through due process when warranted.

"Regulatory boards, authorized by governments, assess and approve qualifications deemed necessary for safe and effective practice."

A key responsibility of these boards is to evaluate chiropractic education programs to ensure they produce graduates equipped to deliver safe, effective, and ethical care. Governing laws often stipulate requirements such as, ?The applicant must have graduated from a chiropractic program accredited by [name of chiropractic accrediting body].?

In most cases, the task of evaluating education programs is delegated to recognized nonprofit accreditation agencies. These agencies develop accreditation and competency standards and ensure compliance. However, boards retain ultimate responsibility for determining which programs are approved.

For example, the California Board of Chiropractic Examiners?January 2025 meeting includes an

agenda item to review and possibly recommend updates to regulations governing the approval of Doctor of Chiropractic degree programs. This board maintains a list of approved programs and is examining methods for assessing program quality.

"Some authorities, such as the UK 's General Chiropractic Council, are legally mandated to conduct independent assessments of programs."

The regulatory landscape is currently evolving regarding the approval of chiropractic programs for licensure or registration.

At present, four Councils on Chiropractic Education (CCEs) oversee program assessments in Australasia, Canada, Europe, and the United States.

A fifth CCE for Latin America, accepted as a provisional member of the Councils on Chiropractic Education International, will soon join them.

Additionally, some authorities, such as the United Kingdom?s General Chiropractic Council, are legally mandated to conduct independent assessments of programs.

Challenges arise when licensing laws fail to account for the rapidly changing list of educational programs. For instance:

52 WORLD NEWS

Wh y do r egu lat or y agen cies car e abou t w h er e you w en t t o sch ool?

1. Some laws refer to a specific CCE, while more flexible legislation includes language such as ?or its equivalent as determined by the board.? Boards in these cases must establish equivalency in accreditation.

2. Other legislative models require programs to be accredited for the ?entire period of time the student attends.? This poses challenges, especially for new programs that cannot receive accreditation until the first cohort is near graduation, as they must first demonstrate compliance with metrics like licensing exam success rates.

Regulatory boards are tasked with maintaining and publishing accurate, up-to-date lists of programs that meet their requirements, a critical task given the frequent opening and closing of programs. This ensures transparency and helps prospective practitioners make informed decisions about their education and career pathways.

Chiropractors seeking licensure or registration are strongly advised to review regulatory requirements thoroughly to ensure eligibility, as discrepancies in qualifications or accreditation can lead to delays or complications in the licensing process.

Staying informed about current regulations and approved programs is essential for a smooth transition into professional practice and adherence to jurisdictional standards.Regulatory boards can be contacted via the ICRS ?Links? tab: www.chiroregulation.org.

ACA con t in u es advocacy act ivit ies The U.S. elections garnered global attention in November, and the American Chiropractic Association (ACA) played an active role in this political landscape. The ACA's political action committee (PAC) supported pro-chiropractic candidates for the U.S. House and Senate, achieving notable success. A total of 63% of ACA-PAC-supported Senate candidates and 98% of House candidates won their elections, strengthening chiropractic representation in Congress.

In January 2025, the ACA will host its annual meeting, ACA Engage, in Washington, D.C., from January 22?25. This event unites chiropractors and students from around the world, offering high-quality educational sessions, networking opportunities, leadership development, expert presentations, panel discussions, and social events.

A highlight of the conference is Chiropractic?s Day on Capitol Hill, where participants meet with lawmakers to advocate for the profession.

In October, the ACA celebrated National Chiropractic Health Month (NCHM) with the ?Plan for a Strong Healthspan? campaign, highlighting the importance of musculoskeletal (MSK) health for healthy aging and the benefits of chiropractic care. The campaign featured blog posts, social media outreach with over 300,000 impressions, and 35 official proclamations from state governments and cities.

53 WORLD NEWS

CDAHK advan ces ch ir opr act ic t h r ou gh legislat ive advocacy Under the leadership of Dr Valerie Chu, Chair of the Chiropractic Doctors Association of Hong Kong (CDAHK), the organization has achieved notable progress in promoting the chiropractic profession within Hong Kong?s healthcare system.

public access to chiropractic care.

Through active engagement with the Legislative Council, the CDAHK has effectively highlighted the vital contributions chiropractors make to public health, addressing significant community healthcare needs despite being a smaller healthcare profession.

Adding to the discussion, Professor Hon Chan Wing-kwong raised serious concerns about the rise of unregulated practitioners falsely claiming chiropractic credentials. This issue not only jeopardizes patient safety but also undermines the profession?s reputation. He called for enhanced professional oversight, suggesting stronger regulatory measures to prevent malpractice and ensure public trust in chiropractic services.

Recent sessions of the Legislative Council showcased key advancements and pressing issues.

Dr David Lam, a Hong Kong legislator and medical doctor known for his advocacy for healthcare reform, underscored the importance of developing a comprehensive governmental

These initiatives reflect the CDAHK?s dedication to strengthening the chiropractic profession in Hong Kong. By advocating for recognition, regulation, and sustainability, the association is paving the way for chiropractors to play a more prominent role in Hong Kong?s healthcare landscape.

Members of the Chiropractic Doctors Association of Hong Kong (CDAHK) work consistently to advance legislative reform

framework to ensure the chiropractic profession?s sustainable growth.

This framework would aim to integrate chiropractors more effectively into the healthcare system, optimize resource allocation, and expand

The ongoing dialogue with the Legislative Council signifies a promising future for the profession, driven by leadership, advocacy, and a commitment to public health.

54

55 WORLD NEWS

ACA past pr esiden t join s Du k e Healt h Spin e Division Dr Anthony W. Hamm, a distinguished chiropractor from Goldsboro, North Carolina, and past president of the American Chiropractic Association, has been appointed as an Assistant Professor of Orthopedic Surgery at Duke Health Spine Division.

Dr Hamm earned his Doctor of Chiropractic degree from the National University of Health Sciences (NUHS) and a Master of Science from George Washington University School of Medicine and Health Sciences. He holds board certifications from the International Academy of Neuromusculoskeletal Medicine and the American Board of Forensic Professionals.

Dr Hamm's appointment reflects Duke Health?s commitment to enhancing guideline-concordant care for back pain. His role aligns with the Duke Spine Health Program, a pioneering initiative led by the past chair of the WFC's Research Committee, Professor Christine Goertz, D.C., Ph.D. This program promotes a conservative-first approach to spine care, directing patients to

Dr Anthony Hamm has been appointed as an Assistant Professor at Duke University

chiropractors or physical therapists as initial providers.

Dr Goertz emphasizes, ?The Duke Spine Program?s approach to treating back and neck pain is rooted in evidence-based guidelines and research, which show that early conservative care often leads to better outcomes and reduces the risk of chronic low back pain.?

At Duke, Dr Hamm aims to deliver expert patient assessments, prioritize care effectively, and provide evidence-based, patient-centered treatment.

Reflecting on his new role, he states, ?My career has been dedicated to evidence-based care, which aligns perfectly with the Duke Spine Health Program.

"I am thrilled to join the multidisciplinary spine team, where collaboration is key to achieving optimal outcomes for patients with spine-related disorders.?

56 WORLD NEWS

Ch ir o Live 2024: BCA con f er en ce celebr at es excellen ce in ch ir opr act ic In October 2024, the British Chiropractic Association (BCA) hosted its annual conference, Chiro Live 2024, at St George?s Park in Burton-on-Trent. The event brought together over 300 chiropractors, international experts, students, and industry partners to celebrate the transformative power of movement in musculoskeletal health under the theme ?Move Beyond Pain.?

The conference offered a vibrant platform for knowledge sharing, professional networking, and inspiration. Attendees gained valuable insights from renowned voices in chiropractic and musculoskeletal health, united in their dedication to improving patient care.

Reflecting on the event, BCA President Tim Button remarked: "Chiro Live 2024 was truly unforgettable! From inspiring speakers to the overwhelming support for the President?s charity, the Darby Rimmer Foundation, it was a remarkable day. Marcus Stewart?s moving interview touched everyone, and the enthusiasm of the students gave hope for chiropractic?s future.

The evening celebration, featuring fantastic music from Audible Release, was the perfect conclusion.?

A highlight of the event was the BCA Excellence Awards, held during the gala dinner. The awards recognized outstanding achievements in chiropractic, further emphasizing the commitment and dedication of the profession to advancing musculoskeletal health.

Chiro Live 2024 reaffirmed the BCA?s commitment to promoting innovation, collaboration, and excellence in chiropractic care.

The BCA's 2025 conference will celebrate its centennial with a series of special events, honoring a century of advancing chiropractic care and promoting musculoskeletal health .

Top: BCA President, Tim Button; Middle: Keynote speaker MIchele Maiers; Bottom: Over 300 delegates packed the hall to enjoy top quality speakers

57 WORLD NEWS

Addr essin g m u scu losk elet al h ealt h in r em ot e In digen ou s com m u n it ies: t h e Cr oss Lak e in it iat ive In Pimicikamak (Cross Lake First Nation), a remote Indigenous community in northern Manitoba, access to specialized healthcare remains a significant challenge. The nearest musculoskeletal (MSK) care providers are three hours away, requiring long and costly journeys. The Global Spine Care Initiative (GSCI) program is working to bridge this gap, improving access to MSK care and alleviating the strain on an overburdened healthcare system. ?Transportation costs alone make it difficult for many to seek specialized care,? explained Dr Melissa Atkinson-Graham, who spent a year in Cross Lake as part of the GSCI implementation study. The project tested a care model aimed at reducing spinal disorders in underserved communities with limited access to MSK healthcare.

Drs André Bussières, Jennifer Ward and Steven Passmore

physiotherapists and chiropractors remains largely limited to urban centers.

Currently, chiropractic care in Cross Lake is provided by Dr Jennifer Ward and Dr Jordan Myers. Dr Ward drives four hours each way every other week, while Dr Myers flies in on alternate weeks, enabling the community to access care two days a week. ?It?s far from perfect and very costly,? noted Dr Jean Moss, President of World Spine Care Canada.

Bu ildin g Tr u st an d Collabor at ion

Transportation is challenging in the Cross Lake community

The Cross Lake Nursing Station, the community?s primary healthcare facility, focuses on acute care and nurse- or physician-led services. Geographic isolation, staffing shortages, and unique community needs add to the challenges. Local nurses form the backbone of the station, while most other staff, including physicians, rotate in and out. Access to allied health providers like

Establishing trust was essential for the program?s success. Over several visits, Drs André Bussières, Steven Passmore, and Jennifer Ward engaged with the community, including discussions with the Chief and Band Council. Dr Ward, an Indigenous chiropractor, drew from her extensive research and cultural understanding to balance clinical excellence with trust-building.

Dr Atkinson-Graham, the first team member to live in Cross Lake, strengthened these relationships further. ?She was highly respected and participated in many activities, which helped build trust within the community,? shared Dr Moss.

58

59 WORLD NEWS

Addr essin g m u scu losk elet al h ealt h in r em ot e In digen ou s com m u n it ies: t h e Cr oss Lak e in it iat ive In t egr at ed Team -Based Car e The program introduced a triage model, allowing local healthcare providers to refer patients to chiropractors for on-site MSK issues. This integrated approach created a collaborative environment where nurses, physicians, and chiropractors worked as a team.

Days began with morning meetings to discuss overnight cases and develop care plans, fostering interprofessional collaboration. The rest of the day was dedicated to patient care, MSK treatment, and consulting on emergency cases. ?By addressing musculoskeletal complaints, we freed up time for nurses and physicians to focus on critical cases. This isn?t just about Cross Lake it?s about creating a scalable model for other remote communities,? said Dr Atkinson-Graham.

Dr Ward highlighted the importance of non-pharmaceutical MSK treatment options, noting that Indigenous health services primarily offer pharmaceutical solutions, contrary to evidence-based guidelines. ?I?m dedicated to providing drug-free, hands-on care to First Nations communities,? she said.

Look in g Ah ead While the pilot study has concluded, the program continues with weekly chiropractic visits and ongoing data collection. Dr Moss emphasized the importance of having a chiropractor permanently based in the community but acknowledged that funding remains a significant challenge. ?It?s hard on the community to introduce such a necessary service and then have to remove it due to lack of funding,? she said.

Despite these barriers, the project has demonstrated that collaboration and team-based care can significantly impact healthcare in remote communities. ?This initiative shows that we can

Drs André Bussières, Jennifer Ward and Steven Passmore with members of the Cross Lake community

address the healthcare and musculoskeletal needs of First Nations communities by working together,? said Dr Ward.

Reflecting on her time in Cross Lake, Dr Atkinson-Graham added, ?One of the most rewarding aspects was seeing patients who had struggled for years finally get the help they needed without leaving their community.?

The project was made possible through funding from Health Canada, the Canadian Chiropractic Association, the Canadian Chiropractic Research Foundation, and the Skoll Foundation.

By addressing barriers to care and fostering collaboration, the Cross Lake initiative serves as a model for improving healthcare access in other rural, remote, and underserved areas.

60

61 EDUCATION NEWS

Global edu cat or advan ces ch ir opr act ic t h r ou gh pediat r ics an d n eu r ology Dr Anna Papadopoulou, MChiro, DC, DACNB, FRCC, MSc, has built a distinguished career at the crossroads of chiropractic care, neurology, and pediatrics.

As an instructor in Logan University?s Master of Science in Chiropractic Pediatrics (MS-CP) program, she teaches Pediatric Neurology 560, a 15-week course she developed from scratch to advance chiropractors' expertise in pediatric neurology. ?Chiropractic is deeply intertwined with neurology,? said Dr Papadopoulou. ?It?s our responsibility to elevate our understanding to remain experts in the neuro-musculoskeletal field.? Her course enables student clinicians to apply complex neurological concepts in patient care, bridging embryological development to adolescence.

Dr Papadopoulou?s journey began at the Anglo-European College of Chiropractic (AECC) University College, where she earned her master ?s in chiropractic in 2014. She pursued further education, including a Postgraduate Certificate in Chiropractic Professional Development and training with the Royal College of Chiropractors,

Dr Anna Papadopoulou is dual qualified in chiropractic pediatrics and chiropractic neurology

becoming a Diplomate of the American Chiropractic Neurology Board in 2017.

Her commitment to pediatrics deepened during her studies in musculoskeletal health in pediatrics at AECC, completed in 2021. Alongside her educational roles, she runs a family practice in Nicosia, Cyprus, collaborating with former WFC President Dr Efstathios Papadopoulos and serving as a Clinical Associate at the University of Nicosia Medical School. ?I?m honored to shape great clinicians at Logan and beyond,? she said. ?I look forward to seeing our graduates expand their practices and serve their communities worldwide.?

Dr Papadopoulou is a member of the teaching faculty on Logan University's Masters in Chiropractic Pediatrics program

Dr Papadopoulou?s dedication to chiropractic education and pediatric neurology exemplifies her commitment to advancing the profession and improving patient care.

62 WORLD NEWS

Ch ir opr act ic r epr esen t ed at m ajor Ch in ese h ealt h con f er en ce Dr Robb Russell, Assistant Vice President of SCU Health at Southern California University of Health Sciences, was invited to speak at a prestigious conference in Beijing on December 3-4, 2024.

Organized by the National Administration of Traditional Chinese Medicine and co-sponsored by the World Health Organization (WHO), the event attracted over 2,000 attendees, including ministers of health, healthcare experts, and WHO Director-General Tedros Adhanom Ghebreyesus.

Dr Russell participated in two forums on December 4. The first, on Traditional Medicine Education, focused on sustainable professional development. Co-hosting with Boli Zhang of the

Dr Robb Russell (center) with other key conference speakers

Dr Robb Russell participated in a multidisciplinary panel at the conference

Chinese Academy of Engineering, Dr Russell moderated a panel featuring experts from China, Korea, the Philippines, and the USA. The second forum, Traditional Medicine Standardization, highlighted international efforts to standardize chiropractic education, accreditation, and practice. Dr Russell emphasized that standardization refers to establishing best practices rather than imposing uniformity, acknowledging the importance of respecting cultural and legal differences across regions. He explained that standards must be adaptable to

varying jurisdictions, laws, and traditions to ensure effectiveness and relevance. Dr Russell cited international chiropractic organizations like the World Federation of Chiropractic, a non-state actor in official relations with WHO, and the International Board of Chiropractic Examiners as leaders in promoting best practices. These organizations work collaboratively to advance chiropractic care globally, ensuring it aligns with evidence-based principles while remaining sensitive to local needs. The forum also featured participation from the World Traditional and Complementary Medicine International Standardization Alliance, established in 2023, which seeks technical experts, including chiropractors, to advance global standards.

Dr Russell?s contributions included a clinical demonstration connection with Shen Yunhui of WHO and an interview with Beijing TV, underscoring his significant role in advancing chiropractic within the global traditional medicine community.

63 WORLD NEWS

Advan cin g m u scu loskelet al h ealt h in Japan : JAC t r an slat es key G-M USC global st r at egy paper f or policy m ak er s The publication of the Japanese translation of the landmark paper Health Systems Strengthening to Arrest the Global Disability Burden: Empirical Development of Prioritised Components for a Global Strategy for Improving Musculoskeletal Health marks a significant step forward in promoting musculoskeletal (MSK) health in Japan.

to the suite of reports is a wonderful outcome and further supports critical dissemination efforts globally. This is especially important for Japan, a country with great expertise in the care of older adults. I thank the Japanese Association of Chiropractors for leadership in the translation effort.?

This achievement, resulting from a year-long global collaboration, reflects the dedication and commitment of experts and advocates striving to improve healthcare strategies worldwide.

Andrew Briggs, a leading voice in this initiative, expressed his gratitude and admiration for the effort and teamwork involved in bringing this project to fruition.

This translation holds particular importance in a nation where musculoskeletal health is a growing concern. The Japanese Association of Chiropractors (JAC), known for its close association with key policymakers such as Prime Minister Mr Ishiba, plans to forward this translated report to key stakeholders, including the Ministry of Health, Labour and Welfare.

?The opportunity to contribute another non-English translation

By highlighting the importance of a global strategy for MSK

health, the report aims to foster awareness and drive meaningful change in Japan?s healthcare policies.

By underscoring the importance of a global strategy for MSK health, the report seeks to foster awareness and catalyze meaningful changes in Japan?s healthcare policies. It serves as a vital resource for enhancing musculoskeletal health systems, encouraging interprofessional collaboration, and improving patient outcomes across the country.

This milestone highlights the critical role of international partnerships in advancing healthcare strategies, strengthening global health systems, and improving quality of life for patients everywhere.

The paper prioritizes components for a global strategy to enhance musculoskeletal health and reduce disability worldwide.

64 EDUCATION NEWS

New Ph ilippin es ch ir opr act ic t r ain in g pr ogr am of f icially lau n ch ed w it h r ibbon -cu t t in g cer em on y The brainchild of founder Dr Martin Camara, the Camara Institute for Chiropractic Sciences was officially opened in November, marking a significant milestone in the advancement of chiropractic education and practice in Asia.

The state-of-the-art facility, located in the heart of Manila, aims to revolutionize healthcare delivery by training future chiropractic professionals and fostering groundbreaking research in spinal health and neuromusculoskeletal care.

The institute seeks to address the growing demand for non-invasive, whole-person healthcare solutions in the region.

"This is not just an institution; it is a movement to elevate chiropractic care as an essential component of integrated healthcare systems across Asia," said Dr Camara during his opening remarks.

The ribbon-cutting ceremony was attended by local dignitaries, international chiropractic leaders, and representatives from healthcare organizations, including the director of the Philippines General Hospital Dr Gerardo Legaspi

The ribbon-cutting ceremony featured prominent global health leaders

and former Minister of Health Dr Manuel Dayrit.

WFC Secretary-General Richard Brown applauded the initiative, emphasizing its potential to fill critical gaps in musculoskeletal care while reducing the burden on traditional healthcare systems.

"There is a profound need for skilled musculoskeletal expert across low- and middle-income countries," he commented. "This initiative is much needed in a region with marked health disparities."

CICS is targeted at elevating medically qualified practitioners with chiropractic training. It offers a comprehensive curriculum that blends theoretical knowledge with hands-on clinical training. The institution is also dedicated to fostering interdisciplinary collaboration, working closely with other healthcare disciplines to promote holistic patient care.

Dr Martin Camara with WFC Public Health Committee member Dr Faye Deane

Speaking at the opening, Dr Camara said, "This institute commemorates not my name, but that of my late father. I hope he would be proud to see what we've achieved by establishing the CICS."

65 EDUCATION NEWS

New Ph ilippin es ch ir opr act ic t r ain in g pr ogr am of f icially lau n ch ed w it h r ibbon - cu t t in g cer em on y With chiropractic care still underrepresented in many Asian countries, the Camara Institute aims to bridge the gap by training a new generation of chiropractors equipped to address diverse healthcare needs. The institute has already established partnerships with universities and hospitals across the region to ensure its graduates have access to

internship and employment opportunities.

The opening of the Camara Institute is a testament to the growing recognition of chiropractic care as a vital healthcare discipline. Experts predict that its influence will extend beyond Asia, contributing to global advancements in musculoskeletal health.

"This is just the beginning," Dr Camara concluded. "We are committed to setting new standards in chiropractic sciences, empowering practitioners, and improving lives through exceptional care."

As the doors of the Camara Institute swing open, they signal not only the start of a promising institution but also a brighter future for healthcare in Asia.

66 EDUCATION NEWS

Nor t h east h olds Lon g Islan d r ibbon -cu t t in g cer em on y Northeast College of Health Sciences celebrated the official ribbon-cutting of its new branch Long Island Campus on Oct. 11, 2024. During the event, local and state leaders welcomed Northeast and recognized the College for bringing chiropractic healthcare education back to the Greater New York City area. ?Today is not just a celebration of progress, but also true homecoming,? said Northeast College President Dr Michael Mestan during the ribbon-cutting event. In addition to its main Finger Lakes-region campus in Seneca Falls, N.Y., the College has owned the facility on Long Island since 1972, providing community health services at its Levittown Health Center. The school?s ties to New York began even earlier, with the College?s 1919 founding in a Manhattan brownstone, then known as the Columbia Institute of Chiropractic.

The new Long Island Campus, which welcomed its first cohort of the College?s renowned Doctor of Chiropractic program this September, provides advanced learning spaces for students, including high-tech, hands-on learning tools such as Force Sensing Table Technology? and interactive 3D digital Anatomage tables. Combined with the best of traditional techniques, the new learning spaces and campus provide students with even better access to the most comprehensive, evidence-informed chiropractic education in higher education. ?This new campus represents a significant step forward for our college, a milestone made possible only through the unwavering commitment and effort of our entire community,? said President Mestan. ?Together, we are shaping a brighter future for our students by expanding our reach, enhancing accessibility, and strengthening partnerships with regional alumni, educational institutions, and healthcare providers.?

The ribbon-cutting was attended by numerous local dignitaries as well as Northeast president, Dr Mike Mestan

For new chiropractic student and Long Island resident Victoria Valdes (D.C. ?27), the establishment of the branch campus means she can stay close to her family while fulfilling her dream of opening a chiropractic office on Long Island. "Being born and raised on Long Island means so much more than knowing where the best pizza spots and Italian bakeries are,? Valdes said while speaking at the ribbon-cutting event.

Also in attendance at the Long Island Campus Grand Opening were a host of dignitatiries and friends and members of the College community, including numerous alumni and Northeast Board of Trustees Chairman Dr Rick Rosa (D.C. ?96).

President of the Levittown Chamber of Commerce Christine Sweeney spoke at the event. ?We are thrilled to have Northeast College here in Levittown as not only an academic institution but also an outpatient (center),? she said, referring to the Levittown Health Center, which provides integrative healthcare, including acupuncture, massage therapy, nutrition counseling and chiropractic care. ?Institutions such as Northeast College of Health Sciences are the backbone of our community and our economy as well as our neighborhood.?

67 EDUCATION NEWS

AECC Sch ool of Ch ir opr act ic celebr at es in st allat ion of HRH Th e Pr in cess Royal as Ch an cellor at Healt h Scien ces Un iver sit y The AECC School of Chiropractic proudly celebrated the official launch of Health Sciences University (HSU) at the end of October.

This momentous occasion was marked by the installation of Her Royal Highness The Princess Royal as the university?s inaugural Chancellor.

Following the installation ceremony, which took place at Corpus Christi Church in Boscombe, HRH The Princess Royal visited HSU?s Bournemouth campus and spent time meeting with students, staff, patients and health care professionals. To commemorate the occasion, HRH The Princess Royal unveiled a specially commissioned plaque, marking the official launch of Health Sciences University.

The Princess Royal is Health Sciences University's inaugural Chancellor

Senior Lecturer in the AECC School of Chiropractic, Dr Alister Du Rose, continued: ?Welcoming Her Royal Highness The Princess as Chancellor of Health Sciences University is a very exciting milestone that will be memorable for staff and students at the AECC School of Chiropractic.

68

69 EDUCATION NEWS

New ch ir opr act ic clin ic r each es m ajor m ilest on e The University of South Wales?(USW) new Chiropractic Clinic, being built on its Treforest Campus, has reached a major milestone with the completion of its main structure.

Kier Construction, the contractors appointed to build the clinic, and USW hosted a ?topping out ceremony?to celebrate the progress of the project, as the building reached its highest point.

stores rainwater and allows it to be dispersed slowly into the drain network, keeping the building cool as well as supporting wildlife.

The Clinic building has now been weatherproofed, using a steel framing system and specialist cladding, and its windows have been installed. This will allow Kier to progress with the internal works, including the putting up internal walls, full mechanical and electrical installation and LED lighting.

Mark Milton, USW Chief Operating Officer, said: ?USW is very proud of this development. Our Chiropractic Clinic is a very successful educational institute, teaching close to 100 students a year the essential skills and knowledge to be a good, caring practitioner.

Artist impression of the new chiropractic clinic at the University of South Wales.

Set to be completed in spring 2025, the clinic will replace the current facility at the William Price Business Park, bringing together all learning, teaching and practical elements on to the same site for the first time since USW?s Master of Chiropractic (MChiro) degree course started in 1997.

?These students come from around the world to study with us and yet the 25,000 treatments they offer in a year primarily support the local community. The value offered by this new facility will be immeasurable in providing a modern, integrated, fit-for-purpose study environment. Our construction partners, Kier, have been great in the way that they have worked with us in delivering a good build and safely managing a complex site on an active university campus.?

The 975 sqm, two-storey building will include 26 treatment rooms, DXA (bone density) and ultrasound scan rooms, a seminar room and support spaces for students and colleagues, among many more facilities.

It is being constructed with sustainability at the heart of the design to ensure that the building is as resilient and energy efficient as possible, supporting USW?s goal to becoming carbon neutral by 2040.

This includes installing solar panels and developing a Blue / Green roof ? a flat roof that

Professor David Byfield (third from right) and other members of the project team

70 EDUCATION NEWS

New Pr esiden t appoin t ed at Un iver sit y of West er n St at es University of Western States (UWS), has announced the appointment of Nathan Long, Ed.D., as president, effective October 1, 2024.

Dr Long, who has served as interim president since June, will continue to guide University of Western States, positioning the institution for continued growth and success. ?We are thrilled to welcome Dr Nathan Long as the next president of University of Western States,? said Marlene Moore, Ph.D. Chair of the Board of Trustees for University of Western States. ?Dr Long is a highly effective and strategic leader who has already made a significant impact on the university. We look forward to UWS?next era of success under his leadership.?

Dr Long brings more than 25 years of experience in higher education and a track record of excellence in strategic planning, enrollment growth, and academic program development for institutions such as Saybrook University and The Christ College of Nursing and Health Sciences. His experience at Saybrook University is particularly relevant, as he led the institution in enhancing operational processes, advancement of new academic programs, and amplifying the university?s brand reach to achieve significant enrollment growth.

The University of Western States Board of Trustees?decision to appoint Dr Long as president

Dr Nathan Long took office at the University of Western States on October 1, 2024.

comes after his impactful leadership as interim president, where he has played a key role in advancing the institution?s ability to adapt and problem-solve effectively for the future success of the university. ?I am honored to accept the position of president of University of Western States and am deeply committed to a highly collaborative approach to support the work of our dedicated faculty and enhance student learning,? Dr Long said. ?Building on a strong 120-year foundation and with the strategic support of The Community Solution, UWS is poised for growth. We are committed to advancing whole-person health education, expanding the reach of the UWS brand, and growing our programs and presence in the community.?

The University of Western States is located in Portland, Oregon

Founded in 1904, University of Western States hosts the longest-established Doctor of Chiropractic program in the western United States,

71 EDUCATION NEWS

AECC Sch ool of Ch ir opr act ic Celebr at es Gr adu at ion 2024 The AECC School of Chiropractic, now proudly part of Health Sciences University, recently celebrated the remarkable achievement of 193 final-year chiropractic students at its November graduation ceremony. Held at the historic Bournemouth Pavilion Theatre, the event began with an enchanting performance by the Bournemouth Symphony Orchestra, setting an inspiring tone for the day?s proceedings.

WFC Secretary-General and distinguished 1990 alumnus, Professor Richard Brown, attended the event to congratulate the graduates on reaching this significant milestone in their professional journeys. His presence underscored the global recognition of the institution?s impact on chiropractic education and the profession at large.

A standout moment of the ceremony was the awarding of an honorary fellowship to Dr Rob Finch, Chief Executive Officer of the Royal College of Chiropractors. ?It was fantastic to recognize Dr Finch with his honorary fellowship. Rob has made immense contributions to healthcare and serves as a true inspiration to our graduates. It was brilliant to have him with us on such a

The HSU Bournemouth campus graduation took place on November 22, 2024.

special day,? said a spokesperson for the AECC. In a heartfelt address, the spokesperson added, ?Our graduates are now poised to enter the chiropractic profession, where they have the opportunity to make meaningful changes in people?s lives. They have much to be proud of, and we are incredibly proud of each of them.

"We are delighted to welcome them into our thriving alumni community - a global network of talented individuals leading successful chiropractic careers. The AECC School of Chiropractic will always be a home for them, and they will be welcomed back warmly at any time.?

The Deputy Mayor of Bournemouth, Councillor George Farquhar, further elevated the occasion by presenting awards honoring graduates who demonstrated outstanding achievements in academic excellence, research, leadership, community service, and clinical practice.

Dr Rob Finch steps down from his role as Chief Executive of the Royal College of Chiropractors in 2025

72 EDUCATION NEWS

2025 PIE con f er en ce t o be h eld at Par ker Un iver sit y Parker University in Dallas, Texas, is excited to announce that it will host the Process of Integrating Evidence (PIE) conference from November 6?8, 2025.

This biannual event is a premier gathering aimed at advancing the integration of evidence-based strategies across education, clinical training, and administration in chiropractic training programs.

PIE2025 is tailored for educators, clinicians, and administrators dedicated to bridging the gap between research and practice. The conference offers attendees practical tools and strategies to effectively teach evidence-based practice concepts, whether in classrooms, teaching clinics, or

broader institutional frameworks.

both individual and institutional practice.

The program will feature dynamic keynote speakers, interactive workshops, and hands-on sessions that explore critical topics, including:

PIE2025 is also a valuable networking platform, offering connections with like-minded professionals and thought leaders passionate about improving chiropractic education and practice.

-

-

-

Translating research into actionable teaching and clinical strategies.

Building a culture of evidence-based practice in education and healthcare settings.

Aligning curricula with the latest clinical and educational evidence.

Attendees will have the unique opportunity to engage in immersive learning experiences, including group discussions and collaborative problem-solving exercises, tailored to enhance

Whether an experienced professional or new to evidence-based practice principles, PIE2025 promises to inspire, empower, and equip attendees to drive meaningful change within organizations.

To learn more and register for the event, visit thepieconference.org, where updates can be found on the conference program and schedule.

PIE2025, which will be held at Parker University, brings educators, clinicians, and administrators together to explore innovative strategies for integrating research into practice.

73 EDUCATION NEWS

CM CC sign s n ew ar t icu lat ion agr eem en t w it h Un iver sit y of Regin a A new articulation agreement between the University of Regina (U of R) and the Canadian Memorial Chiropractic College (CMCC) is set to provide qualified students with the opportunity to complete both a Bachelor of Kinesiology and a Doctor of Chiropractic (DC) degree in just seven years, instead of the typical eight.

This agreement allows U of R students to meet the requirements for their undergraduate kinesiology degree at U of R while simultaneously fulfilling components of the DC program at CMCC. ?We?re thrilled to partner with the University of Regina to offer students in Saskatchewan a streamlined path to chiropractic,? says Dr Christine Bradaric-Baus, President of CMCC. ?This partnership empowers students to begin their

The University of Regina is a public university located in Regina, Saskatchewan, Canada

to provide our Bachelor of Kinesiology graduates with this exciting opportunity,? said David Gregory, Provost and Vice-President (Academic) with the U of R. ?Chiropractors serve an essential role in our primary health care system and this agreement facilitates the recruitment and development of our graduates into this in-demand profession.? ?This agreement offers a unique opportunity for students from the University of Regina to fast-track their careers toward becoming practicing Doctors of Chiropractic,? adds Dr Mark Perrett, Chair of the CMCC Board of Directors. ?It also presents a valuable benefit for students from Western Canada by reducing tuition costs and accelerating their entry into the chiropractic profession.?

Dr Christine Braderic-Baus is president of CMCC

journey toward becoming a chiropractor right from the start of their undergraduate studies.? ?The University of Regina is pleased to partner with the Canadian Memorial Chiropractic College

Consideration for entry into the pathway program begins this academic year.

74 EDUCATION NEWS

NWHSU aw ar ded opioid set t lem en t gr an t t o cr eat e on lin e edu cat ion f or opioid avoidan ce The Center for Healthcare Innovation and Policy (CHIP) team at Northwestern Health Sciences University (NWHSU) was awarded a grant by the Minnesota Opioid Epidemic Response Advisory Council to develop and distribute online healthcare professional continuing education courses.

The team will create two courses focused on the use of non-pharmacologic treatments as an alternative to opioids and training a broader range of healthcare providers to screen for and manage patients at risk for opioid misuse. Courses will be made widely available to Minnesota healthcare providers at no cost, with the broad goal of further decreasing the prescription of clinically inappropriate opioids while supporting pain management needs of Minnesotans. Funding for this project is through the national opioid settlement in the U.S. A range of non-pharmacologic treatments (NPT), including chiropractic care, acupuncture, massage,

Dr Andrea Albertson is a policy and research associate at Northwestern Health Sciences University

The ribbon-cutting was attended by numerous local dignitaries as well as Northeast president, Dr Mike Mestan

Dr Michele Maiers is the Executive Director of Research and Innovation at NWHSU

and exercise or movement-based therapies, are supported by research and recommended in clinical practice guidelines as effective, evidence-based alternatives to opioids. However, prescribing providers report a lack of knowledge about the effectiveness of NPT, and how to successfully refer or co-manage pain patients with NPT providers. ?This may contribute to low utilization of these high-value interventions and place individuals at greater risk for opioid prescription,? notes Andrea Albertson, DC, research and policy associate at NWHSU. Complementary and integrative healthcare (CIH) providers commonly deliver NPT for patients presenting with pain. In Minnesota, an estimated 5,000 CIH providers practice across rural and urban areas. They are an overlooked healthcare workforce often excluded from opioid reduction strategies as they do not prescribe medications.

It has been noted that CIH providers are ideally situated to screen, recognize, and facilitate

75 EDUCATION NEWS

NWHSU aw ar ded opioid set t lem en t gr an t t o cr eat e on lin e edu cat ion f or opioid avoidan ce referral for a range of prevention and healthcare services due to their whole-person approach to care, frequency of patient visits, and accessibility in rural areas in particular.

However, knowledge of substance misuse screening and intervention, including for opioids, is insufficient among CIH providers. Michele Maiers,

project lead and executive director of research and innovation at NWHSU explains, ?Given the association between pain conditions and opioid use, an important gap exists for CIH providers to more effectively screen, refer, and co-manage patients with substance use disorders.?

The CHIP team has established support from state health

associations that represent prescribing and non-prescribing professions. These key association partnerships are critical for disseminating the free online courses to their members, as well as engagement toward additional collaboration between healthcare providers to mitigate the burden of the opioid epidemic. This two-year project is scheduled to begin in January.

Lif e West r epor t s appr oval t o accept in t er n at ion al st u den t s Life Chiropractic College West (LCCW) is pleased to announce that its Bellevue, Nebraska campus has received approval from the Student and Exchange Visitor Program (SEVP) to accept international students as of October 18, 2024.

This approval enables the campus to welcome students from around the world starting in the Winter 2025 quarter.

The approval process began in July 2023, with a formal request followed by a site visit in August.

This milestone reflects the culmination of months of effort led by a dedicated team, including Assistant Director of Enrollment & International Services and Primary Designated School Official (PDSO) Debbie Calero.

The successful approval was supported by the leadership of Dr Marilyn Al-Hassan, Executive Vice President, and Dr Scott Donaldson, Provost.

Both were instrumental in ensuring the campus met the necessary criteria and requirements during the approval process.

The Bellevue campus, which opened in Fall

2023, has quickly become a key contributor to chiropractic education. With state-of-the-art facilities and a clinically focused curriculum, the campus emphasizes a hands-on approach to preparing students for their chiropractic careers.

The inclusion of international students will bring added diversity and enrich the academic environment, fostering cultural exchange and shared learning experiences. Life Chiropractic College West looks forward to this next step in the growth and evolution of its Bellevue campus.

76

77 EDUCATION NEWS

CUKC an n ou n ces en h an cem en t s t o it s Sm ar t Ch oiceCE con t in u in g edu cat ion w ebsit e Cleveland University-Kansas City (CUKC) has completed significant updates to its online chiropractic continuing education platform, SmartChoiceCE.com, designed to improve the experience of chiropractors fulfilling their continuing education (CE) requirements. ?With the latest enhancements, we are making it easier than ever for chiropractors to meet CE requirements, track course progress, and access high-quality, evidence-based education from anywhere,? said Dr Alexander Bach, Vice President of Institutional Growth and Development.

SmartChoiceCE.com provides an all-in-one solution for Doctors of Chiropractic to meet state licensing requirements, complete CE certificates, and stay current with best practices. By offering evidence-based continuing education content, the platform empowers chiropractors to enhance their patient care with the latest research and methodologies.

Bach noted that as chiropractic professionals face increasing demands for license renewal and professional development, the upgrades to SmartChoiceCE.com offer a timely solution.

The new tools are designed to provide chiropractors with greater flexibility and improve the efficiency of completing required CE units, help them maintain compliance while staying informed on the latest industry trends, and allow them to efficiently integrate new knowledge that will support the growth and success of their clinics.

The SmartChoiceCE.com platform offers the following benefits to practitioners: Enhanced Search Capabilities: Easily find courses by topic, state, CEUs awarded, or instructor.

Interactive State Map: View chiropractic CE requirements by state with an easy-to-navigate map.

New Search Tools: Quickly evaluate and select courses with an intuitive, redesigned search interface.

Course Tracking: Securely store and manage previously purchased courses for future reference.

Instant Certificate Verification: Complete courses and immediately download CE completion certificates.

Mobile-Ready Access: Access courses across devices, including desktops, tablets, or smartphones.

Flexible Purchase Options: Buy courses now and complete them later at your convenience.

Detailed Instructor Bios: Learn from experts with insightful instructor profiles. ?Our goal from the beginning has been to make continuing education convenient and accessible for chiropractors,? said Dr Bach. ?These updates further that commitment by streamlining course selection and completion, ensuring that our platform remains at the forefront of chiropractic continuing education.?

Located in Overland Park, Kansas, CUKC is dedicated to preparing healthcare professionals for rewarding careers in a variety of health and wellness fields.For more information about or to explore continuing education opportunities through SmartChoiceCE, visit www.SmartChoiceCE.com.

78 EDUCATION NEWS

Nor t h east College h on or s vet er an s w it h com plim en t ar y h ealt h car e scr een in gs In November 2024, Northeast College of Health Sciences honored Veterans Day and its longstanding partnership with the U.S. Department of Veterans Affairs (VA) by offering complimentary healthcare screenings at its health centers in Depew, Levittown, and Seneca Falls, New York.

Throughout the month, Veterans benefited from free spinal, posture, and blood pressure screenings. Custom orthotics were available at a reduced cost, and a New York State Department of Veteran Services representative visited each site to provide personalized guidance on benefits and opportunities available to Veterans and their families.

Northeast College has a longstanding partnership with the Veterans Affairs Administration.

?This initiative demonstrates our commitment to supporting Veterans?health and well-being,? said Assistant Dean of Clinical Education Daryon Ray.

Students engage in clinical rotations, delivering thousands of chiropractic adjustments to Veterans annually. In 2012, the College further expanded its commitment by pioneering the first VA chiropractic residency program, fostering opportunities to serve Veterans more comprehensively while enhancing students? professional development.

?It?s about offering meaningful care and resources to those who have served our country and ensuring they feel supported and valued.?

?We are proud to honor Veterans through healthcare and education,? said President Michael Mestan.

Northeast College?s dedication to Veterans extends well beyond November.

?Northeast remains committed to providing compassionate, high-quality care and preparing future healthcare professionals to make a meaningful difference in the lives of those who have served.

Additionally, informational materials about the College?s community health services were distributed to ensure Veterans were aware of the wide range of resources available to them.

In September 2024, faculty and students participated in a suicide prevention event in Buffalo, providing essential advice on managing chronic pain and mental health challenges. At August?s VetFest, students and faculty offered a variety of services, including chiropractic care, nutritional counseling, and massage therapy, empowering Veterans to take control of their health and improve their overall well-being.

For nearly two decades, Northeast has maintained strong ties with the VA, establishing affiliations with more than 10 VA medical centers.

79 EDUCATION NEWS

Clevelan d Un iver sit y Kan sas Cit y lau n ch es m en t or m odel Cleveland University-Kansas City (CUKC) has introduced a clinic mentorship model designed to enhance the clinical learning experience for chiropractic students by integrating real-world patient care earlier in their education. This model bridges academic instruction with practical application, providing students with structured, hands-on learning opportunities alongside experienced clinicians while gradually transitioning them into active patient care roles.

Starting in the fifth term of the 10-term Doctor of Chiropractic program, students participate in the mentorship clinic, where small groups observe licensed faculty clinicians delivering patient care.

Students follow each step of the patient care process, including taking case histories, performing examinations, presenting findings, and developing treatment plans. This environment allows students to learn by watching and engaging with faculty as they

model best practices in real-time and answer student questions.

By the seventh term, students transition to more active participation in patient care, gradually taking on responsibilities as part of a supervised team. In their senior internships during the eighth, ninth, and tenth terms, students assume direct patient care roles at the CUKC Chiropractic Health Center and affiliated community clinics, including the Kansas City Veterans Affairs Hospital.

The mentorship model ensures students are prepared for their senior internships by providing an immersive learning experience early in their education, fostering confidence and competence in patient care. This innovative approach not only enhances the educational journey but also ensures graduates are well-equipped to deliver high-quality chiropractic care in a clinical setting.

WANTTOMAKEADIFFERENCETOYOUR PROFESSION?CONSIDERBECOMINGAN INDIVIDUALSUPPORTEROFTHEWFCTODAY! FORINFORMATION,CONTACTUSAT INFO@ WFC.ORG

80

81 RESEARCH NEWS

St u dy explor es an at om ical ef f ect s of spin al m an ipu lat ion Spinal manipulation (SM) is a core intervention in chiropractic and manual therapy, often credited with producing positive clinical outcomes. A common claim is that SM induces anatomical changes, whether structural or positional, that might explain these improvements. A systematic review was conducted to assess the evidence behind these assertions by evaluating peer-reviewed literature on the anatomical effects of SM. This review followed established protocols and examined studies from databases such as no changes were observed in resting muscle thickness. Limited research was identified on intervertebral disc pressure, myofascial properties, and vascular integrity, leaving these as areas requiring further exploration.

Medline, Embase, CINAHL, and others, with the search concluding in June 2023. Eligible studies focused on high-velocity, low-amplitude (HVLA) thrusts delivered to the spine or related joints, measuring potential changes in anatomical structures or positions. A novel evaluation framework ensured only credible studies were considered, comparing outcomes between SM and control groups or pre- and post-SM results.

Out of 19,572 articles initially identified, 20 met the inclusion criteria, with eight deemed credible.

The credible studies examined topics such as vertebral position, facet joint space, spinal stiffness, and resting muscle thickness. The results indicated that SM increased lumbar facet joint space and decreased spinal stiffness, while

Although the evidence is limited, promising directions for future study include facet joint space and spinal stiffness. The researchers concluded that advancing this research will require a coordinated strategy and dedicated funding for high-quality studies. From their findings, they suggest the following response to questions about anatomical effects: "There is no simple answer, because the spine is a difficult area to study. It seems likely that the manipulation/adjustment causes some physical changes, but it is not known exactly how.

Presently though, we are fairly confident that the facets, i.e. the small joints at the back of the spine, open up a little bit. There also seems to be a measurable change in the stiffness of the spine immediately after manipulation. We assume that these changes are part of what helps you feel better."

Ref er en ce: Young, K.J., Leboeuf-Yde, C., Gorrell, L. et al.Mechanisms of manipulation: a systematic review of the literature on immediate anatomical structural or positional changes in response to manually delivered high-velocity, low-amplitude spinal manipulation.Chiropr Man Therap 32, 28 (2024). https://doi.org/10.1186/s12998-024-00549-w

82 RESEARCH NEWS

Ch ir opr act ic r esear ch advan ces at Un iver sit y of Zu r ich

St r en gt h en in g r esear ch cu lt u r e: in sigh t s f r om CM CC f acu lt y st u dy

The Department of Chiropractic Medicine at the University of Zurich, led by Prof. Dr Petra Schweinhardt, is a multidisciplinary team comprising experts in chiropractic, medicine, neuroscience, physiotherapy, psychology, and physics. Based at Balgrist University Hospital, the team includes senior researchers, a postdoc, doctoral students, and research assistants.

A recent study assessed research culture and capacity at the Canadian Memorial Chiropractic College (CMCC) to understand faculty attitudes, experiences, and institutional support for research. Conducted between April and July 2023, the study used a mixed-methods approach, prioritizing quantitative data from the Research Capacity and Culture (RCC) tool and complemented by qualitative insights from focus groups with faculty members.

The team is actively engaged in several key research areas. They focus on tailoring chiropractic treatments to individual patients by characterizing back and neck pain cases through standardized questionnaires and interviews, aiming to optimize therapeutic outcomes.

Another area of investigation explores how sensitization processes in the spinal cord and brain contribute to chronic and recurring back pain, furthering the understanding of pain mechanisms.

Efforts to improve spinal manipulation techniques involve measuring characteristics such as force and speed, which not only enhance treatment effectiveness but also play a crucial role in training future chiropractors. Additionally, the team is studying how manual treatments affect proprioceptive functioning of back muscles, assessing whether such treatments influence signal processing in these muscles.

This project, led by PD Dr Michael Meier, has gained international attention and includes advancements in software development and workshops.

In paediatrics, the team is developing techniques to treat infants with cervicogenic torticollis, including tools to analyze head posture in daily life. Beyond research, they play a pivotal role in education, supervising theses and organizing journal clubs for students.

The study revealed a 42% survey response rate (59/144), with organizational attributes rated as moderate to high, but individual research skills varying based on workload and academic qualifications. Key themes included institutional factors, resource allocation, career pathways, and personal factors. Faculty cited barriers such as insufficient mentorship, limited research planning, lack of career pathways, and workload pressures stemming from competing responsibilities and work-life balance challenges.

Despite these obstacles, motivators for research included intellectual stimulation, skill development, and increased job satisfaction.

The findings provide a baseline evaluation of research culture at CMCC and highlight critical areas for improvement. Addressing mentorship, resource allocation, and career pathways is essential for fostering a mature research culture.

These insights are crucial for strengthening research capacity and advancing the chiropractic profession?s cultural authority.

Ref er en ce: Weis CA, Howarth SJ, Grondin D, Southerst D, Fillery M, D'Arcy J, Bradaric-Baus C, Mior S. Assessing research culture and capacity amongst faculty at a north American chiropractic institution: an explanatory mixed methods study.

Chiropr Man Therap. 2024 Nov 20;32(1):35. doi: 10.1186/ s12998-024-00558-9. PMID: 39567963; PMCID: PMC11580544.

83 RESEARCH NEWS

Seein g t h e big pict u r e: big dat a's im pact on spin e h ealt h Pr of essor St even Passm or e DC, Ph D WFC Resear ch Com m it t ee "Big data? refers to extremely large data sets requiring specialized tools to store, analyze, and utilize. Its purpose is to enable data-driven decision-making, offering valuable insights for governments, healthcare systems, insurers, researchers, clinicians, and patients. Analyzing big data provides an overview of spine care, predicts outcomes, and identifies inefficiencies to drive meaningful change, ultimately supporting better clinical practices and resource management.

In healthcare, big data reflects real-world practices by collecting information approximating all patients utilizing services. It informs financial decision-makers on efficient resource allocation and identifies trends that help guide policy development.

Big data sources include electronic medical records (EMRs), insurance claims, billing codes, quality assurance data, and academic research.

Prospective registries, like the Canadian Spine Outcomes and Research Network (CSORN) and Spine Tango in Europe, standardize data collection to capture surgical and non-surgical outcomes comprehensively.

Challenges in using big data include ensuring data quality, standardization, and addressing privacy risks. Questions arise about who collects the data, its specificity, and whether processes create barriers for patients or clinicians. Data can range from simple billing codes to comprehensive patient-reported outcomes collected over time.

Privacy issues, especially in Indigenous communities, highlight the need for prospective community involvement in data usage decisions, ensuring transparency and respect for data sovereignty.

The usefulness of big data depends on its quality, the questions asked, and statistical analyses.

Professor Steven Passmore

Tools like artificial intelligence (AI) manage large datasets but require human oversight to ensure accuracy. Statistical significance in large datasets should be clinically relevant to improve patient outcomes. For example, a slight reduction in pain scores might be statistically significant but may not represent a meaningful improvement for the patient. Effective communication and goal-setting between clinicians and patients are critical to achieving meaningful results that genuinely enhance care.

Big data can predict patient responses to chiropractic care based on specific conditions, guiding treatment decisions and referrals more effectively. It can also analyze rare adverse events to inform consent protocols and liability protections, helping improve trust and accountability.

In conclusion, responsibly applying big data offers opportunities to drive patient-centered, evidence-based decision-making, enhance resource allocation, optimize clinical outcomes, support innovative research initiatives, and improve spine care standard s globally, ultimately transforming healthcare delivery and fostering a deeper understanding of patient needs and care priorities.

84

85 RESEARCH NEWS

New in sigh t s on lu m bar disc h er n iat ion , ch ir opr act ic car e r isk , an d su r gical in t er ven t ion s: w h at ch ir opr act or s n eed t o k n ow Recent research from the Musculoskeletal Epidemiology Research Group at the University of Zurich and Balgrist University Hospital sheds light on lumbar disc herniation, chiropractic treatment risks, and surgical decisions, providing actionable insights for chiropractors and musculoskeletal healthcare providers.

1. Risk Fact or s f or Lu m bar Disc Her n iat ion Hincapié et al. (2024) reviewed 87 studies on the incidence and risk factors for lumbar disc herniation with radiculopathy. Annual incidence rates varied widely, from 0.04 to 298.3 per 1,000 persons, depending on population and diagnostic criteria. Key risk factors included middle age, smoking, high BMI, and physically demanding occupations involving forward bending and manual handling. The findings underscore the need for standardized diagnostic criteria and more research on modifiable risk factors to improve prevention and treatment strategies.

2. Ch ir opr act ic Spin al M an ipu lat ion Risk s Hofstetter et al. (2024) analyzed the debated link between chiropractic spinal manipulation and acute lumbar disc herniation requiring early surgery. Using Bayesian methods, they integrated expert opinions with population data, finding that risk estimates varied widely based on prior beliefs and definitions. While specific definitions yielded inconclusive results, sensitive definitions supported the beliefs of proponents and shifted skeptics?opinions. This highlights the importance of balancing evidence and expert insights to guide safer chiropractic practices.

3. Su r gical Opt ion s f or Lu m bar Spon dylolist h esis Unterfrauner et al. (2024) compared outcomes of decompression surgery alone versus decompression with fusion for lumbar

spondylolisthesis and stenosis.

Over three years, 215 patients showed no significant differences in quality of life, pain, or satisfaction between groups, but fusion patients required more physical therapy. Decompression alone is recommended as the primary surgical option unless specific indications for fusion exist.

These studies emphasize the importance of combining epidemiological evidence, expert analysis, and comparative research to enhance clinical care and decision-making in musculoskeletal health.

Ref er en ces: 1.

Hincapié CA, Kroismayr D, Hofstetter L, Kurmann A, Cancelliere C, Rampersaud YR, Boyle E, Tomlinson GA, Jadad AR, Hartvigsen J, Côté P, Cassidy JD. Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: a systematic review. Eur Spine J. 2024 Oct 25; Available from: https://doi.org/10.1007/s00586-024-08528-8 2.

Hofstetter L, Fontana M, Tomlinson GA, Hincapié CA. A Bayesian analysis integrating expert beliefs to better understand how new evidence ought to update what we believe: a use case of chiropractic care and acute lumbar disc herniation with early surgery. BMC Med Res Methodol. 2024 Nov 15;24(1):281. Available from: https://doi.org/10.1186/s12874-024-02359-3 3.

Unterfrauner I, Muñoz Laguna J, Serra-Burriel M, Burgstaller JM, Uçkay I, Farshad M, Hincapié CA. Fusion versus decompression alone for lumbar degenerative spondylolisthesis and spinal stenosis: a target trial emulation with index trial benchmarking. Eur Spine J. 2024 Sep 21; Available from: https://doi.org/10.1007/s00586-024-08495-0

86 RESEARCH NEWS

In n ovat ive m u scu losk elet al pr ogr am h eads t o t h e Au st r alian bu sh CQUniversity Associate Professor Katie de Luca is part of a national, multidisciplinary team who are tackling health inequalities in regional and remote Australia. Under the guidance of physiotherapists Professor Trudy Rebbeck and Associate Professor Kerrie Evans, both from the University of Sydney, A/Prof de Luca will lead the implementation of a musculoskeletal care program in regional New South Wales.

advanced assessment of risk factors to develop an individualized treatment plan. Together, clinicians in the bush will be supported with tele-health to provide appropriate care for their most complex patients.

A/Prof de Luca is very excited to be involved in this large-scale, implementation project which will be offered in Queensland, New South Wales, Victoria and Western Australia. ?Living and working as a chiropractor in regional Australia, my own management plans are often limited by access to specialists and a limited rural workforce. Rural patients are very resilient, often living with chronic pain and traveling for hours to receive treatment. This large-scale program, PACE RURAL, will be offered across the country for the first time, providing a high quality and yet low-cost solution to musculoskeletal pain.? ?For many people living in rural and remote parts of Australia, one of the biggest challenges is access to specialized healthcare, so we hope that through this program, we will broaden access to evidenced-based, effective care and importantly, improve long-term musculoskeletal health,? said Professor Rebbeck.

Assoc. Professor Katie de Luca

The $2.5 million grant involves a simple online tool at the point of care to identify people who may recover well and those who may not. People with back pain, neck pain, and knee and hip pain who are likely to recover well can be guided by the online resource, mypainhub.com, which provides accurate advice and exercises to aid recovery.

People needing extra care will receive early virtual access to an expert allied health specialist. The local GP, physiotherapist or chiropractor will work closely with an allied-health specialist through an

The PACE RURAL project has been funded as part of a $20 million boost for improved primary care and chronic pain treatment. Working across several Universities and endorsed by Chiropractic Australia, this Medical Research Future Fund grant places CQUniversity at the forefront of finding health solutions for regional Australians.

A/Prof de Luca adds, ?Chiropractors need to work within multi-disciplinary teams to decrease the burden of musculoskeletal conditions. Here, chiropractors can partner with allied health specialists to deliver better health outcomes for higher risk individuals in rural and remote Australia.?

87 RESEARCH NEWS

Ch ir opr act ic an d t h e br ain : u n lock in g bet t er sleep, m ood, an d pain r elief

M or e eviden ce em er ges t o in dicat e cSM T n ot a r isk f act or f or dissect ion

A recent study examined how chiropractic care affects brain activity and health outcomes in individuals with chronic low back pain. Using advanced tools like electroencephalography (EEG), somatosensory evoked potentials (SEPs), Fitbit health data, and the PROMIS-29 survey, researchers investigated the neurological and clinical mechanisms of chiropractic treatment.

Neck pain is a common condition, often treated with chiropractic cervical spinal manipulation therapy (cSMT). Concerns have arisen about whether cSMT may cause excessive vertebral artery elongations, potentially leading to arterial dissection and stroke. A recent study sought to quantify vertebral artery strains during cSMT and assess how these strains compare to normal neck movements.

The study included 76 participants (mean age 45, 33 female) randomized into chiropractic and control groups. EEG and SEP data were collected pre- and post-treatment, with Fitbit tracking sleep and activity patterns continuously.

Results showed significant brain activity changes in the chiropractic group, including increased Theta, Alpha, and Beta power, reduced Delta power, and enhanced Alpha activity within the Default Mode Network (DMN), associated with relaxation. SEPs revealed reduced N30 peak amplitude, reflecting sensory processing changes.

Clinically, chiropractic participants experienced improved sleep quality, reduced anxiety, depression, fatigue, and pain, along with enhanced overall quality of life after four weeks.

These findings highlight chiropractic care?s potential to influence brain activity and overall well-being, extending its benefits beyond physical adjustments. Further research may deepen understanding of these effects and their implications for patient care.

Ref er en ce: Haavik H, Niazi IK, Amjad I, Kumari N, Ghani U, Ashfaque M, Rashid U, Navid MS, Kamavuako EN, Pujari AN, Holt K. Neuroplastic Responses to Chiropractic Care: Broad Impacts on Pain, Mood, Sleep, and Quality of Life. Brain Sci. 2024 Nov 7;14(11):1124. doi: 10.3390/brainsci14111124.

PMID: 39595887; PMCID: PMC11592102.

Using piezoelectric crystals sutured to the vertebral arteries of three cadavers, researchers measured strains during passive range of motion and chiropractic spinal manipulations. At the cervical levels C0-C1, C1-C2, and C2-C3, range of motion testing produced average vertebral artery strains of 6.9%, 4.3%, and 3.7%, respectively. In contrast, cSMT produced significantly lower average maximal strains of 1.3%, 0.1%, and 1.0% at the same levels.

Strains during the pre-manipulative phase of cSMT averaged 0.5%, while the thrust phase produced 1.1%. These findings indicate that vertebral artery strains during cSMT are considerably smaller? up to 7.2 times lower? than those experienced during everyday head and neck movements. Additionally, pre-manipulative positioning reduced ipsilateral vertebral artery strain without increasing strain on the contralateral side.

This study suggests that cSMT-induced vertebral artery strains are minimal and likely not a significant risk factor for arterial injury compared to normal neck movements. These findings support the safety of cSMT when performed appropriately and provide clarity on a longstanding concern in chiropractic care.

Ref er en ce: Fagundes C, Herzog W. Strain of the vertebral artery during passive neck movements and spinal manipulation of the cervical spine: An observational study. J Bodyw Mov Ther. 2024 Oct;40:569-574.

88

89 RESEARCH NEWS

CCA com m ission s f u r t h er r esear ch in t o pat ien t exper ien ce The Canadian Chiropractic Association (CCA) has undertaken an innovative quality improvement project to elevate the patient experience in chiropractic care. This initiative aims to identify opportunities to improve care delivery and provide chiropractors with the necessary tools and resources to implement best practices effectively.

Through a qualitative needs assessment, the project examined the key moments in the patient experience where additional support could make a meaningful difference. These moments included treatment delivery, the report of findings, informed consent, physical examination, and even the interactions that occur before the appointment itself.

Chiropractors participating in

the project unanimously agreed with proposed best practices but highlighted several barriers to their implementation.

Challenges identified included gaps in knowledge and communication skills, as well as limited access to resources, particularly in rural areas.

However, chiropractors also identified several enablers that could help overcome these challenges, such as collaboration with other health professionals, mentorship opportunities, and access to practical tools designed to support patient-centred care.

Based on these insights, the project developed a set of recommendations to facilitate the adoption of best practices.

These include enhanced training in communication and treatment planning, increasing

resource availability in underserved areas, and fostering collaborative relationships among healthcare providers to create a more integrated approach to care.

By addressing these barriers and leveraging enablers, this initiative offers a clear path forward to improve chiropractic care delivery. With these strategies, chiropractors across Canada can better meet the needs of their patients and ensure a more consistent and positive experience, regardless of location or circumstances.

Ref er en ce: To D, Southerst D, Atkinson-Graham M, Yu H, Connell G, Draper C, Cancelliere C. Enhancing patient-centred chiropractic care in Canada: identifying barriers, enablers, and strategies through a qualitative needs assessment. Chiropr Man Therap. 2024 Nov 28;32(1):37. doi: 10.1186/s12998-024-00560-1. PMID: 39609815; PMCID: PMC11605932.

St u dy h igh ligh t s n eed f or ch ir opr act or s in u n der ser ved set t in gs A recent study examined the presence of chiropractic care within Federally Qualified Health Centers (FQHCs), which provide essential healthcare to underserved populations. Of 1,537 FQHC systems nationwide, 146 (9.5%) employed 233 chiropractors (DCs) across 28 states, with California having the highest concentration (44.5%). Notably, 75% of states offering chiropractic services in FQHCs include a Medicaid chiropractic benefit.

The survey revealed that most DCs were hired through personal solicitation (39%) or advertised positions (26%), with an average employment

tenure of 5.1 years. Chiropractors primarily focused on clinical care (88%) over administrative duties (10%), though credentialing and compensation practices varied significantly.

This study provides crucial baseline data and highlights the need for further research into the roles chiropractors play, skills for effective collaboration, and barriers to expanding chiropractic services in FQHCs. Ref er en ce: Albertson A, Kells H, Sawyer C, Maiers M. Chiropractic Services and Employment Characteristics within U.S. Federally Qualified Health Centers: Cross-Sectional Survey. JIntegr Complement Med. 2024 Nov 28. doi: 10.1089/jicm.2024.0681.

90 RESEARCH NEWS

New r eview r ein f or ces h igh levels of sat isf act ion am on gst ch ir opr act ic pat ien t s A recent systematic review highlights consistently high levels of patient satisfaction and positive experiences with chiropractic care. Across various studies, patients reported enhanced experiences compared to those with medical doctors, particularly in areas such as empathy, patient-centeredness, and perceived support. Key factors contributing to satisfaction included effective communication, feeling listened to,

experience.

One explanation for high satisfaction levels may be patients?contrasting experiences in mainstream healthcare, where chronic pain sufferers often report long waits, minimal contact time, and dissatisfaction. Chiropractic care, typically delivered in private settings, may provide a more personalized, attentive approach, with greater opportunities for communication and relationship-building, contributing to these favorable perceptions.

Despite these positive findings, the review acknowledged limitations, including a focus on English-language studies, potential respondent bias, and some variability in chiropractic care settings. Nevertheless, the consistency of results across diverse settings and methodologies strongly supports the conclusion of high satisfaction with chiropractic care.

Strong levels of communication are a driver of patient satisfaction

strong therapeutic relationships, and traits like trustworthiness and care.

Notably, satisfaction was often linked to the quality of interaction and time spent with the chiropractor rather than specific technical or manipulative aspects of care. This suggests that contextual factors, such as good communication, empathy, and trust, play a pivotal role in shaping positive patient outcomes. These findings align with a recent General Chiropractic Council survey, which also underscored the central importance of good communication in fostering public trust and satisfaction with chiropractic care. The ability of chiropractors to build strong therapeutic relationships appears to be as significant as clinical techniques in delivering a positive patient

Further research should explore the underlying reasons behind these positive experiences, emphasizing the importance of patient-practitioner relationships. For chiropractors, prioritizing empathy, effective communication, and trust-building remains essential to enhancing patient satisfaction and achieving positive clinical outcomes, ultimately reinforcing the value of chiropractic in healthcare.

Ref er en ce: Newell D, Holmes MM. Patient Experience and Satisfaction With Chiropractic Care: A Systematic Review. JPatient Exp. 2024 Dec 25;11:23743735241302992. doi:

91 RESEARCH NEWS

Dan ish r esear ch er s in vest igat e gr ow in g pain s Growing pains are a familiar concept, whether encountered through personal experience as children, observed in clinical practice as chiropractors, or witnessed as parents caring for a child in discomfort. The term ?growing pains? has been in use since the early 1800s, suggesting a connection between the pain and the process of growth in children. However, the precise cause of growing pains remains elusive, leaving unanswered the question: do children truly experience growing pains as a result of growth?

A team of Danish researchers, led by Professor Lise Hestbæk, conducted a comprehensive study to explore the prevalence of growing pains among Danish children, how they experience these pains, and whether the discomfort is genuinely associated with growth. This investigation was part of a large 2016 cohort study that followed preschool children aged 3?6 years and their parents in a Danish municipality. By tracking children?s health and motor development over time, the study provided valuable insights into motor skills and the development of muscle and joint health.

At the outset, parents completed detailed questionnaires about their children?s health and sociodemographic background, and children?s height was measured. Over six months, parents responded to weekly SMS questions about their children?s pain and participated in interviews when

pain was reported. Children were measured again at the end of the six-month period.

Data from 777 children revealed that one in four children experienced growing pains, affecting boys and girls equally. Pain typically occurred 1?3 times per week, most often in the lower legs, and was more common in the evenings, disrupting the sleep of about one-quarter of affected children. Older children were more likely to experience these pains.

The study found no evidence linking growing pains to rapid height increases over six months.

Researchers concluded that while growing pains are common, clearer diagnostic criteria are needed to differentiate them from other conditions. Additionally, they suggested reconsidering the term ?growing pains,? as the data do not support a connection to physical growth.

Importantly, the findings highlight the need for further research into the underlying causes of these pains, which could include muscle fatigue, physical activity levels, or genetic predisposition.

The study underscores the importance of developing clear diagnostic frameworks and effective management strategies, enabling healthcare providers to support affected children and their families more effectively.

As parents and practitioners alike seek to address the discomfort and sleep disruptions caused by growing pains, these findings pave the way for improved understanding and care..

Ref er en ce: Hestbæk L, Lücking A, Jensen ST. Growing pains in Danish preschool children: a descriptive study. Sci Rep. 2024 Feb 17;14(1):3956. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874442/

92

93 RESEARCH NEWS

St u dy con t r ibu t es t o bet t er u n der st an din g pat ien t expect at ion s f r om LBP con su lt at ion s A recent study from Denmark sheds light on the evolving hopes and expectations of patients seeking care for low back pain (LBP). Conducted with 18 patients (aged 28 to 79 years) consulting general practitioners, physiotherapists, and chiropractors, the research provides valuable insights into how patient priorities shift before and after consultations.

The study used a qualitative approach, with preand post-consultation interviews to explore patients' expectations and subsequent experiences. Analysis revealed two main themes: " Som et h in g Needs t o Be Don e" Before consultations, patients expressed a strong desire for immediate help and clarity about their condition.

Their expectations centered on receiving a thorough clinical assessment and expert guidance to address the disruption caused by their pain.

Many saw clinicians as their best hope for restoring normalcy to their daily lives. This expectation for a solution-driven approach often reflected the significant emotional and physical toll of their pain, underscoring their urgent need for relief and reassurance. " Exper ien ces an d Em ot ion al Respon ses t o t h e In t er act ion w it h t h e Clin ician" Post-consultation, the focus shifted to the relational dynamics between patients and clinicians.

Trust, empathy, and the personal attributes of the clinician became central to patients' satisfaction.

Emotional engagement, feeling valued, and being listened to during interactions were noted as equally important as clinical outcomes.

Positive relational experiences often left patients feeling hopeful and empowered, reinforcing the importance of a supportive therapeutic alliance.

The findings highlight the evolving nature of patient expectations. While pre-consultation hopes were tied to clinical action, post-consultation experiences emphasized the importance of the clinician-patient relationship and emotional support.

This study underscores the need for healthcare providers, including chiropractors, to balance clinical expertise with strong interpersonal skills.

By recognizing the shifting priorities of patients, practitioners can foster trust and empathy, creating a therapeutic environment that improves patient satisfaction and enhances treatment outcomes.

Effective care for LBP extends beyond technical interventions, emphasizing the critical role of meaningful clinician-patient interactions in achieving whole-person care.

This research reinforces the value of a holistic approach, urging practitioners to blend technical competence with compassion to address both the physical and emotional dimensions of LBP. Such efforts can ultimately improve patient outcomes, adherence to treatment plans, and overall satisfaction..

Ref er en ce: Madsen SD, Stochkendahl MJ, Morsø L, Andersen MK, Hvidt EA. Patient perspectives on low back pain treatment in primary care: a qualitative study of hopes, expectations, and experiences. BMC Musculoskelet Disord. 2024 Dec 5;25(1):997. doi: 10.1186/ s12891-024-08116-3.

PMID: 39639259; PMCID: PMC11619672.

94

THANK YOU TO OUR CORPORATE AND EDUCATIONAL PARTNERS FOR THEIR GENEROSITY AND SUPPORT

PREM IER CORPORATE PARTNER Logan University

PLATINUM CORPORATE PARTNERS

International Medical University, Chiropractic Program Northeast College of Health Sciences New Zealand Chiropractic Board The Royal College of Chiropractors

Activator Methods International

University of Bridgeport - College of Chiropractic

Cleveland University Kansas City

University of Western States

Chiropractic Economics Dynamic Chiropractic Magazine Ergotherapy Solutions

BRONZE CORPORATE PARTNERS Asociación de Quiroprácticos de Puerto Rico

Human Touch

College of Chiropractic Sciences

International Board of Chiropractic Examiners

Dynamic Disc Designs

NCMIC

Elite Chiropractic Tables

Palmer College of Chiropractic

Federation of Canadian Chiropractic

Parker University

Four Star Industries Pte Ltd -

DIAM OND CORPORATE PARTNERS

Japanese Association of Chiropractors KCS Association Kiropraktorernes Videnscenter

Canadian Chiropractic Protective Association

Madrid College of Chiropractic-RCU

Canadian Memorial Chiropractic College

National University of Health Sciences

Foot Levelers

Precision Biometrics, Inc. / MyoVision

National Board of Chiropractic Examiners

Research Review Service Inc.

The American Chiropractor

Rocketee

GOLD CORPORATE PARTNERS

Sommeil Terre Pte Ltd

Northwestern Health Sciences University

Southern California University of Health Sciences

Serola Biomechanics, Inc.

The Joint Chiropractic

SILVER CORPORATE PARTNERS Chiropractic Diplomatic Corps

95

THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT

PLATINUM INDIVIDUAL SUPPORTERS (US$2000)

BROWN, Steven (USA) CHAPMAN-SMITH David, Mr (Canada) CHUN PU CHU Eric, DC, MHA, PhD (Hong Kong)

CLEVELAND III Carl, DC (USA) MALTBY, John, DC (USA) MORGAN William E., DC (USA)

CRAIG Stuart and Leonie, DC (New Zealand) CULBERT Gregory M., DC (USA) DONATO Phillip, DC (Australia)

GOLD INDIVIDUAL SUPPORTERS (US$750)

DOUCET, Chantale (Canada) EL SANGAK Hussein, DC, MD (USA) EL SANGAK Omar, DC, MD (Egypt)

HALDEMAN Scott, DC, MD, PhD (USA) ERRINGTON Timothy, DC (Singapore)

SILVER INDIVIDUAL SUPPORTERS (US$500)

GELLEY Geoffrey, DC (Canada) GREEN Bart, DC (USA) HEESE Glen, DC (USA)

BOO Gordon Kou Tuan, DC (Malaysia) KUWAOKA Toshifumi, Mr (Japan)

JOHANESSEN Espen, DC (Norway) JOHNSON Claire, DC (USA)

WANG Sam, DC (USA) WHITMAN Larry, DC (Australia)

KIL Vivian, DC (Netherlands) KOPANSKY-GILES Deborah, DC (Canada)

BRONZE INDIVIDUAL SUPPORTERS (US$180)

LEPIEN Rose, DC (USA)

ADRA Tarek, DC (USA)

McNABB Brent, DC (USA)

ANDERSON Kris, DC (USA)

LING Kok Keng, DC (Singapore)

MOSS Jean, DC, MBA (Canada)

ANOSOV Oleg, DC (USA) NAPULI Jason, DC, MBA (USA) AYMON Michel, DC (Switzerland) PAPADOPOULOS Stathis, DC (Cyprus) BORGES Sira, DC, MD (Brazil) RAMCHARAN, Kimberly (USA) BRACKENBURY Wade, DC (Vietnam) SERRANO , Mayda (Puerto Rico)

96

THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT

BRONZE INDIVIDUAL SUPPORTERS (US$180)

TAYLOR Michael K, DC (USA) TRUUVAART Gerly, DC (Estonia) VALLONE Sharon, DC, DICCP (USA)

SOSNA Janet Ruth, DC (Singapore) SPORTELLI, Louis (USA) STEWART Gregory, DC (Canada) TAKEYACHI Kei, DC (Japan)

VAUGHAN Bruce, DC (Hong Kong SAR) WILES Michael, DC (USA) WILLIAMS John, DC (Italy) WOLFSON Wayne, DC (USA)

TAO Cliff, DC, DACBR (USA)

WANTTOMAKEADIFFERENCETOYOUR PROFESSION?CONSIDERBECOMINGAN INDIVIDUALSUPPORTEROFTHEWFC TODAY! FORINFORMATION,CONTACTUSAT INFO@ WFC.ORG

97