Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
The following definitions will be applicable to the rules of
				  the Iowa board of chiropractic.
"Active chiropractic physiotherapy"
means
				  therapeutic treatment performed by the patient, including but not limited to
				  exercises and functional activities that promote strength, endurance,
				  flexibility, and coordination.
"Acupuncture"
means the same as defined in
				  Iowa Code section 148E.1.
"Adjustment/manipulation of neuromusculoskeletal
				  structures"
means the use by a doctor of chiropractic of a skillful
				  treatment based upon differential diagnosis of neuromusculoskeletal structures
				  and procedures related thereto by the use of passive movements with the
				  chiropractic physician's hands or instruments in a manipulation of a joint by
				  thrust so the patient's volitional resistance cannot prevent the motion. The
				  manipulation is directed toward the goal of restoring joints to their proper
				  physiological relationship of motion and related function, or stimulation of
				  joint receptors. Movement of the joint is by force beyond its active limit of
				  motion, but within physiologic integrity. Adjustment or manipulation commences
				  where mobilization ends and specifically begins when the elastic barrier of
				  resistance is encountered by the doctor of chiropractic and ends at the limit
				  of anatomical integrity. Adjustment or manipulation as described in this
				  definition is directed to the goal of the restoration of joints to their proper
				  physiological relationship and associated functions of motion and related
				  function, release of adhesions or stimulation of joint receptors. Adjustment or
				  manipulation as described in this definition is by hand or instrument. The
				  primary emphasis of this adjustment or manipulation is upon specific joint
				  element adjustment or manipulation and treatment of the articulation and
				  adjacent tissues of the neuromusculoskeletal structures of the body and nervous
				  system, using one or more of the following:
1. Impulse adjusting or the use of sudden,
				high velocity, short amplitude thrust of a nature that patient volitional
				resistance is overcome, commencing where the motion encounters the elastic
				barrier of resistance and ending at the limit of anatomical
				integrity.
2. Instrument adjusting,
				utilizing instruments specifically designed to deliver sudden, high velocity,
				short amplitude thrust.
3. Light
				force adjusting, utilizing sustained joint traction or applied directional
				pressure, or both, that may be combined with passive motion to restore joint
				mobility.
4. Long distance lever
				adjusting, utilizing forces delivered at some distance from the dysfunctional
				site and aimed at transmission through connected structures to accomplish joint
				mobility.
"Anatomic barrier"
means the limit of motion
				  imposed by anatomic structure, the limit of passive motion.
"CCCA"
means the Certified Chiropractic
				  Clinical Assistant program offered by the FCLB.
"Certified chiropractic assistant"
means a
				  person who has completed a certified chiropractic assistant training program to
				  perform selected chiropractic health care services under the supervision of a
				  chiropractic physician.
"Chiropractic insurance consultant"
means an
				  Iowa-licensed chiropractic physician registered with the board who serves as a
				  liaison and advisor to an insurance company.
"Chiropractic manipulation"
means care of an
				  articular dysfunction or neuromusculoskeletal disorder by manual or mechanical
				  adjustment of any skeletal articulation and contiguous articulations.
"Differential diagnosis"
means to examine
				  the body systems and structures of a human subject to determine the source,
				  nature, kind or extent of a disease, vertebral subluxation,
				  neuromusculoskeletal disorder or other physical condition, and to make a
				  determination of the source, nature, kind, or extent of a disease or other
				  physical condition.
"Elastic barrier"
means the range between
				  the physiologic and anatomic barrier of motion in which passive ligamentous
				  stretching occurs before tissue disruption.
"Extremity manipulation"
means a corrective
				  thrust or maneuver by a doctor of chiropractic by hand or instrument based upon
				  differential diagnosis of neuromusculoskeletal structures applied to a joint of
				  the appendicular skeleton.
"FCLB"
means the Federal Chiropractic
				  Licensing Board.
"Malpractice"
means any error or omission,
				  unreasonable lack of skill, or failure to maintain a reasonable standard of
				  care by a chiropractic physician in the practice of the profession.
"Mobilization"
means movement applied
				  singularly or repetitively within or at the physiological range of joint
				  motion, without imparting a thrust or impulse, with the goal of restoring joint
				  mobility.
"PACE"
means Providers of Approved
				  Continuing Education and is the signature program of the FCLB.
"Passive chiropractic physiotherapy"
means
				  therapeutic treatment administered and received by the patient, including but
				  not limited to mechanical, electrical, thermal, or manual methods.
"Physiologic barrier"
means the limit of
				  active motion, which can be altered to increase range of active motion by
				  warm-up activity.
"Practice of acupuncture"
means the same as
				  defined in Iowa Code section
				  148E.1.
"Supervising chiropractic physician"
means
				  the Iowa-licensed chiropractor responsible for supervision of services provided
				  to a patient by a certified chiropractic assistant.
"Supervision"
means the physical presence
				  and direction of the supervising chiropractic physician at the location where
				  services are rendered.