QWR2025D

St rengt h in Unit y: Grow ing t he Profession Globally

Dear Members,

I recently had the privilege of attending the Florida Chiropract ic Associat ion (FCA) event in Orlando. I met in person with many of our stakeholders, and the experience was both enlightening and highly productive.

The event showcased the vibrant and evolving nature of the chiropractic profession The program was thoughtfully designed to be inclusive, offering a wide range of classes that appealed to many different approaches. As our profession increasingly embraces a more holistic perspective, incorporating aspects of physical literacy, public health, and rehabilitation, this event served as a powerful example of how diverse approaches can blend together to strengthen the profession as a whole The energy from vendors and exhibitors was equally inspiring, demonstrating strong support for our field

Our face-to-face meetings with stakeholders were particularly valuable. There is a unique quality to in-person interaction that online forums simply

cannot replicate A common theme emerged across our discussions: stakeholders are committed to seeing the profession grow from strength to strength

We all agreed t hat focusing on w hat unit es us, rat her t han w hat divides us, w ill be key t o st rengt hening t he profession and enabling us t o advance w it hin t he ever-adapt ing healt hcare environm ent .

Many of these discussions also centered on communicating the right message to both chiropractors and the wider public Stakeholders emphasized the importance of presenting a united voice, and it was clear that everyone is, in their own way, supporting the WFC?s vision to advance awareness, utilization, and integration of chiropractic.

It is crucial that we embrace our differences and allow them to make us stronger as a unified profession Whether you are advocating for the integration of chiropractic into healthcare systems, championing basic recognition in your country, or strengthening the profession through your private practice, your efforts are invaluable. What each of us is doing in private practices, regional associations, and national associations is collectively reinforcing the profession globally.

As you know, Oct ober 16t h marks World Spine Day This global, multidisciplinary celebration is a vital initiative, and I encourage you all to participate. A range of activities and resources can be found in the toolkit prepared by the World Spine Day team.

Let us stand united in our resolve to advance the profession globally and bring chiropractic to people of all ages, in all nations, helping populations thrive and reach their full potential.

Dr Kendrah Da Silva, WFCPresident

From t he Secret ariat : Operat ional Progress in a Season of Global Unit y

As we embrace the October edition of the QWR under the theme Global Unity in Chiropractic: Strengthening Partnerships, Elevating Practice, the Secretariat continues to advance the operational backbone that supports our global mission.

In September, the WFCOperations Team convened to align priorities across departments and prepare for the final quarter of 2025 With major global events on the horizon? including the WFC 13t h Biennial Global Educat ion Conference in Ut recht (Oct ober 2026) and the WFC 19t h Biennial Congress in Vancouver (May 2027)? our focus remains on strategic planning, digital infrastructure, and member engagement.

Key Operat ional Highlight s:

- Congress & Educat ion Conference Planning: Research Abstracts from the 2025 Congress have now been published in a Book of Proceedings. Marketing campaigns for our Global Educat ion Conference 2026 in Utrecht and our Congress 2027 in Vancouver are now active, with all team members contributing to outreach and visibility

- Digit al Transform at ion & Securit y: Platform and application training is under review, aimed at enhancing staff proficiency across all our digital platforms. Cybersecurity remains a priority, with a formal report due in October and under review.

- Com m it t ee Support & WHO Engagem ent : The Secretariat continues to support multiple committees, including the Committee on Official Relations with WHO, WRA Workstream, Research, Global Patient Safety Initiative, Disability and Rehabilitation, Public Health, World Spine Day and our International Chiropractic

Education Alliance, ensuring alignment with global health priorities and regulatory frameworks

- World Spine Day 2025: Preparations are underway for Oct ober 16, including a refreshed brand identity and global competition announcement. Our competition, generously sponsored by Foot Levelers, will be featured across platforms

- Preparing for Board Elect ions for 2026-2028 Term ? Novem ber 2025:

- In accordance with Article 5 5 of the WFCBylaws, the WFCBoard of Directors is elected for a term of two years, with nominations and appointments aligned to the organization's governance calendar.

- The Secretariat is currently preparing nomination materials and coordinating with regional federations to ensure a transparent and inclusive process Directors are elected from seven world regions: Africa, Asia, Eastern Mediterranean, Europe, Latin America, North America, and the Pacific.

- Call for Bids ? WFC Congress 2029: The WFCwill soon launch the Call for Bids to host the 20t h Biennial WFC Congress in 2029 As outlined in the WFCCongress Bid Guidelines, bids must be submitted three years in advance of the proposed event date to allow sufficient time for planning, stakeholder engagement, and logistical coordination

- The bid process includes:

- Letter of Intent from the national association

- Formal Bid Submission including venue details, local support, and proposed

partnerships

- Review by the WFCBoard

- Announcement of Host Nation at the Annual Meeting

- The Congress is rotated across global regions to ensure equitable representation and engagement National associations interested in hosting are encouraged to begin preparations and contact the Secretariat for guidance and bid templates.

As we move forward, the Secretariat remains committed to operational excellence, transparency, and responsiveness Our work behind the scenes is driven by the same spirit of unity and purpose that defines the global chiropractic community

We thank our members, partners, and volunteers for their continued engagement and look forward to sharing more progress in the months ahead

CONGRESS 2029 ? Call for Bids

Host t he Fut ure of Global Chiropract ic:

The WFCinvites member associations to submit bids to host the 2029 WFCBiennial Congress? a premier global event celebrating chiropractic leadership, education, and innovation.

Key Dat es:

November 25, 2025: Call for Bids issued

April 26, 2026: Submission deadline

June 2026: Host city announced

For bid guidelines and subm ission det ails, please cont act t he WFC Secret ariat

OUR PEOPLE

WFC BOARD OF DIRECTORS (2024-26)

Kendrah Da Silva (President )

African Region

Ryan Cost er (Vice-President )

North American Region

Holly Tucker (Secret ary-Treasurer)

North American Region

Carlos Ayres

Latin American Region

Glenn Guilderson

North American Region

Andrew Law rence

PacificRegion

John Malt by

North American Region

Jakob Lot he

European Region

Efst at hios Papadopoulos

Eastern Mediterranean Region

Pernille Popp

European Region

Hayden Thom as PacificRegion

Dale Whit e

North American Region

Yi Kai Wong

Asian Region

St rengt hening Global Unit y and St rat egic Governance: WFC Board Meet s for Q3 2025

The WFCBoard of Directors continues to embody the spirit of global unity and strategic leadership as it advances the chiropractic profession across regions and disciplines Meeting virtually on August 12, 2025, the Q3 Board session? chaired by President Dr Kendrah Da Silva and facilitated by Executive Operations Manager Christ ina Davis? reflected a renewed commitment to collaboration, governance excellence, and future-focused planning.

At the heart of the meeting was a shared vision: to strengthen partnerships and elevate practice through inclusive decision-making, strategic foresight, and global engagement. The Board reaffirmed its commitment to professional excellence, global advocacy, and governance integrity, with a strong emphasis on transparency, risk management, and equitable representation.

A key highlight was the Board?s commitment to planning the 13t h Global Educat ion Conference 2026 in Ut recht , Net herlands The Board underscored the importance of convening educators, regulators, and leaders to shape the future of chiropractic education. Planning also advanced for the WFC 2027 19t h Biennial Congress in Vancouver, reinforcing the Federation?s commitment to global convening and knowledge exchange

In line with the theme of strengthening practice, the Board reinforced the importance of allowing expansion in the structure of the Committees into thematic subcommittees. This move enables more agile, focused workstreams and reflects the WFC?s evolving approach to committee engagement.

Reports from the ICEA, Research, Disability & Rehabilitation, Public Health, and Global Patient

OUR COMMITTEES

RESEARCH COMMITTEE

SidneyRubinstein DC, PhD(Chair) Netherlands

KatiePohlman DC, MS, PhD (Vice-Chair) USA

PUBLIC HEALTH COMMITTEE

ClaireJohnson DC, MSEd, PhD(Chair) USA

DISABILITY & REHABILITATION COMMITTEE

KatiedeLuca MAppSc, PhD(Chair) Australia

OFFICIAL RELATIONS WITH WHO COMMITTEE

Deborah Kopansky-Giles, BPHE, DC, FCCS, MSc (Co-Chair) Canada

MicheleMaiers, DC, MPH, PhD (Co-Chair) USA

GLOBAL PATIENT SAFETY INITIATIVE

KatiePohlman DC, MS, PhD (Chair) USA

INTERNATIONAL CHIROPRACTIC EDUCATION ALLIANCE

Deborah Bushway, PhD(Co-Chair) USA

Daniel Moore, DC, MSc(Co-Chair) UK

WORLD SPINE DAY COMMITTEE

Rebekah Wilks, DC(Co-Chair)

DanielleWiesner, DC(Co-Chair)

SECRETARIAT

Christina Davis(ExecutiveOperationsManager)

Khalid Salim (Finance & Administration Manager)

Rebekah WilksBS, DC(Director of Strategyand Policy)

Safety Initiative, Official Relations with WHO and World Spine Day committees were adopted, with Hayden Thom as appointed as Board Champion for World Spine Day 2025.

Operational updates included progress on WHO engagement, SharePoint integration, stakeholder outreach, and strategic planning initiatives? including preparations for the WFC?s 40t h anniversary The Board emphasized the importance of branding, communications, and stakeholder alignment in elevating the profession?s global visibility.

Financial stewardship remained a priority The Q3 financials were adopted unanimously, with a clear directive to maintain fiscal discipline and explore new revenue streams. A proposal to develop a Low- and Middle-Income Country (LMIC) policy for Congress and membership was approved, reflecting the WFC?s commitment to equitable participation and global inclusion.

The Board also approved amendments to the 2025 Assembly minutes A Risk Management Committee was endorsed, with terms of reference to be finalized before Q4.

Looking ahead, the Board outlined a series of action items to ensure continued momentum These include proposals for expanding committee structures and terms of reference, reviewing the Triennial Plan, exploring crowdfunding models for committee initiatives, and strengthening donor recognition and nonprofit technology access.

As the WFC continues to build bridges across borders, this meeting reaffirmed the Federation?s role as a unifying force? championing excellence, equity, and innovation in chiropractic worldwide.

CONTACTING THE WFC

Writ e t o us:

World Federation of Chiropractic, 2 St Clair Avenue West,Toronto, Ontario M4V1L5, Canada

Call us:

+1 647 255 8030

Em ail us:

General inquiries info@wfc org

Christina Davis cdavis@wfc org

Khalid Salim ksalim@wfc.org

Rebekah Wilks rwilks@wfc org

NEWS ITEMS

The WFCwelcomes 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

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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 WFCQuarterly World Report does not in any way imply endorsement of any product or service

Global Unit y in Chiropract ic: St rengt hening

Part nerships, Elevat ing Pract ice

Dear Colleagues,

This edition of the QWRis centered around a powerful theme: Global Unity in Chiropractic: Strengthening Partnerships, Elevating Practice. Across continents and communities, the chiropractic profession continues to demonstrate that collaboration is the key to progress. Whether through shared research, educational reform, or service to underserved populations, our collective efforts are shaping a more inclusive, innovative, and impactful future

This past August, the WFChad the privilege of attending The Nat ional in Orlando, Florida? an event that not only showcased the vibrancy of the profession but also reaffirmed the power of partnership and shared purpose. Hosted by the Florida Chiropract ic Associat ion, this gathering offered a dynamic platform for strategic dialogue, clinical advancement, and global connection

Each story in this issue is a reminder that our strength lies in unity:

- New research centers, such as the Nat ional Cent re for Chiropract ic Research in the UK, are setting bold visions for evidence-based care and integration into national health systems.

- Rehabilitation education is being reimagined, with institutions like CMCC aligning curricula with global competency frameworks to better serve patients with disabilities and chronic conditions

- Students and clinicians in underserved communities are making a profound impact? from chiropractic missions in the Philippines to international placements that foster cultural exchange and clinical growth

Looking ahead, we are thrilled to share t w o m ajor global event s that will continue this momentum:

Christina DavisWFCExecutiveOperationsManager and QWR Editor-in-Chief

- The WFC 13t h Biennial Global Educat ion Conference, taking place in Ut recht , Net herlands from Oct ober 14?19, 2026, will convene educators, regulators, and thought leaders to shape the future of chiropractic education in Europe and beyond

- The WFC 19t h Biennial Congress, scheduled for May 5?8, 2027 in Vancouver, Canada, will bring together the global profession to celebrate innovation, research, and the shared mission of advancing chiropractic worldwide.

This issue also pays tribute to the life and legacy of Dr Bruce Sinclair Vaughan (1935?2025), a pioneer whose vision and leadership helped shape chiropractic in Asia and globally. As the founding president of the Hong Kong Chiropract ors Associat ion and a founding figure of the WFC, Dr. Vaughan?s contributions to regulation, education, and unity remain a guiding light for our profession His legacy reminds us that progress is built on perseverance, collaboration, and a deep belief in

the value of chiropractic care.

As we prepare for World Spine Day on Oct ober 16t h, I encourage each of you to participate, share, and amplify the message of spinal health. Let us continue to invest in our spine, our profession, and our shared mission to bring chiropractic care to people of all ages, in all nations.

With gratitude for your continued dedication,

Christ ina Davis

QWREditor-in-Chief

WFC BOARD ELECTIONS ? 2026?2028 Term

Not ice t o Mem bers:

The WFCBoard of Directors will soon begin its election process for the 2026?2028 term Member associations are encouraged to prepare for participation in their respective regional elections.

Key Dat es:

November 2025: Director entitlements calculated

December 2025 ?January 2026: Regional elections conducted

February 2026: New Board composition announced

May 2026: Incoming Board takes office

St ay t uned for official com m unicat ions and nom inat ion procedures

GET INVOLVED WITH THE WFC

Becom e a Mem ber:

Join the WFCand connect with a global network dedicated to advancing the chiropractic profession

APPLY HERE

Part ner or Sponsor:

Collaborate with the WFCto strengthen the profession worldwide through education, advocacy, and strategic partnerships.

APPLY HERE

Becom e an Individual Support er:

Join a global community dedicated to advancing evidence-based chiropractic care, promoting collaboration, and strengthening the profession worldwide as a proud WFCIndividual Supporter

APPLY HERE

Becom e a St udent Support er:

Are you a chiropractic student passionate about advancing the profession?Join the WFCas a Student Supporter and connect with global initiatives, resources, and your future peers

APPLY HERE

At t end Our Event s:

From regional summits to the WFCBiennial Congress, engage with global leaders shaping the future of chiropractic

VIEW UPCOMING EVENTS

Explore Our Affiliat es:

Discover the organizations that partner with the WFCto advance chiropractic worldwide. VIEW AFFILIATED ORGANIZATIONS

OBITUARY

In Mem oriam : Dr Bruce Sinclair Vaughan (1935?2025)

Dr Bruce Sinclair Vaughan passed away peacefully on July 10, 2025 A former British soldier, cowboy, and rubber plantation manager, his path to chiropractic was as colorful as it was unlikely. That journey began with a persistent neck issue that led him to the care of Hong Kong?s first Chiropractor, Dr. Frank J. Molt hen, "Old Doc Molthen," as Dr Vaughan affectionately called him Dr Molthen arrived in Hong Kong from the United States in the 1930s and became a legend during the Japanese occupation of Hong Kong during World War II During the war, Dr Molthen was imprisoned in the Stanley Internment Camp, a civilian internment camp to hold non-Chinese enemy nationals. This was where he treated fellow inmates?health problems with only his hands. Inspired by this powerful demonstration of chiropractic's potential, Dr. Vaughan enrolled in the Palmer College of Chiropractic, graduating in 1966 at the age of thirty

Dr. Bruce Sinclair Vaughan (1935-2025)

Armed with his degree and a fervent belief in chiropractic?s power, Dr. Vaughan returned to Hong Kong. Alongside other first-generation Chiropractors, Drs. Ted Ong and Cheng Chun-ye, they founded the Hong Kong Chiropract ors Associat ion (HKCA) in 1967, with Dr Vaughan serving as its Founding President The formative years were fraught with challenges Despite Hong Kong's British administration, its deep Chinese roots and majority Cantonese-speaking population made it difficult for the public to understand chiropractic, let alone embrace it Yet, under Dr Vaughan?s steadfast leadership, the HKCA fought tirelessly for professional recognition. Through years of meetings, negotiations, and countless dead ends, their perseverance was finally rewarded in February 1993 with the passage of the Chiropractors Registration Ordinance Chapter 428, the first legislation of its kind in Asia

This historic achievement was a testament to global collaboration. Understanding the need for a

proven regulatory model, Dr Vaughan looked abroad He persuasively encouraged Hong Kong?s Deputy Secretary for Health and Welfare to visit Australia, where chiropractic had already gained full recognition. After meeting with the Victorian Chiropractic Board and witnessing a legitimate, regulated profession in action, the initial draft of Hong Kong's ordinance was adapted almost directly from Victoria?s, cementing a foundation of international standards

Dr Vaughan's vision, however, extended far beyond Hong Kong. He understood that for the global profession to flourish, it needed unity. This conviction led him to a historic meeting on October 4, 1988, in Sydney, Australia. There, representing the HKCA, he joined leaders from 16 other national associations to unanimously approve a draft constitution, creating the World Federation of Chiropractic (WFC) His leadership on the world stage was immediate and enduring He served as t he WFC Council's first -ever Represent at ive for Asia from 1989 t o 2006 His

strategic mind and dedication were further recognized through a series of executive roles: Secret ary-Treasurer (1995-1997), 1st Vice President (1998-2000), and ultimately, President (2000-2002)

An avid writer and painter, Dr. Vaughan had a singular way with words, a talent that made his advocacy compelling and his legacy enduring That legacy is physically passed on to each new generation; when a member joins the HKCA, they receive a copy of his book, Rabid Dogs in the EastBehind the Patient's Back. Its visceral recounting of chiropractic?s history in Hong Kong, from its early beginnings to the hard-fought campaign for recognition, doesn't just put you in the passenger seat, it compels you to cheer the profession on. More than a history, its detailed chronicle of decisive moments serves as both an essential record and an inspiration

When asked how Dr Vaughan would have wished to be remembered, Mr. Chapm an-Sm it h, the first Secretary-General of the WFC, quoted the 17th-century poet James Shirley:

?Only the actions of the just / Smell sweet and blossom in their dust.?

Bruce was just, and memories of him will long continue to blossom

A memorial service was held in Dr. Vaughan?s honor at the Royal Hong Kong Yacht Club on August 13, 2025 It was a fitting night of celebration for an individual who made such an indelible impact I doubt even Dr Vaughan could have imagined, back in 1967 when the HKCA was founded with just three members, that one day Hong Kong would secure full legal status and grow to a community of more than 400 registered chiropractors. His life?s work, once a mere vision, is now the thriving foundation of an entire profession.

A short video of Dr. Vaughan?s Mem orial m ay be view ed here (Hong Kong Chiropract ors Associat ion)

AECC Celebrat es 60 Years w it h Alum ni Hom ecom ing and Reunion

Membersof theAECCSchool of Chiropracticfaculty, Health SciencesUniversityExecutive team and theStudent Union

In September, AECCwelcomed alumni back to campus for a memorable 60t h anniversary hom ecom ing and reunion Graduates from across the decades ? and from around the world ? returned to Parkw ood Road to celebrate AECC?s proud history.

The day was both a celebration and a reflection: marking 60 years of chiropractic education excellence at AECC, honoring the institution?s heritage, and showcasing the exciting innovations now helping to shape the future of the profession

A Ret urn t o Parkw ood Road

Generations of chiropractors have trained at AECC?s campus in Boscombe, and the reunion offered a chance to relive memories of those formative student years The occasion was especially meaningful for the large cohort of 1990 graduates, many of whom travelled from around the world to join the celebrations Alumni were warmly welcomed by current staff and student ambassadors, who guided them around the campus and introduced them to the state-of-the-art facilities now embedded within chiropractic education

AECC Today: Part of HSU

In recent years, AECChas evolved further, now integrated within Healt h Sciences Universit y (HSU) as the AECCSchool of Chiropractic, under the leadership of Head of School Professor St ew art Cot t erill and the AECCSoCleadership team: Dr Phil Dew hurst , Daniel Herit age, Hazel Jensen and Dr Ali Du Rose

This new chapter strengthens the institution?s place as a world-leading centre for chiropractic education, research, and clinical practice.

AECC60th AnniversaryHomecomingCelebration

CPD, Keynot es, and Learning Toget her

The reunion day combined opportunities for reconnecting with old friends with a full CPD programme Delegates were welcomed by HSU Vice-Chancellor Professor Lesley Haig and Professor St ew art Cot t erill, before a series of thought-provoking keynote addresses:

- Professor Richard Brow n (AECCalumnus, World Federation of Chiropractic) highlighted the institution?s global influence, speaking on AECCAround the World

- Dr Francis Wilson and Hazel Jensen delivered a joint reflection on 60 Years of AECC: Past, Present and Future.

- Dr Iben Axén presented on Maintenance Care ? The Evidence, The Future, The Practice

A series of interactive CPD workshops followed, spanning a wide range of topics and areas of practice. Sessions included adjusting tune-ups, diagnostic masterclasses, sports and pregnancy care, scoliosis management and maintenance care in practice Workshops w ere led by Dr Neil Osborne, Dr Sean Milloy, Dr Iben Axén, Dr Ali Du Rose, Dr Am y Miller, Glenn Winslade, Nick Met calfe and Rob Beaven

Innovat ion on Show

A highlight for many alumni was the chance to try the cutting-edge technology now supporting AECC students in their training The force-sensing table proved especially popular, sparking friendly competition among alumni, staff and students as they tested their adjusting techniques with real-time feedback on force, direction, and timing.

Guests also explored the Anatomage Table, a virtual 3D dissection tool offering an advanced interactive anatomy experience Both innovations demonstrate AECC?s commitment to combining traditional skills with cutting-edge digital learning

Alongside CPD and campus tours, alumni enjoyed a research and innovation showcase during lunch ? with plenty of time to reconnect, reminisce, and revisit old haunts, from student houses to the local beach.

Vice-Chancellor, Professor Lesley Haig, said: "It was a real pleasure to welcomeso manyof our AECC alumni and former staff backto Parkwood Road for thisspecial 60th anniversarycelebration.

?AECChasplayed a pivotal rolein shaping chiropracticeducation in Europeand beyond, and it wasinspiringto reflect on that legacywith thosewho lived it.

?At thesametime, thereunion gaveusa chanceto sharehow theAECCSchool of Chiropracticcontinues to thriveaspart of Health SciencesUniversity- with world-leadingresearch, cutting-edgetechnology, and a vibrant student community Thedaycaptured both thedeep pride in AECC?slegacyand theshared optimism for itsbright and ambitiousfuture.?

Celebrat ing Excellence: AECC 60t h Anniversary Aw ards

The evening gala was well-attended and provided the opportunity to honor the individuals who have shaped, inspired and advanced the chiropractic profession.

Delegatesparticipatingin interactiveCPD workshops

ShowcasingInnovation:TheAnatomage Table

addressingtheaudience.

Professor Richard Brow n delivered an inspiring keynote on AECC?s defining role in shaping both the profession and his own career, which was followed by the AECC60th Anniversary Homecoming Awards

The aw ards w ere not only a celebrat ion of AECC?s 60-year journey, but also a t ribut e t o t he people w ho have shaped and advanced t he chiropract ic profession.

Aw ard Winners 2025:

- Global Im pact Aw ard ? Professor Richard Brow n Recognised for his outstanding leadership and service in advancing chiropractic worldwide, Richard?s distinguished career includes roles as BCA President, ECU and WFCSecretary General, and Vice President of World Spine Care His work has elevated the profession, united practitioners, and improved access to care globally

- Chiropract ic Research Im pact Aw ard ? Dr Iben Axén An internationally respected researcher and AECCalumna (Class of 1990), Iben has advanced evidence-based practice through her work on clinical guidelines, practice-based research networks, and musculoskeletal health. Her

contributions continue to shape care and inspire future generations.

- Rising St ar Aw ard ? Jessica Mead A recent AECCSchool of Chiropractic graduate, Jessica has already made a remarkable impact through her academic excellence, community involvement, and international outreach, including her self-funded trip to South Sudan delivering education on low back pain and rehabilitation

- Lifet im e Achievem ent Aw ard ? Mr Pet er Dixon With a career spanning more than four decades, Peter has played pivotal roles across the profession ?from President of the BCA, ECU, and Royal College of Chiropractors to Chair of the GCC He was instrumental in the Chiropractors Act of 1994 and remains a respected leader, recently appointed High Sheriff of Somerset

- Vice-Chancellor ?s Aw ard ? Inger Roug Honored for her exceptional service to chiropractic and to the AECCSchool of Chiropractic, Inger?s dedication embodies the values and vision of the institution.

From an inspiring CPD programme and cutting-edge demonstrations to heartfelt speeches and the awards evening, the AECC60th Anniversary Homecoming was a true celebration of the past, present, and future of chiropractic

Keynotespeaker Prof Richard Brown

Global Impact Award recipient Prof. Richard Brown with presenter Phil Dewhurst

Count dow n t o World Spine Day 2025: Invest in Your Spine

The countdown is on to World Spine Day 2025, taking place on Oct ober 16t h. Each year, this international awareness day unites millions of people, organizations, and communities across more than 100 countries to shine a spotlight on spinal health With an estimated 2 billion people reached annually, World Spine Day has become one of the most significant global movements focused on spinal health

This year?s theme, ?Invest in Your Spine,? emphasizes that spinal health is not optional? it?s essential Our spines are the foundation of mobility, independence, and overall quality of life However, spinal pain continues to be the leading cause of disability worldwide, affecting individuals across all ages and backgrounds By taking small, proactive steps today? staying active, practicing good posture, and making spine-friendly choices? we can reduce the risk of pain, costly treatments, and diminished quality of life in the years ahead.

A Global Call t o Act ion

World Spine Day 2025 reminds us that investing in spinal health is an investment in the future Spinal disorders have far-reaching impacts on work, learning, and daily living. Simple, evidence-based habits such as regular stretching,

safe lifting, and ergonomic environments can make a real difference.

Thisinternational awarenessdayalso servesasa platform for healthcareprofessionals, educators, workplaces, and policymakersto raisetheprofile of spinal health. Byencouraginghealthier behaviors and environments, wecan support not onlyphysical well-beingbut also mental and emotional resilience.

Show casing Global Im pact : The WFC Com pet it ion

To celebrate World Spine Day, the World Federation of Chiropractic? with the generous support of Foot Levelers? is once again hosting the World Spine Day Com pet it ion 2025. This competition recognizes outstanding efforts to promote the importance of spinal health and inspire others to join the movement

The competition is open to professional associations, educational institutions, and clinics/individual practitioners From creative school programs and workplace awareness campaigns to innovative community events, all activities that promote the message of #Invest InYourSpine are welcome.

Prizes include US$600 for first -place w inners in associat ions and inst it ut ions, US$500 for t he best clinic/ individual pract it ioner ent ry, and runner-up prizes of US$300 Winning initiatives will be showcased in the WFCQuarterly World Report (January 2026 edition), giving them global visibility.

Left:Dr Rebekah Wilks, DC, WFCProject Lead & Co-Chair. Right:Dr DanielleWiesner, DC, Co-Chair with the"World SpineDayGlobal ExecutiveCommittee"consistingof Dr Rebecca Bauer, Dr Florian Allix, Dr LykkeHoffbeck, and Dr Dinesh Palipana

Ent ries m ust be subm it t ed by Novem ber 15, 2025, with high-quality photos and activity details, to w sdcom pet it ion@w fc.org.

How You Can Get Involved

World Spine Day thrives on participation from people everywhere Here?s how you can help build momentum:

- Follow, Like, Share, and Tag World Spine Day on Facebook, Instagram, X, and LinkedIn

- Visit w w w w orldspineday org for toolkits, educational materials, and competition details

- Use hashtags like #Invest InYourSpine and #WorldSpineDay to connect with the global conversation.

- Share your own spine-healthy activities, photos, and stories to inspire others.

The Final Count dow n

With Oct ober 16t h fast approaching, now is the time to prepare. Together, we can reach billions, raise awareness, and ensure spinal health receives the attention it deserves? because a healthy spine today means a healthier tomorrow

WFC St rengt hens Global Ties at FCA?s ?The Nat ional?A Leading Chiropract ic Event

The World Federat ion of Chiropract ic (WFC) proudly participated in The Nat ional, hosted by the Florida Chiropract ic Associat ion (FCA) in Orlando, Florida, from August 21?24, 2025. As a long-standing partner of the FCA, the WFC?s presence at this landmark event reaffirmed its commitment to advancing chiropractic globally through collaboration, education, and innovation

Held at the expansive venue on International Drive, The National welcomed over 3,000 attendees and featured 400 exhibits. The conference offered a dynamic blend of clinical education, strategic networking, and exposure to cutting-edge technologies and techniques shaping the future of chiropractic care

The WFCengaged with international experts, educators, and practitioners across a packed schedule of plenary sessions, clinical CE workshops, and strategic forums. Topics ranged from AI integration in chiropractic practice, precision care, and neuroplasticity, to sports chiropractic, pediatric protocols, and global health challenges such as mental health and long COVID

The WFCconvened over 19 meetings with key stakeholders to deliver essential insights aimed at advancing the global chiropractic profession. During these discussions, the WFCfocused on achieving unity in differences, integrating chiropractic into multidisciplinary healthcare systems, and strengthening our position within the global governance ecosystem Furthermore, the WFCunderscored the critical need for increased global research and data acquisition, promoted advancements in education, and secured commitments for future shared initiatives.

The Expo Hall buzzed with innovation, showcasing the latest products and services from leading vendors such as St andard Process, NCMIC, Biot ics Research, and Saat va WFC representatives connected with stakeholders to discuss global opportunities, regulatory challenges, and the importance of unified standards in chiropractic education and practice

Beyond the sessions, The National offered a vibrant atmosphere for professional growth and community building From alumni receptions to themed networking events like ?Casino Night ? Party with a Purpose,?the conference fostered meaningful connections that will continue to shape the future of chiropractic worldwide

The WFCextends its gratitude to the Florida Chiropractic Association for its continued partnership and leadership in hosting this unparalleled event

As chiropract ic cont inues t o evolve, gat herings like The Nat ional serve as vit al plat form s for dialogue, innovat ion, and global unit y.

RESEARCH Com m it t ee and GLOBAL PATIENT SAFETY

INITIATIVE (GPSI): Current act ivit ies

Overview RC act ivit ies: The Research Com m it t ee RC meets regularly (every two to three months), and discuss scientific issues of the day, in addition to pressing matters, such as the WFC Congress, specifically the handling of abstracts, and the Global Pat ient Safet y Init iat ive (GPSI). Recently, two RCmembers stepped down and a Call for Applications was issued in June which met with an enthusiastic response. New initiatives planned The Chair (Sidney Rubinst ein), Vice-Chair (Kat ie Pohlm an) in conjunction with the Secretary-General and the liaison to the Board (Pernille Popp) have discussed with the Board and members of the RCopportunities for establishing subcommittees under the guise of the RC The goal of the subcommittees would be to provide a focused platform to advance the WFC?s research priorities more effectively.

Global Pat ient Safet y Init iat ive (GPSI) updat e: The Leadership Study, funded by the RAND REACH program through Parker University, is ongoing, with data collection expected to be

completed by early February 2026. In addition, projects identified by the Advisory Board are being advanced to explore funding opportunities and the special thematic series in Chiropractic & Manual Therapies (C&MT) on patient safety is in progress. This thematic series in C&MT is led by a diverse, international team of editors with a track record aligned in patient safety Submissions are encouraged in all formats accepted by the journal, including original research articles, systematic and scoping reviews, case reports, and study protocols

In addition, the series welcomes scholarly commentaries, debates, and letters to the editor that explore barriers and propose solutions to fostering and sustaining a strong global patient safety culture within chiropractic

Other activities The RCcontinues to be very active in identifying publications of relevance for the profession in an effort to improve clinician literacy So, keep your eye open for a brief summary of those publications in this issue of the QWR.

Respectfully, SidneyRubinstein & KatiePohlman

SidneyRubinstein DC, PhD (Chair) Netherlands

KatiePohlman DC, MS, PhD(Chair) USA

DISABILITY & REHABILITATION: Com m it t ee w elcom es

new m em bers

The Disabilit y and Rehabilit at ion Com m it t ee (DRC) plays a vital role in advancing equitable, evidence-based care and support for individuals living with disability and those in need of rehabilitation services globally. The DRCis dedicated to ensuring that the chiropractic profession contributes meaningfully to global efforts in research and improving education in all matters disability and rehabilitation.

The DRCconsists of a diverse group of professionals representing all WFCregions The DRCChair is Associat e Professor Kat ie de Luca (AUS), and members include Afua Adjei-Kw ayisi (GHA), Nor Baaka (CAN), Am y Bow zaylo (BAH), Raul Caurillo (MEX), Pat ricia Est rada (USA), Jean-Luc Gaut hier (CAN), Jordan Gliedt KatiedeLuca, BAppSc, MChiro, PhD(Chair) Australia (USA), Bret t Guist (CAN), Pet er Tuchin (AUS) and Arnold Wong (HKG).

We recently advertised for a new European representative on the committee, as Neil Langridge, the Director of Clinical & Rehabilitation Services at Healt h Sciences Universit y stepped aside due to increased clinical service responsibilities. We would like to sincerely thank Neil for his time dedicated to the DRC, where he provided a meaningful, interdisciplinary viewpoint during the establishment of our portfolios and research activities

Due to several high-quality applications, our exciting news is that we have welcomed two new European representatives to the DRC. With distinct strengths and diverse experiences, Michael Vianin (Sw it zerland) and Christ offer Børsheim (Norw ay) bring with them a wealth of knowledge across education, research, policy and clinical practice

We are excited that our committee continues to comprise of an agile group of multidisciplinary educators, clinicians, and early and mid-career researchers, committed to working together Welcome Michael and Christoffer!

We kindly ask faculty members and academics at English-speaking Doctor of Chiropractic degree programs to keep an eye out for our upcoming

disability and rehabilitation educational audit, which will review chiropractic curricular to further strengthen the delivery of disability and rehabilitation education for neuro-musculoskeletal conditions Led by Bret t Guist (Canada), this is one of several initiatives taking place in relation to disability and rehabilitation knowledge transfer and implementation as they relate chiropractic education Participants will be asked to undertake a survey and an interview to facilitate our work in developing chiropractic curriculum's that that properly addresses key competency frameworks. Please see our other article in this issue which gives an update on Canadian Memorial Chiropractic College recent rehabilitation review, which displays their commitment to advancing rehabilitation education and aligns with the WFC DRC?s vision of strengthening chiropractic?s role in global health systems

I look forward to the next edition of the WFCQWR where I will continue to update the profession on the activities of the DRC Through our evidence-based education initiatives, innovative and inclusive research agenda, and active global engagement, the DRCcontinues to reinforce the value of chiropractic care in disability management and rehabilitation

For more information, please contact Associat e Professor Kat ie de Luca, k deluca@cqu edu au

DRC Welcom es Dr. Michael Vianin On Board

Michael Vianin, DC, MSc (Rehab), is a chiropractor with an extensive academic background. He holds a Doctor of Chiropractic degree from Logan Universit y, a Master of Science in Rehabilitation from McMast er Universit y, and a Specialist in Chiropractic degree from the Sw iss Confederat ion.

Dr Vianin possesses unique expertise in interdisciplinary care, bridging chiropractic and medical fields. He currently serves as a Supervising Clinician in the Department of the Locomotor System at Lausanne Universit y Hospit al (CHUV) and maintains a private practice at the Clinique Générale in Fribourg, where he manages a diverse patient caseload and supervises clinical assistants. Dr. Vianin specializes in complex cases and is actively involved in multidisciplinary rehabilitation programs.

An international lecturer and author he is committed to evidence-based practice and global education Dr Vianin further contributes to the field as a manuscript and abstract reviewer and holds positions on several boards, including the Swiss Foundation for Chiropractic Research, the Federal Chiropractic Examination Board, and the Swiss Medical Professions Commission.

DRC Welcom es Dr. Christ offer Børsheim On Board

Christ offer Børsheim (MSc, DC) is a chiropractor, researcher, and PhD candidate at the Universit y of Bergen He graduated with distinction from AECC/ Bournem out h Universit y in 2015 He now combines clinical practice with research focused on chronic low back pain, where he evaluates outcomes from an innovative transdiagnostic treatment model. His doctoral work, funded by ELIB ? Et Liv i Bevegelse, involves analysis of the PUSH LBP cohort ? a specialist healthcare study with follow-up in primary care satellite clinics

In addition to his academic work, Dr Børsheim has served as regional head within the Norw egian Chiropract ors? Associat ion and acts as an expert consultant for Norw ay?s nat ional injury com pensat ion agency. He is a CARL III fellow, part of a global network advancing musculoskeletal research, and is actively engaged in public-facing science communication and interdisciplinary research initiatives

Dr Michael Vianin, DC, MSc(Rehab)

Dr Christoffer Børsheim (MSc, DC)

Int roducing t he WFC Com m it t ee on Official Relat ions

w it h t he World Healt h Organizat ion (COR-WHO)

The WFCis proud to announce the commencement of meetings of its recently established Com m it t ee on Official Relat ions w it h t he World Healt h Organizat ion (COR-WHO) This important body strengthens the WFC?s role as a Non-State Actor in Official Relations with the World Healt h Organizat ion (WHO) and ensures that the chiropractic profession remains an active contributor to global health priorities

Com posit ion and Governance

The COR-WHO is a standing sub-committee of the WFC, led by Deborah Koopansky-Giles and Michele Maiers as co-chairs Other committee members include Mart in Cam ara, Faye Dean, and Neerasha Ram sam y, with Jacob Lot he serving as the WFCBoard liaison and the WFC Secretary-General as an ex-officio member. In keeping with the WFC?s Equity, Diversity, and Inclusion Policy and Conflict of Interest Policy, appointments to the committee have been made with an eye toward regional representation and expertise

Mission and Object ives

The COR-WHO?s mission is to serve as the official liaison between the WFCand the WHO. In this capacity, the committee provides strategic guidance and oversight of all aspects of the WFC?s

engagement with the WHO This includes participation in WHO consultations and meetings, responding to surveys, and ensuring timely and accurate submission of reports required under the triennial work plan.

The committee?s objectives are broad and vital to chiropractic?s global positioning These include:

- Identifying and advancing opportunities for collaboration with WHO across key areas of traditional, complementary and integrative health, rehabilitation, disability prevention, noncommunicable diseases, ageing and life course, and workforce development

- Advising the WFCBoard on WHO priorities, policies, and initiatives relevant to musculoskeletal health and chiropractic?s contribution to them

- Reviewing WHO invitations for expert contributions to global health programs and recommending appropriate WFC representation.

- Supporting the development of WFC position statements, policy documents, and reports that align with WHO strategies and advance chiropractic?s role in global health

- Promoting collaboration with other professional groups and organizations engaged in WHO activities, ensuring chiropractic?s voice is present in multidisciplinary global health discussions.

Left:Deborah Kopansky-Giles, BPHE, DC, FCCS, MSc, Co-Chair and Right: MicheleMaiers, DC, MPH, PhD, Co-Chair

Activities of the COR-WHO will help ensure that WFCactivities remain aligned with WHO priorities and that the chiropractic profession continues to contribute meaningfully to global initiatives in health promotion, disease prevention, and rehabilitation

Looking Ahead

With its meetings now underway, the COR-WHO has begun fulfilling its mandate of strengthening chiropractic?s integration into the global health

agenda. By ensuring compliance with WHO requirements and facilitating engagement in areas of strategic importance, the committee will play a pivotal role in advancing the WFC?s mission of supporting and promoting chiropractic as a global health profession

The WFClooks forward to sharing updates on the COR-WHO?s work as it continues to guide and expand the Federation?s collaboration with the WHO for the benefit of chiropractic, patients, and communities worldwide.

WORLD REHABILITATION ALLIANCE WORKSTREAM:

St rengt hening t he Voice of Chiropract ic

The World Rehabilit at ion Alliance (WRA)? launched by WHO in 2023? serves as a global advocacy network uniting stakeholders to promote rehabilitation as an integral component of health systems. As a founding member, the WFCleverages its holistic expertise in spinal health and musculoskeletal care to ensure chiropractic perspectives are represented within this critical global platform

Chiropractic is well represented across the WRA?s five w orkst ream s. The WFCis represented by Dr. Deborah Kopansky-Giles on the Primary Care Workstream, Dr. Kat ie de Luca on the Research Workstream, and Dr. Rebekah Wilks on the Workforce Workstream In addition, many other chiropractors are actively engaged in the WRA through representation on behalf of partner organizations The expanding list includes Dr Jakob Lot he, Dr St ephen Passm ore, Dr Silvano Mior, Dr Pierre Côt e, Dr Pat ricia Tavares, Dr Carol Cancelliere, Dr Andreas Ekland, and Dr André Bussières Collectively, these contributions highlight the depth of chiropractic participation and the breadth of collaboration with multidisciplinary partners in advancing the

rehabilitation agenda

The activities of these workstreams are generating significant impact The Primary Care Workstream has forged collaborations with t he World Organizat ion of Fam ily Doct ors (WONCA), t he NCD Alliance, and t he Int ernat ional Council of Nurses, leading to joint publications, global video campaigns, and educational initiatives The Research Workstream has advanced knowledge translation through webinars, infographics, and editorials, while the Workforce Workstream has produced a global position statement on investing in rehabilitation education and training, accompanied by translations, infographics, and dissemination strategies

To ensure cohesion across this broad engagement, the WFCestablished its inaugural WRA Workstream on July 30, 2025. Since then, the group has met three times and engaged twice with the WFCCommittee on Official Relations with WHO (COR-WHO). Its purpose is to strengthen the chiropractic voice within the WRA, provide consistent messaging for representatives, and strategically inform COR-WHO of emerging WRA priorities The Workstream has begun mapping

chiropractic participation across WRA structures to identify representation gaps, is developing a cohesive messaging framework, and will be exploring innovative approaches to fulfilling the WFC?s Triennial Collaboration Plan with the WHO through WRA engagement

The WRA itself is also entering a new phase. It is restructuring and finalizing the membership of its new Steering Committee and establishing an Advocacy and Com m unicat ions Task Force (ACT) to strengthen governance and outreach Several chiropractors have applied to serve on these bodies, reinforcing the profession?s commitment to leadership and ensuring chiropractic perspectives are included as the Alliance optimizes its structure

By uniting the efforts of chiropractic representatives across the WRA with the

coordination of the WFCWRA Workstream, the profession is well positioned to play a visible and influential role in shaping global rehabilitation policy. This collective engagement strengthens the WFC?s mission to advance the awareness, utilization, and integration of chiropractic worldwide, while supporting the WRA?s goal of making rehabilitation accessible to all

PUBLIC HEALTH COMMITTEE: On t arget for 2029 agenda

ClaireJohnson, DC, MSEd, PhD, DACBSP, FICC

The WFC Public Healt h Com m it t ee (PHC) consists of a diverse group of professionals representing WFCregions Each member

contributes expertise in public health, education, policy, and clinical practice, bringing a global perspective to our initiatives. Chair: Dr. Claire Johnson (USA) North America. Members: Mustafa Agaoglu (UK/ Türkiye) Eastern Mediterranean; Dawn Dane (Australia) Pacific; Faye Deane (United Kingdom) Europe; Elga Drews (Namibia) Africa; David Peeace (Canada) North America; Mayda Serrano (Puerto Rico) Latin America; Alli Totzke (United States) North America; and Yi Kai Wong (Malaysia) Asia.

The PHCserves as a global advisory body, guiding the WFCBoard on public health matters relevant to chiropractic practice Our mission is to identify public health priorities, implement health promotion activities, and align initiatives with the strategic objectives of the WFCand the World Health Organization (WHO)

The WFCPublic Health Committee (PHC) develops chiropractic-relevant materials to address public health information needs for the profession The role of the PHCis to advise the WFCBoard in the area of public health as it relates to the practice of chiropractic and to provide information to individuals and communities served by chiropractors globally. This may include, but is not limited to, the identification of public health priorities, implementation of health promotion activities, public health campaigns, and activities congruent with priorities of the WFCand WHO The current PHCplan is aligned with the strategic objectives outlined in the 2024-2029 WFCstrategic plan

The PHCfocuses on public health and health promotion By the end of 2029, the PHCaims to forward the public health agenda for the chiropractic profession by initiating the following actions

1. Further develop public health and health promotion position statements for the chiropractic profession

a Establish a list of public health issues that need to be further developed or addressed

b Identify public health gaps in current WFCpolicies and position statements

c. Revise or sunset existing policies or create new public health policies or position statements.

2 Disseminate information to the chiropractic profession about public health and health promotion, such as how to apply concepts related to health promotion and prevention in chiropractic practice, and identify gaps in the literature.

a. Collect evidence about how public health and health promotion are related and/or are relevant to chiropractic practice and the chiropractic profession

b Establish an agenda for public health research (identify and describe the research gap for research that is needed)

Stakeholders: Researchers, Chiropractic leaders, and educators

We invite all chiropractors to view and distribute the WFC-PHCpublic health social media posts The purpose is to distribute current public health information that is especially relevant to the chiropractic profession globally

The focus includes public healt h-relat ed t opics relevant t o t he chiropract ic profession, w it h an em phasis on evidence-based public healt h, healt h prom ot ion, and prevent ion inform at ion t hat chiropract ors can apply in pract ice.

NCMIC Nam es Scot t Gojkovich Senior Vice President of Insurance

Scott Gojkovich, newlyappointed Senior Vice President of Insuranceat NCMIC.

As newly appointed CEO David Siebert builds out his executive leadership team, NCMIC is pleased to name Scot t Gojkovich Senior Vice President of Insurance, effective immediately

In this elevated role, Gojkovich will drive the strategic vision and operational excellence of NCMIC?s insurance divisions He will support the chiropractic profession through partnerships and advocacy efforts while ensuring that policyholders continue to experience NCMIC?s ?WeTakeCare of Our Own?ethos.

Gojkovich joined NCMICin 2019 and most recently served as Chief Marketing Officer Prior to NCMIC, he spent 25 years at Des Moines Radio Group in various roles, including Brand and Operations Manager, where he led marketing and operations

for 10 radio stations and drove record revenue.

An active member of the Greater Des Moines community, Gojkovich is Chair of the Greater Des Moines Partnership?s Communications Board and is a member of its Executive Committee and Board He is also Chair of East erseals Iow a and a board member of the Food Bank of Iow a

?Scott?sdeep knowledgeof our business, his dedication to our policyholders, and hisproven ability to lead complexinitiativesmakehim theideal person to take on thiscritical role,?said David Siebert, CEO of NCMIC ?Hisleadership will serveour company well aswe continueto strengthen our core offerings and evolveto meet theever-changingneedsof our DCsand thechiropracticprofession.?

?Our chiropractorsareat theheart of everythingwe do, and I?m committed to ensuringwe deliver thehigh level of service, support, and innovation they?vecome to expect from usover thepast 80 years,?said Gojkovich ?I?m lookingforward to enhancingour strategic, collaborativelensfor thefutureof the insurancecompany.?

TOP 10 Assum pt ions:

Why do regulat ors care about your record-keeping?

When reviewing an unrelated complaint, boards often identify errors in records Take this quick true or false test:

1. T or F: Boards care about whether or not I get paid, so they want me to keep some kind of records

Well, actually they do care about you but their primary mission is NOT YOU It is the protection of the public.

Boards expect records to be legible, accurate, complete, and contemporaneous Not written up next week when you have time The patient should not need to explain their care program to another provider Specific content may be defined by your jurisdiction?s standard of care.

Your records should not use abbreviations unless they are highly common For example, one case noted a ?patient had a PE?The doctor interpreted this as a Pulmonary Embolism Actually, the previous provider meant Physical Examination

2 T or F: I have to maintain records for five (5) years

Maybe Regulatory requirements differ Some say 4, 7, or even 10 years. Some require records of minor children be kept until the child is 18. Or 19. Or 21. Be sure you know what your jurisdiction requires.

3 T or F: I can discuss the care of my elderly patient with her daughter Or husband

Privacy is a VERYbig deal Do you have a written release from the patient?Is the patient competent to decide who can have their information?Who can legally make decisions about the patient?s treatment plan?Secure records storage is also vital

4 T or F: Patient records are mine

They are your work product, but you also hold patient health information in trust Patients have the right to view and receive copies of records.

No, you can? t ?tidy them up?before providing them to the patient or a third party they authorize You may or may not be able to charge to provide records ?check your jurisdiction?s legal requirements about fees and time frames to provide them

5 T or F: I ALWAYStell patients about the risks and alternatives associated with chiropractic care so I don? t have to write it down for each patient.

Nope Document the conversation When appropriate or required, get signed acknowledgment from the patient

6. T or F: If the board changes its record-keeping requirements, they have to tell me

Regulatory agencies make every effort to communicate changes, but it?s your license or registration. It?s your responsibility to stay informed. Visit the board website.

7 T or F: Cash paying patients, wellness visits, and staff adjustments do not require documentation Wrong.

8 T or F: My staff can sign my records on my behalf

Nope. That?s on the Bad List with ?I can use white-out?and ?I don? t have to date my signature ?

9 T or F: Chiropractic is so safe that it?s just paperwork ? not that big of a deal

Regulatory authorities take documentation standards seriously. Even if there is no malpractice claim, a chiropractor can face severe disciplinary action for poor record-keeping

Sanctions may range from formal reprimands and fines to remedial training, supervised practice, probation, suspension, or even revocation of the practice privilege.

10 T or F: As a bonus, I am more likely to get paid TRUE!

Want t o see w hat boards deal w it h? Visit t he ICRS w ebsit e here t o t ry your hand at som e real cases.

Donna M. Cohen, ExecutiveDirector International ChiropracticRegulatorySociety

Read t he full ICRS Annual Report 2025

Evacuat ed, but not Abandoned

Dr Jennifer Ward (foreground left), pictured with fellow volunteers, and militarysupport vehiclesassistingin theevacuation of First Nation communitymembersin Northern MB, Canada.

Members of Pim icikam ak Cree Nat ion, in Manitoba, served by World Spine Care Canada, were forced to evacuate during wildfires, but were able to continue chiropractic care.

Since October 2023, the Cross Lake Nursing Station has served as the site of a World Spine Care Canada clinic with the support of sevral national funding partners (Health Canada, Canadian Chiropractic Research Foundation, Canadian Chiropractic Association and Healthcare Excellence Canada). It is a chiropractic service implementation project, in collaboration with the community, providing care to the Pimicikamak People in Manitoba Since inception, more than 225 community members have sought care, through 1380 treatment visits In May of 2025, an evacuation order was issued to over 7,000 Pimicikamak Peoples due to out-of-control wildfires For 19 days, people were evacuated to other cities in the Canadian provinces of Manitoba and neighbouring Ontario Both World Spine Care Canada clinicians offered their skillsets to support the community through this natural disaster.

For community members displaced to Winnipeg, our clinical research team consulted with community members and created an opportunity to receive treatment from a chiropractor who typically flies to Cross Lake to deliver care Dr Jordan Myers was able to use the electronic medical record system to reach out to all patients, thanks to Juvonno?s electronic medical record text messaging system, that the chiropractic service was now available to them at the University of Manitoba campus. Concurrently, a postcard was created for the community?s social media to increase awareness of the service, clinic contact information, location and transportation availability. For patients displaced to other communities who had their care interrupted, the ability to provide advice, education about their condition, stretching, strengthening and exercises were available via telehealth appointments if desired

Firesforced road closures, whilesmoke madeair transport difficult through reduced visibility, leading to challengesfor communityaccessand evacuation

Dr Jennifer Ward was prepared to see any Pimicikamak patients displaced from Cross Lake to The Pas or Opaskwayak Cree Nation but found herself lending her abilities in other ways Volunteering at the Clearw at er Lake Airport , Dr Ward assisted in receiving community members from Northern Canada Through smoke-filled skies, First Nations Peoples arrived with small carry-on bags, holding their children?s hands. Dr. Ward noted, ?It wasveryintense. Thousandsof peoplehad to leavetheir communitiesnot knowingif their homesweregoingto betherewhen theygot

CANADA

back Somecommunitiesarestill evacuated even after 102 daysdueto hydroelectricpolesbeing damaged in thefire.?Her chiropractic clinic treated evacuees and fire fighters from all over the north for free to help provide much needed relief

Our hope is t hat ot her com m unit ies and people im pact ed by nat ural disast ers can learn from t he experience t o pivot , adapt and m eet t he healt hcare needs of people in t he fut ure.

Canadian chiropract ic leaders at t end ret reat in Yukon t o highlight t he need for care in rem ot e and Indigenous com m unit ies

In September, the Board of Directors of the Canadian Chiropract ic Associat ion (CCA), held their annual retreat in Whit ehorse, Yukon Beyond strategic planning, the trip highlighted a critical priority for the profession in Canada: improving access to healthcare for Canadians living in remote and Indigenous communities.

?We(theCCA) recognizethat Canada isnot just coast to coast. It?scoast to coast, to coast? Wewant to get peopletheright treatment at theright time, and we want to support thealreadyoverwhelmed healthcare system,?said Dr. Jennifer Ward, CCA Board of Director and Co-Chair of the Indigenous Chiropractic Caucus.

Healthcare in Yukon faces unique challenges due to its vast geography and dispersed population Residents in northern, remote, and Indigenous communities often encounter limited access to timely services, requiring innovative approaches to meet their needs. Access to healthcare is centered in the capital city of Whitehorse, where most

specialized services are available Smaller and more remote communities rely on local health centers, visiting practitioners, and medical travel for advanced care While services are supplemented by local programs and partnerships with larger provinces, geographic distance and limited local resources create challenges.

Earlier this year, the Government of Yukon, in partnership with the Council of Yukon First Nat ions (CYFN), launched an engagement process to develop community health and wellness plans with rural communities.

?Wecameto Whitehorsebecausewanted to hear the voicesof thecommunityand theleadership. We wanted to hear what people areexperiencingand to understand what isneeded in theNorth,?shared Dr Ward As a chiropractor who practices in remote communities in Manitoba, Dr. Ward has also witnessed firsthand the challenges people face in accessing timely, culturally safe healthcare.

Dr Ayla Azad, CCA CEO, noted that it was an

opportune time to educate leaders of the specialized care chiropractors can provide

During their visit, Board members met with local politicians across party lines and with the Yukon Health Authority to discuss how chiropractors can support northern communities in accessing safe, effective, and culturally sensitive healthcare services, particularly for neuromusculoskeletal health and pain management

?Our workat theCCAisabout makingsureevery Canadian, no matter wheretheylive, hasthe opportunityto live pain-free, active, and healthylives,? said Dr Azad ?Thehighlight of theretreat wasour reception that allowed usto connect with community leadersand local CCAmembers. It allowed usto connect face-to-faceand build relationshipsthat can driveprogressin deliveringcare. Momentslikethese remind usthat collaboration and understandinglived experienceslaythefoundation for positive, lasting change."

CCA Board Chair, Dr Russel Baron reflected on his first visit to Yukon ?Our trip to theYukon wasmore than a strategicplanningmeeting. It allowed usto

understand and seefirsthand thechallengesfaced by northern communities. Improvingaccessto neuromusculoskeletal healthcareiscritical and we want all healthcareprofessionals, healthcareleaders, and governmentsto seetheurgent need to expand healthcareresourcesin remoteand Indigenous communities. Wemust workcollaborativelywith each other to do better for Canadians.?

?Beforethisweekend, I had never visited Yukon. We were met with kindnessand generoushospitality. The natural, breathtakingbeautyof theland and the strength of thecommunitieshereare inspiring. This retreat also demonstrateshowcollaboration can serve asan exampleacrossCanada, and even internationally, that workingtogether can lead to innovative and effectivehealthcaresolutionsfor remotecommunities,?said Dr Baron

Photo of theCCABoard of Directors

CANADA

Discover Vancouver, t he backdrop for t he WFC Biennial Congress 2027

Vancouver, Canada?s premier west coast city, provides the ideal setting for the WFC?s 2027 Biennial Congress, proudly hosted by the Canadian Chiropractic Association. Discover what makes this remarkable city so special.

Vancouver is a city where ocean and mountains meet, where an urban rain forest frames a dynamic skyline, and where world-class venues, hotels, and restaurants are all within easy reach It is a place where natural beauty and urban sophistication come together to create an exceptional setting for international events.

As one of the Top 25 Best St art up Ecosyst em s in t he World and often called the ?Silicon Valley of the North,?Vancouver has become a hub for innovation, collaboration, and forward-thinking ideas These qualities align perfectly with the chiropractic profession?s commitment to advancing health and wellness worldwide.

Consistently ranked among the most liveable cities globally, Vancouver offers WFC?27 delegates a unique balance: a professional environment that encourages learning and connection, and a vibrant city life enriched by culture, cuisine, and

year-round outdoor recreation Its compact, walkable downtown makes it easy to transition seamlessly from conference sessions to networking opportunities, or to explore the city?s many attractions

Vancouver is also one of the most globally connected cities in North America, with direct flights from major hubs in Europe, Asia, and the Americas Equally important, it is a city built on collaboration, one that honors its Indigenous heritage, celebrates diversity, and welcomes global perspectives

For the World Federat ion of Chiropract ic community, Vancouver offers not only a stunning backdrop for our upcoming global conference but also an environment that inspires new ideas, builds strong professional networks, and reflects our shared vision for a healthier world

3rd Annual Chiropract ic and Spinal Healt h Sum m it China

Over 300 students and doctors attended the 3rd Annual Chiropract ic and Spinal Healt h Sum m it in Shanghai, China, August 29-30t h, 2025.

The event was sponsored by the Chiropract ors Associat ion of China (CAC), the newest member of the World Federation of Chiropractic Immediate past president of the WFC, Dr John Malt by

presented the opening remarks His emphasis was on WFC?s commitment to making chiropractic care available to ?all people, of all ages, of all nations.? Also, during the event, CAChad a special ceremony announcing their involvement in World Spine Day 2025 Special thanks to the CAC?s commitment to advancing chiropractic in China

John Maltbydeliveringopeningremarksat the3rd Annual Chiropracticand Spinal Health Summit in Shanghai, China

John Maltby, ImmediatePast President of theWorld Federation of Chiropractic(WFC), with representativesat the 3rd Annual Chiropracticand Spinal Health Summit in Shanghai, China, where the2025 World SpineDaycampaign wasofficiallyannounced.

WFCPast President , John Maltby

Nat ional Report : Chiropract ic Doct ors Associat ion of Hong Kong (CDAHK)

CDAHKrepresentativesparticipatein the2025 PolicyAddress Consultation Session on Medical and Health

In 2025, our efforts have focused on policy advocacy, professional development, regulatory improvements, and community outreach This report celebrates our achievements, showcases

1. Granting chiropractors the authority to issue sick leave certificates, streamlining patient care and reducing administrative burdens

2 Incorporating chiropractic services into the public healthcare system and the Primary Healthcare Blueprint, ensuring accessible, non-invasive treatments for musculoskeletal issues.

innovative collaborations, and underscores the positive impact of chiropractic care in strengthening primary healthcare systems. By engaging with government bodies, educational initiatives, and public services, CDAHK continues to elevate the profession?s role in Hong Kong?s dynamic healthcare landscape

Advocacy in Policy Developm ent

A landmark achievement this year was CDAHK?s direct involvement in shaping health policy at the highest levels. Our Chairman, Dr. Valerie Chu, was invited to the 2025 Policy Address Consultation Session on Medical and Health, where she presented six pivotal recommendations on behalf of the chiropractic industry Addressing Chief Executive Mr John Lee Ka-chiu, Secretary for Health Prof Lo Chung-m au, and Head of the Chief Executive?s Policy Unit Dr Wong, Dr Chu advocated for:

3. Enhancing local training programs for chiropractic professionals to build a skilled workforce aligned with international standards.

4. Strengthening regulations against unlicensed pain treatment practices to protect public safety

5 Promoting public-private healthcare data sharing to foster integrated, patient-centered care

6 Facilitating Hong Kong chiropractors? integration into the Greater Bay Area?s medical collaborations, promoting cross-border innovation and expertise exchange.

This session marked a significant milestone, amplifying the voice of chiropractic in governmental decision-making. CDAHK urges the 2025 Policy Address to prioritize these recommendations, fostering a collaborative environment that enhances primary healthcare and emphasizes people-centered approaches.

The positive reception from officials signals growing recognition of chiropractic?s value in addressing

chronic pain and preventive health, potentially benefiting millions in Hong Kong and beyond.

Cham pioning Child Prot ect ion and Professional Training

In alignment with our commitment to ethical practice and societal well-being, CDAHK has been instrumental in advocating for robust training under the Mandatory Reporting of Child Abuse Ordinance Through repeated engagements at Legislative Council consultations, alongside representatives from other sectors, we successfully influenced the government to launch an accessible online self-learning course. This initiative, now available to all relevant professionals, equips chiropractors and others with essential knowledge to identify and report child abuse early.

The course comprehensively covers five key elem ent s:

1 Strategies to safeguard children?s safety and recognize abusive behaviors

2 Guiding principles and approaches for handling suspected cases

3 Roles of various professions in managing incidents

4. Identifying and addressing suspected abuse.

5. Immediate protection actions, investigations, and multi-disciplinary case conferences

Gazet t ed on July 19, 2024, t he Ordinance w ill t ake effect on January 20, 2026 CDAHK strongly encourages our members to complete the course and obtain certification, reinforcing our collective responsibility to protect vulnerable children. This proactive stance not only complies with new regulations but also elevates chiropractic?s role in community safeguarding We maintain ongoing dialogue with the government, ensuring our industry?s input shapes future policies This effort has garnered positive feedback, highlighting chiropractic?s dedication to holistic care that extends beyond physical health to social welfare

Advancing Regulat ory St andards for Pain Managem ent

CDAHK?s advocacy extended to regulatory enhancements through a pivotal meeting with the Medical and Healt h Bureau (MHB) on June 18, 2025. Spearheaded by Legislative Council Member LAM Chit-suen and supported by Hon. CHAN Wing-kwong, the session addressed the regulation of pain clinics amid rising concerns over unregistered practitioners Drawing from a 2023 CDAHK-raised issue and a 2024 study exposing public risks, the meeting united pain specialists, orthopedic surgeons, Chinese medicine practitioners, and physiotherapists

CDAHK representatives proposed four key recom m endat ions:

1 Clearly defining the scope of pain treatment to help the public distinguish legitimate services from illegal ones.

2. Regulating medical equipment use to prevent misuse by unqualified individuals.

3. Promoting multi-professional cooperation and establishing unified complaint and enforcement mechanisms

4 Enhancing public education to raise awareness of qualified healthcare providers

These suggestions aim to minimize risks, ensure transparency, and safeguard patient safety. The collaborative atmosphere demonstrated the profession?s unity and the government?s responsiveness, marking a crucial step toward higher healthcare standards CDAHK remains committed to monitoring policy implementation and fostering inter-sectoral partnerships, positioning chiropractic as a leader in ethical pain management

Com m unit y Out reach and Im pact

Our community engagement shone through the successful ?Kowloon Community Medical and Health Care Campaign,?co-organized with the Hom e Affairs Depart m ent (HAD) and the Great er Bay Area Com m unit y Medical and

Healt h Services Associat ion (GBCMSA)

Concluding on June 4, 2025, the event provided free consultations and health education, benefiting over 200 residents. We extend heartfelt thanks to our dedicated members, Dr Sam uel Wong and Dr Cheryl Ho, whose expertise and compassion exemplified chiropractic?s community spirit This initiative not only promoted preventive care but also strengthened ties with regional partners, showcasing innovations in accessible healthcare delivery

HONG KONG

CDAHK has made strides in policy influence, professional training, regulatory advocacy, and community service, all while celebrating the remarkable contributions of our members. These efforts align with WFC?s mission to advance chiropractic globally, fostering innovations that enhance public health Looking ahead, we are excited to build on these successes, collaborating internationally to promote evidence-based care

Toget her, w e are shaping a healt hier fut ure for Hong Kong and t he w orld.

HKCA m et w it h Legislat ive Council Represent at ive of Medical and Healt h Services Sect or and present ed a let t er of pet it ion t o t hen Under Secret ary for Healt h, expressing Concerns over Unregulat ed Pain Cent ers in Hong Kong

The Hong Kong Chiropract ors Associat ion (HKCA) has raised urgent concerns about the proliferation of unregulated pain centers in Hong Kong. These establishments operate without qualified healthcare professionals or government oversight, engaging in unethical practices that jeopardize public health and financial security. In recent years, the HKCA has received numerous complaints from both practitioners and the public regarding the adverse effects of treatments administered by unqualified individuals

Key Issues:

A survey of HKCA members revealed alarming cases of improper manipulations and treatment methods, including:

1. High-risk Techniques: Instances of neck injuries due to dangerous practices, such as using mallets and wooden blocks, have been reported.

2 Unnecessary Manipulations: Patients experienced inflammation from

unnecessary spinal adjustments performed by unqualified personnel

3. Misuse of Medical Devices: Beauticians improperly used medical devices in facial salons, further exposing clients to risk.

4. Misrepresentation: There have been cases where unlicensed practitioners posed as registered chiropractors, leading to inappropriate treatments for conditions like sciatic pain

5 Public Health Risks

6 The HKCA outlines several critical concerns regarding these unregulated centers:

7. Inadequate Care: Untrained practitioners lack the necessary skills for proper diagnosis, leading to potentially harmful or ineffective treatments.

8 Delayed Access to Proper Care: Patients may defer seeking legitimate medical help, which can exacerbate their conditions

9 Misleading Advertising: Aggressive marketing strategies promote unrealistic

claims such as "quick pain relief," which regulated professionals are prohibited from making.

10. Exploitative Sales Tactics: Vulnerable individuals are often pressured into purchasing unnecessary treatment packages without medical justification

11 Supporting Evidence

12 A recent Consumer Council report, titled "Pain Management: Think Twice to Avoid Wasting Money and Harm" (August, 2023), corroborates these concerns by detailing the physical and financial harms caused by unregulated pain centers. The findings align closely with HKCA's observations, noting that these centers operate in a legal grey area, evading accountability for malpractice Although their actions may not be outright illegal, they significantly undermine public trust and pose substantial health risks

13 Proposed Measures for Government Action

14 To address these issues, the HKCA urges the Health Bureau to implement the following measures:

15. Public Education Campaigns: Initiate campaigns to educate the public on the importance of seeking care from government-regulated healthcare professionals and the protective role of professional councils

16 Expansion of Legislative Oversight: Amend the Private Healthcare Facilities Ordinance

(Cap 633) to include chiropractic and other healthcare facilities, ensuring public access to regulated care.

17. Strengthening Medical Device Regulations: Expedite the establishment of a regulatory framework for medical devices, ensuring their use is restricted to qualified professionals

18 Regulation of Misleading Advertisements: Collaborate with the Office of the Communications Authority to enforce stricter guidelines against deceptive health claims in advertising, similar to the UK's Advertising Standards Authority.

19. Ownership Restrictions: Consider limiting the ownership of healthcare practices to licensed individuals to ensure professional oversight, ethical standards, and protection against unqualified influence in clinical decisions

20 Conclusion

21 The rise of unregulated pain centers constitutes a serious public health crisis in Hong Kong, exposing patients to preventable harm and financial exploitation. The HKCA calls on the Health Bureau to take decisive action to protect public health by reviewing and reforming the current regulatory framework They are also open to discussing further solutions and offering their expertise in addressing these pressing issues

Meetingwith then Under Secretaryfor Health, Dr LibbyLee, JPand LegislativeCouncil representative, Dr David Lam, together with a multi-disciplinary panel of healthcareproviders:orthopedicsurgeons, physiotherapists, pain specialists, chinesemedicine practitioners

The 16t h JSCS Annual Conference

The 16t h Annual Conference of t he Japanese Societ y of Chiropract ic Science was held online from June 15 t o 16 under the theme ?Quality Improvement in Healthcare and Patient Safety?. Dr Kei Nakat suka DC, served as this year's conference chair, who graduated from sports science course of Brigham Young Universit y?Hawaii followed by chiropractic program of Sout hern California Universit y of Healt h Sciences He is the third generation chiropractor and currently working with his father, Dr Hirofum i Nakat suka, graduate of Nat ional College of Chiropract ic and a past president of the Japanese Association of Chiropractors.

The keynot e speakers and invit ed speakers are as follows;

Keynot e Speakers:

- Shunzo Koizum i MD, FACS: Chair, Choosing Wisely Japan ?ChoosingWisely Campaign QuestionstheSustainabilityof Modern Medicine?

- Kat herine Pohlm an DC, MS, PhD:

Professor, Director of Research, Parker University ?Insightsfrom theWFC?sGlobal Patient SafetyInitiative?

- Kazum i Tanaka MD, M Pharm, PhD: Professor, Quality and Safety in Healthcare, Graduate, School of Medicine, Gunma University ?Learningfrom theWHO Global Patient SafetyAction Plan 2021?2030:The First Step Toward Safer Healthcare

- Misa Sakaguchi MD, MPH: Director of Medical Safety, Japan Council for Quality Health Care ?Learningfrom Case Studies -From theProject to Collect Medical Near-Miss/AdverseEvent Information

- Tom ohisa Shiono: Medical Professions Divisions, Health Policy Bureau, Ministry of Health, Labour and Welfare ?Medical Regulationsand Patient SafetyInitiatives

Invit ed Speakers:

Panel Discussion Theme: ?What is Patient Safety??

- Facilit at or: Tom ohiko Wakat suki DC, Director, Wakatsuki Chiropractic

- Aoi Furuya DC: Forge Strength Chiropractic Clinic ?Improved Qualityof Careand Patient Safety?

- Yusuke Sakabe DC: Director, Yarrabilba Chiropractic ?Four Essential Habitsto Prevent Medical Errors- Insightsfrom Chiropractic Practicein Australia?

- Keiichi Kageyam a DC: Director, Coastal Chiropractic ?Patient Safetyand Chiropractor Safety?

The event was smoothly moderated by Vice President Dr Junko Usuda, who actively facilitated the Q&A session between participants and presenters by taking the lead in posing questions.

Junko Usuda, Vice President of the JapaneseSocietyof ChiropracticScience, moderatingtheQ&Asession.

The conference chair Dr Kei Nakat suka conveyed the message that ?patient safety is a fundamental principle of healthcare.?He emphasized that while chiropractic clinical practice improves patient health, it can also potentially harm health if contraindications and risk management are not fully considered. He further advocated that actively incorporating EBM (Evidence-Based Medicine) and NBM (Narrat ive-Based Medicine) into healthcare policy in Japan, alongside advancing true multidisciplinary collaboration, would enable the realization of healthcare grounded in patient safety

Dr Shunzo Koizum i, Chair of Choosing Wisely Japan, introduced Choosing Wisely as an international campaign aiming for ?sustainable society and healthcare.?It advocates for evidence-based, low-risk medical choices through dialogue between healthcare providers and patients. Recently, issues of overdiagnosis to reduce low-value care have also been highlighted in Japanese media

Prof. Kat ie Pohlm an, Director of Research and Professor at Parker Universit y, USA, presented an overview and direction of the Global Pat ient Safet y Init iat ive (GPSI) promoted by the World Federation of Chiropractic (WFC). Her presentation also referenced commentary by Prof Sidney Rubinst ein at Vrije Universiteit Amsterdam,

regarding serious adverse events following spinal manipulation therapy

Professor Kazum i Tanaka of the Department of

Quality and Safety in Healthcare, Graduat e School of Medicine, Gunm a Universit y introduced the global patient safety initiatives by the WHO (World Healt h Organizat ion) and the approach to safe healthcare in clinical settings The WHO designated September 17 as ?World Patient Safety Day,? resolved to make patient safety a global priority, and formulated the ?World Health Organization Action Plan for Patient Safety 2021-2030?in 2021. As the supervising translator for the Japanese version of this plan, Professor Tanaka explained what constitutes safe healthcare and how healthcare professionals should approach it

Kei Nakatsuka, Chair of the16th Annual Conferenceof theJapaneseSocietyof ChiropracticScience.

Katherine Pohlman, Keynotespeaker ? ?Insightsfrom the WFC?sGlobal Patient SafetyInitiative.?

[Clockwisefrom top left] Tomohiko Wakatsuki, Keiichi Kageyama, Aoi Furuya, and YusukeSakabe

Ot her keynot e speakers included Dr. Misa Sakaguchi, Director of the Medical Accident Prevention Division at the Japanese Council for Qualit y Healt h Care, who discussed the medical accident information collection initiative, and Mr Tom ohisa Shiono from the Medical Affairs Division, Medical Policy Bureau, Minist ry of Healt h, Labour and Welfare, who explained the Ministry's medical safety measures

The invited lecture featured a panel discussion on patient safety by Dr Aoi Furuya, Dr Yusuke Sakabe, and Dr Kaichi Kageyam a, all practicing in Australia Compared to the environment in

Japan where chiropractic profession is not legislated, the discussion made it clear that in Australian environment, where they serve as primary care providers, a broader range of responsibilities is required for chiropractors

According to JACPresident, Dr Takayanagi, ?This conferencedeepened JACmembers' understandingof healthcaresafetyand made them deeplyaware of the necessityfor official regulation and accredited chiropracticprograms. For next year'sconference, we plan to invite a keynotelecturer from overseas chiropracticuniversityto learn about theroleof chiropractorsasprimarycareproviders.?

Sem inar Marks Hist oric Milest one for Chiropract ic Educat ion in Norw ay

Studentsparticipatein the inaugural chiropracticseminar at Kristiania UniversityCollege? markingthe first step toward establishinga Norwegian chiropracticeducation pathway.

On Sept em ber 24, the Norw egian Chiropract ic Associat ion hosted a seminar for 26 enthusiastic first- and second-year biomedical students at Krist iania Universit y College. The program introduced students to the role of chiropractic in Norway and offered hands-on training in

anatomical terminology, palpation, communication, and clinical relevance

The response was highly positive, with many students immediately signing up for upcoming palpation sessions The seminar clearly highlighted the students?curiosity, motivation, and eagerness to further develop their practical skills ? a promising sign for the next generation of chiropractors in Norway

Behind this event lies an important milestone: for the very first time, Norwegian students can choose the chiropractic track within the biomedical sciences program at Kristiania, developed in collaboration with the Universit y of Sout hern Denm ark (SDU)

This m arks t he beginning of a Norw egian chiropract ic educat ion pat hw ay ? a hist oric st ep for bot h t he profession and t he Norw egian Chiropract ic Associat ion

Gausel Appoint ed t o t he Scient ific Advisory Board of t he Norw egian Wom en?s Pelvic Girdle Healt h Associat ion

AnneMarieGausel, PhD, chiropractor and researcher, appointed to the scientificadvisoryboard of theNorwegian Women?sPelvicGirdleHealth Association

Norwegian chiropractor Anne Marie Gausel, PhD, has been appointed as a member of the

PHILIPPINES

multidisciplinary scientific advisory board of the Norw egian Wom en?s Pelvic Girdle Healt h Associat ion (LKB) The board plays a key role in ensuring that all information shared by LKB is evidence-based, contributes to the development of educational resources, and provides expert guidance on clinical and scientific matters.

Through their professional networks, the advisory board members also contribute to research and the dissemination of knowledge on pelvic girdle pain. Gausel is affiliated with the Norw egian research foundat ion Et Liv i Bevegelse (ELIB), and her appointment represents an important strengthening of the chiropractic profession?s involvement in w om en?s healt h research and int erdisciplinary collaborat ion

Chiropract ic Mission Brings Relief t o Philippine Men and Wom en in Uniform

A collaborative initiative between Hands for Vit alit y, Int ercare, t he Int ernat ional Medical Universit y (IMU), and t he Aust ralian College of Chiropract ic (ACC) recently brought chiropractic care to members of the Philippine Air Force and the President ial Securit y Com m and This mission was designed to address the unique physical demands placed on uniformed personnel and to demonstrate the vital role of spinal health in sustaining their strength, focus, and resilience. Servicemen and women dedicate their lives to safeguarding the nation, often enduring long hours, heavy equipment, and rigorous training. These responsibilities take a toll on their

musculoskeletal health, with back pain, shoulder discomfort, and restricted mobility being common concerns Chiropractic care offers a safe and effective approach to alleviating these challenges, ensuring that those who protect others can continue performing at their best Uniformed personnel shared first -hand account s of the difference chiropractic care made in their lives: ?Beforethetreatment, I wasexperiencingpain at a level of 5 out of 10. After just onesession, thepain went down to 1. Thankyou, Ma?am CJ , for your help. Becauseof you, thediscomfort in myleft shoulder hasgreatlyimproved.?? Merlito Hidalgo Jr., Service Man

?I?vebeen experiencingconstant backpain probably becauseI sit for longperiodsand don? t get much exercise. I?m reallythankful for thisprogram because it helpspeoplelikeuswho suffer from backpain. Thankyou, Handsfor Vitality.?? Joshmie Lyn Pascual, Enlisted Personnel

?Asrescuers, I?verealized that wealso need help? especiallywhen it comesto our health. We, too, experiencebackpain and shoulder pain. After our session with DocHongYu, I trulyfelt the relief and alignment in myspine. Thankyou for this mission. I hopeyou continueto help morepeople, and together, let?scarryon rescuingthosein need.?

Amember of the Philippinemilitaryreceiveschiropractic treatment aspart of thecollaborative Handsfor Vitality, Intercare, IMU, and ACCinitiative ? supportingthe strength, focus, and resilience of the nation?sservicemen and women

These reflections underscore a simple truth: even t he bravest ? t hose w ho devot e t hem selves t o prot ect ing ot hers? require care and support for t heir ow n healt h. Chiropractic care provided through this initiative not only reduced pain and improved function for participating servicemen and women but also demonstrated the profession?s role in enhancing resilience and

quality of life For many, even a single session

stretchingexercisesduringthe chiropracticmission ? promotingmobility, flexibility, and spinal health aspart of preventivecarefor physicallydemandingserviceroles

brought meaningful relief, allowing them to return to their duties with renewed energy and mobility. This mission not only reflects the spirit of service within the chiropractic profession but also highlights the value of cross-institutional collaboration. By working together, the organizing groups were able to deliver meaningful impact to a community that embodies dedication, sacrifice, and courage

Supporting the health of those who protect the nation is both a responsibility and an expression of gratitude. Through chiropract ic care, w e honor t heir com m it m ent by ensuring t hey rem ain st rong, resilient , and ready for t he challenges t hat lie ahead.

Chiropracticcareprovided bytheHandsfor Vitality, Intercare, IMU, and ACCteam to membersof thePhilippine Air Forceand Presidential SecurityCommand.

? Romar Luis, Jumpmaster Rescuer

Guided

The Chiropract ic Associat ion (Singapore) - Sport s Chiropract ic Council m aking first w aves in t he Singapore sport s chiropract ic scene

taking guidance from FICS The council secured Altra Running Singapore as a sponsor for its members It also begun the process of reaching out to various stakeholders, including sports agencies in Singapore, with hopes to work towards partnerships that benefit elite athletes leading up towards the 2027 Southeast Asian Games in Malaysia, and the 2029 edition on home ground in Singapore.

Singapore is now an affiliat e Nat ional Chiropract ic Sport s Council under FICS (Federat ion Int ernat ionale de Chiroprat ique du Sport ), t he Int ernat ional Federat ion of Sport s Chiropract ic

The Chiropract ic Associat ion (Singapore)Sport s Chiropract ic Council, TCAS-SCC in short, is excited to advocate for sports chiropractic locally and regionally, serving all athletes in line with FICS? vision: ?Every athlete deserves access to sport chiropractic ?

At The Chiropract ic Associat ion (Singapore)?s Decem ber 2024 AGM, members unanimously voted to reactivate a National Sports Council under this chiropractic association as an affiliate of FICS.

The FICSGeneral Assembly in March 2025 ratified Singapore?s NCSC(National Chiropractic Sports Councils) inclusion as an Ordinary Member under the FICSstatutes Singapore successfully joined six other Asian countries Since June 2025, there are 10 TCAS-SCCmembers passionate about sports chiropractic

Despite TCAS-SCC?s young history, it is making waves in the Singapore sports chiropractic scene,

TCAS-SCCmeetingFICSPresident Dr Martin Isaksson in Singapore on March 19 2025

TCAS-SCC engaging in sport s com m unit y event s in Singapore

Besides serving recreational to elite level athletes within TCAS-SCCmember individual chiropractic clinics, the council contributes to the community by meaningful participation in sports events. On April 18 2025, TCAS-SCCchairs Dr Serene Ng (Chairperson) and Dr Ashley Liew (1st Vice Chairperson) participated in the XiJing Club ? Singapore Com m unit y Charit y Island Walk, co-organised by the Lions Club of Singapore Bifrost Funds were raised for the Lions Home For The Elders, and public outreach about the new

sports chiropractic council started

TCAS-SCCparticipatingin SingaporeCommunityCharity Island on April 18 2025

A bigger scale collaboration is underway for TCAS-SCCas the Official Sports Chiropractic Partner for Buff Forest Force Run 2025, with its series finale 30km and 50km trail running events on September 21 2025 in Singapore Two council members, Dr Ashley Liew and Dr Roy Chan (2nd Vice Chairperson), are racing the 30km, while TCAS-SCCwill have a physical presence at the event site sponsor booth. This is in addition to prizes from TCAS-SCCoffered to podium winners. The run event organiser started actively promoting the council in August 2025 including its background and vision

Read m ore about t his collaborat ion at ht t ps:/ / kingt railevent s online/ chiropract ic/

Object ives of TCAS-SCC as FICS Affiliat e

Its objectives are to serve the chiropractic profession and its specialized field of sports chiropractic, as well as protect the welfare of the public receiving sports chiropractic care by:

a) Promoting understanding and acceptance of sports chiropractic services by athletes, coaches, administrators, other members of the sports medicine team, and general public

b) Establishing good working relations with other

healthcare professions

c) Promoting high standards of practice, education, and research.

d) Meeting needs of members in a timely and effective manner

e) Providing opportunities for members to increase professional skills and knowledge

Read m ore about TCAS-SCC

TCAS-SCCbeingmarketed byBuff Forest ForceRun Series 2025 in August 2025

Reflect ions on 47+ years of chiropract ic in Singapore

Janet Ruth Sosna DC, foundingmember of TheChiropracticAssociation (Singapore) and Singapore?slongest-practicing chiropractor

I am not Singapore?s first chiropractor, but I am its current longest practicing. I have spent forty years in full-time practice in Singapore, and this year I semi-retired ? a good moment for reflection, and I was asked by QWR?s editor to do so for this publication.

Chiropractic has grown significantly in Singapore since its establishment in 1978, especially during the first decade of this millennium. At that time, globalization was the international buzzword, and young chiropractors from North America, the Pacific nations, and even Africa, took up associate positions in Asia as the region experienced tremendous economic growth. Here we are a quarter century later and nationalism and protectionism are now dominant themes and visas to practice chiropractic legally as a foreigner in Singapore are now difficult or even impossible to get

Balancing this closed door for foreign talent is the good news that our profession now has a much larger number of Singaporean chiropractors who have returned after qualifying overseas. Yes, some who train overseas still choose not to return, but that is becoming less common.

In Singapore, I see the biggest challenge to our profession as the lack of serious interest of our government ministries in healthcare outside mainstream western medicine. Chiropractic is classified as ?non-registerable healthcare?in Singapore. It is now regulated, but not recognized; recent changes in regulation have stripped the profession of the right to directly order diagnostic imaging, use of the title doctor without qualifying that it is ?not a medical or dental qualification?, and restrictions on the use of words like treat, treatment, heal, or healing, as if this is enough to ensure fitness to practice in the face of significant numbers of unqualified practitioners using the title chiropractor or purporting to provide chiropractic care. Meetings and regular correspondence with the Ministry of Health have provided them with documentation of the benefits of integrating chiropractic MSK care into healthcare delivery, of the importance of protection of the public by having mechanisms to ensure fitness to practice for our profession, but little seems to matter or change

Another example of this lack of understanding of the importance of spine health and our role in providing it is the Singapore Health Promotion Board?s decision not to endorse World Spine Day (at our national association?s invitation) as spinal health is not their interest, even as they do focus on ?Active Aging?. They just don? t get the irony of that

So w here do w e go from here?

The Chiropract ic Associat ion (Singapore), [TCAS] was founded in 1988. I am the only remaining founding member still here. In recent years the organization has worked to groom young leaders in the profession, many of whom have social networks that include key thought leaders The organization will continue to advocate for our profession, for our patients and our athlete?s access to evidence-based spine care, and to continue to lobby our government for change of the current status quo that creates barriers to that access.

SOUTH AFRICA

Est ablishing t he Hoedspruit Spine Care Clinic (WSCA)

World Spine Care brings affordable, sustainable, evidence-based care to South Africa

World Spine Care Africa (WSCA), a non-profit organization founded in 2025, is dedicated to improving the lives of underserved communities through sustainable, integrated, evidence-based spine care WSCA is one of four healt hcare-focused charit ies under World Spine Care (WSC), established in 2008 by Scot t Haldem an, MD, PhD, DC.

The Hoedspruit Spine Care Clinic, situated in the rural town of Hoedspruit, Limpopo province, South Africa, was founded by Dr Rolene Radem an, who has led the project since its early discussions in 2023 Alongside her husband, Dr Ruben Erasm us, she envisioned a service that would bring affordable and accessible spine care to South Africa. Their inspiration came from Hlokom ela, a local community-based clinic that has delivered healthcare to farm workers and vulnerable populations for more than two decades The couple were introduced to WSC through Dr Michael Pret orius, clinic supervisor in Mahalapye, Botswana

The journey to establishing the Hoedspruit Spine Care Clinic has been one of collaboration and perseverance. What began as a vision in 2023 soon evolved into countless conversations, planning sessions, and partnerships that shaped the clinic?s foundation Building a non-profit spine care clinic in a rural South African town meant navigating regulatory processes, securing resources, and, most importantly, gaining the trust of the community

From the start, WSCA recognised the value of working together with existing professional bodies Partnerships with the Chiropract ic Associat ion of Sout h Africa (CASA) and the Sout h African Spine Societ y (SASS) have been vital in providing professional support, advocacy, and guidance These collaborations have not only strengthened the credibility of the project but also ensured that the clinic is

Looking ahead, WSCA aim s t o:

- Expand access to evidence-based spine care across South Africa

- Strengthen training, education, and professional collaboration

- Create a sustainable, replicable model of integrated healthcare.

- Increase access to local demographic and clinical data to support research and improve health outcomes

From left to right:Dr RoleneRademan (CEO WSCA), Dr Keseri Padayachy(Director WSCA), Sr Carissa Stolts, Sr Christinedu Preez (Founder of Hlokomela), Dr Michael Pretorius(Clinic Supervisor, WSC), Prof Brad Beira (Director WSCA)

St raight en Up Sout h Africa: Expanding Reach and Im pact

The Chiropract ic Associat ion of Sout h Africa is proud to share the continued success and growth of the St raight en Up Sout h Africa program , an initiative dedicated to improving spinal health awareness and promoting daily movement habits across the country This year, we undertook an exciting revamp of our SUSA materials for children, ensuring they are more accessible and impactful. To complement these updates, we have developed a series of instructional videos demonstrating the exercises in the program. Recognizing South Africa?s rich diversity, our ultimate goal is to translate both the pamphlets and videos into all 11 official languages, making spinal health education truly inclusive and far-reaching The SUSA program has been warmly received nationwide, with particular strength in the KwaZulu-Natal and Gauteng regions, where members and students actively facilitate sessions and conduct spinal screenings at community events. A highlight of these activities is the participation of Vertebro, CASA?s flagship mascot, who brings fun, energy, and excitement to the events, making spinal health education memorable for children and families alike Recently, Dr Keseri Padayachy and Dr Rolene Radem an led a Straighten Up South Africa session at the World Spine Care Africa Clinic This

training was designed for community health workers, equipping them with vital knowledge and practical skills to promote spinal health within their communities By empowering community workers with this information, the program helps extend preventative care and awareness far beyond clinical settings This initiative forms part of World Spine Care Africa?s commitment to reducing the burden of spinal disorders through education, prevention, and outreach. As part of this year?s World Spine Day campaign, SUSA played a central role in community engagement. CASA Councillor and CASA?s World Spine Day lead, Dr Cleo Prince, hosted an inspiring collaborative event at a local Primary School The day focused on educating school children about spinal health and teaching them daily SUSA exercises to support healthy movement and reduce spinal pain risks Adding to the success, chiropractic students from the Durban Universit y of Technology conducted spinal screenings, offering the children valuable insights into their spinal health. The event was filled with education, movement, and empowerment, building healthier spines and brighter futures for South Africa?s youth

Through t he dedicat ion of our m em bers, st udent s, and part ners, St raight en Up Sout h Africa cont inues t o expand it s reach and im pact , em bodying our com m it m ent t o fost ering a healt hier, m ore resilient populat ion.

SUSA2 Dr Linn Matsebula and Vertebro and Dr Cleo Prince Straighten

CASA Excellence Aw ards

The Chiropract ic Associat ion of Sout h Africa is committed to recognizing and celebrating the achievements of the future leaders of our profession One of the highest honors we bestow on students is the CASA Excellence Aw ard, an accolade that acknowledges not only academic achievement, but also the values, professionalism, and character that lie at the heart of chiropractic and our association

This aw ard is present ed annually t o graduat ing st udent s w ho have dem onst rat ed consist ent excellence across a broad range of crit eria. These include:

- Clinical acumen and competence

- Academic excellence

- Peer, lecturer, and clinician esteem

- Deportment and appearance

- Confidence and communication skills

- Integrity and leadership

- Contribution to the program.

What makes this award particularly significant is that it is evaluated jointly by peers, Chiropractic departments, and CASA Council. This ensures that the recipients are recognized not only for individual achievement but also for their contribution to the profession as a whole

South Africa is fortunate to have two institutions training chiropractors: Durban Universit y of Technology (DUT) and t he Universit y of Johannesburg (UJ). Each year, one student from each institution is selected as a recipient of the award At this year?s gala dinner, two celebratory events that marks the transition of students into the next stage of their careers, CASA proudly announced the 2025 Excellence Award recipients:

- Tia Bot ha ? Durban University of Technology (DUT)

- Bevan Leedham ?University of Johannesburg (UJ)

Studentsfrom UJtakingtheir oath

Both Tia and Bevan exemplify the spirit of chiropractic. They have achieved the highest recognition from their peers, lecturers, and clinicians, and have demonstrated a rare blend of competence, compassion, and leadership Their

DRAdams(CASAIVP) with Bevan Leedham (recipient of theCASA Excellenceaward)

commitment to their studies, their patients, and their fellow students has set them apart as outstanding role models

The gala dinner not only honors the award recipients, but also provides an opportunity to celebrate all graduating students It is a moment that highlights their accomplishments, recognizes their hard work, and acknowledges the exciting journey ahead as they step into professional practice

This event is especially auspicious as it marks the moment when our graduating students take their Chiropractic Oath, a profound milestone symbolizing their formal commitment to the values, ethics, and responsibilities of our profession. It?s a deeply meaningful occasion, not only for the students stepping into their professional journey but also for all of us who witness the next generation of chiropractors pledging to uphold the highest standards of care and integrity

CASA ext ends it s w arm est congrat ulat ions t o Tia and Bevan. Their achievements remind us of the strength of our future generation of chiropractors, and the bright path that lies ahead for the profession in South Africa. CASA remains proud to support and celebrate our students at every milestone of their journey

Tia Botha (CASAexcellenceaward recipient at DUT) and Dr Danella Lubbe(CASAIP)

DUTOath taking

DUTstudentsat the oath taking

Honoring Wom en?s Healt h Mont h: CASA Init iat ives

August is recognized as Wom en?s Mont h in South Africa, with Nat ional Wom en?s Day commemorated on the 9t h of August . To honor this important month, many CASA regional branches hosted women?s health?focused events that both celebrated and supported women, while highlighting the role of chiropractic and healthcare in their overall well-being

This year, CASA Gauteng branch launched a Women?s Health Webinar Series exploring the hormone?body connection.

The series featured expert speakers who unpacked the intersection of hormones and neuromusculoskeletal health Open to all allied healthcare professionals, the initiative encouraged interdisciplinary collaboration and shared learning. This was geared particularly for practitioners dedicated to supporting female patients.

In addition to the webinars, two in-person events were hosted with strong attendance and engagement:

- ?The Future of Women?s Health is Holistic? ? a celebration that emphasized the importance of integrated, patient-centered

approaches in women?s health.

- "Aligning with Her Health?? an interdisciplinary event exploring key topics such as musculoskeletal syndromes in menopause and strategies for combating osteoporosis post-menopause

All events were well supported and contributed to CASA?s ongoing commitment to professional development Not only did members benefit from CPD opportunities, but they also gained valuable insights to place the patient at the center of care

Through t hese init iat ives, CASA cont inues t o honor, celebrat e, and advocat e for w om en?s healt h, em pow ering pract it ioners w it h know ledge, connect ion, and collaborat ion.

CASAGautengRegional Commitee

LondiweMvambo, DC, leadingCASAGauteng?sWomen?s Health initiativespromotingholistic, patient-centered care.

Spine Healt h Africa Out reach t o Gut u, Zim babw e

Spine Healt h Africa (SHA) is preparing for a major outreach in Gut u, Zim babw e, from Novem ber 23 t o Decem ber 8, 2025. This initiative continues our commitment to bringing evidence-based spine care to underserved communities across Southern Africa.

The outreach will mobilize a multidisciplinary team of chiropractors, clinicians, and volunteers to serve local communities where access to spine care is scarce. Our efforts will include:

- Free spine care services for adults and children in both rural and peri-urban areas

- Community education on musculoskeletal health and self-care strategies

- Capacity building, through training of local health workers to support sustainable care beyond the outreach.

To make this possible, SHA has set a target of USD 10,000 of which we have raised nearly half to date These funds will cover essential costs including transportation, food and accommodation for the team, medical supplies, and administrative support.

This work is more than charity? it is about building pathways to equitable healthcare access and contributing to a vision where spine care

becomes part of primary health services across Africa

We invite the chiropractic community worldwide to join us in this effort Together, we can expand access to spine care, strengthen local health systems, and transform lives in Gutu and beyond

For more information or to support this project, please connect with us at spinehealt hafrica@gm ail.com

The World Gam es 2025: How FICS Advanced At hlet e and Volunt eer Care in Chengdu

This has been a busy quarter with many activities, but a large share was consumed by The World Gam es (TWG) 2025, Chengdu, China 7-17 August 2025. We had a fantastic delegation of sports chiropractors represent FICSand our profession at this event.

Utilization of our services during an event is a key driver for our current involvement in the world of sport The athletes and the service providers (coaches, medical, referees, media, officials, and volunteers) all make this event happen. The focus is on the athletes, but supporting the non-athlete is also important to the organizers of any event.

These outcomes would not be possible without the dedication of the sports chiropractors who

were selected for this event. Thank you to each of you. Below is a preliminary report on the outcomes There is much more analysis to be performed on the data, but this provides some key information

Int roduct ion:

The World Gam es (TWG) is an event organised by the Int ernat ional World Gam es Associat ion (IWGA) every 4 years. This edition, TWG2025, included 34 sports consisting of 60 disciplines, 23 venues, 256 medal events A total of 3,928 athletes participated, representing 113 countries

FICShas a standing agreement to provide a delegation to support TWG. Our delegation of 53 individuals included 3 VIPGuest of the IWGA (President, Secretary General, and Research Lead), 1 Administrator, 4 Research Assistants (chiropractic students or recent graduates) and 45 sports chiropractors from 13 different countries

D Morrison, DC, FICSsportschiropractor, provideslower limb careto an athleteduringTheWorld Games2025 in Chengdu, China.

FICSsportschiropractor providingspinal careto an athleteduringThe World Games2025 in Chengdu, China.

The FICSdelegation provides sports chiropractic at every venue in the warm-up areas, but not on the field of play, as that is provided by the Local Organising Com m it t ee (LOC) They worked closely with the LOCmedical services that supported the field of play and spectator services

The focus of our care is on assisting the athletes in preparation for their performance and recovery between and after each competition

Sports chiropractic is offered to all accredited individuals, including athletes, support personnel, officials, and volunteers This service is at no cost, provided on a voluntary basis and available upon request FICSalso had a delegation at the VIPhotel to service the IWGA guests, including the presidents and secretary generals of the international federations and national governing bodies.

Draft St at ist ics:

The following is a draft of the statistics from these games Full analysis has yet to be completed and will also include injury categories, anatomical areas treated, types of treatment provided, and further analysis.

- There were 3,418 total treatments provided (1110 (33%) athletes, 2308 (67%) non-athletes)

- The 1,110 treatments to athletes included 764 (69%) new individuals and 346 (31%) return treatments

- Overall utilization by the 3,928 athletes attending was 19.45%. Nearly 20%of all athletes attending these games requested our services.

The utilization rate may have been influenced by the logistics of these games, which included venues separated by large distances in a very large metropolitan city This required athletes to travel over an hour to most venues, with strict transportation schedules that did not allow them to stay at the venues like previous games, nor attend other venues to support other team members This may have reduced our overall

utilization compared with past events.

- Distribution between sex of those athletes requesting treatment was 525 (47%) female, 544 (49%) male, and 41 (4%) not applicable

- of the 113 countries represented at these games, 87 countries requested our services.

We collect a Numerical Pain Score (NPS) (individuals grading of their current pain at that moment on a scale of 0-10, with 0 no pain and 10 the worst pain possible) We then repeated this score immediately following the treatment to assess the individual's change in pain levels.

FICSsportschiropractorson dutyat thebeach volleyball venue, supportingathletesthroughout The World Games2025.

It has been found that if a 2-point or 30% improvement can be identified, there is a m inim al clinically im port ant difference (MCID) The Minimal Clinically Important Difference (MCID) is the smallest change in a health outcome that a patient perceives as beneficial or important, and which would typically lead to a change in their management It serves as a threshold for determining if an observed change in a

measurement is meaningful, rather than just statistically significant. MCIDs are patient-centered and help to interpret the clinical relevance of results for both individual patients and groups

- The 1,110 athlete treatments provided 100%completed the pre and post NPS

- The initial average NPSwas 4.44 and the average post NPSwas 1.28.

- This represents a change of 3.16, or 71.17% change/improvement.

More details regarding categories of injuries, anatomical location of treatment, types of treatment, and other statistics will be forthcoming.

Non-at hlet e St at ist ics:

There were 3418 total treatments provided (1,110 (33%) athletes, 2,308 (67%) non-athletes) The 2,308 treatments to non-athletes included 1,728 (75%) new individuals and 580 (25%) return treatments.

Distribution between sex of those non-athletes requesting treatment was 1,063 (46%) female, 1,177 (51%) male and 68 (3%) not applicable The 113 countries represented at these games, 79 countries non-athletes requested our services.

We collect a num erical pain score (NPS) (individuals grading of their current pain at that moment on a scale of 0-10, with 0 no pain and 10 the worst pain possible) We then repeated this score immediately following the treatment to assess the individuals change in pain levels It has been found that if a 2-point or 30%improvement can be identified, there is a minimal clinically important difference (MCID) The Minimal Clinically Important Difference (MCID) is the smallest change in a health outcome that a patient perceives as beneficial or important, and which would typically lead to a change in their management. It serves as a threshold for determining if an observed change in a measurement is meaningful, rather than just statistically significant MCIDs are patient-centered and help to interpret the clinical relevance of results for both individual patients and groups

The 2,308 non-athlete treatments provided 97% completed the pre and post NPS. The initial average NPSwas 4 13 and the average post NPS was 0 95 This is a change of 3 18 or 77%change

More details regarding categories of injuries, anatomical location of treatment, types of treatment, and other statistics will be forthcoming.

FICSsportschiropractorsdeliver treatment and recovery carefor athletesat the aquaticsportsvenuein Chengdu.

FICSsportschiropractor conductinga functional assessment and movement screeningduringThe World Games2025

TCDS: Cam bodia Hum anit arian Mission & FICS at Chengdu World Gam es

This summer, the Taiw an Chiropract ic Doct ors? Societ y (TCDS) accomplished two meaningful initiatives that reflected both our professional expertise and our commitment to humanitarian service

First , in early July, the association successfully organized a large-scale international mission trip in Cam bodia. Even after the COVID-19 lock downs had ended, we continued this tradition of service, demonstrating our long-term dedication to humanitarian care Over the years, TCDShas collaborated with the Taiw an Back Pain associat ion on numerous international and remote medical missions in Taiwan This year, we advanced the establishment of the Cam bodia Tiandi-Tongxin Associat ion Care Associat ion, with the goal of providing both organizations with stronger support and more sustainable resources for future medical missions. The scale of the clinic was unprecedented, bringing together a diverse multidisciplinary team of professionals from multiple countries. Our team included seven Western medicine doctors (Taiwanese/Cambodian), four dentists (Taiwanese), six chiropractors (Taiwanese/New Zealanders/Australians/British), four traditional Chinese medicine practitioners (Taiwanese/Cambodian), two pharmacists (Taiwanese), four TCM assistants (Hong Kong/Taiwanese), one dental assistant (Taiwanese), seven nurses (Taiwanese), four barbers (Taiwanese), and five plumbers

(Taiwanese/Cambodian). In addition, 25 Chinese-English translators (Cambodian medical students/international schools) and 10 Chinese-Cambodian translators contributed to the program Including venue staff, a total of 150 volunteers participated, serving more than 4,500 villagers Beyond medical treatment and distributing daily supplies, the event created opportunities for cultural exchange, fostering genuine friendships and strengthening bonds of compassion and goodwill between Taiwan, Cambodia, and the international community. Therefore, in addition to promoting the importance of spinal health care and the meaning of chiropractic health care, the significance of TCDS's annual international mission trip is based on "respecting all medical professions and collaborating to continuously serve humanity." We sincerely hope that more medical professionals and volunteers? especially chiropractors? will join us in the future, amplifying the reach of love and care

Secondly, we are honored to announce that Dr Huang Hongchun (Jackie), a dedicated member of our association, has represented Taiwan on the international stage. She completed the FICS rigorous training program, examinations, and international selection process, ultimately earning the honor of being the only Taiwanese sports chiropractor invited to participate in the 2025 Chengdu World Gam es This marks her third participation in the World Games This spectacular event brought together 55 sport-chiropractors and staff from around the world to provide expert sport-chiropractic care to athletes, coaches, referees, and venue staff and volunteers. The conditions in Chengdu were particularly challenging, with record-breaking temperatures, remote venues, and long commutes. Despite these

obstacles, all the sport-chiropractors demonstrated professionalism and resilience, traveling early and returning late each day with their medical bags. The FICSteam overcame language and cultural barriers through patient explanations and meticulous care, earning the trust of their patients. Most impressive were the exclamations and smiles from the athletes and staff who received their treatment? a testament to the value and impact of sports chiropractic TCDSmembers maintain a positive and forward-looking attitude, viewing challenges as opportunities for growth and transformation. For

us, professional achievement truly reflects its meaning when it is combined with service to society Our members (DC) driven by a compassionate and responsible spirit, not only pursue continuous self-improvement but also actively engage in civic causes through practical action. We firmly believe that the true meaning of life lies in uplifting others and creating positive impacts that transcend the individual. Through t hese init iat ives, TCDS reaffirm s it s m ission: t o com bine m edical expert ise w it h hum anit arianism t o m ake t he w orld a healt hier, kinder, and bet t er place

UNITED STATES

New s from t he Am erican Chiropract ic Associat ion

The Am erican Chiropract ic Associat ion (ACA) is pleased to provide the WFCmembers with the following news and updates

U S House Vot es t o Rest ore Chiropract ic at Milit ary Bases

The U S House of Representatives voted on Sept 10 to approve a plan to restore chiropractic services at more than a dozen U.S. military bases where services have been arbitrarily discontinued. The action is consistent with the Defense Healt h Agency?s (DHA) ongoing concern over the use of opioids by active-duty members of the military and calls to make non-addictive alternatives for pain management more readily available to military personnel Surveys show chiropractic services are highly valued at U S military facilities, with clinics providing evidence-based, cost-effective care to hundreds of patients monthly and enabling them

to return to service The plan, part of an amendment to the Nat ional Defense Aut horizat ion Act , now goes to the U S Senate for consideration ACA will be working with senators to ensure the provision remains in the final defense package

Medicare Bill Cont inues t o Gain

Cosponsors

At press time, the Chiropract ic Medicare Coverage Modernizat ion Act , bipartisan legislation that would provide Medicare beneficiaries in the U S with access to all Medicare-covered benefits allowable under a chiropractors?state license, has 126 cosponsors The bill continues to attract bipartisan support, which was bolstered earlier this year by ACA members participating in Chiropractic?s Day on the Hill, the nation?s only federal lobbying event for chiropractors.

ACA Engage: Feat ured Speakers, Next Gen Anniversary

ACA will host its annual conference, ACA Engage,

on Jan. 22-24, 2026, in the Washington, D.C. area. Featured speakers at the event will include Dr Brian Colem an, who will discuss global and local leadership and AI, respectively Engage also features Chiropractic?s Day on the Hill, education programs, leadership events, and opportunities to meet and network with colleagues from across the

UNITED STATES

nation. In addition, ACA?s membership group for early-career practitioners, Next Gen, will celebrate its 10t h anniversary in 2026 Throughout Engage, events are planned to mark this milestone

For m ore inform at ion about ACA new s, visit w w w.acat oday.org.

The ICA?s Cont em porary Definit ion of Subluxat ion: Honoring Tradit ion and Advancing Clarit y

Subluxation has anchored chiropractic identity since the early 1900?s, and the construct continues to influence education, research, regulation, and payment policy Yet the word has also carried multiple, sometimes conflicting, meanings across eras and jurisdictions In 2025, the Int ernat ional Chiropract ors Associat ion (ICA) released a contemporary, evidence-informed definition intended to unify professional language, improve clinical communication, and align with current science while honoring the profession?s heritage.

Historically, ?subluxation?in chiropractic emerged as a way to describe abnormal spinal motion and/or alignment thought to have neurophysiological consequences Early literature often used explanatory models framed by the language and scientific understanding of the day. Modern historical analyses show that, although Palmer and subsequent leaders advanced distinct theoretical emphases, the common thread was a

focus on joint dysfunction or misalignment affecting health via neurological pathways. This historical context matters because a contemporary definition must be both clinically useful and intelligible to today?s multidisciplinary stakeholders (patients, regulators, payers, educators, and researchers)

In U.S. health policy, Medicare is the most visible place where ?subluxation?appears explicitly. The Medicare Benefit Policy Manual states that coverage for doctors of chiropractic is ?specifically limited to treatment bymeansof manual manipulation of thespineto correct a subluxation,? and it further details how the presence of subluxation may be demonstrated either by imaging or by physical examination For clinicians, this policy landscape means that the word is not merely historical; it is operational, affecting coding, documentation, audit risk, and patient access to covered care.

Internationally, the World Healt h Organizat ion?s (WHO) Guidelines on Basic Training and Safet y in Chiropract ic (2005) remain an important reference point for how chiropractic is characterized in education and practice throughout the world. In that document, WHO describes chiropractic as:

?a health-careprofession concerned with diagnosis, treatment, and prevention of neuromusculoskeletal disordersand their effectson general health, emphasizingmanual techniques? includingjoint adjustment/manipulation? with a particular focuson thesubluxation? .

The same text includes a glossary that treats ?subluxation (vertebral)?as essentially a functional entity affecting biomechanical and neural integrity The subluxation definition outlined in the 2005 WHO guidelines has continued to shape and inform educational and regulatory discussions worldwide

Against this backdrop, the ICA?s contemporary definition aims to offer precise wording that is clinically grounded and broadly communicable with contemporary terminology Following a six-month multi-tiered review and development process, in April 2025, ICA published:

?Achiropracticvertebral subluxation isa potentially reversibleor preventablealteration of spinal motion segmentsfrom normal alignment or function associated with adverseneurophysiological activity that can beconnected to whole-person health.?

The definition?s core elements? altered spine alignment or function, associated adverse neurophysiological activity, potential reversibility/preventability, and relevance to whole-person health? are intentional They bridge static and dynamic biomechanical assessment with neurophysiology, reflect the preventive and corrective aims of practice, and invite outcome assessment at imaging, physical/neurophysiological assessment and patient-reported outcome levels.

When representing the profession?s public voice, definitional clarity matters Words that spark internal debate can now serve as bridges? to policymakers who adjudicate benefits, to educators who craft competency-based curricula, to researchers who build the evidence base, and to patients seeking understandable, high-quality conservative care. The ICA?s cont em porary definit ion of vert ebral subluxat ion is a significant st ep t ow ard t hat shared language: reflect ive of chiropract ic?s hist ory, aligned w it h int ernat ional guidance, and pract ical in t oday?s clinical and policy environm ent s.

PRESS RELEASE: 30 Years in APHA

The year 2025 marks the 30-year anniversary of t he Chiropract ic Healt h Care (CHC) Sect ion within the Am erican Public Healt h Associat ion (APHA). With more than 25,000 members, APHA is the oldest and largest public health organization within the United States. The inclusion of chiropractic in APHA is critical to promoting the profession's interests, highlighting strong advocacy for whole-person public health policies, musculoskeletal health and disease prevention, participation in healthcare research, and promoting engagement of chiropractors in community health efforts

The inclusion of chiropractic into public health was not an easy task, as the APHA called for the revocation of chiropractic licensure from 1969 to 1983 Eventually, with the efforts of chiropractic advocates, the APHA reversed this policy and formed a chiropractic Special Prim ary Int erest Group Through membership growth and evidence-based policies, the CHCsection was eventually established in 1995, which also coincided with the 100th anniversary of the chiropractic profession. Since its inclusion, the CHC section has made significant contributions in public health, including setting safety standards within the profession, publishing research related to public health, promoting public health policy in chiropractic education programs, and establishing chiropractic as a safe and effective choice during the opioid epidemic Anupdated CHCsection history is currently in submission for publication

As a reflection of these last 30 years, a qualitative survey of past and present APHCCHCsection leaders was conducted to explore their

perspectives on the future contributions the section can provide for the chiropractic profession and public health at large Three primary themes emerged in the survey, which may guide current and future section leaders as they carefully consider these perspectives for future section strategic planning, policy development, and research initiatives The first theme outlined the importance of internal engagement within the section to promote professional growth and encourage a strong sense of community. The second theme highlighted that leadership and productivity of the section are closely related to growing and supporting membership Last, the third theme emphasized that section leadership should focus on adding value to the chiropractic profession through involvement in public health domains such as musculoskeletal health promotion, addressing health disparities, and supporting awareness for social determinants of health.

A crowning CHCachievement from the last two years included the production of a Health Promotion Webinar series Funded by the NCMIC Foundat ion, this webinar series focuses on educating chiropractors on the utilization of whole health measures in their practice, and has been adopted for use by several Doctor of Chiropractic programs and state and national associations.

On the horizon, the CHCsection is spearheading the development of a policy calling for the integration of Whole Health initiatives into the broader healthcare landscape We encourage current and potential future members to participate in this conversation and to celebrate 30 years with us in Washington D.C. from November 2-5 at the APHA 2025 Annual Meeting and Expo, ?Making the Public's Health a National Priority.?

TimothyJ . Williamson, DC, MS, Communications Chair, ChiropracticHealth Care Section, American PublicHealth Association

New Oregon St at e law has im plicat ions for t he ent ire US

Vern SaboeJr., DC, DACAN, FICC, DABFP, DIANM

Defining the Legislative Intent and Meaning of the PPACA?s (Obamacare) Section 2706a, ?Varying Reimbursement Rates Based on Quality or Performance Measures.?

The USfederal departments of HHS, Labor and Treasurer have ignored marching orders from the USCongress to write formal regulations spelling out the legislative intent and meaning of 2706a, it falls to individual USstates to do so. Trouble is many state?s (Oregon included) insurance divisions are also failing to codify in law or administrative rule, the meaning and intent of 2706a.

Senat e Bill 822, passed during the 2025 long Oregon Legislative session This bill was known as Oregon Governor Tina Kotek?s ?Network Adequacy?bill that included all of the Oregon Chiropractic Association?s (OCA) key provider non-discrimination language (2706a) applied to large employer group health insurance plans.

Very key for Oregon and all USstates is the reimbursement piece and the very piece insurers continue to violate here in Oregon and across the USA The previous ?Network Adequacy?bill the OCA lobbied through House Bill 2468 in 2015 had the same provider non-discrimination language, but only applied to individual and small group plans The OCA?s goal during the 2025 legislative session was to close that loop hole as per large employer, large group plans.

Very important as per legal enforcement was the floor speech by Rep Travis Nelson where he clearly describes the legislative intent of, ?varying reimbursement rates based on quality or performance measures.?If health insurers continue to discriminate against Oregon?s and other state?s chiropractic physicians, these types of floor speeches will come in very handy in the courtroom. Wat ch here

Here is t he act ual language from t he bill;

?(2)(a) A carrier may not discriminate with respect to participation under a health benefit plan or coverage under the plan against any health care

provider who is acting within the scope of the provider?s license or certification in this state

(b) This subsection does not require a carrier to contract with any health care provider who is willing to abide by the carrier?s terms and conditions for participation established by the carrier

(c) This subsection does not prevent a carrier from establishing varying reimbursement rates based on quality or performance measures ?

The Oregon Chiropract ic Associat ion?s first success actually came in 2012 with Senate Bill 1580 that inserted the non-discrimination language from Obamacare into Oregon law relative to Oregon Health Plan (Medicaid) patients. In 2012 Rep Tina Kotek then House Majority Leader now Governor of Oregon, successfully fought for this language to be included in Oregon law Governor Kotek is a long-time chiropractic patient and friend of the profession, ?good to have friends in high places.?

Hopefully our successes here in Oregon will be both instructive and inspiring to states across the USA and beyond

Texas Chiropract ic College Welcom es New Dean of Academ ics Dr. Saleh

Texas Chiropract ic College (TCC) is proud to announce the appointment of Dr. Saleh Saleh as the institution?s new Dean of Academics. Dr. Saleh joins the TCCleadership team today, August 11, 2025, bringing 15 years of experience in clinical practice and academic leadership, and a global perspective to academic affairs

?Wearedelighted to welcomeDr. Saleh asour new Dean of Academics,?said current TCCPresident Dr. Sandra Hughes. ?Hisvisionaryleadership, dedication to academicexcellence, and proven trackrecord of advancingeducational initiativeswill propel our institution to newheightsof scholarlyachievement.?

Dr. Saleh led t he depart m ent t o four WFC World Spine Day Cham pionships, and he worked with a team to develop and implement Malaysia?s first 5-year MGA-accredited chiropractic curriculum Additionally, he previously served as

the Head of the Chiropractic Department and Senior Lecturer at International Medical University, where he played a pivotal role in advancing chiropractic education and research and published extensively on topics centered around the future of chiropractic education His scholarly work includes the supervision of student thesis projects, many of which explore innovative and technology-driven approaches to teaching and learning

? I am verymuch student-focused,?said Dr. Saleh. ? I want to makesurethestudentsaregettingall the support theycan possiblyget, becauseat theend of theday, that?swhat weare hereto do. Weare supposed to help out thestudentsasmuch as possible becausebythetime that theyfinish, theyare goingto bereflectionsof what theinstitution hasput into them.?

Dr Saleh's appointment reflects TCC?s ongoing commitment to innovation, global collaboration, and the advancement of chiropractic education As he steps into his position, he will begin his contributions to strategic planning efforts for the upcoming academic year, bringing a dynamic blend of insight, leadership, and collaboration to the college?s ongoing mission

Unlocking Your Full Pot ent ial: The "Adjust ed Realit y" Book and t he Daw n of Whole-Being Care

For far too long, the standard approach to health has been fragmented - treating symptoms in isolation and often overlooking the profound impact of lifestyle choices Prevention has often taken a backseat to treatment, leaving true health care undervalued and underutilized.

A new paradigm is emerging One that redefines how we understand and achieve optimal health: whole-being care At the forefront is the highly anticipated book ?Adjusted Reality: Supercharge Your Whole-Being for Optimal Living and Longevity,?which clearly defines why every patient should see a doctor of chiropractic (DC) and empowers every DCto share their ?how?they deliver patient-centered, whole-being health. It?s both the vision and the practical path, putting you in command of transformative care showcasing your unique practice attributes

"Adjusted Reality" isn't just a book; it's a movement to expand what whole-being means and the vital role you play in unlocking it. Launching October 14, the book ?created by the Foundat ion for Chiropract ic Educat ion and generously supported by NBCE, NCMIC, Foot Levelers and St andard Process, aligns deeply with the chiropractic philosophy of supporting the foundational aspects of optimizing health, preventing injury and alleviating pain It explores the profound connection between our internal and external environments, revealing how our lifestyle choices and physiological state shapes the reality we experience.

Em bracing Whole-Being Care: The

"Adjusted Reality" arrives at the perfect time It answers the ?why?behind the need for whole-being care? offering compelling stories, science and solutions But it?s DCs across the globe who are uniquely positioned to bring the how to optimize health in their practice

For the DC, whole-being care is a natural extension of our foundational principles We already understand that a properly functioning nervous system is crucial for overall health Now, the world is beginning to grasp: healt h is not found in isolat ion, it ?s creat ed in int egrat ion

As ?Adjusted Reality?reaches readers, it will inspire awareness, spark curiosity and open meaningful conversations This moment offers the chiropractic profession an unprecedented opportunity to demonstrate the distinct value it brings to healthcare Today?s consumers seek more than a provider? they want a trusted partner who embodies the principles they teach, leads with integrity, and aligns care with the pursuit of optimal living.

This is our m om ent As t he public seeks som et hing real, chiropract ic is posit ioned t o rise

Let?s not just react to the rising momentum in media and consumer demand, let?s be the driving force behind it Because the world doesn? t need more noise, it needs more alignment

By sharing this message, we can help reduce chronic disease, ease pain, lower the risk of adverse drug and surgical events and shift the focus to proactive, whole-being health.

Pre-order your copy of ?Adjust ed Realit y" here and be part of a m ovem ent t hat ?s t ransform ing healt h around t he globe.

Submitted bySherryMcAllister

Sout h Carolina Board of Chiropract ic Exam iners

Nam ed 2025 Out st anding Board by FCLB

Columbia, SC- TheSouth Carolina Board of ChiropracticExaminers, recipient of the2025 Wiley/Pennebaker OutstandingRegulatoryBoard Award. Left to right:Dr. MarkThayer, Dr. Lucian ?Luke?Henry, Dr. Michael Coon, Dr. Martia Creighton Thigpen, Dr. GeneGarris, Dr. Iva Battrell Hughes, Dr TammyCostello Hales, Dr ThomasStetson, (absent: Patricia Garcia)

The Federat ion of Chiropract ic Licensing Boards (FCLB) has honored the Sout h Carolina Board of Chiropract ic Exam iners with the prestigious 2025 Wiley/ Pennebaker Out st anding Regulat ory Board Aw ard The announcement was made during FCLB?s Annual Conference May 3, 2025, recognizing South Carolina as the leading chiropractic regulatory board in the world this year. The FCLB serves as the premier international resource for information and consolidated services for ensuring the safe, ethical practice of chiropractic

This distinguished award is presented annually to a board that exemplifies excellence in chiropractic regulation, public protection, and innovative leadership. The South Carolina Board was recognized for its strong commitment to transparency, education, and ongoing regulatory advancement

In its official statement, the FCLB commended the board?s achievements:

?Each year, theaccomplishmentsof oneboard set a newstandard for chiropracticregulation. They becomea model for other boardswhileprotectingthe health, safety, and welfareof thepublic.

TheSouth Carolina Board of ChiropracticExaminers hasdemonstrated outstandingcommitment to education, transparency, and professional development. Over thepast year, theboard has integrated regulatoryeducation into itsmeetings, supported both newand veteran membersthrough board training, and provided comprehensiverules and regulation education for licensees. The board also promoted transparent governanceby live-streamingitsmeetingsto thepublic.

With a long-standinghistoryof engagement in national regulatoryprogramsand education, includingactiveparticipation in FCLBinitiatives, South Carolina continuesto set a high bar for responsible and forward-thinkingregulation.

Please join usin congratulatingthe2025 Wiley/Pennebaker OutstandingRegulatoryBoard Award winner? theSouth Carolina Board of ChiropracticExaminers.?

The Wiley/ Pennebaker Aw ard is named in honor of Dr Earl L Wiley of Ohio and Dr Gary Pennebaker of Minnesot a? two distinguished regulators whose legacy of protecting patients through responsible governance is reflected in the work of the South Carolina Board.

CE Credit Disparit y: Chiropract ors vs. ATs, PTs, MDs,

and DOs

A newly published study in Chiropract ic and Manual Therapies reveals that chiropractors have significantly fewer opportunities to earn continuing education (CE) credit for research and academic activities compared to other healthcare professionals, including athletic trainers (ATs), physical therapists (PTs), medical doctors (MDs), and doctors of osteopathy (DOs)

The study, led by Shannon Schueren, DC, MS, and colleagues, analyzed publicly available state licensing board information from across the United States. The researchers found that only 16 states allow chiropractors to claim CEcredit for research activities, and just 50%permit CEcredit for teaching In contrast, teaching and research are recognized for CEcredit in 100%of states for MDs, DOs and ATs

These marked disparities may present a significant barrier to the academic and research development of the chiropractic profession The article suggests that limiting CEcredit for scholarly activities may hinder chiropractors from engaging in research and higher education, which are essential for advancing evidence-informed practice, policy, and professional growth

The authors argue that aligning chiropractic CE policies with those of other healthcare professions could have fr-reaching benefits Expanding CE eligibility to include research and academic pursuits would not only diversify CEopportunities but also strengthen the profession?s research capacity? an area already constrained by a limited number of chiropractors with formal research training

The study calls on state boards and professional associations to reevaluate CEpolicies and advocate for modernization with broader recognition of scholarly contributions within chiropractic continuing education frameworks

The full art icle is available t o read here from Chiropract ic and Manual Therapies.

Please share this important research with your state association(s), licensing board, and professional networks.

References

Citation: Schueren, S, Smith, D L , Malaya, CA et al Continuing education for the chiropractic profession: a cross-sectional study analyzing potential barriers to future chiropractic academic and research development Chiropr Man Therap 33, 34 (2025)

Shared byDean L. Smith, DC, PhD

Rehabilit at ion Curriculum Renew al at CMCC

The Canadian Mem orial Chiropract ic College (CMCC) has recently undertaken a significant overhaul of its rehabilitation curriculum, aligning its program with international standards and advancing chiropractic education in disability and rehabilitation

Informed by feedback from alumni, current students, and faculty, and guided by current evidence, CMCCconvened a Rehabilitation Working Group chaired by Dr David St arm er (Direct or of Educat ion, Year III), with support from Dr Bret t Guist (Course Coordinat or, Rehabilit at ion Courses) and Dr Sim on Wang (Chair, Chiropract ic Technique Depart m ent ) The group included 27 members including a diverse mix of students, faculty, clinicians, and researchers.

The working group began by evaluating the syllabi of rehabilitation courses taught during the 2023?2024 academic year This content was assessed against two key competency frameworks: the global chiropractic rehabilitation competency framework published in 2019 by Côté et al and t he World Federat ion of Chiropract ic (WFC) Disabilit y and Rehabilit at ion Com m it t ee (1), and t he World Healt h Organizat ion?s Rehabilit at ion Com pet ency Fram ew ork (WHO RCF) (2) These frameworks outline essential domains, competencies, and activities relevant to rehabilitation education

Using these benchmarks, the group identified gaps and opportunities for growth in CMCC?s existing curriculum Several competencies were

insufficiently addressed or found to be missing. Faculty were consulted to determine whether these topics were covered elsewhere in the curriculum Following this review, a list of deficiencies specific to the rehabilitation curriculum was compiled, highlighting areas that required enhancement

To ensure proper integration and progression of these topics, the group assessed each competency and activity to determine its appropriate level within the program based on the WHO RCF Advanced courses targeting upper-year students were expected to address competencies at a higher level This analysis informed the academic planning and scaffolding of the revised curriculum across the entire program.

One notable gap was the limited discussion of disability and an over reliance on the biomedical model to explain rehabilitation concepts with insufficient consideration of biopsychosocial and contemporary pain science models

Pictured (from left to right):Dr David Starmer, Director of Education ?Year III;Dr ChristineBradaric-Baus, President ? CMCC;Dr. Brett Guist, Assistant Professor ?Undergraduate Education;Dr. DominicGiuliano, Dean of Undergraduateand GraduateEducation

To address this, the working group recommended a stronger emphasis on disability and impairment in the new curriculum The Int ernat ional

Classificat ion of Funct ioning, Disabilit y, and Healt h (ICF) framework was proposed as a foundational model to guide conceptual understanding and language around disability and functioning

The group also recommended renaming all rehabilitation courses to ?Disability and Rehabilitation in Chiropractic Practice?to reflect a more comprehensive and inclusive approach to individualized impairments The revised curriculum ensures that CMCCgraduates are equipped to integrate disability prevention, rehabilitation, and patient-centered care into diverse health systems

This curriculum renewal reflects CMCC?s commitment to advancing rehabilitation education and aligns with the WFC?s vision of strengthening chiropractic?s role in global health systems

References

1 CoteP, Sutton D, Nicol R, Brown R, Mior S Thedevelopment of a global chiropracticrehabilitation competencyframeworkbythe World Federation of Chiropractic. Chiropr Man Therap. 2019;27:29.

2 Rehabilitation CompetencyFramework2021

World Congress of Chiropract ic St udent s (WCCS) hold a successful AGM in Denm ark

The World Congress of Chiropract ic St udent s (WCCS) recently held its Annual General Meet ing (AGM) from July 6-11 2025, at the Universit y of Sout hern Denm ark (SDU) The event brought together delegates from across the globe, fostering collaboration, cultural exchange and academic growth within the chiropractic student

Delegatesfrom around the world gather at the2025 WCCSAnnual General Meeting, hosted at theUniversityof Southern Denmark.

community

A highlight of t he opening day w as t he int roduct ion of t hree new chapt ers: Scot land College of Chiropract ic (SCC), Life Universit y and Barcelona College of Chiropract ic (BCC), furt her expanding t he WCCS net w ork and st rengt hening it s int ernat ional reach

Delegates participate in a diverse programme of seminars and workshops, with topics ranging from ?How to Build your Legacy?and ?How Research is Changing Chiropractic?to Sports Chiropractic. These sessions, delivered by an outstanding panel of speakers, provided valuable insights into the future of the profession

Six proposals were debated and voted upon. Notably, delegates approved a reduction in chapter fees for developing countries and passed a motion requiring chapters to engage in voluntary community service, reinforcing WCCS?s commitment to accessibility and social responsibility

The AGM also marked a new transition of leadership within the Board of Directors and Team of Officials. WCCSextends its congratulations to the newly elected officials for the 2025-2026 term and looks forward to their contributions in the term ahead

Looking forward, this term offers a unique

opportunity to build on the momentum of the AGM With a renewed leadership team and a growing chapter network, the WCCSis well positioned to strengthen global collaboration, expand research engagement and enhance student participation community initiatives By fostering leadership and innovation within the student body, the WCCSaims to continue shaping the future of chiropractic on an international scale.

Finally, special recognition is extended to the SDU organizing committee whose hard work and dedication ensured the success of this year?s AGM Their efforts provided delegates with an enriching and memorable experience that strengthened international bonds and advanced the shared mission of the chiropractic profession.

Updat e from Teesside Universit y, Unit ed Kingdom

This summer term marked an exciting milestone for Teesside Universit y?s chiropract ic program m e, as six students participated in international mobility placements through the university?s global partnership initiatives. Two students embarked on enriching academic and cultural exchanges, one at t he Int ernat ional Medical Universit y (IMU) in Malaysia and the

WCCSmembersand officialscelebratea successful AGM marked bycollaboration, cultural exchange, and leadership development

other at Int ernat ional Pacific Universit y (IPU) in Japan. These experiences not only broadened their clinical perspectives but also deepened their understanding of chiropractic education in diverse healthcare settings. The following reflections capture their personal insights and professional growth during these unique opportunities

Japan St udy Program 2025

I had a precious opportunity to represent Teesside University as a second-year chiropractic student in a two-week international sports program hosted by Int ernat ional Pacific Universit y (IPU) in Okayama, Japan It was truly a once-in-a-lifetime experience that left me feeling grateful, fulfilled, and inspired Upon arrival, we were warmly welcomed by Mr Yoshi, Dr Set suko Ohashi, president of IPU, and the Japanese students, whose hospitality made our stay comfortable and easy.

GeraldineCheungparticipatingin a practical judo therapyand tapingtechniquesworkshop alongsideIPU studentsin Okayama

Our days usually started with workout sessions, and I was amazed by the quality of the facilities and the way advanced technology was used to enhance athletic performance, giving us a glimpse of how sports science is practiced in Japan Academically, the program was both educational and fun We were introduced to judo therapy, where I learned practical techniques such as aiding and relocating a dislocated elbow, as well as

various taping methods including cast taping and taping the arch for plantar fasciitis which will be useful in my future practice. A standout session for me was the lecture by Mr. Yoshi on isokinetic knee strength and neuromuscular adaptation following ACL reconstruction Not only was the theory fascinating, but I also had the chance to try the isokinetic dynamometer myself, which made the learning experience so much more engaging Another memorable highlight was the acupuncture session for trigger point release, which has inspired me to pursue an additional acupuncture course in the future to diversify my treatment approaches.

Besides the core lessons, we also took part in judo training, dance, Pilates, and strength and conditioning classes, all of which gave me fresh perspectives on physical performance and rehabilitation We also had the chance to visit a local school and kindergarten, allowing us to interact with the children and see another side of Japanese daily life

Outside of the classroom, we were able to immerse ourselves in Japan?s culture and history, such as visiting Okayam a Cast le, strolling down the beautiful Bikan Hist orical St reet and making a moving trip to Hiroshim a?s Peace Mem orial Museum Through these cultural explorations, I not only learned more about Japanese history,

Teesside Universityand IPU studentsat theOkayama RunningParkafter a group trainingsession duringthe Japan StudyProgram 2025

food, and traditions but also picked up some of the language, which made the experience even more meaningful

GeraldineCheungreceivingher Certificateof Completion from Setsuko Ohashi, President of International Pacific University(IPU), at theprogram?sfarewell ceremonyin Okayama

On a personal level, the trip gave me the chance to meet students from ULB and connect with their professors, Mrs. Guissard and Mr. Et ienne. Building these friendships and professional connections was invaluable, as it exposes me to different perspectives in physical education and sports sciences

Most importantly, I forged new friendships, expanded my worldview, and gained both practical and theoretical knowledge that will undoubtedly be useful when I become a certified chiropractor. This study trip was an eye-opening journey that blended learning, culture, and personal growth, and I am truly thankful for the opportunity to represent my university and bring back invaluable skills, memories, and inspiration for my future career I would highly encourage other students to participate in programs like these if given the chance

ByGeraldineCheung,

University

Year 3 Student, Teesside

Malaysia Chiropract ic Trip 2025

This summer I was lucky enough to have the

opportunity to travel with three other Teesside students to Kuala Lum pur, Malaysia, as part of our chiropractic studies This adventure has turned out to be one of the most life-changing experiences of my academic journey so far. From the moment we arrived, the city had us in complete awe that it would be our home for the next month.

Abustlingeveningat one of Kuala Lumpur?slocal food markets? a favourite spot for CharlotteBendelow and her peersduringthe Malaysia ChiropracticTrip 2025.

One of the highlights of the trip was meeting the Malaysian chiropractic students. From our very first interaction, they welcomed us with open arms and genuine hospitality, making us feel at home, despite being 6500 miles away across the world. They introduced us to their city, their food and their way of life It wasn? t long before we were all sharing meals, stories and laughs, despite our different backgrounds Speaking of meals, Malaysian food was an experience in itself From street vendors to local restaurants, we tasted dishes we had never heard of before, many making Asian food our new favorite cuisine The most memorable (and divisive) experience was trying the famous fruit, durian. Its pungent smell warned us well in advance, and while a few were brave enough to appreciate its unique flavor, most of us couldn? t hide our reactions It became a running joke throughout the trip But that moment, like so many others, was a bonding

experience that brought us closer together

On the clinical side, visiting ALTY Ort hopaedic Hospit al gave us an incredible insight into multidisciplinary care and how chiropractic can fit within a broader healthcare system Seeing the collaboration between orthopedic surgeons, physiotherapists, and chiropractors helped me appreciate the importance of integrated care and communication across disciplines. Our visit to TAGS Chiropract ic and Rehabilit at ion Cent er was equally as inspiring. We observed how chiropractic care is delivered in Malaysia, often in ways both similar and unique to what we had seen at home The clinicians at TAGSdemonstrated a clear passion for patient care and rehabilitation, which reminded me of why I chose this profession in the first place We also visited the Rehabilit at ion Hospit al Cheras, where the focus on long-term patient recovery and multidisciplinary teamwork left a deep impression on me. Watching patients regain mobility and confidence through consistent, personalized care emphasized the profound impact our work can have.

This experience changed me, not only as a chiropractic student, but as a future practitioner It has broadened my perspective on global healthcare, showed me the value of cultural

understanding, and deepened my appreciation for the power of connections, whether between professionals, patients, or students across the world. I returned home with a renewed sense of purpose, a greater respect for the global chiropractic community and the inspiration to grow not only as a clinician, but as a more empathetic, open-minded, and culturally aware individual My time in Kuala Lumpur will stay with me forever, both the professional knowledge I gained and the friendships that now span continents

ByCharlotte

Bendelow Year 3 Student, Teesside University

UQTR Chiropract ic Mission in t he Philippines

Dr Mart in Cam ara from the Cam ara Inst it ut e for Chiropract ic Sciences invited the Universit é

du Québec à Trois-Rivières (UQTR) to participate in a humanitarian chiropractic mission in the Philippines On July 16, 21 senior interns from UQTR, accompanied by three clinician supervisors (Drs Bernard Proulx, Marie-Ève Fournier and Joe Lem ire), travelled to the Philippines for two weeks In collaboration with Chiropract ic Wit hout Borders, UQTR?s Int ernat ional Relat ions Office, and t he Philippine Chiropract ic Com m unit y

CharlotteBendelow participatingin a practical chiropractictechniquessession alongside IMU studentsin Kuala Lumpur

Healt h Project , they provided chiropractic care to more than 2,800 underprivileged residents of Manila. For UQTR, t his hum anit arian m ission w as a first in Sout heast Asia. The residents were very grateful to receive free chiropractic care for

their various musculoskeletal disorders, mainly related to overuse of back and shoulder conditions. The interns?clinical and cultural experience remains etched in their memories.

Congrat ulat ions!

Malaysia Welcom es a New Cohort of Chiropract ors from IMU Universit y

The chiropractic profession in Malaysia has taken another meaningful step forward with the graduation of a new cohort of chiropractors from IMU Universit y, the country?s first institution to offer a chiropractic degree programme

Twenty-five graduates received their scrolls during the July convocation ceremony, marking the successful completion of their intensive training grounded in evidence-based, people-centred, interprofessional, and collaborative care As Malaysia continues to strengthen its chiropractic workforce, this cohort represents a vital addition to the growing pool of primary contact healthcare professionals contributing to musculoskeletal health and mobility.

The IMU chiropractic programme is accredited by the Council on Chiropract ic Educat ion Aust ralasia (CCEA) and guided by international best practices. The curriculum places strong emphasis on clinical competency, ethical practice, and community engagement. Many of the graduating students have also participated in

global health and outreach activities, preparing them to serve in both urban and underserved settings

The Associat ion of Chiropract ic Malaysia (ACM) commends the graduates for their dedication and welcomes them into the profession. ACM continues to collaborate with national and international bodies to promote safe, regulated, and patient-centred chiropractic care in line with Malaysia?s healthcare goals

This m ilest one also reinforces Malaysia?s com m it m ent t o producing high-qualit y chiropract ic professionals w ho are w ell-prepared t o cont ribut e locally and globally.

As these new chiropractors begin their careers, their role in supporting mobility, reducing pain, and improving quality of life will be essential to the evolving healthcare landscape.

IMU Chiropract ic St udent s Deliver Care t o Nearly 8,000 Pat ient s in t he Philippines

A delegation of 29 chiropractic students and three faculty members from IMU Universit y (Malaysia), joined by peers from the Aust ralian Chiropract ic College, undertook a two-week Hands for Vitality mission trip across 11 sites in the Philippines. Over the course of the mission, the team provided chiropractic care to 7,973 patients, ranging from children under 17 years old to elderly adults over 80. The most frequently reported conditions were low back pain (2,339 cases), upper back pain (1,938 cases), and shoulder complaints (1,283 cases), alongside a wide range of spinal, extremity, and wellness-related presentations

Enhancing St udent Learning Through Service

The mission highlighted the role of service learning in shaping the next generation of chiropractors

IMU Universityand Australian ChiropracticCollegestudentsand facultyunitefor the 2025 Handsfor Vitalitymission across11 sitesin thePhilippines, deliveringchiropracticcareto nearly 8,000 patients

Students described the experience as transformative, noting both professional growth and a deeper appreciation for the privilege of serving communities with limited access to care

One student reflected: ? I learnt that chiropracticis beyond adjustment Communication and connection with patientsare what distinguish an adjuster from a healthcareprofessional. Thisexperienceexposed me to humanity, passion, empathy, and responsibility.? Others emphasised the confidence gained through high-volume clinical exposure, as well as the cultural immersion and personal growth that such experiences provide Alumni participants also highlighted how returning for a second mission offered the opportunity to benchmark their professional development since beginning clinical practice

Facult y Perspect ives

IMU faculty underscored the broader significance of the mission

An IMU chiropracticstudent conductsa musculoskeletal assessment duringtheoutreach, exemplifying evidence-based, patient-centred care.

- Dr Sofiah Hanis Ahm ad Hisham observed the fulfillment of using professional skills in service of others, emphasizing the enduring impact of compassion in healthcare

- Min Jahyeon highlighted the teamwork and resilience demonstrated by students under challenging conditions, describing the experience as a powerful lesson in service and professional responsibility

- Nat alie Chin Ziqing reflected on the privilege of continuity, noting the meaningful differences observed in the communities served during successive missions.

Part nerships and Global Engagem ent

The mission was made possible through collaboration with Hands for Vit alit y and the Cam ara Inst it ut e for Chiropract ic Sciences, coordinated by Dr Apple de Luna. Expressing gratitude, Dr de Luna acknowledged the contribution of international partners in bringing ?healing hands and generous hearts?to underserved populations in the Philippines

For IMU, the mission reflects a wider institutional commitment to global mobility, cultural competence, and social responsibility within chiropractic education. Students not only strengthened their technical skills but also developed the attributes of empathy, resilience, and cultural awareness that are essential for

contemporary practice.

Looking Forw ard

Wong Yi Kai, IMU Chiropractic Mobility Coordinator, commented:

?Thismission exemplifiesthedual impact of global mobility:studentsgain invaluableclinical and cultural learning, whilecommunitiesreceive much-needed care It reflectsIMU?svision of producinghealthcareprofessionalswho areboth competent and compassionate, and underscoresthe valueof international partnershipsin advancing chiropractic?sglobal contribution to health.?

The Hands for Vitality mission continues to serve as a model of how chiropractic education can combine rigorous clinical training with meaningful community engagement, benefiting both students and the populations they serve

An IMU chiropracticstudent sharesa moment with a young patient duringthe Handsfor Vitalitymission.

Jennifer Wat t ers t o Lead NWHSU Hum an Perform ance

Cent er

Jennifer Wat t ers, DC, DAcCHM, DACBSP, Dipl

O M (NCCAOM), LAc, CSCSjoined Nort hw est ern Healt h Sciences Universit y (NWHSU) as director of the Hum an Perform ance Cent er (HPC) on Oct ober 1. She will also hold the Foot Levelers Chair in Biomechanics and Human Performance, generously funded by Foot Levelers to advance the biomechanics field through research and practice.

As a dual-licensed chiropractor and acupuncturist, Dr Watters is uniquely suited to lead the HPC: where students in the chiropractic, acupuncture, and massage therapy programs work integratively to support athletes in the Twin Cities. Her vast experience in sports medicine also positions her as an ideal mentor to the Chiropractic Sports Medicine Residents.

? I am passionateabout helpingthenext generation of SportsMedicineprofessionalsto achievetheir goals and succeed in their careers,?shared Dr. Watters.

A Recognized Leader in Sport s Medicine

Dr Watters arrives at NWHSU with a wealth of national and international experience She most recently served as Senior Health Care Service Provider at the U S Olym pic & Paralym pic

Com m it t ee (USOPC) Training Site in Chula Vista, California, and taught as adjunct faculty at Sout hern California Universit y of Healt h Sciences (SCU). Previously, she coordinated the Sports Medicine Clinic at SCU and owned a thriving sports medicine practice in Santa Monica

Her clinical résumé includes over a decade of fieldwork at the highest levels of sport. She served as a Team USA medical staff member at three Olympic Games? Tokyo (Summer), Beijing (Winter), and Paris (Paralympic)? and acted as Medical Director for Team USA at the 2023 Pan American Games

Cont inuing a Legacy of Advancing t he Field

Founded in 2014, the HPCprovides integrated, real-world clinical experience in sports medicine and delivers care to athletes of all levels Founding director Dr Tim St ark led the program until 2019, followed by Dr. Andrew Klein, who retired earlier this year.

Since its founding, the HPChas trained 17 chiropractic residents and one registered dietitian,

Jennifer Watters, DC, DAcCHM, DACBSP, Dipl OM (NCCAOM), LAc, CSCS, servingwith Team USAmedical staff at the Toyota Athlete Lounge, supportingathlete recoveryand performance.

Jennifer Watters(front row, right) with Team USA medical staff at theParis2024 ParalympicGames.

along with chiropractic, acupuncture, and massage therapy student interns

Chiropractic Sports Residents have gone on to distinguished careers. They include Dr. Liz Moos, a leader on the ACA Sports Council now working at the VA Pacific Islands; Dr Jordan Know lt on-Key, Integrative Sports Medicine staff at USOPC in Lake Placid, New York; and Dr Dennis Mat os, clinician at the Osher Center for Integrated Health at Harvard Medical School

Looking Tow ard t he Fut ure w it h an Eye Tow ards Collaborat ion

Dr. Watters is eager to build on the HPC?s strong foundation while expanding its impact.

?Myvision isto provideresidentsand internswith a premier experiencein multidisciplinarysports medicineand performance care,?sheexplained.

?ThefutureHPCwill includegreater outreach, physicallyand conceptually.?

"WebelieveDr Wattersistheideal leader to expand thereach of theHPCboth locallyand nationally,? noted NWHSU President and CEODr. Deb Bushway. ?Through innovativecollaboration, shewill createnew opportunitiesfor studentsand residentswhile continuingto advancethefieldsof chiropracticand acupuncturesportsmedicine.?

Jennifer Watters(centre) with Team USAmedical staff at the Santiago 2023 Pan American Games, whereshe served asMedical Director

Life Universit y?s NeuroLIFE Inst it ut e expands chiropract ic educat ion in China

Dr Dom Fet t erly, Director of the NeuroLIFE

Inst it ut e (NLI) at Life Universit y (Life U), recently traveled to China to help lead an exciting chiropractic education initiative. This global effort is part of a broader mission to share Life U?s advanced knowledge of Chiropractic with practitioners around the world

?Alongsidemearethree outstandingdoctors?Drs. Michael Longyear, Michael Hall and Jonathan Vestal ?all of whom areseasoned professionalsand have worked extensivelywith NLI,?said Dr. Fetterly.

Life U?s commitment to advancing chiropractic education led the team to major cities in China, including Shanghai and Chengdu These cities are home to a growing community of healthcare professionals and students eager to learn more about chiropractic care. The initiative serves not only to educate but also to build bridges between practitioners in the U.S. and China.

The cornerstone of the effort is a 100-hour Chiropractic Applied Neuroscience course developed by Life U. ?Thebigpictureisto deliver 100 clean, focused hourscoveringtheessentialsof chiropracticneuroscience,?Dr. Fetterly explained. ?Thisframeworkhelpspractitionersin China better understand Chiropractic, especiallyastheprofession currentlyhaslimited representation there?

The course is open to a wide range of healthcare professionals, including those studying traditional Chinese medicine, physical therapy, occupational therapy and other disciplines. Through this outreach, Life U aims to inspire a new generation of chiropractors ? either by bringing students to study at Life U or by empowering them to support and grow the profession within China

This initiative includes monthly visits from each participating doctor. Dr. Fetterly himself taught two intensive weekends, delivering 15 hours of content per visit. ?I taught an eight-hour Saturday

and a seven-hour Sundaysession focused on the cerebellum and vestibular system in relation to neurology,?he said

Each session was interactive and engaging, drawing between 50 and 80 participants. ?We had a fewchiropractors, but most wereeither studentsor practitionersin traditional Chinesemedicine, physical therapy, occupational therapyor manual therapy,? Dr Fetterly noted ?Thecerebellum and vestibular system arecritical to understandingbrain function, and we tailored thecontent to beaccessibleyet impactful.?

Drs Longyear and Hall will return to China for the final exams and graduation ceremony, scheduled for October 2025 This graduation will mark a significant milestone for the participants and the program itself

?Our hopeisthat thisbecomesa recurring, annual course,?said Dr. Fetterly. ?We want to bringmore doctorsinto thefold and continueto expand chiropracticawareness Ultimately, wewant to see highlytrained doctorseither cometo LifeU for further education or becomeleadersin their country to support and growthechiropracticprofession in China.?

Click NLI for m ore inform at ion on t he NeuroLIFE Inst it ut e.

Parker Universit y?s Massage Therapy Program

Com plet es First Season Working w it h Unit ed Foot ball League (UFL) Team s, Including t he San Ant onio

Brahm as and Arlingt on Renegades

overall well-being Small on-campus class sizes, diverse techniques, and exclusive internships prepare students for seamless entry into the field With a balanced approach to wellness, students develop these vital skills while acquiring the business knowledge necessary to launch a well-rounded, successful career. This certificate program is also offered in a dual-language format (Spanish and English), making it accessible to even more future massage therapists

Parker University?s Massage Therapy program has an Athletic Recovery Massage team that recently completed its inaugural season working with two Unit ed Foot ball League (UFL) teams. San Antonio Brahmas and Arlington Renegades players were the recipients of weekly recovery massage sessions provided by the Parker Universit y School of Massage Therapy Alumni and staff

Parker Universit y?s Massage Therapy Cert ificat e Program

Upon completing the program, Parker University Massage Therapy alumni have the opportunity to work with professional athletes Parker University is also a proud supporter of the Dallas Cowboys and a sponsor of the Texoma Football Club.

During their time obtaining a Massage Therapy certificate through Parker University, students learn how the power of touch transforms lives by relieving pain, reducing stress, and promoting

Parker University?s Massage Therapy Program Director Gregory May shares, ?TheParker University Alumni AthleticMassageTeam isproud to have completed the2025 UFLseason workingwith theSan Antonio Brahmasand theArlington Renegades. This wasan amazingopportunityfor our Massage TherapyAlumni. Special thanksto Sam Lopez, the Assistant AthleticTrainer of theBrahmas, and Dr. MikeWalker, theAthleticTrainer for theRenegades, for helpingusprovide therecoverysessionsto allow theseathletesto perform optimally. Welookforward to growingalongsidetheUFL, continuingour affiliations, expandingour services, and reaching even moreUFLteamsnext season.?

Parker University?sMassageTherapyteam ? GregoryMay, Rebecca Lockett, and Mario Figueroa ? celebratetheir inaugural season providing athleticrecoverymassagefor United Football Leagueteams, the San Antonio Brahmasand Arlington Renegades.

The Texas Chiropract ic Associat ion (TCA) Recognizes Parker Universit y and Several Alum ni at Chiro Texpo 2025

The Texas Chiropract ic Associat ion (TCA) recently recognized chiropractic leaders during Chiro Texpo 2025, the annual state chiropractic convention, which was held at the Hyat t Regency Frisco-Dallas in Frisco.

TCA is the voice for chiropractic in Texas, providing protection, state-wide advocacy, information, and education for more than 7,000 DCs who are licensed to practice in Texas. TCA advocates the position that citizens of Texas should have adequate access to the healthcare of their choice and that DCs are adequately represented in the government?s decision-making process

Awards were presented to Texas chiropractors and other chiropractic supporters at the President?s Gala, with Parker University alumni walking away with awards from key categories.

Parker Universit y Chiro Texpo 2025 Honorees:

- Young Chiropractor of the Year ? Korey Rose, DC

- President?s Award ? Jon Blackwell, DC, and Korey Rose, DC

- Executive Director?s Award ? Steve Van Osdale, DC

- Regional Doctor of the Year ?Region 1: Kaci Roach, DC, Region 2: Joseph Adams, DC

- Texas Women?s Leadership and Service Award ? Mary Collings, DC, and Clare Morgan, DC

- Student Leadership Award ?Parker University Tri 9 student Hayden Hadley

During Chiro Texpo 2025, TCA also announced and swore in its new executive officers for the 2025-2026 term, all of whom are Parker University

graduates! TCA?s executive officers preside over an executive committee, including four department

coordinators in charge of TCA?s state committees, as well as a board of directors comprised of representatives from TCA?s 12 districts, which cover all of Texas.

TCA?s New Execut ive Officers for 2025-2026:

- Don Whit e, DC, FICC- president

- Andrew Ot eo, DC- vice president

- Korey Rose, DC- secretary/treasurer

- Todd Whit ehead, DC(served as TCA?s president in 2024-2025) - immediate past president

Congrat ulat ions t o all t he leaders w ho w ere recognized and honored for t heir dedicat ion t o furt hering t he posit ive im pact of chiropract ic care in t he st at e of Texas.

Palm er College of Chiropract ic honors alum ni legends and rising st ars during 2nd Annual Palm er College Alum ni Aw ards

Honorees recognized for their contributions include Louis Sportelli, D.C. (` 62), a tireless advocate for chiropractic

Palm er College of Chiropract ic has announced the recipients of its 2nd Annual Palmer College Alumni Awards, honoring graduates whose achievements reflect the strength, heart and global impact of the Palmer alumni community From lifetime service to entrepreneurial leadership to emerging professionals, this year?s awardees embody Palmer?s enduring legacy of excellence and innovation.

?Theseawardscelebratetheremarkable rangeof waysPalmer alumni arechanginglives,?said Chancellor and CEO Dennis Marchiori, D C , Ph D (` 90) ?Whether in clinics, classrooms, or communities, their influencereachesfar beyond chiropractic. We?reproud to recognizethem and sharetheir successwith our community.?

The Dist inguished Achievem ent Aw ard recognizes significant contributions to chiropractic with professional societal, and educational impact It will be awarded to Louis Sport elli, D C (` 62) For more than six decades, Dr Sportelli has been a tireless advocate for chiropractic and a model of ethical leadership. From defending the profession at the national level to serving more than 30 years on his local hospital board, he has advanced health care integrity and patient trust while mentoring future generations of chiropractors

The Distinguished Service Award honors alumni who have shown exceptional dedication and service to Palmer College over time It will be awarded to Paul Het rick, D C (` 77) Dr Hetrick has dedicated his career to elevating chiropractic through generosity, innovation and advocacy As founder of HydroWorx and a former president of the Pennsylvania Chiropractic Association, he has transformed rehabilitation practices while giving back to Palmer through a $1 million endowment to support sports and rehabilitation residencies.

The Entrepreneurship Award celebrates alumni who have achieved success as entrepreneurs in chiropractic or related fields, locally and globally It will be awarded to Charles ?Chuck? Gibson, D C (` 55). A respected mentor and global leader in chiropractic business development, Dr. Gibson has shaped thousands of careers through his consultancy, Gibson Management Consultants. His six-decade career reflects a deep commitment to advancing the profession and guiding future entrepreneurs toward success

?Our alum ni rem ind us t hat Palm er ?s legacy is not only about w hat happens on our cam puses, but also about t he ripple effect felt in com m unit ies everyw here,? said Barbara Melbourne, JD , t he College?s vice chancellor for inst it ut ional advancem ent . ?This year ?s honorees have dem onst rat ed how a Palm er legacy grow s t hrough a lifet im e of excellence.?

The awards also showcase the promise and passion of Palmer?s newest alumni, all within their first decade of practice Honorees of the Palmer 10-Under-10 Award are recognized for substantial contributions to Palmer College and the chiropractic field, for demonstrated leadership, and for actively mentoring or volunteering. Here are t his year ?s 10-Under-10 Aw ard Recipient s:

- Alexandra Fonseca, D.C., C.C.S.P. (` 18) of San Bruno, California, is redefining sports chiropractic in elite circles as a trusted provider for athletes, actors, and the U S Secret Service

- Brian Plum m er, D C (` 18) of Akron, Ohio, is a national leader in integrated pain management at the Cleveland Clinic and serves as a medical school professor

- Cam eron Gholam pour, D C , M S (` 20) of Palm Harbor, Florida, provides medical oversight for USA Volleyball?Florida Region and represents chiropractic at the World Games.

- Casey Okam ot o, D.C. ( 15) of Apple Valley, Minnesota, is a national VA leader in chronic pain innovation and a contributor to groundbreaking clinical trials

- Jae Oh, D C (` 17) of Winter Garden, Florida, is a recognized physician-level provider building interdisciplinary networks across central Florida

- Jessie Bexley, D C ( 17) of Tampa, Florida, holds leading roles in neurosurgery and athletics at USF, bridging care, research, and collaboration

- Kyle Richm ond, D C (` 21) of Frankfort, Illinois, is a social media influencer with more than 125,000 followers and is trusted by professional athletes.

- Megan Epps, D.C. (` 20) of Dover, Delaware, is an advocate for women?s health, co-owner of two practices, and a community leader through ?The 302 Podcast ?

- Rachel Hust on, D C (` 19) of Lincoln, Nebraska, is the founder of The Body Lab, a multidisciplinary practice redefining standard of care

- Tyler Collins, D C (` 18) of Monticello, Arkansas, is an advocacy leader on the ACPA Board and has been honored for legislative efforts advancing chiropractic.

Palmer College celebrates these honorees for embodying the values of vision, service, and innovation ? qualities that continue to shape the future of chiropractic worldwide They will be honored on campus during Palmer?s Main Campus Homecoming celebrations in September

Logan Universit y Welcom es Jana Holw ick, Ph.D., as Provost and Chief Academ ic Officer

Logan Universit y announces the appointment of Jana Holw ick, Ph.D., as its new Provost and Chief Academic Officer. A seasoned higher education leader, Dr. Holwick brings more than 30 years of experience and a proven track record of driving academic innovation, collaboration and excellence

?We?re thrilled to welcome Dr. Holwick to Logan University. Her wealth of experience and deep expertise will be a tremendous asset to the institution and those we serve,?said Logan President H. Garrett Thompson, DC, Ph.D.

?In her new role, Dr. Holwick will champion our academic programs and lead efforts to develop and deliver rigorous, high-quality curricula that align with the evolving needs of our students.?

Dr Holwick began her career in academia as chief financial officer and vice president of finance, later transitioning into academic leadership where she has spent the past 12 years working closely with faculty and administrators to advance student success and institutional growth. She has served in prominent leadership positions at institutions, such as Lake Erie College and Life Universit y, bringing extensive expertise in institutional planning, resource development, program evaluation and higher education policy

?I'm excited to join Logan Universityat such an important timein health careeducation,?said Dr. Holwick. ?Studentsneed to be prepared for a vastly different world of health carethan hashistorically been present and Logan ispositioned to help students becomeadept at understandingthechanging landscapeof health caredelivery. I'm lookingforward to workingwith faculty, staff and studentsat Logan to continuetheUniversity'scommitment to excellencein education.?

Dr. Holwick is a respected voice in accreditation and quality assurance, having served as an Academ ic Qualit y Im provem ent Program (AQIP) and Standard Pathway reviewer for the Higher Learning Commission In addition, she has contributed as a peer reviewer and councilor for the Council on Chiropractic Education and the Southern Association of Colleges and Universities

Dr. Holwick earned her Ph.D. in Higher Education Leadership from Capella Universit y, with a focus on enrollment management She also holds bachelor?s and master?s degrees in accounting from the Universit y of Missouri-Kansas Cit y and an associate?s degree from Cot t ey College

Jana Holwick, Ph.D., Provost and Chief Academic Officer, Logan University

Risk fact ors for cervical art ery dissect ion (CAD)

Sum m ary

Cervical art ery dissect ion (CAD) is a rare but serious vascular condition that can lead to stroke, particularly in younger adults This systematic review and meta-analysis aimed to identify risk factors for CAD in the general population, representing an update of our previous review. The previous review relied on stroke patients as controls as opposed to individuals from the general population, and thus, introducing potential bias.

We analyzed 128 case-control studies, with 54 using healthy controls Risk factors were categorized into five groups: 1. genetic/familial, 2. external, 3. minor trauma, 4. cardiovascular, and 5. other. Key findings include:

- Genetic/familial factors: Migraine and MTHFRTThomozygosity were moderately associated with CAD MTHFRTT homozygosity leads to elevated homocysteine levels, which may weaken arterial walls and impair vascular repair mechanisms? making individuals more susceptible to CAD due to compromised

connective tissue integrity and endothelial function Connective tissue disorders, such as Marfan?s, Ehlers?Danlos syndrome, and Fibromuscular dysplasia (FMD) may also put those at risk of CAD.

- External factors: Recent infections, winter season, and oral contraceptive use were weakly associated with CAD. Inflammatory markers like white blood cells and neutrophils were elevated in some cases

- Minor trauma: Minor trauma (e g , heavy lifting, sports injuries) may increase CAD risk However, definitions varied widely across studies, making comparisons challenging

- Cardiovascular factors: Hypertension, hypercholesterolemia, coronary artery disease, and other cardiac conditions were weakly associated with CAD.

- Spinal manipulative therapy (SMT): Five case-control studies examined the association between cervical spinal manipulative therapy (cSMT) and CAD, finding no consistent evidence linking cSMT to increased CAD risk: pooled data from three studies showed no increased risk, while one study using healthy controls found an increased risk, but found similar risk in those visiting a primary care physician, suggesting care-seeking behaviour may explain the association. That is, patients may seek care for early symptoms of CAD (e g , neck pain, headache), which can falsely suggest causation, otherwise known as protopathic bias

The overall qualit y of evidence w as low t o very low , except for t w o fact ors w it h m oderat e cert aint y: m igraine and MTHFR TT hom ozygosit y, m eaning t here is som e uncert aint y regarding t he evidence, w hich shall im prove if bet t er and m ore high-qualit y st udies

SidneyRubinstein DC, PhD (Chair) Netherlands

are published

Im plicat ions for Chiropract ors and ot her clinicians

- Clinical vigilance: Chiropractors should be aware of CAD risk factors? especially migraine, recent infection, and minor trauma? and consider them when evaluating patients with neck pain or headache.

- Referral decisions: If CAD is suspected, prompt referral for imaging and medical evaluation is essential

- Communication: The risk of CAD following cSMT is rare (estimated to be 1 per 100,000 patients) Nevertheless, it is important for chiropractors to discuss the potential risks with their patients, particularly if risk for CAD is identified.

- Documentation and informed consent: Given the ongoing debate, clear documentation and patient education remain best practices, including informed consent

On behalf of theCAD reviewTeam, SidneyRubinstein

Pat ient Safet y in Chiropract ic Care and Manual Therapies: A Special Collect ion Now Open in Chiropract ic & Manual Therapies

Promotingpatient safetythrough skilled, evidence-based chiropractic care? reflectingthefocusof thenewChiropractic& Manual Therapiesseries

We would like to draw your attention to a new thematic series in Chiropract ic & Manual Therapies (C&MT) led by a diverse, international team of editors with a track record aligned in patient safety. Namely, senior epidemiologist Prof.

Sidney Rubinst ein, nurse scientist Dr St acie Salsbury, early career informaticist/implementation scientist Dr. Brian Colem an, and Prof. Sim on French, co-Editor-in-Chief at C&MT.

The purpose of this series is to stimulate discussion on patient safety in chiropractic and manual therapies In May 2019, the World Healt h Organizat ion (WHO) declared the protection of patients a global health priority through the resolution WHA 72.6, titled "Global action on patient safety." Yet, despite its recognized importance and advancements in technology and treatment, safety concerns in healthcare, including chiropractic, persist worldwide By prioritizing high standards of care and vigilance, chiropractors may contribute to a safer healthcare system for all stakeholders, particularly patients

Our editorial team invites authors to submit manuscripts focused on patient safety in chiropractic care and manual therapies

Submissions are encouraged in all formats accepted by the journal, including original research articles, systematic and scoping reviews, case reports, and study protocols The series welcomes scholarly commentaries, debates, and letters to the editor that explore barriers and propose solutions to fostering and sustaining a strong global patient safety culture within chiropractic.

Submissions may include, but are not limited to, the following pat ient safet y t opics:

- Intervention or quality improvement studies of strategies to enhance the patient safety culture in chiropractic clinical settings, including individual or multidisciplinary practices, teaching settings, or hospital-based practices.

- Studies investigating perceptions of patient safety in chiropractic and manual therapies from the perspective of important safety partners, such as clinicians, administrators, patients, and families

- Studies exploring patient safety events, including those using safety reporting and monitoring systems

- Studies addressing patient safety considerations for special populations seeking or receiving chiropractic care and manual therapies, such as older adults, pregnant patients, or underserved communities

- Studies evaluating the effectiveness of curricular content and/or simulation-based training in enhancing chiropractic student and practitioner competency and proficiency in safety-related assessment and management

- Other topics related to patient safety in chiropractic and manual therapies such as informed consent, healthcare worker safety, regulatory policies, or competency and quality standards

We hope that this series will advance this goal to embed a patient safety culture in the chiropractic profession Following the end of this Call, we will organize a synthesis conference for authors to present their work and discuss the importance of their findings.

For m ore inform at ion, check out t he C&MT w ebsit e Questions pertaining to this Call may be directed to the guest editor team

StacieSalsbury, Brian Coleman, Simon French, Sidney Rubinstein

Building Chiropract ic Educat ion and Research

Collaborat ion: CERF Report Sept em ber 2025

The Chiropract ic Educat ors Research Forum (CERF) serves all world regions and holds two conferences each year, which contain keynote addresses, peer-reviewed research presentations, and tutorials The CERFconferences address critical issues facing the chiropractic profession and chiropractic education The upcoming Decem ber 2025 conference will focus on stakeholder engagement, and the June 2026 conference will focus on Art ificial Int elligence As a service to the profession, CERFconference proceedings are published in The Journal of Chiropractic Education, which includes the abstracts of the presentations and video links for each of the presentations. These links provide free access to all CERFconference content

- Collaboration in Education and Research: Stronger Together

ht t ps:/ / doi.org/ 10.7899/ JCE-25-14

- Technology in Education: Riding the Wave of the Future

ht t ps:/ / doi.org/ 10.7899/ JCE-24-18

- Battling Burnout: Raising Resilience in Education

ht t ps:/ / doi org/ 10 7899/ JCE-23-30

- Keeping It Real: Practice Relevant Education

ht t ps:/ / doi org/ 10 7899/ JCE-23-24

- Rise of Faculty Scholars: Building Capacity for a Stronger Future

ht t ps:/ / doi org/ 10 7899/ JCE-22-26

- Academic Integrity for All: Building Better Professionals

ht t ps:/ / doi.org/ 10.7899/ JCE-22-15

The recent CERFconference on collaboration included presentations that discussed the importance of collaboration

- Yi Kai Wong, Valerie Johnson Robert Walsh, Eric Kirk, Tanja Glucina, Chris Major. Moderator: Claire Johnson Video: ht t ps:/ / yout u be/ 0QyYBirrubM

- Lindsay Gorrell, Alister du Rose, Yaasirah Choonara, Gregory Cramer, Andrew Romanelli, Nathan D Schilaty Moderator: Claire Johnson Video: ht t ps:/ / yout u be/ 3SjCYnOIaRQ

- John Mrozek, Trevor Foshang, Adrian Hunnisett, Brian Anderson, Edward Murphy, Stacie Salsbury, Courtney Arnold, Sherterica Hall. Moderator: Claire Johnson. Video: ht t ps:/ / yout u be/ pWUoGAX2k14

The CERF m ission is t o build scholarship and research capacit y for chiropract ic educat ors t hroughout t he w orld. Membership is free. CERF t hanks and recognizes WFC as one of it s sponsors ht t ps:/ / cerfw eb.org/

ClaireJohnson, DC, MSEd, PhD and Bart Green, DC, MSEd, PhD

CERF-WFC Alan Adam s Educat ion Research Aw ards

Published: JCE Edit or Report

CERF-WFC Alan Adam s Educat ion Research

Aw ards are presented at the WFC Global Educat ion Conferences and recognize excellence in research education, highlight current and relevant research, foster the dissemination of new information, and increase awareness of education research. Award-winning papers are published in the Journal of Chiropractic Education. Since 2022, the World Federat ion of Chiropract ic (WFC) and the Chiropract ic Educat ors Research Forum (CERF) have teamed up to sponsor the CERF-WFC Alan Adam s Educat ion Research Aw ard com pet it ion. The awards are named in memory of Alan H Adam s, DC, MS, MSEd, who contributed his life to improving chiropractic education and research and was a mentor to many in the field He was dedicated to life-long learning, a genuine leader in chiropractic education, and an ambassador for chiropractic globally He was widely recognized for his ability to foster interdisciplinary relationships among chiropractic

researchers, educators, and institutions

We are honored to recognize these CERF-WFCAlan Adams Education Research Award-winning papers from the 12th WFCGlobal Education Conference, held in Kuala Lumpur, Malaysia, October 30November 2, 2024

- Fatima Ismail, MTech Chiro,; Myra Wessels, MHSc Chiro. Cultural and linguistic competence in chiropractic university students: Insights from a cross-sectional study. JChiropr Educ (2025) 39: eJCE-24-22. ht t ps:/ / doi.org/ 10.7899/ JCE-24-22

- Yi Kai Wong, BSc Chiro, MScPH; Leslie Ryan Raj, BSc Chiro; Kenn Yung Evan Chan, BSc Chiro Prevalence of burnout among chiropractic students in Malaysia JChiropr Educ (2025) 39: eJCE-24-19 ht t ps:/ / doi org/ 10 7899/ JCE-24-19

- Yi Kai Wong, BSc Chiro, MScPH, Kenn Yung Evan Chan, BSc Chiro, and Leslie Ryan Raj, BSc Chiro. Prevalence of Burnout Among Chiropractic Educators in Malaysia. J Chiropr Educ (2025) 39: eJCE-24-16. ht t ps:/ / doi.org/ 10.7899/ JCE-24-16

The Journal of Chiropractic Education is an international, peer-reviewed journal dedicated to publishing research and scholarly articles pertaining to chiropractic education. Publishing the predominance of chiropractic education research, the journal is indexed in PubMed, Emerging Sources Citation Index, CINAHL, MANTIS, AMED, ICL, ReadCube, and Scopus

The journal is published online and is open access For more information, visit ht t p:/ / journalchiroed.com

Dr Bart Green istheEditor-in-Chief of theJournal of ChiropracticEducation

Dr Bart Green istheEditor-in-Chief of theJournal of ChiropracticEducation

Pat ient s w it h Back-Relat ed Leg Pain Need More Support for Self-Managem ent

An American qualitative study sheds light on the challenges and opportunities faced by patients with back-relat ed leg pain (BRLP) as they attempt to manage their condition through self-management. The findings highlight that healthcare professionals play a crucial role in supporting these patients? not only through treatment, but also by providing knowledge, motivation, and practical guidance.

More Difficult than Regular Back Pain BRLPis a more complex and disabling form of low back pain, often associated with higher pain intensity, greater functional impairment, and reduced quality of life. Although clinical guidelines recommend self-management and exercise as first-line treatments, the study shows that many patients struggle to implement these strategies in their daily lives

Barriers and facilitators The study analyzed interviews with 40 participants from a previous clinical trial, in which they received chiropractic care combined with home exercise and counseling. Researchers identified several barriers and facilitators to self-management:

Com m on Barriers:

- Lack of time

- Pain during exercises

- Doubts about the effectiveness of treatment

- Low confidence in one?s ability to manage the pain

Com m on Facilit at ors:

- Simple and tailored exercises

- Good relationship with healthcare providers

- Clear information and support

- Desire to reduce pain and improve function

A New Approach:

Behavior Change as the Key The researchers used the "Behavior Change Wheel" model to analyze how healthcare professionals can help patients overcome barriers. This includes:

- Education: Providing patients with knowledge about their condition and exercises

- Training: Demonstrating and practicing exercises together with the patient

- Support: Building a safe and trusting relationship

- Goal Setting and Planning: Helping patients set realistic goals and follow up on them

Clinical Relevance:

The study emphasizes that self-management is not merely a matter of willpower but requires a targeted effort from both the patient and the clinician. By understanding the psychological and practical barriers, healthcare professionals can better support patients in actively engaging in their own treatment

Anna-Marie L Ziegler, Don Thorpe, Douglas Kennedy, Craig Schulz, Stacie A Salsbury, Gert Bronfort, Roni Evans Barriers and facilitators to self-management in people with back-related leg pain: a qualitative secondary analysis Chiropractic & Manual Therapies 2025.

Read t he full art icle here

What is t he role of healt hcare professionals in t he im plem ent at ion of digit al self-help for low back pain?

Low back pain is one of the most common and disabling conditions globally Clinical guidelines recommend self-management as one of the key strategies for addressing low back pain, but many patients find it difficult to manage without support from healthcare professionals. Digital health interventions have shown potential as a supplement to clinical guidance, but until now, little attention has been given to the role of healthcare professionals in the implementation of these digital interventions

A study published in Digit al Healt h aims to address this gap. It sheds light on the role of healthcare professionals (chiropractors, physiotherapists, and general practitioners) and the implementation of the digital health app selfBACK, which was developed to support self-management of low back pain (LBP) The purpose of the study is to explore healthcare professionals?involvement in patient recruitment for the study and their assessment of the selfBACK app's AI-generated, tailored content and clinical relevance.

Motivation and workload are key factors Healthcare professionals are generally positive about the selfBACKapp, viewing it as a useful supplement to existing practice Healthcare professionals? especially general practitioners? show a high level of acceptance (84?89%) of the self-management plans generated by selfBACK, though participants in the study

express concerns about the app?s ability to tailor content to individual patients.

At the same time, the study highlights that challenges related to healthcare professionals? motivation and workload are crucial factors for the successful implementation of digital health solutions in practice. Qualitative data showed that busy workdays, competing tasks, and varying levels of motivation significantly impact healthcare professionals?recruitment of patients Therefore, future implementation of digital interventions should consider the working conditions of healthcare professionals and their need for flexibility in treatment planning

Some clinics and healthcare professionals employ creative strategies, such as visual reminders and internal competition, to boost patient recruitment Several participants highlight the app's potential as a tool that complements and enhances clinical advice? particularly through ongoing motivation, knowledge, and access to exercises between consultations.

How the researchers conducted the study The study uses a mixed methods process evaluation to analyze healthcare professionals?recruitment of patients for a random ized cont rolled t rial (RCT) of the app, as well as their perceptions of the app?s content and usability. The study combines quantitative data from recruitment logs and a vignette-based survey with qualitative interviews and free-text comments A total of 825 patients were recruited through 57 healthcare professionals in Norway and 39 clinics in Denmark The study uses Normalization Process Theory (NPT) as the theoretical framework to analyze the implementation processes

Read t he full art icle here

Advancing Chiropract ic Research in Sout h Africa: A

Hist orical and

Fut

ure

Perspect ive

The evolution of chiropractic in South Africa reflects both clinical progress and a significant transformation in research. Since the graduation of the first chiropractors in the early 1980s, the profession has shifted from traditional philosophies and anecdotal practice toward evidence-based care Initially, most practitioners trained abroad and relied on international literature and clinical experience, with limited integration into mainstream academic and healthcare systems This period reflected a global trend where chiropractic was struggling for broader recognition within the healthcare system and was not yet fully integrated into mainstream academic and scientific discourse.

A turning point came with the establishment of a chiropractic department at Nat al Technikon (now Durban Universit y of Technology, DUT) Formal training introduced research methodology and undergraduate projects, which began to generate local knowledge. Early studies focused on musculoskeletal conditions and manual therapy comparisons. Over time, research culture deepened through postgraduate study, faculty involvement, and international collaboration

Both Chiropractic Departments at DUT and the Universit y of Johannesburg (UJ) have since strengthened their academic and research profiles. UJhas produced 36 publications since 2019, reflecting its commitment to advancing chiropractic science, while DUT has published a total of 30 studies to date , aiming to lead in clinically relevant and community-engaged research Areas of focus include neuromusculoskeletal health, rehabilitation, biomechanics, and the use of digital health technologies to improve diagnosis, monitoring, and patient outcomes. These initiatives position South African chiropractic research as globally competitive.

The Chiropract ic Associat ion of Sout h Africa (CASA) also plays a pivotal role. It conducts its own studies, fosters national and international collaboration, and connects researchers with practitioners across the country to broaden participation CASA promotes the EPIC principles of the World Federat ion of Chiropract ic, encourages professional development, and uses research findings to advocate for better support systems, practitioner well-being, and patient care Importantly, it situates chiropractic research within South Africa?s unique health context, addressing access challenges, socio-economic disparities, and the burden of occupational injuries.

As of 2025, the transformation is evident Chiropractic research is now a recognized academic pathway, with several chiropractors holding PhD qualifications and contributing to the global evidence base There is greater emphasis on qualitative research, epidemiological and healthcare policy studies, as well as institutional and association support for research funding, mentorship, and collaboration has improved.

In conclusion, t he journey of chiropract ic research in Sout h Africa has been one of st eady t ransform at ion from isolat ed case report s t o robust academ ic inquiry As t he profession cont inues t o grow , t he foundat ion laid over t he past four decades has posit ioned Sout h African chiropract ors t o not only advance t heir clinical pract ice but also t o cont ribut e m eaningfully t o global healt h t hrough research

Keseri Padayachy

Collaborat ive Nat ional Cent er for Chiropract ic Research t o Launch in 2025

The Chiropract ic Research Council (CRC) has gifted its funds to the new Nat ional Cent re for Chiropract ic Research (NCCR) based at Healt h Sciences Universit y (HSU) and in partnership with London Sout h Bank Universit y, McTim oney College, Teesside Universit y, and t he Universit y of Sout h Wales The NCCRwill be the UK?s leading center for chiropractic research, with a progressive, unifying vision. It will advance scientific understanding and the clinical application of evidence-based chiropractic care. As a research hub, it will explore key questions relevant to the profession and support integration within the UK healthcare system

Established in 2013 and funded by members of the Brit ish Chiropract ic Associat ion (BCA), the CRChas provided leadership and unity in chiropractic research for the benefit of UK chiropractic patients and the wider public. They have played a key role in developing a national research strategy and supported researchers at all levels, and they are delighted to have gifted the remaining funds to the new NCCRto work in partnership across academic institutions and the profession to continue building research capacity

and supporting the next generation of chiropractic researchers

Dr Julie Nort ham , HSU?s Head of Research, said: ?Wearedelighted that theNCCRisbeinglaunched thisyear, which marksboth theBCA?scentenaryand 60 yearssincechiropracticeducation began at HSU.?

Professor David New ell, HSU, noted: ?TheCenter hasambitionsto becomea world-leadingresearch center over thenext fiveto ten yearsfor research relevant to thechiropracticprofession ?Dr Alist er Du Rose, AECCSchool of Chiropractic Research Lead at HSU, added: ?It representsa significant investment in research into chiropracticcare, with the potential to positivelyimpact healthcareworldwide.?

The NCCRhas recently received the funding from the CRC, which will formally wind up in 2025 These funds will be distributed by the NCCRvia open competitive calls to support impactful research Louise Ham pt on, CRCChair, remarked: ?It?sinspiringto seetheCRC?saimsevolvethrough the NCCR, and we?reexcited to witnessitsunified approach to advancingresearch.?The NCCRwill also facilitate joint funding bids to major research bodies. Dr Philip Dew hurst , Associate Professor at HSU, said: ?Thesourceof theCRCfundingisthe BCAmembership who can feel proud that theyhave contributed to a newera in research relevant to the chiropracticprofession ?

Professor Adrian Hunniset t , Research Director at McTimoney College, said: ?Thisfundingwill enable theCenter to invest in high-quality, impactful chiropracticresearch acrossinstitutions, healthcare providersand policymakers, shapingthefutureof chiropracticcare.?

Mark Thom as, Senior Lecturer at LSBU, highlighted the Centre?s collaborative approach: ?TheCenter aimsto ensure a trulycooperativeeffort between UKchiropracticeducational institutions.?

Faye Deane, Senior Lecturer at Teesside

Launch of theNational Centre for ChiropracticResearch (NCCR) at Health SciencesUniversity

University, added: ?All UKchiropracticinstitutions involved in theNCCR?sdevelopment will be represented on itssteeringcommittee.?

Professor David Byfield, Head of Clinical Services at the University of South Wales, commented: ?The NCCRisan innovativecollaboration between chiropracticprovidersand theBCA, buildinga strong research profileto progresstheprofession in theUK. Itsvision alignswith theBCA?scentenarygoal of advancingand securingtheprofession?sfuture. The BCAremainsa beacon of knowledge, professionalism, and clinical excellence, qualitiesthat will continueto evolvethrough itswork with theNCCR.?

Daniel Moore, Senior Lecturer at Teesside University, explained that the NCCR?s work will be guided by a National Advisory Stakeholder Group: ?Thisgroup will provide external insight, strategic advice, and stakeholder perspectivesto ensurethe

Centre?sresearch isrelevant and impactful for the chiropracticprofession, government, and society.?

The NCCRwill also establish an External Peer Review College to independently evaluate funding proposals submitted through competitive calls This ensures funding decisions are transparent, rigorous, and grounded in academic excellence A call for expressions of interest to join the Peer Review College will be launched this year

The launch of t he NCCR is a landm ark st ep in advancing t he profession t hrough high-qualit y research and deeper int egrat ion int o UK healt hcare

To be the first to hear about updates and opportunities to get involved with the NCCR, please email research@hsu ac uk

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

PREMIER CORPORATE PARTNER

Logan University ? USA

PLATINUM CORPORATE PARTNERS

Activator Methods International ? USA

Cleveland University Kansas City - USA

Chiropractic Economics ? USA

Dynamic Chiropractic Magazine ? USA

Ergotherapy ? South Africa

Human Touch ? USA

International Board of Chiropractic Examiners ? USA

NCMIC- USA

Palmer College of Chiropractic ? USA

Parker University ? USA

DIAMOND CORPORATE PARTNERS

Canadian Chiropractic Protective Assn ? Canada

Canadian Memorial Chiropractic College ? Canada

Foot Levelers - USA

National Board of Chiropractic Examiners ? USA

The American Chiropractor ? USA

GOLD CORPORATE PARTNERS

Northwestern Health Sciences University ? USA

Serola Biomechanics, Inc ? USA

SILVER CORPORATE PARTNERS

Chiropractic Diplomatic Corps ? Philippines

Northeast College of Health Sciences ? USA

New Zealand Chiropractic Board - New Zealand

The Royal College of Chiropractors ? UK

University of Bridgeport - College of Chiropractic ? USA

University of Western States ? USA

BRONZE CORPORATE PARTNERS

Asociación de Quiroprácticos de Puerto RicoA.Q.P.R.

College of Chiropractic Sciences ? Canada

Elite Chiropractic Tables ? Canada

Federation of Canadian Chiropractic ? Canada

Four Star Industries Pte Ltd ? Singapore

Fujitega Research Foundation ? Spain

Japanese Association of Chiropractors ? Japan

KCSAssociation ? Japan

The Chiropractic Knowledge Hub (Kiropraktorernes Videnscenter) ? Denmark

National University of Health Sciences ? USA

Sommeil Terre Pte Ltd ? Singapore

Southern California University of Health Sciences ? USA

The Joint Chiropractic - USA

THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT

PLATINUM INDIVIDUAL SUPPORTERS

Brown Steven, DC- USA

(US$2000)

Cleveland III Carl, DC? USA

Maltby John, DC- USA

Morgan William E, DC? USA

GOLD INDIVIDUAL SUPPORTERS

(US$750)

Brown Richard, DC, LL.M, FRCC, FRSPH, FICC? UK

Haldeman Scott, DC, MD, PhD ? USA

SILVER INDIVIDUAL SUPPORTERS

(US$500)

Boo Gordon Kou Tuan, DC? Malaysia

Kuwaoka Toshifumi, PhD ? Japan

Whitman Larry, DC? Australia

BRONZE INDIVIDUAL SUPPORTERS

(US$180)

Aldrich Bruce, DC? USA

Anderson Kris, DC? USA

Anosov Oleg, DC- USA

Arevalo Joseph, DC- USA

Aymon Michel, DC? Switzerland

Bickley Kevin, DC- USA

Borges Sira, DC, MD ? Brazil

Bushway Deborah, DC- USA

Carter Catherine, DC? Canada

Chapman-Smith David, Mr ? Canada

Chun Pu Chu Eric, DC, MHA, PhD (Hon) ? Hong Kong

Conley Todd, DC- USA

Craig Stuart and Leonie, DC? New Zealand

Culbert Gregory M , DC? USA

Donato Phillip, DC? Australia

Doshi Jayul A , DC- India

Doucet Chantale, DC- Canada

El Sangak Hussein, DC, MD ? USA

BRONZE INDIVIDUAL SUPPORTERS

(US$180)

El Sangak Omar, DC, MD ? Egypt

Errington Timothy, DC? Singapore

Faye Leonard, DC? USA

Green Bart, DC? USA

Heese Glen, DC? USA

Hewitt Sean, Mr - USA

Johannessen Espen, DC? Norway

Johnson Claire, DC? USA

Johnson Stephanie, DC- USA

THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT

Karlovassitis Parry, DC- Australia

Kil Vivian, DC- Netherlands

Kopansky-Giles Deborah, DC- Canada

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Lepien Rose, DC? USA

Ling Kok Keng, DC? Singapore

McNabb Brent, DC? USA

Moss Jean, DC, MBA ? Canada

Napuli Jason, DC, MBA ? USA

Papadopoulos Efstathios (Stathis) ? Cyprus

Ramcharan Kimberly, DC? USA

Riffey Cleo S., DC- USA

Serrano Mayda, DC- Puerto Rico

Sleiman Rabie, DC- Vietnam

Sosna Janet Ruth, DC? Singapore

Sportelli Louis, DC- USA

Stewart Gregory, DC? Canada

Takeyachi Kei, DC? Japan

Tao Cliff, DC, DACBR? USA

Taylor Michael K, DC? USA

Truuvaart Gerly, DC? Estonia

Wiles Michael, DC? USA

Williams John, DC? Italy

Wolfson Wayne, DC- USA

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