QWR2025B

Out going Secret ary-General honored at Parker Sem inar

Adapt abilit y and resilience: t he keys t o progress

As we move through another exciting quarter, I am reminded of the remarkable dedication, passion, and unity that define our global chiropractic community Each day, I witness how our profession evolves, not just in response to challenges, but through a collective drive to innovate, uplift, and lead. This moment offers a golden opportunity to reflect on how far we?ve come and to set our sights on the path ahead.

Change is constant Yet it is our adaptability and resilience that continue to define the chiropractic profession. From embracing emerging technologies and research to meeting the dynamic needs of patients, chiropractors worldwide are demonstrating that we are not only participants in healthcare but also leaders within it. Chiropractic remains a beacon of innovation and strength in a rapidly shifting health landscape

At the heart of this progress is the World Federation of Chiropractic (WFC). As a unifying body, the WFChas played a pivotal role in guiding our profession through transformation.

By promoting collaboration, advancing care standards, and advocating for chiropractic in global health systems, the WFCremains an essential pillar in our shared journey. The work of members, partners, and supporters has reinforced our position as a vital contributor to multidisciplinary healthcare worldwide.

One of the most significant events on our calendar is approaching From May 7th to 10th, we will gather in the beautiful city of Copenhagen, Denmark, for the WFCBiennial Congress.

This gathering is not just a professional meeting - it is a celebration of who we are, what we stand for, and what we can achieve together The Congress provides a platform to exchange ideas, hear from thought leaders, and forge new partnerships that will shape the future of our profession

This year?s Congress carries greater significance as

we celebrate a century of chiropractic in Denmark One hundred years of dedication, education, and service have laid a strong foundation - not only for Danish chiropractors but for all of us globally who continue to build on that legacy This centennial is a powerful reminder of the progress we?ve made and the vision we hold for future generations.

As President of the WFC, I invite each of you to take part in this milestone event Whether you are a practitioner, researcher, educator, or student, your presence enriches our shared mission Together, we are shaping the next chapter of chiropractic care - grounded in evidence, driven by compassion, and committed to excellence.

Our strength lies in our unity, our purpose, and our commitment to the patients and communities we serve I wish you a productive and inspiring quarter ahead and look forward to the continued strides we will make - together.

KDS

Dr Kendrah Da Silva, WFCPresident

New s from t he boardroom

The WFCBoard of Directors convened on February 11, 2025, to address a broad agenda covering governance, international relations, upcoming events, and strategic initiatives. President Kendrah Da Silva opened the meeting, welcomed all directors, and introduced Brad Beira, the Secretary-General Designate

The Board approved the formation of the Committee on Official Relations with the World Health Organization to support WFC?s engagement with WHO. This included discussions on governance, terminology, and consistent communication practices

Additional topics included updates on the organization?s cybersecurity policy, the revised non-interference policy, and the transition plan for the Secretary-General Designate, who was scheduled to officially join WFCon April 1, 2025. A detailed onboarding process was outlined, including international engagements and operational briefings

Members received an update on the financial risk

WFC BOARD OF DIRECTORS (2024-26)

Kendrah Da Silva (President) African Region

Ryan Coster (Vice-President) North American Region

Holly Tucker (Secretary-Treasurer) North American Region

Carlos Ayres Latin American Region

Glenn Guilderson North American Region

Andrew Lawrence Pacific Region

John Maltby North American Region

Jakob Lothe

European Region

Efstathios Papadopoulos Eastern Mediterranean Region

Pernille Popp

European Region

Hayden Thomas Pacific Region

Dale White

North American Region

Yi Kai Wong Asian Region

analysis, including the impact of exchange rate volatility, along with the 2024 financials and the ongoing audit. The Board adopted the updated risk register and noted changes to secretariat staffing and structure.

Directors noted that excitement continued to build for the WFCBiennial Congress in Copenhagen (May 7?10, 2025), which was reported as tracking ahead of previous events in registrations. Planning was also underway for the 2026 WFCEducation Conference.

Project updates included the WHO Benchmarks for Training in Chiropractic, the International Test of Competence, World Spine Day 2025 (?Invest in Your Spine?), and the Global Observatory for Chiropractic, all aimed at supporting international recognition and advocacy.

Regional updates covered developments in Norway, strategic realignment in Europe, and diplomatic breakthroughs in Africa

The next meeting was scheduled for May 3?4, 2025, in Copenhagen

RESEARCH COMMITTEE

Sidney Rubinstein DC, PhD (Chair) Netherlands

PUBLIC HEALTH COMMITTEE

Claire Johnson DC, MSEd, PhD (Chair) USA

DISABILITY & REHABILITATION COMMITTEE

Katie de Luca MAppSc, PhD (Chair) Australia

SECRETARIAT

Richard Brown DC, LL M (Secretary General)

Brad Beira MTech C, LL M (Secretary-General Designate)

Rebekah Wilks BS, DC (Director of Strategy and Policy)

Khalid Salim (Finance & Administration Manager)

Christina Davis (Executive Operations Manager)

All syst em s go as Brad Beira prepares t o assum e Sec-Gen role

The World Federation of Chiropractic (WFC) is pleased to welcome Professor Brad Beira as its new Secretary-General Designate, marking the beginning of a carefully structured leadership transition Prof Beira will officially assume the role of Secretary-General on July 1, 2025, succeeding Professor Richard Brown, who has served for the past decade

In the months leading up to his formal appointment, Prof Beira will engage in an intensive three-month onboarding process, designed to provide comprehensive insight into the WFC?s operations, governance, and global project workplan

This transition period will include high-level briefings with outgoing Secretary-General Prof. Brown, strategic planning sessions, and opportunities to connect with WFCpartners, stakeholders, and board members

The onboarding program is built around WFC?s biennial operational cycle, ensuring that Prof. Beira is well-positioned to oversee major initiatives including the WFCBiennial Congress, education and research programs, WHO engagement, and ongoing global advocacy efforts He will also travel internationally as part of his familiarization, attending key events such as the Parker Seminar and the World Health Assembly in Geneva

Prof. Beira brings a wealth of experience in chiropractic leadership, education, and international collaboration, and the WFCis confident that his appointment will continue to strengthen the organization?s mission to advance chiropractic worldwide

The Board and Secretariat extend a warm welcome to Prof. Beira and look forward to supporting him during this exciting new chapter in the WFC?s journey

CONTACTING THE WFC

Writ e t o us:

World Federation of Chiropractic, 2 St Clair Avenue West,Toronto, Ontario M4V1L5, Canada

Call us:

+1 647 255 8030

Em ail us:

General enquiries info@wfc org

Richard Brown rbrown@wfc org

Brad Beira bbeira@wfc.org

Rebekah Wilks rwilks@wfc org

Khalid Salim ksalim@wfc org

Christina Davis cdavis@wfc.org

NEWS ITEMS

The WFCwelcomes news items, digital images and feature stories to include in the QWR Send all submissions (in Word format) to QWR@wfc org Please note all submissions may be subject to editing

QWRADVERTISING OPPORTUNITIES

Full page color US$995

Half page color US$595

Quarter page color US$395

A discount of 10%is applied to orders for multiple issues of the Quarterly World Report

The WFCQuarterly World Report is published on January 1, April 1, July 1 and October 1 of each year Advertising copy, in high resolution pdf or jpeg format, is required fifteen days in advance of the publication date

The World Federation of Chiropractic reserves the right to decline advertising. Inclusion of any advertising in the WFCQuarterly World Report does not in any way imply endorsement of any product or service

The final w ord: reflect ions on a decade as your Secret ary-General

As I conclude my tenure as Secretary-General of the World Federation of Chiropractic, I find myself reflecting not only on the milestones we?ve achieved together, but on the principles that have guided me throughout these ten remarkable years

Serving this extraordinary global community has been one of the greatest honors of my life As I pass the torch, I?d like to leave you with a few thoughts - not about leadership as a title, but as a responsibility, and above all, as a service to something greater than ourselves

In a world that often celebrates charisma over character and ambition over service, I?ve come to believe even more strongly that great leadership is defined by three timeless qualities: humanity, humility, and integrity

Humanity is the heart of leadership. It allows us to see others fully, to recognize their struggles, their hopes, their potential When we lead with compassion and empathy, we create space for others to grow, to feel seen, and to contribute meaningfully Over the years, I?ve witnessed how powerful this kind of leadership can be in uniting our profession across borders, beliefs, and cultures

Humility has taught me that leadership is not about having all the answers, but about being open to learning, listening, and growing - together It?s about lifting others up and recognizing that progress is never a solo effort The strength of the WFChas always been found in the collective wisdom of its members I leave deeply grateful for every voice that shaped our shared journey and enriched our global mission.

Integrity steadied me when the way forward wasn? t always clear It is the quiet force that reminds us to do what is right, not what is easy It is the foundation of trust, and the compass that guided my decisions through challenges, opportunities,

and change

These values - humanity, humility, and integrityhave not only shaped my time with the WFC, but are reflected in the actions of so many of you. They are the soul of this organization and, I believe, the reason it continues to lead, inspire, and make a meaningful difference

As I step aside, I do so with immense pride in what we?ve built together and with unwavering confidence in what lies ahead. The future of chiropractic is bright because it is held in hands committed not just to progress, but to purpose and shared impact

Thank you for the privilege of serving you. Thank you for your trust, your partnership, and your friendship. I leave this role filled with gratitude, and filled with hope.

May we all continue to lead with more heart, speak with more kindness, and act with more courage RB

Richard Brown, WFCSecretary-General

Final count dow n t o fairyt ale congress as excit em ent builds for unm issable Scandinavian experience

The countdown is on! With just over a month to go, excitement is reaching new heights as we prepare to welcome nearly 1,000 attendees to the 18th Biennial Congress of the World Federation of Chiropractic (WFC), taking place in Copenhagen from May 7?10, 2025

This is more than a conference - it?s the global gathering of the chiropractic community Whether you?re a seasoned practitioner, researcher, educator, or student, this Congress is your opportunity to connect with peers, gain insights from leading experts, and be part of something truly unforgettable

This year?s theme, ?Connecting the Dots of Evidence-Based Practice,?sets the stage for a powerful program that blends science, innovation, and clinical relevance The 2025 Congress features the widest and most diverse range of speakers in WFChistory With sessions covering a huge range of topics, including neurology, pediatrics, sports chiropractic, biomechanics, diagnostic imaging, and burnout prevention, there?s something here for every area of interest. More than 30 breakout sessions, cutting-edge research presentations, and an expansive expo will ensure you leave inspired, informed, and equipped with practical tools for your work

You?ll also experience inspiring plenaries and hands-on workshops designed to energize your practice and deepen your impact. For those focused on advancing the profession, panel discussions and global networking sessions will offer valuable insight into challenges and opportunities across regions

Beyond the academic content, the Congress offers a social program that?s not to be missed. From the vibrant Welcome Reception to an unforgettable Danish Night and a glittering Gala Dinner, these events are the heartbeat of the Congress

experience - where lasting friendships are formed and new opportunities begin Whether you?re reconnecting with colleagues or meeting new collaborators, the connections you make here will last long after the Congress ends

Copenhagen, known for its charm, culture, and hospitality, provides the perfect backdrop. The Tivoli Hotel and Convention Center offers a beautiful, modern venue to learn and connect, while also experiencing the famous Danish ?Hygge ?With spring in full bloom, the city?s unique mix of tradition and modernity will make your visit all the more memorable

This year?s event also holds special meaning as we celebrate the centenary of the Danish Chiropractors?Association - a milestone that highlights a century of dedication, education, and advancement of the profession in Denmark This celebration adds a sense of legacy and pride to an already momentous occasion

The future of chiropractic is gathering in Copenhagen Don? t miss your chance to be part of it Visit www wfc25cph org to register now and explore the full program The Early Bird deadline may have passed - but the opportunity hasn? t Spaces are limited Act now!

WFC at African Union for t alks w it h Healt h Com m issioner

A high-level delegation led by Prof Richard Brown, Secretary-General of the World Federation of Chiropractic (WFC), was recently welcomed to the headquarters of the African Union (AU) in Addis Ababa, Ethiopia, for a landmark meeting with Her Excellency Ambassador Minata Samaté Sessouma, Commissioner for Health, Humanitarian Affairs and Social Development. The meeting marked a significant step forward in building collaborative strategies to address spinal pain, disability, and musculoskeletal (MSK) disorders across the African continent

The African Union is a continental body consisting

of 55 member states that make up the countries of the African continent The AU promotes unity, development, and international cooperation and plays a central role in coordinating political, economic, and health policy across Africa Within this framework, the Commissioner for Health, Humanitarian Affairs and Social Development leads the AU's work in advancing the health and well-being of Africa?s populations, shaping regional strategies and coordinating partnerships on public health matters

During the 90-minute meeting, the WFC delegation highlighted the global burden of

L>RDr Selam Aklilu, Dr Mufudzi Chihambakwe, Prof. Richard Brown, HEAmb MinateSamatéSessouma with her personal assistant

WFC at African Union for t alks w it h Healt h Com m issioner

musculoskeletal conditions - particularly spinal pain - as a leading cause of disability worldwide Prof. Brown emphasized that back pain disproportionately affects low- and middle-income countries, with limited access to evidence-based, non-surgical, and non-pharmacological spine care options

Discussion focused on the social determinants of health, the broader economic impact of spinal disability in African populations, and the urgent need for equitable access to quality spinal care services. The WFCoutlined chiropractic?s contribution as a patient-centered, drug-free, and cost-effective model of care for managing MSK disorders, particularly in underserved communities

Also attending the meeting were Dr Mufudzi Chihambakwe, President of the African Chiropractic Federation (ACF), and Dr Selam Aklilu, President of the Chiropractic Association of Ethiopia Both highlighted ongoing efforts to expand chiropractic services, training, and regulatory frameworks within Africa They stressed the importance of building local capacity and ensuring chiropractic is formally integrated into national health systems across the continent

Her Excellency Ambassador Sessouma expressed strong interest in the role that chiropractic can play in reducing the burden of spinal disorders She noted the importance of exploring complementary and integrative health services and recognized the alignment between the WFC?s mission and the AU?s goals for public health, human development, and inclusive healthcare access.

In a significant outcome of the meeting, the Commissioner proposed the drafting of a Memorandum of Agreement between the African Union and the World Federation of Chiropractic This proposed partnership would lay the foundation for long-term collaboration on advancing spinal health, promoting

musculoskeletal wellness, and building health system capacity through chiropractic care.

The WFC, ACF, and national chiropractic stakeholders expressed their commitment to supporting the next steps, including technical collaboration on health policy, education, workforce development, and advocacy. A draft Memorandum of Agreement has since been submitted, with both parties engaging in ongoing discussions to formalize the relationship. This historic meeting represents a pivotal moment in expanding the reach and recognition of chiropractic in Africa and strengthening cross-continental cooperation to tackle one of the region?s most pressing public health challenges.

Dr Selam Aklilu, Dr Mufudzi Chihambakwe and Prof Richard Brown at theAfrican Union Headquartersin AddisAbaba

Shaping t he Fut ure of Public Healt h in Chiropract ic: Your Input Mat t ers

The WFCPublic Health Committee (PHC) plays a vital role in advising the WFCBoard on matters relating to public health as it intersects with the practice of chiropractic Its mission is to support both individuals and communities served by chiropractors around the world by promoting initiatives that align with the priorities of the WFC and the World Health Organization (WHO)

The PHC's work spans a wide range of activities, including the identification of global public health priorities, the development of health promotion campaigns, and the implementation of activities that support the chiropractic profession?s role in advancing population health This includes addressing emerging global health challenges, advocating for evidence-based care, and supporting chiropractors in their efforts to promote wellness and prevent disease within their communities.

Guided by the WFCStrategic Plan 2024?2029, the current PHCaction plan directly supports the Federation?s first strategic objective: Create Stakeholder Value This objective commits the WFCto identifying the needs and expectations of its member national associations and delivering measurable solutions that support growth and sustainability.

The PHC?s current goals focus on four key areas:

- Developing public health policy and position statements at professional, national, and international levels

- Educating chiropractors on how to integrate public health and prevention strategies into everyday practice

- Raising public awareness about how chiropractic care can contribute to better population health

- Strengthening interdisciplinary collaboration globally within the public health space

At present, the PHCis conducting a global needs assessment using data from practice analyses to better understand current priorities and emerging themes Based on this assessment, the committee will identify key topics for its next series of projects and campaigns

The PHCinvites input from stakeholders around the world Those with innovative ideas related to public health or health promotion in chiropractic are encouraged to share them through the newly established Suggestion Box The PHCis particularly interested in evidence-based topics that promote prevention, wellness, and the integration of public health into chiropractic practice.

While not every suggestion may be implemented, all feedback is valuable and plays a crucial role in shaping the future direction of the PHC?s efforts

The organization appreciates ongoing support and engagement. Ideas can be submitted at: https://bit.ly/3EfGrRv

Dr ClaireJohnson chairstheWFCPublicHealth Committee

Psychological safet y: t he m issing link in safer chiropract ic care, says GPSI

Patient safety is a fundamental pillar of healthcare, ensuring care delivery minimizes risk and optimizes outcomes. While much attention in patient safety is given to adverse event (AE) reporting, clinical protocols, and system-based interventions, an often-overlooked component of patient safety is psychological safety - the ability for healthcare providers to openly discuss concerns, admit mistakes, and seek guidance without fear of judgment or retaliation For chiropractors, who often work in independent or small-practice settings, fostering psychological safety is particularly crucial, as it directly impacts our ability to engage in transparent communication, continuous learning, and patient-centered care.

Psychological safety, a concept popularized by Harvard researcher Amy Edmondson, refers to an environment where individuals feel safe to speak up, ask questions, and acknowledge errors without fear of embarrassment or punishment. In healthcare, psychological safety is essential for openly reporting patient safety concerns, collaborative problem-solving, and reducing preventable errors. Research consistently shows that psychologically safe environments encourage peer discussions, shared learning, and system-wide improvements, all of which are vital for enhancing patient safety in chiropractic care

Despite its importance, several factors make fostering psychological safety in chiropractic care challenging:

1 Fear of Professional Repercussions ? Chiropractors, similar to other healthcare professions, may be reluctant to report adverse events or patient safety concerns due to fear of legal consequences, damage to their professional reputation, or disciplinary action

2 Lack of Institutional Support ? Without

formalized peer review processes or mentorship programs, many chiropractors lack a structured system for discussing and learning from safety incidents, such as the opportunity available through CPiRLS(https://rcc-uk org/cpirls/)

3. Competitive and Independent Practice Models ?The nature of private practice can discourage collaboration, making it less likely for practitioners to seek peer input or admit clinical challenges

4. Limited Access to Interdisciplinary Networks ? Chiropractors often lack access to safety teams available in some hospital settings, reducing opportunities for collaborative learning, error prevention, and continuous improvement

To enhance patient safety, chiropractic organizations, regulatory bodies, and professional associations must prioritize psychological safety by creating a culture that encourages open dialogue, learning from errors, and continuous improvement. Key strategies include:

Association of Chiropractic(Malaysia) President, Dr Yi Kai Wong

Psychological safet y: t he m issing link in safer chiropract ic care, says GPSI

Dr KatherinePohlman DC, PhD chairstheWFCGlobal Patient SafetyInitiative

- Establishing Non-Punitive AEReporting Systems ? Encouraging chiropractors to report adverse events and near misses without fear of retribution can enhance transparency and allow system-wide learning

- Developing Peer Support Networks ? Creating mentorship programs, clinical discussion forums, and case review groups can help chiropractors share insights and gain confidence in discussing safety concerns

- Training in Communication and Patient Safety Culture ? Incorporating patient safety and psychological safety training into chiropractic education and continuing professional development can reinforce the importance of open dialogue and shared learning

- Encouraging Interdisciplinary Collaboration ? Partnering with other healthcare providers can provide diverse safety strategies and promote a broader, more comprehensive approach to patient safety

Psychological safety is an essential yet often overlooked component of patient safety in healthcare, including chiropractic care. Without a supportive environment that fosters open discussion, self-reflection, and peer collaboration, addressing adverse events and clinical uncertainties remains a challenge - ultimately impacting patient outcomes The WFC?s Global Patient Safety Initiative (GPSI) champions the advancement of psychological safety within the profession, encouraging chiropractors to adopt structured reporting systems, peer support networks, and ongoing education By embracing these strategies, we can strengthen our commitment to patient-centered, evidence-based care, ensuring that safety and learning remain at the heart of chiropractic practice. Investing in a culture of safety and openness not only supports practitioners but also enhances the quality, credibility, and global trust in chiropractic care

Studiesshowthat individualswith chroniclowbackpain are significantlymorelikelyto experienceanxietyor depression compared to thosewithout backpain

2025 World Spine Day cam paign announced: Invest In Your Spine

The global spotlight will once again shine on spinal health as the 2025 World Spine Day campaign, themed ?Invest in Your Spine?, launches worldwide

Recognized annually on October 16, World Spine Day brings together health advocates, professionals, and organizations to promote the importance of spinal well-being.

With millions of people affected by spinal disorders, including chronic back pain, spinal deformity and postural issues, this year?s campaign emphasizes that investing in spinal health today is a crucial step toward a healthier and more fulfilling future. The campaign highlights that spinal health is not just a matter of comfort - it impacts mobility, productivity, mental well-being, and overall quality of life

Why ?Invest in Your Spine? Mat t ers

Spinal conditions are a leading cause of disability worldwide, often leading to decreased productivity, long-term health complications, and significant financial burdens The 2025 campaign encourages individuals, communities, healthcare providers, and policymakers to take proactive steps to prevent spinal issues through education, lifestyle adjustments, and workplace ergonomics.

Key Object ives of t he Cam paign

- Educate the public on the connection between spinal health and overall well-being.

- Provide evidence-based strategies to prevent back pain and spinal disorders

- Encourage public health organizations and policymakers to prioritize spinal health

- Engage workplaces, schools, and healthcare professionals in promoting spinal wellness.

Core Act ivit ies and Engagem ent Init iat ives

1 Public Awareness Campaigns: Informative content, including infographics, videos, and articles on posture, movement, and ergonomics, will be widely shared.

2 Community Engagement: The #InvestInYourSpine Challenge will encourage individuals to showcase their spinal health habits on social media, while free spinal screenings will be organized in underserved areas.

3 Workplace Wellness Focus: Employers will be encouraged to implement ergonomic practices, introduce movement breaks, and support spinal health initiatives in the workplace

4. Collaborations with Schools and Global Organizations: Spinal health education programs will be introduced in schools, and partnerships with international health organizations will help integrate spinal health into broader public health agendas

2025 World Spine Day cam paign announced: Invest In Your Spine

World Spine Day 2025 calls on individuals to adopt healthy habits such as maintaining good posture, engaging in regular physical activity, and creating ergonomically friendly environments. Healthcare professionals, policymakers, and businesses are urged to incorporate spinal health into their policies and wellness initiatives The campaign?s digital toolkit, available on the official World Spine Day website, provides

resources including posters, educational materials, and social media templates to help spread awareness and drive participation worldwide.

Join t he Movem ent

By making spinal health a priority, we can prevent complications, enhance well-being, and ensure a better quality of life for future generations Invest in Your Spine today and be a part of a global movement towards a healthier tomorrow

For more information, media inquiries, or to get involved, visit www.worldspineday.org or contact Rebekah Wilks at rwilks@wfc.org.

WFC urges m ore global act ion on low back pain as NCD crisis deepens

Non-communicable diseases (NCDs), including cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes, are widely recognized as leading causes of death and disability worldwide. Yet musculoskeletal (MSK) conditions, particularly low back pain (LBP), remain significantly underrepresented in global health priorities despite their immense and growing burden on individuals, healthcare systems, and economies

The recent United Nations Secretary-General?s report on NCDs delivered a stark warning: the world is off track in preventing and controlling NCDs. The report calls for urgent investment and strategic policy reform.

However, it largely overlooks MSK conditions, which are a major contributor to global disability, particularly in low- and middle-income countries. Without deliberate attention, this blind spot will continue to compromise the effectiveness of NCD strategies and delay progress toward global health equity and universal health coverage

Low back pain is the leading cause of years lived with disability (YLDs) globally and has held that position since 1990. In 2017, over 551 million people were affected by LBP; by 2020, that figure had risen to approximately 619 million. Projections estimate it could reach 843 million by 2050.

Despite these staggering numbers, LBPand other MSK conditions receive a fraction of the attention, funding, and policy support afforded to other NCDs. This imbalance threatens to undermine efforts to reduce the global burden of disease.

Professor Richard Brown, Secretary-General of the World Federation of Chiropractic (WFC), emphasized the urgency of recalibrating priorities:

"We cannot continue to sideline musculoskeletal conditions in global health discussions

"Low back pain is the number one cause of disability on the planet - yet it remains underfunded, under-researched, and under-prioritized

"The WFCis calling on global health leaders to recognize spinal health as essential to overall health, and to ensure MSK conditions are fully integrated into future NCD strategies "

The WFCadvocates for a multi-faceted response that includes:

Enhanced Public Aw areness: Promoting education about MSK risks, prevention, and early intervention.

Int egrat ed Care Models: Incorporating chiropractors and other MSK professionals into collaborative, multidisciplinary care teams. Policy Advocacy: Urging governments and health agencies to allocate adequate resources for MSK care within NCD frameworks

Research Invest m ent : Expanding research funding to improve prevention, diagnosis, and treatment of MSK conditions, especially low back pain

The upcoming Fourth High-Level Meeting of the United Nations General Assembly on NCDs in September 2025 represents a critical moment to redress this imbalance

The WFCwill continue to advocate for the inclusion of MSK conditions in global health policy and for recognition of chiropractic?s role in delivering evidence-based, person-centered care

As Professor Brown concluded, ?This is not just about pain - it?s about function, quality of life, and economic participation. Millions are affected, and millions more will be, unless we act now.?

Secret ary-General present ed w it h Parker Universit y Chiropract or of t he Year aw ard at Las Vegas event

Outgoing WFCSecretary-General Professor

Richard Brown, Secretary-General of the World Federation of Chiropractic (WFC), was recently honored with the 2025 Parker University Chiropractor of the Year Award

The prestigious award was presented by Parker University President Dr William E. Morgan during a special ceremony at Parker Seminars Las Vegas, held at the Caesars Forum on March 22, 2025

The award was presented before a record-breaking audience of over 4,600 attendees, which included chiropractors, students, educators, and industry leaders from around the world

In a moving tribute, the audience viewed a short film featuring Prof Brown at his home in the UK and at the NHSclinic where he continues to practice part-time, highlighting his commitment to both global leadership and frontline care.

In presenting the award, Parker University President, Dr William E Morgan, commented, "Dr Brown has dedicated his life to advancing the chiropractic profession not only within his own community, but across the globe.

"As the Secretary-General of the World

Federation of Chiropractic, his leadership has had a profound international impact, promoting unity, raising standards, and advocating for chiropractic on a global stage

"But beyond the titles and accomplishments, what sets Dr Brown apart is his unwavering commitment to the people behind the profession - the doctors, the students, the educators, and the patients He brings dignity, thoughtfulness, and clarity to every table he sits at, and he champions chiropractic with both heart and intellect.

"In honoring Dr Brown, we honor a vision of chiropractic that is collaborative, inclusive, and forward-thinking His work has helped elevate the perception of chiropractic care worldwide, and his voice continues to shape the future of the profession "

Held annually, Parker Seminars Las Vegas is the largest gathering of chiropractors in the world

Prof. Richard Brown receivestheChiropractor of theYear award from Parker UniversityPresident, Dr William E Morgan

Parker Universityarranged for a short film to be recorded at Prof. Brown'shomein theUK.

Secret ary-General present ed w it h Parker Universit y Chiropract or of t he Year aw ard at Las Vegas event

Known for its dynamic keynote speakers, cutting-edge educational sessions, and unmatched networking opportunities, the event is a cornerstone of professional inspiration and collaboration

Prof. Brown?s recognition comes as he prepares to step down from his role as WFC Secretary-General on June 30, 2025, after a decade of in the role

During this time, the WFChas significantly expanded its global reach, deepened its relationships with international health bodies including the World Health Organization, and championed evidence-based, people-centered chiropractic care worldwide

In accepting the award, Prof Brown thanked the Parker University community and expressed heartfelt appreciation to his colleagues, mentors, and his family.

He dedicated the honor to chiropractors around the world who work tirelessly each day to improve the lives of patients, often in challenging conditions.

WFC and WHO Announce 2025?2027 Collaborat ion Plan

The World Federation of Chiropractic (WFC) has renewed its official relations with the World Health Organization (WHO) through a formal collaboration plan for the 2025?2027 triennium Guided by WHO?s Framework of Engagement with Non-State Actors, the plan outlines strategic activities supporting WHO?s General Programme of Work and global health priorities.

The partnership promotes the integration of chiropractic care within health systems, contributing to universal health coverage (UHC), rehabilitation, healthy ageing, and people-centered care Key activities include technical input for the WHO Traditional Medicine Strategy, guidance on chiropractic regulation, and support for workforce development and data collection aligned with WHO standards.

WFCwill also help disseminate tools such as the Rehabilitation Competency Framework and advocate for initiatives like Rehabilitation 2030. Additional efforts include advancing patient safety, supporting implementation research, and contributing to WHO?s Family of International Classifications (ICD-11, ICF, and ICHI)

The plan spans multiple thematic areas, with WFCoffering expertise and support at WHO?s request. All activities are non-commercial, and use of contributions remains at WHO?s discretion.

The collaboration strengthens chiropractic?s role in global health and reflects WFC?s commitment to public health, interprofessional collaboration, and evidence-informed care

Prof Richard Brown is the WFCfocal point; Dr Pradeep Kumar Dua is the WHO Designated Technical Officer

Professor Richard Brown thanked theParker University community

WFC announces com posit ion of Com m it t ee on Official Relat ions w it h t he World Healt h Organizat ion

The World Federation of Chiropractic (WFC) is pleased to announce the appointment of members to its newly established Committee on Official Relations with the World Health Organization (COR-WHO). This committee plays a critical role in maintaining the WFC?s status as a Non-State Actor in Official Relations with the WHO and will support the organization?s engagement in global health initiatives that align with WHO?s strategic objectives

Chaired by WFCSecretary-General Professor Richard Brown, who serves as the WFC?s designated WHO focal point, the committee includes the following distinguished members:

- Dr Raul Carrillo (Mexico)

- Dr Martin Camara (Philippines)

- Dr Faye Deane (United Kingdom)

- Dr Deborah Kopansky-Giles (Canada)

- Dr Michele Maiers (United States)

- Dr Neerasha Ramsamy (South Africa)

These appointees bring global expertise across public health, musculoskeletal health, and interdisciplinary care Their diverse regional representation supports the WFC?s commitment to equity, diversity, and inclusion.

The COR-WHO will collaborate with global health leaders to support and sustain WFC?s Non-State Actor status with the WHO Key responsibilities include:

- Supporting WHO?s Program of Work, including universal health coverage (UHC), noncommunicable diseases (NCDs), musculoskeletal health, and workforce strengthening

- Implementing the WFCTriennial Plan in alignment with WHO health priorities

- Contributing to WHO-led special projects, including physical activity promotion and NCD prevention

- Drafting responses to WHO consultations and providing expert policy input

The committee will also provide strategic guidance to the WFCBoard, oversee participation in WHO meetings and consultations, develop policy documents, and promote interdisciplinary collaboration in areas such as traditional and integrative health, rehabilitation, ageing, and disability prevention

Members are expected to possess strong backgrounds in global public health, a solid understanding of WHO?s programmatic work, and ideally, experience in chiropractic or allied healthcare A postgraduate degree in public health or a related field and a commitment to advancing health equity, particularly in low- and middle-income countries, are highly valued

Meetings of the COR-WHO will be held virtually or in person as needed, with formal reports submitted to the WFCBoard and Secretariat

The WFCcongratulates the newly appointed committee members and looks forward to their contributions in supporting global musculoskeletal health and strengthening chiropractic?s role within the broader WHO health agenda

WFC public healt h expert on m ain st age at w orld's largest chiropract ic event

Dr Faye Deane, a member of the WFCPublic Health Committee, delivered a compelling presentation on biohacking for health, wellness, and longevity at Parker Seminars Las Vegas 2025

Speaking to a packed audience, Dr Deane guided attendees through 10 evidence-informed biohacks designed to promote optimal function and long-term vitality

Biohacking - an emerging field focused on intentional lifestyle and behavioral changes to optimize healthformed the foundation of the 90-minute session Dr Deane?s presentation explored practical strategies that included movement, quality sleep, nutrient timing, circadian rhythm regulation, breathwork,

Faye Deaneon themain stageat Parker SeminarsLasVegas, whereshe focused on biohackingfor health, wellnessand longevity.

hydration, cold exposure, cognitive training, nature connection, and stress management

Blending the latest scientific research with real-world application, Dr Deane emphasized how chiropractors can support patients in making small, sustainable changes that deliver meaningful health outcomes Her presentation reinforced chiropractic?s expanding role in lifestyle and preventative care and showcased the value of holistic, patient-centred approaches in modern practice

Dr Deane is the Course Leader for the chiropractic program at Teesside University in the United Kingdom

She also serves on the Board of the British Chiropractic Association and the Education Commission of the International Federation of Sports Chiropractic (FICS).

Her session was met with enthusiastic feedback and underscored the growing importance of wellness education within the chiropractic profession.

WFC w elcom es new Execut ive Operat ions Manager t o secret ariat

The World Federation of Chiropractic (WFC) is pleased to announce the appointment of Ms. Christina Davis as its new Executive Operations Manager, a pivotal new role arising from the restructuring of the WFCSecretariat. This position reflects the division of the Secretary-General's role into three distinct areas, ensuring a more focused and efficient operational model as the WFC continues to grow in scope and activity

Reporting directly to the Secretary-General, Ms. Davis, who brings previous experience of working at the WFC, will oversee a broad range of senior administrative functions critical to the smooth running of the WFC Her responsibilities include executive and office management, Board and governance support, communication and stakeholder liaison, international travel and event logistics, and the supervision of administrative staff.

Ms Davis brings a wealth of experience and professionalism to the role, along with a demonstrated ability to work autonomously in a dynamic international environment Her leadership will be key to enhancing Secretariat operations, facilitating communication between the Board, members, and external stakeholders, and ensuring excellence in organizational coordination.

Speaking after her appointment, Ms Davis commented, "Rejoining the WFCfeels like coming home I'm delighted to be in this role and look

forward to playing a part in the WFC's continued evolution as part of the Secretariat

"I look forward to collaborating closely with our dedicated staff, the Board, and member associations to build systems that are not only efficient but also responsive to the needs of our profession."

The newly created position strengthens the WFC's internal infrastructure while supporting its expanding global vision

The WFCwarmly welcomes Ms Davis to the team and looks forward to the contributions she will make in advancing the WFC's mission to support and promote chiropractic globally

Christina Davisisthenew ExecutiveOperationsManager for the WFC

Delegat ion engages Et hiopian Minist ry of Healt h on m usculoskelet al healt h init iat ives

Delegatesfrom theWorld Federation of Chiropractic, African ChiropracticFederation and ChiropracticAssociation of Ethiopia met with high level Ethiopian health officials

In January 2025, a delegation from the World Federation of Chiropractic (WFC) visited Addis Ababa to engage with senior officials at the Ethiopian Ministry of Health The delegation, led by WFCSecretary-General Professor Richard Brown and supported by Dr Mufudzi Chihambakwe and Dr Selam Aklilu, held a constructive meeting with Dr Ayele Teshome, State Minister of Health, and other senior ministry figures

The discussions focused on the burden that musculoskeletal (MSK) conditions, particularly low back pain, place on Ethiopia?s population health and economy. With MSK disorders among the leading causes of disability globally, the delegation highlighted the need for integrated and scalable solutions

Professor Brown presented the case for evidence-based, person-centered chiropractic care as a non-pharmacological, cost-effective approach to managing MSK conditions. Emphasizing interprofessional collaboration and workforce development, the delegation outlined

the potential for chiropractic to play a meaningful role in Ethiopia?s healthcare system

Dr Ayele Teshome welcomed the dialogue and expressed interest in exploring how chiropractic services might be integrated into national health strategies The meeting also addressed the need for regulated training pathways and collaboration with existing health professions to ensure safety and sustainability

The forward-looking tone of the meeting laid the groundwork for future collaboration. The WFC remains committed to supporting Ethiopia in developing access to high-quality MSK care and strengthening health systems through evidence-informed chiropractic services

WFC at HSU as part of init iat ive t o diversify chiropract ic w orkforce

In January, the World Federation of Chiropractic (WFC) was invited to participate in the annual Career Options event at Health Sciences University (HSU), formerly known as AECC University College The event, designed to support soon-to-be chiropractic graduates in exploring post-graduation opportunities, featured a dynamic program of alumni lectures and a popular ?speed dating?session that enabled students to connect directly with potential employers in an informal and engaging format.

Representatives from across the UK chiropractic

community were in attendance, including the British Chiropractic Association (BCA), General Chiropractic Council (GCC), and Royal College of Chiropractors (RCC), all of whom provided valuable insights and career guidance on professional development, regulatory requirements, and early-career support.

WFCSecretary-General Professor Richard Brown - a 1990 graduate of HSU and Honorary Visiting Professor since 2022 - delivered the keynote lecture titled ?The World is Your Oyster ? His presentation highlighted the breadth of career paths available to chiropractors after

graduation He explored specialty areas such as sports chiropractic, pediatrics, geriatrics, and neurology, as well as opportunities in academia, education, research, and general clinical practice.

Professor Brown also shared global insights drawn from his experience at the helm of the WFC, encouraging students to think internationally and consider diverse roles within the broader healthcare system His message was one of empowerment, encouraging graduates to align their passions with the many opportunities the chiropractic profession offers.

The keynote was well received and generated numerous questions from an enthusiastic audience eager to explore the full scope of their professional potential

The WFCwas proud to participate in the event and remains committed to supporting the next generation of chiropractors as they begin their journey into a rewarding and evolving profession

Prof. Brown isa 1990 graduate of Health SciencesUniversity

Prof Brown outlined therange of career optionsfor chiropractorsin today'sdiverse practiceenvironment

PHC Chair present s at WHO t raining w orkshop on TCIM

Professor Claire Johnson, a leading voice in chiropractic education and integrative health, was a primary speaker at the Second WHO Inter-regional Training Workshop on Ensuring the Quality and Safety of Traditional, Complementary, and Integrative Medicine (TCI) The workshop took place in Macao SAR, China, from 27?29 November 2024 and brought together global leaders in traditional medicine to discuss integration, safety, and quality in healthcare systems.

The event was guided by the goals of the WHO Traditional Medicine Strategy 2014?2023, which aims to support member states in harnessing the potential of TCI practices through regulation, education, research, and integration into national health systems Professor Johnson?s presentation focused on the foundational role of education and training in achieving these goals.

She emphasized that quality education is central to ensuring safe, competent, and effective TCI practice Linking education with regulation, scope of practice, service delivery, and workforce development, Professor Johnson outlined several barriers to integration - such as variability in training, lack of standardized curricula, and limited interprofessional collaboration - and presented education-based strategies to address them. These included educating TCI practitioners about side effects and interactions, training for collaborative care, and ensuring consistent and evidence-informed service delivery

She challenged the audience with a key question: ?Should TCIM education be evidence-based, combining the best available evidence, practitioner expertise, and patient preferences?? She also introduced the concept of meta-competenciesskills such as critical thinking, problem-solving, ethical decision-making, and effective communication - as essential to integration and shared across all healthcare professions

Professor ClaireJohnson

Professor Johnson led a hands-on workshop in which attendees developed steps for building effective educational models. The process began with identifying population health needs, then determining which health professionals were best suited to meet them Attendees discussed how to recruit appropriate students and design competency-based programs They concluded with the importance of outcome-based assessments to ensure graduates are equipped to provide safe, high-quality care

Reflecting on her experience, Professor Johnson said, ?It was a tremendous honor to serve as a primary speaker The chiropractic profession brings valuable insight to global health discussions, and I was inspired by the enthusiasm of regional leaders working to enhance the integration of TCI ?

The workshop served as a vital platform for collaboration and progress, highlighting the global relevance of education in advancing the safety and effectiveness of traditional and complementary healthcare

GPSI st udy t o advance chiropract ic pat ient safet y cult ure receives research grant

The World Federation of Chiropractic (WFC) is proud to highlight a groundbreaking project aligned with its Global Patient Safety Initiative.

GPSI Chair Dr Katherine Pohlman along with Dr Kent Stuber are leading a distinguished international research team recently awarded a prestigious grant from the RAND REACH Center for their study titled ?AdvancingPatient SafetyCulturein theChiropractic Profession.?

This important research will support the WFC?s ongoing commitment to elevating

patient safety worldwide

Using an innovative method known as Remote Adapted Nominal Group Technique, the project will engage a diverse group of global stakeholders to gather insights into the current state of safety within chiropractic care.

The study will specifically assess the impact of the WFCGlobal Patient Safety Initiative and explore barriers, facilitators, and future directions in four key domains: research, clinical practice, education, and policy. This collaborative approach is

designed to ensure that chiropractic leaders across all world regions are meaningfully involved in shaping a robust, safety-centered culture for the profession

The WFCcommends this international team for its leadership and commitment to evidence-informed, patient-centered care.

Their findings will help guide future priorities and actions, reinforcing the WFC?s strategic goal of strengthening safety and quality across the global chiropractic landscape.

WFC Past President speaks at ICA Annual Conference

Dr John Maltby, immediate past president of the World Federation of Chiropractic (WFC), addressed attendees at the recent International Chiropractors Association (ICA) conference. A former ICA president (2005?2009) and Chair of the Board (2009?2013), Dr Maltby reflected on the profession?s growth and the importance of unity in advancing chiropractic worldwide. His remarks emphasized the need for collaboration across organizations to promote evidence-based, patient-centered care Dr Maltby, who continues to practice in Blythe, California, has been a longstanding advocate for chiropractic education and global outreach His leadership continues to inspire efforts to expand access to quality chiropractic care ?

UK regulat or Int roduces new Code of Professional Pract ice

The General Chiropractic Council (GCC) in the UK has announced a new Code of Professional Practice, set to replace the 2016 version. Approved on December 5, 2024, the updated Code will be implemented on January 1, 2026, following a one-year transition period in compliance with the Chiropractors Act 1994 The revision reflects significant changes in the healthcare landscape and aims to enhance safety, professional standards, and patient-centered care

Key Updat es:

- New Core Principles: Two new principles have been added: one prioritizes safety and quality in clinical practice, and the other emphasizes collaborative healthcare, fostering respectful, effective professional relationships and supportive workplaces.

- Enhanced Person-Cent ered Care: The updated Code underscores the importance of tailoring care to individual patients, including personalized treatment plans, continuous informed consent, and regular reassessment aligned with patient goals

- Professional Boundaries and Conduct : Clearer guidance is provided on

NickJones, General ChiropracticCouncil Chief Executiveand Registrar

maintaining appropriate relationships with patients, the use of chaperones, and conduct in open-plan clinical environments to uphold professionalism and safety

- Regist rant Safet y: The GCCacknowledges chiropractors' safety, with new provisions allowing practitioners to pause treatment if safety concerns arise Further guidance will be developed in consultation with the profession.

- Ongoing Developm ent and Research: Chiropractors are expected to engage in continuous professional development and remain informed about current research, ensuring evidence-based, high-quality care

GCCChief Executive Nick Jones emphasized the importance of the new standards in setting expectations for both the public and the profession. Chiropractors are encouraged to begin reviewing the new Code in preparation for its full implementation

In Mem oriam : Dr Jam es

M. Cox (1940?2025)

With profound sadness, the chiropractic community mourns the passing of Dr James M Cox, who died on March 3, 2025, at the age of 84.

A visionary, teacher, author, and researcher, Dr Cox made a lasting impact through his development of Cox® Technic Flexion Distraction Decompression, now practiced by chiropractors around the world.

Born in Fort Wayne, Indiana, Dr Cox graduated as valedictorian from the National College of Chiropractic in 1963

Inspired by mentors like Dr Joseph Janse and Dr Floyd Blackmore, he found his professional calling in refining spinal care through gentle, evidence-informed techniques His exposure to the work of John McManis, DO, helped shape the foundational concepts of Cox® Technic

He served on the postgraduate faculty of the National University of Health Sciences and lectured at chiropractic institutions across the United States and abroad. Notable presentations included engagements with the European Chiropractic Union, Japanese Chiropractic Association, and World Congress on Low Back and Pelvic Pain

He was especially proud to introduce chiropractic methods to multidisciplinary audiences and to represent the profession on international stages

As a researcher, Dr Cox was instrumental in securing federal funding for clinical studies through partnerships with Loyola Stritch School of Medicine and Palmer College. He authored multiple editions of LowBackPain and Neck, Shoulder, and Arm Pain, donating royalties to chiropractic research and advancing evidence-based care

He also contributed to chiropractic table design and served in leadership roles within the Indiana State Chiropractic Association, where he helped secure diagnostic rights for chiropractors in

Indiana. His advocacy and dedication were pivotal in advancing the profession at both state and national levels.

Dr Cox practiced in Fort Wayne with his son, Dr James Cox II, continuing a family tradition of service He supported community initiatives through the J. Cox Family Foundation and remained active in local philanthropy.

His legacy lives on through the Cox® Technic team, his publications, and the many chiropractors he mentored The global chiropractic community honors Dr James M Cox for a life devoted to healing, learning, and advancing the profession he loved.

Dr JamesCox(1940 - 2025)

Chiropract ic Medicare

Coverage Modernizat ion Act

reint roduced in Congress

Bipartisan legislation aimed at expanding patient access to Medicare-covered chiropractic services was reintroduced on January 16 in both chambers of the U S Congress The Chiropractic Medicare Coverage Modernization Act (H R 539 / S 106) seeks to reduce barriers to chiropractic care, particularly for seniors, by modernizing Medicare?s outdated restrictions.

Currently, Medicare only covers one chiropractic service - manual manipulation of the spineforcing patients to either pay out of pocket for additional services or seek care elsewhere The proposed bill would not add new services to Medicare but would allow coverage of all services chiropractors are licensed to provide under state law, such as diagnostic imaging, evaluation and management, and other non-drug therapies.

The legislation was introduced by Reps Gregory Steube (R-Fla ) and John Larson (D-Conn ), and Sens Richard Blumenthal (D-Conn ) and Kevin Cramer (R-N D ), with strong bipartisan support from a diverse list of cosponsors

ACA President Dr Marcus Nynas emphasized that the bill addresses growing musculoskeletal issues among aging populations and aligns with treatment guidelines promoting non-drug pain management ?This legislation supports seniors in accessing safe, conservative options as a first line of defense against pain,?he said.

John Falardeau, ACA?s senior vice president of public policy, noted the high costs associated with musculoskeletal pain - over $874 billion annuallyand the urgent need to provide cost-effective alternatives to opioids and surgery

With more than 65 million Medicare enrollees, this legislation has the potential to significantly improve senior care Learn more at acatoday org/Medicare

Foundat ion for Chiropract ic Progress t o host fourt h annual ChiroThon®

The Foundation for Chiropractic Progress (F4CP), in collaboration with the California Chiropractic Association (CalChiro), hosted its third annual ChiroThon last year - an energetic, modern take on the classic telethon format, inspired by Jerry Lewis The event was both in-person and livestreamed, uniting chiropractors and supporters worldwide to celebrate, elevate, and support the profession. Since its launch, ChiroThon has raised over $250,000 and reached more than 500,000 viewers globally.

This year, F4CPis proud to present the fourth annual ChiroThon at the Association of New Jersey Chiropractors?convention in Atlantic City,

New Jersey, on May 16?17, 2025 The event will feature an inspiring lineup of speakers and thought leaders from across the profession. With a goal of reaching 400,000 viewers worldwide, the F4CPinvites chiropractors, students, and supporters to tune in and participate. To register for virtual access and learn more, visit f4cp org/chirothon

ACA elect s new leadership for 2025?2026

The American Chiropractic Association (ACA) installed new leadership during its recent annual meeting in Washington, D.C. Marcus Nynas, DC, of Billings, Montana, was elected president, and Kris Anderson, DC, MS, of Grand Forks, North Dakota, was elected vice president for the 2025?2026 term

Dr Nynas, a staff chiropractor with the Montana Veterans Administration, has served on the ACA Board since 2023 and as vice president for the past two years. He previously represented Montana in the ACA House of Delegates and chaired key committees on payment equity and Medicare He also served as president of the Montana Board of Chiropractic

Dr Anderson works at a federally qualified community health center and operates a private practice. He chairs the ACA Health Policy and Advocacy Committee and joined the Board in 2024

Three new Board members were also elected:

- Robert Ault , of Hudson, Ohio, a private practitioner and co-founder of a healthcare consultancy. He is a past president of the Ohio State Chiropractic Association.

- Michael Massey, of Athens, Tennessee, a 34-year private practitioner with expertise in coding and health quality management He previously served as an ACA delegate and committee member

- Michael Welker, of Butte, Montana, a nearly 30-year practitioner, past president of the Montana Chiropractic Association, and a board member of the Butte-Silver Bow Health Department.

Continuing on the Board are Adrian Stratton of New York, New York, and Maithy Ta, of Kansas City, Missouri Departing Board members include Immediate Past President Leo Bronston, of Onalaska, Wisconsin, and Eric Benson, of Grand Island, Nebraska.

Chiropract ic Healt h Care Sect ion of APHA releases 12-Hour w ebinar series

The Chiropractic Health Care (CHC) Section of the American Public Health Association (APHA) has launched a 12-hour, expert-led webinar series focusing on the bio-psycho-social aspects of chiropractic care

Chaired by Dr Robert A. Leach, the free educational series is supported by the NCMIC Foundation and offers continuing education (CE) credits

The webinars are distributed through several chiropractic institutions, including Life University West, Logan University, Northeast College of Health Sciences, Southern California University of

Health Sciences, and the University of Bridgeport. Professional associations such as the American Chiropractic Association and state organizations in Delaware, South Carolina, and Virginia are also sharing access

Topics include environmental health, health communication, motivational interviewing, social determinants of health, health equity, and multidisciplinary public health collaboration Featured instructors include Drs Barbara Erny, Krista Ward, Will Evans, Thomas Ventimiglia, Christie Kwon, Joel Stevans, and Michael Schneider

Hands for Vit alit y: expanding chiropract ic care t o underserved com m unit ies

The Hands for Vitality program was founded to address the urgent need for accessible musculoskeletal care in underserved communities in the Philippines Many manual laborers and low-income individuals suffer from chronic pain and mobility issues but have little or no access to non-pharmacological treatment. Recognizing this gap, Intercare launched the initiative to provide chiropractic care and musculoskeletal education to these communities The program quickly gained momentum when IMU University partnered with Intercare, offering student volunteers eager for hands-on experience in clinical settings

More recently, the Camara Institute for Chiropractic Sciences (CICS) joined the collaboration, strengthening the initiative through academic support, research opportunities, and expanded outreach efforts

Since its inception, Hands for Vitality has evolved from a small-scale pilot project into a structured, international clinical immersion program. Each new cycle refines the approach, enhancing logistics, curriculum, and community engagement to maximize its reach and effectiveness The program not only delivers much-needed care but also serves as a platform for chiropractic students to gain practical experience, cultural competence, and a deeper understanding of global health challenges The initiative?s growing impact is a testament to the power of collaboration, as healthcare professionals and students work together to improve musculoskeletal health in regions where access to care is limited.

While the core mission of Hands for Vitality is to provide free chiropractic services, the program also seeks to achieve broader goals One of its primary objectives is to enhance clinical education by giving students supervised, real-world patient encounters. This experience helps refine their

diagnostic skills, manual techniques, and patient communication. Another key goal is to promote cultural exchange by fostering collaboration between international volunteers, local practitioners, and community leaders. Understanding different healthcare environments and social determinants of health is crucial for aspiring chiropractors, and this program provides invaluable exposure to those realities Additionally, the initiative focuses on empowering communities by providing health education on preventive care, ergonomic practices, and lifestyle modifications to reduce the risk of future musculoskeletal issues. Finally, the program strengthens professional networks by building sustainable partnerships among institutions committed to expanding access to chiropractic care

Throughout the latest mission, students encountered a wide range of conditions, including chronic lower back pain, neck pain, shoulder dysfunction, and repetitive strain injuriesparticularly common among manual workers. Under the supervision of faculty members and local healthcare professionals, they provided chiropractic adjustments, soft tissue therapy, and

Thecore mission of HandsFor Vitalityisto provide careto underserved communitiesin thePhilippines

Hands for Vit alit y: expanding chiropract ic care t o underserved com m unit ies

rehabilitative exercises tailored to each patient?s needs. In many cases, patients experienced immediate relief and improved mobility, reinforcing the effectiveness of chiropractic care in managing musculoskeletal conditions

Some of the most memorable cases involved patients who had been suffering from frozen shoulders for years, unable to lift their arms. After receiving adjustments and manual therapy, these individuals were able to move freely again, an outcome that was both physically and emotionally significant

The impact of the program extended beyond physical relief. Many patients expressed deep gratitude for the care they received, emphasizing that they had been living with pain for years without access to appropriate treatment

interactions

Their observations highlighted significant growth in students?confidence, clinical reasoning, and empathy - essential qualities for any healthcare provider

Students returned with a stronger sense of purpose and a renewed appreciation for the impact of their profession on underserved populations. Many reported that the experience influenced their career aspirations, inspiring them to pursue work in community health, international aid, or specialized fields such as sports chiropractic and rehabilitation

As Hands for Vitality continues to expand, plans are underway to conduct multiple missions per year and explore new regions where chiropractic care is needed

The overwhelmingly positive response from the community underscored the importance of continued outreach efforts. Local government units and healthcare organizations showed strong interest in future collaborations, recognizing the complementary role chiropractic care can play in holistic health services

Faculty members played a critical role in ensuring the success of the mission. They provided continuous mentorship, guiding students through assessments, treatment planning, and patient

The long-term vision is to establish a sustainable model that can be replicated in other countries, ensuring that more communities worldwide benefit from accessible musculoskeletal care. By providing treatment, education, and hands-on training opportunities, the program is not only transforming lives but also shaping the next generation of chiropractors committed to global health equity.

Patientsof a widerangeof agesunderwent careduringthe mission

Volunteerscame from overseasto participate

WHO ICOPE Handbook: a valuable resource for chiropract ic engagem ent in healt hy ageing

The World Health Organization (WHO) recently released the Integrated Care for Older People (ICOPE) Handbook, a comprehensive guide aimed at enhancing person-centered care for aging populations This resource is particularly relevant to primary care providers, including chiropractors, who play a key role in supporting functional ability, mobility, and musculoskeletal health in older adults.

The ICOPEHandbook provides a structured approach to assessing intrinsic capacity - a concept that encompasses mobility, cognition, vitality, psychological well-being, vision, hearing, and social connections. It outlines evidence-based assessment tools and care pathways that help healthcare providers identify risks, intervene early, and develop personalized care plans to maintain or improve functional ability.

For chiropractors, this framework presents a significant opportunity to align with global efforts in healthy aging. With a strong foundation in musculoskeletal health and function, chiropractic care can contribute to mobility preservation, fall prevention, and pain management - critical factors in maintaining independence in older adults By integrating ICOPEassessment components into practice, chiropractors can enhance their role in interdisciplinary care models, collaborating with other healthcare providers to deliver comprehensive, patient-centered care

Beyond clinical applications, the ICOPEHandbook serves as an educational tool for chiropractic students, educators, and researchers Its structured assessment approach can help train future practitioners in geriatric chiropractic care, ensuring they are equipped to assess and support older patients effectively

Prof Richard Brown, Secretary-General of the

The ICOPEHandbookisfreelyavailableonline

World Federation of Chiropractic (WFC), emphasized the importance of this resource for the profession: ?With global populations aging rapidly, it is vital that chiropractors engage in evidence-based, multidisciplinary approaches to care The ICOPEHandbook provides a valuable framework that aligns with the chiropractic profession?s commitment to optimizing function and mobility in older adults.?

As global populations continue to age, there is an increasing demand for evidence-informed, multidisciplinary approaches to healthy aging The ICOPEHandbook provides an actionable framework that aligns with the chiropractic profession?s commitment to optimizing health and function across the lifespan.

By engaging with this resource, chiropractors can strengthen their role in public health initiatives, advocate for improved musculoskeletal care in older populations, and contribute to the broader movement toward integrated, person-centered healthcare

To access the handbook, visit: https://iris who int/handle/10665/380175

Parker Sem inars Las Vegas 2025: t he highlight s

The World Federation of Chiropractic (WFC) was proud to attend the 2025 Parker Seminars, held at Caesars Forum in Las Vegas from February 22?24. As one of the largest annual gatherings in the chiropractic calendar, the event brought together thousands of practitioners, educators, students, and industry leaders for three days of learning, networking, and innovation. Representing the WFCwere Secretary-General Richard Brown, Secretary-General Designate Brad Beira, Immediate Past President John

Maltby, Board Member Glenn Guilderson, and Director of Strategy and Policy Rebekah Wilks. The WFCdelegation engaged with global stakeholders, connected with members of the international chiropractic community, and attended key sessions focused on clinical excellence, leadership, and the future of healthcare

Reflecting on the event, Richard Brown said,?Parker Seminars Las Vegas continues to be a beacon for the chiropractic profession It brings together a global community of practitioners

committed to advancing spinal health and patient care

"The WFCis proud to stand alongside our colleagues in supporting innovation, evidence-based practice, and unity across the profession ?

At a meeting of the Board of the Canadian Chiropractic Association, the WFCalso took the opportunity to highlight its strategic priorities for 2025 and beyond, including workforce development, public health advocacy, and greater global collaboration across the chiropractic profession.

Parker Sem inars Las Vegas 2025: t he highlight s

Parker Sem inars Las Vegas 2025: t he highlight s

Japanese Associat ion of Chiropract ors advocat es for universit y-level chiropract ic educat ion

On February 5, 2025, leaders of the Japanese Association of Chiropractors (JAC): Dr Simon Takayanagi (President), Dr Junko Usuda (Vice President), and Kei Takeyachi (Executive Officer), visited several long-time supportive members of Japan?s National Diet. They met with Minister of Justice Keisuke Suzuki to discuss JAC?s strategic plans to establish university-level chiropractic education in Japan

Dr Takayanagi also submitted a formal request to Minister of Health, Labor and Welfare, Takamaro Fukuoka, seeking approval for chiropractic education within an incorporated educational institution

The request supports the integration of chiropractic education into vocational schools and universities. Minister Fukuoka acknowledged the importance of academic collaboration and the need to build research evidence supporting chiropractic care.

Historically, Japanese government research grants have favored projects led by medical doctors or researchers affiliated with medical universities Despite past JACefforts - applying alongside

supportive orthopedic surgeonschiropractic-related research has not been funded. At the same time, government agencies such as the National Consumer Affairs Center have reported injuries from unlicensed manual therapy, prompting JACto stress the need for regulated, standardized education

JACasserts that establishing university-level chiropractic programs in line with WHO guidelines is essential for raising practitioner competence and ensuring patient safety Prime Minister Shigeru Ishiba currently serves as Chief Advisor to the Japan Chiropractic Register (JCR), and three cabinet ministers have publicly supported JAC?s mission

As Japan faces the ?2025 problem?with a rapidly ageing population - over 30%aged 65 and olderthere is growing concern about maintaining the healthcare system

Chiropractic care, focused on musculoskeletal health, may play a key role in extending healthy life expectancy and supporting national efforts to prevent frailty among seniors.

L>R:Kei Takeyachi (ExecutiveOfficer of JAC), Mr KeisukeSuzuki (Minister of Justice), Simon Takayanagi (President of JAC)

L>R:Kei Takeyachi (ExecutiveOfficer of JAC), Mr Takamaro Fukuoka (Minister of Health, Labour and Welfare), Simon Takayanagi (President of JAC).

ICA Appoint s Dr Edw in Cordero as Chief Execut ive Officer

The International Chiropractors Association (ICA) has officially named Dr Edwin Cordero as its new Chief Executive Officer, effective April 1, 2025. The announcement follows Dr Cordero?s formal introduction at the ICA?s 99th Annual Meeting, held April 3?5 in Clearwater Beach, Florida, where members welcomed his appointment with enthusiasm and optimism for the organization?s future

Dr Cordero succeeds Dr Stephen P. Welsh, who served as interim CEO since November 2024. Ms Beth Clay continues as Executive Director after serving as both CEO and Executive Director since 2020 The leadership transition signals a new era for the ICA as it approaches its 100th anniversary, reaffirming its commitment to professional excellence, advocacy, and global impact

Dr Cordero, a U.S. Navy veteran and 1993 graduate of Life Chiropractic College, brings over 30 years of leadership experience to the role He led a successful private practice in Florida for two decades before becoming President and CEO of Sherman College of Chiropractic, where he oversaw significant institutional growth, expanded academic offerings, and elevated the college?s national reputation

Following his tenure at Sherman, Dr Cordero served as CEO of MaxLiving, a chiropractic network with over 100 clinics across the U S and Puerto Rico

He currently heads Cordero Consulting Group, where he provides leadership and business coaching to healthcare professionals He is also the author of Against All Odds:Howto Transform

Setbacksinto Success(2024)

?I am honored to lead the ICA and build on its proud legacy,?said Dr Cordero

?Together with our members and partners, we will continue to promote, protect, and elevate chiropractic on a global scale.?

Founded in 1926, the ICA?s mission is to protect and promote the chiropractic profession through advocacy, education, and innovation Its current president is Dr Joe Betz

The association?s efforts focus on removing barriers to access, ensuring fair compensation, and promoting chiropractic?s role in healthcare

Dr Edwin Cordero isthenewCEO of theInternational Chiropractors' Association

Exploring recency of pract ice and chiropract ic m obilit y at t he ICRS Forum

What constitutes "recency of practice"?This seemingly simple question, posed by the Federation of Canadian Chiropractic (FCC), sparked an important conversation within the International Chiropractic Regulatory Society (ICRS). Specifically, the question focused on how long a chiropractor can be away from active practice before public safety might be at risk - and when refresher training should be required.

FCC, a member of the ICRS, offered to assist in developing guidance for regulators on what should be asked when experienced practitioners seek licensure in a new jurisdiction. This marked the beginning of a comprehensive research project aimed at identifying best practices in licensure and registration processes globally, with the goal of supporting public protection while promoting fair and transparent mobility

The ICRSteam reviewed over 50 application forms from various countries, states, and provinces. The findings revealed both consistency and inconsistency.

Many application sections were clear and widely used, covering topics such as education, examinations, criminal background, substance use, malpractice history, language fluency, and eligibility to work.

However, other areas showed signs of being outdated, overly vague, or misaligned with current professional realities

Notably, there was wide variation in terminology used to indicate a license in good standing - or otherwise ICRSidentified at least six terms for ?in good standing?and 29 different ways to suggest concerns, not all of which automatically lead to license denial

Key discussion points that emerged include whether boards should collect information on

Easeof portabilitycan be impacted byhow longan applicant hasbeen out of regular practice

specialty programs, applicants?social media platforms (for advertising compliance), or publicize practice addresses online Other considerations include accommodating applicants with special needs, offering expedited pathways for veterans, or supporting seniors and underrepresented groups

This evolving work will be presented at the upcoming ICRSForum, held May 7 during the WFC Biennial Congress in Copenhagen The forum is free to attend, though pre-registration is requested to ensure seating and refreshments

For more information or to register, visit www.chiroregulation.org.

Sw iss healt h professions unit e t o address w orkforce short age

In February 2025, Switzerland?s five major professional associations representing doctors, chiropractors, dentists, pharmacists, and veterinarians took unprecedented joint action on the Bundesplatz in Bern to raise awareness of the growing shortage of healthcare professionals. Representing over 63,000 practitioners across the country, the organizations presented eight political demands aimed at combating the talent and specialist shortfall and ensuring the sustainability of the healthcare system

During a symbolic hurdle race staged in the capital, each of the eight hurdles represented a key demand. The creative demonstration drew public attention and emphasized the real challenges faced by professionals. The event concluded with the formal handover of a policy document to National Councillor Barbara Gysi and Councillor of States Damian Müller, chairs of the parliamentary health committees

The eight demands fall into three key areas:

Educat ion and Training: Including a substantial increase in medical study placements in Switzerland, a review of admissions criteria, and guaranteed quality in professional education

Professional Condit ions: Calling for the creation of modern, flexible work environments, significantly reduced administrative burdens, and targeted financial support for digitalization and innovation in healthcare

Regulat ion and Qualit y: Proposing national or cross-cantonal standardization of professional practice requirements and incentives to maintain services in underserved and peripheral regions

The associations warn that without swift and coordinated political action, Switzerland risks deeper strain on its already challenged healthcare system

Organizationspresented 8 political demandsto combat workforce decline.

Frustration ishigh with bureaucraticbarriers.

Professionscome together to protest

Pivot al m om ent for NMSK healt h in Canada

Neuromusculoskeletal (NMSK) conditions remain a leading cause of disability and rising healthcare costs worldwide, yet they continue to be underrepresented in national health strategies. In Canada, this issue is especially urgent - millions suffer from chronic pain, workplaces face increased absenteeism, and healthcare systems are strained under the growing demand for NMSK-related services. As a non-state actor in official relations with the World Health Organization, the World Federation of Chiropractic (WFC) is well aware of this global trend

As Canada approaches a federal election, the Canadian Chiropractic Association (CCA) is intensifying its efforts to ensure that NMSK health is recognized as a national healthcare priority. Through public engagement, coordinated

TheCCAhasbeen active in advocatingfor student loan forgiveness

advocacy, and collaboration with policymakers, the CCA is positioning chiropractic care as a critical part of the solution to improving mobility, managing pain, and enhancing the quality of life for Canadians.

This advocacy effort is twofold - rooted in grassroots activism and strategic institutional outreach

Grassroot s Engagem ent : Chiropract ors Leading Change

Canadian chiropractors have taken an active role in influencing policy Thousands have participated in campaigns opposing capital gains tax increases, advocating for student loan forgiveness, and promoting the reinstatement of chiropractic services in the Non-Insured Health Benefits program for Indigenous populations In-person meetings between chiropractors and Members of Parliament, held last summer and resuming this spring, are ensuring NMSK health remains top of mind in political discussions.

Policy Influence and Public Aw areness

At the national level, the CCA has advanced its influence through strategic government engagement As Chair of HEAL Canada (Organizations for Health Action), CCA CEO Dr Ayla Azad plays a leading role in national healthcare policy discussions Chiropractic care is being framed as a cost-effective, conservative solution for NMSK conditions, with growing emphasis on its integration into interdisciplinary care models.

The CCA is also increasing public awareness

CCACEO Dr Ayla Azad playsa leadingrolein national healthcare policydiscussions

Pivot al m om ent for NMSK healt h in Canada

through targeted digital campaigns, strategic advertising, such as high-impact visibility at Toronto Pearson International Airport, and media events. These efforts highlight chiropractic?s role in addressing Canada?s escalating NMSK crisis.

Tow ard a Nat ional NMSK St rat egy

Canada has implemented national strategies for heart disease, cancer, and mental health. The CCA argues it's time for a similar focus on NMSK conditions A national NMSK strategy would improve quality of life, reduce healthcare expenditures, enhance productivity, and support evidence-based policymaking

Such a strategy would also enable better coordination across provincial systems, foster interprofessional collaboration, and ensure that Canadians - regardless of geography or incomehave access to conservative, non-drug treatment options

As political leaders shape healthcare agendas ahead of the federal election, the CCA is committed to ensuring chiropractic care is included in the conversation The association continues to advocate for increased access to care, greater investment, and the long-term establishment of a national NMSK strategymaking this a defining moment for the future of musculoskeletal health in Canada

By working together with healthcare professionals, policymakers, and the public, the CCA believes Canada can build a more sustainable, inclusive, and effective approach to managing NMSK conditions nationwide

Honoring heroes at t he second annual INVICTA Project

Gala

On May 3, 2025, The INVICTA Project will host its Second Annual Gala at the Frontiers of Flight Museum in Dallas, Texas.

This special evening celebrates the organization?s mission to provide life-changing, innovative healthcare - at no cost - to military veterans and first responders suffering from physical and neurological challenges

The evening will include inspiring stories, live entertainment, a silent auction, and opportunities to directly support those who have served

The INVICTA Project connects heroes with state-of-the-art treatments, including care for post-concussion syndrome, chronic pain, brain fog, sleep issues, and more

Many beneficiaries undergo a two-week residential program at the Parker Performance Institute (PPI) in Frisco, Texas, which includes comprehensive diagnostics, individualized treatment plans, and long-term follow-up care tailored to each individual?s needs

The gala brings together supporters, patients, healthcare professionals, and community members to raise awareness and critical funds to expand access to care. Tickets, tables, sponsorships, and VIPpackages are available at invictaproject org/events

Do you know a military veteran or first responder in need?Nominations for sponsored treatment are also open.

Join the celebration, support our heroes, and help The INVICTA Project continue its powerful work in restoring the health and well-being of those who serve and protect

WHO's World Rehabilit at ion Alliance em phasizes invest m ent in qualit y rehabilit at ion educat ion and t raining

The World Health Organization (WHO) has recently published a position statement through its World Rehabilitation Alliance (WRA), underscoring the critical importance of investing in quality rehabilitation education and training. This initiative aligns with the WRA's mission to promote rehabilitation as an essential health service integral to Universal Health Coverage and the realization of Sustainable Development Goal 3: ensuring healthy lives and promoting well-being for all at all ages

chiropractic profession, which plays a vital role in musculoskeletal health and rehabilitation The WRA's emphasis on a multidisciplinary approach and quality education resonates with the chiropractic community's commitment to evidence-based, patient-centered care. By aligning with the WRA's objectives, chiropractors can contribute significantly to addressing the global rehabilitation needs identified by the WHO

Dr Rebekah Wilks, who represents the World Federation of Chiropractic (WFC) on the WRA Workforce workstream, emphasized the importance of this initiative: "As healthcare systems worldwide strive to improve access to rehabilitation, it is essential that we invest in high-quality education and training for all rehabilitation professionals, including chiropractors A well-prepared workforce is crucial to ensuring that patients receive the best possible care, and this position statement provides a strong framework for advancing these efforts."

The position statement highlights the need for a well-trained, multidisciplinary rehabilitation workforce to address the diverse needs of populations worldwide It calls for increased investment in quality education and training programs to equip rehabilitation professionals with the necessary skills to provide effective care The statement also emphasizes the integration of the rehabilitation workforce into all levels of care and practice settings, advocating for their valuable contribution to optimal health outcomes. This development is particularly relevant to the

The WFCacknowledges the significance of this position statement and encourages its members to engage with the WRA's initiatives By doing so, the chiropractic profession can continue to advance its role within the global rehabilitation workforce, ensuring that practitioners are well-equipped to meet the evolving health needs of populations worldwide.

For more information on the WRA's position statement and to access the full document, visit the WHO Position Statement on Rehabilitation Workforce

Rehabilitation isa keystrategy for global health

ACA present s 2025 annual aw ards

The American Chiropractic Association (ACA) presented its 2025 Annual Awards during its meeting in Washington, D.C., honoring individuals for exceptional service, achievement, and leadership in chiropractic.

Marcus Nynas, DC, received ACA?s highest honor, Chiropractor of the Year, for his leadership in policy areas such as Medicare and payer equity. Recently elected ACA president, Dr Nynas has also served as vice president, Montana delegate, and chair of key ACA committees.

Chiropract ic m ilit ary spouses received the Humanitarian of the Year Award for their dedication to patient care despite the challenges of military life.

William Reed, DC, PhD, was honored as George B McClelland Researcher of the Year for

advancing chiropractic research. As director of the PhD program in rehabilitation science at the University of Alabama at Birmingham, he leads NIH-funded studies on force-based spinal manipulations

Michael Schneider, DC, PhD, received the Academician of the Year Award for his contributions to chiropractic education. A professor at the University of Pittsburgh, he played a key role in launching the school?s new Doctor of Chiropractic program

David Paris, DC, MS, DACBR, and Kat hryn Kennedy, DC, received Delegate and Alternate Delegate of the Year Awards for their leadership in the ACA House of Delegates Mia R Ort ega, DC, DIANM, MAEd, received the Flynn-Lynch Award for her early-career contributions to the House of Delegates

Michael Schneider (R) receivestheAcademician of theYear Award from NCMICPresident, WayneWolfson

MarcNynas(R) receivestheACAChiropractor of theYear Award from Past President, Leo Bronston

Chiropract ic Care at t he Abu Dhabi Desert Challenge 2025

The 34th edition of the Abu Dhabi Desert Challenge (ADDC) 2025, one of the world?s premier international cross-country rallies, took place February 21?27 Founded by FIA President Mohammed Ben Sulayem, this extreme endurance event is held under the patronage of His Highness Sheikh Hamdan Bin Zayed Al Nahyan

Once again, father and son chiropractors, Drs. Paul Cheung and Danny Saxton-Cheung, were invited to join the official FIA Medical Team, working alongside trauma surgeons, EMTs, paramedics, and helicopter pilots Their role was vital in delivering musculoskeletal care at the Bivouac Medical Centre, helping drivers and riders recover from the intense demands of dune racing

This year?s race was particularly challenging, featuring a marathon stage for the first time Competitors tackled daily distances of 242 to 400km across the Empty Quarter, home to some of the world?s largest dunes - including Tal Moreeb (300m high), a filming location for Duneand Star

Wars. The unpredictable terrain led to serious accidents, including fractured hips and pelvises. Emergency teams responded swiftly, with helicopters and ground units arriving within minutes

Dr Danny Saxton-Cheung also joined the Sweep Team, gaining firsthand experience in off-road navigation After assisting stranded competitors, he returned to camp to treat the very team that supported him - an inspiring exchange of expertise

With multiple treatments provided, chiropractic care once again proved essential in keeping racers in peak condition. The ADDCremains a thrilling and humbling experience, and the chiropractic team looks forward to the next challenge

DannySaxton-Cheung(L) with father Paul Cheung(R)

World Spine Care reaches rem ot e com m unit ies in Bot sw ana

Earlier this year, the World Spine Care team based in Mahalapye embarked on an impactful outreach trip to some of the most remote areas of Botswana

Over the span of two weeks in late February/early March, a dedicated team journeyed over 3,500 kilometers (more than 2,000 miles) roundtrip from their home clinicmaking stops at five hospitals in Tsabong, Hukuntsi, Ghanzi, Shakawe, and Maun.

The team consisted of two Clinic Supervisors: Michael Pretorius (M. Tech Chiro) and Patrick Boylan (DC, EdD), along with their Healthcare Assistant Kabelo Sebati.

The trip focused on providing essential spinal care to underserved populations in these regions, where access to specialized healthcare is limited

During their time on the road, the team had the opportunity to consult with more than 70

patients, many of whom were dealing with chronic pain conditions that had become disabling and difficult to manage. These patients often presented with complex spinal disorders that require careful, evidence-based management, which was provided by the team throughout their visits.

In addition to direct patient care, the team also prioritized education and training in evidence-based spine care They had the privilege of delivering presentations to over 120 healthcare professionals, including doctors, physiotherapists, and medical students. These sessions focused on evidence-based approaches to managing spinal disorders, an important area of care that can significantly improve quality of life for patients in lower and middle-income countries

Along the way the team also got to enjoy the travel experience- from seeing the incredible scenery and wildlife of the Kalahari desert and Okavango Delta, to tasting the local cuisines and exploring each destination. A highlight of the trip

Visitswere paid to a rangeof hospitalsand met a rangeof other healthcareprofessionals.

Membersof theWorld SpineCareteam, includingMichael Pretoriusand PatrickBoylan

World Spine Care reaches rem ot e com m unit ies in Bot sw ana

was visiting Tsodilo Hills - a UNESCO World Heritage Site which is estimated to have been inhabited by humans for over 100,000 years The Hills contain roughly 400 rock art sites with over 4,000 individual paintings

The success of the outreach trip was a reminder of the urgent need for more volunteers to join World Spine Care in its mission The trip highlighted both the challenges faced by individuals in remote areas in accessing quality spine care and the incredible impact that volunteers can have in filling this gap

As the demand for spine care continues to rise in these regions, World Spine Care is calling for more volunteers to contribute their expertise and help alleviate the burden of spinal disorders

For those interested in getting involved, World Spine Care offers a chance to make a meaningful difference through volunteering. Individuals can learn more about how to join their efforts by visiting this link

The organization encourages everyone to share this call to action, helping to raise awareness and inspire others to volunteer.

This outreach trip not only provided care for patients but also reinforced the importance of collaboration in addressing healthcare disparities

By continuing to expand the volunteer base and provide essential spinal care, World Spine Care is making strides toward improving the health and well-being of underserved populations in Botswana and beyond

To learn more, visit worldspinecare.org.

FICS prepares for m ajor w orld m ult isport gam es

The International Federation of Sports Chiropractic (FICS) has long supported multisport games through partnerships with the International World Games Association (IWGA) and the International Workers & Amateurs Sports Confederation (CSIT) FICS provides certified sports chiropractors to deliver care at these events, ensuring high-quality, evidence-informed support for athletes competing at elite levels worldwide

FICShas participated in The World Games (TWG) since 2005 and is preparing for its sixth appearance at TWG 2025 in Chengdu, China, from 7?17 August. A FICSdelegation recently conducted a site visit to finalize planning and confirm the selected chiropractors. The Local Organizing Committee has promised excellent facilities and accommodations.

FICSwill also support the CSIT Games in Loutraki, Greece, from 3?8 June 2025 - its fifth time at this biennial event A call for expressions of interest has been issued to begin chiropractor selection.

FICSencourages chiropractors interested in sports to join their national sports councils and become FICSmembers Participation in these events helps members advance clinical skills, support athletes, and engage in an international sports chiropractic network.

These events offer valuable opportunities to serve athletes on the world stage Learn more at fics sport

African Chiropract ic Federat ion chart s a bold vision for 2030 at Addis Ababa conference

The African Chiropractic Federation (ACF), a regional organization representing chiropractors across the continent, gathered for its Annual General Meeting and Conference on January 16?17, 2025, in Addis Ababa, Ethiopia

Held at the Friendship International Hotel, the event was marked by collegiality, collaboration, and a shared commitment to advancing the chiropractic profession in Africa

Now in its 12th year, the ACFembraced the theme ?Chiropractic Pioneers?, a reflection of the leadership required in countries where chiropractors remain few in number

With representation from Ethiopia, Uganda, Kenya, Burkina Faso, Namibia, Botswana, South Africa, and Tanzania, the conference focused on empowering national association leaders with the advocacy tools needed to promote chiropractic in their home countries.

The conference was preceded by a significant milestone: an ACFdelegation met with Her

ACFSecretary, Bridget Bromfield helped in thecoordination of proceedings.

Excellency Minata Samate Cessouma, Commissioner for Health, Humanitarian Affairs and Social Development at the African Union headquarters The delegation - comprising Professor Richard Brown, Dr Selam Aklilu, and Dr Mufudzi Chihambakwe - discussed chiropractic?s potential role in strengthening Africa?s health systems The conversation also explored collaboration between the African Union and the World Federation of Chiropractic (WFC), marking a meaningful step toward greater inclusion of chiropractic in continental health policy.

Mufudzi Chihambakwe, President of theAfrican Chiropractic Federation

Delegatesfrom acrosstheAfrican continent attended the conference

African Chiropract ic Federat ion chart s a bold vision for 2030 at Addis Ababa conference

Vision 2030 and t he Pow er of Nat ional Associat ions

A key highlight of the conference was a World Café session, where attendees co-created "Vision 2030"- a shared roadmap for chiropractic development in Africa. From launching educational programs to influencing policy through government engagement, each national association left with strategic, actionable goals The session reinforced the importance of building strong, well-organized national associations capable of leveraging both local and global resources to drive meaningful change

Clinical Sessions: Insight ful and Pract ical

Clinical excellence also featured prominently in the program:

- Dr Neerasha Ram sam y (South Africa) led a dynamic session on chiropractic pediatrics, making the subject approachable and engaging even for those not currently working with children

- Dr Russ Hornst ein, a chiropractic neurologist, presented on ?Adjustingto

Neutral? , a thought-provoking session followed by a two-day workshop His practical techniques were well-received and provided participants with clinical tools ready for immediate application

A cult urally rich set t ing

The ACFconference coincided with Ethiopia?s vibrant Epiphany celebrations, enriching the event with cultural depth and local flavor Attendees explored Addis Ababa?s historic landmarks, experienced traditional cuisine, and met with Ministry of Health officials, who expressed strong support for expanding chiropractic within Ethiopia.

A unified vision for t he fut ure

The conference concluded with a shared vision for a future where chiropractic care is accessible across Africa, regardless of region or income With growing collaboration and stronger national associations, the ACFaims to position African chiropractors as global leaders in research and care, advancing patient-centered spinal health across the continent

Selam Aklilu (President, ChiropracticAssociation of Ethiopia), Neerasha Ramsamy(South Africa) and RussHornstein (USA)

L>RSelam Aklilu, Mufudzi Chihambakwe, Richard Brown, Minate SamateCessouma, and staff member at theAfrican Union

Royal College of Chiropract ors w elcom es new Chief Execut ive

The Royal College of Chiropractors (RCC) is delighted to welcome Susie Isaacson as its new Chief Executive Officer. She has taken over from Rob Finch, who has retired after 21 years of dedicated service, and whose hard work and professionalism has left the College in such a strong position

With a background in leadership roles within healthcare and professional organizations, Susie is eager to apply her expertise to support the RCC?s mission of promoting quality, safety and professionalism

?This is an exciting time for the RCC, and I?m thrilled to be joining such a dedicated and forward-thinking organization,?says Susie. ?Chiropractic plays a vital role in patient care, and I?m eager to work alongside the trustees to drive innovation, support professional development, and promote high standards across the profession ?

Susie acknowledges the strong foundation laid by Rob Finch and is keen to build on the RCC?s success by continuing to collaborate with all stakeholders, including the educational institutions, the regulator, professional associations, and patient groups

?I am also very keen to build on the work that the RCChas been doing with colleagues outside the UK to promote professional education and support best practice. This includes our partnerships in the College?s official journal, Chiropractic and Manual Therapies, and the Global Education Network for Chiropractic (GEN-C), as

well as supporting a number of other organizations with patient safety reporting (through CPiRLS) and sharing the successes of the PRT (the UK Graduate Education Programme)?

The RCCis an apolitical professional membership body that promotes and supports high standards of education, practice and research, enabling chiropractors to provide, and to be recognized for providing, high quality care for patients

MsSusie Isaacson isthenewChief Executiveof theRoyal College of Chiropractors

FICS Malaysia 2025 World of Sport Sym posium : advancing sport s chiropract ic on t he global st age

The FICSMalaysia 2025 World of Sport Symposium, held on March 15?16, 2025, at Sunway Resort Hotel, Malaysia, brought together chiropractors, sports healthcare professionals, researchers, and industry leaders to explore the latest advancements in sports chiropractic and athlete performance care

The event, hosted in collaboration with the Association of Chiropractic

Malaysia (ACM), the Sports Chiropractic Council Malaysia (SCCM), and the International Federation of Sports Chiropractic (FICS), underscored the increasing integration of chiropractic care within multidisciplinary sports healthcare teams.

The symposium featured an extensive scientific and clinical program covering injury prevention, rehabilitation strategies, and

evidence-informed approaches to optimizing athlete performance International experts led panel discussions, case-based workshops, and research presentations, emphasizing the evolving role of sports chiropractors in high-performance environments.

A key highlight was the opening address by YB Hannah Yeoh, Malaysia?s Minister of Youth and Sports, who emphasized the

L>R:GraemeHarrison-Brown, Head of Operation of FICS, Dr Brian Nook, SecretaryGeneral of FICS, Dr Yi Kai Wong, President of ACM, YBHannah Yeoh, Malaysia'sMinister of Youth and Sports, Dr Martin Isaksson, President of FICS, Dr BradleySandler, Immediate Past

FICS Malaysia 2025 World of Sport Sym posium : advancing sport s chiropract ic on t he global st age

potential of multidisciplinary sports healthcare in enhancing athlete well-being Her presence reinforced Malaysia?s commitment to advancing athlete care through interprofessional collaboration

Malaysia?s role as host reflects its growing commitment to sports chiropractic and its integration within the broader healthcare framework The symposium provided a valuable opportunity for local practitioners to engage with international leaders in sports chiropractic and related fields, fostering cross-border collaboration and professional development

The Association of Chiropractic Malaysia (ACM) and Sports Chiropractic Council Malaysia (SCCM) played a pivotal role in bringing this symposium to Malaysia, reinforcing their commitment to education, advocacy, and the advancement of chiropractic in sports With strong participation from regional and international chiropractic professionals, the event highlighted the growing interest in sports chiropractic across the Asia-Pacific region.

The success of the FICSMalaysia 2025 World of Sport Symposium was made possible through the support of FICS, the organizing committee, volunteers, and the Sunway Resort Hotel, which provided a world-class venue for this landmark event

As preparations continue for FICSMalaysia 2025, this symposium has laid a strong foundation for the further growth and recognition of sports chiropractic in Malaysia and beyond

Top:Delegateslearn from leadingfiguresin thesports chiropracticworld. Middle:BradleySandler with theMalaysian Minister of Youth and Sport Bottom:Panel discussion chaired by FICSSecretary-General, Brian Nook

African Chiropract ic Federat ion announces new Execut ive Com m it t ee

The African Chiropractic Federation (ACF) is pleased to announce the election of its new Executive Committee, following elections held on Thursday, March 27, 2025 This leadership team will guide the federation in its continued mission to strengthen and expand chiropractic care across the African continent, promote collaboration between national associations, and raise awareness of the profession?s value in public health

Dr Mufudzi Chihambakwe of Botswana has been re-elected as President His ongoing leadership reflects a deep commitment to advancing chiropractic within African healthcare systems and fostering unity among practitioners to address the growing burden of musculoskeletal conditions.

Re-elected as Vice President is Dr Sarah Worthington of Uganda, whose leadership in chiropractic education and health policy has significantly influenced the ACF?s strategic progress

Newly elected members joining the Executive Committee are Dr Keiron Boosi, elected as Secretary-Treasurer, bringing valuable experience in governance and administrative management, and Dr Neerasha Ramsamy, elected as Assistant Secretary-Treasurer, who will support financial operations while continuing her advocacy in pregnancy and pediatric chiropractic care

Under this dynamic and diverse leadership team, the ACFwill focus on regulatory development, professional education, and improving access to chiropractic services across the continent

For more information, please contact:

E: AfricanChiropracticFederation@outlook com

W: www.chiroafrica.com

President: Dr Mufudzi Chihambakwe

VicePresident: Dr Sarah Worthington

SecretaryTreasurer: Dr Keiron Boosi

Assistant Secretary-Treasurer: Dr Neerasha Ramsamy

Kennet h Young nam ed as new program head at Vict oria Universit y

Following RMITUniversity?s decision to discontinue its chiropractic program in August 2024, efforts have been underway to establish a new university-based chiropractic education pathway in Victoria

These efforts achieved a major breakthrough late last year when Victoria University (VU) announced plans to launch a new chiropractic course in 2026an announcement that was welcomed across the chiropractic profession in Australia and internationally.

Victoria University?s College of Sport, Health and Engineering has since made significant progress toward establishing the new program, including the recruitment of key personnel to guide its development.

In a recent and exciting development, VU has confirmed the appointment of Dr Kenneth J Young, DC, PhD, as associate professor to lead the creation of the course.

Dr Young brings extensive experience and international recognition to the role He is a diplomate of the American Chiropractic College of Radiology (DACBR) and a fellow of the Higher Education Academy in the UK (FHEA)

His previous achievements include developing a chiropractic course at the University of Central Lancashire in the UK and leading a chiropractic re-accreditation exercise in Australia

Over the coming months, associate professor

Young will engage with stakeholders, healthcare professionals, and education experts to gather insights and inform the development of a high-quality curriculum that meets the needs of future students and the wider community.

This appointment represents a significant step forward in maintaining university-based chiropractic education in Victoria.

The QuarterlyWorld Report will continue to share updates as they become available and commends Victoria University for its dedication to supporting students, advancing the chiropractic profession, and promoting public health across Australia

Dr Kenneth Youngisthenewlyappointed head of the chiropracticprogram at Victoria University

Enhancing chiropract ic educat ion: GCC launches 5-Year clinical placem ent st rat egy

The General Chiropractic Council (GCC), the regulatory body for chiropractic professionals in the United Kingdom, has introduced a comprehensive 5-year Clinical Placement Strategy This initiative aims to enhance the quality of clinical training for undergraduate chiropractic students, reaffirming the GCC?s commitment to excellence in education and preparing students for successful professional practice. Developed by the GCCEducation Committee, the strategy was crafted through extensive collaboration with key stakeholders, including higher

education providers, the Royal College of Chiropractors, practicing chiropractors, and Education Committee members. The collaborative process incorporated feedback from these stakeholders and drew on research into clinical placement practices within the wider health sector

The strategy is founded on five key pillars: quality, enablement, profession, integration, and capacity These principles are designed to strengthen the clinical placement experience, ensuring it is rigorous, inclusive, and aligned with healthcare education?s best practices

The GCCencourages educators, practitioners, and others involved in chiropractic education to align their efforts with these strategic goals By working collectively, the profession can continue to uphold the high standards of chiropractic education and equip students with the skills needed to excel in their careers

Over the next five years, the Clinical Placement Strategy will serve as a framework for enhancing clinical training, supporting the growth of future chiropractors, and contributing to the overall advancement of the chiropractic profession

Cam ara Inst it ut e of Chiropract ic Sciences launches first cohort w it h im pact ful com m unit y out reach

The Camara Institute of Chiropractic Sciences (CICS) has officially launched its first cohort in the Chiropractic Specialization program, a pioneering initiative designed specifically for medical doctors and physical therapists in the Philippines. This innovative program represents a significant advancement in integrating chiropractic academic learning with hands-on clinical training in real-world healthcare settings

The inaugural cohort of 11 students participated in a landmark outreach effort in

collaboration with the IMU Chiropractic Department in Malaysia Over two weeks from February 25 to March 7, 2025, the team delivered chiropractic care to 2,395 patients and addressed more than 5,000 conditions across communities from Navotas to Camarines Sur. The outreach, named Handsfor Vitality- inspired by the Tagalog expression "Kamaypara sa Kasiglahan"- reflected the mission's commitment to healing and unity

Supported by local government units (LGUs) in Pasig, Antipolo,

Navotas, Caloocan, and Quezon City, the team served various populations including manual laborers, members of the Presidential Security Command, and personnel from the Philippine Air Force. These communities, often underserved in musculoskeletal care, benefited from chiropractic interventions that resulted in improvements in mobility, pain relief, and well-being

Beyond patient care, the initiative served as a transformative externship experience Chiropractic interns

Cam ara Inst it ut e of Chiropract ic Sciences launches first cohort w it h im pact ful com m unit y out reach

from Malaysia and the Philippines refined their clinical skills under expert supervision in diverse, community-based environments. This mentorship enhanced their practical abilities and deepened their understanding of holistic, patient-centered care

The mission?s success resulted from a strong partnership between students, faculty, volunteers, and LGUs, whose logistical support ensured care reached those who needed it most The collaboration reinforced the value of making chiropractic accessible and rooted in service

The Chiropractic Specialization program at CICS blends academic excellence with field-based clinical practice to produce competent, community-focused chiropractors. Accredited by the Philippine Department of Health, the program enables graduates to practice legally in the country CICSis also pursuing academic accreditation from the Commission on Higher Education for a six-year degree track in partnership with Far Eastern University, leading to a Bachelor of Science in Human Biology and a Master of Science in Chiropractic

Handsfor Vitalityrepresents the first cycle of clinical immersions for 2025 Upcoming programs include delegations from the University of Quebec Trois-Rivières in July and institutions from Malaysia and Australia in August As CICSbuilds its student body, the long-term vision includes establishing a full-time teaching and research clinic and expanding immersion cycles through new partnerships.

CICSinvites collaborators and partners from across the chiropractic and healthcare communities to join in this mission of education, outreach, and service.

Parker Universit y?s SACA honored as ACA 2025 St udent

Chapt er of t

he Year

The Student American Chiropractic Association (SACA) chapter at Parker University has been nationally recognized with the 2025 Student Chapter of the Year Award by the American Chiropractic Association (ACA), honoring the group?s outstanding achievements in leadership, advocacy, and professional development

In January, more than 25 students from Parker University?s SACA chapter traveled to Washington, D.C., to attend the ACA?s Engage 2025 Conference. The annual event provides student and professional members with opportunities for

advanced education, networking, and leadership development, as well as participation in Chiropractic?s Day on Capitol Hill

During their visit, Parker students met with members of Congress and legislative staff to advocate for the Chiropractic Medicare Coverage Modernization Act (H R 539/S 106), emphasizing the importance of expanding access to evidence-based chiropractic care for Medicare beneficiaries These advocacy efforts reflect a growing emphasis within the profession on legislative engagement, healthcare equity, and patient-centered care

Beyond Capitol Hill, students engaged in workshops and breakout sessions focused on

clinical innovation, interprofessional collaboration, and the evolving role of chiropractors in modern healthcare systems. These experiences not only deepened their knowledge but also fostered connections with peers and mentors from across the country

The Student Chapter of the Year Award, presented during the conference, recognizes a chapter that exemplifies exceptional teamwork, collaboration, and alignment with the ACA?s mission and values Parker?s SACA chapter was acknowledged for its visible presence on both national and campus levels and its sustained commitment to promoting the future of chiropractic

Parker University President William E. Morgan, DC, praised the chapter's achievement, stating, ?This honor is a testament to their dedication, hard work, and unwavering commitment to advancing the chiropractic profession

"Their leadership, service, and passion continue to inspire, and I have no doubt they will help shape the future of chiropractic.?

The recognition marks a significant milestone for Parker University?s SACA chapter and highlights the essential role students play in shaping the future of healthcare through advocacy, education, and professional engagement.

Parker UniversitySACAChapter membersin Washington DC.

New chiropract ic program launching at Sw eden's Nordic Inst it ut e of Manual Medicine

Starting in the fall of 2025, the Nordic Institute of Manual Medicine (NIMM) in Stockholm will introduce a new, licensure-qualifying chiropractic education program

Designed to meet both national and international standards, the four-year program marks a significant development in Scandinavian chiropractic education and aims to secure degree-awarding rights and accreditation from the European Council on Chiropractic Education (ECCE)

This strategic initiative expands the academic landscape of manual medicine in the Nordic region

With over 50 years of experience in naprapathic education through the Scandinavian College of Naprapathic Manual Medicine (Naprapathögskolan), NIMM is leveraging its longstanding expertise to build a high-quality chiropractic program

The launch is also a direct response to growing demand from healthcare employers and professional organizations seeking chiropractors trained to internationally recognized standards.

The new chiropractic program has been developed in close collaboration with key stakeholders, including academic experts from the Karolinska Institute and Sophiahemmet University, as well as representatives from the Swedish Chiropractic Association (LKR) and other Nordic professional organizations

The curriculum is designed in accordance with guidelines from Sweden?s National Board of Health and Welfare (Socialstyrelsen), the Swedish Higher Education Authority (UKÄ), and the ECCEframework, ensuring robust academic quality and professional relevance

The chiropractic program will be housed at the newly formed Chiropractic Academy (Kiropraktorakademin)

and operate alongside the existing naprapathy program, both under the governance of NIMM.

While the two disciplines share foundational principles in anatomy, physiology, and evidence-based clinical practice, the programs will maintain their distinct professional identities Each will be delivered by dedicated faculty, and the development of the chiropractic curriculum has emphasized the preservation of chiropractic?s unique scope and philosophy

The co-location of chiropractic and naprapathy programs is expected to foster interprofessional collaboration and knowledge exchange, reflecting broader healthcare trends where manual therapy professionals increasingly work in multidisciplinary settings. This model aligns with international developments where institutions integrate education in chiropractic, osteopathy, and other manual medicine specializations under one academic umbrella

In preparation for the program launch, the Swedish Higher Education Authority conducted an external review in 2022, concluding that NIMM meets all national quality requirements to deliver chiropractic education at a university level.

The program will be eligible for student financial aid in Sweden, Norway, and Finland and will lead to licensure in accordance with national regulations This ensures graduates are well-positioned for professional practice both within the Nordic region and internationally

Initially, 30 of NIMM?s total 480 student placements will be reserved for chiropractic students, with the potential to expand in response to demand and labor market needs.

The introduction of this program marks a significant milestone in Scandinavian chiropractic education and contributes to the broader evolution of manual medicine across Europe

NIMM looks forward to welcoming its first cohort of chiropractic students in August 2025 For more information, visit kiropraktorakademin se

New Chiropract ic Qualit y St andard for Low Back Pain and Sciat ica published by RCC

In January, the Royal College of Chiropractors (RCC) published a new chiropractic Quality Standard for Low Back Pain and Sciatica. This flagship publication for the RCCis unique in that it is specific to the chiropractic profession and describes high-quality evidence-based care across the whole of the patient journey Whereas most guidelines simply address assessment and management, this Quality Standard also prioritizes shared decision-making, as well as the monitoring and reassessment of patients Touchpoints for interprofessional collaboration are woven throughout the document.

The Quality Standard includes 13 Quality Statements, referenced explanations to support them, and a flowchart infographic which ensures that the Standard is a practical resource for clinicians Together it provides patients, healthcare professionals, commissioners and chiropractors with definitions of high-quality chiropractic care. The importance of a comprehensive and focused case history is emphasized, as well as the identification of red and yellow flags (including psychosocial and relevant contextual factors) Under-diagnosed co-existing conditions, some of which are highly prevalent, are of particular importance in the context of providing manual therapies for low back pain and sciatica. These include osteoporosis, axial spondyloarthritis, hypermobility spectrum disorder and vascular fragility The Quality Standard highlights these conditions as requiring specific risk assessment screening, so that patients who may be affected can be identified, referred, or modifications made to their care plans

The standard highlights the importance of shared decision-making, ensuring that patients are well-informed about their treatment options and actively involved in their care plans Chiropractic management should provide an individualized, evidence-based, multimodal package of care, provided within the context of an effective therapeutic alliance. This may include manual therapies, psychological interventions, physical activity, information, education and lifestyle advice, and supportive self-management approaches Regularly reviewing the effectiveness of care, including the use of validated Patient-Reported Outcome Measures (PROMs), is an important feature of the Quality Standard and emphasizes the importance of person-centered care

This project reflects a growing commitment to quality improvement in chiropractic practice, ensuring that patients receive consistent, high-quality care based on the latest clinical evidence The Quality Standard can be found at: https://rcc-uk org/quality-standards/

Building chiropract ic educat ion research capacit y:

CERF updat e March 2025

The Chiropractic Educators Research Forum (CERF) continues to make meaningful contributions to chiropractic education across all world regions. As a global, volunteer-run organization, CERF supports chiropractic faculty, staff, and administrators in developing education research capacity and fostering academic scholarship With a growing international membership, CERFoffers opportunities for educators to share knowledge, enhance skills, and engage in scholarly activities

CERFcurrently has 560 members, representing all accredited chiropractic education programs globally Membership is free and open to individuals in chiropractic education and related health professions with an interest in evidence-informed teaching CERFis an Associate Founding Member of the International Chiropractic Education Alliance (ICEA), reinforcing its role in global academic development

Biannual Conferences: Focused, Forw ard-Thinking, and Globally Relevant

CERFhosts two virtual conferences annually, each addressing critical and emerging issues in chiropractic education. These events feature peer-reviewed presentations and offer practical, research-informed insights for educators across academic settings

Recent conference themes include:

- Technology in Educat ion: Riding t he

Wave of t he Fut ure

Explored innovative technologies, digital tools, and forward-thinking strategies shaping the chiropractic classroom

Read more

- Bat t ling Burnout : Raising Resilience in Educat ion

Addressed educator wellness and the importance of institutional support systems

Read more

- Keeping It Real: Pract ice-Relevant Educat ion

Emphasized aligning education with real-world clinical practice and patient-centered care

Read more

- Rise of Facult y Scholars: Building Capacit y for a St ronger Fut ure

Focused on developing scholarly identity and research capacity in chiropractic faculties.

Read more

- Academ ic Int egrit y for All: Building Bet t er Professionals

Highlighted ethical practice, academic honesty, and professionalism in health professions education

Read more

Each conference is documented in The Journal of ChiropracticEducation, with video abstracts available publicly, promoting open access to educational innovation.

Looking Ahead: Innovat ion and Engagem ent

Future CERFconference themes will reflect evolving professional needs, with topics including:

- Continuous Quality Improvement

- Stakeholder Engagement and Curriculum

Co-Creation

- Artificial Intelligence in Health Professions

Education

CERFextends sincere thanks to the World Federation of Chiropractic (WFC) for its sponsorship and support This partnership strengthens CERF?s mission to build global education research capacity and supports a stronger academic future for chiropractic.

LSBU sport s scholars excelling in chiropract ic and com pet it ion

At London South Bank University (LSBU), elite sport and chiropractic education unite through the achievements of standout students and faculty. Among them are sports scholars Max Jones and Desharne Bent-Ashmeil, who balance their rigorous chiropractic studies with competing at the highest levels, and clinic tutor Claudio Merkier, who advances sports chiropractic practice and research

Desharne Bent -Ashm eil: Diving and Inspirat ion

At just 20, Desharne is a professional diver for Great Britain and a three-time European champion in individual and synchro events Her historic medal at the 2023 European Games made her the first female Black British diver to podium at a major event Beyond the pool, her faith has been a guiding force, helping her discover new purpose

and confidence. Now pursuing chiropractic at LSBU, she aims to inspire others to embrace their uniqueness, find balance between passions, and pursue challenges fearlessly.

Max Jones: Fencing for Great Brit ain and LSBU

Max Jones, a second-year chiropractic student and Team GB fencer, exemplifies excellence in both arenas. Competing internationally and representing LSBU at British Universities and Colleges Sport (BUCS) events, he recently earned a silver medal at the BUCSNationals, LSBU?s first-ever fencing medal With two years remaining in his studies, Max is already aiming for gold His ability to maintain high academic standards while training and competing on the world stage serves as a model for aspiring student-athletes

Claudio Merkier: Elevat ing Sport s Chiropract ic Claudio Merkier, LSBU clinical tutor and sports chiropractor, recently supported athletes at the British Master Medical Services during the National Track and Field Indoor Championships His research, part of a Professional Doctorate, explores how pre-competition chiropractic care impacts performance, especially among older athletes. His work highlights chiropractic?s growing role in optimizing performance and recovery in elite sports.

Together, these stories reflect LSBU?s dedication to integrating athletic achievement with academic excellence, positioning the university as a leader in sports chiropractic innovation

Desharne

DesharneBent-Ashmeil isa professional diver for Great Britain

Parker Universit y t o host 2025 PIE conference

The biennial Process of Integrating Evidence (PIE) in CIH Education Conference, known as The PIE Conference, will be held between Thursday, November 6 and Saturday, November 8, 2025, at Parker University in Dallas, Texas

The PIEConference is a premier event for complementary and integrative healthcare (CIH) education professionals, including chiropractic training programs from around the globe

The PIEConference brings together thought leaders, administrators, and faculty to develop and grow evidence-based training strategies. It fosters space to encourage knowledge exchange and networking and empowers attendees to drive innovation within their institutions to enhance the students?educational journey

Whether new to the field or a seasoned faculty member or administrator, this event offers an invaluable platform to gain fresh perspectives and create meaningful collaborations

At The PIEConference, attendees discover strategies to grow, expand, and sustain their evidence-based practice training programs, benefiting students and colleagues.

Beyond keynote presentations and panel discussions, interactive workshops, small group discussions, and networking events to connect participants with peers facing similar challenges The goal is to cultivate a shared commitment to excellence in evidence-based practice education through collective wisdom and shared responsibility.

A standout feature of this conference is the availability of stipends for North American doctor of chiropractic (DC) programs to help cover attendance costs, made possible through donations from the NCMICFoundation. Visit https://bit.ly/PIEstipends for more information on eligibility requirements and application deadlines. The generous support of the NCMICFoundation

helps The PIEConference achieve its goal of attracting a wide array of voices and experiences to the table This tapestry of talent and expertise is vital to enriching discussion, fueling innovation, and fostering an inclusive environment for all stakeholders in chiropractic education

PIEalso recognizes that global collaboration transcends geographic boundaries While stipends are available for North American DCprograms, attendance sponsorship opportunities (https://bit ly/PIEsponsorships) to extend this support worldwide are also available

Organizations, businesses, and philanthropic entities can invest in the professional development of educators and administrators across the globe

Sponsors bridge the gap for those who cannot participate by funding their attendance. A broader community of educators can experience this transformative event through stipends and sponsorships and implement new ideas at their respective institutions It extends the PIE Conference?s influence and amplifies its impact, shaping a future where evidence-based practice education is more accessible and innovative

Stakeholders are encouraged to be part of the conversation by registering for The PIE Conference By coming together, the chiropractic and public health communities can advance evidence-based practice education, expand its reach, and contribute to lasting, positive change in both student learning and patient outcomes across the globe

Logan Universit y?s MSSSR program adopt s accelerat ed form at

In January 2025, Logan University?s Master of Science in Sports Science and Rehabilitation (MSSSR) program transitioned from 15-week courses to a more efficient seven-week format, allowing students to complete the program more quickly.

?This accelerated format allowed full-time students to finish in just one year, helping them move forward with certification and career goals,? said Brittany Ramirez, MSSSRprogram director. ?It also ensured our program remained competitive within the field.?

Full-time students took two courses per session to graduate in one year, while part-time students had the option to take one course per session and complete the program in two years.

The updated curriculum included structured check-ins, engaging content, and assessments to support student success while balancing other responsibilities

Students chose between two concentrations: Exercise Physiology or Sports Rehabilitation. The Exercise Physiology track prepared students to design training programs for both healthy and clinical populations and to sit for certification exams such as the ACSM and NSCA-CSPS

The Sports Rehabilitation track focused on recovery strategies in healthcare and supported those pursuing advanced degrees or credentials like the Certified Chiropractic Sports Physician® exam

Parker Universit y announces new VP of advancem ent

Parker University has appointed Aaron Conley as its new Vice President of Advancement In this role, he will lead the university?s fundraising initiatives and strengthen relationships with alumni, donors, corporations, and foundations.

Dr Aaron Conley

Conley brings over 30 years of experience in higher education advancement, having held senior leadership roles at Purdue, Florida State, Colorado, and UTDallas - where he led the institution?s first comprehensive fundraising campaign He holds a doctorate from Indiana University and serves as an adjunct professor with The Fund Raising School.

He is also the founder of Academic Advancement Partners and co-author of FundraisingPrinciplesfor Facultyand AcademicLeaders, which received the 2023 Skystone Partners Prize Conley expressed excitement about supporting Parker?s mission and continued growth.

NWHSU launch clerkships com m encing in first t rim est er

As part of the competency-centered curriculum at Northwestern Health Sciences University (NWHSU), students now start clerkships during the first term of chiropractic school NWHSU is the first chiropractic school to establish a structured, progressive clinical education model that ensures consistent clinical opportunities, from initial observation in the first term, to internship, and culminating in a preceptorship in the final terms.

?So much emphasis in chiropractic is put on adjusting But I would argue that your professionalism and communication, your interpersonal skills, are one of the most important things for your success,?explained Dr Christopher Smoley, Director of Clinical Education in the College of Chiropractic at NWHSU. ?Now, you get a vastly accelerated progression of your clinical skills, communication skills, and professionalism compared to a standard chiropractic curriculum ?

Overwhelmingly, the response has been positive. One student wrote: ?The things we were learning in class applied directly to clinic. Things started to click for me, and I understood the significance of what we were being taught ?

Gaining Professionalism Through Exposure

During the first trimester, students observe in NWHSU?s on-campus clinics Starting in trimester two, they move to one of NWHSU?s over 200 Community-Based Internships, learning from a variety of doctors with unique patient populations

As students learn history taking and documentation in their lab classes, they begin applying that in clerkships

Why is this important??In lab, some professionalism is inherently lost because they're peers. Now, they?re working with patients they don? t know They?re seeing different cultures, demographics, and a diversity of case presentations,?shared Dr Smoley ?They?re getting more practice, but also their professionalism and clinical acumen get massively improved by being in an uncomfortable environment ?

Bringing Coursew ork t o Life

The competency-centered curriculum aims to help students understand how basic science courses apply to their future career The clerkships play a critical role in students?cognitive integration of basic and clinical sciences. One student wrote:

?The biggest ?aha moment?was when I first started making connections from the classroom to real-life

Dr Christopher SmoleyistheDirector of Clinical Education at the Collegeof Chiropracticat NWHSU

NWHSU launch clerkships com m encing in first t rim est er

applications I started recognizing medical terms and tests that the intern and DCs used when examining a patient ?

This not only boosts morale but improves retention of information. ?When you look into the science of learning, the more connections the brain can make when learning something new, the more likely the learner is to recall this information later and have greater understanding of the concept," explained Dr Smoley

Person-Cent ered Approach

During their internship experiences, students learn not only from the DCs, but from the upper

trimester interns they work with One student, reflecting on conversations with those interns, wrote: ?it hit me that I was truly surrounded by people who cared and wanted me to succeed.?

?We?re seeing in healthcare and society in general more focus on person-centered care, communication skills, and recognizing each person?s individuality,?reflected Dr Smoley ?Those are extremely difficulty to teach without just more experience. You need more mentorship. This new clerkship model produces opportunities for that.?

Logan w elcom es H. Garret t Thom pson as President

Logan University welcomed its eighth PresidentH Garrett Thompson, DC, PhD - on March 1

Dr Thompson succeeds Clay McDonald, DC, MBA, JD, who served as President for 12 years and retired at the end of February. Dr McDonald said Dr Thompson is a devoted educator who brings a deep understanding of higher education as well as a mission-driven commitment to the institution

With more than 20 years of experience in academic and strategic leadership, Dr Thompson most recently served as vice president for academic affairs and chief academic officer at Sonoran University of Health Sciences in Tempe, Arizona, and has been recognized as one of the ?Top 100 Leaders in Education ?

?There?s an unshakeable foundation at Logan; one built on passion, reputation and excellence,?said Dr Thompson.

?I feel incredibly fortunate to be working with faculty whose quality and integrity are second to none, staff who demonstrate unwavering commitment to our mission, and students whose curiosity, perspective, and thirst for knowledge all but guarantee their success.?

Dr Thompson earned his bachelor?s degree in biology from Reed College and his Doctorate in biochemistry from Loma Linda University While serving as an assistant professor at Southern California University of Health Sciences (SCUHS), Dr Thompson graduated magna cum laude with his Doctor of Chiropractic degree. He was called back to academia and served as the department chair, and later, as the director of student learning outcomes at SCUHS.

In 2013, Dr Thompson joined Sonoran University, where he has served in a variety of different roles, including professor and dean of instruction, as well as his most recent position of vice president of academic affairs and chief academic officer.

Over the course of his career, Dr Thompson has volunteered with the Academy of Integrative Health and Medicine, the Council on Naturopathic Medical Education and the American Holistic Health Association.

He most recently completed the Wharton Executive Education program for Executive Presence and Influence: Persuasive Leadership Development

Dr Thompson?s investiture ceremony will be held Friday, May 2 on Logan?s campus, coinciding with Symposium 2025 and Logan?s 90th Anniversary celebration

Dr H. Garrett Thompson istheeighth President of Logan University

William E. Morgan elect ed ACC Chair

Dr William E Morgan, President of Parker University, has been elected Chair of the Association of Chiropractic Colleges (ACC)

Established in 1989, the ACCrepresents accredited chiropractic educational institutions principally across North America. The association promotes innovation in healthcare through chiropractic education, research, and service, and supports its members in preparing future doctors of chiropractic to deliver evidence-informed, patient-centered care

In his new role, Dr Morgan, pictured, will help guide the strategic direction of the ACC, with a focus on academic quality, increased diversity in chiropractic education, and enhanced collaboration across the profession His leadership will support the ACC?s mission to improve community health and well-being through educational excellence and advocacy

For more information about the ACC, visit www chirocolleges org

Dr William E. Morgan isthenew Chair of theAssociation of ChiropracticColleges.

Life West President Ron Oberst ein announces ret irem ent

Dr Ron Oberstein has announced his retirement as President of Life Chiropractic College West, effective June 30, 2025, marking the end of a transformative 8-year tenure

Under his leadership, Life West launched key initiatives including the Early Clinic Entrance, Last-Year Preceptor Program, Nexus Brain Center, and the upcoming Life West

India - the first chiropractic college in India Institutional growth was solidified through WASCaccreditation and expanded academic partnerships.

Dr Oberstein expressed deep gratitude to students, staff, and supporters

The Board of Regents will now begin the search for a new leader to continue Life West?s visionary trajectory

Dr Ron Oberstein

ACCRAC 2025 celebrat es " Transform at ive Trends in Healt hcare"

The 31st Annual Educational and Research Agenda Conference (ACCRAC) brought together over 300 attendees from across the chiropractic profession in New Orleans from March 20?22, 2025

Under the theme "TransformativeTrendsin Healthcare,"this premier event fostered meaningful dialogue among educators, administrators, researchers, students, and clinicians, creating opportunities to share ideas, research, and best practices

ACC?s Board of Directors, led by Dr Rob Scott, ACCChair and Past President of Life University, held its annual meeting and honored Dr Ron Oberstein, retiring President of Life Chiropractic College West, for his dedicated service as Chair and Past Chair of ACC. Several of ACC's work groups also met on Thursday to advance collaborative initiatives supporting chiropractic education and research

ACCelected new officers for 2025?2027: Dr William Morgan (Parker University) as Chair, Dr Deborah Bushway (Northwestern Health Sciences University) as Vice Chair, Dr Waleksa Crespo-Rivera (Universidad Central del Caribe) as Secretary/Treasurer, and Dr Dennis Marchiori (Palmer College of Chiropractic)

ACCRACintroduced a well-received pre-conference session on hospital-based

chiropractors and restructured morning breakout sessions to maximize learning opportunities Attendees explored transformative healthcare trends including AI integration, value-based care, digital health literacy, personalized treatment, whole-person care, interdisciplinary collaboration, ethical considerations, and wellness approaches.

Dr Reed Phillips, Executive Director of the NCMIC Foundation, presented the McAndrews Memorial Research Fund awards to Drs Ryan Burdick, Michelle Maiers, and Peter Wayne, recognizing their contributions to research ethics and practical applications in chiropractic practice. Dr Claire Johnson presented the NBCEResearch Awards to James Whedon, Victoria Anne Bensel, Samantha Pritty, Andrea Albertson, Amberly Ferguson, and Gregory Snow for their outstanding research

The conference was supported by platinum sponsor NBCE; premier sponsors Foot Levelers, Inc., NCMIC, and Standard Process; and core sponsors Brighthall, Inc. and TheJournal of Manipulativeand Physiological Therapeutics (JMPT)

The event concluded with a global chiropractic research keynote and a lively celebratory dinner featuring music by the Jazz Vipers.

Save t he Dat e: ACCRAC2026 will be held at the Downtown Marriott in Kansas City, Missouri, from March 26?28

Clint on Daniels joins Parker

Universit y Research Cent er

Parker University proudly announces the addition of Dr Clinton Daniels as an adjunct research faculty member in its Research Center With a distinguished career spanning academia, clinical practice, and research, Dr Daniels brings a wealth of expertise to Parker?s mission of advancing chiropractic education and evidence-based practice.

Dr Daniels?academic foundation includes a Bachelor of Science from Purdue University and both Doctor of Chiropractic (DC) and Master of Science (MS) degrees from Logan University His career gained momentum in 2014 as part of the inaugural cohort of VA chiropractic residents, leading to his pivotal role as Chiropractic Service Chief at VA Puget Sound in 2021, where he expanded chiropractic services and developed new residency opportunities for veterans

A prolific researcher and advocate for integrating chiropractic care into broader health systems, Dr Daniels has authored over 50 scientific publications.

His research spans diverse topics such as managing post-surgical spine pain, suicide prevention, and best practices in chiropractic care. He also serves on the Editorial Board of BMC Complementary Medicine and Therapies and chairs the Clinical Compass Scientific Commission, dedicated to evidence-based guidelines for chiropractic

Dr Daniels?contributions to public health were recognized in 2024 with the APHA Chiropractic Health Care Section?s Rising Star Award. At Parker University, he will inspire the next generation of chiropractic professionals while continuing to lead advancements in the field. His appointment reflects Parker University?s commitment to academic excellence and innovation in chiropractic care

Exploring t he biological im pact of spinal m anipulat ion force levels

A recent exploratory study offers early insights into how different force levels during spinal manipulation therapy (SMT) may influence inflammatory and oxidative stress responses in the body

Researchers examined the short-term effects of SMT force-time characteristics on blood biomarkers in 19 healthy adults aged 18?45. Participants were assigned to one of three groups: control (preload only), 400 N force, or 800 N force A validated force-sensing table (FSTT®) delivered precise SMT, and blood samples were taken pre-intervention, immediately after, and 20 minutes post-intervention

Although the COVID-19 pandemic limited recruitment and reduced sample size, trends emerged. The 400 N force appeared to reduce total oxidant status and lipid peroxidation In contrast, the 800 N force produced a transient increase in pro-oxidant markers and a decrease in antioxidant capacity and resolvin D1, a key mediator of inflammation resolution

These preliminary results suggest SMT force magnitude may influence redox signaling and inflammation differently While larger studies are needed to confirm these findings, this research lays important groundwork for future studies exploring SMT?s physiological effects - particularly in clinical populations with inflammation-related conditions

Reference: Duarte FCK, Funabashi M, Starmer D, Partata WA Preliminary insights into the effects of spinal manipulation therapy of different force magnitudes on blood biomarkers of oxidative stress and pro-resolution of inflammation mediators Chiropr Man Therap 2025 Feb 18;33(1):8 doi: 10 1186/s12998-025-00575-2

PMID: 39966844; PMCID: PMC11837322.

X-rays are not predict ors of clinical out com es of chiropract ic care, st udy report s

A recent study by Maiers et al., published in Chiropractic & Manual Therapies, examines the relationship between spinal x-rays and treatment outcomes in older adults receiving chiropractic care The study analyzed data from 120 community-dwelling adults aged 65 and older with chronic spinal pain and disability who underwent 12 weeks of chiropractic spinal manipulation and home exercise instruction

The goal was to determine whether baseline radiographic findings could predict a clinically meaningful 30%improvement in the Oswestry Disability Index (ODI) at 12 weeks Common radiographic findings among participants included moderate (53 3%) and severe (13 3%) disc degeneration, anterolisthesis (53 3%), retrolisthesis (36 6%), and scoliosis (35 0%) Despite these findings, no significant association was observed between baseline radiographic factors and clinical improvement, regardless of severity.

With 42 5%of participants achieving a 30%

reduction in back-related disability, the results highlight that spinal x-rays, while important for specific diagnostic purposes, may not reliably predict outcomes for older adults with chronic back-related disability

These findings emphasize the importance of prioritizing patient history, clinical presentation, and functional outcomes over routine imaging in

treatment planning. Clinicians should consider radiographic findings as part of a broader, evidence-based clinical framework rather than relying on them to forecast response to care

This study reinforces the need for patient-centered, individualized approaches in chiropractic care, where treatment decisions are informed by comprehensive clinical reasoning rather than radiographic findings alone.

Reference: Maiers, M J, Albertson, A K , Major, C et al The association between individual radiographic findings and improvement after chiropractic spinal manipulation and home exercise among older adults with back-related disability: a secondary analysis. Chiropr Man Therap 33, 2 (2025)

Chiropract ic Academ y for Research Leadership (CARL) announces t

hird cohort of Fellow s (2025?2027)

The Chiropractic Academy for Research Leadership (CARL) is proud to announce the selection of its third cohort of CARL Fellows for the 2025?2027 term This international group of 16 exceptional early-career researchers represents the next generation of leaders in chiropractic research and academic advancement

The CARL III Fellows were selected from a highly competitive pool of more than 40 applicants representing institutions and chiropractic programs across the world Each applicant demonstrated not only research excellence but also a strong commitment to advancing the evidence base of chiropractic care and contributing meaningfully to interdisciplinary health sciences.

A Global Program w it h a Global Purpose

Launched in 2017, CARL was created to build a global community of early-career chiropractic researchers and provide them with a high-level mentorship and leadership development platform Through the support of established senior academics and the larger academic community, CARL Fellows benefit from structured networking, international collaboration, research training, and cross-cultural exchange

This unique and transformative program empowers researchers to become not only

thought leaders in chiropractic but also active contributors to the broader scientific and public health discourse

The CARL III Journey Begins

The third cohort of Fellows will meet in May 2025 at the University of Southern Denmark for their first residential This immersive academic gathering will serve as a launchpad for their three-year journey, allowing Fellows to collaborate, engage in workshops, and form lasting professional relationships. They will also have the invaluable opportunity to be mentored by many of the 27 Senior Fellows from Cohorts I and II, who have gone on to become recognized researchers, educators, and leaders in their respective institutions and fields

Support from t he WFC

The World Federation of Chiropractic (WFC), a strong advocate for research and academic excellence within the profession, continues to support CARL?s mission to grow chiropractic?s intellectual and scientific foundation Speaking on the announcement of the third cohort, Professor Richard Brown, Secretary-General of the WFC, said:

"CARL represents the very best of our profession?s future - diverse, motivated, and globally connected early-career researchers working to build a stronger evidence base for chiropractic The WFCis

The Chiropract ic Academ y for Research Leadership (CARL) announces t hird cohort of fellow s (2025?2027)

- Nora Bakaa ? Ontario Tech University, Canada

- Christ offer Børsheim ? University of Bergen, Norway

- St ine Clausen ?University of Southern Denmark, Denmark

- Lobke De La Ruelle ? Vrije Universiteit Amsterdam, Netherlands

- Cat hrine Feier ? University of Guelph, Canada

- Christ opher Hodget t s ?Murdoch University, Australia

- Carlos Gevers-Mont oro ?McGill University, Canada

- Jordan Gliedt ?Medical College of Wisconsin, United States

- Soren Gron ?University of Southern Denmark, Denmark

- Janny Mat hieu ? Université du Québec à Trois-Rivières, Canada

- Bayden McKenzie ?Monash University, Australia

- Laura Mont gom ery ?The University of Sydney, Australia

- Javier Muñoz Laguna ? University of Zurich, Switzerland

- Brandyn Polw eske ? University of Alberta, Canada

- Mark Thom as ?London South Bank University, United Kingdom

- Annie Young ? Macquarie University, Australia

Exploring t he m echanism s behind m anual t herapy: a review of t he evidence

While the effectiveness of manual therapy (MT) is supported by clinical evidence, the underlying biological and physiological processes contributing to its benefits remain less clearly defined A recent comprehensive review aimed to summarize the treatment mechanisms associated with MT application by examining existing reviews across multiple disciplines.

The researchers searched four major databases for systematic, narrative, and scoping reviews exploring mechanistic responses to MT A total of 62 reviews were included, covering studies involving both human and animal subjects, with varying symptom profiles. The findings revealed that MT induces a broad range of responses across neurovascular, neurological, and neurochemical systems, particularly supported by reviews of moderate methodological quality Additional, albeit lower-quality evidence, suggested involvement of neuroimmune, neuromuscular, neuroendocrine, and biomechanical mechanisms.

Despite this complex interplay of physiological responses, the clinical significance of these mechanisms remains uncertain The evidence supports activity at multiple levels of the nervous system -peripheral, spinal, and supraspinal - but the exact pathways through which MT exerts its effects are not yet fully understood.

This review underscores the need for higher-quality, mechanism-focused research to clarify which processes drive clinical improvements Understanding the "why" behind MT could help refine treatment protocols and improve patient outcomes in musculoskeletal and pain-related conditions.

Reference: Keter DL, Bialosky JE, Brochetti K, Courtney CA, Funabashi M, Karas S, Learman K, Cook CE The mechanisms of manual therapy: A living review of systematic, narrative, and scoping reviews PLoSOne 2025 Mar 18;20(3):e0319586

Chiropract ic Int ernat ional Research Collaborat ive (CIRCuit ): advancing global chiropract ic research

The Chiropractic International Research Collaborative (CIRCuit) marks a significant advancement in chiropractic research as the first international practice-based research network (PBRN) designed to bridge clinicians and researchers worldwide

This groundbreaking initiative provides a platform for collaborative research development involving chiropractors, patients, researchers, and support groups, fostering a global approach to evidence-based chiropractic care.

CIRCuit was established through engagement with the Evidence-Based Chiropractic Network Facebook group (EBCN-FB). From October 17 to November 28, 2022, EBCN-FB members were invited to participate in an electronic survey capturing demographic, practice, and clinical management data

A total of 77 chiropractors responded, representing 0.7% of EBCN-FB members. Of these, 62%were male and 38%female.

Geographically, participants were primarily based in North America (47%), followed by Europe (23%) and Oceania (19%)

Clinicians within CIRCuit predominantly manage musculoskeletal conditions, employing high-velocity, low-amplitude spinal manipulation (95%), soft tissue therapy (95%), exercise prescription (95%), and various forms of home care (up to 100%). These treatment patterns align closely with the broader chiropractic profession, ensuring the network's relevance and applicability

CIRCuit's international steering group, uniquely composed of equal clinician and researcher representation from different global regions, distinguishes it from other PBRNs. This structure facilitates the development of innovative, cross-border research initiatives While the initial

survey results are not statistically generalizable, they reflect a committed cohort of chiropractors eager to contribute to advancing chiropractic research and practice.

By fostering collaboration between clinicians and academics, CIRCuit offers an unprecedented opportunity to conduct impactful, globally-relevant research This initiative not only enhances evidence-based practice but also strengthens the global chiropractic community's contribution to healthcare research.

Reference: Young, K J, Aspinall, S, Mior, S et al Chiropractic international research collaborative (CIRCuit): the development of a new practice-based research network, including the demographics, practice, and clinical management characteristics of clinician participants. Chiropr Man Therap 33, 3 (2025). https://doi.org/10.1186/s12998-025-00568-1

Transform ing spine care: a shift t ow ard value-based m odels

Spine-related disorders are among the most prevalent and costly health conditions worldwide, contributing significantly to disability and healthcare spending. Despite well-established guidelines from the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), American College of Physicians, and U S Department of Veterans Affairs (VA), a substantial gap remains between evidence and practice Conservative, non-pharmacological approaches are recommended as first-line treatment, yet invasive, low-value interventions remain overused

In a recent commentary published in Health Affairs, experts Ryan Burdick, Christian Péan, Sara Holleran, Inga Morken, and Christine Goertz advocate for a transformative shift toward value-based care (VBC) models for spine-related disorders They argue that fee-for-service models incentivize volume over value, undermining evidence-based care and contributing to unnecessary imaging, prescriptions, and surgeries. The authors call for integrated, team-based models that embed providers like chiropractors and physical therapists within primary care

Citing scalable programs already used at the VA and some academic health systems, the authors stress aligning care with patient needs,

Dr Ryan Burdick

preferences, and values They highlight initiatives like CMS?s Making Care Primary (MCP) Model and chronic pain management codes that incentivize coordinated, holistic care

They emphasize that VBCmodels must prioritize health equity. Spine-related conditions disproportionately impact underserved populations, and current models often worsen disparities Integrating social determinants of health and using equity-focused metrics are essential for meaningful reform

To support these shifts, the authors recommend investing in data infrastructure, including longitudinal registries to track outcomes, guide best practices, and ensure accountability They conclude that now is the time for policymakers, payers, and providers to align efforts and reimagine spine care around value, evidence, and equity.

Illum inat ing t he fut ure: t w o years of progress in chiropract ic research

It is often said that it is better to light a candle than curse the darkness Two years ago, Arantxa Ortega - a molecular biologist and researcher - and Ricardo Fujikawa - a medical doctor and chiropractorembodied this spirit by founding the Fujitega Research Foundation Their vision was clear: to bring rigorous scientific inquiry to chiropractic, especially in a context where the practice faces significant challenges

In Spain, where chiropractic remains unregulated and its practitioners risk prosecution, the profession has long been marred by associations with pseudoscience

Often grouped with practices such as acupuncture, iridology, and homeopathy, chiropractic is classified as ?still under evaluation?by the Spanish Network of Agencies for the Evaluation of Technologies and Services of the National Health System (REDETS)

It was within this uncertain landscape that the Fujitega Research Foundation found its calling - by generating and disseminating high-quality research to support and validate the practice of chiropractic

Over the past two years, the Foundation has not only boosted research publications across Spain but also expanded its network of collaborative projects with leading universities and hospitals. Recognizing the importance of involving practicing clinicians in research, the Foundation recently launched an innovative application that allows chiropractors to input clinical data This initiative is set to significantly enhance epidemiological studies, fostering a more evidence-based approach to chiropractic care.

Dr Fujikawa, a former hematologist who now dedicates his expertise to chiropractic research, explains, ?Our line of research might not be what most European colleagues are used to in regards to chiropractic While many publications focus on epidemiology, we are hardcore scientists - immersed in the laboratory, exploring the mechanisms behind pain modulation and inflammation ?

Similarly, Dr Ortega adds, ?There are many opportunities right now to research biomarkers and neurology A scientist is always in search of answers to the profound questions about the nature of things ?

Looking ahead, the Foundation is preparing for its next significant milestone This year, it plans to integrate chiropractic students into major public university hospitals, allowing them to participate in research projects alongside medical students - a breakthrough achieved in less than three years In many other countries, such integration has taken much longer to realize, underscoring the dynamic and determined approach of the Foundation?s leadership.

Moreover, the Foundation is set to enhance professional development through the upcoming launch of five online continuing education channels These platforms will provide Spanish chiropractors with access to high-quality, practical information designed to elevate their clinical practices and support their ongoing professional growth

The journey of the Fujitega Research Foundation stands as a testament to the transformative power of scientific inquiry and collaboration. Its unwavering commitment to advancing research and integrating clinical practice is paving the way for a more evidence-based future for chiropractic By lighting the way through innovation and dedication, the Foundation continues to inspire progress and foster meaningful change in the profession

Dr Ricardo Fujikawa and Dr Arantxa Ortega

Mult i-level st rat egy t o expand chiropract ic access

Low back pain (LBP) remains the leading cause of disability worldwide, yet primary care providers (PCPs) often rely on pain medications rather than recommended non-pharmacologic treatments such as chiropractic care

A newly developed randomized stepped-wedge pilot study seeks to address this gap by evaluating a multi-level implementation strategy aimed at increasing the adoption of chiropractic care for LBPwithin primary care clinics, particularly in underserved communities

Conducted by a team of researchers led by Eric J. Roseen and colleagues, the study employs a stepped-wedge cluster randomized controlled trial to assess the feasibility of integrating chiropractic referrals in community health center settings

Three primary care clinics will receive the intervention sequentially over 14 months The strategy includes educational sessions for PCPs, development of a local chiropractic network, and modifications to electronic health records to streamline referrals The study will measure the proportion of LBPpatients receiving chiropractic referrals within 21 days of their primary care visit, as well as adherence to guideline-recommended treatments and reductions in opioid prescriptions. Findings from this study could inform broader policy changes, ultimately improving access to chiropractic care and reducing reliance on pharmacologic interventions in underserved populations

Reference: Roseen, EJ, Bussières, A , Reichman, R et al A multi-level implementation strategy to increase adoption of chiropractic care for low back pain in primary care clinics: a randomized stepped-wedge pilot study protocol Chiropr Man Therap 33, 9 (2025)

https://doi.org/10.1186/s12998-024-00565-w

How research support s good

public policy

Diagnostic Imaging (DI) services referred by a chiropractor are now insured under the Alberta Health Care Insurance Plan (AHCIP). This 2022 announcement was the result of extensive government and stakeholder engagement work, led by the team at the Chiropractic Association of Alberta (CAA)

?Research played a significant role in our quest to regain publicly funded DI?says Cecilia Bloxom, Chief Executive Officer, CAA. ?We commissioned an Ipsos public opinion poll that demonstrated 82 per cent of Albertans feel chiropractors should have access to publicly funded diagnostic imaging We then asked Dr Pierre Côté, Ontario Tech University Research Excellence Chair in Musculoskeletal Rehabilitation, to provide an Alberta specific analysis of Statistics Canada data on the healthcare needs of Albertans who suffer from musculoskeletal conditions.?

CAA combined the research above and submitted Building the Case for Publicly Funded Diagnostic Imaging for Chiropractors to the Alberta Minister of Health This focused report made a compelling case for DI coverage and became a major contributing factor to the positive decision taken by the government.

?At CCRF, we?re committed to funding research that can be activated by our association partners to support positive policy changes, both through private insurers and public health organizations? shares Robert Harris, Executive Director ?These categories of research impact, outlined below in our 5Pmodel under Payors and Public Policy, are essential to advance the profession and provide improved patient care.?

CCRFwould like to congratulate the CAA for their exceptional work on the DI initiative, which offers a superb model for successful policy change

What do w e know about MRI findings in t he t horacic spine?

Degenerative changes in the spine, which can be seen on MRI scans, are often included in the diagnostic assessment of back pain, but their clinical significance is not always clear. In the cervical and lumbar spine, these changes have been relatively well studied, with research consistently demonstrating a moderate but stable correlation between pain and various types of degenerative changes, such as disc degeneration, disc herniation, and endplate changes In contrast, research on degenerative changes in the thoracic spine is limited.

Researchers from the University of Southern Denmark (SDU) and the Chiropractic Knowledge Hub have reviewed existing studies to examine how frequently these changes occur in the thoracic spine and whether they are associated with back pain and functional impairment.

The researchers conducted a systematic review of medical databases to identify relevant studies They found 23 articles on the topic, which included data from 20 different study populations The studies were analyzed to determine data quality and the risk of bias Due to methodological differences between the studies, the researchers could not perform a meta-analysis, so the results were described individually.

How Com m on Are Degenerat ive Changes?

The prevalence of degenerative changes in the thoracic spine was reported in 21 articles, of which only five were assessed to have a low risk of bias

The reported prevalence varied significantly across studies. For instance, disc degeneration was reported in 0.2%to 89%of cases, and endplate changes in vertebrae ranged from 0%to 82%, depending on the population and imaging method used

Is There a Link Bet w een These Changes and Pain?

Only four studies examined a possible association between MRI findings and pain in the thoracic spine The risk of bias in these studies was assessed as either low or unclear. Two of the studies found a weak association between certain changes and pain, while the other two found no correlation. None of the studies investigated the relationship between degenerative changes and functional impairment

What Does This Mean for Pat ient s and Clinicians?

The significant variations in study results and methods mean that no definitive conclusions can be drawn about the prevalence of degenerative changes in the thoracic spine or whether they cause pain For clinicians, this suggests that MRI findings in the thoracic spine should be interpreted with caution and should not be used in isolation to explain a patient?s pain.

There is a clear need for more standardized studies that systematically investigate how these changes affect pain and functional levels Until then, clinicians should continue to base their assessments on a combination of medical history, clinical findings, and imaging rather than placing too much emphasis on degenerative findings on MRI.

Reference: Arnbak BA, Clausen SH, Stochkendahl MJ, Jensen RK Prevalence of thoracic degenerative MRI findings and association with pain and disability: a systematic review. Skeletal Radiol. 2025 Jan 17.

WFC Research Com m it t ee m em ber recognized for groundbreaking cost -effect iveness paper

A paper led by WFCResearch Committee member, Professor Michael Schneider has scooped the Chiropractic and Manual Therapies 2024 Award for Best Article of the Year.

A recent systematic review, published in C&MT compared the financial impact of chiropractic versus medical management for spine-related pain, finding that chiropractic care is a cost-effective alternative

Spine-related musculoskeletal pain is a major public health issue, costing the U S an estimated $134 5 billion annually

A Medline search identified 44 relevant studies, including cohort studies, cost analyses, and one randomized controlled trial. The results showed that patients who initially sought chiropractic care required fewer opioid prescriptions, surgeries, hospital visits, specialist referrals, and injection procedures These reductions in downstream healthcare services resulted in significantly lower overall healthcare costs compared to medical management

The findings suggest that integrating chiropractic care as a first-line treatment can lead to substantial cost savings while effectively managing pain With the rising concerns over

opioid dependency and escalating medical costs, chiropractic care offers a viable, lower-cost alternative for musculoskeletal conditions.

Dr Michael Schneider, a co-author of the review, emphasized the significance of this research: "It was an honor to receive this award from Chiropractic and Manual Therapies Most of my research career has centered around the design and implementation of randomized clinical trials to produce evidence about the clinical effectiveness of chiropractic care However, it is equally important that we provide evidence for the cost-effectiveness of chiropractic care, especially the reduction of downstream healthcare costs when chiropractors are the first-contact provider for spine-related musculoskeletal pain "

This review underscores the cost-effectiveness of chiropractic care and its potential to reduce overall healthcare expenditures. Further high-quality research is needed to reinforce these findings and support broader integration of chiropractic care into mainstream healthcare

Reference: Farabaugh R, Hawk C, Taylor D, Daniels C, Noll C, Schneider M, et al Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review. Chiropractic & Manual Therapies. 2024;32(1):8. PMCID: PMC10918856.

https://pubmed ncbi nlm nih gov/38448998/ Professor Michael Schneider

In t he spot light : research priorit y set t ing

At the April National Chiropractic Leadership Summit, the Canadian Chiropractic Research Foundation (CCRF) was honored to host a panel exploring key research themes, gaps, and opportunities in the profession

Following this discussion, provincial and national leaders collaborated in groups to identify future research questions that could advance both patient care and the chiropractic profession

Several important themes emerged:

Econom ic Im pact

- Evaluate system-wide cost savings and quality of life improvements from investing in chiropractic services

- Analyze Return to Work rates using workers? compensation data

- Examine the cost-effectiveness of expanding services like digital imaging

Populat ion Healt h

- Investigate reasons for low utilization among older adults

- Compare populations with and without access to chiropractic care

- Explore ways to increase access for underrepresented groups, such as immigrants and rural populations

Pat ient Safet y

- Present updated evidence on stroke risk and spinal manipulation safety

- Use big data to study key safety topics

- Assess clinician

knowledge of safety protocols

Int erprofessional Engagem ent

- Identify factors influencing referrals from other healthcare providers

- Examine the role of chiropractic care in team-based and primary care settings

- Study the value of maintenance care in interdisciplinary environments

This valuable feedback will inform CCRF?s future RFPand RFT themes and help prioritize seed funding to support grant submissions that elevate chiropractic research and its impact

Review highlight s gaps in rehabilit at ion screening t ools

A recent scoping review identified 24 screening tools used to assess eligibility for rehabilitation services, most of which are questionnaires administered by health workers

These tools commonly focus on current functional limitations among individuals with specific health conditions. When aligned with the WHO International Classification of Functioning, Disability and Health (ICF), frequently assessed categories included emotional functions, pain, daily routines, and employment Despite the

variety, the review highlighted a key gap: no universal tool exists for use across conditions and settings More adaptable, inclusive tools are needed to guide rehabilitation planning and delivery

Reference: De Groote W, Corso M, Murnaghan K, Duttine A, Sabariego C. Rehabilitation needs screening to identify potential beneficiaries: a scoping review BMJPublic Health 2024 Apr 19;2(1):e000523 doi: 10 1136/bmjph-2023-000523

PMID: 40018124; PMCID: PMC11812806

NCMIC Foundat ion recognizes 2025 McAndrew s Aw ard w inners

The NCMICFoundation has announced the 2025 recipients of the prestigious George P McAndrews, JD , and Jerome F McAndrews, DC, Memorial Research Fund Awards The honors were presented at the Association of Chiropractic Colleges Educational and Research Agenda Conference (ACC-RAC), held March 20?22 in New Orleans

This year?s Memorial Research Fund Awards were presented to Dr Michelle Maiers and Dr Ryan Burdick, while the Pioneer Award was awarded to

Dr Peter Wayne, recognizing his long-standing research leadership and impact on integrative health and musculoskeletal care

Created to honor the McAndrews brothers' legacy of advancing ethical and scientific chiropractic research, the awards are given to individuals who have demonstrated excellence in research, interdisciplinary collaboration, practical application to chiropractic practice, and promotion of high ethical standards within and beyond the profession Recipients are selected for their ability

L>R:Dr ClaireJohnson, Dr Peter Wayne, Dr MicheleMaiers, Dr Ryan Burdick, Dr Matt Kowalski, Dr Reed Phillips, Dr AnthonyLisi

NCMIC Foundat ion recognizes 2025 McAndrew s Aw ard w inners

to translate evidence into practice and strengthen the role of chiropractic in the broader healthcare system.

Dr Michelle Maiers serves as Executive Director of Research and Innovation at Northwestern Health Sciences University (NWHSU) Her research focuses on non-pharmacological treatments for musculoskeletal conditions, with a particular emphasis on aging populations. Dr Maiers is also a co-director at the RAND Center for Collaborative Research in Complementary and Integrative Health and past president of the American Chiropractic Association (ACA) The ACA established the ?Michele Maiers NextGen Member of the Year Award?in her honor, recognizing leadership among early-career chiropractors She is widely recognized for her efforts to advance access to evidence-based care and support diversity in research and leadership.

Dr Ryan Burdick is an independent research consultant and grant writer focused on opioid settlement fund strategies and healthcare policy He previously completed a postdoctoral fellowship at Yale University School of Medicine, where his work examined musculoskeletal pain management in the U.S. healthcare system, including within the Department of Veterans Affairs. Dr Burdick also co-authored the RAND publication ?Alternatives to Opioids: A Missing Piece of the Strategy?, contributing to national conversations around pain management and non-drug treatment pathways

Dr Peter Wayne, recipient of the Pioneer Award, is an Associate Professor of Medicine at Harvard Medical School and serves as Director of Research and Interim Director at the Osher Center for Integrative Medicine A leading voice in mind-body research, Dr Wayne has conducted over 25 NIH-funded studies, exploring Tai Chi, acupuncture, and integrative therapies for a range of chronic conditions including heart failure, stroke recovery, osteoporosis, and depression He is also

author of The Harvard Medical School Guide to Tai Chi, an award-winning book that has helped bridge the gap between traditional practices and clinical research.

Dr Wayne has served on NIH review panels, mentored early-career investigators, and holds the NIH K24 mid-career mentoring award. His leadership and global recognition have advanced both research and education in integrative health, shaping how complementary approaches are studied and applied in clinical settings

Reflecting on the achievements of this year?s recipients, Dr Wayne Wolfson, President of NCMIC, praised their collective impact on the profession:

?Chiropractic care advances through the dedication of researchers like Drs Burdick, Maiers, and Wayne, whose work strengthens the foundation of our profession,?said Wolfson ?Their commitment to scientific inquiry allows us to enhance our techniques, validate our methods, and solidify chiropractic?s essential role in modern healthcare. The NCMICFoundation is honored to present them with the McAndrews Award and welcome them into a distinguished group of past recipients.?

These awards serve as a reminder of the critical role that research plays in the evolution and credibility of chiropractic care. By fostering innovation, promoting interprofessional engagement, and prioritizing evidence-based practice, the McAndrews Award recipients continue to elevate the profession both academically and reputationally

THANK YOU TO OUR CORPORATE AND EDUCATIONAL PARTNERS FOR THEIR GENEROSITY AND SUPPORT

PREMIER CORPORATE PARTNER

Logan University

PLATINUM CORPORATE

PARTNERS

Activator Methods International

Cleveland University Kansas City

Chiropractic Economics

Dynamic Chiropractic Magazine

Ergotherapy Solutions

Human Touch

International Board of Chiropractic Examiners

NCMIC

Palmer College of Chiropractic

Parker University

DIAMOND CORPORATE PARTNERS

Canadian Chiropractic Protective Association

Canadian Memorial Chiropractic College

Foot Levelers

National Board of Chiropractic Examiners

The American Chiropractor

GOLD CORPORATE PARTNERS

Northwestern Health Sciences University

Serola Biomechanics, Inc.

SILVER CORPORATE PARTNERS

Chiropractic Diplomatic Corps

International Medical University, Chiropractic Program

Northeast College of Health Sciences

New Zealand Chiropractic Board

The Royal College of Chiropractors

University of Bridgeport - College of Chiropractic

University of Western States

BRONZE CORPORATE PARTNERS

Asociación de Quiroprácticos de Puerto Rico

College of Chiropractic Sciences

Elite Chiropractic Tables

Federation of Canadian Chiropractic

Four Star Industries Pte Ltd -

Japanese Association of Chiropractors

KCSAssociation

Kiropraktorernes Videnscenter

Madrid College of Chiropractic-RCU

National University of Health Sciences

Sommeil Terre Pte Ltd

Southern California University of Health Sciences

Southern California University of Health Sciences

The Joint Chiropractic

THANK

PLATINUM INDIVIDUAL SUPPORTERS (US$2000)

CLEVELAND III Carl, DC (USA)

MORGAN William E., DC (USA)

GOLD INDIVIDUAL SUPPORTERS

(US$750)

BROWN, Richard DC, LL M, FRSPH (UK)

HALDEMAN Scott, DC, MD, PhD (USA)

MALTBY, John, DC(USA)

SILVER INDIVIDUAL SUPPORTERS

(US$500)

BOO Gordon Kou Tuan, DC(Malaysia)

KUWAOKA Toshifumi, Mr (Japan)

WHITMAN Larry, DC(Australia)

BRONZE INDIVIDUAL SUPPORTERS (US$180)

ADRA Tarek, DC(USA)

ANDERSON Kris, DC(USA)

ANOSOVOleg, DC(USA)

AREVALO, Joseph DC(USA)

AYMON Michel, DC(Switzerland)

BICKLEY, Kevin DC(USA)

BORGESSira, DC, MD (Brazil)

BRACKENBURYWade, DC(Vietnam)

BROWN, Steven (USA)

BUSHWAY, Deborah PhD (USA)

CHAPMAN-SMITH David, Mr (Canada)

CHUN PU CHU Eric, DC, MHA, PhD (Hong Kong)

CRAIG Stuart and Leonie, DC(New Zealand)

CULBERT Gregory M., DC(USA)

DONATO Phillip, DC(Australia)

DOUCET, Chantale (Canada)

EL SANGAK Hussein, DC, MD (USA)

EL SANGAK Omar, DC, MD (Egypt)

ERRINGTON Timothy, DC(Singapore)

GREEN Bart, DC (USA)

HEESEGlen, DC (USA)

JOHANESSEN Espen, DC(Norway)

JOHNSON Claire, DC (USA)

KARLOVASSITIS, Parry DC(Australia)

KIL Vivian, DC(Netherlands)

KOPANSKY-GILESDeborah, DC(Canada)

LAW, Brian (USA)

LEPIEN Rose, DC (USA)

LING Kok Keng, DC(Singapore)

McNABB Brent, DC (USA)

THANK

BRONZE INDIVIDUAL SUPPORTERS (US$180)

MOSSJean, DC, MBA (Canada)

NAPULI Jason, DC, MBA (USA)

PAPADOPOULOSStathis, DC(Cyprus)

RAMCHARAN, Kimberly (USA)

SERRANO , Mayda (Puerto Rico)

SOSNA Janet Ruth, DC(Singapore)

SPORTELLI, Louis (USA)

STEWARTGregory, DC(Canada)

TAKEYACHI Kei, DC(Japan)

TAO Cliff, DC, DACBR (USA)

TAYLORMichael K, DC (USA)

TRUUVAARTGerly, DC(Estonia)

VALLONESharon, DC, DICCP (USA)

VAUGHAN Bruce, DC(Hong Kong SAR)

WILESMichael, DC (USA)

WILLIAMSJohn, DC(Italy)

WOLFSON Wayne, DC(USA)

WANTTOMAKEADIFFERENCETOYOUR