Phone: +61 3 5952 1895
Phone: +61 3 5952 1895
Primarily to seek donations to fund and promote clinical and laboratory research into the premise, hypothesis, principles and efficacy of the science, art and practice of chiropractic, including but not limited to research into neurological impacts, pathways and concomitant visceral effects associated with chiropractic health care and its delivery systems and mechanisms, and confirm evidence of nutrition advice for patients and the public in general. Such research may involve scientific laboratory studies, controlled clinical trials, randomised controlled trials, case controlled studies, specific case studies, cohort and epidemiological studies. PCS may also fund the development, recording and publishing of expert opinion related to specific practise approaches and procedures that have been shown to be effective (or ineffective) and to promote various forms of patient or public education programs.
PCS is registered Australian Charity and also an endorsed Deductible Gift Recipient (DGR), so your donations are fully tax deductible.
While millions of patients accept the efficacy and benefits of chiropractic health care, after 120+ years of the chiropractic profession's existence, limited clinical evidence has been compiled. Chiropractors are sole practitioners, with no or little access to public funded multi-practitioner clinics and hospitals, so much of the current and future research must be conducted in each practice by the individual chiropractor. It is imperative that future research accommodates the fundamental mode of Chiropractic practice. Correctly structured case studies are the most appropriate, relevant, cost effective and valid mechanism to advance research into the chiropractic premise, its efficacy and general health matters.
Initially, PCS aims to encourage every practising chiropractor worldwide regardless of technique to record interesting cases following the CARE Guidelines, that in particular demonstrate concomitant resolution of many disease states and health complaints. Kindly send your draft study to PCS where peer review can be arranged. Upon publication, the Keywords can then be used by special computer programs to compile significant cohort studies and systematic reviews that result in a consilience of the evidence established by many individual case studies. This exercise will significantly contribute to the confirmation the efficacy of Chiropractic over a vast array of health conditions across all age groups.
The value of this Case Study approach has been extensively described by PCS Member Patron, Prof. Phillip Ebrall, a highly respected chiropractic academic and researcher, and chief editor of the Asia Pacific Chiropractic Journal.
Participate in the generation of at least one, but if possible multiple case studies each year. PCS would like to see 1 or 2 studies from each DC every year! Send PCS an email to receive a Patron membership application form and instructions about CARE Case Study Guidelines.
Case studies will be peer reviewed and published in a new, dedicated online, open-access journal co-sponsored by PCS; the International Journal for Practising Chiropractors, that will provide access via search engines to students, chiropractors and researchers: www.IJPConline.org
Some of these case studies may also be published in associated journals, such as the Asia Pacific Chiropractic Journal.
PCS also requests that members and the public provide notification of any external published studies or research that may also assist in the advancement of the PCS objectives.
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Your support of the PCS initiatives is required and always appreciated. Chiropractic and general public depends on the generation of relevant research that is suited to the limitations and scope of normal clinical chiropractic practice. We encourage you to generate multiple case studies based on the CARE Guidelines. PCS is a not for profit international organisation with a Board of Directors (unpaid) representing many of the countries where a significant number of chiropractors conduct practice.
Red Rocks Road, Cowes Victoria 3922, Australia
admin@patronschiroscience.com Ph:+61 418 399 401 or +61 3 5952 1895
Clinical data collection from the point of care informs the delivery of high-quality individualized healthcare, integrating clinical expertise with external evidence. The CARE guidelines for case reports help authors reduce bias, increase transparency, and provide early signals of what works, for which patients, and under which circumstances
The CARE guidelines, developed by an international group of experts, were designed to increase the accuracy, transparency, and usefulness of case reports. Since the 2013 and 2017 CARE publications in the Journal of Clinical Epidemiology, these guidelines have been endorsed by multiple medical journals and translated into more than ten languages. The CARE guidelines support the efforts of the Equator Network to improve the transparency and accuracy of health research reporting. Online training in writing case reports following the CARE guidelines is available from Scientific Writing in Health and Medicine (SWIHM).
Here are how some healthcare stakeholder groups benefit when CARE informed case reports are written:
1. Patients can review transparent information on therapeutic options.
2. Clinicians improve peer-to-peer communication.
3. Researchers use testable hypotheses from clinical settings.
4. Educators have examples to support case-based learning.
5. Authors receive guidance on writing accurate and transparent case reports.
6. Medical Journals support for the evaluation of case reports.
The CARE guidelines and checklist provide authors tools to write accurate and transparent case reports. They also provide editors and peer reviewers tools to critically evaluate case reports. The CARE tools include the 2013 and 2017 CARE publications, the CARE checklist, case report writing tools, and translations.
Normal cervical alignment rarely observed in a chiropractic office
1. Title – The area of focus and “case report” should appear in the title
2. Key Words – Three to five key words that identify topics in this case report
3. Abstract – (structured or unstructured)
o Introduction – WHAT is unique and WHY this finding may be associated with a particular intervention?
o The patient’s main concerns and important clinical findings.
o The primary chiropractic and if relevant medical diagnoses, interventions, and outcomes.
o Conclusion—What are one or more “take-away” lessons?
4. Introduction – Briefly summarize why this case is unique with medical literature references.
5. Patient Information
o De-identified demographic and other patient information.
o Main concerns and symptoms of the patient.
o Medical, family, and psychosocial history including genetic information.
o Relevant past interventions and their outcomes.
6. Clinical Findings – Relevant physical examination (PE) and other clinical findings.
7. Timeline – Relevant data from this episode of care organized as a timeline (figure or table).
8. Diagnostic Assessment
o Diagnostic methods (PE, laboratory testing, imaging, surveys).
o Diagnostic challenges.
o Diagnostic reasoning including a differential diagnosis.
o Prognostic characteristics when applicable.
9. Therapeutic Intervention
o Types of intervention (pharmacologic, surgical, preventive).
o Administration of intervention (dosage, strength, duration).
o Changes in the interventions with explanations.
10. Follow-up and Outcomes
o Clinician- and patient-assessed outcomes when appropriate.
o Important follow-up diagnostic and other test results.
o Intervention adherence and tolerability (how was this assessed?)
o Adverse and unanticipated events.
11. Discussion
o Strengths and limitations in your approach to this case.
o Discussion of the relevant medical literature.
o The rationale for your conclusions possibly including neurological pathways.
o The primary “take-away” lessons from this case report.
12. Patient Perspective – The patient should share their perspective on their case by acknowledging the validity of the case study content and its outcomes.
13. Informed Consent – The patient should give informed consent.
14. References
NOTE, THE PATIENT PERSPECTIVE EFFECTIVELY ELEVATES YOUR CASE STUDY TO A LEGAL DOCUMENT AS PRIMA FACIE EVIDENCE OF EFFICACY FOR THIS PARTICULAR CASE
X-ray, an important tool to establish the primary spinal problem and rule out pathology
In addition to the facilitation and encouragement of multiple case study generation based on CARE Guidelines, PCS’s additional object is to pursue the following charitable purposes:
PCS may also support various forms of patient or public education programs. The 2019 Safer Care Victoria (SCV) Review in Australia into chiropractic care for children under 12 years is a case in point. This review was entirely unnecessary and was effectively a witch-hunt promoted by political medicine without any basis or evidence of harm. Accordingly, PCS made a detailed submission to SCV to provide evidence of a lack of harm to this group of patients at the hands of registered chiropractors, evidence of a high degree of harm and death to this group of patients at the hands of medical practitioners, and referenced evidence of benefit from chiropractic care to children under 12 years. A copy of this submission is available to PCS members and supporters upon email request. As it turned out, the SCV Review found no evidence of harm to children, no evidence of malpractice claims and noted exceptional satisfaction ratings (99.7%) arising from patient responses and submissions, where 98% of the respondents confirmed either improvement or resolution of their child's presenting health complaint. The SCV Report also encouraged funding for further research.
Intriguingly, the SCV Review was triggered by a case where an infant's spine had been damaged following necessary emergency resuscitation procedures during the hospital birth in 2016. These injuries traumatised the infant's mid-thoracic spine leading to a severe case of colic. This condition was not resolved by any medical care, yet a chiropractor gave a single specific and measured spinal adjustment and the condition immediately resolved to the delight of the parents. This link provides context to the medical intervention and the subsequent chiropractic care: https://drive.google.com/file/d/1bI4MGnk12wZMlEZrLK8t8QBdmv_ITdoe/view?usp=sharing
Hysteria was promoted and spread by political medicine to the media and some ill-informed political groups, including the then Victorian Minister for Health to a YouTube video related to this case of colic and also a subsequent YouTube video in 2018 showing a chiropractic examination of another infant. These videos apparently triggered the SCV Review. Strangely, this incident of a successful chiropractic treatment outcome coincided with news of multiple infant deaths resulting from medical errors at a local Victorian hospital.
PCS notes that even though no evidence of harm to infants or children by Australian Chiropractic care was identified in the SCV report, the national health practitioner registration and policy board, AHPRA, continued to restrict Chiropractic adjusting of infants under 2 years of age from 2019 until late 2023, thereby committing a clear act of restraint of trade, and depriving parents of receiving effective health care for a variety of complaints. However, again under the influence of heavy anti-chiropractic lobbying by political medicine, the restriction was again implemented in June 2024. The National and State Health Ministers claim to be seeking advice on the veracity of evidence of benefit of chiropractic care for children under 12 years of age before these restrictions can be again lifted. Research of the concomitant resolution of a variety of childhood health complaints associated with measured chiropractic care is now more critical than ever!
PCS role must also raise valid concerns relating to public health. The Covid-19 reactions and responses, and even responses for influenza, still present many areas of concern, particularly those that arise from many Government actions based on poor or misunderstood evidence or research, that lead to many social, health and economic hardships. The concept of a rushed, poorly tested vaccine/experimental treatment for Covid-19 also raises many areas of concern, particularly where this vaccine is mandatory. A fundamental right in relation to health care is the right for individual choice and the basis of informed consent. Both of these fundamental elements were breached by many authorities. PCS plans to devote resources to lobby and educate that such rights must be maintained in the future.
Clearly, dealing with such inequitable reactions, responses, decisions and reporting on matters pertaining to public health issues must also form a part of the PCS scope.
Simply copy this format and complete the sections as shown.
I (name)_______________________________________________________________
Professional Degrees:_________________________________________________
If student, list subject of study:___________________________________________
Of (mailing address)________________________________________________________
Post code or Zip:__________________
Country_____________________________________
Phone including country code:______________________________________
Email:_________________________________________________________________
Hereby apply for Patron Member status of this organisation on the basis that no obligations will attach to my participation and involvement and I agree to abide by the Association Rules. A AU$20 (US$15) once only membership fee is required.
Any contributions I make will be purely on a voluntary and non-binding basis.
Such contributions must entirely be utilised for research, education and the advancement of the Chiropractic profession worldwide.
____________________________________________
Signed
Date:__________________________
Email your application to: admin@patronschiroscience.com
Upon receipt of an application the PCS Association Rules and the complete CARE Guideline package and any newsletters will be emailed to you.
Disc stresses with bending and lifting
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