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Chiropractic claims in the English-speaking world
1Complementary Medicine, Peninsula Medical School, University of Exeter, Exeter, England.
Most chiropractors and associations make unproven treatment claims online. This widespread issue impacts public health and ethics, with few promoting evidence-backed care like lower back pain treatment.
Area of Science:
- Integrative Medicine
- Public Health
- Healthcare Ethics
Background:
- Chiropractors and associations frequently claim effectiveness for conditions lacking scientific evidence.
- This study investigated unsubstantiated therapeutic claims made by chiropractors and their associations online.
Purpose of the Study:
- To determine the frequency of chiropractic claims for specific conditions on the World Wide Web.
- To assess claims for asthma, headache/migraine, infant colic, ear infection, neck pain, whiplash, and lower back pain.
Main Methods:
- A review of 200 chiropractor websites and 9 chiropractic associations' websites across five English-speaking countries.
- Data collected between October 26, 2008, and November 26, 2008.
- Outcome measure: direct or indirect claims regarding eight specified conditions.
Main Results:
- 95% of chiropractor websites made unsubstantiated claims for at least one condition.
- 38% of websites made unsubstantiated claims for all conditions lacking sound evidence.
- 90% of websites and 100% of associations claimed treatment for headache/migraine; 28% of websites claimed lower back pain.
Conclusions:
- The majority of English-speaking chiropractors and associations make unsubstantiated therapeutic claims.
- A significant public health and ethical concern arises from these widespread unsubstantiated claims.
- Only a minority of websites promoted lower back pain treatment, despite some supporting evidence.
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