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Updated: Jul 28, 2026

07:50
Establishment of a Clinic-based Biorepository
Published on: May 29, 2017
The Bakkum Chiropractic Clinic and Hospital
Summary
The Bakkum Chiropractic Clinic and Hospital, a 30-bed facility, offered primarily hole-in-one adjustments. Like many similar chiropractic institutions, it closed in 1950 due to economic challenges.
Area of Science:
- Chiropractic History
- Integrative Healthcare
- Public Health
Background:
- The Bakkum Chiropractic Clinic and Hospital operated from 1936 to 1950 in Waukon, Iowa.
- This facility specialized in the "hole-in-one" (HIO) adjustment as its primary therapeutic intervention for inpatients.
- It represented a model of chiropractic inpatient care prevalent between the World Wars.
Discussion:
- The study examines the Bakkum Clinic as a case study for understanding small, inpatient chiropractic facilities from the early to mid-20th century.
- Economic pressures significantly impacted the closure of such institutions, with most ceasing operations post-World War II.
- Dr. Roy Bakkum envisioned chiropractors as primary care providers, emphasizing spinal adjustments for a broad range of patient needs.
Key Insights:
- The Bakkum Clinic's limited therapeutic scope, focusing on HIO adjustments, highlights a specific approach to chiropractic inpatient care.
- The facility's closure in 1950 underscores the economic vulnerabilities faced by independent chiropractic hospitals during the post-war era.
- Dr. Bakkum's philosophy promoted a primary care role for chiropractors, distinct from contemporary medical norms.
Outlook:
- Further research into similar chiropractic facilities could illuminate the broader landscape of early 20th-century alternative healthcare.
- Understanding the historical trajectory of chiropractic inpatient care may offer insights into current debates on integrated healthcare models.
- The legacy of practitioners like Dr. Bakkum prompts reflection on the evolving scope and primary care potential of chiropractic medicine.
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