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Primary prevention in chiropractic practice: a systematic review.

Guillaume Goncalves1,2,3, Christine Le Scanff1,2, Charlotte Leboeuf-Yde1,2,3

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Summary

Chiropractors express positive views on primary prevention (PP) and offer it for various conditions, yet few patients consult specifically for these services. Research focuses more on wellness than other prevention areas.

Keywords:
ChiropracticPrevention of musculoskeletal disordersPrimary preventionPublic healthWellness

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Area of Science:

  • Chiropractic research
  • Public health
  • Preventive medicine

Background:

  • Chiropractors traditionally focus on musculoskeletal disorders.
  • The profession also has a role in broader health prevention.
  • This study explores the integration of primary prevention in chiropractic practice.

Purpose of the Study:

  • To determine chiropractors' opinions on primary prevention (PP).
  • To assess the prevalence of PP utilization by chiropractors.
  • To quantify patient consultations for PP in chiropractic settings.

Main Methods:

  • Systematic literature search across major databases (PubMed, Embase, etc.) updated to February 2017.
  • Inclusion of surveys on chiropractors and patients regarding PP opinions, usage, and consultation reasons.
  • PRISMA guidelines followed, with quality assessment of included articles.

Main Results:

  • Nineteen of twenty-six studies focused on wellness-related primary prevention.
  • Chiropractors' positive opinions on PP exceeded their reported PP service provision.
  • While many chiropractors offered PP for musculoskeletal, public health, and wellness, few patients consulted specifically for these reasons.

Conclusions:

  • Research emphasis is greater on wellness than on musculoskeletal or public health prevention within chiropractic.
  • The chiropractic profession is exploring roles beyond traditional musculoskeletal care.
  • A significant gap exists between chiropractors' willingness to provide PP and patient demand for it.