A health care profession concerned with the diagnosis, treatment and prevention of disorders of
the neuromusculoskeletal system and the effects of these disorders on general health.
There is an emphasis on manual techniques, including joint adjustment and/or manipulation,
with a particular focus on subluxations.
Chiropractic is one of the most popularly used forms of manual therapy.
It is now practised worldwide and regulated by law in some 40 national jurisdictions
As a health care service, chiropractic offers a conservative management approach and,
although it requires skilled practitioners,
it does not always need auxiliary staff and therefore generates minimal add-on costs. Therefore, one of the benefits of chiropractic may be that it offers potential for cost‐effective
management of neuromusculo-skeletal disorders.
The World Health Organization (WHO) encourages and supports countries
in the proper use of safe and effective medication,
products and practices in national health services. In the light of the situation described above,
there is a need to develop guidelines on chiropractic education and safe practice,
including information on contraindications for such care.
With the rapid growth in demand for chiropractic services,
other health care practitioners may wish to gain additional qualifications in chiropractic.
Conversion programmes have been developed to enable persons with substantial basic medical
training to acquire the additional necessary education and skills to become chiropractors,
and these could be further expanded. Such programmes should be flexible in order to take account of
different educational backgrounds and previous medical training.
Historical information
Although spinal manipulation dates back to Hippocrates and the ancient Greek physicians, the discovery of chiropractic is attributed to D.D. Palmer in 1895, with the first school for the training of chiropractors commencing in the United States of America in Davenport,
Iowa in 1897.Palmer developed the chiropractic theory and method from a variety of sources, including medical manipulation, bonesetting and osteopathy, as well as incorporating unique aspects of his own design.
The term “chiropractic”, derived from Greek roots to mean “done by hand”,
originated with Palmer and was coined by a patient, the Reverend Samuel H. Weed.
Chiropractic developed in the United States of America during a period of significant
reformation in medical training and practice.
At the time, there was a great variety of treatment options, both within conventional
medicine and among innumerable other alternative health care approaches.
Philosophy and basic theories of chiropractic
Chiropractic is a health care profession concerned with the diagnosis, treatment and prevention of
disorders of the neuromusculoskeletal system and the effects of these disorders on general health.
There is an emphasis on manual techniques, including joint adjustment and/or manipulation,
with a particular focus on the subluxation.
The concepts and principles that distinguish and differentiate the philosophy
of chiropractic from other health care professions are of major significance to most chiropractors and strongly influence their attitude and approach towards health care.
A majority of practitioners within the profession would maintain that the philosophy
of chiropractic includes, but is not limited to,concepts of holism, vitalism,
naturalism, conservatism, critical rationalism, humanism and ethics.