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Quarterly World Report
JULY 2023

WFC in Rw an da as par t of plan t ot ar get w or k f or ce in equ it y

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PRESIDENT'S MESSAGE

Realizin g ou r vision an d m ission in r eal lif e
The vision of the WFC is ?A world where people
may enjoy universal access to chiropractic so that
populations may thrive and reach their fullpotential.? Our mission is ?To advance awareness,
utilization, and integration of chiropracticinternationally.?
Well, it is happening. So much has happened since
I last wrote a message for the QWR, much of which
will be covered in the following pages. However, I'dlike to mention two areas of our work because of
their profound impact on the implementation of
our vision and mission.
In May, I was fortunate to attend the seventy-fifthWorld Health Assembly in Geneva, Switzerland.
Ministers of Health and their teams from aroundthe world attended and, as a non-state actor, WFC
was also present. We had a number of meetings
with key WHO officers discussing various projects
and how the WFC could support WHO in several of
its ongoing projects. The level of respect,encouragement and support from WHO was very
encouraging and I look forward to our continuing
positive relationships to advance chiropractic.
In June, our Secretary-General Richard Brown and I
spent a week in Kigali, Rwanda. When I became
President of the WFC, I stressed the importance ofprioritizing the development of chiropractic in
Africa. Following extensive research, Rwanda was
the natural choice. To say the trip had a dramaticeffect on my life would be an understatement. Let
me tell you a little about this beautiful country.
When you mention Rwanda, most people
immediately think of the genocide of 1994, where
over a million Rwandans were slaughtered over thecourse of just 100 days. In fact, when I shared withpeople where I was going, many told me to becareful, still remembering the horrific images ofthat dreadful time.
However, the real story of Rwanda is how, insteadof inflicting revenge, the people have rebuilt theircountry on the pillars of forgiveness and mercy to
become one of the most safe, vibrant and beautiful
nations in the world. In his book ?Beauty from
Ashes?, Callum Henderson shares how thisapproach was not easy, and took time, yet it has
been one of the global success stories of our time.

Dr John Maltby, WFC President

Everywhere we went, there was a feeling of
oneness that was very hard to explain. For me,
visiting Rwanda was like visiting family. Everyone
greeted us with open arms, excited to share withus the love for their country and their desire to
make it better, not just for them, but for theentire region of east Africa.
Each meeting Richard and I had with top
government officials, there was the desire to do
one thing: to continue to make Rwanda betterand provide for her people. Their response tolearning about the chiropractic profession was toembrace the opportunity to embed it into thehealth system. We look forward to sharing newsof the implementation of the plans to makechiropractic part of Rwanda?s health systemstrengthening.
As a profession, we can learn a lot from Rwanda?s
example. Setting aside petty squabbles andworking together to advance the WFC's visionand mission can achieve great things.
I cannot begin to tell you how grateful I am to be
President of the WFC at this time in our history. I
look forward to seeing you in Australia. JM

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WFC NEWS

New s f r om t h e boar dr oom
The second quarter meeting of
the WFC Board of Directors took
place on Tuesday, May 16. It waschaired by the President, DrJohn Maltby. Directors from all 7of the WFC world regions werein attendance.
The Board received a report on
the outcomes of meetings held
during the Parker Seminar in Las
Vegas. Gratitude was expressedto Parker Seminars, which hadprovided complimentary
registration for WFC staff.
The Board received a reportfrom the Secretary-General,
which provided an update on all
activities, including those of theToronto-based secretariat.

Directors provided regional
updated and noted changes ofleadership in a number ofmember national associations.
Having been given notice of his
intention to step down in 2025,
the Board was mindful of
ensuring a robust strategy forsuccession planning for thecurrent Secretary-General.
The Board was provided with an
update in relation to strategicplanning for the period2023-2028.
The Board approved three newposition statements relating to
public health: healthy diet andnutrition; injury prevention; andsmoking and tobacco use. The

position statements have beenposted on the WFC website.
The Board was provided with a
Financial Risk report that had
previously been approved by the
Finance Committee. This, and areview of the financial
statements, confirmed that theWFC was in a stable position.
The Board received a reportfrom the Research Committee
and approved the establishmentof a Global Patient Safety Task
Force.
A report was also received fromthe Public Health Committee.
The next meeting of the Board
will take place August 15, 2023.

OUR PEOPLE
WFC BOARD OF DIRECTORS (2022-24)

RESEARCH COMMITTEEJohn Maltby (President)

Sidney Rubinstein DC, PhD (Chair) Netherlands

North American Region

Kendrah Da Silva (Vice President) African Region
Ryan Coster (Secretary-Treasurer)

North American Region

PUBLIC HEALTH COMMITTEE

Kei Takeyachi

Asian Region

Claire Johnson DC, MSEd, PhD (Chair) USA

Efstathios Papadopoulos

Eastern Mediterranean Region

Gian Joerger

European Region

Jakob Lothe

European Region

DISABILITY & REHABILITATIONCOMMITTEE

Carlos Ayres

Latin American Region

Katie de Luca MAppSc, PhD (Chair) Australia

Glenn Guilderson

North American Region

Dana Lawrence

North American Region

John Maltby

North American Region

Holly Tucker

North American Region

Andrew Lawrence

Pacific Region

Rebekah Wilks BS, DC (Director of Strategy and Policy)
Khalid Salim (Finance & Administration Manager)

Corrian Poelsma

Pacific Region

Sarah Villarba (Administrative Assistant)

SECRETARIAT
Richard Brown DC, LL.M (Secretary General)

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SECRETARY-GENERAL'S MESSAGE

Join in g t h e dot s on t h e m ap of su ccessWithin the past couple of months, we havemourned the loss of George McAndrews. It is
impossible to overstate the magnitude of his
contribution to the success - and survival - of thechiropractic profession in the United States. As achild, he experienced humiliation, scorned as being
the son of a quack. As a young lawyer, he
experienced criticism from his peers for his choice
to act for a chiropractor who had taken thedecision to sue one of the most powerfulorganizations in America. As an advocate, he foundhimself facing a front line of some of the best,money-no-object legal minds in the land.
The odds were insurmountably stacked against
McAndrews and his legal team. Yet with barely
believable resilience and fortitude, a never-say-die
attitude and repeated appeals to be heard in theSupreme Court, after 14 years fighting the AMA, heand his colleagues triumphed.
The story of George McAndrews' tireless campaign
in the courts is reflected in the words of Abraham
Lincoln: "Always bear in mind that your own
resolution to succeed is more important than any
other."

hospital. Having a seat at the table at the World
Health Organization. Being part of international
research teams at some of the most renowned
universities in the world. Becoming embedded asa core service within the US Department of
Veterans Affairs. Being not just listened to by
governments but being welcomed to join theconversations.
These are just some of the successes we canreport and of which we can be proud. But successis never accidental. Behind many of theseachievements for the profession lie years of
struggle. Years of knocking on doors. Years ofpatiently going back, time after time, andpersuading those in power to give minutes of
their valuable time. Just like George McAndrews, itis the spirit of never giving up that is eventually
rewarded with a favorable outcome.
For the chiropractic profession, there are many
dots to join on the map of success. The big ticket
items are, unsurprisingly, the ones that are thehardest to get over the line: legislation,
continued

By their nature, chiropractors are resilient. They get
knocked down, but get back up again. The story ofWilk v AMA has not played out in such prolonged
or dramatic style, but around the world, pockets ofpersecution remain. The medical establishment
still wields considerable power in many
jurisdictions. Restrictions on scope and freedom topractice still exist.
Despite persisting injustice, as a profession we
have learned what it takes to achieve success. The
pages of the QWR are filled with stories ofachievement by teams of chiropractors, practicing
in all regions of the world, celebrating successes
that our forefathers would never have dreamed of.
Working as part of the medical services team at the
Olympic Games. Being credentialed in a children's

Richard Brown, WFC Secretary-General

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WFC NEWS

Join in g t h e dot s on t h e m ap of su ccess(con t in u ed)

CONTACTING THE WFC
Wr it e t o u s:regulation, education and accreditation. Each ofthese components has multiple challenges
embedded within them, which can consume years ofeffort on their own.

World Federation of Chiropractic, 2 St. Clair
Avenue West,Toronto, Ontario M4V 1L5,
CanadaIn this QWR, we tell the story of legislation on theisland nation of Mauritius, which has been enacted in
the past few months. Sadly, the pioneer ofchiropractic in the country and architect of theprofession's development, Dr Rajeshwar Roy, neverlived to see his dream fulfilled, yet his memory will
endure with the statutory framework of chiropractic
legislation that is now in place.

+1 647 255 8030

Regulation is only effective if it is enforceable andenforced. We know that setting of standards, whether
they be of education, conduct or practice arefundamental to chiropractic being trusted, accepted
and integrated into health systems around the world.
A commitment to critical thinking, professionalism,
research and evidence-based practice must be thehallmarks of any health profession, for it is theseelements that contribute to continuous development
and the safe and effective care of patients.
Like practice, chiropractic education must
continuously evolve to keep pace with pedagogicaldevelopments and the learning needs, characteristics
and preferences of students. This evolution must be
centered upon educational and clinical research. A
shift to a competency based model that is focusedaround an interprofessional, collaborative,
biopsychosocial framework brings chiropractic intoline with other health professions' education, andmust be underpinned by accreditation and testingthat reflect contemporary thinking.
Joining the dots on the map of chiropractic successmay sound straightforward yet it is anything but. Just
as it is said to take a village to raise a child, it will takethe efforts of our entire global chiropractic
community to sustainably develop our profession.
The effort may need to be monumental, but thesuccess is undoubtedly worth it. RB

Call u s:

Em ail u s:
General enquiries

info@wfc.org

Richard Brown

rbrown@wfc.org

Khalid Salim

ksalim@wfc.org

Sarah Villarba

svillarba@wfc.org

NEWS ITEM S
The WFC welcomes news items, digital
images and feature stories to include in the
QWR. Send all submissions QWR@wfc.org.
Please note all submissions may be subject
to editing.
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The World Federation of Chiropractic
reserves the right to decline advertising.
Inclusion of any advertising in the WFC
Quarterly World Report does not in any way
imply endorsement of any product orservice.

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WFC NEWS

Ch ir opr act ic r epr esen t ed at 76t h Wor ld Healt h Assem bly
WFC Pr esiden t , Dr Joh n M alt by, leads n on -st at e act or delegat ion
For the first time since before the pandemic, theWFC sent an in-person delegation to the World
Health Assembly in Geneva, Switzerland.
With a mandated reduction in non-state actor
representation, the WFC delegation comprised Dr
John Maltby, Prof. Richard Brown, Dr Deborah
Kopansky-Giles, Prof. Anthony Woolf (Global
Alliance for Musculoskeletal Health), Dr
Muhammed Tagari and Ms Tamia Abrahams(World Congress of Chiropractic Students).
The Assembly commenced on May 21 with astar-studded opening ceremony, which featured
Director-General Dr Tedros Adenhom
Ghebreyesus, former New Zealand Prime Minister

The World Health Assembly takes place in the United Nations'
Palais de Nations.

The World Health Assembly is thedecision-making body of WHO, the UN agency
responsible for public health.
During the week of the Assembly, the delegation
attended sessions, which included the passing of
the first-ever resolution on strengthening
rehabilitation in health systems. The WFC
co-hosted a side-event to celebrate the passing of
the resolution, attended by ambassadors,
diplomats and other non-state actors.

WHO Director-General Dr Tedros Ghebreyesus delivered astirring address to the assembled delegates at WHA76

Jacinda Ardern and FIFA President Gianni
Infantino.
This year, WHO celebrates its 75th anniversary
and its achievements were celebrated. However,
the attention of the Assembly was drawn to
global emergencies, sustainable financing and thedrive to achieve Universal Health Coverage.

WFC delegates also met with WHO
representatives from the Global Health
Workforce, NCD, Violence and Injury, Healthy
Ageing and Life Course and Traditional,
Complementary and Integrative Medicine
departments. Discussions were held regarding
the Benchmarking for Training in Chiropractic
project as well as expanding the chiropractic
global health workforce and chiropractic's role insupporting healthy ageing
The WFC has been a non-state actor in official
relations with WHO since 1997.

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WFC NEWS

Ch ir opr act ic r epr esen t ed at 76t h Wor ld Healt h Assem bly (con t in u ed)

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FEATURE STORY

WFC in Rw an da as par t of plan t o t ar get w or k f or ce in equ it y
In June, WFC President Dr John Maltby andSecretary-General Prof. Richard Brown traveled to
Rwanda to meet with government officials and Dr
Noella Kanyabutembo, President of the
Chiropractic Association of Rwanda. They werejoined by Dr Mufudzi Chihambakwe, President of
the African Chiropractic Federation.
The vision of the WFC is focused on a world
where all people, of all ages, in all nations haveaccess to chiropractic services. At the outset of his
presidency, Dr Maltby declared his intention topromote greater chiropractic workforce equity,
The steel hand sculpture represents transparency in Rwanda

chiropractors in total.
With low back pain alone being the largest single
cause of disability in the world, access to spine
care experts is a serious concern in the wider
African continent. Here, spinal pain and disability
are not mere inconveniences. An inability to work
due to spine disorders can lead to a loss of
livelihood meaning that families can drop intopoverty. In turn, this can also seriously impact
productivity and community wellbeing.
With an identified global shortfall of health
Dr Noella Kanyabutembo with Dr Mufudzi Chihambakwe

particularly on the continent of Africa. As thesecond-largest continent by land mass, Africa
comprises 54 countries with a population of
1.44bn.
Chiropractic in South Africa is well established.
With 6-year programs of chiropractic education
provided at two universities (University of
Johannesburg and Durban University ofTechnology), longstanding legislation and a robust
regulatory framework, South Africa has over 800
chiropractors. Yet it is estimated that in the rest of
the continent of Africa there are fewer than 50

With Clare Akamanzi, CEO of the Rwanda Development Board

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FEATURE STORY

WFC in Rw an da as par t of plan t o t ar get w or k f or ce in equ it y (con t in u ed)
people, principally of the minority Tutsi tribe,
were slaughtered over the course of 100 days,
Rwanda has steadily rebuilt its infrastructure on
the back of a policy of mercy and reconciliation.
With a population approaching 14 million, thistiny country, in the heart of the Great Rift Valley,
has achieved a remarkable recovery from thedark days of the mid-nineties.
The president of the Chiropractic Association of
Rwanda, and its single chiropractor, is Dr Noella
Kanyabutembo. A graduate of Parker University,
Dr Kanyabutembo studied medicine for a numberof years at the University of Rwanda before
Hon. Dr Yvan Butera (third from left), Minister of State at the
Rwanda Ministry of Healthworkers approaching 18 million, access to
specialist providers of spine care services remains
sparse in Africa. In many countries there are justsingle chiropractors and many national
chiropractic associations have memberships insingle digits.
Rwanda is a small, land-locked country in central
Africa. It is bordered by Uganda, Burundi,
Tanzania and the Congo. Remembered for the
tragic genocide of 1994, where over a million
With Dr Noella Bigirimana, Deputy Director of the Rwanda
Biomedical Board

deciding on a change of career and moving to theUnited States. Upon graduation, she remained in
the U.S. but a calling to serve her people led her
to return in 2017. She works in a busy medical
center on the outskirts of the capital, Kigali, where
she practices alongside a range of medical
practitioners providing evidence-based
chiropractic services.

With Hon. Minister Fanfan Rwanyondo, Minister for PublicService and Labour

Following discussions with Dr Kanyabutembo, it
was determined that Rwanda provided significant
opportunities to develop spine andmusculoskeletal care services in general, and13
FEATURE STORY

WFC in Rw an da as par t of plan t o t ar get w or k f or ce in equ it y (con t in u ed)
chiropractic services in particular.
In the early hours of June 11, Drs Maltby and
Brown landed into Kigali International Airport.
Met by Dr Kanyabutembo and members of the
Rwanda Convention Bureau (RCB) they were able
to snatch a few hours of sleep before embarking
on an intensive five days of meetings, which
included Ministers of State from the departmentsof Health, Education and Public Service andLabour, government officials from the Ministry ofSport, Rwanda Social Security Board (RSSB),
Rwanda Development Board and the publicWith Hon. Claudette Irere, Minister of State at the Rwanda
Ministry of Education

answer session followed, after which feedback in
relation to the need for an expansion of thechiropractic workforce was expressed.
These views were mirrored by each of the
Ministries visited by the delegation. With a vision
grounded in the health and wellbeing of its
citizens, the Rwandan government has become a
hub for services on the African continent, withsupport and encouragement forentrepreneurship, health service provision andWith Regis Rugemanshuro, Director General of the Rwanda
Social Security Board

health agency for Rwanda, the Rwanda
Biomedical Centre. Further meetings took placewith the governor of the Bank of Kigali andleaders from the University of Rwanda and the
University of Global Health Equity.
Dr Kanyabutembo and Prof. Brown delivered apresentation on chiropractic's role in ergonomics
and musculoskeletal disorders to the senior
management board of RSSB, which has
responsibility for state pensions, incapacity
benefits, maternity leave and health insurance forthe entire nation of Rwanda. A lively question andWith Zephanie Niyonkuru, Permanent Secretary at the Rwanda
Ministry of Sports

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FEATURE STORY

WFC in Rw an da as par t of plan t o t ar get w or k f or ce in equ it y (con t in u ed)
information technology continuing at pace.
The safety of Rwanda (it is ranked thefourth-safest country in the world) makes it an
attractive location to host conferences andevents. Kigali was the host city for the meeting ofCommonwealth leaders in 2022 and later in 2023
it will host the Women Deliver conference.
To increase awareness of chiropractic in Rwanda
and the wider African region, it has been decided
to hold the first Africa Spine Care Symposium inKigali early in 2024. This event will principallytarget general medical practitioners and other
With Diane Karusisi, CEO of the Bank of Kigali

chiropractic workforce capacity. This means
bringing qualified chiropractors to underserved
areas, upskilling existing health professionals to
become chiropractors and developing asustainable model for expanding numbers with
university-based, full time programs ofchiropractic education.
"We are excited about the opportunities in
Rwanda and see the country as a great hub fromwhich to launch our plans for workforce growthacross Africa."
At the site of the new IRCAD healthcare training hub, Kigali

health providers with a view to showcasing therole that chiropractors can play as
evidence-based, people-centered,interprofessional and collaborative spine andmusculoskeletal experts.
Speaking after the trip, Secretary-General Richard
Brown said: "Africa is terribly underserved when it
comes to the provision of a skilled spine care
workforce.
"If we are to tackle the global burden of disability
in a meaningful way, we must develop short-,
medium- and long-term strategies to build the

Visiting Norrsken, innovation and entrepreneur hub, Kigali

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WFC NEWS

Kat ie de Lu ca con f ir m ed as n ew Disabilit y an d
Reh abilit at ion Com m it t ee Ch air
The World Federation of Chiropractic (WFC) is
pleased to announce the appointment of Dr Katie
de Luca BAppSc, MChiro, PhD as the new chair of
its Disability and Rehabilitation Committee (DARC).
Dr de Luca is a senior lecturer at the Brisbane
Campus of Central Queensland University (CQU) in
Australia. A 2008 graduate of Macquarie University,
she is an accomplished researcher, with over 60
peer-reviewed journal publications and over 50
conference presentations, which include several
invited keynote presentations on back pain in older
adults, women?s health conditions and sports
chiropractic. She continues to work in in private
practice in the seaside town of South West Rocks in
New South Wales.
Since obtaining her PhD in 2016 in gerontology,
musculoskeletal conditions and women?s healthfrom the School of Medicine and Public Health,
University of Newcastle in Australia, Dr de Luca
worked as a post-doctoral research fellow at
Macquarie University in Sydney before transferring
to CQU. She chairs the Chiropractic Australia
Research Foundation and is the Research Chair forSports Chiropractic Australia.
Dr de Luca has received competitive researchfunding in excess of AUD$3.4m. She is theAustralian chiropractic lead on the international
longitudinal study on Back Care in the Elderly(BACE). She was a lead author in the recently
published systematic analysis of the Global Burdenof Disease Study 2021, examining the global
regional and national burden of low back pain.
A member of the editorial board of Chiropracticand Manual Therapies and the women?s healthsection editor of the Journal of Manipulative andPhysiological Therapeutics, Dr de Luca joins the
DARC at an important time. Following theunanimous approval of the first resolution on

Dr Katie de Luca
strengthening rehabilitation in health systems at
the 76th World Health Assembly, held last monthin Geneva, Switzerland, rehabilitation is at theforefront of global healthcare. The WFC is afounding member of the World Rehabilitation
Alliance, a WHO-led initiative.
Speaking after her appointment by the WFC Board,
Dr de Luca commented, ?I am very excited to Chair
the WFC Disability and Rehabilitation Committee. I
look forward to working with the new committee,
to represent the chiropractic profession globallyand to ensure evidence-based care is at theforefront of chiropractic practice.
?We will continue the work of the previous
committee, in advocating for chiropractic as a key
stakeholder in decreasing the burden of
musculoskeletal diseases through the delivery ofhigh value care.?

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WFC NEWSWFC RC lau n ch es n ew Global Pat ien t Saf et y Task For ce
The WFC?s Research Committee has launched a
new Global Patient Safety (GPS) initiative, aimed
at reducing incidents and improving the safety
culture across the chiropractic profession.
Unanimously approved by the WFC Board at its
May meeting, the project will be overseen by the
Research Committee and involve theestablishment of an expert task force. Planned
projects will include a scoping review,
identification of best practices in incident
reporting and learning, risk management inchiropractic practice and knowledge translation
activities.

A WHO resolution on patient safety, passed in 2019at the World Health Assembly, made acommitment to take global action in tackling
avoidable harm. Its subsequent publication, Global
Action on Patient Safety, set out goals and targets
to reduce morbidity from healthcare related
incidents.
Chair of the Task Force and Research Committee
vice-chair, Dr Katie Pohlman DC, PhD, said: ?Withthe current global focus on patient safety, I?m

In recent years, patient safety has increasingly
been in the spotlight as health systems strive to
reduce unnecessary incidents and iatrogenic
injury.
?With adverse events having the potential toimpact trust and confidence in the chiropractic
profession, it is important that we do as much as
possible to inform ourselves in relation to therisks and benefits of chiropractic treatments andrelated activities,? said Prof. Richard Brown DC,
LL.M, WFC Secretary- General.
?While we know that serious adverse events are
rare, patients with multiple co-morbidities andknown risk factors require special attention. The
WFC GPS Task Force will highlight key areas ofpatient safety to support chiropractors, build andstrengthen the existing safety culture and help tomeet the expectations of patients and the public.?
Chiropractors use a package of interventions intheir treatment of patients, including hands-on
care, adjunct therapies, health promotion, advice
and exercise prescription. The process of shareddecision-making involves a consideration by thechiropractor of the suitability and safety of eachintervention. In addition to direct patient care,chiropractors also have a duty to consider thesafety of their offices and clinics.

RC Vice Chair Dr Katie Pohlman will chair the new GPS Task Force

proud to be leading this WFC Task Force, which will
support the chiropractic profession but, mostimportantly, work to minimize adverse events andprotect patients.
?The creation of an open, transparent culture ofpatient safety is key to maintaining trust andcredibility. The Task Force is looking forward toadding to the body of knowledge and advancing
safe, evidence-based, people-centered practice.?

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WFC NEWSWFC visit s advan ce h ealt h an d w ellbein g cen t er of
excellen ce
In June 2023, WFC Secretary General Richard
Brown, was invited by Faye Deane, WFC Public
Health committee member and a Senior Lecturer
at Teesside University, to the Advanced Wellness
Research Centre (AWRC), a world-renowned facility
based at Sheffield Hallam University. The visit
served to establish new relationships among

L>R: Jeff Breckon, Brian Deane, Faye Deane, Richard Brown Richard
Caborn, Jason Brennan, and Daniel Moore

organizations sharing the common goal of
improving population health through physicalactivity.
The AWRC?s mission is to improve health andwellbeing by addressing the social, behavioral andeconomic determinants of health, to reduce healthinequalities in underserved local communities, andto focus on prevention of disease through the
adoption of a healthy and active lifestyle.
The 2022/3 WFC Public Health campaign promoting
physical activity is aligned with WHO's 2018-2030
Global Action Plan on Physical Activity (GAPPA).
GAPPA encourages stakeholders across all sectors,
at global, regional and local levels, to provide safe
environments and opportunities to help support
people increase their levels of physical activity
whilst simultaneously reducing sedentary behavior.

The AWRC is a unique organization which delivers
just that through meaningful partnerships withcharities, local authorities, health and technology
sectors. Through collaborations withworld-leading experts in academia, sports andhealth and wellbeing, the AWRC has co-produced
innovations which aid independent movement forchildren with special needs , strengthen the aging
population burdened with neurological andcardiovascular issues and facilitate exercise
programs designed to help people with cancer
prepare for and recover from treatment.
As a fundamental part of the London 2012
Olympic legacy, increasing participation in sport
at all levels has been a key objective at the AWRC.
It is one where they have excelled, offering over
60 sports which can be played within one of thevarious sporting venues at the center. This
includes a football stadium, the English Instituteof Sport Sheffield and IceSheffield, catering toboth the elite athlete and the local community
alike.
Centers of excellence such as the AWRC are
crucial in supporting and achieving the WHO
mission to reduce the burden of physicalinactivity, ensuring health needs of communities
narrow rather than widen. In support of the2022/23 WFC Public Health campaign, the AWRC
has agreed to support World Spine Day on
October 16, 2023.
WFC Public Health Committee member, Dr Faye
Deane, commented: "We thank the AWRC for its
continued dedication to proving accessible,
community-based physical activity initiatives toall. As chiropractors, we all have a duty of care toeducate our patients on the risks associated withphysical inactivity and to signpost our patients
accordingly to local groups, organizations or
charities who promote physical activity throughaccessible initiatives."

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WFC NEWS

WFC at GCC f or m eet in g ofr egu lat or s

WFC Pr esiden t sh ow cases
act ivit y at ICA con f er en ce

In April, the WFC was part of a group of
stakeholders that convened at the London
offices of the General Chiropractic Council, thestatutory regulator for the UK chiropractic
profession.

WFC President Dr John Maltby was in Las Vegas in
April at the annual conference of theInternational Chiropractors Association (ICA),
where he addressed the membership on WFC
activities around the world.

As well as the GCC executive and Council, Dr Tim
Cooper (Chair) and Ms Glynis Sharman(Executive Director) of the New Zealand
Chiropractic Board were also present.

Dr Maltby, a past president of the ICA, described
the current work of the WFC including the
support of member associations around theworld, empowerment of emerging leaders,promotion of high standards of chiropractic
education and advancement of awareness,
utilization and integration of chiropracticinternationally.
The ICA is one of the founding members of the
WFC and is one of the oldest national chiropractic
associations globally.

Those present included UK and New Zealand regulators

Those assembled for the meeting, which
included program leaders from UK educational
institutions and the Royal College of
Chiropractors, heard from the respective
regulators about their current work and strategic
objectives before a wide-ranging round tablediscussion.
All were agreed on the value of regulation inorder to maintain high standards within the
chiropractic profession.
Secretary-General Richard Brown spoke onbehalf of the WFC, whose 20 Principles(www.wfc.org/principles) include strong support
for enforceable regulation in upholding good
conduct and practice.

ICA Board Member Dr Joseph Betz with WFC President Dr John
Maltby at the 2023 ICA Conference

21
WFC NEWSWFC co-spon sor s r eh abilit at ion side even t du r in g WHA
In May, the WFC worked with a range of partners
to co-sponsor a side event in Geneva, Switzerland
during the 76th World Health Assembly. The event
was organized to support the passing of the firstever WHO resolution on strengthening
rehabilitation in health systems.
WHO defines rehabilitation as ?a set ofinterventions designed to optimize functioning andreduce disability in individuals with healthconditions in their interaction with theirenvironment.?
This is the first time the WFC has been involved inan event of this nature, and it collaborated withorganizations including the International Society
for Physical and Rehabilitation Medicine, World
Physiotherapy, Humanity and Inclusion
International, the World Federation of
Occupational Therapy and others. The event wasalso officially supported by Cochrane
Rehabilitation and the countries of Israel, Brazil,
Croatia, Colombia and Brazil.
The meeting was attended by ambassadors anddiplomats as well as world leaders from therehabilitation community, who heard a panel of
speakers, including the WHO?s Professor Alarcos
Cieza and Canadian Memorial Chiropractic
College?s Professor Pierre Côté describe the global

The side event took place during the 76th World Health Assemblyneed and significance of rehabilitation around theworld.
WFC Secretary-General and WHO designatedfocal point Richard Brown said: ?Chiropractors arehighly trained and competent to deliver
evidence-based rehabilitation using a range ofinterventions for persons with spine and joint
disorders. Throughout the history of theprofession, chiropractors have focused on
improving function to prevent disability andsupport persons with disabilities. With low backpain being the largest single cause of years lived
with disability on the planet, chiropractors arewell placed to work interprofessionally andcollaboratively to create happier, healthier andmore active lives.
?We must embed rehabilitation as a corecompetency in chiropractic training and ensurethat the chiropractors of tomorrow fully
understand the role they can play in this area.
Competency-based, biopsychosocial healthprofessions education is now recognized by WHO
as the gold standard. Chiropractic can play a keyrole in addressing the world?s enormous unmet
rehabilitation needs.?

Professor Alarcos Cieza, WHO Unit Head, Non-communicable
Diseases, Blindness and Deafness

The WFC is a founding member of the World
Rehabilitation Alliance, a WHO-led initiative
whose role is to advocate for increased access torehabilitation globally.

22
WFC NEWS

Wh y ch ir opr act or s sh ou ld car e if t h eir pat ien t s sm ok e oru se t obacco
Clair e Joh n son , PHC Ch air
Chiropractors perform an important role as
primary contact health care providers. They havethe opportunity to support and promote healthy
behaviors for prevention and cessation of
tobacco and nicotine product use for theirpatients and to advocate for public health efforts
in their communities. The World Federation of
Chiropractic has supported the World HealthOrganization?s efforts against the deadly andharmful effects of tobacco and nicotine for overtwo decades. It has recently affirmed a newposition statement on tobacco and nicotine use
www.wfc.org/posn_tobacco
Here are five reasons why chiropractors shouldcare about patients using tobacco:
1. Pu blic h ealt h im por t an ce. Tobacco use is oneof the biggest preventable causes of death in theworld. It is estimated that 5.4 million people eachyear die from the effects of tobacco use.
Non-users are also exposed through secondhand
smoke or tobacco product residue. And, harms
from vaping and e-cigarettes are resulting in
additional warnings and bans.

4. Du t y as pr im ar y h ealt h car e pr act it ion er s.
Our duty as chiropractors includes educating ourpatients about the harmful effects of smoking andtobacco use. We can use the clinical encounter as
an opportunity to educate patients about thenegative effects of smoking on spinal health andthe benefits of quitting.
5. En h an cin g doct or / pat ien t r elat ion sh ip.
Chiropractors have a responsibility to educate
patients about the dangers of tobacco andsmoking and to connect them with smoking
cessation programs. When patients hear amessage from multiple sources, including
chiropractors, they are more likely to take positive
action, which benefits their health and the healthof the public.
The WFC Public Health Committee encourages all
chiropractors to use WHO resources and to sharethe quitting toolkit with patients.

2. Sign if ican ce f or ch ir opr act ic pat ien t s.
People with back pain seek out chiropractors forpreventive care, palliative care, and advice. In
addition to general health issues, there isevidence that there is an association between
smoking and back pain and that smoking has anegative effect on spinal health.
3. Con gr u en cy w it h ch ir opr act ic pr in ciples.
Concern with tobacco use fits within the
chiropractic principles that include drug-free
approach to life and health promotion.
Chiropractors should educate patients who
smoke and those who may be consideringsmoking, such as children and teens, about thenegative influence that smoking has on health.

Claire Johnson DC, MS, PhD, Chair WFC Public Health Committee

23

24

25
WFC NEWS

Tim e t o book you r place at t h e in t er n at ion al ch ir opr act ic
even t of 2023
With a little over 3 months to go, anticipation isbuilding for the 17th WFC Biennial Congress,
which takes place October 11-14 in Gold Coast,
Australia.
This year 's Congress promises to be the best
ever, with over 60 speakers from around theworld having confirmed their attendance.
The Congress, which takes place at theprestigious Gold Coast Conference andExhibition Centre, offers state of the art facilities,
being just a short walk from the preferredcongress hotels.
Our Congress theme of 'Let's Start With The
Patient' reflects the need to be people-centeredand acknowledges the central role that this playsin the provision of chiropractic care, regardlessof the part of the world or environment in whichthat care is being delivered.
The spectacular Gold Coast Conference andExhibition Centre will play host to the 17th WFC
Biennial Congress. This state of the art facility is
located in the upscale Broadbeach area of Gold
Coast, close to our recommended hotels andwithin easy reach of the world famous,
sun-kissed beaches.
Over the course of three packed days, ouracademic program will take attendees on ajourney covering various facets ofpeople-centered care. These include equity,
diversity and inclusion, the patient experience,contextual factors, personalized packages ofcare, delivery of care across the life course,
patient safety, communication and social
determinants of care.
Our opening speaker will be Dr Dinesh Palipana.
Dr Pilapana is a spinal cord injured paraplegic
emergency doctor at Gold Coast University
Hospital. He has spoken and written extensively

about his experience both as a patient and ahealth care professional, and will share histhoughts on people-centered care seen throughdifferent lenses.
Dr Mufudzi Chihambakwe, president of theAfrican Chiropractic Federation, will speak on
providing chiropractic care to underserved
communities, and Professor Andrew Briggs,
consultant to the World Health Organization, will
describe the global strategy for the provision of
musculoskeletal care.
We will hear the perspectives of truly
international panel members who will discussand debate factors related to people-centeredchiropractic care.
continued

26
WFC NEWS

Tim e t o book you r place at t h e in t er n at ion al ch ir opr act ic even t of 2023
(con t in u ed)
The WFC's commitment toevidence-based,
people-centered,interprofessional andcollaborative care - the pillars of
our #BeEPIC campaign - will befront and center throughout theCongress. We will be showcasing
both original and publishedresearch and awarding prizes tothe best submissions in our
research competition.
We have a range of workshopsthat provide something foreveryone, with topics including
pediatrics, women's health,sports chiropractic, neurology,
rehabilitation, clinicalbiomechanics, business andmanagement, and public health.
Technique masterclasses will
also be included in the program
for those wanting a hands-on
experience.
Our Congresses would not be
the same without a vibrantsocial program and our 2023
event is no exception. As well as
our opening night cocktail andcanape welcome reception, weare hosting a traditional Aussie
Night at Gold Coast's Sea World
resort and a Gala and Awards
Dinner on the final night.
Gold Coast is located on the east

coast of Australia, 66km (41miles) south of Brisbane, where
the main international airport islocated. Famous for its long
sandy beaches, surfing spots
and elaborate system of inland
waterways, there are endlessactivities such as hiking, water
sports and theme parks.
The 17th WFC Biennial Congresspromises to be an unforgettable
experience and aonce-in-a-lifetime opportunity toshare in the excitement of a
global chiropractic event at an
iconic location. We look forward
to seeing you there!

27
WFC NEWS'Let 's St ar t Wit h Th e Pat ien t ' of f er s u n m issable r an ge of t op
in t er n at ion al speak er s
Dr Dinesh Palipana OAM is a remarkable
human being. A doctor, lawyer, scientist
and disability advocate, he was the first
quadriplegic medical intern in Queensland.
He was the first person to graduate as adoctor with a spinal cord injury.
Dr Palipana is the opening keynote speakerat the 17th WFC Biennial Congress. He sees
health care through the unique lens of
having been the victim of a catastrophic
injury, patient, doctor and advocate for
equity, diversity and inclusion. He will
speak at the first session of the Congress.
Dinesh Palipana

Matthew Antonucci

Elise Hewitt

William Morgan

Mark CharretteMichele Maiers

Ayla Azad

Ricardo Fujikawa

Andreas Eklund

Martha Funabashi

Michael Schneider

Jeb McAviney

Alice Cade

Rebekah Wilks

Eric Chu

Henrik Wulff Christensen

28
WFC NEWS'Let 's St ar t Wit h t h e Pat ien t ' of f er s u n m issable r an ge of t op in t er n at ion al
speak er s (con t in u ed)

Bill Hayward

Deed Harrison

Martin Camara

Andrew Briggs

Cassandra Fairest

Lise Hestbaek

Lyndon Amorin-Woods

Imran Khan Niazi

Matt Fernandez

Mufudzi Chihambakwe

Mark GurdenDavid Cahill

Katie de Luca

Faye Deane

Claire Johnson

Genevieve Keating

Kendrah da Silva

Luana Nyiro

Deborah Kopansky-Giles

Jason Jaeger

Dawn DaneAmy Miller

Arantxa Ortega

Luke Nelson

John Maltby

29
WFC NEWS'Let 's St ar t Wit h t h e Pat ien t ' of f er s u n m issable r an ge of t op in t er n at ion al
speak er s (con t in u ed)

Kenneth Young

Sidney Rubinstein

Wayne MinterCatherine Quinn

Pete Garbutt

Steven Passmore

Katie PohlmanPeter McGlynn

The Congress will feature thestrongest and most diverse
speaker faculty ever assembled.
With a theme of 'Lets Start With
The Patient', the Congress will
focus on elements ofpatient-centered care, a subject
that has compelling relevance tothe entire chiropractic
profession.
The Congress will take place inthe exceptional Gold Coast
Convention and Exhibition
Centre in the upmarket
Broadbeach area of Gold Coast.
Its modern, state-of-the-art
facilities will provide the perfect
backdrop for this global event,which will attract attendees
from each of the WFC's 7 world
regions.
Sessions will include equity,
diversity and inclusion,indigenous care, patient
experience, maintenance care,
care through the life course, andpatient safety.
The program also includes
compelling panel discussions,
ground-breaking researchpresentations and innovative
workshops on topics such as
pediatric care, rehabilitation,orthopedics, concussion
management, sports
chiropractic and business.
Technique primers will also befeatured on the workshop
program.
Networking is always a key
element of the learning
experience at WFC Congresses
and there will be ample time tovisit vendors at the Expo area,
meet with researchers at theposter exhibition, reconnect

Stacie Salsbury

Christopher Yelverton

with old friends and make newones during the generous
refreshment breaks.
The social program kicks off on
Wednesday evening (October
11) with our welcome reception.
A traditional Aussie night will beheld at the Sea World resort on
Thursday (October 12), while aglittering gala banquet will close
off the 17th WFC Biennial
Congress on Saturday, October
14.
This is a once-in-a-lifetime
opportunity to attend a
chiropractic event of thismagnitude in one of the world's
most iconic locations. To findout more and to book yourplace at the 17th WFC Biennial
Congress, go to the website at
wfccongress2023.org.au.

30

REGISTERNOW
wfccongress2023.org.au

ACADEMICPROGRAMMENOWONLINE!
17th World Federation of Chiropractic Biennial Congressin association with theAustralian Chiropractors Association
Gold Coast Convention & Exhibition Centre, Gold Coast, Queensland, Australia
11-14 October 2023

31

32
EDUCATION NEWS

Clin ical an d r eh abilit at ion ser vices at AECC Un iver sit yCollege su ppor t NHS w it h t r iagin g ser vice f or low er lim b
pat ien t s
Clinical and Rehabilitation Services at AECC
University College is pleased to be working withDorset Musculoskeletal (MSK) Service to provide a
triage service in its on-site Clinics.
A multidisciplinary team of chiropractic clinicians
and physiotherapists based at the University
College is assisting the NHS by triaging a caseloadof 700 patients who are experiencing lower limb
pain or discomfort.

?We?ve had a partnership with Dorset MSK for the
past two years: the team runs a clinic from fourrooms in our on-site Chiropractic Clinic. This gives
our student chiropractors the opportunity tospend time with the clinicians and observe andlearn.
?Patients are also able to access our on-site
imaging service if needed to determine the bestcare for that patient. The range of rehabilitation
services that we have on site makes us very
well-placed to offer a service like this."
Director of Clinical and Rehabilitation Services at
AECC University College, Dr. Neil Langridge, said:?Our clinical service aims to represent a gold
standard for collaboration between services. We?rea forward-thinking organization that prioritizes
collaboration to help patients reach theirpotential.

The Integrated Rehabilitation Centre at AECC UC

Chiropractic Clinic Lead at AECC University College,
Daniel Heritage explains:?We are running a Pilot Study with 700 NHS
patients. It?s a multidisciplinary service: we have ateam of four chiropractors and threephysiotherapists working together to triage
patients.
?This is uniquely collaborative across MSK services:
the focus for us is on competency, rather thanprofession. Our focus is on giving patients the best
outcome from the assessments that we areundertaking.
?Running this service offers our students a
fantastic opportunity to observe and learn fromthe patient care taking place.

?We?re bringing professions together in acommunity of practice, based on competency,
safety and capability. With different services
working together in this way, we can create
something really exciting and unique that will
enable our patients to reach their potential. Thisnew triaging service is a great example of this.?
Students at AECC University College also benefit
from the specialist Paediatric and Sports
Chiropractic Clinics on-site, with final year
placements now available for students in both
specialisms.
Head of the School of Chiropractic, Philip
Dewhurst, explains: ?Undertaking observation andhaving access to placements in these specialist
Clinics gives students a greater breadth ofexperience. This collaboration helps to break
down any misunderstanding that exists between
professions, because we?re all working together tohelp patients and that is our common goal.?

33
EDUCATION NEWSM alaysia's IM U aw ar ded accr edit at ion u n t il 2026
The International Medical University (IMU), basedin Kuala Lumpur, Malaysia, recently announced
that its chiropractic program has been granted
re-accreditation by the Council on Chiropractic
Education Australasia (CCEA) until April 2026.
This notable achievement signifies the program's
commitment to delivering high-quality
chiropractic education and meeting international
standards consistently.
The CCEA, an internationally recognizedaccrediting body, evaluates chiropractic
programs to ensure they meet stringent quality
standards. Their accreditation process involves acomprehensive assessment of various aspects,
including curriculum design, faculty
qualifications, clinical training, research
opportunities, and institutional support. By
obtaining re-accreditation from CCEA, IMU's
chiropractic program has demonstrated its
compliance with these rigorous standards.
Since its initial accreditation in 2013, the IMU
Chiropractic program has maintained its
dedication to excellence, ensuring continuous
adherence to rigorous quality standards. The
re-accreditation by CCEA validates the program's
ongoing efforts in providing exceptional
chiropractic education.
The international recognition garnered through
CCEA accreditation has significantly benefited
graduates of IMU's Chiropractic program. The
program's strong reputation and compliance withinternational standards have opened up
numerous career opportunities for graduates
both locally and internationally.
In terms of employment prospects, a substantial
percentage of IMU Chiropractic graduates havesecured positions in the field. Locally, many
graduates have joined reputable chiropractic
centers, hospitals, and wellness centers,
contributing to the advancement of healthcare in

CCEA evaluation team with academic leaders from IMU

Malaysia. These graduates have been able toapply their knowledge and skills gained from theprogram to provide non-invasive and holistic careto patients, positively impacting their well-being.
Internationally, IMU's CCEA-accredited
chiropractic program has enabled graduates topursue careers around the world. Graduates havefound employment in various countries, including
Australia, New Zealand, United Kingdom,
Philippines, Hong Kong, Singapore, etc. This
global recognition has not only enhanced theirprofessional prospects but has also allowed themto experience diverse healthcare systems andcontribute to the advancement of chiropractic
care on an international scale.
The continuous recognition and re-accreditationof IMU's Chiropractic program by CCEA
demonstrate its unwavering commitment toproducing highly skilled chiropractors who
contribute to the global healthcare landscape. As
the program continues to thrive with its renewed
accreditation, IMU remains dedicated to nurturing
future chiropractic professionals who will shape
the future of chiropractic care, improve patient
outcomes, and contribute to the advancement ofhealthcare worldwide.

34
EDUCATION NEWSEDI advocat e n am ed as n ew LSBU Cou r se Dir ect or
One of the chiropractic profession?s strongest
advocates for equity, diversity and inclusion has
been named as the new Course Director of thechiropractic program at London South Bank
University (LSBU). Dr Sumaya Ahmed is a 2016
graduate of the Welsh Institute of Chiropractic,
University of South Wales and has worked inchiropractic education since March 2020.

?At seventeen, I learned about chiropractic througha friend at school who was going to university to
study. After connecting with a local chiropractor in
Bristol, I applied to university and was offered aplace on the foundation year program. I graduatedfrom the Welsh institute of Chiropractic five years
later."
On graduating from WIOC, Dr Ahmed went into
private practice. However, after a couple of years
working in chiropractic clinics, she felt she wanted
to look at other career opportunities.
In 2018, she moved to London and began a
post-graduate diploma in education (PGDE) throughTeach First. On qualifying, as well as working fulltime as a science teacher, she practiced as achiropractor during weekends and school holidays
to ensure she retained her skills.
She became aware of the need for equity, diversity
and inclusion (EDI) advocacy during her earlyteaching career. ?It was in secondary schools that I
knew my presence as a South Asian woman wasvalued by my students. I set out to inspire students
who could relate to me, knowing I never had thesame experience when I was at school anduniversity.?
In 2020, Dr Ahmed joined London South Bank
University as a lecturer on the chiropractic Masters
degree program.

Dr Sumaya Ahmed is the course director at LSBU

In being appointed to this new role, Dr Ahmed
feels she has fulfilled her destiny. ?It seemed that
becoming an educator was inevitable, seeing as
both of my parents were teachers. However, at
school I was often in trouble, and didn't have thebest experience.

She says: ?As the only staff member from aminoritized ethnic background, I quickly saw how
my lived experience would aid our chiropractic
students through their journey. Earlier this year, I
was promoted to Senior Lecturer and am delighted
to have become the course director for the
chiropractic program. I hope to continue to use mypresence to influence not only our student body,
but also the profession.?

35
EDUCATION NEWS

Pion eer in g pr ogr ess at Cam pbellsville
Located in the heartland of America, Kentucky
boasts a rich heritage of pioneering spirit and a
deep appreciation for holistic healthcare.
It is within this dynamic landscape that thevisionaries behind Campbellsville University's new
chiropractic college have recognized an
extraordinary opportunity to cultivate a newgeneration of chiropractors armed withknowledge, skills, and compassion.
By offering a comprehensive curriculum that
integrates technology, hands-on training, apatient-centered approach, and a sharp businessacumen, this institution aspires to elevatechiropractic in the state.
Since the campus opened, three cohorts havebeen admitted. Being a new program, the firstcohort consisted of only nine specially chosen
students, but the number of students for eachsubsequent trimester has grown rapidly. Students
are mostly from Kentucky, with others from out ofstate, including Pennsylvania, Indiana, andTennessee. The first cohort students included ahigh school teacher, a cook, a speech pathologist,
several basic science and health-related majors, anengineer and several small business owners.

The faculty also provide a diverse perspective,
having previously served as faculty at a number ofdifferent institutions, including LACC, National,
Texas Chiropractic College, NYCC, Palmer, Palmer
West, and Logan. Some of the faculty have been
involved in academia for decades, and others havetransitioned to academia after a number of yearsof successful practice. Two faculty members haveover thirty years of experience in clinical practice.
Beyond the classroom and clinical settings, the
new chiropractic college envisions a vibrant hub ofresearch and innovation.
By fostering a culture of inquiry and providing
resources, the institution aims to push theboundaries of chiropractic knowledge, pioneering
new treatment options and protocols. Throughinterdisciplinary collaborations and a commitment
to evidence-based practice, this college aspires tomake significant contributions to the scientificunderstanding and advancement of chiropracticcare.
The establishment of a new chiropractic college in
Kentucky not only reflects the growing recognitionof chiropractic medicine but also serves as a
beacon of hope for the communities it will serve.

At the core of this new college lies a profoundbelief in the power of chiropractic care totransform lives. As the demand for non-invasive,
drug-free therapies continues to grow, the needfor highly skilled and compassionate chiropractors
becomes increasingly relevant.
This new endeavor is not only a testament to thepioneering spirit of Kentucky but also a testament
to the collaborative nature of healthcare.
By forging strategic partnerships with local
hospitals, clinics, and healthcare organizations, thecollege seeks to create a robust network that willoffer unparalleled clinical experiences for its
students.

Campbellsville University School of Chiropractic holds
its first white coat ceremony

36

2023WFCWORLDSPINEDAYCOMPETITION

Get in volved f or a ch an ce t o WIN!
Here at the WFC, we want to hear
how you have celebrated World
Spine Day 2023 in your local
community.
Whether you're a WFC member
national association, educational
institution or independent
chiropractor or clinic, tell us what
you've done to make an impact on
World Spine Day.
We will be recognizing the best
projects and activities, so be sure to
take plenty of photographs when
you share your stories with us.
Information can be found on the
WFC website at wfc.org.

Pr of ession al associat ion sFirst prize: US$600
Runner up: US$300
Edu cat ion al in st it u t ion sFirst prize: US$600
Runner up: US$300
Clin ic/ in dividu al pr act it ion er
Best entry: US$500
Send in your competition entries by
Novem ber 24, 2023 tow sdcom pet it ion @w f c.or g.
Winners will be featured in theJanuary 1, 2024 issue of the WFC
Quarterly World Report.

37

38
EDUCATION NEWSACA h olds f acu lt y sym posiu m at Keiser Un iver sit y
The American Chiropractic Association held its third
annual Faculty Symposium last month, hosted by
Keiser University in West Palm Beach, Florida. The
gathering was the first in-person event that theFaculty American Chiropractic Association (FACA) has
hosted, and it provided an opportunity forchiropractic faculty from around the country togather for a day of presentations and networking.
Seven faculty experts presented throughout the day,giving attendees the opportunity to earn six
continuing education credits on site. These
presentations covered a range of topics, but all
offered insights and techniques that FACA members
can take directly back to their classrooms.
?Exceptional Faculty Symposium by the ACA at Keiser
University. The astounding speaker group shared
relevant clinical pearls and new research updates.
The presentations were diverse, and evidence
based,? noted participant Mina Mikhail, DC, CCSP,
CIR.
Karen-Ann Gordon, DC, RDH, started the day off with
?Brain-Body Connection: Let?s Connect the Dots,?
sharing information about the connection between
musculoskeletal pelvic dysfunction andtemporomandibular joint dysfunction.
This was followed by presentations from William
Lauretti, DC, and Jennifer Illes, DC, MSACP, RN, MSN? both former FACA leaders who also functioned as
the event?s MCs. Dr. Lauretti presented aboutteaching side-posture lumbar and pelvic
adjustments, and Dr. Illes discussed foot orthotics,
adjustments, and the importance of lower-extremity
evaluation. ?This was my favorite class,? fellow
presenter James Lehman, DC, DIANM, said of Dr.
Illes?presentation. ?Dr. Illes stressed the value of theflexibility of the large toe with sprinters and runningathletes. It was basic advice with valuable
information.?
Presenter Tatiana Habanova, DC, DACNB, discussed
the ways that the foundational Pilates rehabilitative

Attendees at the ACA Faculty Symposium, held at Keiser University

concepts can enhance chiropractic clinicaloutcomes in ?Pilates Rehabilitation Meets
Chiropractic Practice.? In his ?Effects of Posture?
presentation, Nathan Schilaty, DC, PhD, taught
attendees about an ongoing study into the effects
of posture on mental health, frailty, and physicalfunction. ?Dr. Habanova got me to sit up straightand breathe properly, and Dr. Schilaty supported
Dr. Habanova?s comments with research data,
which was a nice follow up,? noted Dr. Lehman,
who then presented his own session about his
experiences developing a full-time chiropractic
residency program.
To close out the day, Geoffrey Gerow, DC, DIANM,
shared ?Correlative Synergy in the PI Practicethrough Published Case Studies.?

39
EDUCATION NEWSFoot Leveler s CEO aw ar ded
h on or ar y degr ee by Logan
Un iver sit y

New Pr esiden t -Electan n ou n ced at Texas
Ch ir opr act ic College

Kent S. Greenawalt, chairman and CEO, Foot
Levelers, was conferred an honorary degree,
Doctor of Chiropractic Humanities withHonoris Causa, by Logan University at their

Sandra Hughes DC, FICC has been appointed as
President -Elect of Texas Chiropractic College after
it was announced that current president Steven
Foster DC, FICC would be stepping down.
Dr Foster, who has served as TCC President since2016, said: "It has been an honor to serve as
President of Texas Chiropractic College. I am proudof where Texas Chiropractic College stands today
and I know the best is yet to come."
Dr. Hughes will be the first female President ofTexas Chiropractic College. The 1994 TCC graduate
has served as Executive Vice President since 2020.
Hughes embraces the future as TCC president. ?Iaffirm my commitment to the students, faculty,

L>R Clay McDonald (Logan University President), Kent
Greenawalt (CEO, Foot Levelers) and Donald Altman (Logan
Board Chair)commencement ceremony held on theuniversity?s campus in Chesterfield, Missouri
on Saturday, April 22nd.
?With his vision and dedication, Kent promotes
and inspires chiropractors worldwide,? said
Clay McDonald, DC, MBA, JD, president, Logan
University. ?It is with our gratitude that Loganconfers this honorary degree on Kent
Greenawalt in recognition of his generosity anddedication to our profession.?
As he accepted the degree and congratulated
the Logan graduating class of 2023,
Greenawalt reflected, ?It is truly humbling toreceive this honorary degree and address the
future of the chiropractic profession. Foot
Levelers has been committed to Logan and thechiropractic profession at large for decades
and will remain steadfast into the future.
Quality education and research are thebackbone of our field.?

Sandra Hughes DC, MEd, FICC will become the 16th TCC President

staff, alumni, and supporters of TCC. We will invest
in opportunities that inspire and empower every
life TCC touches," she said on being named
President-Elect.

40
EDUCATION NEWSFCLB r ecogn ises CCE-LA Pr esiden t f or ser viceDuring the recent Annual Meeting of the Federation of
Chiropractic Licensing Boards (FCLB) held in West Palm
Beach, Florida, Dr. Joseph Busch, President of the
Chiropractic Council of Education in Latin America(CCE-LA) presented the project of accreditation of
Chiropractic Programs in Latin America as acollaboration project with the Latin American
Chiropractic Federation (FLAQ).
The attendance was supportive and excited about the
project and expressed its willingness to contribute to
the continued development of the chiropractic
profession and support the talented members of the
CCL-LA, their vision and interests in supporting theirfunding needs.
In addition, Dr. Joseph Busch received an award fromthe FCLB president Dr. Carol Winkler to recognize theeffort put into the CCE-LA project.

Dr Joseph Gusch, President of CCE-LA, received an award inrecognition of his service from Carol WInkler, President of
FCLB.

41
EDUCATION NEWSCCA dir ect or Par m ar n am ed 2022 UWS Alu m n u s of t h e Year
Jaipaul Parmar, DC, 2010 graduate of University ofWestern States (UWS) was recently honored at the
UWS alumni of the year reception in April as the2022 UWS Alumnus of the Year.
This distinction honors the accomplishments ofoutstanding UWS graduates as they advance thescience and art of integrated health care.
Dr. Parmar ?s professional work has demonstrated
exemplary leadership and commitment to the UWS
motto, ?for the good of the patient? in addition toembodying the core values of UWS ? student
focus, best practices, curiosity, inclusiveness,
professionalism and whole-person health.
Shortly after receiving his license, Dr. Parmar
began serving as a member of the British
Columbia Chiropractic Association (BCCA) and theCanadian Chiropractic Association (CCA). In 2022,
he was nominated to sit on the CCA Board of
Directors.
?Since graduating from UWS in 2010, Dr. Jaipaul
Parmar ?s contribution to the BC chiropractic
community and the university has been

Jaipaul Parmar receives his award from UWS President, Joseph
Brimhallsignificant,? said UWS President and CEO Dr.
Joseph Brimhall. ?Dr. Parmar ?s clear passion forthe profession goes beyond boards and public
service but is also evident on an individual level asa mentor to UWS student interns.

Nor t h east celebr at es w in t er con vocat ion
Twenty-nine new doctors of chiropractic received
their diplomas during Northeast College of Health
Sciences Winter 2023 Commencement Ceremony.
This degree is earned after 10 trimesters of study,
which includes courses in areas like biochemistry,
gross anatomy, neuroscience, nutrition andbusiness management, as well as extensive
hands-on clinical experience and research.
Dr. Gary Tarola, board member of NCMIC, was theWinter 2023 Commencement speaker. During his
address to the graduating new doctors and otherguests, Tarola reminded them of what it takes toachieve and succeed.

Northeast College graduates take their chiropractic pledge.

42

43
EDUCATION NEWSCERF con t in u es t o bu ild edu cat ion r esear ch capacit y
CERF is an independent, volunteer run organization
created for chiropractic program faculty, staff, andadministrators to build education research capacity
and to develop and advance academic scholarship.
CERF membership continues to grow and now
exceeds 450.
Members represent the international chiropractic
teaching community from Australia, Brazil, Canada,
Chile, Denmark, Israel, Malaysia, Mexico, New
Zealand, Puerto Rico, South Africa, Spain, Sweden,
Switzerland, United Kingdom, United States.
Led by volunteer administrators, Dr Claire Johnson
and Dr Bart Green, CERF Board members support
rigorous education research and scholarship toadvance the chiropractic profession.
The CERF Board embodies diversity, equity, andinclusion, representing diverse philosophicalchiropractic paradigms and world regions as well asother traditional diversity traits.
In June, CERF held its latest online conference,"Keeping It Real: Practice Relevant Education,"
attended by over 80 chiropractic educators fromaround the world.
The upcoming CERF December 2023 virtual
conference is Battling Burnout: Raising Resilience in
Education.
This conference will focus on what chiropractic
programs are doing to diminish burnout and build
resiliency and will look at measuring or abating
burnout, and building resilience for faculty, staff, andstudents.
WHO defines burnout as a ?syndrome
conceptualized as resulting from chronic workplacestress that has not been successfully managed? andinterferes with daily activities.
Abstract submissions are due September 18, 2023.
Visit https://cerfweb.org for details.
CERF thanks and recognizes WFC for its sponsorship.

CERF Board Membership 2023
Sir a Bor ges, MD, DC - Federación Latino Americana deQuiropráctica
Bar t Gr een, DC, MSEd, PhD - Stanford Health Care andNational University of Health Sciences
David Byf ield, DC, MPhil - Welsh Institute of Chiropractic,
University of South Wales
Navin e Haw or t h , DC, PhD - Australian Chiropractic
College
Gr egor y Cr am er , DC, PhD - National University of Health
Sciences
Igor Him elf ar b, PhD - National Board of Chiropractic
Examiners
An dr ew Du n n , DC, MEd - VA Western New York
Healthcare System, Chiropractic Residency Program
Clair e Joh n son, DC, MSEd, PhD - National University of
Health Sciences and Brighthall
Ricar do Fu jik aw a, MD, DC - Fujitega Foundation
Th eodor e Joh n son , Jr , DC - National University of Health
Sciences
Valer ie Joh n son , DC - Veterans Administration of Greater
LA Healthcare System
St eph n ey Wh illier , BSc, BEd, PhD - Macquarie University
Ch ar m ain e Kor por aal, MTech(Chiro) - Durban Universityof Technology, Department of Chiropractic
Joh n M r ozek , DC, MEd, EdD - Texas Chiropractic College;
Christopher Yelverton, MTech(Chiro) - University of
Johannesburg
St acie A. Salsbu r y, PhD, RN - Palmer College of
Chiropractic
Yi Kai Won g, MSc, BSc(Chiro) - Centre for Complementaryand Alternative Medicine, IMU Malaysia
Niu Zh an g, MD, MS - Palmer College of Chiropractic,
Florida44

45
EDUCATION NEWS

Palm er College celebr at es$3m don at ion by alu m n u s

NWHSU f acu lt y m em berr ecogn ized f or leader sh ip

The largest single gift from a living alumnus
has been received by Palmer College of
Chiropractic.

Northwestern Health Sciences University faculty
member, Stephen Thompson, DC, DACM, LAc, CNT,BCTMB, has been recognized for his leadership anddedication to health and wellness.
Dr. Thompson has accepted a full scholarship and aplace in the 14th cohort of integrative medicine
fellows in the Academy of Integrative Health andMedicine (AIHM) program.

Dr William Kiernan, centre, cuts the ribbon at the opening of
the centre named in his honor

Dr. Thompson also received the Bloomington
Pioneers and Changemakers award, an award thatfeatures Black leaders with a connection to
Bloomington, who have worked to advance civilrights and equity in the fields of education,
government, housing, law, medicine, and more.

Palmer 's new Experiential Learning Center has
been renamed the William J. and Mary A.
Kiernan Hall - Anatomy and Technique Center inhonor of William Kiernan DC for his $3m gift tothe college, based in Davenport, Iowa. Dr
Kiernan graduated from Palmer College of
Chiropractic in 1951.
The newly-renovated building opened in March
2022. The anatomy and technique courses
taught in this space sit at the heart of Palmer 'sinternationally recognized curriculum, wherestudents learn hands-on techniquefundamental to their successful careers as
Doctors of Chiropractic. The new space features
five technique labs and four anatomy labs.
Chancellor, Dr Dennis Marchiori DC, PhD, said
"Dr Kiernan embodies the dedication ouralumni have to supporting the continued
growth and advancement not only of Palmer
College and the students and patients we serve,
but also the chiropractic profession.
"This significant gift advances our vision tocreate a student learning experience that can't
be replicated anywhere else."

Dr Stephen Thompson is a faculty member at NWHSU

Dr. Thompson commented, ?It is always
appreciated when being acknowledged for thework you do in a particular space. I applaud andthank the City of Bloomington for recognizing
community members dedicated to thebetterment of the city and the fight for diversity,
equity and inclusion.?

46
EDUCATION NEWSLif e West open s n ew
Nebr ask a cam pu s

Palm er Flor ida n am es n ew
cam pu s pr esiden t

Life Chiropractic College West (LCCW) has
announced the opening of a campus located at
Bellevue University in Bellevue, Nebraska. In
March, the Nebraska Post-Secondary
Coordinating Commission approved Life
Chiropractic College West?s application for theDoctor of Chiropractic program to be delivered in
Nebraska.

Palmer College of Chiropractic has named William
Sherrier DC, MA, campus president of Palmer
Florida, located in Port Orange, Florida. Dr Sherrier
assumed his new role on June 19. He replaces Dr

Bellevue University sits on a 46-acre campus
located in the heart of the Omaha metropolitanarea, home to more than a million people and athriving health care industry.
The Doctor of Chiropractic program offered at
Bellevue will be identical to the program offeredat Life Chiropractic College West?s campus in
Hayward, California.
Opening in the fall of 2023, students will haveaccess to state-of-the-art facilities, highly trained
faculty, and an inspired learning environmentthat produces practice-ready chiropractors.
Life West president Ron Oberstein said ?We knowthat increasing the population of chiropractic
doctors creates the potential to transform lives
and communities, and by expanding our reachand providing more students with greater accessto chiropractic education, we are helping toensure that the future of chiropractic is brighter
than ever.?
President of Bellevue University, Dr. Mary
Hawkins, is excited with Life Chiropractic College
West?s expansion because of the access it creates.
?This relationship allows Bellevue University toprovide students in the region with educational
choices that simply weren?t available to thempreviously,? she said. ?Individual learners andcommunities across the country will benefit
thanks to Life Chiropractic College West?spresence in the Midwest.?

Dr William Sherrier, campus president at Palmer Florida

Peter Martin DC, who retired on June 30.
Dr Sherrier, who has served as Palmer Florida
Dean of Academic Affairs for the past two years, isonly the second person to hold the Palmer Florida
campus president post since the campus openedin 2002.
"The campus president position presents acompelling opportunity for the right candidate. I
feel that Bill is perfectly suited to this role," said Dr
Dennis Marchiori, Chancellor and CEO of Palmer
College of Chiropractic.
"It was especially gratifying to find our leadcandidate among our ranks."

47
RESEARCH NEWSCan adian Ch ir opr act ic Resear ch Fou n dat ion

Th e Pow er of Par t n er sh ip
Par t 2 of a 4-par t ser ies
At the Canadian Chiropractic Research Foundation(CCRF), our mission is to create a perpetual sourceof funding to improve musculoskeletal health andrelated areas of well-being. In the last issue of the
WFC Quarterly World Report, we showed how
sharing goals and resources through partnerships
can be leveraged to expand our impact withpotential funders inside and outside theprofession. We?re now pleased to share even more
about how collaboration is a dynamic way toachieve success.
?Our profession has always said the key toadvancement is to have a seat at the table? says
CCRF chair, Dr. Nadine Ellul. ?And we?re finding
there are plenty of tables, ranging from
community healthcare clinics and PRNS, to systemnavigators, insurers, policy advisors, universities,
corporations and more. Partnerships began as away to expand revenue generation, and we?vebeen pleased to see that, along with extra cash
flow, there are other important benefits as well.
With each new signing we?re tapping into new
networks, resources and knowledge ? while
offering our allied organizations similaradvantages.?
?It?s like not only having a seat at the table butbringing your own chair,?shares Partnership
Committee chair Dr. Sasha Hamid. ?This hashelped us to recognize a couple of different
approaches we can take, simply described as
Project-Based and Strategy-Based.?
Project-based partnerships begin with acommitment to align resources to address a clear
need. A good example is CCRF?s current
collaboration with the Canadian Memorial
Chiropractic College (CMCC) and the University ofToronto (U of T). In this case, the shared goal of allparties was to attract additional research funding
in the area of Equity, Diversity and Inclusion (EDI)

while activating effective prior research.
The Canadian Memorial Chiropractic College(CMCC) is home to many leading researchers,
including Dr. Carlo Ammendolia, who is also the
Director of a Spinal Stenosis Program at a major
Ontario hospital and holds a Professorship inSpine, Department of Surgery, U of T. The
partners worked together to extend Dr.
Ammendolia?s very well-regarded Spinal Stenosis
Bootcamp study to patients at an inner-city clinicin Toronto which serves seniors, new Canadians
and the LGBTQ+ community.
Each participant brought different capabilities.
CMCC?s infrastructure, clinical support and grantwriting complemented CCRF?s marketing outreachand brand heft as Canada?s national researchfoundation. U of T then offered expert
fundraising personnel and academic integrity to
add further weight to our proposal. This resulted
in a strong pipeline of potential project funders
and we expect to have an announcement about
the status of this initiative this fall.
Turning our attention to the strategy-basedmodel, an excellent example is the recent
co-sponsored Request for Proposal (RFP) between
CCRF and The Foundation for the Royal CanadianCollege of Sports Sciences (Canada) ? or THE
FOUNDATION for short. By teaming up, eachcharity was able to bring financing to a funding
pool, which then created opportunities forresearchers with sports-related projects to apply
for grants. Dr. Eric Helson, President of THE
Partnerships are
key to the successand development of
the CanadianChiropractic
Research
Foundation.

48
RESEARCH NEWSTh e Pow er of Par t n er sh ip (con t in u ed)
FOUNDATION, put the value of
this alliance into context.
?Chiropractic is an integral partof high-level athletics andstrongly embedded within the
sports performance community.
At the same time, many
conditions suffered by athletes ?
like repetitive stress,
concussions, and poor
ergonomics - are seen in thegeneral public, making researchin this area valuable to bothaudiences.? Dr. Helson added?We have an extensive
international network of sports
chiropractors, a practice-based
research network (PBRN). These
aspects were valuable to CCRF,
who already holds semiannual
requests for proposals (RFPs)

and has exceptionally effective
project administration andmarketing programs.?
All of this enabled THE
FOUNDATION to direct more
funds toward sports-related
research and gain access to amuch larger audience without
having to shoulder the cost of alarge RFP. In turn, CCRF
expanded its research networkand created a pathway toincrease trust with sports
organizations. ?This test case fora co-sponsored RFP worked
well?, indicated Mr. RobertHarris, Executive Director,
CCRF.?We elevated awarenessfor both organizations, provided
over $75,000 in funding for four(4) high-impact studies and set
the stage for more
foundation-to-foundationcooperation in the future.?
?Whether it?s building
relationships through projects or
strategic planning, it?s all part ofthe same goal,? concludes Dr.
Hamid. ?We?re proving
partnerships are a powerful key
to increase funding, establish
long-term relationships and,ultimately, advancing
evidence-based research tobetter serve our patients andthe profession.?
Watch for more exciting CCRF
partnership news coming soonin the Fall Edition of Quarterly
World Report!

For m er RC Ch air calls f or r et h in k on back pain t r eat m en t
Past Chair of the WFC Research Committee,
Professor Christine Goertz, has called for adramatic change in how back pain is medicallymanaged.
In an article published in MedPage Today, Prof.
Goertz highlighted than many interventions
currently used for the treatment of spinal painand disability are unsupported by sound evidence.
In her article, published in April, she stated thatthe treatment of back pain had been
over-medicalized, with approaches causing more
harm than benefit.
In her article, she took aim at the overuse ofdiagnostic imaging and said that prescription
medications often did more harm than good, withrisks outweighing the benefits. She alleged thatmany of the approaches that are still being usedcause people to transition from acute to chronic
sufferers .
The problem, says Goertz, is not the lack ofevidence. She points to guidelines advocating to
non-pharmaceutical, non-surgical approaches tospinal pain, with exercise, education, self-care
options, spinal manipulation, acupuncture andmassage all forming part of the best carerecommendations. "Part of the issue", she says,"are that these interventions are not in thefinancial interests of health systems drivers.
Current payment policies do not help."
Goertz says that one solution may lie with better
clinician education and familiarity with theevidence.

49
RESEARCH NEWS

Vigor ou s act ivit y low er s ch an ces of sever e LBP, says st u dy
The more time you spend on moderate to vigorous
physical activity, the less likely you are to havepersistent, severe lower back pain. There can be
two reasons for this: (1) physical activity protects
against developing severe back pain; (2) people atrisk of severe back pain have low physical activity
because they have had back pain before.
Therefore, clinicians should encourage patientswith low back pain to be physically active at a highlevel and help them find ways to be active.
The probability of a patient's low back pain
developing into severe pain over the course of ayear decreases by 2.8% for every minute thepatient increases their physical activity level,
especially if the intensity of the activity level ismoderate to high. Regular activity or sedentary
activity seems to have no influence on thedevelopment of low back pain. This is shown by a
new study carried out by researchers from
Australia and Denmark, which supports
recommendations for physical activity that is
adapted to the individual patient.

They conducted the study because some previous
studies have shown that differences in amountand intensity of physical activity affect low backpain differently. Other studies have shown thatsedentary activity is associated with a threefold
increase in the risk of having recurrent nonspecific
low back pain.
Although this study indicates that more is better, it
is important that patients know that even very
short-term high-intensity activity has positiveeffects on health. A very large study from the UK
has recently shown that just three short (1-2
minute) "sprint activities" during the day
significantly reduce the risk of mortality.
Reference: Stamatakis, E., Ahmadi, M. N., Gill, J. M. R.,
Thøgersen-Ntoumani, C., Gibala, M. J., Doherty, A., & Hamer,M. (2022). Association of wearable device-measured vigorous
intermittent lifestyle physical activity with mortality. Nature
Medicine, 28, 2521-2529.
https://doi.org/10.1038/s41591-022-02100-x

The researchers base their conclusion on an
analysis of data from 329 participants aged 18 orover from the Australian AUTBACK (Australian Twin
low BACK pain) registry.

Au st r alia pu blish es clin ical car e st an dar d f or LBP
A team of Australian experts,
including chiropractors, haveintroduced the 2022 AustralianCommittee on Safety and Quality
in Health Care Low Back Pain
Clinical Care Standard. Endorsed
by 19 professional associations,the standard covers the early
management of people who
present with acute low back pain.
The Standard calls for a change

in clinicians' behavior, including
stopping or reducing sometraditionally used interventions.
The Standard sets out 8 quality
statements covering assessment,
management and review/refer.
These include reserving imaging
for suspected serious pathology
only, assessment forpsychosocial factors and theprovision of self-help andexercise advice. It recommends
only judicious use of pain
medications and avoidance ofbenzodiazepines,
anticonvulsants andantidepressants.
Finally, the Standard calls for an
updating of curricula relevant tolow back pain to reflect best
evidence.

50

51

52
RESEARCH NEWSSt r on g pat ien t -pr ovider allian ce m ay be t h e sin gle m ost
im por t an t pr edict or of clin ical ou t com es, say exper t s

Adoption of abiopsychosocial modeland empowering
patients to takeresponsibility for theircondition can play asignificant role inmodern management of
spinal pain anddisability.

People suffering withmusculoskeletal conditions,
including back pain, must play a
far greater role in self-care,conclude the authors of a newcommentary published in
Chiropractic and Manual
Therapies [1].
Julie Fritz and Alice Kongsted,
recognized global experts in low
back pain, state that interactions
with health care systems often
exacerbate rather than alleviate
concerns, suggesting that a shift
away from clinician-led
management may be required.
The authors point to contextual
factors in healthcare as being
highly relevant, consistent withthe biopsychosocial model ofcare and a focus on patient
centeredness.
As well as the structural,
biomechanical role that exercise
and manual therapies have on
patients, their contribution topromoting patient self-efficacy
and positive expectancy are also
proposed as being ofimportance. The manner ofdelivery of interventions, say
Fritz and Kongsted, may be asimportant as the interventions
themselves. Communication,
the setting of expectations andprovision of feedback all serveto build the working alliancewith patients.
The paper calls for moreevidence as to how thepatient-provider alliance should
be built and sustained, with
future research incorporating
the perspectives of bothpatients and providers. Coping
strategies and patient
empowerment strategies arerecognized but not currently
well described in the literature.
The authors warn that thechallenges required in such ashift should not be
under-estimated.
Reference: [1] Fritz JM, Kongsted A. A
new paradigm for musculoskeletal pain
care: moving beyond structural
impairments. Conclusion of achiropractic and manual therapies
thematic series. Chiropr Man Therap.
2023 Jun 1;31(1):15.

53
RESEARCH NEWSJapan ese ch ir opr act ic scien ce con f er en ce h ailed as su ccessby or gan izer s
The research division of the Japanese
Association of Chiropractors (JAC), the JapaneseSociety of Chiropractic Science, recently held its
14th annual conference in an online format.
This year, the conference chair was Dr
Yasunobu Takeyachi MD, DC, a graduate of
National University of Health Sciences andqualified as both a chiropractor and an
orthopaedic surgeon. Dr Takeyachi's father,Kazuyoshi Takeyachi, was the first Japanese tohave graduated from US chiropractic school
after World War II in 1968.
The theme of the 2023 conference was?Integrative Healthcare in Rehabilitation?.
Prof. Richard Brown, WFC Secretary-Generalgave a keynote address on the role ofchiropractors in strengthening the provision ofrehabilitation. With the WFC being a founding
member of the World Rehabilitation Allianceand involved in the Rehabilitation 2030 initiative
since its inception in 2017, it is a strong
advocate for rehabilitation in chiropractic
practice.
In April 2022, Integrative Medicine Program wasestablished in Graduate School of Kanagawa
Dental University, as the first integrative
medical education in Japanese higher institutes.
Professor Akira Kawashima, based at theuniversity, is one of local pioneers of integrative
medicine.
He presented on the impact of artificial
intelligence on integrative, complementary andalternative medicine. He stressed that with anincrease in chronic diseases and the expansionof home care, integrated medicine is best suited
and widely used.
Mr Makoto Ohama, chairman of the Japan
Spinal Cord Foundation who had a spinal cord

The 2023 JSCS conference was held in an online format

injury while playing rugby, presented about
regenerative medicine and rehabilitation, andexplained how in regenerative medicine in spinal
cord injury, various stem cells are transplanted into
the spinal cord to repair the neural circuits of the
spinal cord. As a consequence of neuronal plasticity,
rehabilitation is a critical element in recover y.
Dr Takayuki Tomohiro who is a graduate of Los
Angeles College of Chiropractic and a former interntrainer of Los Angeles Dodgers (Major League
Baseball), presented a workshop of rehabilitation
used in chiropractic practice on the basis of Dr.
Vladimir Janda?s approach.
For more information, visit the Japanese Society of
Chiropractic Science at

https://www.chiropractic.or.jp/english/

54
RESEARCH NEWSNew DRC Ch air co-au t h or s GBD r epor t on im pact of low
back pain
A new Global Burden of Disease (GBD) 2021 study
estimates there will be over 800 million cases of low
back pain in 2050, a 36 percent increase from 2020.
With an ageing population, researchers say wemust ?put the brakes?on low back pain cases before
the burden becomes too great for our healthcare
system.
This is the most comprehensive and up-to-dateavailable data that includes for the first time global
projections and the contribution of GBD risk factors
to low back pain. The work was made possible by
the joint efforts of lead author, Professor Manuela
Ferreira fromSydney Musculoskeletal Health at the
University of Sydney, the Institute for Health
Metrics and Evaluation (IHME) at the University ofWashington?s School of Medicine (healthdata.org),
IHME?s international collaborators, and the Global
Alliance for Musculoskeletal Health (gmusc.com).
New WFC Disability and Rehabilitation Committee
Chair, Dr. Katie de Luca, from CQUniversity wasappointed as the lead, early career researcher on
the low back pain systematic analysis, withProfessor Jan Hartvigsen also a contributing author.
The findings are published in the Lancet
Rheumatology.
Analysis of over 30 years of the GBD data has
shown the number of cases of low back pain is
growing, with modeling suggesting that by 2050,

843 million people will be affected by thecondition, largely due to population increases
and ageing of populations.
The continued lack of a consistent approach on
back pain treatment and limited treatment
options have researchers concerned that thiswill lead to a healthcare crisis, as low back painis the leading cause of disability in the world.
In Australia, there will be a nearly 50 percent
increase in cases by 2050. The landscape ofback pain cases is set to shift, with the biggest
increases to be in Asia and Africa.
The study reveals several milestones in backpain cases. Since 2017, the number of low backpain cases has ticked over to more than half abillion people. And at least one third of thedisability burden associated with back pain was
attributable to occupational factors, smoking
and being overweight.
A widespread misconception is that low backpain mostly affects adults of working age. But
researchers say this study has confirmed thatlow back pain is more common among older
people. Low back pain cases were also higher
among females compared to males.

55
RESEARCH NEWSNew DRC Ch air co-au t h or s GBD r epor t on im pact of low back pain(con t in u ed)
The analysis paints a picture of
growing low back pain cases
globally, putting enormouspressure on our healthcare
system. There is a need toestablish nationally, consistent
approaches to managing low
back pain that is informed byresearch. ?Currently, how wehave been responding to backpain has been reactive. Australia
is a global leader in back pain
research; we can be proactive
and lead by example on backpain prevention?, said Professor
Ferreira who is based atSydney?s Kolling Institute.
Most available data come fromhigh-income countries, making it
sometimes hard to interpretthese results for low to
mid-income countries. There isan urgent need for more
population-based back pain andmusculoskeletal data fromcountries of low to mid-income.
Dr. de Luca continues this workthrough a New Colombo grant at
CQUniversity with collaborators
Dr. Matthew Fernandez and Dr.
Dawn Dane. In November, they
will take a cohort of coursework
research students to Amrita
University in India to collectmusculoskeletal data.
"Health systems need torespond to this enormous andrising burden of low back painthat is affecting people globally.
Much more needs to be done toprevent low back pain andensure timely access to care, as
there are effective ways ofhelping people in pain? said Prof
Anthony Woolf, co-chair of the
Global Alliance for
Musculoskeletal Health which is
calling for priority to be given toaddressing the growing burdenof musculoskeletal conditions.
?Ministries of health cannot
continue ignoring the highprevalence of musculoskeletal
conditions including low backpain. These conditions haveimportant social and economic
consequences, especiallyconsidering the cost of care.
Now is the time to learn about
effective strategies to address
the high burden and to act? said
Dr Alarcos Cieza, Unit Head,World Health Organization,
Headquarters, Geneva.
The study analyzed GBD datafrom 1990 to 2020 from over
204 countries and territories tomap the landscape of back pain
cases over time. The GBD is themost comprehensive picture ofmortality and disability acrosscountries, time, age, and sex. It
is also the first study to be used
for modeling the future
prevalence of back pain cases.
Common treatments
recommended for low back pain
have been found to haveunknown effectiveness or to beineffective ? this includes some
surgeries and opioids. Professor
Ferreira says there is a lack ofconsistency in how healthprofessionals manage back pain
cases and how the healthcare

system needs to adapt.
?It may come as a surprise tosome that current clinicalguidelines for back pain
treatment and management do
not provide specificrecommendations for older
people.?
?Older people have more
complex medical histories andare more likely to be prescribedstrong medication, including
opioids for back pain
management, compared toyounger adults. But this is not
ideal and can have a negative
impact on their function andquality of life, especially as theseanalgesics may interfere with
their other existing medications.
This is just one example of why
we need to update clinicalguidelines to support our healthprofessionals.?
Co-author Dr Katie de Luca said
if the right action is not taken,
low back pain can become aprecursor to chronic healthconditions such as diabetes,
cardiovascular disease andmental health conditions,invasive medical procedures,and significant disability.
?Low back pain continues to be
the greatest cause of disability
burden worldwide. There aresubstantial socio-economic
consequences of this condition,and the physical and personal
impact directly threatens
healthy ageing.?

56
RESEARCH NEWSNCM IC an n ou n ces $100k NBCE gif t t o M cAn dr ew s r esear ch
fund
NCMIC recently announced that
the National Board of
Chiropractic Examiners (NBCE)
had made a $100,000
contribution to the NCMIC
Foundation?s George P. andJerome F. McAndrews Memorial
Research Award Fund.
The NBCE?s generosity comes
just weeks after the death ofGeorge P. McAndrews, trial
attorney and lead counsel forthe chiropractic plaintiffs in thelandmark 14-year antitrust caseWilk, et al., v AMA, et al.George
passed away April 7, 2023 at theage of 87.
The award, originally named theJerome F. McAndrews Memorial
Research Award Fund, wasestablished in 2008 to support
the scientific and practicaladvancement of the study ofchiropractic. It was renamed
after George McAndrews?
passing.

?The NBCE couldn?t be more
pleased to make this gifthonoring the legacy of George
McAndrews,? said Dr. Norman
Ouzts, CEO of the NBCE. ?We arepracticing chiropractic today
because of George?s tenacity
and commitment to theprofession. I can?t think of abetter way to recognize his
contribution than to support the
future of chiropractic throughthe NCMIC Foundation.?

Dr. Louis Sportelli, president of
the NCMIC Foundation, said the
NBCE?s contribution not only
honors George and Jerry but
also supports the Foundation?s
mission ?to invest in theadvanced education ofchiropractic research experts
and to fund ongoing research
projects that demonstrate thecost effectiveness, safety andcost efficiency of chiropractic
and alternative health care.?

?In every century, leadersemerge who are consequential
in their contributions tohumanity. We of this century,
are blessed such a leader arosein George McAndrews,? said Dr.
Karlos Boghosian, NBCE
President and At-Large Director.
?The health of millions ofpatients has been transformed
because of his courageous
dedication to our beloved
profession. He was truly a heroto chiropractic.?

?Both George and Jerry spent
their careers serving thechiropractic profession,? said Dr.
Sportelli. ?The grant from theNBCE will help recognize theircontributions, providing money
for research and student
opportunities, as well as
enhancing chiropractic colleges.
So much good will come fromthe NBCE?s support and we are
grateful for it.?

Resear ch er s f in d n o dif f er en ce in ou t com es in h ip an d k n ee
t r eat m en t w it h or w it h ou t con cu r r en t LSS
Researchers from Denmark and Canada haveconcluded that lumbar spine stenosis is unlikely to
be a barrier to responding favorably toevidence-based hip and knee treatment.
6813 patients from the Danish GLA:D® databasewere included in the study. They were classified with
LSS symptoms based on self-reported symptoms,
and differences in pain, function, and quality of lifescores were assessed at 3 and 12 months.
The researchers concluded that knee or hip OA
patients with co-morbid LSS symptoms should
expect similar improvements in knee- or hip-related
pain, function, and quality of life outcomes when
undergoing a patient education and exercise
therapy program compared to those without LSS
symptoms.

57

58
WORLD NEWSNew CCA Ch ief Execu t ive: an in t er view w it h Ayla Azad
In Apr il, t h e Can adian Ch ir opr act ic Associat ion(CCA) an n ou n ced t h e appoin t m en t of it s n ew
Ch ief Execu t ive Of f icer . Th e QWR sat dow n w it h
Dr Ayla Azad t o lear n m or e abou t h er an d h ow
t h e CCA is advocat in g f or ch ir opr act ic acr oss
Can ada.

The story of Dr Azad's ascendancy to one of the
top leadership positions in the chiropractic
profession is unconventional. Born in Pakistan,she grew up in the UAE before deciding on acareer in chiropractic.
Dr Azad graduated from Palmer College of
Chiropractic in 1995. Her student visa allowed her
to work for two years in the United States andshe stayed on at Palmer, working at its research
center. There, she worked with luminaries
including Bill Meeker, Lisa Killinger and Cheryl
Hawk and was involved in the first chiropractic
NIH grant submission. However, while she valued
her time as a researcher, she discovered that a
career spent in research was not for her.
After two years, and with her visa coming to anend, it was time to decide what to do next. She
says, "I knew that I had to develop a plan and the
US authorities were going to be asking mequestions about my intentions. Bill (Meeker)
offered to arrange sponsorship to allow me toremain at Palmer, which I deeply appreciated the only thing was, I wanted to develop my career
beyond research.

Dr Ayla Azad was appointed CCA CEO in April 2023
Sitting down with Ayla Azad in the Toronto officesof the CCA, you immediately sense the quiet
determination of someone who wants to get on
with the job.
As the new CEO at the CCA, Dr Azad took over at
the helm in an interim capacity in November 2022,
when the world was still adjusting to normality
after the challenging years of the pandemic. A six
month stint in this role resulted in her being
offered the position on a permanent basis in April.

"In the meantime, my mother had moved to
Canada. I knew very little about the country
beyond having visited briefly as a tourist, but
found out I could be accepted as a dependent on
her immigration papers. So, in 1998, I loaded up a
U-Haul truck, crossed over the border and started
my new life in Toronto."
The first work requirement for Dr Azad was totake her Canadian Board exams. Having been out
of education for some years by that point, thethought of doing exams again was daunting, but
she characteristically took them in her stride andwas duly licensed in the province of Ontario in
the Summer of 1999.
continued

59WORLD NEWSNew CCA Ch ief Execu t ive: an in t er view w it h Ayla Azad (con t in u ed)
A number of locum jobs followed, before Dr Azad
was contacted by a medical doctor from the townof Ajax, just outside Toronto, who was looking totake on a chiropractor to work at his clinic.
Dr Azad recalls, "At that time, my only
understanding of Ajax was that it was a bleachcleaning product! I remember going for theinterview and the first question being, 'You had
better be able to work with other health careproviders. Can you do that?'"I liked the interprofessional, balanced approachand accepted the offer, moved into a 10x10room, inherited an old Elite adjusting table, andstarted my practice."

something that truly made a difference.
"I spoke with a friend and mentor, Bob Haig, who
had served as the CEO of the Ontario Chiropractic
Association and asked him what I should do.
Without hesitation, he advised me that I needed
to gain an additional qualification andrecommended that I study for an MBA.
"So that's exactly what I did. I enrolled at
Athabasca University in Alberta, which had astrong reputation for online MBAs, and provided
the flexibility I needed for a full time working
Mom of two children. After two-and-a-half years, I

Hungry to seize every opportunity, shortly after
this, Dr Azad took on an additional role as apart-time technique tutor at Canadian Memorial
Chiropractic College. She thrived there andgradually expanded her teaching portfolio, whilestill building her client base at Total Rehab. As the
only Thompson Technique practitioner in thearea, her reputation quickly established abooming practice.
However, after almost 22 years of clinicalpractice, the physical stress of being achiropractor in a busy practice began to take its
toll. By this time, she had been serving on theboard of the Ontario Chiropractic Association forsome years, including holding the office ofPresident, and had developed a love of
association administration and leadership. She
was also serving as an appointed CCA
representative on the board of the WFC.
She reflects, "I was at a point in my career where I
had developed a great deal of teachingexperience, had served on boards and was still apracticing chiropractor. But I still felt that there
was more for me to achieve. I wanted to continue
giving back and develop a legacy of having done

Dr Ayla Azad (second left) with members of the CCA Board of
Directors and staff.

graduated and began to look for opportunities touse my newly acquired skills."
In March 2020, Dr Azad was recruited by the CCA
as Director of Professional Practice. Around thistime, the COVID19 pandemic had been declared apublic health emergency of international concern.
"It was a crazy time to be onboarded," says Dr
Azad. "I had to navigate myself through taking on
a new role while supporting the thousands ofcontinued

60WORLD NEWSNew CCA Ch ief Execu t ive: an in t er view w it h Ayla Azad (con t in u ed)
CCA members who were facing uncertainty andfear during COVID. I met a huge number of CCA
members during this time, but none of them inperson!"A promotion to Chief Experience Officer at the CCA
quickly followed, with responsibility formembership, member programs, establishingconnections and dealing with all matters relevant
to how members and stakeholders interacted with
the CCA.
In November 2022, following the unexpected
departure of the former chief executive, Dr Azad
stepped in as Interim CEO, and in April 2023 she
was confirmed as the permanent replacement.
"I'm grateful for the confidence of the CCA board
and the trust they have placed in me. I'm also
grateful to the many stakeholders, including theWFC, provincial associations, CanadianChiropractic Protective Association, CMCC andUQTR for their many words of encouragement andsupport," says Dr Azad.

Dr Ayla Azad is a strong advocate for equity, diversity andinclusion

Taking on the new role led to a number of mixed
emotions.
"Alison (Dantas) had been a valued mentor to me
at the CCA, so taking on the position she had held

for years felt strange. But at the same time, thisis the type of role I've been planning for many
years and I'm looking forward to continuing myservice within the chiropractic profession. I've
always reminded myself of Oprah Winfrey's
quote: 'I don't believe in luck. Luck is just hard
work meeting opportunity."
Speaking of the benefits of her MBA, Dr Azad
comments, "I use my MBA every day in mywork. It helps me to manage my amazing teamand my budgets. It helps me to be a motivatorand a leader, so that I can make inroads where
they really count. And it has been invaluable
when it comes to innovation and strategy."
Dr Azad is candid in talking about thechallenging areas of the role of CEO. "When I
took on the role, I was told that at times I would
feel lonely. I wondered how this could be thecase being surrounded by so many people. But
I have understood what they meant.
"Being the CEO, where the buck stops with you,can feel isolating. But where I've found solace
has been within the global chiropractic CEO
community. Being able to pick up the phoneand speak with colleagues who truly
understand the issues has been tremendously
comforting."
The CCA is engaged in a range of priority
projects, all of which require Dr Azad's close
attention. These include working to facilitate
access to chiropractic within the armed forces,
involvement with the department of Veterans
Affairs, advocating for student loan forgivenessprograms and fighting for an overhaul of thecurrent insurance coverage framework forchiropractic services. The CCA is also working tocontinuously develop member services,
ensuring value is both delivered andcommunicated to members.
continued

61WORLD NEWSNew CCA Ch ief Execu t ive: an in t er view w it h Ayla Azad (con t in u ed)
Dr Azad sees chiropractic as being ofenormous value to society. She says, "This isundoubtedly our greatest strength.
Chiropractors have the skills and expertise todeliver evidence-based solutions to thegreatest single burden of years lived withdisability in the world. We have an unrivaled
opportunity to be agents of change and both
implement and leverage programs of spine andmusculoskeletal care for patients andcommunities.

Dr Azad is unequivocal about the advice shewould give to anyone thinking of going into aleadership position within the chiropractic
profession.
"It's quite simple," she says. "No investment, noreward! Be prepared to invest in personal
development and learn not to take criticism
personally. It's also important to surroundyourself with people who are brighter than you:it's the only way to grow intellectually andprofessionally."
Outside work, Dr Azad is dedicated to herfamily. Married to Sanjay and with two children,
she is conscious of the need to maintain abalance of life and work. She is a huge fan ofAmerican Football, following the New England
Patriots and Kansas City Chiefs. Her Pakistani
heritage is also reflected in her membership of
the Toronto Cricket Club.
The CCA undoubtedly has a formidable
presence at the head of the organization. In

Dr Azad speaks to an audience in Winnipeg, Manitoba"We need to stop talking about things that nolonger have relevance for patients or the rest of
the world. We have internal arguments about ourlanguage, which patients do not care about.
Sufferers of spine and joint pain, policymakers
and others around the world are waiting for what
we have to offer. Our identity has been set by thepatients who flock to see us in their droves. Why
seek to change that?
"I strongly believe that we have a clear model in
the WFC's EPIC pillars - evidence-based,
people-centered, interprofessional andcollaborative - and we continue to advocate forthese in our communications andcollaborations."

Dr Azad advocates for chiropractic to government bodies

Ayla Azad, the profession has a leader who isdedicated to effect major changes and see
chiropractic achieve its true potential. The WFC
wishes her every success in her new role.
Ayla Azad was talking to Richard Brown

62
WORLD NEWSEu r opean Ch ir opr act or s' Un ion n am es Vivian Kil as n ew
pr esiden t
Following its recent General Council meeting, heldin the Icelandic capital city of Reykjavik, Dr Vivian
Kil has been unanimously elected as President of
the European Chiropractors' Union (ECU).
As a trailblazer in the profession, Dr Kil served for
6 years on the WFC Board and was the first of two
women in the history of the WFC to hold a placeon the Executive Committee, including being the(the WFC constituent member association for the
Netherlands) including as national President.
As NCA President, for 3 years Dr Kil held a seat on
the General Council of the European
Chiropractors Union (ECU) and served a further 4
years on the Executive Council as Vice-President.
Dr Kil's motivations for pursuing a career inchiropractic leadership positions include apassion for the advancement of the chiropractic
profession and for promoting health and accessto appropriate healthcare across the globe. This,
combined with her power to inspire others and alifelong sense of curiosity, honesty, and sensitivity
to cultural diversity underpinning global strategic
thinking, made her well-qualified for the ECU
presidency.
Vivian is a big supporter of the WFC?s EPIC
principles: Evidence-based, People-centered,Inter-professional and Collaborative chiropractic
care, and follows these principles as apractitioner, clinic owner, chiropractic leader, andeven, where appropriate, as a general principle in
day-to-day life. She is committed to furthering
these principles as ECU President.

Vivian Kil was elected ECU President in May 2023

first woman ever to have become president. She
ascended to this role having first become interim
president in 2019.
As a student at AECC University College in the
United Kingdom she participated in several
official committees and work groups as a student
representative and served as a board member of
the Students Union.
After graduating in 2007 and moving back to theNetherlands, Dr Kil served in several positions
within the Netherlands Chiropractors Association

On her appointment, Vivian commented, "I amhonored to have been given the opportunity toserve in this position and am excited for all theopportunities we have in Europe.
"Together with the other (new) members of theboard we will continue promoting high standardsof education and excellence in conduct andpractice, and there will be a renewed focus on
representing the interests of the profession at a
European level, advocating the inclusion ofchiropractic within health policies and healthprograms.?
The WFC congratulates Dr Kil on her new
appointment.

63

64
WORLD NEWS

Scien ce ben eat h t h e su r f ace: Par k er pr esiden t becom es an
aqu an au t?Dr. Deep Sea? Joseph Dituri, Ph.D., is a legend
in diving, human space performance, military
special operations, and therapeutic hyperbaric
chambers. The university professor, researcher,and retired Navy deep-sea diver recently spent
100 days submerged undersea (at pressure* ),discovering the effects prolonged hyperbaric(increased pressure) and increased oxygen
consumption have on the human body.
On March 31, 2023, Parker University President
Dr. William E. Morgan joined Dr. Dituri in anundersea habitat in Key Largo, Florida, for 24hours of his 2,400-hour quest. In doing so, Dr.
Morgan became an ?aquanaut,? the undersea
counterpart to an astronaut!
Dr . M or gan , can you discu ss t h e
ph ysiological ch an ges n ot ed by Dr . Dit u r i?st im e u n der pr essu r e?
Dr. Dituri experienced a loss of height and bodyweight, reduced cholesterol, a 20% increase inthat telomere length increases with hyperbaric
exposure.
While hyperbaric treatment positively affects
the body, it can cause harm. Oxygen at depth
becomes toxic and causes CNS and pulmonary
injury. Decompression sickness, air embolisms,
and nitrogen narcosis are associated withhyperbaric exposure. Avascular necrosis of thebone (dysbaric osteonecrosis) happens withdeep sea divers and is becoming common inrecreational divers due to technology allowing
divers access to deeper depths.
Wh y did you join Dr . Dit u r i u n der w at er f or
24 h ou r s?

telomere length, a 1,000% increase in stem cellcount, increased quality sleep, andinflammatory marker reductions. For a
55-year-old, a 20% increase in telomere length
is like reverse aging equaling 10 years. Dr.
Dituri?s telomere length is now that of a
45-year-old. Human and animal studies show

As a Navy diver and qualified Special
Operations Technician (diving medicine
technician/combat diver), I have been familiar
with hyperbarics after diving for 51 years. I haveconcerns about hyperbaric therapy, as thechiropractic industry has inconsistent
applications.
Years ago, we wanted someone to explain
hyperbaric chamber therapy at a seminar. My
Navy dive contacts suggested Dr. Dituri, now afrequent Parker Seminars speaker. After visiting
his hyperbaric clinic, I learned he was spending
100 days underwater. I wanted to be involved!

65WORLD NEWS

Scien ce ben eat h t h e su r f ace: Par k er pr esiden t becom es an aqu an au t
(con t in u ed)
Wh at did you gain f r om you r
exper ien ce?
I conceptualize the struggles
space travelers undergo during
deep space missions. Hundredsof days in a spaceship can
impact an astronaut. In extreme
environments, we see howhumans adapt and mitigate
effects. When humans are
exposed to weightlessenvironments, they can develop
osteopenia and sarcopenia.
Future space travel may be inpressurized capsules equivalent
to the marine lab to preventbone and muscle loss. I havetreated astronauts and Navy
deep sea divers and visited

NASA?s Human Performance
Center. I see why chiropractors
should be familiar with thephysiology of extreme
environments.
I had 24 hours with Dr. Dituri
and participated in dives fromthe habitat. One uniqueexperience occurred when avolunteer dove down with pizza
in a waterproof container for us!
Ar e t h er e ot h er clin icallysign if ican t con cept s f or t h e
ch ir opr act ic com m u n it y?
To use hyperbaric treatment,
become well-trained andcertified. Increased air pressure
and increased concentrations

and pressures of oxygen affectthe human body.
Studies show small doses ofhyperbarics influence cell healthand are associated withincreased telomere length,
impacting cell reproduction andlongevity.
Chambers are used in limb
salvage, treatment of
osteoporosis, sarcopenia,
carbon monoxide poisoning,hypoxic brain injury, andsecondary effects of COVID-19.
Oxygen is toxic at pressure andin high concentrations. Diving
injuries can occur in a
hyperbaric chamber.

66
WORLD NEWS

Scien ce ben eat h t h e su r f ace: Par k er pr esiden t becom es an aqu an au t
(con t in u ed)
Hyperbaric physiologists offer information about
the ?pop?during an adjustment when gas bubbles injoints are released from fluid (tribonucleation)
during an adjustment.
Diving physiologists study this to understanddecompression sickness and air embolisms.
Outside of diving injury research, we learn about
the mechanical effects of an adjustment from
tribonucleation data from diving physiologists.
Can you descr ibe t h e m ar in e h abit at ?
Jules?Undersea Lodge, a 50-year-old marine
undersea habitat formerly used for research off
Puerto Rico, now relocated to Key Largo, Florida,features two three-meter-wide tubes (six meterslong), a wet room containing the undersea entry
port, dive gear storage, a shower, and a commode.
We had surface-supplied air, water, and Wi-Fi! It is
not too deep, helping to avoid hours ofdecompression upon returning to the surface.
Will t h is exper ien ce im pact Par k er Un iver sit y?
Parker University strives to improve humanperformance and remove barriers to surviving
extreme environments like space and undersea
habitats.
NASA?s Human Performance Institute, the Olympic
Training Center, the Ultimate Fighting
Championship (UFC) Performance Center, theApple Campus, Harvard University, medical schools,
and others welcome us! We see value in combining
chiropractic and Master of Science degrees, like
Functional Nutrition, Clinical Neurology, Strengthand Human Performance, MSK Pediatrics, andResearch Methods.
* Navy submariners spend more than 100 days
submerged but remain at the same pressure as on thesurface.

67WORLD NEWSM alaysian spor t s ch ir opr act or s on h an d t o su ppor t
in t er n at ion al Ju Jit su even t
The JJIF Grand Prix ? Thailand Open 2023 saw theactive involvement of two members from the Sports
Chiropractic Council Malaysia (SCCM). Dr Thomas S
Halyk, Chairperson of SCCM, and Dr Sunshine Lau
Siew Qin, traveled from Malaysia to provide sports
chiropractic care at this event. Held May 19-21 at
Rangsit University in Bangkok, Thailand, the Ju-Jitsu
International Federation (JJIF) event was organizedby the Ju-Jitsu Association of Thailand.
Team Leader Dr Halyk and Dr Lau, participating in
her first international event after recently
completing her International Certificate in Sports
Chiropractic (ICSC) certification with the Federation
Internationale de Chiropractique du Sport (FICS),
made significant contributions throughout theweekend and treated numerous athletes from Asia
and Europe.
Sports chiropractic is an emerging specialty inSoutheast Asia, and the SCCM and its members
strive to further its recognition and perception
among athletes, coaches, and the general public. By
actively participating in sporting events locally andregionally, they aim to promote the importance andbenefits of sports chiropractic. Their presence at the
JJIF Grand Prix ? Thailand Open 2023 served as an
excellent opportunity to engage with a diverse rangeof athletes and raise awareness about the role ofchiropractic care in optimizing sports performanceand overall well-being.
The commitment demonstrated by Dr. Halyk and Dr.
Lau reflects the dedication of the SCCM to advancing
sports chiropractic in Malaysia and the wider region.
As it continues to actively engage with athletes,
coaches, and the general public, SCCM envisions afuture where sports chiropractic becomes an integral
part of athletes' preparation, performance, andrecovery processes.

Above: Thomas Halyk and Sunshine Lau are both FICS members

The successful involvement of the SCCM
representatives at the JJIF Grand Prix ? Thailand
Open 2023 highlights their valuable
contributions and sets a positive precedent for
further collaboration between sports
chiropractors and sporting events in the future.
With its expertise and commitment, SCCM aims
to continue elevating the field of sports
chiropractic and enhancing its impact on theathletic community.

68

69
WORLD NEWSCh ir opr act ic r egu lat ed in M au r it iu s f ollow in g en act m en t oflegislat ion
More than 20 years ago, the late Dr. Raj Roy, thefirst Mauritian chiropractor, worked towards theregulation of the chiropractic profession in
Mauritius. His vision became a reality after the
Allied Health Professions Council Act (AHPC) was
passed in late 2017 and was enacted in 2023. This
year, for the first time in Mauritius, chiropractors
are subject to statutory registration with the AHPC
and mandated to comply with a Code of Practice,setting out standards of conduct, performance andethics for chiropractors.
Dr. Cyril Fischhoff, chiropractor and president of
the Mauritian Chiropractic Association, is the firstelected Chairperson of the AHPC. The Council
regulates 18 healthcare professions in Mauritius,
including psychologists, osteopaths,
physiotherapists, clinical scientists, and others.
In February 2023, the Code of Practice (COP) for
Chiropractors, adopted by the AHPC, was officiallypublished as a regulation under the provisions of
the 2017 legislation. One of the immediateoutcomes of the publication of the COP was thereinstatement of insurance coverage forchiropractic consultations by major insurance
carriers.
Prior to the COP, reimbursement by private
insurance companies had ceased as a consequenceof poor behavior being exhibited by a minority ofpractitioners. The introduction of the COP,
outlawing unprofessional, unethical practicerepresents a significant step forward for the
profession and, most importantly, protects patientsand the public.
The new regulations now mean that any practicethat is driven by commercial gain rather thanpatient need, is unsupported by evidence and isheld as being based on mystical, unscientificconcepts is now classified as malpractice.

Dr Cyril Fischhoff is the President of the Mauritian Chiropractic
Association

Dr Fischhoff commented, ?Regulation ofchiropractic in Mauritius has been welcomed
both by the profession and the public. We areconfident that it will raise the bar, by holding all
chiropractors accountable for their actions andsubject to sanction where their conduct orpractice falls seriously short of what is expectedof a registered chiropractor.
"With this regulation, the chiropractic profession
is free of internal and external nuisances, andnow moving towards greater integration into the
Mauritian healthcare system."

70
WORLD NEWSACA h ost s EDI con t in u in g edu cat ion ser ies
In May, the American Chiropractic Association (ACA)
hosted a 3-part series on the topic of equity,
diversity and inclusion relative to the provision ofchiropractic services.
The series sought to engage clinicians to evaluate
their practices and to make relevant adjustments toensure that health disparities are reduced and thatthe care provided is both inclusive andpeople-centered.

as serving the ACA in a range of other capacities. He
is a graduate of Northwestern Health Sciences
University, where he served as a Diversity
Leadership Scholar. He has also been named a
Philanthropy Scholar in recognition of his leadershipand service to the LGBTQIA community. He works to
improve the culturally competent delivery ofchiropractic care.
Presentations during the lecture series included
implicit bias in healthcare and clinically competentclinical encounters.
By the end of the session, attendees had been
exposed to a range of learning that enabled them torecognize patient challenges in receiving culturally
responsive healthcare, assessing and analyzing
current clinical practices for the reduction in healthdisparities and the development of a blueprint for
in-office procedures and standards.
Other presents during the lecture series included Dr
Katie Benson. Dr Benson, a graduate of Cleveland
University Kansas City, served extensively with theStudent ACA (SACA). She is active within the Kansas
Chiropractic Association and has previously beenrecognized by the KCA as its Young Doctor of theYear.

The EDI series was moderated by Dr Beau Foshee

The principal objective of the program was to createchiropractors who are better prepared to meetpatients where they are and assist in understanding
racial bias and the social determinants of healththat impact patients. By developing a supportive
environment, the ability to reach out to diverse
groups and deliver high quality care was showcased.
The event was moderated by Dr William 'Beau'
Foshee who serves as the chair of the ACA
Committee on Equity, Diversity and Inclusion as well

71
WORLD NEWSCh ir opr act ic leads r eh abilit at ion ef f or t s in Bah r ain
A leading chiropractor in the middle east iscelebrating the award of new contracts to deliver
services to the armed forces.

Dr Bowzaylo's existing facility in Bahrain employsa team of 32, including 2 chiropractors. She isseeking high quality practitioners to boost her
clinical team.
She serves as the Head of Sporting Events for the
Bahrain Sports Medicine Society and contributes
to the development of competencies andprotocols for pitchside care. She was recently inParis to participate in the FICS conference.
Rehabilitation is a significant component of thecare offered by Dr Bowzaylo, with dedicatedBahraini staff members, recruited from the
Bahrain Olympic Committee, receiving a 2-year
program of training as evidence-based
rehabilitation assistants.
Dr Bowzaylo explains that there are currently 5
chiropractors practicing in Bahrain, with the firstnative Bahraini chiropractor graduating from
AECC University College. She hopes that in due
course a dedicated chiropractic education
program may be established in Bahrain.

Dr Amy Bowzaylo, who operates a clinic in the
kingdom of Bahrain, has been retained by the
Bahrain military to provide physical medicine andrehabilitation services at three hospitals, as wellas establishing a sports medicine service formilitary and national team athletes.
While the primary focus will be on the care ofserving military personnel, the new provision will
also provide care for hospital staff and thefamilies of serving military.
Care will be provided on both an inpatient andoutpatient basis and a bespoke clinical outcomes
protocol will be developed.
Dr Bowzaylo already treats many members of the
Bahrain military in a private capacity, but this new
initiative will be hospital-based and delivered
within the military setting.

Amy Bowzaylo works on an elite Bahraini athlete.

72

73
WORLD NEWSUn pr eceden t ed gr ow t h an d collabor at ion in Hon g Kon gch ir opr act ic com m u n it yHong Kong's chiropractic community isexperiencing a period of unprecedented
collaboration and growth, with numerous
international leaders visiting the city to discuss
groundbreaking research, education, andpractice initiatives. As global experts and local
professionals come together, the Chiropractic
Doctors Association of Hong Kong (CDAHK) is
pushing for greater integration of chiropractic
care into Hong Kong's healthcare system andsports industry.

AECC University College Leaders Visit CDAHK Clinics toStrengthen Ties and Discuss Collaborations in
Chiropractic Education

Dr Heidi Haavik and Dr Eric Chu

Among the distinguished guests visiting Hong
Kong were Dr. Richard Brown, Secretary
General of the World Federation of Chiropractic,
and Prof. Christina Cunliffe, Principal of the
McTimoney College of Chiropractic. They
attended the CDAHK's March Annual AGM,
where the establishment of the McTimoney
College of Chiropractic in Hong Kong wasannounced. This new institution, founded by Dr.
Eric Chu, marks the first chiropractic college inHong Kong, offering a world-class educationthat addresses the region's growing demand forsustainable, high-quality healthcare services.
Drs. Heidi Haavik and Kelly Holt, leading experts

in human neurophysiology and the president of
the New Zealand Chiropractic College, recently
visited CDAHK clinics to discuss network practiceresearch and explore potential collaborations.
Dr. Haavik's research indicates that chiropractic
adjustments can significantly impact the functionof the prefrontal cortex, the area of the brain
responsible for higher learning and cognition.
During their visit, Drs. Haavik and Holt met withprofessors from the Poly University Rehabilitation
Department, cardiologists, and ophthalmologistsin Hong Kong, aiming to design research projects
with Hong Kong chiropractors that are clinically
relevant to their practice. These collaborations
have the potential to propel both the chiropractic
profession and our understanding of humanneurophysiology forward. Their visit to Hong
Kong is a testament to the power of collaborationand the potential for groundbreaking discoveries

74WORLD NEWSUn pr eceden t ed gr ow t h an d collabor at ion in Hon g Kon g ch ir opr act ic
com m u n it y (con t in u ed)that can emerge from themeeting of minds.
Dr. Lesley Haig, Vice Chancellorof AECC University College,
along with Drs. Claire Wilkinson
and Philip Dewhurst, recently
visited CDAHK clinic as part of adelegation of international
leaders. The purpose of theirvisit was to discuss potential
collaborations that would
benefit chiropractic students inboth Hong Kong and the United
Kingdom, and to strengthen ties
between the two institutions.
AECC University College has along history with Hong Kong's

chiropractic profession, as manyof the city's oldest chiropractors
are graduates of the esteemed
institution. These meetings
serve to highlight theimportance of fostering strong
relationships between
institutions and professionals
within the chiropractic
community, enabling thesharing of knowledge, resources,and expertise.
Dr. Haig and her team's visit
demonstrates the commitmentof both institutions to providing
the highest quality education forchiropractic students. By

working together, AECC
University College and CDAHK
can explore innovative
approaches to the chiropractic
profession and identify
opportunities for joint research
projects, student exchanges, andfaculty collaborations. Suchinitiatives will not only enrich theexperiences of students but also
contribute to the developmentof the chiropractic profession atlarge. As the chiropractic
profession continues to evolvein Asia, fostering strong
connections between
institutions will be crucial for its
success.

Sau di ch ir opr act or s com e t oget h er t o advan ce pr of ession
The population of Saudi Arabia, a kingdom in the
WFC's Eastern Mediterranean region, isapproximately 36 million. The global burden of
musculoskeletal disorders in Saudi Arabia ranks
only second to cardiovascular disease. However,there are few chiropractors in the country, withan estimated one chiropractor for every 3 million
people.
Recently, a meeting took place between a groupof chiropractors working in Saudi Arabia with aview to reactivating the national association andadvancing the profession.
This involved the establishment of a social media
platform in order to advance communication,
share best practices and collaborate.
The group has undertaken to meet regularly toshare their plans on the development ofchiropractic in the kingdom.

75
WORLD NEWSACA in t r odu ces Span ish
lan gu age r esou r ces

BCA pr om ot es spor t s
ch ir opr act ic at LSBU

The American Chiropractic Association (ACA) has
expanded its consumer outreach to include
Spanish language resources, enabling doctors ofchiropractic to educate new audiences aboutchiropractic?s non-drug, holistic approach to pain
relief, injury prevention, and health and wellness.

Leaders from the British Chiropractic
Association (BCA) visited the campus of London
South Bank University in April.

Spanish is the most common non-English
language spoken in the United States with morethan 37 million speakers, and it is also the fastest
growing language in the country.
To help chiropractors more effectively reachSpanish speakers with information on
musculoskeletal (MSK) health and the benefits ofchiropractic care, ACA launched a project this past
year to translate 11 of its most popular patient
handouts into Spanish.
ACA is excited to share more tools to help doctorsof chiropractic educate their communities about
MSK health and injury prevention. Through thisproject and others, the association is committed
to promoting diversity and inclusion in the
chiropractic profession.
In 2018, the ACA published a statement on
diversity, acknowledging the importance of
cultural agility as a foundation for competent
healthcare delivery, and later established a
Committee on Equity, Diversity and Inclusion to
spearhead additional initiatives.
For more information about the ACA's initiatives,
visit its website at https://www.acatoday.org.

L>R: Emma Kenton, Sumaya Ahmed, Rob Crowley, Catherine
Quinn, Tim Button and Mark Thomas.

During the visit, BCA President Catherine Quinn
and Vice-President Tim Button spoke tostudents about opportunities in the chiropractic
profession, in particular as sports chiropractors.
In addressing students, Drs Quinn and Button
spoke about the advantages of British
Chiropractic Association membership and the
BCA's commitment to people-centered care.
During their visit, the BCA leaders presented theteam at LSBU with a plaque to commemorate
the opening of the university's outpatient clinic.
The clinic serves the diverse community of
Croydon, south London and features first classfacilities for student clinicians to provide careand support the well-being of their patients.
LSBU is one of five chiropractic educational
providers in the United Kingdom and the only
one to be based in the capital.

76

77
WORLD NEWSNew pr esiden t elect ed t o lead Sw iss associat ion
Chirosuisse, the Swiss
Chiropractors' Association, haselected a new president.
On 4 May, Dr. Beatrice Wettstein(59) was elected as the new
President of the Association by
the General Assembly of

ChiroSuisse. Since 1995 she has
operated her own chiropractic
practice in Wädenswil and has
many years of professional aswell as political experience.
On being elected, Dr Wettstein
commented, "I am very pleased

to have the opportunity toactively represent the interestsof Swiss chiropractors as
President. I would like to thankthe General Assembly for thetrust they have placed in me. It
is my intention to further
establish our profession and to

Dr Beatrice Wettsteinachieve our goals, namely tostrengthen the relevance ofchiropractic in the health caresystem and to establish
chiropractic education inWestern Switzerland."Beatrice Wettstein was amember of the Board of
Directors of the Chiropractors

Society for thirteen years,
mainly responsible for the
Education Department, and Vice
President for three years. She
was also a Board Member of theFoundation Academy for
Continuing and Advanced
Education of Chiropractors anda member of the MEBEKO for

Postgraduate Education.
Dr Wettstein succeeds Dr
Thomas Thurnherr, who took
office in May 2019 and had astrong influence on ChiroSuisse.
ChiroSuisse acknowledged Dr
Thurnherr for his greatcommitment and service toSwiss chiropractic.

78
WORLD NEWSWFC Secr et ar y-Gen er al t o
speak at BCA Con f er en ce

Kapt ein elect ed n ew
Net h er lan ds pr esiden t

WFC Secretary-General Richard Brown has beenannounced as part of the speaker line-up for the2023 British Chiropractic Association Annual
Conference.
The event, which will take place on November 18
at The Vox in the city of Birmingham, UK, is titled
Chiro Live 2023.
Chiro Live 2023 will be the biggest event in the
BCA's event calendar. It provides an unrivaled
opportunity for chiropractors, students and the
MSK and healthcare community to cometogether to discuss some of the most important
issues facing the sector and celebrate the BCA's
mission: to be the home for chiropractors who
put patients first.
Richard Brown will be taking part in a series ofafternoon TED-style talks that will inspire andchallenge the audience in equal measure.
Tickets to the event can be purchased on the BCA
website.

Karin Kaptein is the new president of the NCA

Dr Karin Kaptein has been elected as the newpresident of the Netherlands Chiropractic
Association, taking over from longstanding
incumbent Dr Gitte Tønner.
Dr Kaptein practices in the southern Holland
municipality of Wassenaar, where she has aparticular interest in wellness and prevention.
She is a 1995 graduate of AECC University College
in the UK and worked in several locations in the
Netherlands before establishing her own clinic.
Founded in 1975 with just 9 chiropractors, theNetherlands Chiropractic Association now boasts
over 300 members, serving the over two million
people in the Dutch population who suffer withback and neck pain.
The NCA is the representative member for the
Netherlands to both the WFC and the European
Chiropractors' Union.

79WORLD NEWSCCA sh in es in advocacy act ivit y on t h e Hill in Ot t aw a
As part of the Canadian Chiropractic Association?s
continued advocacy efforts, this past spring CEO
Dr. Ayla Azad, members of the CCA?s Board of
Directors, and members of the Public Affairs teamhosted their Spring Day on the Hill in Canada?s
capital, Ottawa, in Ontario.
The events kicked off with a reception sponsoredby Member of Parliament Sean Casey, Chair of theHouse of Commons Health Committee, for the
CCA?s Ottawa-area members, parliamentarians,
and government staff.
Member of Parliament Adam van Koeverden, whois the Parliamentary Secretary to the Minister of
Health and Sport, delivered welcome remarks on
the importance of streamlining access to care. Mr
van Koeverden is a former Olympic paddler andhas relied on chiropractic care during and following
his athletic career and was reunited with his
chiropractor at the event.

CCA President, Dr Judi Forrester, with Board members and staff

leading cause of medical discharges from themilitary, and so the CCA continues to advocate for
improved access to chiropractic care for CanadianArmed Forces members.
This past June, Dr. Azad was invited to appear
before the House of Commons Standing
Committee on National Defense as an expert
witness on their study of Canadian Armed Forces
Health and Transitional Services.

CCA CEO Dr Ayla Azad presents to the Ottawa legislature.

The following day, the CCA had very constructive
meetings about the inclusion of chiropractors ingovernment programs aimed to support students,
Canadians living in rural areas, refugees andasylum seekers, and Indigenous communities.
A particular focus has been on improving access tocare for Canadian Armed Forces (CAF) members
and Canadian veterans.
In Canada, musculoskeletal conditions are theShe spoke of the benefits of chiropractic care for
CAF members, and advocated to see theGovernment of Canada eliminate the barriers CAF
members face to access chiropractic care,including removing the requirement to obtain aphysician?s referral, and the current cap on thenumber of chiropractic visits for which CAF
members are eligible.
A physician?s referral is not required in any
provincial or national health regulation and isthankfully no longer best practice in the healthinsurance industry.
In comparison, Canadian veterans are eligible for
20 visits to a chiropractor without a medical
referral, and the CCA would like to see greater
continued

80WORLD NEWSCCA sh in es in advocacy act ivit y on t h e Hill in Ot t aw a (con t in u ed)alignment between those two
programs.
To reinforce the case forsupport, the CCA pointed to theexample of chiropractic carebeing well integrated into the US
military and Veterans
Administration. The US
Department of Defense has
demonstrated that adding
chiropractic care to standard
medical care was cost effective
and led to decreased pain anddisability rates, while increasing
satisfaction for active-duty
soldiers.
The CCA continues to advocate
year-round on several issues
through meetings,
consultations, and submissions.
It is important that Canada?sDoctors of Chiropractic have avoice at the table as an integral
part of healthcare teams and areseen as a valuable partner infinding solutions for the healthoutcomes of all Canadians.
The CCA is the largest member
national chiropractic associationin the WFC, representing almost
9000 members.
The current president is Dr Judy
Forrester, who has held theoffice since 2022.
The CCA is headquartered in thecity of Toronto, Ontario, where
the secretariat is led by CEO, Dr
Ayla Azad.

F4CP announces latest podcast and launches
The Foundation for Chiropractic Progress (F4CP) has
concluded its fifth season of its Adjusted Reality
Podcast, featuring new celebrities, thought leadersand experts.
Ultramarathoner, adventurer, author and speaker,
Marshall Ulrich, is featured in a recent episodeavailable for you to share with your patients.
Called the ?Endurance King? by
Outside magazine, Ulrich has finished over 130 ultra
marathons averaging over 125 miles each; climbed
to the top of the highest mountain on every
continent; and completed 13 expedition-length
adventure races.
You can also tune in to past episodes on
Buzzsprout, Spotify, Apple Podcasts and any major
streaming platform.
Speaking of endurance, F4CP has unveiled the Next
St ep Com m u n it y Pr ogr am ? an opportunity for
you to easily host a running or walking program inyour neighborhood as a way to connect withpatients, other healthcare providers and community
members.
Becoming a Next Step Community Leader will grant
you access to a Next Step Community Toolkit

featuring all of the resources needed to successfully
implement this program in your clinic.
F4CP members have the opportunity to become a
Next Step Community Leader as part of theirmembership. Download the toolkit and get started
by visiting: f4cp.org/nextstep.

81

82
WORLD NEWSM obilit y an d Ch ir opr act ic: ar e you cover ed f ort em por ar y pr act ice?
Would you like to support your country?s athletes at
the next World Games or Olympics? Would you liketo teach a seminar in a country other than where
you are registered / licensed? Are you interested inproviding mission care? Chiropractors are mobile.
But oftentimes, their practice credentials are less so.

with other sporting organizations has been to
adopt temporary legislation in Alabama for the2022 World Games. This enabled chiropractors
from around the world to legally treat theirown teams and FICS-credentialed doctors totreat all athletes.

Patients deserve to expect that those who provide
health care are duly credentialed, and if required,fulfil all the requirements for chiropractic registrationin the country of temporary practice. But what doesthat mean?

Creating and adopting event-specific legislation
is time and resource intensive, and probably
impractical for all but the most major events.
On a broader scale, the United States
government passed the 2018 Sports Medicine
Licensure Clarity Act. This extends liability
insurance coverage and satisfies licensure
requirements for US chiropractors and othersports medicine providers to travel with theirteams for certain categories of events. But thisfederal legislation does not apply to treating all
athletes, nor does it extend beyond US
borders.

How do well-meaning chiropractors comply with thelegal conditions where they are temporarily
practicing? What reasonable requirements should
regulators adopt for visiting chiropractors?
The most recent Zoom-based Forum of theInternational Chiropractic Regulatory Society invited
those interested in temporary practice to discuss
treating athletes, teaching seminars, providing careduring disasters, mission trips, research, andtelemedicine.
Following updates on the current requirements by
ICRS regulatory members from Australia, Canada,
the United Kingdom, and New Zealand, the meetingzeroed in on treating athletes.
Dr Keith Overland, Secretary-General of FICS,
Fédération Internationale de Chiropratique du Sport(International Federation of Sports Chiropractic),
outlined both the challenges and successes that FICS
has encountered. Two efforts in particular haveyielded positive results:
FICS offers the International Certificate in Sports
Chiropractic (ICSC) that requires the completion of 10
modules (approximately 100 hours) or equivalent.
The ICSC is required to be selected for a FICS teamworking at international games and assuresconsistent training.
Another approach undertaken by FICS in conjunction

Requ ir em en t s f or t em por ar y pr act ice var y
gr eat ly among the regulated jurisdictions
throughout the world. Does the board haveauthority over the practice of chiropractic byanyone within its borders? Does it retain
jurisdiction over its own licensees / registrants
who travel outside the state or country?
The first step for ICRS, with help fromstakeholders, will be to create a reference
database of existing requirements. Future
steps will include identifying core components(not model language) of what should be
included in patient intake and report of care.
The foundation for the entire project will be thepublic interest.
A summary of the Forum on Temporary Practiceand a draft of Patient Rights and Responsibilities
are available on the ICRS website,www.chiroregulation.org.

83WORLD NEWSCh ir opr act or cr eden t ialed at Ch ildr en's Wiscon sin
The Advanced Innovative
Multidisciplinary (AIM) Spine
Center at Children?s Wisconsin
has credentialed Jeffrey King,
DC, MS. Dr. King represents thefirst chiropractor on staff at thehospital, and one of the first in
the United States at a pediatricfacility.
One of the nation?s top pediatricfacilities, Children?s Wisconsin
partners with the Medical
College of Wisconsin (MCW),
where Dr. King also is anassociate professor.

?For so long, chiropractic carehas been overlooked in thepediatric environment,? said Dr.
King. ?This is an exciting
opportunity to expand upon ourstrong history of chiropractic
care at MCW and bring thatsame exceptional care topatients at Children?s Wisconsin,
where it has the potential toopen new doors for research, aswell.?
In his new role, Dr. King willtreat patients ages 10 and up.
?The AIM Spine Center provides

comprehensive care to thechildren of Wisconsin for all
spine-related disorders. As such,
we felt it was important toinclude evidence-based
chiropractic care amongst thetreatment options available toour adolescent patients,? said
Sean Lew, MD, FAANS,
Mardak/Vandenberg Family
Chair of Pediatric Neurosurgery
at Children?s Wisconsin, and aprofessor at MCW. ?We welcome
the wealth of experience andexpertise Dr. King brings to ourteam.?

At the AIM Spine Center at Children?s Wisconsin, pediatric spine specialists work together to provide outstanding and compassionate
care for even the most complex spinal disorders and spine trauma in infants, children and teens.

84WORLD NEWSCDAHK pu sh es f or in clu sion of ch ir opr act ic as par t of
expan sion of global h ealt h w or k f or ce
The Chiropractic Doctors
Association of Hong Kong
(CDAHK) recently published apaper titled "Meeting Future
Demand for Chiropractic Services
in Hong Kong: A Strategic
Manpower Planning Approach."
The paper highlights theeffectiveness of chiropractic
treatment in cases wheretraditional therapies have failed,with minimal associated adverse
events.
With the growing ageing
population, prevalence ofdisabilities, and an increase inmusculoskeletal conditions, thedemand for rehabilitation
services, including chiropractic
care, has been on the rise. Overthe past few years, thechiropractic profession has
successfully raised awareness ofthe benefits of chiropractic
treatment. The paper identifies
key factors influencing thechiropractic workforce's ability
to meet the population's healthneeds, including high-quality
training and education, licensing
and regulation, interprofessional
collaboration, increased
accessibility, and research.
To achieve the number ofchiropractors required by Hong
Kong for adequate service
according to international
standards, the paper makes anumber of proposals, including
increasing efficiency in licensing
and registration procedures,

expanding coverage of public
and private insurance forchiropractic services, enhancing
system integration andinterprofessional collaboration
between chiropractors andother healthcare providers,promoting public education on
the benefits of chiropractic care;and encouraging local research
to build evidence and support
workforce growth andacceptance.
By addressing these factors,
Hong Kong can ensure that itmeets future demand forchiropractic services andprovides its population with thehighest quality care. The paper 's
strategic manpower planningapproach serves as a roadmap
for achieving this goal andsupporting the growth andacceptance of the chiropractic
profession in Hong Kong.
The CDAHK has also published apaper titled "Prevention-Focused
Care: The Potential Role of
Chiropractors in Hong Kong's
Primary Healthcare
Transformation." The paper
discusses the shift in Hong
Kong's healthcare system
towards preventive and primarycare to address the complex
demands of the aging
population. Chiropractic
professionals are in a uniqueposition to support a
prevention-focused strategy byidentifying musculoskeletal

problems early, reducing risks,and promoting healthy lifestyles.
The paper argues thatchiropractors should be involvedin public health initiatives as wellas policymakers' efforts tocreate a sustainable healthcare
system that meets the long-term
healthcare needs of the region.
Lastly, CDAHK has published apaper titled "Recognizing Hong
Kong Chiropractors' Sick Leave
Authority: Valuing a Conservative
Approach to Workers'
Compensation."
The paper addresses the issueof chiropractors' current inability
to certify sick leave under Hong
Kong's legislative framework,
despite being registeredhealthcare practitioners. This
limitation restricts theeffectiveness of chiropractic
services for patients withmusculoskeletal issues that may
require time away from work.
The paper provides an in-depth
exploration of the evolution ofchiropractic regulation in Hong
Kong, the growth of theprofession, and the delayed
recognition of chiropractors'
authority to issue sick leavecertificates. The chiropractic
profession and its patients havelong lobbied for this authority,
but the government's response
has been slow.
For more information about
these initiatives, see cda.org.hk.

85

REGISTERNOW
wfccongress2023.org.au

ACADEMICPROGRAMMENOWONLINE!
17th World Federation of Chiropractic Biennial Congressin association with theAustralian Chiropractors Association
Gold Coast Convention & Exhibition Centre, Gold Coast, Queensland, Australia
11-14 October 2023

86

87
WORLD NEWSFICS Global Sym posiu m at t r act s
in t er n at ion al spor t s ch ir opr act or s t o Par isSports chiropractors from around the globe
descended on Paris, France, for the FICS Global
Symposium. Held June 17-18, the symposium
welcomed 16 speakers representing various
specialties in sports chiropractic.
FICS - the International Sports Chiropractic
Federation - is the global representative body for
sports chiropractic and provides expert
chiropractors for sporting events around the world.
The Paris symposium provided a mix of didactic andworkshop-based learning which provided panel
discussions, keynote presentations on specialist
areas of sports chiropractic as well as hands-on
experience.
The stellar line up of speakers included Dr Brian
Nook (USA), Martin Camara (Philippines), Christine
Foss (USA), Simon Lawson (South Africa) and Audrey
Yargui (France).
The varied content provided a perfect mix of subject
matter for those already working with elite athletes
and those aspiring to develop their expertise. The
event also provided many networking opportunities
for attendees, where tips and strategies for effective
interventions could be shared.
During the event, FICS President Dr Bradley Sandler
was recognized for his service to FICS with apresentation of the President's Medal.
Throughout 2023, FICS expects to provide
chiropractors to around 20 world championships
and multiple other sporting events.
FICS's mission is to provide equitable access tosports chiropractic care, education, mentoring andresearch to athletes and sports chiropractors
regionally, nationally and internationally.
To find out more about FICS, visit https://fics.sport/

Attendees traveled to Paris from around the world to networkand learn from an impressive speaker line-up.

88WORLD NEWSWor ld Spin e Car e u pdat e

Volu n t eer in g acr oss bor der s: Bot sw an a gain s n ew clin ic
su per visor
World Spine Care relies on volunteers from allover the world. But the latest clinicalsupervisor to join the team didn?t have totravel far to provide hands-on care to thepeople of Botswana. Dr. Michael Pretorius
grew up in South Africa and hoped to take hisskills abroad for some time, but the pandemic
tested his patience. Eventually, theopportunity arose, and he embraced it readily.
Dr. Kait Graham, our Volunteer Program
Manager, shared that "World Spine Care isthrilled to have Michael (Dr. Pretorius) join our
team in Botswana. We started preparing forhis arrival several months prior, and he has
been nothing but helpful, engaged, anddetermined from the start."
Botswana Clinic Coordinator Dr. Mufudzi
Chahambakwe adds, ?Michael is a great
addition to the team. From early on, he has
been a man of action, helping to set up theclinic in Mahalapye that has been dormant

Dr Michael Pretorius is the newest clinic supervisor in
Botswana

since the pandemic started. He is exactly the
person we needed to champion the re-entry of
WSC into the local community.?
We caught up with Dr. Pretorius to see what thefirst months of working with patients in
Botswana are like.
WSC: Tell u s abou t you r back gr ou n d an dclin ical edu cat ion .
Dr . Pr et or iu s: I studied chiropractic at the
University of Johannesburg. After completing
my master 's dissertation and clinical internshipduring Covid, I worked in private practice inJohannesburg for two years, taking a special

Mahalapye is located in the middle of Botswana.

89WORLD NEWS

Volu n t eer in g acr oss bor der s: Bot sw an a gain s n ew clin ic su per visor(con t in u ed)interest in treating athletes and doing theInternational Federation of Sports Chiropractic
certificate.
Wh at in spir ed you t o t ak e on t h e r ole of Clin ical
Su per visor at t h e WSC Clin ic in Bot sw an a?
In 2019, I attended a WCCS conference where Dr.
Mufudzi Chihambakwe (now a close friend andcolleague) spoke about WSC and the work that they
are doing in Botswana. Having family in Botswana anda passion for public health, volunteering for WSC
seemed like a no-brainer. COVID-19 might havedelayed that by a few years, but here we are.

barrier (I?m learning Setswana just slowly), it's
been going great.
Wh at do you h ope t o ach ieve w h ile inBot sw an a?
The obvious is to provide quality treatment to
as many people as possible. But more thanthat, it is to work on the sustainability andlongevity of what we are doing in thecommunity, to establish ourselves and ourspace in a more permanent way, where
volunteers don?t have to re-fight battles thatthe previous pioneering volunteers did years
ago. To educate and integrate.
Wh at h as been you r in it ial exper ien ce w it hpat ien t s an d f ellow h ealt h car e pr ovider s?
The hospital staff at the Mahalapye District
Hospital have been very nice, welcoming, andexcited to have us back. In our first two weeks
of treating patients, we were basically only
treating hospital staff. They first come fortreatment and then refer their patients
second.
Wh at is som et h in g excit in g or su r pr isin g
you ?ve lear n ed sin ce ar r ivin g?
I'm surprised how bad my Setswana is, but
excited that I?ve got enough time to learn.

Mahalapye District Hospital provides a range of inpatient andoutpatient services.

Wh at h ave been t h e m ost sign if ican t
ch allen ges w h ile pr epar in g t o volu n t eer ?
So far, it has been smooth sailing. Well, at least as
smooth as you?d expect when you pack up yourlife, move to another country, register, and thentry to re-open a clinic that?s been closed for 2
years. Lots of admin and organization, but otherthan small hick-ups and the obvious language

Stay up to date with the latest in spine care:
Follow World Spine Care on Facebook,
Instagram , Twitter ,Linked In, and YouTube.

90
BOOK REVIEWBook r eview : Tak e Good Car e: 7 Welln ess Rit u als f or Healt h ,St r en gt h & Hope, by Dr Dw igh t Ch apin
This upbeat compendium from
Dwight Chapin, a Canadianchiropractor and co-owner of alarge Toronto health clinic,
introduces seven wellness?rituals? to help readers takecontrol of their health, fromprioritizing restful sleep tofighting for your waistline toprotecting your strength
through resistance training,
especially in later years.

Chapin intersperses theiranecdotes and discussions of
why it?s urgent to take steps tostay fit (?The work belongs toyou,? one says) with his own
rousing advice and, mostnotably, his practical, flexible
rituals.
Those seven rituals update
some familiar advice about
working to maintain strengthand fitness with Chapin?s warm,
motivational coaching? heoffers flexible, actionableguidance about designing aworkout routine or establishinga better diet? but also welcome
wisdom about self-love,
managing expectations, andunderstanding your capabilities
and needs.
?My body demands what itneeds, loudly,? says the Olympic
rower Silken Laumann. ?And so,
I?ve learned how to listen andhave developed a respect forrest and recovery.?

In making the case for why
everyday readers should stay
active, practice preventive selfcare, and challenge their bodies
while respecting their limits,
Chapin favors straight talk andpersonal experience, inviting
testimony from 21 notable
Canadians, among them CEOs,
Olympians, thesinger-songwriter Jann Arden,
and the dietitian for the Toronto
Raptors.

to the indisputable fact thattaking to time to play? not justsports, but ?talking to your dog,
dancing in your home, or
listening to your favorite
album?? increase happiness.
The message has power: good
health demands not just staying
active, but making the most of
our relaxing time, too.
Self-evaluation tools, clear
takeaways, self-care?reflections,? and guidance on
how to ?activate? these rituals
into your own life all contributeto this guide?s utility.
As a Health Advisor, his original
work has been featured in The
Globe and Mail, and he has
co-authored workplace wellness
e-learning modules for the
Canadian Centre for
Occupational Health &Safety-CCOHS,. He was awarded
the 2018 Chiropractor of theYear by the Ontario Chiropractic
Association.

Throughout, Chapin andcompany balance such calls forrespecting one?s body withpractical advice for keeping
active, alert, and engaged, notjust through targeted exercise
but also meditation and ?playing
with purpose."That?s the seventh of Chapin?s
rituals, and it?s inspired, as
Chapin points to studies thatlink happiness to longevity, andDr Dwight Chapin

91
OBITUARY

Passin g of a gian t : Geor ge M cAn dr ew s dies at 87
George McAndrews grew up recalling how hisfather, a chiropractor, was repeatedly mocked
and scorned by those in the medical profession.
?We as children felt it, we knew he was being
ridiculed,? recalled Mr. McAndrews?brother,Tom, of their upbringing in an Iowa town along
the Mississippi River. ?Medical doctors would telltheir patients, ?Don?t go near chiropractors,
they?re quacks.?And we?d hear that at schoolfrom our friends.?
Years later, Mr. McAndrews, by then an attorney,
took on a group that was complicit in some of
the most aggressive tactics, even to the point ofan organized strategy to contain and eliminate
the chiropractic profession - the American
Medical Association (AMA).
He accepted the case of a Chicago chiropractor
Chester Wilk, who had sued the AMA for

conspiring to destroy the profession by labelingit an ?unscientific cult? and telling its members,
medical doctors, that any association withchiropractors was unethical.
This meant that chiropractors could not bereferred patients, could not work in hospitals
and were not recognized by insurance plans.
The campaign was designed to annihilate thechiropractic profession once and for all.
After a court battle that lasted decades andinvolved two trials and appeals that reached the
U.S. Supreme Court ? which declined to take on
the case three times ? Mr. McAndrews won his
fight for justice.
The AMA was forced by a federal judge, JusticeSusan Getzendanner, to publish a full pageadmission in its own medical journal
acknowledging it had unlawfully tried toeliminate chiropractors from plying their trade
and that its rules on avoiding chiropractors were
unlawful.
Mr. McAndrews passed away April 7 aftermonths of living with Alzheimer ?s disease. He
was 87.
WFC Secretary-General, Richard Brown,commented, "With the passing of George
McAndrews, we have lost a giant of theprofession. His taking on of the case against themight of the AMA was a real David and Goliath
story, with his small legal team taking on
hundreds of attorneys on the other side.
"His story of persistence and prevailing against
the odds provides a lesson to us all. Without his
resilience and fortitude, the story of chiropractic
in the United States and around the world is
likely to have been very different to what it istoday.

George McAndrews"All of us in the chiropractic profession owe him
a debt of gratitude. May he rest in peace."

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