Chiropractors' Association of Australia Chiropractic: healthy spine, healthier life

CJA Vol. 29 Issue 1

Editorial: Mind Your Language
Mary Ann Chance and Rolf E. Peters

Commentary: Should Animal Chiropractors Be Primary Care Practitioners?
Fiona Kates

Establishment of the Australian National Unit for Multidisciplinary Studies of Spinal Pain -An Historical Overview
Lynton G.K Giles

A Chiropractic Conceptual Framework. Part 4: Models of Chiropractic HeaIth Care
Andries M. Kleynhans

In Memoriam: James Albert, Arthur Bright, John B.Wolfe, Lorraine Golden


Establishment of the Australian National Unit for Multidisciplinary Studies of Spinal Pain An Historical Overview

LYNTON G.F. GILES

Spinal pain of mechanical origin, with or without referred pain, is a serious health problem supered byAustralians and in other societies around the world. In order to help patients with this ailment and to investigate some multidisciplinary treatment approaches for this costly and debilitating condition, the National Unit for Multidisciplinary Studies of Spinal Pain was established at Townsville General Hospital as a joint venture between James Cook University of North Queensland and the Northern Regional HeaIth Authority in July 1995: In view of the Unit's multidisciplinary clinical team, some political forces have presented an unsupportive stand against the Unit. Nonetheless the Unit continues to function successfully, provides a very useful public service and shows that a multidisciplinary clinical team can work harmoniously in an Australian hospital setting. The need for such a Unit is demonstrated by an ever-increasing demand for its professional services as indicated by a review of the number of new patients and overall patient visits.

INDEXTERMS: ACUPUNCTURE; CHIROPRACTIC; MEDICINE; CLINICAL/RIAL; HISTORY.

Chiropr J Aust 1999; 29:5-10.

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A Chiropractic Conceptual Framework. Part 4: Models of Chiropractic Health Care

ANDRIES M. KLEYNHANS

The term modeled explicated in the context of investigating a conceptual framework of chiropractic. The place of models in the description of paradigms is identified. While many models relate to the clarification of a chiropractic conceptual framework, only some models relevant to an understanding of chiropractic healthcare are explored in an introductory manner, precursory to further work in this area. Models important to the understanding of chiropractic health care have been identified, and comparisons are made between humanistic and biomedical models and wellness-oriented and disease-oriented models of health care. Concepts derived from this analysis, augmented by descriptive analysis of literature and participant observation are included in a proposed framework for the description and analysis of models of chiropractic health care. The complementary relationship is illustrated between growth and behaviour modification models. Recommendations are made for the development of a comprehensive or eclectic model of chiropractic health care to facilitate movement of the chiropractic discipline from a pre-paradigm state to the development of a chiropractic paradigm and eventually, a chiropractic research tradition relating to the practice of normal science.

INDEX TERMS: MeSH: CHIROPRACTIC; MODEL; PARADIGM; PHILOSOPHY. OTHER: BIOPSYCHOSOCIAL; BIOMEDICAL; HUMANISM.

Chiropr J Aust 1999; 29:11-21.

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