National Board Publishes New Job Analysis of Chiropractic

By Editorial Staff

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There is no more comprehensive survey of U.S. chiropractors and chiropractic patients than the Job Analysis of Chiropractic published by the National Board of Chiropractic Examiners (NBCE).

Job Analysis was first published in 1993; in 1994, the NBCE released a companion volume that included a state-by-state statistical report on chiropractic practice. Now comes Job Analysis 2000, the largest and most comprehensive volume.

The project director, author and editor of all three volumes has been Mark Christensen,PhD, director of testing for the NBCE. To gather the necessary information for Job Analysis 2000, 9,244 U.S. doctors of chiropractic were selected from the 59,820 licensed DCs in 1998. The selection process was designed to provide reliable data at the state and national level.

Here is a sample of some of the more interesting findings of the 209-page Job Analysis 2000:

More Pediatric Patients

Most Utilized Adjustive Techniques / Procedures

Adjustive	% of DC's Utilizing Technique / Procedure		% of Patients Receiving Technique / Procedure
	1991	1998	1998
Diverified	91.1%	95.9%	73.5%
Extremity adjusting	no data	95.5%	47.8%
Activator Methods	51.2%	62.8%	21.7%
Gonstead	54.8%	58.5%	28.9%
Cox / Flexion - Distraction	52.7%	58.0%	25.2%
Thompson	43.0%	55.9%	25.8%
SOT	41.3%	49.0%	16.5%
Applied Kinesiology	37.2%	43.2%	14.5%
NIMMO / receptor tonus	40.3%	40.0%	17.7%
Cranial	27.2%	37.3%	11.2%
Adjustive instrument	no data	34.5%	14.0%
Palmer Upper Cervical / HIO	26.0%	28.8%	9.1%
Logan Basic	30.6%	28.7%	7.1%
Meric	23.4%	19.9%	6.5%
Pierce- Stillwagon	19.7%	17.1%	6.5%
Other	15.0%	14.8%	9.9%

Most Utilized Passive Adjunctive Care

Passive Adjunctive Care	% of DC's Utilizing Technique / Procedure		% of Patients Receiving Technique / Procedure
	1991	1998	1998
Ice pack / cryotherapy	92.6%	93.9%	50.4%
Trigger-point therapy	no data	90.9%	47.7%
Nutritional counseling, therapy or supplements	83.55%	90.4%	36.6%
Bracing with lumber support, cervical collar, etc.	90.8%	90.1%	27.5%
Massage therapy	73.0%	83.0%	37.4%
Hot pack / moist heat	78.5%	82.1%	43.8%
Traction	73.2%	79.0%	33.3%
Electrical stimulation / therapy	73.2%	76.2%	44.9%
Bed rest	82.0%	75.7%	17.5%
Heel lifts	79.2%	75.1%	18.8%
Mobilization therapy	no data	74.5%	34.8%
Ultrasound	68.8%	70.3%	34.3%
Acupressure or meridaian therapy	65.5%	66.1%	28.5%
Homeopathic rememedies	36.9%	53.1%	14.6%
Taping / strapping	48.2%	48.7%	10.7%
Vibratory therapy	42.0%	44.1%	20.8%
Direct current, electrodiagnosis	26.9%	25.9%	10.1%
Diathermy - shortwave or microwave	26.7%	22.0%	7.8%
Infrared - baker, heat lamp or hot pad	19.0%	17.5%	7.0%
Whirlpool or hydrotherapy	12.7%	13.1%	3.7%
Paraffin bath	6.9%	11.6%	3.0%
Acupuncture with needles	11.8%	10.8%	4.4%
Casting	no data	8.8%	1.8%
Biofeedback	7.7%	8.6%	1.9%
Other	9.6%	6.8%	4.1%

Most Utilized Passive Adjunctive Care

Active Adjunctive Care	% of DCs Utilzing Technique / Procedures		% of Patients Receiving Technique/ Procedures
	1991	1998	1998
Corrective or therapeutic exercise	95.8%	98.0%	61.2%
Activities of daily living	no data	93.6%	54.3%
Rehabilitation / spinal or extremity joint stabilization	no data	83.1%	36.0%
Foot orthotics	79.2%	75.9%	20.4%
Work hardening	no data	52.4%	14.9%
Back school (formal program)	no data	35.4%	11.1%

The NBCE's Job Analysis 2000 is a must-read for doctors of chiropractic to better understand how their practices compare with the rest of the chiropractic profession. Copies may be purchased directly from the National Board of Chiropractic Examiners for $25 via regular mail.

You may send your order to:

NBCE
901 54th Avenue
Greeley, CO 80634
(970) 356-9100
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