necessary objective clinical evidence and are a critical component of numerous chiropractic techniques taught in CCE accredited programs.
“We would refer any chiropractic practitioner, other health professional or member of the public for that matter to the ICA Practicing Chiropractors’ Committee on Radiology Protocols (PCCRP) For Biomechanical Assessment of Spinal Subluxation in Chiropractic Clinical Practice, said ICA Guidelines Committee Chair Dr. Joseph Betz . The ICA PCCRP document provides the chiropractic profession with an extensive, rigorous review and appraisal of radiology protocols and their utilization in the context of chiropractic care settings, in conjunction with an exhaustive evaluation of the chiropractic and biomedical literature, including risk benefit ratios, measurement and patient positioning, and patient population applications. The PCCRP Guidelines were the only chiropractic x-ray guidelines ever accepted for inclusion in the National Guideline Clearinghouse (NGC), serving under the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. The ICA Best Practices and Practice Guidelines can be viewed online at www.chiropractic.org This evidence based PCCRP document, published in 2006, includes an extensive list of clinical indications for taking an x-ray image of the patient such as suspected subluxation, history of trauma, including birth trauma, motor vehicle accidents, falls, postural and for the procedure by chiropractic profession to identify multiple clinical components including fractures, congenital, developmental, postural biomechanical and degenerative conditions, ruling out pathologies, assess the indications for appropriate options in performing a chiropractic spinal adjustment for both the acute and non-acute patient. The ICA's best practices and practice guidelines also support comparison x-ray studies to effectively utilize certain techniques as it provides valuable information detailing the effects of the chiropractic adjustment and to assess and anticipate the patient's response to care and future progress. The ICA encourages all chiropractors who feel that their ability to practice with the necessary tools is being threatened to raise their voice and be heard. Further, the ICA wishes to assure the profession that we will aggressively support the use of radiography in the ethical and evidence based practice of chiropractic. We look forward to standing with you against this unfortunate, divisive and needless affront to the profession.
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