Presentation:
Development of a multidimensional testing regime for detection
of the spinal manipulable lesion
At the Anglo-European College of Chiropractic (AECC) we have
instituted a case-based problem-solving curriculum, and in conjunction
with that we are reconsidering our approach to the detection
of spinal manipulable lesions. To that end we conducted a systematic
review of the literature to determine reliability of common methods
for detecting the spinal manipulable lesion. Also, all chiropractic
schools in the world were surveyed to determine what is currently
being taught and if change is anticipated to the methods currently
used for detecting manipulable lesions. A consensus process was
then initiated using a focus group of the technique instructors,
researchers, and clinicians from the school. Prior to the first
focus group meeting, all participants were surveyed to obtain
feedback on opinions as to what the institution should be teaching
as concerns diagnosis of the manipulable lesion, and to note
areas of disagreement. After this first focus group meeting all
participants received a transcript of the meeting with a list
of themes accompanied by thick quotes to illustrate how the themes
evolved.
A second focus group meeting will be held to develop an AECC model and to come
to a consensus of what changes need to be made to the current teaching of detection
of the spinal manipulable lesion. A multidimensional approach will then be
developed and tested for reliability, validity (if possible), and affect on
clinical outcome. The final results will be presented at the ECU conference.