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Best Practices Recommendations for Chiropractic Care for Older Adults: Results of a Consensus Process.
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- Author(s): Hawk, Cheryl; Schneider, Michael; Dougherty, Paul; Gleberzon, Brian J.; Killinger, Lisa Z.
- Source:
Journal of Manipulative & Physiological Therapeutics; Jul/Aug2010, Vol. 33 Issue 6, p464-473, 10p- Subject Terms:
ELDER care; CHIROPRACTIC; BEST practices; MUSCULOSKELETAL diseases in old age; DELPHI method; PROFESSIONAL standards; CHIROPRACTIC -- Evaluation; ANALYSIS of variance; DIAGNOSTIC imaging; MEDICAL history taking; PATIENT-professional relations; MEDICAL protocols; PHYSICAL diagnosis; RESEARCH funding; SPINAL adjustment; EVIDENCE-based medicine; PROFESSIONAL practice - Source:
- Additional Information
- Abstract: Objective: At this time, the scientific evidence base supporting the effectiveness of chiropractic care for musculoskeletal conditions has not yet definitively addressed its appropriateness for older adults. Expert consensus, as a form of evidence, must be considered when higher levels of evidence are lacking. The purpose of this project was to develop a document with evidence-based recommendations on the best practices for chiropractic care of older adults. Methods: A set of 50 seed statements was developed, based on the clinical experience of the multidisciplinary steering committee and the results of an extensive literature review. A formal Delphi process was conducted, following the rigorous RAND-UCLA (University of California, Los Angeles) methodology. The statements were circulated electronically to the Delphi panel until consensus was reached. Consensus was defined as agreement by at least 80% of the panelists. There were 28 panelists from 17 US states and Canada, including 24 doctors of chiropractic, 1 physical therapist, 1 nurse, 1 psychologist, and 1 acupuncturist. Results: The Delphi process was conducted in January-February 2010; all 28 panelists completed the process. Consensus was reached on all statements in 2 rounds. The resulting best practice document defined the parameters of an appropriate approach to chiropractic care for older adults, and is presented in this article. Conclusion: A multidisciplinary panel of experienced chiropractors was able to reach a high level (80%) of consensus on evidence-informed best practices for the chiropractic approach to evaluation, management, and manual treatment for older adult patients. [Copyright &y& Elsevier]
- Abstract: Copyright of Journal of Manipulative & Physiological Therapeutics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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