QWR2026A

WFC New President Announced: Dr Ryan Cost er becom es

WFC's 19t h President

Leading Toget her: Advancing t he Fut ure of Chiropract ic Worldw ide

Dr Ryan Coster, WFCPresident

Dear Colleagues,

It is with great pride and deep appreciation that I write to you as President of t he World Federat ion of Chiropract ic Across every region of the world, our profession continues to demonstrate remarkable progress, resilience, and unity The collective efforts of chiropractors, educators, researchers, regulators, and professional leaders are shaping a future that is both inspiring and impactful.

In recent years, chiropractic has experienced extraordinary advancements Scientific inquiry and research continue to expand the evidence base for chiropractic care, st rengt hening our role w it hin healt hcare syst em s and reinforcing t he value w e provide t o pat ient s and com m unit ies Educational standards and accreditation processes have advanced globally, ensuring that future generations of chiropractors are well prepared to meet the evolving needs of society with competence, integrity, and professionalism

Equally important is the growing recognition of chiropractic as an essential contributor to multidisciplinary, patient-centered care. Around the world, chiropractors are increasingly collaborating with other healthcare professionals, participating in public health initiatives, and serving in leadership roles that influence policy and healthcare delivery These developments reflect not only professional maturation, but also a shared commitment to the highest standards of ethical practice and clinical excellence

The World Federation of Chiropractic remains steadfast in its mission to support, connect, and advocate for the global chiropractic profession Through international collaboration, representation with global health organizations, and the sharing of knowledge and best practices, we continue to strengthen our collective voice and advance the profession worldwide

I extend my sincere gratitude to each of you for your dedication and service Whether through patient care, research, education, regulation, or professional leadership, your contributions are shaping the present and future of chiropractic Together, we are building a profession that is evidence-informed, globally respected, and deeply committed to improving the health and well-being of people in all regions of the globe.

As we look ahead, let us remain united in purpose, confident in our progress, and inspired by the opportunities before us. The future of chiropractic is bright, and it is being shaped by your passion, professionalism, and unwavering commitment to excellence.

Moving Forw ard

There?s an old saying that the only way to coast is downhill Well, WFCcertainly hasn? t been coasting We?re moving forward with several initiatives and projects aimed at advancing our vision, ?All people, all ages, all nations, accessto chiropracticcare.?

For those of you that don? t know, I am Dr John Malt by, WFC?s new Int erim Secret ary-General I have served on the WFCBoard for 10 years, taking the place of Gerry Clum I am the immediate past president of the WFC I graduated from Palmer Davenport in 1977, and have maintained an active practice in Blythe, California for almost 48 years. I served 2 terms as President of the ICA, as well as 2 terms as Chairman of the Board.

I have two children My daughter and her husband have four children My son and his wife, both chiropractors, have seven children Debbie and I just celebrated 50 years of marriage. So, basically, my life is good.

So why did I take this job? Quite simple, chiropractic saved my life Chiropractic has given me the opportunity to save more Serving in this position gives me a greater opportunity to advance this profession globally than few have ever dreamed.

WFC?s relationship with the WHO helps to establish greater credibility With representation from over 95 countries, WFCstands at the forefront sharing with the world the advantages of chiropractic care

I was fortunate to represent the WFCat the British Association Centennial in London. It was a great time meeting with so many who have dedicated years to advancing their profession What a model they are

I will be attending Parker Vegas where, along with representatives from the Canadian Chiropractic Association, we will be showcasing our 2027 Congress in Vancouver More to come

Our Educat ion Conference w ill be in t he Net herlands, Oct ober 14-17, 2026. Our theme this year, ?LifelongLearning:AdvancingChiropractic Education for theFuture.? This will be the premier event of the year; you won? t want to miss it

WFCwill also be attending the World Healt h Assem bly in May 2026. Our hope is to meet with key country leaders to discuss the advancement of chiropractic within their countries. If your country can arrange for our delegation to meet with someone from your country, let me know and we will do everything to arrange After all, this is why we go

As said in the beginning, there is only one way to coast and that?s downhill. As you can clearly see, your WFC is not coasting. We are moving forward with a purpose. We are moving forward toward our vision, ?All people, all ages, all nations, access to chiropractic care ?

Dr John Maltby, WFCInterim Secretary-General

St eady Through Transit ion Operat ions Highlight s and 2026 Readiness

The Secretariat met on October 29 and again on December 1 to align on leadership transition, year end operations, and a busy 2026 program of events. Our focus remains on continuity, clear communications, and disciplined execution across governance, finance, IT, and global engagement.

Leadership & St affing

Int erim Secret ary General: The Secretariat confirmed the appointment of Dr. John Malt by as Interim Secretary General (effective Oct 28), with staff directing stakeholder inquiries to Dr Maltby or the Secretariat to ensure consistent messaging during the transition

Onboarding & Coverage: On Dec 1 we reviewed practical onboarding steps (shared mailboxes and social channel admin access) to support timely communications. We also confirmed year end coverage and escalation during planned staff leave to maintain service continuity

Governance, Finance & Operat ions

Finance Prot ocols: To streamline approvals and auditability, all finance requests route Secretariat to Finance & Admin and Secretary-Treasurer, and the Interim Secretary-General

Audit & Budget : Year end close and FY2026 budget updates are underway, including coordination with the Secretary-Treasurer in early December The Secretariat prepared holiday coverage and will maintain responsiveness on urgent matters

IT & Information Management: Team members continue to use SharePoint for all WFCfiles and WFCemail for official communications; cybersecurity license renewals are being tracked through IT

Com m unicat ions & Engagem ent

QWR & Cam paigns: The January QWRpromotion

cadence is live, supported by scheduled social posts We launched the Call for Bids for Congress 2029 (submissions due April), and we continue phased promotion for the WFC Educat ion Conference 2026 (Net herlands). Additional campaign assets resume after the holiday period.

Channel St rat egy & Com m unit y St andards: We continue to tailor out social media platforms to a professional audience while keeping a broader reach in view Moderation protocols remain active to remove inappropriate or off topic content and to uphold respectful community standards.

Global Event s & Milest ones

-WFC Congress 2027 (Vancouver): Steering Committee engagement continues following the Oct 30 session.

-Educat ion Conference 2026 (Net herlands): Registration launch targeted at the end of October, with late November social promotion sequences and continued roll-out in January.

-Asia Sum m it & Tokyo Board Meet ing 2026: Promotional website active; outreach ongoing

-World Healt h Assem bly 2026: Preliminary planning and discussions in place for WFC delegate attendance.

Board Elect ions: Regional notices commenced Nov 3 Ballots were issued where nominations exceed available seats (Europe and Africa). Results will be compiled per the election timeline, with the new Board to be announced in February.

World Spine Day (WSD): The 2025 campaign recap noted a highly successful campaign and global engagement achieved through Committee proactive outreach, and competition visibility Sixt een eligible competition entries were presented to the judging panel, with winners announced and highlighted in this QWRissue.

SECRETARIATMESSAGE

Looking Ahead:

As we transition into 2026, the Secretariat?s priorities are clear: support a smooth leadership handover, close the year with strong financial discipline, and elevate communications around elections, the 2026 Education Conference, the 2027 Congress and broader global engagement

Thank you to all staff and partners for your commitment through a dynamic quarter.

OUR PEOPLE

WFC BOARD OF DIRECTORS

(2024-26)

Ryan Cost er (President )

North American Region

Holly Tucker (Secret ary-Treasurer)

North American Region

Carlos Ayres

Latin American Region

Glenn Guilderson

North American Region

Jason Jaeger

North American Region

Andrew Law rence

PacificRegion

Jakob Lot he

European Region

Efst at hios Papadopoulos

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

Eastern Mediterranean Region

Pernille Popp

European Region

Hayden Thom as PacificRegion

Dale Whit e

North American Region

Yi Kai Wong

Asian Region

St rat egic Decisions

Shaping t he WFC?s Global Direct ion: WFC Board Meet s for Q4 2025

The World Federation of Chiropractic (WFC) Board of Directors convened virtually on 11 Novem ber 2025 for its final quarterly meeting of the year

Chaired by President Kendrah da Silva, the session brought together representatives from all global regions, alongside Secretariat leadership, to review organizational performance, progress on strategic initiatives, and preparations for 2026

St rat egic and Operat ional Updat es

Interim Secretary-General John Malt by delivered a comprehensive report focused on staff morale, stakeholder engagement, and preparations for the 2026 WFC Educat ion Conference. The Board acknowledged ongoing Secretariat resilience during a period of transition, as highlighted in both the Operations and Office & Administration reports IT Administration and Finance updates were adopted unanimously, including Q4 financial statements and a preliminary projection identifying a year-end deficit driven partly by legal expenses

The Board approved the 2026 Draft Budget , incorporating amendments for succession planning and staff compensation, signaling a strong commitment to organizational continuity

Com m it t ee Act ivit y and Governance Committee reports reflected significant progress across multiple portfolios The Board endorsed recommendations from the Risk Committee, including the updated Terms of Reference, Risk Appetite Statement, and Risk Register. Discussions surrounding restructuring of the International Chiropractic Education Alliance (ICEA) will continue into Q1 2026.

The Research Committee welcomed five new

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

John Maltby(Interim Secretary-General)

Christina Davis(ExecutiveOperationsManager)

Khalid Salim (Finance & Administration Manager)

Rebekah WilksBS, DC(Director of Strategyand Policy)

m em bers, strengthening global research capacity, while the Disability & Rehabilitation, Public Health, World Spine Day, and Global Patient Safety Initiative committees all reported forward momentum.

Resolut ions and Organizat ional Mat t ers

Following the resignation of John Maltby from his Board seat, Dr. Jason Jaeger was appointed as Interim Director representing North America

Looking Ahead

The meeting adjourned with several action items set for early 2026, including follow-up on risk governance, ICEA restructuring, World Spine Day planning, and planning of the 2026 Education Conference and 2027 Congress. The next Board meeting will take place on 10 February 2026, preceded by Risk and Finance Committee sessions in January and early February.

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

John Maltby jmaltby@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.

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The WFCQuarterly World Report is published in January, April, July and October of each year.

Advertising copy, in high resolution pdf or jpeg format, is required fifteen days in advance of the publication date

The World Federation of Chiropractic reserves the right to decline advertising. Inclusion of any advertising in the WFCQuarterly World Report does not in any way imply endorsement of any product or service.

Mom ent um w it h Purpose: Evidence, Educat ion & Global Access

Dear colleagues,

As we open 2026, we are moving with momentum and purpose, aligning evidence, education, and access to serve people in all regions This issue captures that forward motion across leadership, learning, patient safety, and policy, proof that when we collaborate, we accelerate impact.

Leadership continuity anchors this momentum

We welcome Dr Ryan Cost er as the WFC?s 19th President, bringing a clear commitment to global collaboration At the Secretariat, Dr John Malt by steps in as Interim Secretary?General, outlining a practical, purpose?driven agenda to advance our shared vision of ?all people, all ages, all nations, access to chiropractic care.? The Secretariat?s operational focus spanning governance, finance, IT, communications, and year?end readiness underscores our pledge to stay steady through transition and deliver for members

Education remains our engine for quality and trust. The WFC Global Educat ion Conference (Ut recht , Oct ober 14?17, 2026) will gather educators, regulators, and leaders around ?Lifelong Learning: Advancing Chiropract ic Educat ion for t he Fut ure,? while the WFC Congress (Vancouver, May 5?8, 2027) will celebrate innovation, research, and unity across the profession Please mark your calendars Your voice is essential to shaping where education and practice go next

Our research and safety culture continue to strengthen The WFC Research Com m it t ee welcomes new members Wren Burton, Fatima Ismail, David McNaughton, Amy Miller, and Gabrielle Swait, broadening our capacity across education science, patient safety, and health?systems research The Global Pat ient Safet y Init iat ive progresses with a scoping review that maps what we know and what we still need to

Christina Davis, WFC Executive Operations Manager and QWR Editor-in-Chief

foster a robust safety culture in chiropractic.

Integration with global health priorities is advancing Within the World Rehabilit at ion Alliance, chiropractic leaders are contributing to workforce, advocacy, and communications efforts that elevate rehabilitation as a core component of universal health coverage, critical as MSK conditions remain a leading cause of disability worldwide.

Our community?s public?health voice is louder than ever World Spine Day 2025 ?Invest in Your Spine? achieved record global engagement, reframing movement as physical literacy across the lifespan and spotlighting equity in access to spinal care. Thank you to every association, clinic, educator, student, and partner who turned awareness into action

Governance remains a priority The Board?s Q4 2025 meeting advanced risk governance, committees, and 2026 preparations; regional Board elections continue on the published timeline, with the incoming Board to be announced in February 2026. Your participation

EDITOR-IN-CHIEFMESSAGE

sustains accountable leadership and a strong, connected Federation Finally, a call to action

Submit your bid t o host WFC Congress 2029 by April 26, 2026 Let?s showcase your city and regional leadership on the world stage Plan for Ut recht 2026 and Vancouver 2027. Bring students, early?career clinicians, and multidisciplinary colleagues; collaboration multiplies outcomes

Share your stories with the QWR on evidence?informed practice, education innovation, safety, regulation, and community impact so others can learn, adapt, and scale.

Thank you for your dedication in clinics and classrooms, in labs and legislatures, on committees and in communities

Christina Davis, WFC Executive Operations Manager & QWR Editor?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

REMEMBERING DR. ENRIQUE BENET-CANUT: THEMAN

WHO REFUSED TO ACCEPT"THEIMPOSSIBLE"

A TRIBUTE FROM HIS CHILDREN TO THE ARCHITECT OF MODERN MEXICAN CHIROPRACTIC

Dr Enrique Benet ?Canut (1945?2025) was a visionary whose life reshaped chiropractic in Mexico and across Latin America His story is not simply one of achievements, but of relentless conviction? the belief that what seems impossible is often only what has not yet been attempted with enough courage, persistence, and love.

Root s of Int egrit y and Purpose

To understand him, one must begin with his family?s history. His father, Enric Benet?Massanés, served as Secretary of War Industry for the Generalitat de Catalunya during the Spanish Civil War and was remembered as a man of unwavering integrity After the war, the family fled Franco?s dictatorship, traveling through Europe and the Americas before settling in Mexico They did not come as victims, but as builders, an attitude that shaped Enrique?s life

The Calling t o Chiropract ic

In the 1960s, when his sister married into the

Montaño family, pioneers of Mexican chiropractic, Benet?Canut was introduced to a profession virtually unknown in his country Inspired by Francisco Montaño Luna's decades?long fight for chiropractic recognition, he departed for Palm er College of Chiropract ic in Davenport , Iow a, where he graduated in 1966.

Returning to Mexico, he entered a nation with fewer than ten chiropractors and no legal recognition He practiced for ten years before obtaining official licensure in 1976, building trust patient by patient ?When you explain chiropractic logically,?he would say, ?people understand ?

Miracles That Becam e Movem ent s

A turning point came in 1970 when he treated a ten?year?old girl born deaf and mute. After several adjustments, she heard her mother?s voice for the first time. The press called it a miracle; he called it a responsibility. He went on to treat hundreds of children free of charge, including many with disabilities, and dedicated years to caring for Special Olympics athletes

Stories of patients arriving in wheelchairs or on all fours and walking out unaided became part of his legend. He often referred to his most transformative adjustments as ?hole in one? moments, single interventions that changed lives

Building Inst it ut ions and a Cont inent al Profession

Believing that true change required institutions, not just individual heroes, he founded:

- Cent ro Quiropráct ico Benet (1970)

- Scient ific Chiropract ic Societ y of Mexico (1984)

- College of Scient ific Chiropract ic Professionals

- FLAQ ? Lat in Am erican Federat ion of Chiropract ic (1988), which expanded from 5 to 15 nations

His greatest institutional achievement came in 2001 with Governor Arturo Montiel?s support: the creation of UNEVE, the first university?level chiropractic program in the Spanish?speaking world This was followed by programs at the Universidad del Valle de Toluca and Universidad Veracruzana, integrating chiropractic into medical faculties globally for the first time.

Behind each of these victories stood his wife, Patricia Gregg Leurette, a brilliant lawyer whose legal structures ensured legitimacy and durability Their partnership was the backbone of every advance: his vision matched with her legal mastery Her death in 2020 deeply affected him, yet he continued his mission in her honor.

Losses, Resolve, and Legislat ive Trium phs

In 2005, their daughter Montserrat, a chiropractor and UNEVEprofessor, passed away. He channeled his grief into purpose, dedicating every graduate?s success to her memory.

In 2021, the Chamber of Deputies voted 442?0 to recognize chiropractic in the General Health Law, an unprecedented legislative victory, though still awaiting Senate ratification. To him, this was a seed planted for future generations.

The Man Beyond t he Mission

Outside of chiropractic, he was a lover of opera, classical music, literature, Catalan culture, and spirited conversation He adored Acapulco and San Miguel de Allende, and he instilled in his children a passion for philosophy, art, and critical thought

As a father, he was wise, disciplined, affectionate, and unwaveringly present. ?Wedidn? t cometo survive,?hetold them. ?Wecame to build.?

His Palmer College years were full of colorful stories, from teaching ballroom dancing without knowing how to dance to working odd jobs to support himself. The most mysterious was an encounter at a costume party with a figure who looked like B.J. Palmer, who told him, ?You arethe onewho will savechiropractic.?Whether dream or destiny, it strengthened hisresolve

A Legacy Beyond Measure

Though he received numerous awards including Palmer?s Doctor Honoris Causa, his true legacy lies in:

- Thousands of chiropractors where once there were fewer than ten

- Three university?level chiropractic programs where there were none

- Continental professional organizations where there was once isolation

- Thousands of patients healed, often dramatically

- Generations of students inspired by his teaching

- He organized more than 22 editions of the International Interdisciplinary Congress of Chiropractic, shaping professional education across Latin America.

A Prom ise t o Cont inue His Work

Dr. Enrique Benet?Canut was a healer, builder, educator, reformer, husband, father, and fighter. He changed chiropractic in Mexico forever, through perseverance, integrity, and belief in what others called impossible

His children close their tribute with a promise:

?We will finish what he began. We will see chiropractic enshrined in law, and we will never accept ?impossible.?Because he taught us that impossible does not exist, only what has not yet been tried with enough determination, patience, and love.?

Dr Enrique Benet?Canut (1945?2025): father of Mexican chiropractic, healer of thousands, teacher of generations, and a man whose legacy will continue to shape the future

Patricia and Enrique Benet Gregg

Shaping t he Fut ure of Chiropract ic Educat ion: Lifelong Learning

Since its inception, the chiropractic profession has stood at the intersection of clinical service, science, and principles. Every adjustment/manipulation a chiropractor delivers reflects more than just clinical skill It reflects the education, values, and vision that shaped us as professionals Today, the future of chiropractic education stands before us, and the question is simple but profound: How will we shape its future, or will we leave that responsibility to others?

Chiropractors continue to learn throughout their careers; thus, lifelong learning is a part of what we do Education is the foundation of our profession?s credibility, relevance, and growth The way we educate future chiropractors determines how well they serve patients, collaborate with other healthcare professionals, adapt to the evolving science of chiropractic, and meet the expectations of modern healthcare systems. If we care about the long-term strength of chiropractic, we must care deeply about its education and how it is taught.

This year, the 13t h World Federat ion of Chiropract ic (WFC) Global Educat ion Conference, Oct ober 14?17, 2026, will be held in Utrecht, the Netherlands. The conference Lifelong Learning: Advancing Chiropractic Education for the Future celebrates the growth mindset that is at the core of chiropractic learning This conference will shape the direction of chiropractic?s future

This meeting is not about abstract policy or distant academic debates. It is about the real-world impact

of chiropractic education. It is about ensuring that our graduates are confident clinicians, critical thinkers, ethical leaders, and effective communicators. It is about aligning educational standards with the realities of practice, including evidence-based, people-centered, interprofessional, and collaborative approaches, and outcomes that matter

Chiropractic education does not exist in a vacuum. Healthcare is changing rapidly. Technology, regulation, public expectations, and evidence-based practice knowledge and skills continue to evolve Chiropractic education must evolve with them; otherwise, we risk falling behind This conference is an opportunity to be proactive rather than reactive

Attending this conference is an act of professional leadership. Whether you are a clinician, educator, student, administrator, or policymaker, your voice matters The future of chiropractic education should be shaped by those who understand the realities of practice, the needs of patients, and the responsibility we carry as educators and as healthcare professionals When diverse voices come together - across institutions, philosophies, and roles - we are able to create stronger and more resilient solutions.

Most importantly, this conference is about legacy The students entering chiropractic programs today define the chiropractic profession for decades to come. They will be the chiropractors that patients trust, the educators who teach, and the leaders who advocate for chiropractic?s place in healthcare worldwide

By attending this conference, you will invest in chiropractic?s future. You are choosing collaboration over division, progress over complacency, and leadership over passivity. The future of chiropractic education and lifelong learning will be written by those who attend

We invite you to join us at the 2026 WFCGlobal Education Conference. For more information and

to register, please visit ht t ps:/ / w w w.w fc.org/ w fc-edconf-2026

Claire Johnson, DC, MSEd, PhD, Chair, Education Conference Planning Committee

Bart Green, DC, MSEd, PhD, Scientific Chair, Education Conference

John Maltby, DC, WFC Interim Secretary General

Sum m ary of t he act ivit ies of t he WFC Research Com m it t ee and Global Pat ient Safet y Init iat ive

Overview Research Committee (RC) activities.

The RCmeets regularly, and discusses scientific issues of the day, in addition to pressing matters The RChas recently undergone some minor changes in composition due to terms coming to an end To that end, we would like to thank Mike Schneider, Anne Jensen, and Keseri Padayachy for their unwavering support and valued input during our meetings. They will be missed. In anticipation of their vacancies, we placed a Call for Applications in June. This met with an enthusiastic response, and we are happy t o w elcom e t he follow ing in our m idst : Wren Burt on, Fat im a Ism ail, David McNaught on, Am y Miller, and Gabrielle Sw ait They are the future of the RC, and we look forward to working with them to advance our mission and vision

New initiatives planned.

The Chair (Sidney Rubinstein), Vice-Chair (Katie Pohlman) 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. This development is ongoing So, stay tuned

Global Patient Safety Initiative (GPSI) update

The Leadership St udy, funded by the RAND REACH program through Parker Universit y, is ongoing, with data collection expected to be completed by early February 2026. In addition, the special thematic series in Chiropract ic & Manual Therapies (C&MT) on patient safety is in progress This thematic series in C&MTis led by a diverse, international team of editors with a track record aligned with 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.

Sidney Rubinstein, Chair, Research Committee

Katie Pohlman, Vice-Chair, Research Committee

RC Welcom es Dr. Wren Burt on On Board

Dr. Wren Burt on is a postdoctoral research fellow at the Osher Cent er for Int egrat ive Medicine at Harvard Medical School and Brigham and Wom en?s Hospit al. She completed her BSc in

exercise science at the Universit y of New England in 2017 and her chiropractic education at Palm er College of Chiropract ic?s West Cam pus in 2020 Additionally, she completed postdoctoral fellowship training in Int egrat ive Medicine at Harvard Medical School and a Mast ers in Public Healt h in Clinical Effect iveness from t he Harvard T.H. Chan School of Public Healt h in 2023. Her current research work emphasizes the intersection of nonpharmacologic pain management and healthy aging, specifically operationalizing novel care models to increase access to care She is a T90 Interdisciplinary Research Training Award recipient from the National Institute of Neurological Disorders and Stroke of the USNational Institutes of Health For a complete overview of her education, employment, and publications, see the following link: https://connects catalyst harvard edu/Profiles/display/Person/197407

RC Welcom es Dr. Fat im a Ism ail On Board

Dr Fat im a Ism ail is Head of the Chiropractic Department at the University of Johannesburg Over six years, she has advanced from Senior Lecturer to departmental leadership while pursuing a PhD on interprofessional musculoskeletal education A nationally and internationally award-winning teacher and researcher, she has published, secured funding, and supervises master?s students to timely completion Her work emphasises patient-centred, collaborative, and culturally responsive chiropractic education aligned with South Africa?s health priorities. Dr Ismail serves on the ECCE, CCEI and WFC, embodying excellence in leadership, scholarship, and mentorship while balancing her professional role with motherhood

Dr Wren Burton MPH, DC

Dr Fatima Ismail, DC MTech Chiropractic (S.A.); PG DIP: Research Supervision (UJ); PhD Candidate (UJ)

RC Welcom es Dr. David McNaught on On Board

Dr David McNaught on is a clinician, academic and Senior Lecturer at CQUniversit y, Brisbane Australia, with a background in psychology and chiropractic. His career spans curriculum development, clinical education, and research leadership across undergraduate and postgraduate health programs David holds two higher degrees by research in psychology with expertise in applied quantitative and qualitative methods, and a clinical master?s in chiropractic David?s research focuses on mental health, musculoskeletal pain, First Nations health, and healthcare quality and safety

RC Welcom es Dr. Am y Miller On Board

Dr?Am y Miller is a chiropractic researcher and lecturer at the AECCSchool of Chiropractic, where she leads units in interprofessional practice, research placement, and paediatric musculoskeletal health She holds a PhD from Bournem out h Universit y and has earned multiple fellowships, including with the European Academ y of Chiropract ic and CARL Her research focuses on adolescent musculoskeletal health, equality and diversity in chiropractic, and development of patient?reported outcome measures She has secured competitive research funding, supervised postgraduate research, and presented widely at international conferences. Dr?Miller is also a published author with contributions to leading chiropractic and MSK research journals

Dr David McNaughton, Doctor of Philosophy (Psychology), Master of Research (Psychology),Master of Chiropractic, Bachelor of Chiropractic Science

Dr Amy Miller BSc MSc PhD FEAC

RC Welcom es Dr. Gabrielle Sw ait On Board

Dr?Gabrielle Sw ait PhD BA FRCC is a chiropractor, researcher, and Associate Professor with extensive experience in chiropractic practice, education, and research strategy An Oxford physiology graduate with a PhD in cervical proprioception, she serves as Trustee and Director of Research at the Royal College of Chiropractors and leads curriculum design at Coventry University. Her work spans research leadership, educational standards, quality assurance, and regulatory service, including contributions to NICE guideline development She has published widely on patient safety and adverse events and holds professional affiliations with the Royal College of Chiropractors, BCA, and Royal Society of Medicine

Dr?Gabrielle Swait PhD BA FRCC

Disabilit y & Rehabilit at ion Com m it t ee Research

Underw ay

Quarter four of 2025 has been a quieter time for the WFC Disabilit y and Research Com m it t ee, as we wait for institutional ethics approval and workshop applications that are currently being reviewed. Soon we will begin recruitment for participants to assist with the evaluation of the integration of Artificial Intelligence into rehabilitation planning, where we will explore qualitative insights from clinicians and compare against generative AI companions

This work is being led by DRCmember Dr. Nora? Bakaa from the Inst it ut e of Disabilit y and Rehabilit at ion Research, at Ont ario Tech Universit y Members of the committee are also busily preparing materials for a proposed workshop on adopting of standardized patients in chiropractic teaching and objective structured clinical examinations We hope we will be able to capture a comprehensive understanding of their current use in chiropractic education worldwide and create teaching models and materials to support integrated and consistent assessment methods worldwide.

Faculty heads and institutional leads at English-speaking Doctor of Chiropractic degree programs have been contacted by project lead Brett Guist (Canadian Chiropractic Memorial College). This project will review chiropractic curricular to further strengthen the delivery of disability and rehabilitation education for neuro-musculoskeletal conditions and is one of several initiatives taking place in relation to disability and rehabilitation knowledge transfer and implementation as they relate chiropractic education We kindly ask participants to undertake this survey and an interview to facilitate our work in developing chiropractic curriculums that that properly addresses key competency frameworks.

In regards to advocacy, the Research Workstream of the World Rehabilitation Alliance (WRA) has not

met during this fourth quarter, however we look forward to the WRA members update scheduled for January 2026 to discuss ongoing coordination and transition efforts within WRA Steering Committee

Recent impactful rehabilitation research that may be of interest to the WFCQWRreadership includes

- Early Physical Therapy for Traum at ic Brain Injury (TBI): In a non-athlete, adult population, early physical therapy (<1 week) provided significantly larger and faster rates of improvement compared to physical therapy initiated after 6 weeks, and specifically for novel measures of sensorimotor time delay and motor activation components for balance control (1).

With a strong focus on disability and rehabilitation teaching and learning, several members of the DRCcommittee are excited to be able to meet educators, clinicians, students and researchers in person at the upcoming WFCEducation conference. As we have an important role in

Dr Katie de Luca, Chair, Disability and Rehabilitation Committee

advancing equitable, evidence-based care and support for individuals living with disability and those in need of rehabilitation services globally, we look forward to spending time in person. For more information on the WFCDisability and Rehabilitation Committee, please contact Associate Professor Katie de Luca, k deluca@cqu edu au

1. Campbell KR, Antonellis P, Peterka RJ, Wilhelm JL, Scanlan KT, Pettigrew NC, et al. In People With Subacute Mild Traumatic Brain Injury, Earlier Physical Therapy Improved Symptoms at a Faster Rate Than Later Physical Therapy: Randomized Controlled Trial Phys Ther 2025;105(2)

Cham pioning Global Rehabilit at ion: Dr Danielle Wiesner Joins WRA Advocacy and Com m unicat ions Taskforce

The WFCis pleased to announce that Dr Danielle Wiesner has been appointed to the World Health Organization (WHO) World Rehabilitation Alliance (WRA) Advocacy and Communications Taskforce

The World Rehabilitation Alliance is a WHO-led global network whose mission is to support the implementation of the Rehabilitation 2030 Initiative through advocacy activities The Advocacy and Communications Taskforce supports global awareness, policy engagement, and strategic messaging to elevate rehabilitation as an essential health service that is integral to Universal Health Coverage and to the realization of Sustainable Development Goal 3.

Low back pain remains the leading cause of disability worldwide, contributing significantly to reduced quality of life, lost productivity, and increased healthcare burden As the prevalence of spinal conditions continues to rise globally, rehabilitation plays a critical role in preventing disability, restoring function, and supporting long-term spinal health across the lifespan.

Dr Wiesner?s appointment reflects her leadership in global health advocacy and her commitment to advancing evidence-informed rehabilitation and spinal health initiatives In her role on the taskforce, she will contribute to shaping advocacy

priorities and communication strategies that emphasize the importance of rehabilitation in addressing conditions such as low back pain and other musculoskeletal disorders

The WFCcongratulates Dr Wiesner on this appointment and looks forward to her continued contributions to global rehabilitation and spinal health initiatives in collaboration with the World Health Organization.

For more information about the World Rehabilitation Alliance, visit the World Health Organization website

Dr Danielle Wiesner, DC

World Rehabilit at ion Alliance: St rat egic Rest ruct ure and WFC Leadership Updat e

The World Rehabilit at ion Alliance (WRA) has entered an important new phase of development following an internal restructuring within the World Health Organization (WHO) As part of this transition, the WRA has a new primary contact within the WHO Department of Noncommunicable Diseases, Rehabilitation & Disability During this period, the Research, Primary Care, and Workforce Workstreams have temporarily paused activity to allow alignment with the revised governance and strategic direction.

The restructure has resulted in the establishment of a new WRA St eering Com m it t ee, which is currently developing a draft strategy to guide the Alliance?s next phase of work Under the updated structure, each workstream will have a designated Steering Committee liaison to strengthen coordination, governance, and strategic alignment across the Alliance.

A key outcome of this transition is the formation of the Advocacy & Com m unicat ions Taskforce (ACT) The ACT was established to drive the WRA?s advocacy and strategic communications agenda, supporting implementation of the WRA Strategic Plan, strengthening the case for global investment in rehabilitation, and ensuring coherence across the Alliance?s work. In doing so, it leads high-level policy engagement and shapes strategic advocacy aligned with priority global agendas From a chiropractic perspective, participation in the ACT ensures that the profession?s role in rehabilitation, especially in addressing musculoskeletal conditions, non-communicable diseases, healthy aging, and workforce capacity, is reflected within global advocacy and communications efforts.

The World Federat ion of Chiropract ic is pleased to announce two leadership appointments within the World Rehabilitation Alliance:

Dr Danielle Wiesner has been appointed as a member of the WRA Advocacy &

Com m unicat ions Taskforce (ACT), contributing chiropractic perspectives to coordinated global advocacy and strategic communications efforts

· Dr Rebekah Wilks has been appointed Chair of the WRA Workforce Workst ream , reflecting WFC?s ongoing leadership in rehabilitation workforce development and health systems strengthening.

The WFCis grateful for the continued contributions of Dr Deborah Kopansky-Giles within the Prim ary Care Workst ream and Dr Kat ie de Luca within the Research Workst ream , both of whom play important roles in advancing interdisciplinary collaboration and evidence-informed rehabilitation practice within the Alliance.

The WRA Members?Meeting has been rescheduled to 20 January 2026 This meeting will formally introduce the new Steering Committee, ACT Members, newly appointed Workstream Chairs and Co-Chairs, and the WRA?s new primary WHO contact. Following this meeting, workstreams will re-commence activities under the new strategy and governance framework.

The WFC w elcom es t hese developm ent s and looks forw ard t o cont ribut ing t o t he next phase of t he WRA?s w ork in advancing rehabilit at ion as a core com ponent of resilient , people-cent ered healt h syst em s w orldw ide.

Public Healt h is an Int egral Part of Chiropract ic Care

We are often asked if public health is relevant to chiropractic As members of the World Federat ion of Chiropract ic Public Healt h Com m it t ee, we answer with a resounding ?Yes!?and include the following reasons

Chiropractic has traditionally emphasized patient-centered care, prevention, and the optimization of health and function These foundational chiropractic principles naturally align with those of public health: improving function, preventing disease, promoting health, reducing disability, and improving quality of life Public health and health promotion expand the chiropractic profession?s impact beyond individual clinical encounters to encompass the health and well-being of communities and populations.

As healthcare systems increasingly prioritize value-based care, prevention, and long-term health outcomes, the recognition of public health and health promotion within chiropractic care is not only appropriate ? it is essential. Chiropractic care focuses on improving neurological and musculoskeletal function to support overall health and daily living. Neuromusculoskeletal conditions, particularly spine-related disorders such as back pain, are among the leading causes of disability worldwide Low back pain represents a major public health challenge due to its prevalence, economic burden, and impact on workforce participation and quality of life

Chiropractors routinely incorporate improved posture, ergonomics, exercise, stress management, sleep, rehabilitation, and healthy lifestyle activities into patient management plans These patient-centered, educational approaches support long-term behavior change, which is a central component of effective public health interventions By reinforcing healthy behaviors and empowering patients to take a more active role in their health, chiropractors are front-line health advocates.

Johnson, DC, MSEd, PhD. Chair, WFC Public Health Committee

Chiropractic care emphasizes prevention and early intervention, which are key components of public health Many patients seek chiropractic care before conditions become chronic For many neuromusculoskeletal conditions, early, conservative management can prevent progression, reduce pain and suffering, and limit the need for more costly and invasive interventions. From a public health perspective, this approach aligns with secondary prevention strategies, which reduce the severity and duration of low back pain and, most importantly, improve function. Chiropractors, therefore, play a valuable role in reducing both upstream and downstream effects of common musculoskeletal disorders

Complex health challenges require coordinated approaches within public health. When chiropractic services are integrated into community health settings, workplace wellness programs, and interdisciplinary healthcare teams, they can improve access to conservative care for people who may be at higher risk for disability, such as those in physically demanding occupations, older adults, and underserved populations By reducing disability and reliance on medications such as opioids and promoting safe,

Claire

cost-effective care, chiropractors are uniquely positioned to address this health burden through evidence-informed approaches that align with public health priorities.

As healthcare systems evolve toward population health management, value-based care, and preventive services, professions aligned with these priorities will play increasingly important roles Chiropractors who understand public health frameworks are well-equipped to collaborate with other healthcare providers, public health practitioners, and policymakers. This collaboration enhances continuity of care, ensures appropriate referrals, and aligns clinical practice with broader population health goals When chiropractors engage in team-based approaches, chiropractic?s role is reinforced as a valued and responsible partner within the healthcare system The integration of public health and health promotion into daily chiropractic practice strengthens the profession?s identity and future relevance of chiropractic care.

Chiropractors often include health promotion to address injury prevention, work-related musculoskeletal injuries, repetitive injury conditions, and to improve function By engaging in these activities, chiropractors contribute to safer work environments and healthier communities These efforts reflect core public health functions, including surveillance, prevention, and health education, which emphasize how chiropractic expertise may be applied to population-level

challenges as well as to individual patients

Chiropractors serve as advocates for the health of the public WFCpublic health committee supports public health policies that prioritize prevention, wellness, and conservative care Thus, demonstrating support for the idea that chiropractors help shape healthcare systems that emphasize long-term health outcomes and improved function rather than episodic or reactive treatment. This advocacy reinforces the chiropractic profession?s commitment to societal well-being and responsible healthcare stewardship.

In summary, public health and health promotion are integral to chiropractic practice, reflecting a shared commitment to improving health, function, and quality of life. By engaging in public health, the profession continues to demonstrate its relevance within modern healthcare systems and its contribution to community and population well-being Integrating public health and health promotion principles is a natural extension of chiropractic?s commitment to improving health, function, and quality of life for all

The WFC Public Healt h Com m it t ee serves as a global advisory body, guiding the World Federation of Chiropractic Board 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 World Federation of Chiropractic and the World Health Organization

World Spine Day 2025 Propelled t o New Height s: A Record-Breaking Global Cam paign

Organized annually by the World Federat ion of Chiropract ic (WFC), World Spine Day (WSD) was once again observed globally on Oct ober 16, 2025, raising awareness of spinal health, prevention, and access to quality spine care Supported by healthcare organizations, non-governmental organizations, and government bodies worldwide, World Spine Day continued its mission to educate, advocate, and engage communities in protecting spinal health across the lifespan.

The 2025 World Spine Day theme, ?Invest in Your Spine,? emphasized the importance of proactive spinal health management as a lifelong investment in mobility, independence, and overall well-being Central to this year?s campaign was the concept of physical literacy, re-framing movement not as isolated exercise, but as a fundamental life skill encompassing the competence, confidence, and motivation to move effectively and safely at every stage of life. With low back pain remaining the leading cause of disability worldwide, the campaign highlighted the urgent need to support healthy movement habits early and consistently

The campaign also draws attention to ongoing global inequities in access to spinal care and rehabilitation, particularly in underserved

communities where limited resources often led to chronic pain and long-term disability.

Co-chair Dr Danielle Wiesner com m ent ed,

?The?Invest in Your Spine?themeresonated strongly worldwide. Theemphasison physical literacyhelped reinforcethat spinal health isbuilt through everyday movement habitsand supported byboth education and accessto care.?

This year's World Spine Day campaign engaged significant participation, including global stakeholders such as Cochrane. Social media metrics were at an all-time high, reflecting increased global engagement It is estimated that over 1 billion people worldwide have exposure to World Spine Day through various campaigns, including radio, television, bus advertisements, conference presentations, clinic events, and school initiatives Through global participation, strategic partnerships, and evidence-informed messaging, World Spine Day 2025 reinforced spinal health? and with it physical literacy? as an essential component of public health. By investing in spinal health and prevention today, communities around the world can take meaningful steps toward healthier, more active lives for future generations

Continuing its tradition of global engagement, the WFC?s World Spine Day com pet it ion, generously sponsored by Foot Levelers, once again showcased inspiring initiatives from around the world, highlighting creativity, innovation, and a shared commitment to advancing spinal health awareness The competition received a record number of high-quality, competitive submissions to date, reflecting the growing global reach and impact of the campaign The WFCextends its appreciation to all who submitted entries and congratulates the winners, presented on the following page.

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

WSD Project Lead and Co-Chair, Rebekah Wilks commented:

?World SpineDay2025 reflected thegrowingstrength of thecampaign, translatingstrategic, evidence-informed messaginginto meaningful public health engagement and impact. Weare grateful for thecollectiveglobal effort and lookahead to building on thisprogressin 2026.?

The World Spine Day Global Executive Committee? Dr John Maltby, Dr Hayden Thomas, Dr Rebekah Wilks, Dr Danielle Wiesner, Dr Rebecca Bauer, Dr Florian Allix, Dr Lykke Hoffbeck, and Dr Dinesh Palipana? extend their sincere appreciation to Foot Levelers for sponsoring the WFCWorld Spine Day competition, acknowledging that their continued support helps foster global engagement and make the awards possible.

2025 World Spine Day Com pet it ion

Clockwisefrom top:SpineHealthAfrica;CDAHKmini-busdecals;DUT-SouthAfrica;CICS-Phillipines;World Spine CareAfrica;Children ChiropracticFoundation

WFC WORLD SPINE DAY 2025 COMPETITION WINNERS

WFC MEMBER ASSOCIATION CATEGORY

FIRST PRIZE

Chiropract ic Doct ors Associat ion of Hong Kong (Hong Kong SAR)

Chiropract ic Associat ion of China

SECOND PRIZE

Chiropract ic Associat ion of Sout h Africa

EDUCATIONAL INSTITUTION CATEGORY

FIRST PRIZE

Hong Kong Chiropract ic College Foundat ion

SECOND PRIZE

Int ernat ional Medical Universit y (Malaysia)

PRIVATE CLINIC / INDIVIDUAL CLINICIAN

FIRST PRIZE

World Spine Care Africa

AFRICA

Sist er Yengo's Children

Sister BrigitteYengo

For many in the Dem ocrat ic Republic of t he Congo, their futures continue to be uncertain, as violence in the eastern part of the country and major flooding have left many homeless and without access to proper medical care. In spite of this, however (or indeed, perhaps because of it), the volunteers of Sist er Yengo's Children have been hard at work to provide that essential care, and have been for over 20 years

Under the direction of Sist er Brigit t e Yengo, the 501(c)(3) not for profit provides care through both their orphanage, which has 65 children under their care, and their chiropractic clinic, which services 150 to 200 patients a week Both Sist er Yengo and Sist er Dr Anne Marie Diahoua, the head of the Chiropractic and Orthopedic facilities, do everything they can to promote regenerative joints and soft tissues by using acoustic sound wave energy or Activator tools for the sciatic nerve and other parts of the body after diagnosis is defined

For her stellar work in the field, Sist er Yengo was elected by the entire congregation of the Sist ers of Not re-Dam e of t he Rosary as t he Mot her

Superior of t he order, and also was elected in the international level as the President of t he Sist ers of Cent ral Africa She is equally revered in the community, calling her clinic the "Charit y Clinic," and many Congolese doctors from across the country referring their patients to them

For all of this and more, Sist er Yengo's Children need the help of charitable donations to continue the good work they do, possibly now more than ever If you wish to donate to their cause, visit ht t p:/ / w w w sist eryengoschildren org/

AFRICA

SPINE20 2025 Sum m it

Dear SPINE20 related members,

I would like to express my heartfelt gratitude to each of you for your extraordinary contributions to the SPINE20 2025 Sum m it in Cape Tow n Thanks to your all dedicated efforts, our meeting was a great success ? perhaps the one of most memorable and impactful summit in SPINE20?s history.

This success would not have been possible without the tireless commitment of all Taskforce members, and especially the rem arkable leadership of Ian Vlok and the warm collaboration of the Sout h African organizing t eam . Their dedication, hospitality, and professionalism created the ideal environment for our scientific and policy discussions to flourish.

One of the most meaningful achievements was that we were able to hand over our SPINE20 Recommendations directly to the Provincial Minist er of Healt h and Wellness of t he West ern Cape, Ms. Mireille Mary Wenger. This symbolic and practical moment represents a major milestone in translating our advocacy efforts into tangible governmental engagement

In addit ion, if you have any feedback or reflect ions on t he Cape Tow n Sum m it ? including lessons learned or ideas for im proving fut ure sum m it s ? please feel free t o share t hem w it h us Your input w ill be invaluable as w e cont inue t o st rengt hen t he SPINE20 init iat ive

Thank you once again for your dedication and contribution to advancing Sust ainable Spine Care for All I look forward to continuing this meaningful journey together

With deep appreciation and best regards, Koji

Tamai, Chair of Scientific Taskforce

From Local t o Global: CCA?s Ment orship St rat egy in Act ion

Early in her career, while building a practice in a new country, Dr Ayla Azad, CEO of t he Canadian Chiropract ic Associat ion, reached out to a mentor during a moment of uncertainty, frustration, and fear. The mentor didn? t offer a perfect solution; instead, he asked a simple question that reframed everything, ?What does success look like t o you??

This simple question was the catalyst that changed the direction of her career That brief exchange became a reminder of what mentorship can do at the right time.

Ment orship in chiropract ic is rarely one-size-fit s-all:

- It can be a long-t erm , one-t o-one relat ionship or a short conversat ion t hat rest ores clarit y.

- It can be clinical, leadership-focused, research-orient ed, or cent ered on pract ice m anagem ent

- It can be peer-t o-peer, cross-generat ional, or root ed in shared lived experience.

What unites these forms is not perfection, but timely guidance that helps someone see possibility when the path forward is unclear Just as importantly, mentorship is reciprocal: experienced clinicians offer perspect ive, w hile em erging chiropract ors bring new ideas t hat help t he profession cont inue t o evolve

That two-way exchange is a core aim of the CCA?s Mentorship Program The current 1:1 cycle began in September 2025, and many mentors have chosen to support more than one mentee To date, participants have contributed approxim at ely 250 hours of m ent orship, each conversation building confidence, leadership skills, and professional connection.

Mentorship has also been elevated through professional storytelling and learning, including

The Chiropract ic Playbook? a six-episode podcast series that explores what meaningful mentorship looks like, why it works best as a two-way relationship, and how to seek mentors who reflect one?s values while still challenging one?s thinking.

At the same time, the Canadian experience is only one thread in a much larger tapestry

Mentorship also comes to life through the network of global organizations Around the world, associations operate within different regulatory environments, health systems, educational models, and cultural contexts That diversity is exactly why global connection matters and why the World Federat ion of Chiropract ic (WFC) Congress holds such unique value Congress creates a space where mentorship can happen in its broadest sense: introductions that become collaborations, conversations that become practical tools, and relationships that lead to shared guidance on advocacy, education, professional standards, research capacity, and public engagement

In that setting, mentorship can also include something less visible but just as important: the honest sharing of frustrations and challenges ? and the reassurance that others are facing similar realities An association might learn how another strengthened its policy voice, a clinician might discover new approaches to interdisciplinary care, or leaders might exchange lessons on sustaining high-quality continuing education These connections often begin globally, then take root locally through mentorship initiatives, leadership development, and education programs, creating a feedback loop where learning and support move in both directions.

With that perspective, Canada?s role is best understood not as a claim to ?having it figured out,?but as a commitment to participate fully in a global community, learning from other

associations, contributing where helpful, and strengthening the connective tissue of the profession. Mentorship shapes the future of chiropractic, and as the profession grows, so does the shared responsibility to lift one another up through knowledge, humility, and partnership

Looking ahead, Canada is proud and genuinely excited to welcome the global chiropractic community to Vancouver for the 19t h WFC

CANADA

Biennial Congress (May 5?8, 2027). The Congress is where many mentorship moments begin and where the profession?s shared perspective continues to shape what chiropractic can become: through guidance, collaboration, candid conversations, and connections that endure long after everyone returns home

Healt hcare Policy Digest ? Novem ber 2025: Brief Sum m ary

The CCA Healt hcare Policy Digest ? Novem ber 2025 provides a comprehensive snapshot of major policy, regulatory, and sectorwide developments affecting chiropractic care and the broader Canadian health landscape This edition highlights expanding research partnerships, including the new CCRF?CIMVHR Milit ary and Vet eran Research Init iat ive, which offers up to $125,000 in funding for MSK-focused projects supporting Armed Forces personnel and Veterans.

Interprofessional education and workforce development also take centre stage, with new academic pathways in British Columbia and enhanced clinical training capacity supported through national investments Regulatory modernization continues across provinces? m ost not ably Quebec?s com m it m ent t o developing new care pat hw ays recognizing chiropract ors? diagnost ic and MSK expert ise. Provinces including Alberta, Manitoba, and Ontario introduce legislation aimed at strengthening system capacity, expanding scopes of practice, improving patient access, and modernizing health infrastructure

National insurance trends are also featured, with updated CLHIA data showing significant growth in health benefits utilization and paramedical claims. Additional updates include expanded direct-billing options, disability claims standardization, and reforms to preferred pharmacy networks

This edit ion posit ions chiropract ic care w it hin a rapidly evolving healt h policy environm ent and underscores grow ing opport unit ies for int egrat ion, research, and int erdisciplinary collaborat ion

Read t he full Healt hcare Policy Digest ? Novem ber 2025 here:

Lat in Am erica?s Next Chapt er: FLAQ Announces Transform at ional Leadership for 2026

The Lat in Am erica Chiropract ic Federat ion (Federación Lat inoam ericana de Quiropráct ica [FLAQ]) enters 2026 with renewed purpose as it undertakes a historic leadership transition. Following 29 years of foundational service by Dr Sira Borges, whose visionary stewardship established the infrastructure for chiropractic education, regulation, and regional cohesion across Latin America, FLAQ welcomes its new Executive Director, Dr Mayda N Serrano This transition represents both continuity and evolution, honoring a distinguished legacy while positioning the profession for its next phase of growth and influence within regional and global public health systems.

Dr Sira Borges?contributions are foundational to the profession?s development in Latin America Through her pioneering leadership, diplomatic engagement, and persistent commitment to professional standards, she guided FLAQ to become a respected speaker with governments, academic institutions, and international partners, including the World Federat ion of Chiropract ic (WFC) Her work, alongside other early visionaries, enabled chiropractic to gain recognition and establish educational pathways in countries where such structures had previously been absent The Latin American chiropractic community expresses profound gratitude for her enduring legacy as an architect of regional professional identity and unity.

Building on this strong foundation, Dr Mayda N Serrano assumes the Executive Director role with a transformational leadership vision oriented toward integration, sustainability, and future readiness Wit h m ore t han 16 years of experience in chiropract ic pract ice, m ore t han 5 years in academ ia, and over 11 years of

service t o FLAQ and t he Council on Chiropract ic Educat ion?Lat in Am erica (CCE-LA), Dr. Serrano brings extensive expertise in clinical education, accreditation, health-systems collaboration, and cross-regional organizational development Her professional trajectory reflects a consistent commitment to advancing equitable, evidence-informed, interprofessional, and community-centered chiropractic care across diverse health-care contexts

Colleagues describe Dr. Serrano?s leadership as strategic, empathetic, and mission-driven, grounded in transformational principles that mobilize collective vision, strengthen institutional systems, and inspire collaboration toward shared goals Under her direction, FLAQ seeks to further consolidate its role as the premier political and professional institution representing chiropractic in Latin America, w it h an expanded focus on cont inuing educat ion for doct ors and st udent s, and t he cult ivat ion of a unified regional vision for t he profession.

Dr Serrano?s 2026 strategic priorities emphasize expanding regional networks, strengthening

Left: Dr Sira Borges, Right: Dr Mayda N Serrano

national chiropractic associations, and deepening collaboration with governments, academic institutions, and global partners Central to this agenda is the active engagement and support of chiropractic students as future leaders of the profession. A key pillar of her vision is reinforcing support for CCE-LA to advance chiropractic education aligned with international accreditation standards and the Council on Chiropract ic Educat ion Int ernat ional (CCEI), thereby enhancing public trust, professional regulation, and long-term sustainability

As FLAQ enters this new chapter, it is positioned to build bridges across cultures, languages, and health systems, amplifying the visibility and

GERMANY

credibility of Latin American chiropractic With deep appreciation for Dr Borges?extraordinary legacy and confidence in Dr Serrano?s forward-thinking leadership, FLAQ stands prepared to transform challenges into opportunities and strengthen the collective voice of chiropractic across the region.

As 2026 begins, t he m essage is unequivocal: Lat in Am erica is ready t o lead!

From St art t o Finish: Germ any's Full

B.Sc./ M.Sc. Chiropract

ic

Pat hw ay is Now Est ablished

The Germ an chiropract ic com m unit y is experiencing a m ajor m ilest one in t he developm ent of it s nat ional educat ional fram ew ork! A landm ark collaborat ion bet w een t he Germ an Chiropract ors' Associat ion (GCA), Hochschule Fresenius, and t he Healt h Cam pus Braunschw eig has paved t he w ay for a fully accredit ed, seam less academ ic pat hw ay for fut ure Germ an Chiropract ors.

A Foundat ion for Excellence

This multi-party collaboration has been key to successfully establishing the Bachelor of Science in Chiropractic Fundamentals program, which is now successfully entering its final year. Building on this strong foundation, the partners are thrilled to announce that the consecutive Master's program in Chiropractic is on track for launch in the Summer of 2026.

This is a profoundly exciting time, as this development will ensure that students in Germany can complete a rigorous, university-level education in their home country. The Health Campus Braunschweig, with its state-of-the-art facilities and comprehensive infrastructure, serves as the centerpiece of this educational innovation? providing students with modern training environments, practical experience opportunities, and a collaborative learning community that bridges academic rigor with real-world clinical practice

Enroll in Germ any's Leading Chiropract ic Program s:

Grundlagen der Chiroprakt ik (B.Sc.) (Bachelor of Science in Chiropract ic Fundam ent als)

Students can now apply for the highly respected B Sc program at Hochschule Fresenius This comprehensive foundation program equips students with the theoretical knowledge, clinical skills, and professional competencies essential for modern chiropractic practice.

Interested in joining the program?Visit the Hochschule Fresenius website to access the Bachelor's program booking and enrollment information:

ht t ps:/ / w w w hs-fresenius de/ bachelor/ chiroprakt ik/

Chiroprakt ik (M.Sc.) (Mast er of Science in Chiropract ic)

The consecutive Master's program represents the next level of specialization and advanced clinical training Launching in Summer 2026, this program will allow graduates from the B Sc program to continue their education seamlessly and develop expertise in advanced diagnostic techniques, specialized treatment methods, and clinical research.

Secure your place in t he Mast er 's program : Visit Hochschule Fresenius to register for the M Sc in Chiropractic program:

ht t ps:/ / w w w hs-fresenius de/ m ast er/ chiroprakt ik/

The Pat h t o Int ernat ional Accredit at ion

Crucially, the GCA has now initiated the accreditation process with the European Council on Chiropract ic Educat ion (ECCE) The goal is to secure ECCE accreditation by the conclusion of the Master's program, ensuring that German-educated Chiropractors not only meet national standards but are also fully recognized and qualified to practice on the international stage.

This int ernat ional accredit at ion fram ew ork ensures t hat :

- Graduat es m eet rigorous European educat ional st andards

- Qualificat ions are recognized across EU m em ber st at es

- Germ an chiropract ors can pursue career opport unit ies int ernat ionally

- The program s m aint ain consist ency w it h global best pract ices in chiropract ic educat ion

- St udent s receive educat ion t hat reflect s cut t ing-edge developm ent s in t he field

A Collaborat ive Vision for Chiropract ic Excellence

This collaborative effort represents a significant breakthrough for chiropractic in Germany, moving toward an educational system that is robust, academically rigorous, and globally recognized The partnership between the German Chiropractors' Association, Hochschule Fresenius, and the Health Campus Braunschweig demonstrates the commitment of key stakeholders to advance the profession through quality education and international standards.

The establishment of this comprehensive B Sc /M Sc pathway marks a transformative moment for German chiropractic education? one that will shape the future of the profession for years to come

Next St eps

For prospective students interested in becoming part of this groundbreaking educational initiative:

Bachelor's Program Inquiries: Contact Hochschule Fresenius directly through their official website

Mast er 's Program Regist rat ion: Early registration opens at Hochschule Fresenius for the 2026 cohort Program Inform at ion: Comprehensive details about curriculum, admission requirements, and career pathways are available on the Hochschule Fresenius website

Hong Kong - HKCA

HKCA Quart erly Updat e: Key Developm ent s & Event s

1 Milest one Achievem ent : Chiropract ors Join t he eHealt h Syst em

Effect ive lat e Oct ober 2025

Chiropractors have officially gained access to the Hong Kong Government?s Electronic Health System (eHealth) This integration marks a significant step forward in recognizing our Chiropractors within the wider healthcare ecosystem

What t his m eans for Chiropract ors:

Pat ient -Cent ric Care: eHealth is transitioning into "eHealth+," a comprehensive infrastructure for data sharing and care journey management

Dat a Access: Chiropractors can now view essential patient data? including diagnoses, allergies, and medication records? provided Chiropractors are actively treating the patient ("patient-under-care") and have their express consent

Securit y & Privacy: The system operates on a "need-to-know" basis with role-based access controls, ensuring Chiropractors see information specifically tailored to their clinical function while maintaining strict compliance with the Electronic Health System Ordinance

Advocacy in Act ion: HKCA Submission to The Ombudsman

Addressing Adm inist rat ive & Disciplinary Delays

On 5 November 2025, The Office of The Ombudsman launched a full investigation into the Boards and Councils Office (BCO) regarding ineffective administrative support The HKCA has submitted a formal written response to support this inquiry, validating concerns with specific evidence regarding the Chiropractors Council.

HKCAattending a Legislative Council Election Forum Left to Right - Dr Claudia Ng (Vice-President HKCA), Dr David Lam (Legislative Council Medical and Health Services Functional Constituency Representative), Dr Alex Tsang (Treasurer HKCA), Dr Antonio Wong (Public Relations Chairperson HKCA)

Key Highlight s of t he Subm ission:

Disciplinary St agnat ion: HKCA highlighted a severe lack of transparency and efficiency. The last disciplinary decision published by the Council dates back to 2016? a gap of over eight years Some complaints have seen no progress for five years, eroding public trust

Regist rat ion Bot t lenecks: Overseas-trained chiropractors (who make up 100%of new applicants due to the lack of an accredited local program) face waiting periods of six months to over a year, often jeopardizing job offers

HKCA Recom m endat ions: HKCA have urged the Department of Health to allocate "ring-fenced" administrative resources specifically for the Chiropractors Council and to establish mandatory timelines for disciplinary cases and fast-tracked registration for non-contentious applications.

3. CPD Recap: A Funct ional Approach t o Bone & Joint Healt h

Speaker: Graem e Bradshaw

HKCA recently hosted an insightful CPD seminar, "Focus on Bone Health," featuring renowned Naturopath and Homeopath, Graeme Bradshaw. Drawing on over 26 years of clinical experience and his role as founder of the Integrated Medicine Institute, Graeme offered a functional medicine perspective on skeletal health

Key Takeaw ays for Pract it ioners:

Beyond t he Basics: The session moved past standard treatments to analyze the systemic impact of diet, lifestyle, and inflammation

Therapeut ic Int ervent ions: Attendees learned about the use of bioactive peptides (e g , Fortibone, Tendoforte) and targeted anti-inflammatories like Curcumin and Boswellia

Clinical Prot ocols: Critical discussions included optimal Vitamin D and K dosing, the calcium supplementation debate, and specific protocols for treating osteopenia versus ligament health

Elect ion New s: Dr Hon David Lam Tzit Yuen Re-elect ed

Medical and Healt h Services Funct ional Const it uency

On 7 December 2025, Dr. David Lam was successfully re-elected to the Hong Kong

Legislative Council. He continues to represent a diverse coalition of health professionals, including chiropractors, medical practitioners, dentists, and physiotherapists.

Why t his m at t ers:

Dr. Lam has been a staunch advocate for public safety, specifically regarding the rise of unlicensed "pain clinics " He recently led a joint delegation, including HKCA, to the Health Bureau to demand urgent regulation of these operators We look forward to continuing our work with Dr Lam to protect patients and uphold professional standards

Dr Leonard Wong, President of HKCA, speaking to the press at Dr David Lam?s re-election campaign rally

Hong Kong Chiropract ors: Leading w it h Com passion, Innovat

ion, and Unit

y in a Dynam ic Landscape

As the Chiropract ic Doct ors' Associat ion of Hong Kong (CDAHK) reflects on a transformative year, we are proud to share our story with the global chiropractic community through the World Federat ion of Chiropract ic (WFC) Quart erly World Report Founded in January 2000, CDAHK has evolved into Hong Kong's largest professional chiropractic organization, representing the majority of full-time practitioners dedicated to delivering high-quality, evidence-based care Our mission? to promote chiropractic as an integral part of public health? drives us to lead with integrity, foster innovation, and build bridges across healthcare sectors.

In a city where East meets West, our chiropractors embody resilience, blending traditional wisdom with modern science to enhance community well-being. This report celebrates our achievements, touches the essence of our profession's soul, and invites the world to witness Hong Kong's chiropractic leadership in action.

In the face of adversity, CDAHK's commitment to humanitarian service shines brightest On November 26, 2025, a devastating Grade 5 fire ravaged Tai Po Wang Fuk Court, claiming lives and injuring many, including a brave firefighter CDAHK swiftly expressed profound sorrow and extended condolences to affected families More than words, our Chiropract ic Volunt eer Team mobilized to the temporary shelter at Tai Po Tung

Cheong Street Sports Centre, providing on-site professional chiropractic care. This initiative alleviated musculoskeletal strain for displaced residents, frontline volunteers, and rescuers, demonstrating chiropractic's vital role in crisis response By integrating hands-on adjustments with holistic support, we not only eased physical pain but also restored hope amid tragedy This effort underscores our ethos: chiropract ic is not just t reat m ent ; it 's a com passionat e force for healing com m unit ies in t heir darkest hours

Our leadership extends to advocacy and policy influence, ensuring chiropractic's voice resonates in Hong Kong's legislative arenas Ahead of the eighth Legislat ive Council (LegCo) General Elect ion on December 7, 2025, CDAHK urged members and the public to vote, emphasizing the election's pivotal impact on healthcare. In preparation, we co-hosted a high-profile Medical and Healt h Sect or Elect ion Forum on November 26, 2025, in Wan Chai. Featuring candidates Dr. David Lam and Dr John Leung, the event facilitated direct dialogues on industry development, drawing professionals from over 20 associations, including the Hong Kong Medical Association, Dental Association, and Physiotherapy Association As a key organizer, CDAHK fostered unity, enabling chiropractors to articulate needs like enhanced regulation and integration This forum empowered attendees to make informed choices, reinforcing our role in shaping policies that protect public health.

A landmark victory came on October 16, 2025, when LegCo member Chan Wing-kwong's motion to "St rengt hen Com bat ing Illegal Medical Pract ice and Safeguard Public Healt h" passed with broad support. CDAHK has collaborated closely with Chan for years, advocating for stricter oversight of unlicensed practitioners across Western medicine, Chinese medicine, chiropractic,

HONG KONG - CDAHK

and physiotherapy The government's commitment, echoed in policy reports, promises robust enforcement? a direct result of our persistent efforts This achievement safeguards patients and elevates chiropractic's professional standing, proving that collective advocacy yields tangible change.

Innovation in healthcare access marks another milestone On October 30, 2025, registration for chiropractors in the Elect ronic Healt h Record Sharing Syst em (eHRSS) opened, with full access anticipated by year's end. This integration allows seamless patient data sharing, enhancing collaborative care and benefiting the community through safer, more efficient treatments. CDAHK's advocacy, bolstered by inter-professional alliances, made this possible, highlighting our forward-thinking approach

Culminating these efforts, CDAHK served as a convener for the 2025 Hong Kong Healt hcare Sect or Gala celebrating the People's Republic of China's 76th National Day We orchestrated an event uniting over 20 healthcare bodies. This gala not only fostered deeper understanding of chiropractic among peers but also symbolized our integration into Hong Kong's "healt hcare fam ily." Our logo on the backdrop affirmed chiropractic's place in the mainstream Further networking at the Hong Kong Dent al Associat ion's 75t h anniversary banquet connected us with leaders like Dr Spencer Lai, and others from medical, physiotherapy, and optometry fields, exchanging insights on emerging trends

Looking ahead, CDAHK envisions a future where chiropractors issue medical certificates, access public systems, and lead global innovations in holistic healthcare Our journey inspires the worldwide chiropractic community: in unity, we amplify impact; in compassion, we heal souls; in leadership, we pioneer progress Join us in this mission? t oget her, w e elevat e chiropract ic for a healt hier w orld.

AIC Welcom es New President : Dr Benit o Oliva Leads t he Next Chapt er for Chiropract ic in It aly

During the last General Assembly (October 25th), the Association of Italian Chiropractors (AIC) has elected a new president. Dr Benito Oliva, former AIC Vice-President has replaced Dr John Williams as AIC president. The AIC thanks Dr Williams for his continuous dedication to promote the chiropractic profession?in Italy ?Here, we share a message from the newly elected president, Dr Benito Oliva.

Damiano?Costa, DC, AIC Secretary and Treasurer

It is with great honor and a sense of profound responsibility that I write to you today to introduce myself as the newly elected President of the Associazione It aliana Chiroprat ici (AIC) ?On behalf of the AIC, I extend warm greetings to you and your esteemed organization. The AIChas been active since 1974, dedicated to promoting the science, art, and philosophy of chiropractic in Italy and working towards the full regulation of the profession within our country's healthcare system We are proud members of the World Federat ion of Chiropract ic (WFC) and firm supporters of the chiropractic profession in Europe and value the strong international ties that support our shared mission. I am committed to continuing the vital work of strengthening the chiropractic profession in Italy. My primary goals during my tenure include:

- Continuing our efforts alongside Italian institutions to establish a state-recognized university-based chiropractic program given we have landmark legislation in 2007 and 2018 thanks to the unrelenting efforts and leadership of Dr John Williams

- Promoting the highest standards of education and professional conduct among our members to ensure the best possible care for patients

- Enhancing collaboration with national and international health bodies to further the integration of chiropractic into the broader healthcare landscape.

I look forward to building upon the existing strong relationship between our associations and exploring new opportunities for collaboration Your organization's work is a valuable contribution to the global chiropractic community, and I am eager to support our mutual goals. I look forward to meeting and working with you.

I wish to take the opportunity to inform you that our next Sem inar (March 13-15t h 2026) will be held in Florence with Prof Carrick!

Dr Benit o Oliva BSc, DC

Associazione It aliana Chiroprat ici

Dr John Williamsand Dr Benito Oliva

16t h Annual JAC Sym posium

The 16th JACSymposium was held over two days on October 19th and 20th. This year's theme was ?Expanding Possibilit ies: How t o Use Your Body ? The first day's lecture featured Prof Eishi Kidera (Professor, Faculty of Sports, Kyushu Kyoritsu University) teaching ?Nam iashi,? a physical method for efficient body movement that relies on force It was a seminar where many participants physically moved their bodies, experiencing their own changes

firsthand The second day's lecture, presented by Dr Ariel Thorpe (DC, Electra Chiropractic), was titled ?St rengt h in Pract ice: Core Training for t he Chiropract or and Pat ient ? This lecture was both specialized and practical, focusing on the coordination of movement, posture, and the nervous system. It went beyond core theory, allowing participants to experience these concepts through physical movement. Following the pandemic, the first in-person event for the entire JACmembers was held at a venue in a long time, and received numerous positive feedback from members expressing satisfaction

Dr Orihashi w as nam ed t he first JAC Chiropract or of t he Year

The JAC Chiropract or of t he Year Aw ard, which started this year, was presented during the recent JACSymposium Dr Naoki Orihashi of Kanazawa city has devoted many years to professional activities and was highly recognized for his ongoing volunteer contributions, including support for victims of the Noto Peninsula earthquake. We extend our heartfelt congratulations and wish him continued success in his future endeavors.

JCR m eet s w it h MHLW at t he form er PM?s office

On November 17, 2025, at the form er Prim e Minist er Shigeru Ishiba, Senior Advisor to the JCR?s House of Representatives Member office room, Dr Masahiro Got o, Chairman of the JCR submitted the ?16t h Regist ered Chiropract or Rost er ? to Dr Kat sum i Nakat a, Director of the Medical Affairs Division, Health Policy Bureau, Ministry of Health, Labour and Welfare (LMHW) The total number of JCRregistrants this time reached 655.

Photo: Dr Ariel Thorpe in thecenter and JAC members

Photo From L to R: Dr Takayanagi President, and Dr Orihashi

Dr Sim on Takayanagi, President of the Japanese Association of Chiropractors (JAC), was also present to discuss the content of the ?Guidelines for Advert ising Acupressure, Massage, and Ost eopat hic Manipulat ive Therapy,? published by the MHLW. During these discussions, the JAC requested a thorough review and reconsideration of the guidelines' content, including the labeling of unlicensed practitioners. In response, the Ministry of Health, Labour and Welfare stated that they are aware of the existence of the WHO guidelines for chiropractic and understand that qualification systems for chiropractors are prevalent in many countries Furthermore, the JACrequested that the necessary regulation system be established to ensure the public can safely receive chiropractic care, utilizing the ?JCR Regist ered Chiropract or Direct ory?.

WFC 2026 Board Meet ing in Tokyo

The World Federat ion of Chiropract ic (WFC) will have its 2026 Board Meeting in Tokyo from June 10 to 12, 2026. Along with the WFCBoard Meeting, the WFC-JAC sem inar is organized for chiropractors in the region on June 13 WFC previously had a 1997 congress in Tokyo, which was co-sponsored by the World Health Organization

Photo L to R: Mr Tomohisa Shiono (MHLW), Dr Katsumi Nakata (MHLW), Dr Masahiro Goto (JCR), Dr Simon Takayanagi (JAC)

Port uguese Chiropract ors Associat ion begin cam paign

t o denounce persons w it hout a chiropract ic license

The Port uguese Chiropract or Associat ion (APQ) began a campaign this past November to denounce persons claiming to be chiropractors This campaign will be ongoing and in collaboration through our attorneys with local offices of the Port uguese At t orney General.

Practicing Chiropractic without a license in Portugal is a crime, as well as using the title without the right to If one is found guilty of these crimes, they are subject t o subst ant ial fines and in ext rem e cases t o jail t im e Fiscal crimes are many times tied into these cases due to the fact that only licensed chiropractors are VATexempt.

As in many other jurisdictions with relatively new chiropractic legislation, persons claiming to be chiropractors are abundant especially due to the excellent reputation chiropractic has as a health care profession. With public health at risk, the APQ will exercise its responsibility to help protect the public and our profession's reputation.

If any chiropractor knows of persons in Portugal claiming to be chiropractors and are unsure if they are really chiropractors we ask you contact the APQ at apquiroprat ica@gm ail com

SWITZERLAND

ChiroSuisse Elect s New President

ChiroSuisse, t he Sw iss m em ber association of the World Federat ion of Chiropract ic (WFC), has elected Alexandre Em ery as its new President, succeeding Dr Beat rice Wet t st ein

As the first French-speaking President of ChiroSuisse, Dr Em ery is widely recognised as a leading figure within the chiropractic profession in Switzerland.

Dr Em ery brings more than two decades of clinical experience and a strong track record in professional leadership He has been in clinical practice in Sierre, in the south-west of the country, since 2003.

He has long been committed to advancing chiropractic care and education in Switzerland and is particularly well known for his work in paediatric care and

neuro-sensory development His clinical focus includes supporting children with learning and behavioural disorders through gentle chiropractic techniques and the ?Move t o Learn? programme

Upon taking up the presidency, Dr Em ery outlined his priorities, including strengthening postgraduate education and continuing professional development, establishing a second professorship in chiropractic in Switzerland, and further strengthening the role of chiropractic within the Swiss healthcare system, while maintaining close engagement with ChiroSuisse members.

SOUTH AFRICA

CASA Cares: St rengt hening Com m unit ies Through Service and Spinal Healt h

The Chiropract ic Associat ion of Sout h Africa (CASA) is proud to share the growth and impact of CASA Cares, our newly formalised philanthropic arm dedicated to advancing community well-being through service, education, and spinal health promotion This year marked a significant milestone as CASA Cares was officially registered as a separate Non-Profit Company,operating under the umbrella of the association This step enhances governance and sustainability while allowing us to broaden our reach and support more individuals and organisations across South Africa

Our vision for CASA Cares is clear: t o unit e t he chiropract ic com m unit y in m eaningful out reach t hat im proves qualit y of life, prom ot es spinal healt h lit eracy, and uplift s vulnerable populat ions The m om ent um generat ed in 2025 has show n w hat is possible w hen our m em bers w ork t oget her t ow ard a shared purpose.

One of the flagship initiatives of the year was our national baby-care collection drive, which mobilised members, practices, and regional branches to gather essential items for families in need Donations ranged from blankets and baby clothing to diapers, pacifiers, and other infant essentials. This project culminated in a substantial delivery to a baby home in the Western Cape and to Hlokomela Clinic, where the World Spine Care Africa clinic is based As part of our outreach efforts, a knitting and crocheting drive was incorporated into the CASA Congress, enabling delegates to create donation-ready items for the same facilities

In addition to material contributions, CASA Cares extended its impact through health education. Chiropractors delivered a spinal health presentation to caregivers, offering practical

guidance on infant spinal development, handling, and positioning. A fully visual, text-free leaflet was designed to overcome language barriers while sharing essential paediatric spinal health tips. This dual approach embodies the holistic ethos of chiropractic care and our commitment to long-term community well-being

The success of this initiative demonstrates the strength of the CASA community and the meaningful change we can create when we combine clinical expertise with compassionate outreach. Looking ahead, CASA Cares is committed to expanding partnerships with baby and children?s homes and developing new projects that promote healthy development from infancy through adolescence

In addition to our local outreach, CASA Cares played a key role in supporting international humanitarian efforts through World Spine Care Africa. During the 2025 CASA Congress, we hosted a fundraising auction to support the World Spine Care Africa clinic in Hoedspruit The response from delegates was overwhelming, and all proceeds were donated directly to the clinic We are proud to stand behind our members who

SOUTH AFRICA

volunteer their time and expertise in underserved communities

As CASA Cares continues to grow, our mission remains anchored in service, collaboration, and advocacy for equitable spinal health The establishment of this dedicated non-profit entity marks the beginning of a long-term journey to deepen our philanthropic impact and ensure chiropractic care contributes meaningfully to the well-being of all South Africans.

Together, as a united chiropractic community, we are creating a healthier, more supported future

CASA Announces Finalizat ion of t he Inform ed Consent for Minors: A Major St ep Forw ard in Professional and Legal

Prot ect

ion

CASA is pleased to announce that, after several years of dedicated collaboration with Genoa, our malpractice insurance carrier, and Paediatric Chiropractic Africa (PCA), Genoa?s legal team has formally reviewed and confirmed their satisfaction with the final version of the Informed Consent for Minors. This milestone represents the completion of an extensive process of legal consultation, professional input, and careful refinement to ensure the document meets the highest medico-legal standards

Importantly, this initiative was a CASA brainchild from inception Conceptualized, developed, and carefully crafted under the Association?s leadership to support our members and strengthen best-practice standards within the profession

The updated informed consent has been deliberately

drafted as a comprehensive, detailed resource that offers robust protection for practitioners who provide care to minors While lengthier than a standard consent form, each section has been included to address specific legal requirements and scenarios that may arise in clinical practice As Genoa?s advocate emphasized during the review process, ?An informed consent should be a book, not a page.? Her experience highlights a critical truth: practitioners with the most detailed, thorough informed consents are consistently the ones who face the fewest, if any, complaints

She further noted the decisive role informed consents play in legal matters, explaining that ?the first documents tribunals and attorneys request in a liability case are your informed consent and clinical records, those two together can make or

break your defense.? This underscores the importance of ensuring that every practitioner is using a legally sound, properly completed, and up-to-date consent document

Practitioners were strongly reminded that the Informed Consent for Minors must be reviewed and signed annually. Regular renewal ensures that parents or guardians remain fully aware of the nature of chiropractic care, associated considerations, and their ongoing permission for treatment. It also reinforces practitioners?compliance with medico-legal expectations and enhances the defensibility of their practice should any concerns ever arise.

The finalization of this document represents a meaningful advancement in patient safety, professional accountability, and legal protection within South African chiropractic practice CASA extends its gratitude to Genoa, PCA, and all individuals who contributed their time and expertise to the development of this critical resource

With this milestone achieved, practitioners can move

SOUTH AFRICA

forward with renewed confidence, knowing they are supported by a document that strengthens ethical practice, safeguards patient rights, and enhances the professional security of the chiropractic community

Fost ering Excellence: The Successful Launch of t he CASA

Ment orship

Program

m e

The year marked the official launch of the inaugural CASA Mentorship Programme cycle, a significant and highly anticipated milestone for the South African chiropractic community! This pioneering initiative is already proving instrumental in strengthening and advancing our profession

The journey began with a rigorous and professional selection process for potential mentors Our dedicated Selection Committee, comprising esteemed CASA members, conducted thoughtful interviews to ensure the highest quality of guidance Following selection, mentors received comprehensive training, including an insightful Online Discussion Forum focused on cultivating successful mentorship relationships. Following a review of guidelines, the official mentorship pairs were then announced, setting a positive stage for the program?s commencement.

Meticulous Pairing and High Engagement

Our pairing process was meticulous, focusing on

geographical feasibility, mutual interests, and strategic alignment with mentees?professional needs Regular one-on-one check-ins confirmed commitment Overall results indicate exceptionally high levels of engagement, consistent goal achievement, and a significant boost in professional confidence The programme utilized a flexible, mixed-method approach, with in-person meetings beautifully complemented by frequent use of digital communication to bridge geographical distances Mentors reported overwhelmingly positive commitment, noting mentees were proactive and effectively engaged Mentees similarly confirmed their mentors were punctual, invested, and maximized their time as guides

Impact on Confidence and Knowledge

Mentees universally sought growth in key areas including improving chiropractic knowledge, mastering adjusting techniques, increasing professional confidence, and understanding crucial

practice management strategies. The mentor experience was overwhelmingly valuable and aligned with mentee objectives, leading to tangible improvements in assessment skills and overall professional self-assurance The program delivered immense value across critical domains including patient communication, adjusting techniques and modifications, as well as business acumen The business needs identified through the Mentorship Programme include topics such as fee structuring, time management, and practice start-up costs

The program's measured confidence rating indicated a high success rate in boosting the ability to treat patients independently. The most impactful experiences cited were the invaluable in-person adjustment technique sessions, mentor-guided management of difficult patient cases, and building a strong, personal relationship

Looking to the Future

A key area for strategic development revolves around further optimizing our pairing structure to maximize

SOUTH AFRICA

program effectiveness and accessibility. We will continue to refine our methodology, taking on board recommendations from participants, including prioritizing geographical proximity for pairings whenever possible, as this facilitates practical, in-person learning opportunities

The future of the CASA Mentorship Programme is incredibly bright. A large portion of the current mentor cohort has already indicated their availability, and almost all mentees expressed a keen interest in eventually becoming a mentor themselves. We eagerly anticipate welcoming many more members in subsequent cycles, further cementing our commitment to professional excellence.

CASA Welcom es It s 2025/ 2026 Leadership Team : A Fresh Chapt er of Leadership and Vision

We are thrilled to announce CASA?s newly appointed Council, marking the beginning of an exciting chapter in our Association?s journey This moment signifies not only a change in leadership but also a renewed commitment to advancing chiropractic care in South Africa, serving our members, and fostering a vibrant, connected community.

The outcomes of our most recent elections at the Annual General Meeting highlight the trust and confidence our members place in the Council to guide the profession forward. CASA congratulates and celebrates all those who have been elected and re-elected, and we extend our sincere gratitude for their dedication to the Association and its mission. This dynamic team brings together fresh perspectives, thoughtful leadership, and collaborative energy, all of which are essential as we work towards shared goals and continue to enhance the value we provide to our members

We are pleased to announce our leadership team for 2025/2026 term: Dr. Danella Lubbe as President, Dr Adams as Vice President, and Dr Bromfield, continuing her role as Secretary-General This team will provide strategic direction and champion initiatives that strengthen our profession, support our members, and promote high standards of care across South Africa.

In addition to our leadership team, we acknowledge with gratitude the re-election of Dr. Cleo Prince, Dr. Keseri Padayachy, and Dr Rowan White Their continued service brings stability, institutional knowledge, and experience that will help guide CASA into its next chapter We also extend a warm welcome to our newly elected Councillors, Dr. Jan Enslin and Dr. Nerina Le Roux, whose fresh insights and enthusiasm will further enrich our Council?s work.

As a united Council, this leadership team is committed to building on CASA?s strong foundation of

excellence, advocacy, and service to our members. Our focus remains on promoting evidence-based chiropractic care, enhancing member support and education, and raising public awareness of the profession?s value in health care

Looking ahead, CASA has already undertaken strategic planning for 2026, setting ambitious goals to ensure continued growth and relevance in a rapidly evolving healthcare landscape Our vision for the year is encapsulated in our catchphrase: ?Connecting care, community, and everyone we serve ? Under the banner of #CASAConnects2026, we aim to foster collaboration, strengthen engagement across our network, and deliver meaningful impact to the communities we serve

This is a time of energy, enthusiasm, and opportunity. CASA?s new Council is ready to embrace the challenges ahead, innovate, and drive initiatives that matter most to our members and patients alike. Together, we are confident that our Association will continue to thrive, advancing chiropractic care in South Africa and ensuring that every member feels supported, connected, and empowered

As we embark on this new chapter, we invite everyone to join us in celebrating our newly appointed Council and to engage actively in the exciting initiatives planned for 2026 The journey ahead promises to be one of growth, collaboration, and shared success.

Chiropract ors ?Level Up? at CASA Congress 2025

The Chiropractic Association of South Africa (CASA) hosted its annual congress from 19?21 September 2025 at Lagoon Beach Hotel & Spa, bringing together 129 delegates under the inspiring theme ?Level Up.? The three-day event blended evidence-based learning, professional networking, and a celebration of chiropractic?s evolving role in healthcare.

This year?s academic programme was structured around five core pillars: professional development, clinical excellence, ethics and compliance, innovation, and mentorship

Keynote speakers Dr Scott Haldeman and Dr Brian Nook captivated audiences with global insights on spine health and the imperative of clinical excellence. Their contributions set the tone for a programme widely praised, reinforcing that the congress delivered on its promise of a chiropractic-forward, rigorously evidence-informed agenda The Local

Organizing Committee played a pivotal role in ensuring the seamless execution of the event.

Beyond the academic sessions, the congress offered several memorable social moments A welcoming cocktail function brought together allied health associations, the wine tasting event added a distinctly Cape Town flair, and the gala dinner successfully raised funds for World Spine Care Africa, featuring a heartfelt reflection from Dr Haldeman

Exhibitors and sponsors contributed significantly to the vibrancy of the event, showcasing a diverse mix of chiropractic and health-focused offerings Creative engagement initiatives, such as the Delegate Scavenger Hunt added an interactive element, while the inclusion of a research poster presentation enriched the academic landscape.

Importantly, the congress attracted representatives from key role players in both local and international chiropractic leadership, highlighting CASA?s growing influence within the global chiropractic community

Delegates left with sharpened clinical insights, strengthened professional networks, and a renewed sense of pride in chiropractic?s contribution to healthcare In keeping with our theme, Level Up, CASA Congress 2025 elevated the profession?s premier annual gathering and set a high benchmark for future organizers to build upon

Dr Scott Haldeman

Spain Secures Hist oric Polit ical Breakt hrough for Chiropract ic Recognit ion in t he European Union

by institutional resistance, leaving chiropractors without legal recognition and patients without proper safeguards. Redirecting the discussion to European institutions reframes chiropractic as a matter of EU professional mobility, patient safety, and market fairness, rather than a purely Spanish debate.

Spain has reached a major turning point in its long struggle for chiropractic recognition For t he first t im e in hist ory, the issue has formally entered the political machinery of the European Union On 24 October 2025, Spanish members of the European Parliament (MEPs) submitted an official Parliamentary Question to the European Commission asking for clarification on the recognition of chiropractic qualifications in Spain and whether the Spanish system may be breaching EU principles on the free movement of professionals, qualification recognition, and patient safety

The submission of this question is the direct result of a strategic advocacy mission led by the Asociación Española de Quiropráct ica (AEQ) in Brussels in May 2025 supported by the European Chiropractors?Union (ECU) and public affairs consultancy Acento, held several high-level meetings Their objective: to expose the legal uncertainty faced by chiropractors in Spain and the difficulties created by the absence of regulation

This achievement represents a historic political victory for the chiropractic profession in Spain. For decades, national-level progress has been blocked

If the Commission provides a positive response, the next step would be for the case to enter the Com m it t ee on Pet it ions (PETI), where it could trigger investigations, public hearings, or formal recommendations to Spain. , such a process could set an EU-wide precedent benefiting other nations where chiropractic remains unregulated or insufficiently recognized The AEQ describes this moment as a watershed? not only for Spain, but for t he w ider European chiropract ic com m unit y Close cooperation with the ECU and national associations will now be crucial as the process moves forward.

Spain continues to work on new regulatory strategies at both the European and national levels, aware that the current domestic political context remains challenging. But for the first time in decades, the profession in Spain can look toward a concrete and promising political path? one t hat m ay ult im at ely secure legal recognit ion and provide st ronger guarant ees for pract it ioners and pat ient s alike

Left, Bart Vandrendies (ECU) Right, Alberto Fernandez (AEQ)

Chiro Live 2025: The Highlight s

How the BCA honoured 100 years of the Association and Inspired the Future of Chiropractic

The British Chiropractic Association?s (BCA) landmark conference, Chiro Live 2025: Celebrat ing Excellence, Shaping t he Fut ure, concluded earlier this month, leaving a profound and indelible mark on the profession. Held at the majestic De Vere Beaum ont Est at e in Windsor, the two-day event (November 14-15) was not just an annual gathering, but a historic celebration of the BCA?s 100th birthday Attracting record numbers of delegates, exhibitors, and international guests, the conference was universally hailed as an overwhelming success, seamlessly blending cutting-edge clinical knowledge with transformative business insights and unforgettable celebratory moments.

Com m ent ing on t he event ?s success, BCA President , Tim But t on, said: ?Chiro Live 2025 was more than a conference; it was the jubilant culmination of a century of dedication, innovation, and trust This event wasn? t just about celebrating the BCA?s 100th birthday - it was a powerful,

tangible demonstration of the incredible future we are building together. From visionary talks and energetic breakout sessions to inspiring recognitions and awards, we have armed our profession with the cutting-edge evidence and business acumen needed to thrive What Chiro Live 2025 has truly brought to the profession is a renewed sense of unity, a higher standard for clinical excellence, and the absolute conviction that some of our best work is still ahead of us?

Have a look at t he phot os from t he event here.

A Program m e of Inspirat ional and Clinical Insight

The conference?s main stage boasted a truly stellar line-up, meticulously curated to provide both inspiration and evidence-based clinical knowledge. This year?s programme featured global leaders, inspiring personalities, and innovators whose insights challenged and broadened our perspective on chiropractic care Highlights

included Dr William Morgan, President of Parker University and internationally recognised Chiropractor, who explored Kairos ? the art of taking action at the right time ? and the complexities of lumbar stenosis. Joe Wicks, The Body Coach, who joined us for a fireside chat on movement, mindset and living well, offering a fresh dimension to learning and professional growth

Sharing about his experience at Chiro Live 2025, Dr William Morgan said: ?It was a true joy to join you all for Chiro Live 2025, and I?m grateful for the opportunity to contribute I thoroughly enjoyed my time in Windsor and was genuinely touched by the hospitality and warmth shown throughout the event My appreciation goes to the entire BCA team for the thoughtful planning, seamless coordination, and the spirit of excellence that made Chiro Live 2025 such a standout experience?.

We were also thrilled to be joined by Eddie ?The Eagle? Edw ards, who shared lessons on resilience and reinvention from his extraordinary career, and Dr Edward Cambridge, whose evidence-driven approach to spinal assessment and the McGill Method continues to shape best practice across the world. Added to that, we had the legendary Ulrik Sandst røm ?s providing practical muscle testing techniques and BCA Past President,

Michael Copland-Griffit hs (1985 ? 1987) bringing the BCA?s legacy to life in his unique and personal account of the Association?s milestones, challenges and defining moments as part of his Past, Present and Future session.

Dynam ic Breakout Sessions Fuelling Pract ical Grow t h

A cornerstone of Chiro Live 2025?s success was the exceptional range of interactive breakout sessions and masterclasses, designed for both clinical and non-clinical staff.

The conference excelled in providing targeted, specialised education, allowing delegates to tailor their learning to specific areas of practice growth The popular ?MSK Through t he Ages?breakout session provided a comprehensive, full-lifecycle approach to patient care A growing area of interest was addressed in our dedicated session on Animal Chiropractic. Led by experts from the Int ernat ional Academ y of Vet erinary Chiropract ic (IAVC), delegates had the unique opportunity to explore the anatomy, biomechanics, and specialised treatment approaches for animal patients

Equally essential was the Non-Clinical Mast erclass, a session vital for strengthening the

foundational success of every practice Tailored for receptionists, practice managers, and clinical assistants, the masterclass focused on enhancing patient communication, mastering efficient scheduling, and skilful conflict management, ensuring that the front-of-house team is as well-equipped as the clinician

Balancing this professional drive was the Rejuvenat e-Reflect -Rest ore session, which offered a vital space for attendees to focus on their own wellbeing, acknowledging the importance of self-care in a demanding career The session?s highlight was the Silent Yoga w it h inst ruct or Chet , using noise-cancelling headsets to guide focus inward and restore attendees? energy, in combination with guided breathwork andgentle movement ?a truly exceptional experience.

Celebrat ing Excellence: The 2025 Aw ards Recognit ions

Chiro Live 2025 served as a platform for honouring deep dedication across the profession. The event recognised long-standing commitment and service through the presentation of multiple Long Service

Member Awards, 3 Fellowships, 3 Honorary Memberships, 2 Lifetime Achievement Awards, 2 Research Poster Awards and 1 President?s Award

Huge congratulations to everyone for the well-deserved recognition

BCA Excellence Aw ards

The event culminated on Saturday evening with the spectacular BCA Excellence Aw ards Gala Dinner. This unforgettable black-tie event served as the crowning glory of the 100th birthday celebrations. Delegates enjoyed an evening of fine dining, high-class live entertainment, and the most inspiring award presentations of the year

The Excellence Awards truly put the spotlight on the dedication, innovation, and clinical excellence demonstrated across the profession. Awards were presented in categories recognising outstanding clinical practice, dedication to community service, and exceptional career start, offering powerful moments of recognition that celebrated individuals who are elevating the standard of chiropractic care in the UK

The atmosphere was electric and celebratory, providing a perfect conclusion to the educational schedule and reinforcing the sense of camaraderie that defines the BCA community.

Echoes of Success: What m em bers said about Chiro Live 2025

?Honoured to haveattended such a fantastic weekend at theBritish ChiropracticAssociation?s 100th anniversary!Asa final year chiropractic student it wasincrediblyinspiringto bepart of such a significant milestoneand to connect with passionate professionalsand hear their stories. Thisevent has reinforced myexcitement for thefuture of our profession, especiallyasI prepareto graduateand begin myown journey. I?m trulygrateful for the insights, conversations, and strongsenseof communityshared throughout theweekend? .

?Reallyenjoyed attendingtheBritish Chiropractic Association?sChiro LiveConference on Saturday. The inspiringtalksand engagingworkshopsprovided a great opportunityto learn and takeawayinsightsI can applyin mystudiesand futurepractice? .

?Afantasticweekend at theBCA?s100th anniversary celebration!I?m excited for what thefuture holdsand to join thisincrediblegroup of people to improving thelivesof many? .

?What a weekend!So proud to have been part of the 100th year celebrationsof TheBritish Chiropractic Association who haveonce again provided an experience, not just a conference, filled with engaging, interactive, thoughtful and at times, emotional momentsfrom speakersand delegatesalike? .

?Ahugethankyou to theBCAteam and everyone involved for puttingtogether such a motivatingand memorableday I left feelingenergised, inspired and moredetermined than ever to contributeto a profession with such vision and impact!?

? I am still buzzingwith energy, gratitude, and admiration for thishistoricevent that showcased the verybest of our profession. Averyspecial word goes to thestudentsI had thepleasure of engagingwith: your enthusiasm, curiosity, and passion lit up every conversation. You arethefutureof chiropractic, and thefuture isbright?

?Theretrulyareno wordsto capture howbrilliant this milestoneevent was. Theenergy, passion, and pride in our profession were felt in everymoment. It was

trulyoneof themost remarkable eventsin our profession?shistory? .

Closing t he Celebrat ion, Opening t he Fut ure

Chiro Live 2025 will be remembered not only as a fitting tribute to the BCA?s 100-year legacy but as a dynamic springboard for the future The overwhelming success, characterised by the calibre of speakers, the depth of practical learning, and the joyous spirit of celebration, has solidified the event?s position as the UK's premier chiropractic conference The commitment displayed by every delegate to "Celebrat ing Excellence and Shaping t he Fut ure" ensures that the chiropractic profession is moving into its next century with unparalleled confidence and clinical purpose We look forward to seeing everyone again next year as we build on the momentum of this historic triumph

Chiro Live 2027

11t h & 12t h June 2027 - Bournem out h

Get ready for another unforgettable weekend of connection, learning and celebration by the sea Following the incredible energy of our 100th year conference in Windsor, we?re taking things coast-side for our next Chiro Live in 2027

Regist er your int erest here

Act ivat or Met hods: A Technique That Transform ed Chiropract ic Globally

For over 50 years, Act ivat or Met hods has revolutionized patient care as the original and the world's most trusted instrument-assisted technique Utilized by clinicians across m ore t han 30 count ries, it has earned its reputation through clinical versatility, remarkable consistency, and a commitment to evidence-based care. The impact is significant: according to the Nat ional Board of Chiropract ic Exam iners' 2025 Pract ice Analysis, an impressive 87%of practicing doctors now integrate instrument-assisted adjusting into their treatment approach, with 6%relying on it exclusively. These numbers reveal a powerful trend as practitioners and patients increasingly embrace instrument-assisted care Activator saw this future first, laying the groundwork decades ago for what the profession now recognizes as essential for delivering care and supporting superior patient outcomes. And int ernat ionally, t he m om ent um is even st ronger

Global adoption of Activator Methods by practitioners is driven by many factors Practitioners often comment that they appreciate that Activator Methods int egrat es an analysis prot ocol w it h leg lengt h and funct ional t est ing to help identify areas of dysfunction and apply precise adjustments based on objective findings In addition, with Activators evidence-informed foundation and clinical precision, the standardized protocol helps doct ors deliver qualit y pat ient care and has direct im pact on out com es.

Activator Methods is used in a variety of clinics such as family wellness and sports injury and treats patients of all types ranging from infant s t o older adult s The technique is also well-received in regions where patients and cultural norms favor less forceful interventions or manual techniques.

Across continents, patients seek Activator Methods for care based on t he com fort and precision it provides, and practitioners are often sought after for their training in the technique The technique is trained globally by teaching teams in many seminars and academic programs both face-to-face and through Activator Institute w hich offers virt ual course w ork around t he clock.

Millions of patients receive treatment with Activator adjustments globally each year. This number is tracked through our Find-A-Doc feat ure on our w ebsit e that lists our proficiency-rated doctors and received 70,000 patient inquires.

Activator Methods is one of the most extensively researched chiropractic techniques, with m ore t han 100 peer-review ed st udies spanning biomechanical analysis, neurophysiological responses, and clinical outcomes It is the only instrument-adjusting technique supported by randomized controlled clinical trials demonstrating its efficacy. Studies that have identified the method delivers t herapeut ic benefit s com parable t o t radit ional m anual m anipulat ion for a variety of conditions The instrument provides clinically meaningful benefits while maintaining patient safety through a precise controlled force.

Activator stands out as a unifying technique: one t hat t ranscends borders, languages, and pract ice st yles With consistent accessible training, global certification, and a presence in Chiropractic clinics on nearly every continent, it has becom e a gold st andard for safe, effect ive, and precise chiropract ic care.

Support ing Global Healt h Through Chiropract ic and Whole-Being Alignm ent from The Foundat ion for Chiropract ic Progress

Around the world, daily routines are placing increasing strain on people?s bodies. Long periods of sitting, extended screen time and the physical demands of everyday life are leaving many individuals feeling worn down Instead of waiting for discomfort to escalate, more people are seeking meaningful ways to optimize their health

This is where chiropractic care excels, offering a proactive path centered on prevention, optimization and alleviation.

At the Foundation for Chiropractic Progress (F4CP), our mission is clear and global: to help every community discover the life-changing benefits of chiropractic care. We are here to support the World Federation of Chiropractic and its member organizations as we uplift health outcomes and empower populations across nations.

Em pow ering Chiropract ic Through Educat ion: Adjust ed Realit y

One of the most influential tools advancing this global message is the Foundation?s recent launch of a Forbes-published book, Adjusted Reality: Supercharge Your Whole-Being for Optimal Living and Longevity. Now an Amazon and Barnes & Noble Best Seller, available in 21+ countries and praised by leading reviewers, Adjusted Reality offers a timely and transformative framework for whole-being health Publishers Weekly recently gave accolades to the book noting:

?Foundational Seven Pillarsof Whole-Being? Investment, Replenishment, Nourishment, Movement, Adjustment, Contentment, and Revitalizement? isa practical roadmap for preventive, integrativechiropracticcare?

The Dat a Is Clear: Com m unit ies Everyw here Need Support

A recent Harris Poll conducted by the Foundation for Chiropractic Progress revealed:

- 54%of adults experience physical discomfort from daily activities such as prolonged sitting or gaming

- 88%of gamers report strain during play

- Posture-related tension and alignment issues are widespread across all ages

These trends are not limited to one country, t hey reflect a global need for care t hat enhances post ure, supports nervous-system function and optimizes daily movement patterns

Chiropractic care answers this call with a preventive, whole-being approach centered on alignment and balance

Adjusted Reality helps turn awareness into action by offering a w hole-being fram ew ork t hat resonat es w it h fam ilies, professionals, st udent s and global com m unit ies. The book serves as the powerful ?why?behind seeing a chiropractor, while the ?how?is expressed uniquely by every chiropractor around the world as they inspire new patients and deepen the engagement of those already under their care

The Foundat ion for Chiropract ic Progress is Here t o Support WFC Mem bers

As part of our commitment to advancing chiropractic worldwide, F4CPproudly supports WFCmember organizations with:

??? Mem bership Support & Market ing Benefit s?

We provide professionally developed public education resources, marketing campaigns, research-based materials, and communication tools that help your association and your members expand awareness and highlight the preventive value of chiropractic care

??? No-Cost Event Part icipat ion?

We are honored to attend your conferences or community events at no cost to your organization, helping you showcase the benefits of chiropractic membership and demonstrating how our collaboration strengthens your national efforts.

??? Global Part nership for Prevent ion & Opt im ized Healt h?

Together, we have the opportunity to elevate preventive care, optimize whole-being health and advance chiropractic as a trusted resource for communities worldwide

For membership or partnership inquiries, please reach out to F4CPMembership Marketing Coordinator, Hailey at hailey@f4cp.com .

Join us

Let?s collaborate to expand preventive care, optimize community health and bring the promise of Adjusted Reality to people across the world

Learn m ore at : f4cp org/ adjust ed-realit y

Q3 2025 Bucks for Boards Winners Announced

Clive, Iowa ? (Dec. 10, 2025) ? Twenty-five chiropractic students have an extra $1,000 in their pockets thanks to NCMIC?s Bucks for Boards Aw ards for Q3.

One hundred awards, in t he am ount of $1,000 each, will be given to 25 students quarterly in 2025 The awards can be applied to the cost of NBCEchiropractic board exams, books, tuition, study materials or any other expenses to which the recipient sees fit. Bucks for Boards w inners for Q3 include:

Angelena Allen, Northeast College of Health Sciences Sam ant ha Cox, Palmer College of Chiropractic ? Florida Campus Sam uel Dignam , Parker University Kayla Dom inguez, Cleveland University ? Kansas City Max Ferraro, Northeast College of Health Sciences Paula Floyd, Palmer College of Chiropractic ? Florida Campus Alexis Garcia, Northwestern Health Sciences University Mariela Garvin, Logan University Gracie Gross, Sherman College of Chiropractic Julia Guppy, National University of Health Sciences Jacob Hall, Sherman College of Chiropractic Cam ille Lee, University of Bridgeport Jordan Liang, Southern California University of Health Sciences Ashley Lint on, Life University Cora Lut z, Life University Darby McNam ara, Northeast College of Health Sciences Gage Meunier, Campbellsville University Luis Mujica, National University of Health Sciences ? Florida William Muscara II, Palmer College of Chiropractic ? Florida Campus Linda Nguyen, Life Chiropractic College West Alexandra Pereira, Northeast College of Health Sciences Molly Pit t s, Life Chiropractic College West ? Bellevue Jackson Sadler, Northwestern Health Sciences University Mikah Shriver, Texas Chiropractic College Drake Shull, Palmer College of Chiropractic ? Florida Campus

NCMIC, in conjunction with the Nat ional Board of Chiropract ic Exam iners (NBCE), launched the Bucks for Boards program in 2020 to recognize the hard work and dedication of students working toward their Doctor of Chiropractic degree. Chiropract ic st udent s enrolled at a chiropract ic college and DCs w ho graduat ed in t he last six m ont hs are eligible t o w in

Applying is easy: students complete a quick online form and hit submit. No essays, no references or complicated financial aid documents are required. Winners are drawn at random from those who enter each entry period. Students can sign up once per entry period and are eligible to win one NCMICBucks for Boards award annually Winners w ill be not ified by em ail and/ or phone

NCMICprovides other resources for future DCs, too. The St art ing Int o Pract ice®?Program has held on-campus presentations for over 20 years to help prepare students for the transition from school into practice and a w ebsit e gives them access to in-depth information about business, marketing, practice structures, finances and more

About NCMIC

NCMICwas formed in 1946 by a group of doctors of chiropractic with the express purpose of offering malpractice insurance to DCs when no one else would Delivering on its promise, We Take Care of Our Ow n®, NCMIChas grown to become the largest provider of chiropractic malpractice insurance in the nation and has expanded its offerings to include business and personal insurance, equipm ent loans, credit card processing, business credit cards, and prem ium financing With more than 75 years?experience and an ?A?(Excellent) rating from industry analyst A M Best1, NCMICis a company that DCs can rely on today and in the years to come For more information, please visit ncm ic com

New s from t he Am erican Chiropract ic Associat ion

The Am erican Chiropract ic Associat ion (ACA) continues to work toward passage of the Chiropractic Medicare Coverage Modernization Act, bipartisan legislation that would provide patients access to all Medicare-covered services allowable under a chiropractors?state license. The bill continues to gain momentum and, as of December, has m ore t han 140 cosponsors.

In January, ACA will host its annual conference, ACA Engage The event will take place in Arlingt on, Va , from Jan 22-24, 2026, and will bring together DCs and students from across the chiropractic profession. Engage offers top-notch education offerings, networking and leadership development opportunities, presentations from clinical experts, panel discussions, social events, and a chance to lobby members of the U S Congress during Chiropractic?s Day on Capitol Hill Visit w w w acat oday org/ engage for more information and be sure to check out the daily updates during the conference on the ACA blog ??

In other news, ACA, the Am erican Black Chiropract ic Associat ion (ABCA), and Sout hern California Universit y of Healt h Sciences (SCU) will unite in September 2026 to host a collaborative Student Leadership Conference This joint event represents a significant opportunity for student leaders to connect, develop their leadership skills, and strengthen pathways that support the future of chiropractic The collaboration reflects a shared commitment by ACA, ABCA, and SCU to advance leadership, innovation, and unity within chiropractic education. Learn m ore here.

Finally, ACA had a successful Nat ional Chiropract ic Healt h Mont h (NCHM) celebration this past October. The campaign, ?Get St art ed w it h Chiropract ic? helped focus on the benefits of starting with a non-drug approach to pain management. A total of 40 NCHM proclamations were issued across the country and there were more than 500,000 impressions of NCHM-related content recorded in social media during October Read m ore about NCHM 2025 here.??

UNITED STATES

Nevada?s Parit y Reform : A Global Blueprint for Chiropract ic Int egrat ion

In June 2025, Nevada enacted a landmark reform that elim inat ed out dat ed t reat m ent capit at ion and mandated true reimbursement parity between Doctors of Chiropractic and their medical and osteopathic colleagues.

While this change directly benefits Nevada patients, its broader significance extends internationally Around the world, chiropractors? recognized as a distinct healthcare profession and primary-contact providers for neuromusculoskeletal and whole person health? are increasingly cent ral t o m odern conservat ive care st rat egies Nevada's reform serves as a scalable model for equitable access and global chiropractic integration

For decades, Nevada patients faced restrictive annual treatment capitation regardless of clinical necessity, along with reduced reimbursement for services provided by a Chiropractic Doctor even w hen perform ing ident ical covered procedures w it hin t heir scope These limitations hindered continuity of care, especially for individuals requiring ongoing management of complex neuromusculoskeletal and related health conditions

Over eight years, the Nevada Chiropract ic Council/ Nevada Chiropract ic Associat ion Parit y Com m it t ee advanced a sustained, research-driven campaign emphasizing that reimbursement parity

is fundamentally a patient rights issue. With strong legislative leadership from Assembly Speaker St eve Yeager and Assemblywoman Elaine Marzola, the reform passed both chambers unanimously before being signed by Governor Joe Lom bardo

Nevada?s transformation aligns with established global models In Australia and Canada, chiropractors serve as primary-contact healthcare providers integrated into early-stage conservative care pathways Denmark and Switzerland offer some of the most fully developed systems, w here chiropract ors com plet e governm ent -support ed clinical residencies, hold hospit al privileges, and receive st andardized reim bursem ent . In the United Kingdom, although coverage varies regionally, community neuromusculoskeletal programs increasingly incorporate chiropractic-aligned conservative care

These global precedents mirror principles advanced by the World Health Organization, which emphasizes nonpharmacologic spine care, integrated care pathways, and cost-effective use of

Assembly Speaker Steve Yeager

Left, Governor Joe Lombardo. Right, Jason Jaeger, DC, FCBP

specialized healthcare providers Across health systems, chiropractic is understood to be more than symptom relief? it encom passes st ruct ural and funct ional correct ion, long-t erm spinal healt h, prevent ion, post ure opt im izat ion, and com prehensive neurom usculoskelet al m anagem ent . For many Doctors of Chiropractic, this includes identification of vertebral subluxation as part of a holistic biomechanical and neurological evaluation The International Chiropractors Association has defined Vertebral Subluxation as, ?Apotentiallyreversibleor preventablealteration of spinal motion segments from normal alignment or function associated with adverseneurophysiological activitythat can be connected to wholeperson health.?

Nevada?s reform reinforces the professionalism, distinctiveness, and clinical capabilities of Doctors of Chiropractic Chiropractors contribute not only to drug-free conservative pain management but also through structural rehabilitation, functional improvement, and strategies that prevent recurrent disability. These characteristics make them invaluable participants in global initiatives to reduce neuromusculoskeletal disease burden

The implications for U S Medicare are significant Medicare continues to restrict reimbursement for Doctors of Chiropractic to a narrowly defined service category that does not reflect modern practice including coverage of examinations and diagnostic imaging. Nevada?s success dem onst rat es t hat equit able reim bursem ent is feasible, sust ainable, and aligned w it h cont em porary evidence

As nations work to advance regulation and coverage of chiropractic care, Nevada?s achievement offers a clear blueprint: rem ove out dat ed t reat m ent capit at ion, reim burse equit ably, and recognize t he essent ial role of chiropract ors as dist inct prim ary providers w it hin int egrat ed healt hcare syst em s

UNITED STATES

Puert o Rico Chiropract ic Congress: 100 YEARS OF HISTORY

Held from Oct ober 10-12t h , 2025, at t he Em bassy Suit es, Isla Verde, Puert o Rico, this biennial event, organized by the PRChiropractic Association, marked a significant milestone in the history of chiropractic in Puerto Rico, celebrating a century of dedication and progress The congress was a resounding success, bringing together practitioners, pioneers, and supporters to reflect on our rich heritage and look towards the future of the profession

A highlight of the congress was the inaugural Friday Night Cockt ail in honor of the chiropractic pioneers who laid the groundwork for the profession we cherish today This heartfelt evening paid tribute to six remarkable doctors, each holding one of the lowest license numbers still active, whose unwavering commitment shaped the landscape of chiropractic in Puerto Rico Dr Edgar Rivera,

President of PR Chiropract ic Associat ion (AQPR), presented exceptional historical research, meticulously tracing the journey of chiropractic from the arrival of the first chiropractor on the island in 1925 to the present day This comprehensive narrative underscored the immense efforts of our predecessors, fostering a deep appreciation for the foundations upon which our modern profession stands The three-day congress featured an engaging program with insightful speakers and great sponsors, offering valuable learning opportunities for all attendees The event served not only as a celebration of our past but also as a plat form for professional developm ent and net w orking, reinforcing t he st rong com m unit y w it hin t he Puert o Rican chiropract ic profession. The success of this congress is a testament to the enduring spirit and dedication of the chiropractic community in Puerto Rico, and we look forward to continuing this legacy for another century

Dr Edgar Rivera, President

Students of UCC winning the Abstract competition

Dr Erain Palmer- Pioneer male Chiropractor in Chiropractic in PR

Dr Mayda Serrano

Dr Ogla Silva- pioneer woman chiropractor awarded at the Cocktail

Michelle Rivero, speaking to Chiropractic Assistants.

St at e of t he Art Sim ulat ion at Healt h Sciences

Universit y (AECC School of Chiropract ic)

Healt h Sciences Universit y (HSU) is proud to announce the successful award of a?£2,136,638 capital funding bid?from the UK?s Office for Students (OfS). This landmark investment will therefore directly impact our students, aiding the expansion of our clinical training capacity and modernising local healthcare education, with a strong focus on musculoskeletal care ?

The funding will enable HSU to further establish? teaching clinics and state-of-the-art simulated environments, directly addressing urgent healthcare workforce shortages. With the local population ageing faster than the national average, demand for skilled professionals in musculoskeletal health and rehabilitation is rising sharply Chiropractors will play a vital role in meeting this challenge

Examples of some key enhancements for Chiropractic Training at Healt h Sciences

Universit y (AECC School of Chiropract ic);

Force-Sensing Chiropract ic Tables: Providing additional tables, in order to provide real-time feedback, to refine manual techniques and ensure precision in patient care.

Im m ersive Sim ulat ion & VR Spaces: Giving chiropractors access to advanced clinical scenarios to strengthen diagnostic reasoning and interprofessional collaboration

Mult i-Use Sim ulat ion Ward: Enabling chiropractic students to train alongside other allied health professionals in musculoskeletal, neurological, and rehabilitation care

Digit al Delivery Suit e: Preparing chiropractors for the future of healthcare with essential digital competencies for the new world ?

Professor Lesley Haig, Vice Chancellor of HSU, com m ent ed:

?Thissignificant investment marksa hugestep

forward in our mission to tacklehealthcareworkforce shortages. Byexpandingclinical trainingcapacityand embracingdigital innovation, HSU isequippingthe next generation of professionals, including chiropractors, with theskillsand resilience needed to meet theevolvingdemandsof our communities?

The new facilities are scheduled for completion by? September 2026, unlocking substantial growth in chiropractic and healthcare education and strengthening the local areas long-term health resilience. A huge congratulations to the successful bidding team at HSU

Dr Claire Nadaf with some simulation equipment

IMU Universit y Celebrat es 15 Years of Advancing Int egrat ive and One Healt h Educat ion

IMU Universit y marked a significant milestone on 21 November 2025 with the celebration of 15 years of advancing education, leadership, and global partnerships in complementary and alternative medicine. The commemorative event, themed??Em pow ering Care Through a One Healt h Vision: 15 Years of Em pow ering Local Leaders and Global Part nerships in Com plem ent ary Medicine?, brought together policymakers, academics, healthcare practitioners, alumni, students, and industry partners to reflect on achievements and explore future directions in integrative healthcare

The event commenced with welcoming remarks by Janice Chan, followed by the official opening address by Academ ician Professor Em erit a Dat uk Dr Asm a Ism ail The keynote address was delivered by Dr Goh Cheng Soon from the Minist ry of Healt h Malaysia, who shared perspectives on the role of integrative and Traditional and Complementary Medicine within Malaysia?s healthcare system and the importance of collaborative, patient-centred care

A plenary session explored the One Health concept from multidisciplinary perspectives Professor Winnie Chee highlighted the role of sustainable diets in promoting human and planetary health, while integrative animal health was discussed through a panel session featuring Associat e Professor Dr Miki Wong Chee May and Shee Yee Lim . These discussions underscored the interconnectedness of human, animal, and environmental health.

The afternoon programme featured parallel tracks showcasing diverse applications of integrative care Topics included the use of Traditional and Complementary Medicine in cancer care by Dr Shuhada YOP Ahm ad, mental health and neurological disorders in Traditional Chinese Medicine by Teh Min Jun, and strategies to

optimise maternal and infant health by Christ ine L S Yap Clinical practice within the public health system was highlighted by Dr Devanandhini Krisnan, who shared experiences on acupuncture for pain management in Ministry of Health hospitals. Chiropractic and emerging health technologies were represented by Sam uel Lee Zhen Yee, who discussed the Gonstead System in clinical practice, and Professor Dr Andy Hsu, who explored future directions in brain health technologies

The event was especially meaningful with the strong participation of IMU alumni as speakers and contributors, reflecting the lasting impact of IMU University?s educational programmes and its role in developing healthcare leaders.

IMU University extends its sincere appreciation to all speakers, partners, and participants who contributed to the success of this milestone celebration The event was made possible with the generous support of sponsors including Eu Yan Sang, Trim ax, TAGS Chiropract ic and Rehabilit at ion, Eagle Pagoda Brand, GK Bio Int ernat ional Sdn. Bhd., Hai-O, Hurix?s, Vit aHealt h, and RECOGEN.

This 15t h anniversary celebrat ion reaffirm ed IMU Universit y?s com m it m ent t o advancing int egrat ive and One Healt h educat ion, research, and collaborat ion, as t he Universit y cont inues t o shape t he fut ure of holist ic healt hcare in Malaysia and beyond.

IMU Universit y Graduat es 43 New Chiropract ors and Present s Inaugural Gam echanger Aw ard

In?November 2025,?IMU Universit y?celebrat ed

t he graduat ion of?43 new chiropract ors from t he Class of CH221, marking another milestone in Malaysia?s continued growth and development of its chiropractic profession under the?Traditional and Complementary Medicine (T&CM) framework? of the Ministry of Health.

IMU?s chiropractic programme continues to lead regional education in the field, emphasising? evidence-based practice, people-centred care, and interprofessional collaboration. The newly graduated chiropractors are now ready to contribute to multidisciplinary healthcare teams and to play a vital role in advancing neuromusculoskeletal health services across Malaysia and the wider region

A highlight of the convocation was the presentation of the?inaugural Professor Em erit a Dat uk Dr Asm a Ism ail Gam echanger Aw ard, conferred to?Yvonne Tan Yi Wen. The award recognises a graduating student who

demonstrates?outstanding academic achievement, visionary leadership, innovative thinking, global consciousness, and meaningful community engagement. This award is named in honour of?

Professor Em erit a Dat uk Dr Asm a Ism ail, IMU?s Vice-Chancellor and CEO, the award celebrates her exceptional contributions to higher education, research, and innovation, and her enduring impact on Malaysia?s academic and scientific landscape

The chiropractic community warmly welcomes these new graduates into the profession and looks forward to their contributions in enhancing patient care, fostering professional collaboration, and shaping the future of chiropractic practice in Malaysia and beyond.

IMU Universit y Holds Inaugural

Chiropract ic Oat h-Taking and Clinical At t ire Present at ion Cerem ony

IMU Universit y reached a significant milestone with the inaugural Chiropract ic Oat h-Taking and Clinical At t ire Present at ion Cerem ony, an event that marked the transition of the CH122 and CH222 cohorts into their clinical training phase. The ceremony brought together students, faculty members, family guests, and professional representatives, reflecting a strong sense of community and a shared commitment to advancing chiropractic education in Malaysia

Chiropractic Programme Director,?Ms. Chow Kit Yee,?opened the ceremony with a warm and heartfelt address. She congratulated the students as they stepped into a new stage of their professional journey and reminded them of the deeper meaning behind this milestone She highlighted that the occasion represented not only the start of clinical rotations, but also the trust and responsibility that accompany the role of a future chiropractor Speaking to the values expected in clinical practice, she encouraged the students to uphold compassion, integrity and professionalism throughout their careers. She said, ?Techniquescan berefined and knowledgewill continueto grow, but thewayyou treat your patientsreflectsthekind of clinician you chooseto become. Alwayslisten with intention and uphold thestandardsof our profession.?

The ceremony also welcomed?Mr Wong Yi Kai, President of t he Associat ion of Chiropract ic Malaysia (ACM), and?Mr. New ell Tan, Vice President of ACM, bot h alum ni from IMU?s inaugural chiropract ic cohort . Their presence underscored the strong partnership between IMU University and the national professional body, as well as the continued maturation of the chiropractic profession in Malaysia In his speech, Mr New ell reflected on the journey of the profession from its early days to the present, and emphasised the responsibility carried by each new cohort in shaping the future of chiropractic practice in the country

The Oat h-Taking Cerem ony served as the focal point of the event

Students raised their right hands and pledged to uphold patient-centred, ethical and evidence-informed practice. This symbolic commitment marked their readiness to assume the responsibilities of supervised clinical care within Malaysia?s regulated musculoskeletal and Traditional and Complementary Medicine ecosystem The ceremony concluded with the presentation of certificates and clinical attire, further reinforcing the students?transition into their new roles as developing clinicians.

This landmark event represents a meaningful step in strengthening chiropractic education at IMU University It supports the development of professional identity among students and prepares future practitioners who will contribute to the growth and recognition of chiropractic care in Malaysia and the wider region.

AECC School of Chiropract ic

Celebrat es 2025 Graduat es at HSU

AECC School of Chiropract ic at Healt h Sciences

Universit y marked a major milestone on Friday 21st November 2025, as more than 180 students celebrated their graduation. The ceremony, held at Bournemouth?s historic Pavilion Theatre, formed part of a full day of University-wide celebrations recognising student achievement across all Schools

Hazel Jenson, Senior Lect urer at t he AECC

School of Chiropract ic, said:

?Weareimmenselyproud of thisyear?sgraduating cohort, whosehard work, dedication and resilience havebrought them to this milestone. The ceremonywasa wonderful opportunityfor families, friends and colleaguesto recognisenot onlytheir academic achievementsbut thepersonal journeysbehind them."

?Theskillsand

experiences they?vegained haveprepared them well for their professional pathways, and manyhave alreadybegun excitingcareers in chiropractic.?

The ceremony also welcomed Guest of Honour Dr Vivian Kil, ECU President and Chair of t he Board, who addressed the graduands and reflected on the profession?s future. The Brit ish Chiropract ic Associat ion also received special recognition on the day, marking their 100 years of contribution and excellence to the chiropractic community.

To see the gallery of photos from the event please visit hsu.ac.uk/ Bournemouth-graduation

Logan Universit y Welcom es Vice President of Enrollm ent Managem ent

ST LOUIS, MO (Decem ber 15, 2025) ? Logan Universit y is pleased to welcome John Massena as Vice President of Enrollm ent Managem ent . John brings more than 20 years of experience leading enrollment growth, marketing strategy and student-centered recruitment initiatives across public and private higher education institutions. ?Wearethrilled to welcomeJohn to theLogan community,?said Logan President H. Garrett Thompson, DC, Ph.D. ?Thisrolewascreated to bring together admissions, financial aid and marketingin a waythat reflectsour shared commitment to supportingstudentsand familiesat everystageof their journey Weareexcited for thecollaboration this position will foster acrossour campusand the positiveimpact it will haveon our community."

Throughout his career, John has built and led cross-functional enrollment teams, managed multi-million-dollar budgets and worked closely with marketing, admissions, financial aid and advising to drive meaningful, measurable results

"I?m honored to join Logan Universityat such an important moment in itsgrowth,?John said. ?Thisisa timeof tremendousopportunityfor institutionsthat knowwho theyare and what theydo best. Logan?s focuson chiropracticand health sciences, itsnational reputation and itsabilityto movequicklygiveit an advantagefewuniversitiesenjoy With risingdemand for health and wellnessprofessionals, Logan is uniquelypositioned to grow, innovateand expand its reach in meaningful ways."

John recently served in a national leadership and consulting role at Liaison, working with colleges and universities to develop data-informed

recruitment, marketing and enrollment strategies. He previously spent several years with Ruffalo Noel Levit z (RNL), partnering with institutions across the country to design and implement strategic enrollment plans, outreach campaigns and operational improvements focused on sustainable growth and student success

John has also held senior campus leadership positions at the Universit y of Mont ana, Webst er Universit y and Greenville Universit y, where his teams set enrollment records while strengthening community partnerships and enhancing the overall student experience

At Logan, John will serve on the President?s Cabinet and oversee Admissions, Marketing and Financial Aid He is focused on building a collaborative, mission-driven enrollment operation that blends marketing, personalized recruitment, and thoughtful use of analytics to best serve students and families while supporting Logan?s growth goals

?Logan?smission and commitment to excellence resonate deeplywith me, and I lookforward to partneringwith faculty, staff and leadership to strengthen our enrollment strategyand expand our impact on students, theregion and theprofessionswe serve,"he said

John lives in the St. Louis area with his wife, Mary, and their daughters

Guided by Evidence, Shaped by Logan: Dr. Mara Alayón Rullán?s Journey in Chiropract ic Fellow ship

From the sunshine in Puerto Rico to the Wisconsin winters, and all the St Louis seasons in between, Mara Alayón Rullán, DC (?25) has carried one goal with her: helping others.

Dr Alayón?s journey in healthcare began while pursuing her bachelor?s degree in environmental microbiology at the Universidad de Puerto Rico en Arecibo As a member of a neurological association that regularly hosted healthcare professionals from various professions, she was introduced to chiropractic care.

?I was really drawn to the hands-on approach of chiropractic,?Dr. Alayón said. ?When?Logan University?hosted an open house to talk about its? Doctor of Chiropractic (DC)?program, I liked the emphasis on evidence-based practices.?

After graduating with her bachelor?s degree in 2021, Dr Alayón moved to Missouri to pursue a chiropractic degree from Logan The highlight of the program for her was during the clinical phase at the?St ephen A Ort hw ein Cent er at Paraquad? and at ?Affinia Healt hcare

?I truly enjoy helping every patient ?from someone with a minor ache, like knee pain after a long walk, to more complex cases such as patients with spinal cord injuries. Being part of their care team and supporting their recovery was incredibly rewarding,?Dr. Alayón said. ?Logan does a great job of incorporating evidence-based thinking into its program, and if you want to help people, the DC program is a great way to start.?

While at Affinia Healthcare, she learned about a? chiropractic fellowship?at the?Medical College of Wisconsin (MCW) The fellowship is a one-year, full-time faculty position housed in the Department of Neurosurgery and is designed to provide fellows with advanced training as a spine and musculoskeletal-focused member of an

interdisciplinary healthcare team

?I talked about the fellowship with Logan Health Center clinicians Kelsey Lewis, DC (?17); Leslie Reece, DC, MS(?19), DACBSP; and Jevinne Khan, DC (?20), and they encouraged me to apply,?she said. ?I really liked the collaborative approach I experienced during clinicals and after additional research into the fellowship, I realized the two were very similar.?

Dr. Alayón is the second chiropractic fellow and Logan graduate to hold the position at the MCW Aubrianna Jones, DC (?23) was the first during the 2024-25 academic year and provided guidance and mentorship during the program transition support that Dr Alayón says she?s deeply grateful to have had

Aside from providing hands-on treatments, Dr Alayón enjoys guiding patients to the right resources connecting them with the providers and services that best fit their needs

?Beingpart of an integrated team allowsmeto learn how to ensure everypatient receivescomprehensive, evidence-based care,?she said. ?They?vebeen incrediblysupportiveand trulycreated a positiveand encouraginglearningenvironment from dayone.?

Mult iple Academ ics at t he Depart m ent of Chiropract ic, Macquarie Universit y, achieve Academ ic Prom ot ion

Effective January 2026, four staff from Macquarie Universit y?s Depart m ent of Chiropract ic earned academic promotions, reflecting the department?s excellence in education and research and outstanding academic contributions Promotions at Macquarie University follow a rigorous process involving a detailed written application, expert reviews, and an interview with senior faculty members The following academics achieved promotion

Professor Rosem ary Giuriat o Rosemary?s promotion to full Professor recognises more than 35 years of leadership and innovation in chiropractic education at Macquarie

University As Head of Depart m ent for 13 years, and Direct or of Clinics for 16, she has driven transformative change by strengthening research culture, curriculum design, accreditation, and interprofessional collaboration. Her leadership is recognised nationally and internationally through roles with key organisations, global partnerships, and initiatives supporting First Nations health and graduate employment Rosemary has introduced sector-leading assessment methods, led curriculum reviews, and embedded research into learning Her contributions to accreditation and policy have shaped national standards, while her PhD and collaborations have advanced anatomy

education. Through visionary leadership, she has elevated chiropractic?s reputation globally.

Associat e Professor Hazel Jenkins

Hazel, a chiropractor with over 20 years of clinical experience, has been an academic in Macquarie University?s Department of Chiropractic since 2013 As course direct or of t he Mast er of Chiropract ic program , she leads curriculum design and facilitates student success, and also leads radiology units. Hazel leads impactful research on low back pain, with >50 peer reviewed publications, $6M in grants, and supervision of >10 graduate research students Her promotion reflects outstanding contributions, including leading multidisciplinary collaborations, systematic reviews, curriculum standards, and clinical resources for primary care She redesigned the Master?s curriculum and received the 2024 Vice-Chancellor?s Learning and Teaching Innovation Award for advancing clinical decision-making skills, strengthening the department?s academic standing nationally and internationally.

Associat e Professor Irina Dedova

Irina, Discipline Lead in Anat om y, brings >25 years of experience teaching Anatomy and Physiology across leading Australian universities She oversees multiple units for >2,000 students annually, driving curriculum innovation and student-centred learning Her leadership has

transformed traditional teaching into interactive models that enhance engagement and success Recognised with the 2023 Vice-Chancellor?s Student-Nominated Award and a Senior Fellowship of Advanced Higher Education, Irina has introduced high-impact strategies, mentored academic teams, and led digital transformation. She has advanced national radiology training standards and published 38 peer-reviewed papers. Her current research focuses on educational practices and curriculum quality, shaping future-ready graduates and elevating anatomy education globally

Dr Christ opher Agius, Senior Lect urer Chris has spent nearly two decades shaping future chiropractors at Macquarie University He convenes five post graduat e unit s, leads a t eam

of 24 sessional academ ics, and oversees learning for >300 st udent s annually During COVID, he produced >300 videos to maintain teaching quality of practical skills. Beyond teaching, Chris secured AUD$300K in advanced x-ray equipment and introduced tools like Onform? video analysis and force-sensing tables to enhance performance He established First Nations outreach programs and partnerships with Australian Unity for placements and scholarships By integrating real-world case studies and business insights, Chris prepares students for successful careers while driving innovation in facilities, technology, and community engagement

Professor Christ ina Cunliffe Aw arded OBE for Services t o Chiropract ic

and Healt h

The World Federation of Chiropractic warmly congratulates Professor Christina Cunliffe on being awarded an OBE (Officer of the Order of the British Empire) in the United Kingdom?s national honours system

The OBE is one of the United Kingdom?s most recognised civilian honours, awarded on behalf of the King to individuals who have made an outstanding contribution to public life It is granted to people whose work has delivered sustained impact at national or international level, often through leadership, innovation, and service that benefits communities and society more broadly.

Professor Cunliffe, the Principal of the McTimoney College of Chiropractic, with campuses in the UK, Madrid and Hong Kong, has been recognised for her services to chiropractic and health education, reflecting a distinguished career dedicated to advancing professional standards, strengthening evidence-informed practice, and supporting the development of high-quality healthcare education ?

Her work has helped shape the learning environment for future chiropractors and contributed to wider conversations about patient safety, professionalism, and excellence in healthcare delivery.

Across her academic and professional leadership roles, Professor Cunliffe has consistently championed collaboration between chiropractic and other health professions, between educators and regulators, and between institutions committed to improving clinical education and outcomes Her contribution has been marked by a commitment to raising expectations, promoting ethical practice, and supporting the evolving role of chiropractic within modern, integrated healthcare systems

This honour not only a recognizes Professor Cunliffe?s individual achievement, but also reflects the growing importance of chiropractic education and professional regulation in improving patient care It highlights the value of sustained service to the profession and to the public.

Educat ion

The WFC extends its sincere congratulations to Professor Cunliffe on this well-deserved recognition and thanks her for the leadership and dedication she has shown throughout her career

NWHSU Facult y Mem ber St rengt hens Mexico?U.S.

Chiropract

ic Part nership Through Educat ion

Northwestern Health Sciences University (NWHSU) Assistant Professor Dr Joel Fugleberg recently represented the university and the U S chiropractic profession at an annual chiropractic congress hosted by Universidad Veracruzana in Veracruz, Mexico an institution with deep historical ties to NWHSU.

The invitation reflected a long-standing partnership between NWHSU and the Mexican chiropractic profession Jim McDonald, former Chief Financial Officer at NWHSU, and Dr John Allenburg, former President, played a significant role in supporting the development of chiropractic education at Universidad Veracruzana Chiropractic pioneer Dr Enrique Benet, who spearheaded efforts to legalize chiropractic in Mexico, worked closely with McDonald to establish the program using NWHSU?s curriculum as a framework. In recognition of this history, the university reached out to NWHSU to provide a faculty lecturer for its annual congress

? I volunteered to present at this conference when I learned about it, partly because it was a unique opportunity, and also to do a deeper dive into the subject matter of the courses that I already teach,? shared Dr Fugleberg

Dr Fugleberg presented on ?Low Back Pain: How to Detect its Possible Causes and Correct it,?building directly on the content he teaches at NWHSU in Methods 4: Lumbopelvic Manual Therapy and Clinical Case Studies 1, which focus on managing musculoskeletal conditions

On the first day, Dr. Fugleberg lectured on ?the prevalence of low back pain, the structure and function of the lumbar and pelvic regions, and common conditions affecting the lumbopelvic spine,? including diagnosis and treatment strategies He emphasized, ?Akey thesis in my presentation was the vital role chiropractors play in managing low back pain We provide education to our patients, we provide hope and we provide movement-based care.? He concluded the day with a breakout session based on case studies and shared, ? I was told by the faculty there that this was a very beneficial exercise for their students.?On the second day, he led a workshop where participants practiced ?common orthopedic tests, static and motion palpation of the pelvis,?and ?corrective exercise and rehabilitation for the low back.?

Dr Fugleberg described the personal impact of the experience: ?The people of Mexico couldn? t have been friendlier and warmly welcomed us into their community.?He also noted the profession?s growth, stating that chiropractic in Mexico ?is still very young? and that the country needs ?many more chiropractors to serve their population.?

Looking back, he reflected, ?It was a lot to prepare for, but rewarding to share information to an eager and receptive audience.?

Palm er College of Chiropract ic announces Cabinet -level Leadership Transit ion in Inst it ut ional Advancem ent

Barbara Melbourne, J.D. ret ires aft er a career in Philant hropy, Clare Thom pson, CFRE nam ed New Vice Chancellor

DAVENPORT, Iow a ? Palm er College of Chiropract ic announced today that Barbara Melbourne, JD , vice chancellor for institutional advancement, will retire at the end of January following a distinguished career in higher education and nonprofit advancement The College also announced that Clare Thom pson, CFRE, has been appointed as Palmer?s next vice chancellor for institutional advancement.

Melbourne has served Palmer College for nearly a decade and has been a driving force behind the institution?s most successful fundraising and engagement efforts in history, most notably the historic $30 2 million ?Daring and Driven? campaign that drove major capital improvements and endowment growth for the College and its two campuses. Under her leadership, Palmer strengthened its culture of philanthropy, expanded alumni and donor engagement, and clarified a bold institutional narrative centered on Palmer?s mission of advancing a world of unlimited health and human potential

?Barb?simpact on Palmer Collegeisprofound and lasting,?said Dennis Marchiori, D.C., Ph.D., chancellor and CEO. ?Sheisa rareleader who combinesstrategicexcellencewith deep humanity. Her workhasadvanced thisinstitution and inspired belief in our mission, our future, and in thepeople who makePalmer what it is. Wearedeeplygrateful for her serviceand leadership.?

Melbourne?s influence extends beyond campaign success to mentorship, team development, and national leadership within the advancement profession Her retirement marks the conclusion of a career defined by purpose, integrity, and transformational leadership ?It hasbeen an

extraordinary honor to serve Palmer College,?

Melbourne said ?Thisinstitution, itsalumni, and itsmission have meant so much to me. I am incrediblyproud of what wehave accomplished together and deeplygrateful for the relationships that haveshaped mytimehere.

Palmer?sfutureisbright, and I lookforward to cheeringit on in theyearsahead.?

Succeeding Melbourne is Clare Thom pson, CFRE, an experienced advancement leader with more than 20 years in fundraising and alumni relations Thompson previously served at Palmer as executive director of advancement, where she played a central role in the ?Daring and Driven? campaign and significantly increased philanthropic support and alumni participation. Most recently, she served as vice president for advancement, alumni relations, and athletics at Western Illinois University.

?Clarebringsexceptional experience, deep institutional knowledge, and a collaborative leadership style,?Marchiori said. ?She understands Palmer, sheunderstandsadvancement, and she understandstheimportance of aligninggenerosity

with mission. Weareconfident sheistheright leader to build on Barb?slegacyand guidePalmer?s advancement effortsforward.?

Thompson is excited to hit the ground running, filled with gratitude for the opportunity to return to Palmer and work with alumni and donors to move the College?s strategic priorities forward. ?Palmer College holdsa special placein myheart,? Thompson said ? I am honored to step into thisroleand continueto grow generosityand alumni participation. I look forward to working with alumni, donors, and partnersto advance Palmer?smission and support thestudentsand communitieswe serve?

The transition reflects Palmer College?s commitment to continuity, mission-driven leadership, and sustained philanthropic growth as the institution continues to shape the future of chiropractic education and healthcare.

?Theworkof engagingalumni in thefutureof our great institution isboth deeplymeaningful and criticallyimportant to our future, and I?m excited for what?snext,?Marchiori added

About Palm er College of Chiropract ic:

Palm er College of Chiropract ic is the world?s first and largest chiropractic college. We lead with world-class education, groundbreaking research, and hands-on training. We create the next generation of clinicians, prepared to advance patient care, relieve pain, and improve lives ? without the use of drugs or surgery

Parker Sem inars Announces Las Vegas 2026, Feb. 26?28 at Caesars Forum

Three days of learning, leadership, and innovat ion as Parker Sem inars m arks 75 years. Regist rat ion is open.

Parker Seminars announces its flagship conference, Parker Seminars Las Vegas 2026, that will take place February 26?28, 2026, at the Caesars Forum Event Center in Las Vegas, Nevada. The milestone gathering celebrates 75 years of Parker Seminars and invites attendees to Kairos ?Own your moment? through a three?day program designed for healthcare, fitness, wellness, and business professionals (lasvegas parkerseminars com)

Headlining speakers will bring cross?disciplinary insight across brand building, longevity, human performance, medicine, leadership, and entrepreneurship Confirmed keynotes include:

- Gary Vaynerchuk, entrepreneur and investor

- Rhonda Patrick, a scientist focused on evidence?based health and nutrition

- Andy Galpin, human performance scientist

- William Li, physician, scientist, and bestselling author

- Steven Bartlett, entrepreneur and host of The Diary of a CEO

- William E. Morgan, president of Parker University

These voices will be joined by a robust faculty of clinical, business, and performance experts (lasvegas parkerseminars com)

Across three days, attendees can expect mainstage keynotes and 35+ speakers in hands?on breakouts, and an interactive Expo Hall that showcases innovations advancing patient outcomes, performance, practice growth, and operational excellence. Continuing education opportunities are available for doctors and other licensed healthcare professionals

Registration is open now with flexible options for clinicians, teams, students, and general attendees. Pricing tiers include All Access and CE?inclusive options, student access, and group packages

To simplify travel, Parker Seminars has secured an exclusive hotel partnership with Harrah?s Las Vegas, connected directly to Caesars Forum via the FORUM sky bridge and the LINQ Monorail Station Discounted room rates are available through

February 2, 2026, subject to availability. (lasvegas parkerseminars com)

Call to action

Register: lasvegas parkerseminars com (lasvegas.parkerseminars.com)

Hotel: Book through the official Harrah?s link on the event site to access discounted rates. (lasvegas parkerseminars com)

Questions: AskParkerSeminars@Parker.edu or 888?727?5338 (lasvegas parkerseminars com)

About Parker Seminars

Founded 75 years ago by Dr. James W. Parker, Parker Seminars has grown from a small gathering into one of the most recognized events in chiropractic and beyond, serving a global community across healthcare, wellness, fitness, leadership, and business The organization remains grounded in Parker Principles and a commitment to education, innovation, and service (lasvegas parkerseminars com)

About Parker University

Parker University, based in Dallas, Texas, is a leader in healthcare education and the home of Parker Seminars The university prepares students and professionals to advance health and human performance through academic excellence, research, and service

an Honor Roll

Parker University Honored as 2025 Great College to Work For® and Recognized as

Institution

Parker University is proud to announce that it has been recognized, for the sixth consecutive year, as one of this year?s 76 colleges and universities honored as a 2025 Great College to Work For® This distinction is based on direct feedback from the organization?s faculty and staff Parker University was also named a Great College to Work For® Honor Roll Institution for the fifth year, receiving recognition in nine out of 10 possible categories

The categories Parker University was recognized for include:

- Job Satisfaction and Support

- Compensation and Benefits

- Professional Development

- Mission and Pride

- Supervisor/Department Chair Effectiveness

- Confidence in Senior Leadership

- Faculty and Staff Well-being

- Faculty Experience

- Inclusion, Belonging, and Community

The Great College to Work For® badge of honor helps support Parker University?s efforts to recruit and retain top talent, elevate its institutional brand, and reinforce a strong internal culture. The survey results are based on a two-part assessment process: an institution questionnaire that captures employment data and workplace policies from each institution, and a survey administered to faculty, administrators, and professional support staff. The primary factor in deciding whether an institution received recognition comes from employee feedback

The Great Colleges to Work For® program is one of

the largest and most respected workplace recognition programs in the country, recognizing colleges with top employee ratings regarding workplace practices and policies The Great Colleges to Work For® program recognizes institutions that have successfully created great workplaces and furthered research and understanding of the factors, dynamics, and influences that impact the organizational culture at higher education institutions

To learn more about Parker University?s latest recognition, visit greatcollegesprogram com

About Parker University

Parker University, the fastest-growing college in Dallas and the fourth-fastest-growing in Texas, was founded in 1982 by Dr James William Parker as Parker College of Chiropractic. Today, the university serves over 2,300 students and offers more than 25 accredited academic programs and certificates, including its flagship?Doctor of Chiropractic?program, which is home to the second-largest chiropractic cohort in the world Parker University also leads in innovation with master?s degrees in?Clinical Neuroscience,?Strength and Human Performance, and?Functional Nutrition Recently, Parker University launched its new Human Performance Center, led by Andy Galpin Additionally, five new board-approved programs are set to launch soon

Parker University President Dr. William E. Morgan has been elected as Chair of the Executive Committee of the Association of Chiropractic Colleges (ACC)

Established in 1989 and led by its Board of Directors, the ACC advances chiropractic education by supporting its members to educate future doctors, increasing awareness of the rewards and satisfaction of a chiropractic education, attracting a more diverse student body, and promoting innovation and quality in healthcare through chiropractic education, research, and service The ACC is committed to supporting its members in advancing excellence in chiropractic education, leading to the delivery of evidence-informed, quality, patient-centered care and the health and well-being of communities.

Parker University proudly congratulates Dr Morgan for this honor! For additional information about the ACC, go to chirocolleges org

About Parker University

Parker University, the fourth-fastest growing college in Texas and the fastest-growing college in Dallas, was founded in 1982 by Dr James William Parker (formerly Parker College of Chiropractic). Today, Parker University has more than 2,100 students and more than 35 academic programs,?including its renowned chiropractic program, as well as master?s degrees in clinical neuroscience, strength and human performance, and functional nutrition Currently, Parker University has the second-largest chiropractic cohort of any campus worldwide. Parker University has been recognized as an Honor Roll Institution by Great Colleges to Work For®, one of the 25 Fastest-Growing Colleges in the U.S., as a recipient of the FutureEdge 50 Awards, and as a Best Texas Online College by Forbes.

Highlights from the Process of Integrating Evidence (PIE) Conference

From November 6?8, 2025, Parker University in Dallas, Texas hosted the 5th bi-annual Process of Integrating Evidence (PIE) conference, bringing together complementary and integrative health (CIH) educators and administrators for three days of highly interactive, evidence-based learning Held in-person for the first time in Dallas, PIE 2025 continued the conference?s tradition of equipping chiropractic and CIH faculty with practical tools to integrate research into classroom, clinic, and curriculum, modeled after McMaster University's week-long Evidence-Based Clinical Workshop This year, the conference embraced the spirit of Ted Lasso, encouraging attendees to stay ?curious, not judgmental? as they explored new approaches to teaching and learning

Co-organized with the Association of Chiropractic Colleges, PIE 2025 featured small-group teaching tracks, hands-on workshops, and an administrative leadership stream focused on sustaining evidence-based practice (EBP) within educational programs. Plenary sessions led by multidisciplinary experts, including Drs Stites, Wilks, Vining, Hartlieb, and Coulter, guided participants through real-world challenges such as teaching critical appraisal skills, embedding guidelines into clinical education, and supporting faculty who are new to EBP.

A central theme of the conference was implementation: how to move beyond ?knowing the evidence?to actually transforming learning environments, assessment methods, and patient care behaviors. In workshop-style sessions, attendees mapped out change projects for their home institutions, ranging from revising case-based teaching in student clinics to designing EBP mentorship for early-career faculty Throughout, participants were encouraged to anchor their plans in patient safety, equity, curiosity, and global best practices, goals closely aligned with the World Federation of Chiropractic?s ongoing emphasis on quality, safety, and evidence-informed care.

By the close of the conference, participants left with concrete action plans, new collaborations, and

renewed energy for advancing evidence-based chiropractic education PIE 2025 demonstrated how bringing educators together around shared EBP values, and a shared spirit of curiosity, can strengthen curricula, enhance clinical training, and ultimately benefit the patients and communities served by chiropractors worldwide.

PIE 2025 also highlighted the power of partnership Support from sponsors, including the NCMIC Foundation (which provided the travel stipends for educators); the Chiropractic Education Research Foundation (CERF); the International Chiropractors Association (ICA); the American Chiropractic Association (ACA); the National Board of Chiropractic Examiners (NBCE); Clinical Compass; the World Federation of Chiropractic (WFC); and Dr Shawn Thistle, expanded access for faculty who might otherwise be unable to attend and contributed to the overall strength and success of the conference Looking ahead, PIE organizers are exploring both virtual and in-person programming to further support educators in using emerging tools, including AI, responsibly to source, evaluate, and teach evidence. Keep an eye out for the next PIE event

By: Dr. Vanessa Morales

?As a 2003 AECC alumni, I?m honoured to share that I have been admitted to Queen?s University?s Doctor of Science (DSc) in Rehabilitation & Health Leadership (RHL) program in May 2025 and proud to be the first chiropractor ever admitted to this program This milestone is personally meaningful, but it also represents something bigger: a growing recognition that musculoskeletal (MSK) care, implementation science, and health systems leadership belong in the same conversation when we?re serious about improving access, quality, and equity

???My doctoral work will focus on?health care equity? and?applied implementation outcome research?in? rural, remote, and underserved Indigenous communities, with particular attention to the realities of coastal and geographically isolated settings. Across many communities, MSK conditions including persistent back and neck pain can quietly erode wellbeing, participation, and livelihoods. Yet access to timely, culturally safe, and locally relevant MSK care is often limited by distance, workforce shortages, fragmented pathways, and inconsistent service funding.

???The heart of my research is practical and accountability-driven: not only?what?care works, but? how?we implement it well together with communities in ways that are sustainable and measurable. I?m especially interested in?implementation outcomes?(for example: acceptability, feasibility, appropriateness, adoption, fidelity, reach, cost, and sustainability) and how these outcomes can be defined and tracked in ways that reflect both health-system realities and Indigenous priorities for success. This includes

strengthening partnerships, centring community governance and leadership, and aligning evaluation with equity, cultural safety, and real-world service delivery

I?m grateful for the opportunity to learn from and contribute to the Queen?s University RHL community I also want to acknowledge the mentors, colleagues, and community partners who have shaped my thinking and kept the work grounded: equity isn? t a slogan it?s a design requirement My hope is that this doctoral journey helps build stronger, more integrated MSK pathways that communities can trust, use, and ultimately own

Professor supervisors:?

Primary: Dr Jordan Miller, PhD

Co-supervisor: Dr Amrita Roy, MD, PhD

Dr Ron G K Norman HBSc, BSc(Hons), MSc, DC, *DSc(c)

Dr. Isabelle Pagé Honoured with the University of Québec Excellence in Teaching Award ? Achievement Category

?Dr Isabelle Pagé, professor at the Université du Québec à Trois-Rivières (UQTR, Trois-Rivières, Québec, Canada), has been awarded the Excellence in Teaching Award ? Achievement Category by the University of Québec This prestigious award recognizes exceptional and innovative accomplishments in university teaching and pedagogy

The University of Québec is a public university network composed of ten autonomous institutions across the province of Québec, Canada. It is one of the country?s largest higher-education systems, committed to providing accessible, high-quality education and advancing research and innovation across multiple disciplines

Dr Pagé received this distinction for the creation and implementation of CHIRO-Force, an innovative peer-mentoring program that integrates advanced technology with pedagogical support to transform the teaching and learning of spinal manipulation techniques within the chiropractic program. The initiative incorporates Force-Sensing Table Technology (FSTT®) ? a state-of-the-art system that provides immediate feedback on applied forces during chiropractic adjustments By combining this technology with structured peer mentoring and guided supervision, CHIRO-Force has significantly enhanced students?confidence, and understanding of biomechanical principles

This initiative perfectly embodies the Achievement Category, which honours individuals or teams whose concrete and innovative accomplishments have produced measurable impact on teaching quality and student outcomes Through CHIRO-Force, Dr Pagé has elevated the learning experience in chiropractic education, effectively bridging the gap between theory and clinical practice

Dr Pagé emphasises that this achievement would not have been possible without the active engagement of the chiropractic program students who serve as peer mentors, and the ongoing support and collaboration of her departmental colleagues A

video presentation (in French) about her work is available on YouTube: https://www.youtube.com/watch?v=QyBq7f2LE4k

The award was officially presented during the University of Québec Excellence Gala, held in the city of Québec on October 1, 2025

Dr Isabelle Pagé, recipient of the Excellence in Teaching Award ? Achievement Category, accompanied by the Rector of UQTR (left) and the President of the University of Québec (right) at the 2025 Excellence Gala. Photo credit: Simon Clark Photographe

RCC Launches Chiropractic Patient Incident Reporting and Learning System (CPiRLS) Platform

The Royal College of Chiropract ors (RCC) is delighted to announce the launch of its new Chiropractic Patient Incident Reporting and Learning System (CPiRLS)platform www.cpirls.com for practitioners,alongside its sister CPiRLS4S, www.cpirls4s.com,designed specifically for students

CPiRLSis a secure and anonymous incident reporting and learning system.Chiropractors use this platform to share and learn from past and potential incidents, so the whole profession can identify potential risks and improve patient safety.

CPiRLS is a safe and secure space for reporting

safety incidents This enables it to be used to focus on learning, and similar systems are used across all healthcare professions, helping everyone to work together to make care safer for every patient.

By reporting safety incidents, near misses and potential risks, the profession can work together to identify trends, improve practice and enhance patient safety. Every safety incident reported contributes to our shared knowledge and supports a culture of openness and learning.

The RCCshares access with its members and has a licensing agreement with the European Chiropract ic Union for their members to have

access to the platform A new agreement with the Chiropract ic Associat ion of Albert a is now providing access to their members for the next year to trial and research clinician engagement

CPiRLS-4S (for students)was also developed and works in the same way as CPiRLS except that access is for students only Each participating university has its own access and safety incidents that are uploaded are moderated by teaching staff to ensure that they fulfil the necessary criteria for data sharing

The CPiRLS database is reviewed regularly by the CPiRLS development team, a group of academics and clinicians with an interest in patient safety Where trends are identified, guidance is produced in the form of Safer Practice Notices, which are shared to benefit the wider profession

The most recent Safer Practices Notices can be accessed at https://rcc-uk org/quality-safety/cpirls/ and cover the following topics:

- Reducing t he risk of falls from a chiropract ic t reat m ent t able

- Reducing t he risk of rib fract ure

- Reducing risks associat ed w it h discont inuit y of pat ient care

- Reducing t he risk of pelvic girdle post t reat m ent pain and/ or bruising

- Reducing t he risk of harm associat ed w it h pat ient syncope

- Reducing t he risk of m issing a serious underlying pat hology issued

The CPiRLSplatform can be accessed directly from the RCCwebsite,The Royal College of Chiropractors or using the URL www.cpirls.com. The student site can be found at www.cpirls4s.com. If you would like more information or would like to explore access to CPiRLSfor your organisation, then please contact the Royal College of Chiropract ors viaadmin@rcc-uk org

CCRF Im pact Updat e 2025 ? Brief Sum m ary

The CCRF Im pact Updat e 2025 highlights a milestone year of innovation, partnerships, and expanding research capacity within Canada?s chiropract ic com m unit y. This edition celebrates the legacy of Dr. Greg Kaw chuk, whose lifelong commitment to mentorship and scientific excellence continues to inspire new generations of researchers CCRF?s growing support for emerging leaders is reflected in achievements such as Dr Ast rid DeSouza?s recent PhD completion and the expansion of student volunteer engagement

A key highlight of the year is CCRF?s $125,000 m at chedfunding part nership w it h t he Canadian Inst it ut e for Milit ary and Vet erans Healt h Research, strengthening national collaboration in musculoskeletal (MSK) and military health research The update also showcases CCRF?s strategic entry into Artificial Intelligence?enhanced research, including a new project with Acadia University examining how machine learning can transform MSKknowledge discovery.

Additional features include new governance leadership, expanded RFPsupported research, the Wendy Port er Mem orial Research Grant part nership, advances in diagnostic imaging advocacy, and national conference engagement Together, these initiatives underscore CCRF?s commitment to accelerating evidenceinformed care and supporting the researchers shaping the future of MSK health.

Read the full CCRF Impact Update 2025 here: [Insert Link]

Supercharging Research Funding ? The $125,000 Solut ion

Think of chiropractic research as a car that?s ready to make a trip. CCRF provides the charge for this car. If we don? t plug in we can? t move forward.

If we give this same car a supercharge it can go farther and faster That?s what CCRF does when we sign partnerships, as smart collaborations helps us boost funding to fuel more research

Our latest ?supercharged part nership? is w it h t he Canadian Inst it ut e for Milit ary and Vet erans Healt h Research (CIMVHR). In the past 15 years they?ve built a network of 46 Canadian universities who work together to address the health research requirements of the military, Veterans and their families. The institute acts as a conduit between the academic community and research funding organizations, so they?ve connected with CCRF and made a generous offer to provide $125,000 in matching funding over the next two years!

This is terrific news ?made even better by the fact CCRFhas created a sector plan designed to support Military & Veteran health research This is an attractive area for granting, as government spending in Canada is planned to grow by at least $8 billion?in the next?5 years In this environment there?s a pressing need for studies addressing health protection and care across the life course of those who serve the country.

With a population of 60,600 military families, 71,500 primary force members, 30,000 reserve force members and 639,900 Veterans, there is an essential need for our profession to collaborate with prestigious partners to advance the wellbeing of armed forces personnel At the annual CIMVHR Forum in Ot t aw a t his Oct ober, we?ll put our ideas into action by announcing this new research funding relationship to 1,000 delegates, demonstrating chiropractors are ready to stand strong and free to support research that makes an impact

Do you have a part nership/ funding idea you?d like t o explore? Please cont act Robert Harris, CCRF Execut ive Direct or at rharris@chiroresearch ca

Who feels m ost reassured

w hen consult ing a chiropract or?

Reassurance and confidence-building information are considered central elements in the treatment of low back pain This includes creating a sense of safety by explaining that the pain is rarely caused by anything serious and that movement is safe

A new international study, based on data from Danish chiropract ic pract ice and published in the? European Journal of Pain, shows that patients with acute, sub-acute or chronic low back pain experience varying degrees of reassurance during a consultation ?and that this is, to some extent, linked to their background and expectations

Therefore, the researchers encourage strengthening communication and tailoring it to the individual patient, so that patients with negative expectations receive more targeted support and feel reassured

Pat ient s?varying experiences

The researchers analysed data from more than 2,000 patients with acute (70 %), sub-acute (12 4 %) or chronic (17 6 %) low back pain in the ChiCo cohort, who had attended their first consultation with a chiropractor After the visit, the patients completed a questionnaire about how much reassurance ?meaning comfort and a sense of safety ? they felt the practitioner had provided. Based on the collected data, the researchers identified patient characteristics associated with the degree of reassurance experienced during a chiropractic consultation for low back pain and concluded that:

Patients with higher pain intensity in the lower back and pain lasting more than four weeks experienced slightly higher levels of reassurance than patients with pain lasting less than four weeks

Patients with a higher perceived risk of persistent pain, previous imaging for low back pain (in a

chiropractic clinic, in a public hospital, in a private hospital, with a specialist, or abroad), male gender, and higher age experienced slightly lower levels of reassurance

Differences as a guiding indicat or

These differences may affect how healthcare professionals communicate with their patients

The results suggest that either there are some groups chiropractors are less likely to try to reassure and inform, or that some groups find it harder to feel reassured. Therefore, it is important to gain insight into the patient?s understanding and needs, so the clinician can adapt communication to the individual patient

For m ore det ails, read t he full paper:

Anika Young, Adrian C Traeger, Simon D French, Alice Kongsted, Mark J Hancock, Tue S Jensen, Hazel J Jenkins Patient Characteristics Are Associated With Differences in Perceptions of Reassurance After a Consultation for Low Back Pain: Analysis of an Observational Study in Primary Care ?European Journal of Pain?2025

Myt hs About Back Pain in Older Adult s ? What Chiropract ors Need t o Know

The health myths keeping older adults in pain and out of action ? and how chiropractors can fight back

Low back pain (LBP) in older adults is one of the most common and costly health issues ? but also one of the most misunderstood A new review paper, Ten myths of back pain in older adults that can lead to ineffective and harmful care, by Carlo Am m endolia, published in?Chiropract ic & Manual Therapies, highlights ten persistent myths that can lead to ineffective and even harmful treatment of older patients

RESEARCH NEWS

Myt hs That Cost ? Bot h financially and in Qualit y of Life

According to Carlo Am m endolia, misinformation and outdated beliefs about back pain are major drivers of overtreatment, unnecessary surgeries, and excessive medication use ? all of which can worsen outcomes and reduce quality of life Many of these myths are perpetuated by media, industry, and even healthcare professionals.

Here are som e key t akeaw ays:

- Back pain is not inevitable with aging ?While common, its prevalence peaks before retirement age and then declines.

- Most back pain in older adults is not caused by serious disease.?Less than 5%of cases are due to conditions like cancer or fractures

- Routine imaging is rarely necessary ?MRI and X-ray findings often don? t correlate with symptoms and can lead to overtreatment

- Movement is medicine ?Activity promotes healing, while inactivity worsens pain and function

- Medication should not be the first line of treatment.?Non-pharmacological approaches like exercise and manual therapy are often more effective and safer.

The Chiropract or ?s Role: From Myt h-Bust er t o Change Agent

The paper urges chiropractors to actively challenge these myths and promote evidence-based care This includes:

- Educating patients about what?s normal in aging ?and what?s not.

- Avoiding unnecessary imaging and invasive procedures

- Encouraging physical activity and function over fear and avoidance

- Collaborating across disciplines and using biopsychosocial approaches, especially for chronic pain

A Call t o Com bat Age Bias and Overm edicalizat ion

Carlo Am m endolia points out that these myths also reflect age discrimination tendencies in healthcare Older adults are often offered more medication and fewer conservative treatments ? despite evidence suggesting the opposite approach is more effective.

What Can Chiropract ors Do?

- Update your knowledge?on back pain in older adults ? using WHO guidelines and recent research

- Talk to your patients?about their concerns and beliefs ? and help them understand their pain

- Be critical?of habitual practices and overtreatment ? and advocate what works

For m ore det ails, read t he full paper:

Carlo Ammendolia ?Ten myths of back pain in older adults that can lead to ineffective and harmful care.?Chiropractic & Manual Therapies, 2025.

ht t ps:/ / chirom t biom edcent ral com / art icles/ 10 1186/ s12998-025-00609-9#Tab1

?Int egrat ing Clinical Pract ice and ResearchAdvancing Chiropract ic Science in Brazil and Beyond?

From an early age, I recognized my deep empathy and curiosity as guiding forces toward a career in healthcare Although initially uncertain about which path to follow, this changed the moment I discovered Chiropractic - a very new profession in Brazil which aligned perfectly with my desire to support health through non-invasive, drug-free care. After graduating in Chiropractic from Feevale Universit y in 2008, I soon realized that professional excellence required continuous questioning and learning. This led me to pursue a Specialization in Kinesiology at the Federal Universit y of Rio Grande do Sul (UFRGS), where, in 2010, I was introduced to pioneering chiropractic research conducted by Dr Walt er Herzog at t he Universit y of Calgary

In 2015, I joined the research group ?Corpo, Movim ent o e Saúde? at Feevale Universit y Motivated by a desire to deepen my understanding of Health and aging I began a Master?s program in 2017 and later a PhD in 2019, both supported by Brazilian government scholarships My research contributed to national scientific discussions, and in 2022, our study ?Analysis of t he risk of falls w it h cognit ive perform ance in successful aging? received t he Ant ônio Carlos Araújo de Souza Aw ard at t he 24t h Conference of t he Brazilian Societ y of Geriat rics and Geront ology.

Encouraged by my doctoral supervisor, I reached out to Dr Walt er Herzog in 2020 to propose a six-month research internship. This opportunity became a turning point in my career. From September 2021 to February 2022, I joined his laboratory at the University of Calgary, gaining invaluable experience in biomechanics and chiropractic-related research methods

After returning to Brazil, I resumed clinical practice while engaging in scientific Publication and

finished my PhD in 2023 In 2024, I published some articles, including ?St rain of t he vert ebral art ery during passive neck m ovem ent s and spinal m anipulat ion of t he cervical spine: An observat ional st udy? in t he Journal of Bodyw ork & Movem ent Therapies w it h Dr Walt er Herzog. I also participated in the 9th Brazilian Chiropractic Congress, serving on a roundtable on clinical success and receiving a nomination for the 2024 Chiro?s Choice Awards in the Scientific Contribution category. My work reached international audiences through live presentations and a podcast interview with Dr Dean Sm it h on Chiropract ic Science

Today, as a chiropractor and acupuncturist, I remain committed to advancing evidence-informed, patient-centered care

Recently, I co-authored a systematic review and meta-analysis on vertebral artery strain published in Clinical Biomechanics, with Dr Walt er Herzog and Dr Felipe Duart e Besides, I contributed to the organization and scientific committee of the I Brazilian Pediat ric Chiropract ic Sym posium

My journey reflects a commitment to integrating clinical practice and academic research? always with the goal of elevating chiropractic science and transforming lives

Dr. Caroline Fagundes, DC, MSc, PhD

A/ PROF Kat ie de Luca

Appoint ed as Chair of t he FICS Research Com m ission

Sport s chiropract ic has evolved from a niche, practitioner-led discipline to an increasingly research-minded profession, and its trajectory reflects broader trends in evidence-based sport medicine Early research was largely descriptive and anecdotal, documenting the role of chiropractors at major sporting events and their integration into the athlete care team (1). A major inflection point came when a Delphi study to identify its global research priorities, led by CMCC st udent Melissa Belchos and A/ Prof Alex Lee brought together many sports chiropractic experts to chart a coordinated research agenda (2)

Within this context, the?FICS Research Com m ission?has become central to the formalization and expansion of sports chiropractic research. According to FICS, the Commission is tasked with promoting and disseminating research, creating a global research agenda, developing guidelines, and building a network of researchers within its membership In recent years, FICShas formalized its relationships with academic institutions? for instance, signing a memorandum of understanding with CQUniversit y Aust ralia to support joint research, injury surveillance, and graduate student projects, and serves as a vehicle for building high-performance research pipelines ahead of major sporting events (such as the Brisbane 2032 Olympics (CQUniversity)

representative and skilfully diverse Research Commission that includes:

Must afa Agaoglu (Turkey); Rob Beffa (Sout h Africa), Melissa Belchos (Canada), Joel Carm ichael (USA), Chiara Ieradi (Aust ralia); Alex Lee (Canada), Mickaela Lengw in (USA), Fresh Peng Li (China), Em ile Marineau-Bélanger (Canada), Claudio Merkier (UK), Glen Pat on (Sout h Africa), Alex Alevras (AUS), Sunshine Lau Siew Qin (Malaysia), Michael Sw ain (Aust ralia) and Louis Mart in (UK and 2025 FICS scholarship w inner) Please see a recent screenshot of the first meeting of the FICSResearch Commission!

The recent appointment of?Associate Professor Katie de Luca?as Chair of the FICS Research Com m ission marks a significant and exciting shift. A/Prof de Luca brings strong academic credentials ? she is an experienced researcher in musculoskeletal epidemiology at CQUniversity, has led large, funded projects, and holds several chiropractic leadership roles In response to a recent call by FICSfor members to the Research Commission, we are excited to introduce a globally

Looking ahead: First, we will continue and expand the capture of injury surveillance data at FICS international events. Second, we will learn from existing and successful practice-based research networks in Canada to implement in other countries Thirdly we will strongly be advocating for academic partnerships and will look to supervise higher-degree research students in the field of sports chiropractic research A major strength of the current FICSResearch Commission is the current capacities to supervise field chiropractors who aspire to undertake research and gain post-doctoral qualifications such as PhDs. Additionally, this group will seek to support existing sports chiropractic research projects through dissemination of their work.

Chiropract ic Part icipat ion in WHO Europe?s Workforce

Opt im izat ion Init iat ive: The Spanish Cont ribut ion

In 2025, WHO Europe launched a coordinated effort to document effective strategies for health and care workforce optimization, focusing on service redesign, skill-mix transformation, and digital capability building. Through guidance documents and international briefing sessions, WHO emphasized the need to collect real-world examples illustrating how different sectors? including smaller professions? are adapting to shortages, changing population needs, and growing demands for efficiency and people-centred care.

Workforce optimization is increasingly central to health system planning, and participation in such frameworks allows chiropractic organizations to demonstrate their contribution to musculoskeletal care, their capacity for innovation, and their alignment with international health priorities By submitting cases to WHO, chiropractic institutions can ensure their work is visible within broader health policy discussions rather than remaining isolated from them.

Spain has responded to this call through the Fujit ega Foundat ion, which prepared and submitted a case study describing its initiatives in both service redesign and digital transformation, consistent with WHO's expectations for reporting structured, evidence-informed workforce innovations.

Digit al Innovat ion: The AppRIQ Plat form One of the foundation's principal contributions is the development of AppRIQ, a digital tool designed to support real-world data collection in chiropractic clinics. The platform uses validated questionnaires, automates patient follow-up, and generates outcome reports over time. This aligns directly with WHO priorities that encourage the use of digital tools to reduce administrative burden, improve workforce efficiency, and strengthen data-driven decision-making in clinical settings

Early implementation shows that clinicians can

integrate the tool into their workflow without added workload, allowing them to participate in research activities even in single-practitioner clinics. This supports WHO's broader aim of making digital transformation accessible to all levels of the workforce, not only large institutions

Support ing Service Redesign and Pat ient

Engagem ent In addition to digital development, the Fujitega Foundation has produced structured patient-education materials, self-management instructions, and communication tools designed for use in chiropractic settings These resources help standardize explanations and promote clearer patient involvement in decision-making? an area highlighted repeatedly in WHO guidance on service redesign and people-centred care

The foundation has also initiated several research protocols on temporomandibular disorders, cervical biomechanics, sports performance, and youth concussion While these projects are still progressing, they illustrate how small organizations can contribute to multidisciplinary and integrated care approaches promoted by WHO Europe

Developing

Workforce Capabilit y Educational seminars, workshops, and the ChiroWoman initiative have further supported capability-building within the Spanish chiropractic workforce These activities promote professional development, communication skills, and engagement with evidence-based practice? elements consistent with WHO's call to strengthen workforce supply, flexibility, and preparedness.

Looking Ahead Continued collaboration and data collection will help integrate chiropractic more fully into international workforce discussions and provide a clearer picture of its potential contributions to musculoskeletal health.

Submitted by: Ricardo

Fujikawa

Global Recognit ion for Chiropract ic Pat ient Safet y Research

The WFC Global Pat ient Safet y Init iat ive (GPSI) is a catalyst within the chiropractic profession, advancing a pivotal shift from reactive responses to harm toward a proactive, evidence-informed, safety culture that places patient safety at the center of every clinical interaction The GPSI was created by the WFCResearch Committee in 2023 to support the World Health Organization (WHO) Global Patient Safety Action Plan, which focuses on eliminating avoidable harm in healthcare. Following our ?Call to Action?[2], the WFC-GPSI recognized the need for a foundational understanding of the profession?s current research landscape

The importance of patient safety in chiropractic was highlighted at the 2025 WFCBiennial Congress in Copenhagen where the NCMIC-JMPTResearch Award was awarded to Dr. Debbie S. Wright for ?Patient safety culture research within the chiropractic profession: a scoping review?, signaling growing global recognition of patient safety as a defining imperative for the profession?s future ?

[1] .

This com prehensive scoping review w as published in Chiropract ic & Manual Therapies as the inaugural article in its ?Pat ient Safet y in Chiropract ic Care and Manual Therapies? special collection. The authors synthesized findings from 65 articles and revealed significant insights:

- Performance and Processes Studies Lead the Way: Most patient safety research in chiropractic focuses on safety performance (95%of included studies), such as the incidence and reporting of adverse events, and safety processes (81%), such as clinical decision-making protocols.

- The Values Gap: Only 23%of studies explored patient safety beliefs and values

among chiropractors and students with few papers including patients or families Understanding how chiropractors think about patient safety is essential, as these attitudes shape behaviors necessary for sustained cultural change.

- Opportunities for Future Action: The review identified pressing research gaps in policy development, high-reliability systems, patient engagement and interprofessional collaboration, all of which must be addressed to optimally align the profession with the WHO global strategic objectives

Dr. Wright , a pract icing chiropract or and form er Chair of t he Canadian Chiropract ic Associat ion (CCA) Board of Direct ors, conduct ed t his review under t he m ent orship of Dr Kat herine A Pohlm an (Chair, WFC GPSI) Dr Wright is commended for leading an international collaboration with co-authors from Canada, the United States, the Netherlands, and the United Kingdom. These findings provide an essential evidence base to guide the WFCGPSI?s strategic direction and support the chiropractic community?s continued evolution toward a global culture of patient safety.

1 Wright DS, Kleppe M, Coleman BC, Funabashi M, Ferguson AG, Brown R, et al. Patient safety culture research within the chiropractic profession: a scoping review. Chiropr Man Ther. 2025 Oct 21;33(1):46.

2 Coleman BC, Rubinstein SM, Salsbury SA, Swain M, Brown R, Pohlman KA The World Federation of Chiropractic Global Patient Safety Task Force: a call to action Chiropr Man Ther 2024 May 13;32(1):15, s12998-024-00536?1.

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