CHIRO CAN HELP 034 July … · the australian chiropractor uly 2018 2 visit your local store: 1300...

ACA STRATEGICPLAN 2018-2023

ETHICAL MARKETING

REDUCING STRESS AT WORK

Spinal Health Week Success!

Australia’s Forefront Chiropractic News & Views ReportJuly 2018 | Free For ACA Members

CHIRO CAN HELP

2 THE AUSTRALIAN CHIROPRACTOR JULY 2018

Visit your local store: 1300 722 718 | Visit us online: sleepys.com.auAUBURN • CANBERRA • CARINDALE • CARSELDINE • CHERMSIDE • FORTITUDE VALLEY • GEPPS CROSS • HELENSVALE HOBART • HOMEBUSH • IPSWICH • KAWANA WATERS • KOTARA • LAUNCESTON • MACGREGOR • MAROOCHYDORE

MILE END • OXLEY • PROSPECT • RICHMOND • ROCKHAMPTON • TOOWOOMBA • TOWNSVILLE • TUGGERAH

A U S T R A L I A N M A D E & M A D E F O R Y O U

C H I R O P R AC T I C

As mattress experts, we understand that an old or worn out mattress has the ability to counteract your chiropractic work. That’s why we’d like to help your clients feel amazing on an Australian made mattress that is comfortable and supports the entire body for a healthy night’s sleep.

Our consultants have been trained using the human eye to personally match each of your clients to a mattress based on individual circumstances, spinal alignment and sleeping preferences - because mattresses are not ‘one size fits all’! As the only retailer to carry a mattress range tested and endorsed by the CAA, we are confident in our ability to find the ideal sleeping solution for each customer.

Our curated selection of mattresses is made up of high quality, Australian made products such as the Sports Performance Restoration Collection. The scientifically proven Intense™ fabric on the top panel of the mattress allows for a deeper and more relaxed sleep by freeing the body of static tension built up during the day. Layers of premium foam and gel infused visco provide extreme comfort while the 5 zone continuous coil support core helps to cradle the hips and reduce stress on the back.

We are proud to provide our customers with one of the most important aspects of a healthy lifestyle – an amazing night’s sleep. Our products are Australian made for you and your clients. Reach out to your local Sleepy’s store manager today; we look forward to hearing from you!

C O L L E C T I O N

S L E E P Y ’ S E X C L U S I V E

S P O R T S P E R F O R M A N C E R E S T O R A T I O N

3 JULY 2018 THE AUSTRALIAN CHIROPRACTOR

Visit your local store: 1300 722 718 | Visit us online: sleepys.com.auAUBURN • CANBERRA • CARINDALE • CARSELDINE • CHERMSIDE • FORTITUDE VALLEY • GEPPS CROSS • HELENSVALE HOBART • HOMEBUSH • IPSWICH • KAWANA WATERS • KOTARA • LAUNCESTON • MACGREGOR • MAROOCHYDORE

MILE END • OXLEY • PROSPECT • RICHMOND • ROCKHAMPTON • TOOWOOMBA • TOWNSVILLE • TUGGERAH

A U S T R A L I A N M A D E & M A D E F O R Y O U

C H I R O P R AC T I C

As mattress experts, we understand that an old or worn out mattress has the ability to counteract your chiropractic work. That’s why we’d like to help your clients feel amazing on an Australian made mattress that is comfortable and supports the entire body for a healthy night’s sleep.

Our consultants have been trained using the human eye to personally match each of your clients to a mattress based on individual circumstances, spinal alignment and sleeping preferences - because mattresses are not ‘one size fits all’! As the only retailer to carry a mattress range tested and endorsed by the CAA, we are confident in our ability to find the ideal sleeping solution for each customer.

Our curated selection of mattresses is made up of high quality, Australian made products such as the Sports Performance Restoration Collection. The scientifically proven Intense™ fabric on the top panel of the mattress allows for a deeper and more relaxed sleep by freeing the body of static tension built up during the day. Layers of premium foam and gel infused visco provide extreme comfort while the 5 zone continuous coil support core helps to cradle the hips and reduce stress on the back.

We are proud to provide our customers with one of the most important aspects of a healthy lifestyle – an amazing night’s sleep. Our products are Australian made for you and your clients. Reach out to your local Sleepy’s store manager today; we look forward to hearing from you!

C O L L E C T I O N

S L E E P Y ’ S E X C L U S I V E

S P O R T S P E R F O R M A N C E R E S T O R A T I O N

THIS MONTH'S ISSUEJuly 2018

GETTING TO KNOW PROFESSOR PETER REABURN 27 REDUCING STRESS

AT WORK 28NAIDOC WEEK 26

RESEARCH SNAPSHOT 32 STAFF PROFILE:

KIM TOMPKIN 34ACORN UPDATE 31

20 ETHICAL MARKETING IN-LINE WITH AHPRA GUIDELINES 24CHIRO CAN HELP:

SPINAL HEALTH WEEK SUCCESS

HONOURING PAST-PRESIDENT DR ANDREW LAWRENCE 17 TRANSLATING EVIDENCE

INTO CLINICAL PRACTICE 18ACA STRATEGIC PLAN 2018-2023 14


We are excited to launch our new-look The Australian Chiropractor (TAC), in celebration of this new era of the Association. More than a revised look, we have been hard at work to evolve this publication into a more sophisticated and member-centric one. We hope you enjoy the new features and that each edition provides something of relevance and interest for each and every member.

This publication has been close to my heart ever since I first saw the CAA's job advertisement that described overseeing a monthly publication. When I had my job interview a little over three years ago, I told those interviewing me that I would make the TAC ”my baby”. Commencing with the new-look TAC launched in July 2015, I have taken great joy and precision in crafting each edition over the last three years.

It is a fitting time to launch a new-look TAC as we have expanded our team of contributors, including Megan Walker who runs Market Savvy and has an extensive background in marketing health. We also welcome our new Graphic Designer, Matthew Gray, who is responsible for this fresh look to the publication. Matthew brings new perspective to our Association, having

previously worked for Bauer Media and most recently the Qudos Bank Arena in Sydney.

One significant change to the TAC is how we publish our classifieds. Classifieds are now primarily housed on our website chiropractors.asn.au/classifieds and those advertising have the additional option to place their classified in the TAC. This means that we have more space for content and that classified advertisements are able to be updated more regularly as opposed to being primarily housed in a monthly publication.

This is your publication and more than ever, we would love to hear from you, our members. You can contribute by submitting us an article or report, writing a ‘Letter to the Editor’, or even simply sending us a photo or link. You can email me directly at [email protected] to have your contribution considered. While we welcome all submissions, please note that we are under no obligation to print any material submitted for publication.

Lastly, we would love to hear your feedback on this new-look.

Editor'sNote

ARIEL TATE

Got something to share? If you have an article for submission or would like to write a

letter to the Editor, please contact us by the 10th of the month, prior to publication: [email protected]

Opinions or other material (including advertising) expressed within this publication are those of the contributor and do not necessarily reflect the opinion of nor the policy of the Australian Chiropractors Association (ACA) Limited, unless otherwise stated. Acceptance of advertising material in no way implies that it has the endorsement of the ACA or the Editor of The Australian Chiropractor. The Editor is under no obligation to print any material submitted for publication and has the

discretion to accept or reject such material without obligation to give reason.

The Australian Chiropractor is the official publication of the Australian Chiropractors Association and is published 11 times per year. All literary matter in the magazine is covered by copyright and must not be reproduced without written

permission. Not for distribution outside the chiropractic profession.

©2018 Australian Chiropractors Association

Editor-in-Chief Dr Matthew Fisher

Managing Editor Ariel [email protected]

Writer/Editor Julie [email protected]

Graphic Designer Matthew [email protected]

Advertising Coordinator Debbie [email protected]

Printer Arrow Print

Australia’s Forefront Chiropractic News & Views Report

[email protected]

02 8844 0400

PO Box 255, Parramatta NSW 2124

www.chiropractors.asn.auABN 50 050 096 038

@AusChiros

Got something to advertise? If you wish to place a display or classified advertisement,

please contact us by the 15th of the month, prior to publication: [email protected]


ell, here we are. Four years in the making and the ACA has now officially commenced

business. The inaugural ACA Board met for the first time in Melbourne on 2-3 June.

In attendance were all ACA Board directors: Drs John de Voy, Andrew Lawrence, Alison Bennett, Warren Genders, Bruce Whittingham and Mr Martin Baird. To assist with the transition, we also had the retiring CAA Board directors Drs Ari Diskin, Mark McEwan and Harley Rushton.

One important item of business was the election of the President and Vice President. In accordance with sections 18 and 19 of the ACA constitution all future Board directors are elected by the membership, but President and Vice President are elected by the Board.

I was honoured and humbled to be elected as the first President of the new ACA and delighted to have Dr John de Voy as Vice President.

A key focus of our first meeting was to distil the direction for the ACA going forward. The last four years have been somewhat of an aberration for our profession, with unprecedented negativity from both within and outside the profession.

The CAA took the position of setting things right internally: to elevate our levels of professionalism to the point of making us bullet proof. This was a necessary and painful time for many.

It became very clear as we planned for the future, that Andrew Lawrence and the CAA made the difficult decisions that have put us in a stronger position today. AHPRA statutory complaints are now higher in dental, medical and physiotherapy than they are for chiropractic.

We now have the policies, relationships and track record in place, from which we can launch a more positive and outward looking approach to forge the profession forward into the future. Time to draw a line in the sand.

FROM THE PRESIDENTDr Anthony Coxon

OUR PURPOSEUltimately, the purpose of the ACA is to ensure that more Australians experience the benefits of chiropractic care. It is our job to make your practice life easier.

We are a diverse profession. As a member organisation it is our role to represent you, our members, and navigate a clear direction despite different philosophical views. As chiropractors, we recognise the vital role of the spine and nervous system play not only with back pain, neck pain and headaches, but potentially with other aspects of health and wellbeing.

The ACA bases its direction on professionalism in thought, action and outcome. Part of this professionalism is realising the need to work from an evidence based, patient centred framework.

The message to the greater community needs to be strong, considered and defendable. The message from within the four walls of your practice can be more personalised and expansive in order to suit the best needs of each individual patient.

NEW LOOK AT LOGO AND BRANDINGThere is no better time than now to

take a fresh look at our logo and brand. The options are for a modification, evolution or revolution. In addition to engaging a design agency, we also plan to put this out to crowd sourcing and to the membership, so you can make your opinion known.

The big reveal will happen at the Annual Conference in October. Until this time our branding is officially under new construction.

NEW FEESBy now you would have received your membership renewals for the 2018/19 membership year. Excitedly, we now have equity of service and fees across the nation.

Of note is the extension of the Limited Practice category from 12 to 16 hours. This should make the decision for part-time chiropractors to maintain their ACA membership even easier.

Allowing for tax deductions, a 30% saving on Guild Insurance and a host of other benefits, why wouldn’t you be a member of ACA?

Membership is an important investment into your practice; we look forward to you continuing this with us into a successful future.

W

Ultimately, the ACA purpose is to ensure that more Australians experience the BENEFITS OF CHIROPRACTIC CARE. It is our job to make your practice life easier.


he inaugural Board of the ACA met recently to set in place the governance structure to

enable the organisation to commence its operations. A significant part of this was procedural, given the new Constitution and included matters such as membership subscriptions and draft budget for 2018/19 to be in keeping with the proposition put to members.

The ACA budget and subsequent fees were formulated in accordance with the usual business practice using GST exclusive amounts. The fees approved by the Board were based on GST exclusive pricing as is the usual business practice and used in all the restructure documents; GST must be charged in accordance with GST legislation where applicable. Ultimately, it is the end consumer who pays the GST. The entitlement for members to claim a GST credit on their BAS is determined by their individual financial and business structures and arrangements. Therefore, fees are set with the GST exclusive price. Members should seek independent advice from their accountant or financial advisor regarding their entitlement to claim a GST credit; the ACA membership fee is tax deductable.

Additional matters of note included the discussion and adoption of a strategic plan which provides direction for the ACA, the establishment of Regional Committees and the continuance and/or re-establishment of Standing Committees of the ACA. With regards to Regional Committees, these are established in accordance with Section 24.2 of the Constitution.

The Regional Committees act in an advisory capacity to ensure that local priorities are identified, resourced and responded to through the Regional Manager. The Regional Manager reports to the CEO, whilst regional staff report to the Regional Manager. Regional Committees are

FROM THE CEODr Matthew Fisher

being comprised of members of the Association and do not have authority over staff. Regional Committees are integral to ensure local engagement, consultation and action; they act under delegated authority from the ACA Board.

The ACA Board has also set up eight Standing Committees in accordance with Section 24 of the Constitution, to forward the position of the ACA through considered, broad-based engagement of members and appropriate non-member expertise. These Committees include: Policy, Practice Advisory, Public Engagement, Conduct & Ethics, Tertiary Education & Research, Member Engagement, Women in Chiropractic, and Continuing Professional Development. The ACA Board takes advice from a wide range of sources, including committees and external sources to develop and review policies and guidelines.

The Board encourages you to be part of a committee to diversify the views received. A Committee comprises between 4–8 members recruited from the membership and may include staff members of ACA or appropriate invited non-members. Depending on the Committee, members ideally

come from diverse backgrounds and expertise, such as private practice in multi-clinic, multi-disciplinary, solo practitioner and group practice. They also come from sectors such as public health, tertiary education, adult education and research.

Being engaged with a committee gives you an opportunity to be involved and contribute; Committees meet annually in person and as required, using technology to fulfil their Terms of Reference. We are currently seeking expressions of interest for many of our Committees, and invite you to put yourself forward. For more information on Committees and to provide your expression of interest visit chiropractors.asn.au/committees. Expressions of Interest close Wednesday 1 August 2018.

ADVANCED LEARNING PATHWAYS: THE AUSTRALASIAN INSTITUTE OF CHIROPRACTIC EDUCATION (AICE)Another significant decision taken at the first Board meeting was to progress the development of AICE by supporting the business case paper within the 2018/19 budget to bring it to reality. For the past 12 months, Adjunct Professor Henry Pollard has been working with the CAA National Board to present the business case from a governance, financial and educational perspective to build on the original proposal first launched in 2006. The project was to determine the feasibility and sustainability of profession-led, advanced learning pathways in the field of chiropractic. Due to a conflict in name and identity of the ACC, AICE was accepted and registered with ASIC.

The AICE uses the governance construct of the Royal College of Chiropractors and the academic construct of the Australian College of Physiotherapy. The Institute model provides the opportunity not only as a way to provide pathways and research

Renew your Membership for 2018-19chiropractors.asn.au/renew [email protected] 1800 075 003

For more information on the member services available to you and to view videos from members

on how ACA is supporting them in practice visit

chiropractors.asn.au/membership

Being engaged with a committee gives YOU AN OPPORTUNITY to be involved and contribute.

TREGIONAL

COMMITTEES

Northern

Southern

Eastern

Western

STANDING

COMMITTEES

Policy

Practice Advisory

Public Engagement

Conduct & Ethics

Tertiary Education

& Research

Member

Engagement

Women in

Chiropractic

Continuing

Professional

Development


for the profession, but may contribute to a defragmentation of profession related interests through a focus on special populations (for example - clinical neurology, paediatrics, sport) in the absence of specialisation under National Law in Australia. The profession doesn’t currently have a simple method for the demonstration of advanced skills and recognition in standardised, post-professional training and AICE is looking to address this. The advanced learning pathways and competencies are envisaged to include:1. professional behaviours of a special

interest chiropractor;2. communication skills of a special

interest chiropractor;3. knowledge, science and advanced

skills in information retrieval and analysis in the special population managed by the chiropractor the application of evidence-based practice;

4. skills in relevant chiropractic, allied health and medical assessment;

Renew your Membership for 2018-19chiropractors.asn.au/renew [email protected] 1800 075 003

For more information on the member services available to you and to view videos from members

on how ACA is supporting them in practice visit

chiropractors.asn.au/membership

The profession doesn’t currently have a simple method for the demonstration of ADVANCED SKILLS AND RECOGNITION IN STANDARDISED, post-professional training and AICE is looking to address this.

5. skills in clinical reasoning;6. skills in development and

application of an optimal chiropractic intervention and prevention plan;

7. advanced skills in the evaluation of effectiveness, efficiency and cost effectiveness of chiropractic and other interventions relevant to the discipline;

8. ability to contribute to multidisciplinary heathcare team management, where appropriate at a leadership level; and

9. skills in service delivery and quality improvement processes.

The intent is to provide the profession, and the public, with further confidence in what chiropractors provide within the Australian healthcare system through this profession-led approach to advanced learning and is based on existing successful models. More information will be made available and the formal launch of AICE is envisaged at the Annual Conference in Hobart.


EXCELLENT MEMBER SERVICES CHIROPRACTORS' HR SERVICE

2018

SATURDAY 18 NOV.

8.30AM Registration

12.5 FLAHOURS

8.30AM - 5.00PM Afferentate and Integrate Session

5.00PM - 5.45PM SOTO Annual General Meeting

6.00PM - 10.30PM Saturday Night Function

SUNDAY 19 NOV.

8.30AM Registration & Light Breakfast


SOTO delegates can book a room at QT Gold Coast for just $189 p/n with a Bazaar Breakfast for just $25p/h. Quote - SOTO Conference on booking. Call (07) 5584 1200 for reservations.


Post of the Month@kcsportschiro

CONGRATULATIONS | On behalf of the team @kcsportschiro we would like to wish our good friends @mrtimrobards and @annaheinrich1 a very happy life together as husband and

wife. Our very own @luke.khoury and Naomi seem to be enjoying their time over in Italy as well. Luke will be back in

Potts Point and Kogarah next week!

s a former Dean and Academic at Murdoch University, I

knew Ben and many others in the renewals video. It was very satisfying to see them reach their goals of becoming a chiropractor, getting involved in the areas of their interest and providing the high-quality of care required by our patients. It is my opinion that we need to support the future generations of chiropractors as those fabulous chiropractors did for many of us. We have advanced our place in healthcare in so many ways due to the sacrifice of many. However, we still have so far to go.

We often rest on our laurels and, individually, in our own practices are very successful but there is more to it than that. Just as we mature as an individual, most of us move from a self-centred approach and philosophy to one of consideration and actions for

A T

others first. Altruism is a key characteristic of a professional and we need to discuss, nurture and practice more of this characteristic. This is just one example of our profession stepping out of their practices to help patients and promote our profession.

One of the best rewards as an academic and administrator, though there are many, is to see people find their passion and complete their dreams far

2018

SATURDAY 18 NOV.

8.30AM Registration

12.5 FLAHOURS


5.00PM - 5.45PM SOTO Annual General Meeting

6.00PM - 10.30PM Saturday Night Function

SUNDAY 19 NOV.

8.30AM Registration & Light Breakfast


SOTO delegates can book a room at QT Gold Coast for just $189 p/n with a Bazaar Breakfast for just $25p/h. Quote - SOTO Conference on booking. Call (07) 5584 1200 for reservations.

his spinal health week was the best one yet. The conditions

highlighted are issues that are pertinent within our practice. It was so great to use the media collateral to help educate everyone. We loved this campaign and have made all the postures a permanent part of our practice along with the pull-up banner which has been placed in our front window for all to see. We are located on a busy main road and we are excited that so many people will be reading the statement “chiro can help”. This tag line is perfect. It covers so many aspects in life and is so specific, yet so general all at the same time. I loved how you chose such basic health conditions to target in order for all generations to relate. Thanks so much for this year's campaign. It will be a massive challenge for you to do better next year!

LETTERS TO THE EDITORRegular Section

above what they imagined. I am so proud to see what everyone is doing in our profession in so many ways and to know that it is in such good hands. I want to thank you for your dedication and service to helping people and driving our profession to new heights so that more will know about what we have to offer in healthcare. Well done and thanks Ben and the ACA.

DR NICOLA OAKLEY, SADR BRIAN NOOK, WA


We represented Queensland members to an audience of 15,000 at the Pregnancy Babies and Children's Expo 2018 held at the Brisbane Convention and Exhibition Centre on 15-17 June.

With a myriad of brands and organisations taking part, it was an important opportunity to get out in the community and showcase our profession and reiterate the message, that ‘Chiro Can Help’ support spinal health.

This event has become a regular part of public engagment activities for the Northern Region, not only do we receive great feedback from the public about chiropractic to support our endeavour, but we are able to highlight how ‘Chiro Can Help’

all the family. In addition to our stand this

year, our promotion incorporated Spinal Health Week posters on display, a take away brochure on spinal health tips for both pregnancy and post-birth, along with handing out a flyer and fridge magnet which promote spinal health for all the family and will serve as a reminder for people to ‘Locate a Chiropractor’.

Each year, we have an amazing group of members volunteer to supervise the stand in shifts across the three day event. We thank each of these volunteers for their professionalism and for assisting to promote a positive chiropractic message to the community in Queensland.

Brissie to Bay Bike Ride

PRIMARY HEALTH NETWORKS (PHN) VIDEO

UPCOMING ACTIVATOR SEMINAR

PREGNANCY, BABIES AND CHILDREN’S EXPO – BRISBANE

There were ten enthusiastic chiropractic science students who volunteered at the recent MS Queensland Brissie to Bay Bike Ride, held Sunday 17 June in Brisbane.

The Brissie to Bay Bike ride provided students with a fabulous opportunity to support their community and assist those participating in the event who were raising funds for an important cause.

Chiropractic Science lecturer Dawn Dane said a total of 120 cyclists were treated on the day under the supervision of the Chiropractic Science faculty.

“Around 5,000 cyclists rode a range of distances from 10-100 kms on a cold and windy day and were very happy to see our enthusiastic students for some musculoskeletal attention afterwards,” Ms Dane said.

“Our students offered a mix of soft tissue massage, stretching, taping and gentle mobilisation techniques.”

“It was a great opportunity for our students to build their hands-on skills as well as learning about the management of sore and tired athletes immediately following sporting events”, she added.

CAAQLD has been working in collaboration with Brisbane South PHN and the Brisbane South PHN Allied Health group to produce a series of videos for GP’s and health professionals – ‘Quick 3 with AHP’s’.

Each short video outlines key information about each profession including an overview of the profession, services

offered, training, access/referral pathways, treatment, patient outcomes, costs and how to access the service.

Filming on the chiropractic video took place in January, with final editing now complete. The video will be made available soon through the PHN, accompanied by a downloadable fact sheet. www.bsphn.org.au

In collaboration with CQUniversity and Guild Insurance, Northern Region members can attend a FREE activator seminar on 21-22 July in Brisbane.

The seminar will be taught by Dr Mark Feldman and has been

approved for 12.5 FLA hours.Spaces are limited and are

filling up fast. To register members can

contact the Northern Regional Office on 07 5632 8884 or complete a registration form at: www.bit.ly/2MMOrJ8

NORTHERN NEWSQLD and NT


Recently we held a celebration to commemorate the End of Era, in terms of the history of Victorian chiropractors associations in their many forms, dating back to 1943 and the beginning of an important new chapter with a newly formed single body.

There was acknowledgement of the many achievements, including registration of chiropractors, the creation of the first government funded chiropractic program, third party insurance cover, etc.

We also acknowledged the contribution of Association staff through the years but more importantly the incredible contribution of those many chiropractors who have selflessly and passionately given back

to their profession to foster its continued development and growth. Almost ironically, the common message from those volunteers present was that they received back far more than they gave.

A special acknowledgement was reserved for Dr Andrew Lawrence, who has been a wonderful servant of the profession over many years. Moreover we thank him for his invaluable stewardship of the CAA during the recent years, even when the profession faced its greatest external challenges.

It was a very enjoyable evening for all, with many reconnections between old friends and the making of new ones.

HEALTH SECTOR LEADERSHIP PROGRAM

DR MARIO STEFANO ON 9 NEWS ADELAIDE

RMIT - PRACTICE MANAGEMENT COURSE

End of Era Celebration

Dr Mario Stefano, Chair of our Public Engagement Committee, was featured on 9 News Adelaide last week discussing back pain.

"70-90% of the population [suffer] at some point in their lives. It doesn't really tell the true story because there are lots of people right now that don't have back pain but they're suffering with spinal problems that prevent them from doing things that they like doing" said

Dr Stefano, speaking of the wide-reaching effects of lower back pain on Australians.

This year we again assisted RMIT in delivering the Practice Management course (PMC) to its 5th year chiropractic students.

Every chiropractor, whether principal, associate or locum, knows that they operate in the small business environment which involves dealing with a wide range of business issues on top of maintaining their clinical expertise.

The PMC covers a range of business areas that the new graduate is likely to confront in practice. Such areas include basic business principles,

communication, insurance, accounting and finance, industrial relations issues, marketing and the raft of compliance issues that confront a registered chiropractor. It is designed to expose the final year students to these subjects in order to prepare them and ease their transition from student to practitioner.

We would especially like to thank those members who donated their time to present to the students; Drs Anthony Coxon, Bianca Dobson, Nicola Steward and Marcus Yeo.

We are delighted that Guild Insurance is continuing its great support of the Health Sector Leadership Program.

The program is designed for health professionals who are ready to start their leadership journey. It brings together recent graduates from across seven different health professions and with the experts from Leadership Victoria will over the next five months take them through a series of modules covering issues such as ethical leadership, communications, influence and resilience.

This year we were delighted to offer places to Drs Angie Acquilina, Eleanor Caffra, Sarah Jane Perri and Jessica Sexton.

It is important to note that building on the strength of this program, there are now alumni who will work to continue communication between tomorrow’s leaders.

Furthermore, we have just had the first meeting of the Presidents of the various associations involved in the program to discuss matters of mutual interest.

SOUTHERN STARVIC, SA and TAS


Many of us are in the business of chiropractic to make change to change people’s health, wellbeing and lives. Academics and teachers are actively involved in the change process; changing the minds, hands and hearts of would-be chiropractors into the graduates of tomorrow.

This August, on Saturday 25, we offer the opportunity for all chiropractors, Macquarie and SCC alumni to priorotise research, link our past and present to the future, at the 'Adjusting our Future' gala – a once in a generation event. This event will be the springboard launch of the Macquarie Chiropractic Alumni Research Fund and will introduce Simon French, the new Professor of Musculoskeletal Disorders to all.

Our vision is to improve the musculoskeletal health of the community, to undertake research that will advance knowledge in musculoskeletal health, improve clinical practice, inform healthcare policy, and improve the health outcomes of the community.

In order to achieve this vision, we need funding to support researchers to conduct high

quality research. With financial support, we can invest in young researchers to undertake critical work to underpin the quality and veracity of chiropractic practice for years to come”, said Professor French.

While Australia leads the world in many areas of healthcare research, investment in research underpinning chiropractic practice is falling behind. In order to survive the increasingly competitive academic research environment, our profession must increase our research productivity.

Enjoy a very different venue, the Arthouse Hotel, in Pitt Street Sydney with entertainment for a fun cocktail party to be able to mingle with academics, laugh with friends and relax with like-minded guests. The evening will truly be worthy of everyone’s time and a night to remember.

During the day is tCa’s Topics in Contemporary Chiropractic Seminar: The Pregnant Spine. Speakers and details are found at thechiropracticalumni.org.au

See what the leaders of our profession are saying at thechiropracticalumni.org.au/research

AUSTRALIAN HONOURS'Adjusting our Future' Gala Launch!

DR DENNIS RICHARDS - OAMOn the Queen's Birthday, Dr Dennis Richards (NSW) was awarded Medal of the Order of Australia in the General Division (OAM), for his service to the chiropractic profession.

Dr Richards has held a number of leadership roles, most notably as the President of CAA (2005-2009) and also the WFC (2012-2014).

He received the CAA Chiropractor of the Year Award in 2001. Dennis is currently completing a PhD through Southern Cross University.

DR PETER COWIE - OAMDr Peter Cowie (NSW) was awarded Medal of the Order of Australia in the General Division (OAM), for his service to the chiropractic profession.

While currently serving as Treasurer and Councillor/Director at the Council on Chiropractic Education Australasia, Dr Cowie has also served in a number of leadership positions. These include the CAA, the Chiropractic Council of NSW and the Chiropractic Registration Board of NSW. Peter was also awarded CAA Chiropractor of the Year Award in 2002.

CARING FOR OUR BABY BOOMERS

Australia is being transformed by population ageing. Specialised knowledge of this demographic is required by a wide variety of professions, including chiropractic.

SPEAKERSWe are joined by Dr Johanne

Brady, researcher in behavioural and social sciences, and chiropractor Dr Taylor Harrison.

DATE AND VENUEThe seminar will be held on Saturday 15 September 2018 at CQU Sydney campus, Sydney.Save the date!

EASTERN ENQUIRERNSW and ACT


Nominations now open for the 2018 WA Chiropractor of the Year and WA Young Chiropractor of the Year.

Presentation of the awards will be made at the members Masquerade Ball on 4 August 2018 at the Crown Towers, Perth.

The recipients of the awards shall receive a plaque recognising their achievements and a Crown voucher sponsored by HBF.

CRITERIA - YOUNG CHIROPRACTOR OF THE YEARThe award recognises a chiropractor in their first five years of practice who has made a significant contribution to the profession of chiropractic in a 12 month period. The contribution is based on any combination of the following: • community involvement;• research involvement;• association involvement;• involvement on other boards

or committees; and• was a financial member of the

Chiropractors' Association of Australia (WA) Ltd in 2017/18

CRITERIA - CHIROPRACTOR OF THE YEAREach year the Chiropractor of the Year is awarded to a member of the CAA (WA) who has made an outstanding contribution to the profession, the association and the community. The Chiropractor of the Year should be someone who has made a significant contribution to the profession of chiropractic.

This contribution could be based on any combination of the following: • community involvement, (e.g

Outreach Programs, Public Education/Engagement);

• research involvement;• association involvement;• years of service;• involvement on other boards

or committees; and• was a financial member of the

Chiropractors’ Association of Australia Ltd in 2017/18.

Email the Western Regional Office ([email protected]) to request a nomination form.

Nominations close at 5.00pm on Monday 23 July 2018 (WST).

WA Masquerade Ball

WA YOUNG CHIROPRACTOR AND CHIROPRACTOR OF THE YEAR AWARD

You are invited to a mysterious and enchanting evening filled with good food, friends and surprises.

VENUEThe event will be held in Ballroom 3 & 3A at the Crown Towers, Perth. A special accommodation package has also been pre-arranged for members that want to stay the night.

EVENT DETAILSPre-Dinner Drinks from 7.00pmBanquet Entry from 7.30pm with a sit down three course alternating.

DINNER MENUDrink Package includes beer, wine and soft drinks only.Special DOOR draw during the evening to win a Fiat 500.

SPONSORSThe event would not be possible without the sponsors. This year we thank Barbagallo Motors, Guild Insurance and HBFTickets are $190 per person - all inclusive.

Contact the Western Regional Office on 08 9386 2525 for more details.

WESTERN WEEKLYWA


he Australian Chiropractors Association (ACA) is the leading voice for chiropractors

in Australia, a member-centric organisation actively working to further the profession of chiropractic. Our intent is to improve the general health of all Australians.

By offering high quality, non-surgical, drug-free spinal healthcare and lifestyle advice, chiropractors help Australians lead and maintain healthy lives. It is recognised that within the chiropractic profession is a diversity of beliefs and values. However, the primary consideration of all chiropractors must be the wellbeing of patients and the promotion of health in the community. The ACA bases its direction on professionalism, thought, action and outcome.

To achieve this, we are committed to acting as the strongest advocate for the chiropractic profession, playing an integral role in promoting solutions to issues that affect chiropractors and the health of Australians. This advocacy role is anchored by a commitment to productive relationships, the promotion of quality standards and ensuring that members experience

excellence with the ACA.We work with government and other

stakeholders to influence health policy for the future, to promote neuro-musculoskeletal health outcomes to the community at large and to ensure that Australians appreciate the benefits of chiropractic and its importance for their overall health.

The ACA recognises the importance of growing the membership through relevance and value, and continuing to evolve as a professional association within Australia.

The ACA recognises and supports the following attributes:

PROFESSIONAL• The highest standards of ethics

and professionalism in all areas of research, education and practise.

• Chiropractors as the leaders in high quality spinal health and wellbeing.

ACCOUNTABLE• A commitment to evidence-based

practice – the integration of best available research evidence, clinical expertise and patient values.

SUPPORTIVE• The profound significance and value

TOUR PURPOSE

Our purpose is

to ensure that

more Australians

experience

the benefit of

chiropractic care.

OUR VISION

More Australians

value and

experience

chiropractic care

for their health

and wellbeing.

OUR MISSION

Supporting

chiropractors,

Enhancing health.

of patient-centred chiropractic in healthcare in Australia.

• Inclusiveness and collaborative relationships within and outside the chiropractic profession.

AIM - ADVOCACY AND RESEARCHTo be the strongest advocate for the chiropractic profession and ensure advocacy delivers value for members and the community.

OBJECTIVES1. Our advocacy targets issues that

impact the neuro–musculoskeletal health and overall wellbeing of Australians and the professional lives of chiropractors.

2. Build a strong evidence-base to underpin advocacy.

3. The ACA is represented at all key forums and our view is actively sought.

4. Members are actively and appropriately engaged in advocacy activities through a systems approach.

5. The profile of the ACA Brand is increased.

AIM - LEADERSHIP AND MEMBER SERVICEThe ACA is the recognised leader

ACA Strategic Plan2018 - 2023

LEADERSHIP STRATEGIC PLAN

DR MATTHEW FISHER


ACA

…DRIVE THE ACTIONS OF THE ACA IN PURSUIT OF OUR VISION

OUR VALUES

in the development and promotion of standards that apply to the chiropractic profession and spinal health.

OBJECTIVES1. Promote and support excellence in

chiropractic practice.2. Develop and provide a structured

skills development pathway for members.

3. Develop and review a range of quality care statements and practice guidelines to assist members to provide patient-centred quality care.

4. Actively participate in appropriate forums for the benefit of the profession.

AIM - LEADERSHIP AND ADVOCACYWorking with members and stakeholders to promote the ACA and its goals.

OBJECTIVES1. Engage members in promoting the

profession and its interests.2. Promote an organisational and

professional culture of engagement3. Consistent ACA messaging.4. Support collegiality through

networking and engagement opportunities for the profession.

5. Enhance and leverage relationships with partners

AIM - ADVOCACY AND PUBLIC ENGAGEMENTTo promote neuro-musculoskeletal and other positive health behaviours by Australians through awareness, participation and education.

OBJECTIVES1. Raise community awareness of the

benefits of chiropractic care.2. Actively promote the benefits of

consulting a chiropractor.3. Support government policies and

programmes which improve access to chiropractic care for enhanced spinal health and wellbeing.

4. Improve inter-professional collaboration to enable integration of chiropractic care as part of the patient management team.

5. Support research that builds the evidence base for chiropractic care.

AIM - MEMBER SERVICESProvide services that support members to make their practice life easier.

OBJECTIVES1. Identify and deliver resources

to support members in their

STRATEGIC PLAN REGULAR SECTION

professional lives.2. Deliver a member experience that

increases the value and satisfaction for members through a segment-based approach.

3. Through appropriate systems, create personalised support platforms to deliver greater value.

AIM - GOVERNANCEThrough our culture and business acumen, ACA invests in our people, technology, systems and other assets to execute our strategy through enhanced capacity and capability.

OBJECTIVES1. Continue our governance model in

alignment with best practice.2. Foster a culture for the

organisation that is consistent with our strategic plan.

3. Continue to develop capability in technologies and skills to deliver strategic outcomes.

4. Manage our business and finances responsibly to increase funds available to support ACA activities.

5. Align our people resource management with our strategic goals.

6. Promote strong local action under a national framework.

INTEGRITY

inclusive

respect

ethical

SUPPORT

teamwork

progressive

collaborative

ACCOUNTABILITY

transparent

responsibility

LEADERSHIP

professionalism

collaborative

representative

progressive

Lead

ersh

ip

Mem

ber S

ervic

e

Adv

ocac

y

Publ

ic En

gage

men

t

Res

earc

h

Gove

rnan

ce

NOTICE OF ANNUAL GENERAL MEETINGNotice is given that an Annual General Meeting of the members of the company will be held on:

Date: Friday 19 October 2018

Place: Hotel Grand Chancellor, 1 Davey Street, Hobart

Welcome Drinks: 6.00pm - 7.00pm

AGM Registration: 7.00pm - 7.20pm

AGM: From 7.30pm

Register: [email protected]

chiropractors.asn.au/agm

Supporting chiropractors.Enhancing health.

Online Theory plus face to face Practical

DRY NEEDLINGCOURSES

AdvancedCourse

SPECIAL$350

2018 Intro & Advanced Courses

(Practical Intro: Fri pm 3-hrs & Saturday 9-hrs. Advanced Sunday 8-hrs)

Sydney: July 20/21/22 and Sept 7/8/9 and Oct 19/20/21

Melbourne: August 10/11/12 and Oct 5/6/7 and Nov 23/24/25

Perth: Sept 14/15/16 and Nov 9/10/11

Brisbane: July 27/28/29 and Sept 14/15/16 and Nov 16/17/18

Adelaide: Oct 12/13/14

VISIT www.cpdhealthcourses.com TODAY!

This program has been assessed by the Chiropractors’ Association of Australia (National) Ltd, an approved assessing body of the Chiropractic Board of Australia and allocated 16 & 14 Formal Learning Activity Hours


he restructuring of the CAA into the ACA brings about several changes, including a changing of

the guard. With the election of Dr Anthony Coxon as President, we wish to appreciate Dr Andrew Lawrence for his term as both Deputy-President and President over the past three years.

Dr Lawrence has been a pillar of the chiropractic profession in Australia, serving numerous times on the Board and as President in 1987-1989 (of the original ACA) and again in 2001-2005. Andrew joined the Board most recently in 2012, on the basis that he wouldn’t be President but things didn’t work out that way.

Andrew decided to put his hand up for President again in 2015, as he felt that he had the skills, experience and

stabilising influence the Association needed at the time. Dr Lawrence was first elected Deputy-President in October 2015 during a vacancy in the position of President, before being elected and taking on the Presidency in October 2016.

“Andrew has great intelligence both intellectually and emotionally; he gives matters deep consideration and can guide decision making even when it is a tough call,” said ACA CEO Dr Matthew Fisher.

“Maybe MacArthur got it right - 'A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the equality of his actions and the integrity of his intent.' I have

observed great integrity” he said.Since becoming President for

the third time, Dr Lawrance has steered the organisation through the restructure process and some difficult situations for the profession and remains a member of the Executive Committee of the ACA Board.

“As an incoming President I get the inside view on how the ACA/CAA company has been managed under the stewardship of Dr Andrew Lawrence. It’s comforting to know that under his watch our Association is in a strong position today,” said new President Dr Anthony Coxon.

“Andrew’s legacy will be that as Deputy-President and President, has directly oversighted from a loss of ~$471k to surplus. He was strong enough in his convictions to make unpopular decisions that raised the bar of professionalism at a time when we were under intense negative pressure.

“Over the next years I believe you will see the ACA go from strength to strength. This could only have be made possible with a strong foundation, that has been built under Andrew’s leadership”, he said.

Believing he still has much to contribute to the profession, Andrew sees himself as a resource and advisor for younger chiropractors for years to come. The ACA Board and staff wish to thank Dr Lawrence for his service to the Association and the chiropractic profession in Australia.

ARIEL TATE

T

MEMBER HIGHLIGHT LEADERSHIP

Dr Andrew Lawrence

Honouring Past-President

ANDREW HAS GREAT INTELLIGENCE BOTH INTELLECTUALLY AND

EMOTIONALLY; HE GIVES MATTERS DEEP CONSIDERATION AND CAN GUIDE DECISION

MAKING EVEN WHEN IT IS A TOUGH CALL.


nsettled infant behaviour and colic are terms used to describe a range of behaviours in infants aged up to 12 months that include prolonged episodes of crying, difficulties with

sleeping and/ or feeding. A baby may cry under normal circumstances including when they are hungry, wet or tired. While there remains no consensus on classification, excessive crying from colic often occurs at the same time of day, often late afternoon or evening, with the most widely used definition of colic reported as unexplained episodes of paroxysmal crying for more than three hours for three days per week for at least three weeks.1 While fewer than 5% of distressed infants are reported to have identifiable medical explanations, consideration should be given to medical assessment in order to exclude conditions that may require further investigation and treatment.2 It is also important for clinicians to be aware that colic normally peaks at six to eight weeks with symptoms spontaneously decreasing by three to four months.3

In this article, we examine the evidence base for manual therapy for unsettled infant behaviour or colic in light of a systematic review published in BMJ Open in February: Manual therapy for unsettled, distressed and excessively crying infants: a systematic review and meta-analyses.4

To provide context for the recent systematic review, we will first re-examine the evidence base for manual therapy to treat unsettled infant behaviour or colic as described in the CAA Research Summary and Strategic Research Opportunities 2016 (RSSRO).

This topic has proved to be a controversial one for chiropractors, not least because of advice published by the Chiropractic Board of Australia in March 2016 when it stated:

“Patients must be adequately informed when making healthcare choices. Advertisers must ensure that any statements and claims made in relation to chiropractic care

do so5 (available from our website). The RSSRO was also featured in the June 2018 edition of The Australian Chiropractor.

One purpose of the RSSRO is to empower chiropractors to understand the current evidence in relation to public claims of effectiveness, and how to communicate the quality of this evidence to patients. The method used to rate quality of evidence in the RSSRO and Carnes et al., follow from Bronfort et al. (2010)6 and Clar et al. (2014).7

Appendix 1 of the RSSRO (p. 44) outlines the level and quality of evidence with recommended actions that each level of evidence will support (see table 1):

INFANTILE COLIC: SPINAL MANIPULATIVE THERAPY AND MASSAGEThe RSSRO states the following in relation to colic:

WHAT IS KNOWNThere have been two high-quality systematic reviews to assess the effectiveness of SMT for colic.8,9 Both systematic reviews found limited evidence to support manual therapy as a more effective intervention than sham therapy for the treatment of colic.

Dobson et al. (2012) in their review of the evidence concluded: “Quality of the evidence is mixed: the studies included were generally small and methodologically prone to bias, which makes it impossible to arrive at a definitive conclusion about the effectiveness of manipulative therapies for infantile colic. Taken together, the evidence seems to suggest that there may be benefits in terms of reduction in crying hours from low-quality evidence for a reduction in daily hours of crying of over one hour and for a greater proportion of patients reporting resolution of their infants colic symptoms. The majority of the included trials appear to result in significant reductions in reported crying hours per day and in a greater proportion of parents reporting clinically significant reduction in daily crying.

If one excludes the poorer-quality evidence, these benefits do not reach statistical significance: most studies had a high risk of performance bias introduced, owing to the fact that the

MANUAL THERAPY FOR UNSETTLED, DISTRESSED AND EXCESSIVELY CRYING INFANTS

TRANSLATING EVIDENCE INTO CLINICAL PRACTICE

U

ADVOCACY POLICY

ARON DOWNIE, CRAIG MOORE AND BERNARD RUPASINGHE

are not false, misleading or deceptive or create an unreasonable expectation of beneficial treatment.

The Board is concerned about a number of practitioners who are making claims in advertising that there is a relationship between manual therapy (such as manipulation) for spinal problems and achieving general wellness or treating various organic diseases and infections. Furthermore, they are concerned about advertising claims suggesting that spinal problems may have a direct role in various organic diseases and infections. It is important to note there is insufficient scientific evidence to support these claims.

Of particular concern is the number of treatment claims in advertising relating to infants and children. Claims suggesting that manual therapy for spinal problems can assist with general wellness and/or benefit a variety of paediatric syndromes and organic conditions are not supported by satisfactory evidence. This includes claims relating to developmental and behavioural disorders, ADHD, autistic spectrum disorders, asthma, infantile colic, bedwetting, ear infections and digestive problems."

RESEARCH SUMMARY AND STRATEGIC RESEARCH OPPORTUNITIES 2016If you have not already read the RSSRO document we strongly recommend you


• it does not support public claims regarding effectiveness;

• to recommend an effective alternative to patients if available; and

• to advise patients that this is a treatment option in the absence of an effective treatment.

WHAT DID THE RECENT SYSTEMATIC REVIEW AND META-ANALYSES FIND?More recently, Carnes et al. (2018)4

conducted a systematic review and meta-analyses to assess the effectiveness of manual therapy for healthy but unsettled, distressed and excessively crying infants. They also provided information to help clinicians and parents provide care decisions.

Nineteen studies were included, and consisted of seven randomised controlled trials, seven case series, three cohort studies, one service evaluation study and one qualitative study.

In conclusion the authors state:“We found moderate favourable evidence for the reduction in crying time in infants receiving manual therapy care (around 1 hour per day), but this may change with further research evidence. We still do not know if this result is meaningful to parents or if the reduction is due to the manual therapy component of care or other aspects of care. For other outcomes, the strength of evidence was low and inconclusive.”

It is important to note the strengths and limitations of this study as described by the authors, in particular:• “meaningful outcomes for parents

with distressed, unsettled and excessively crying infants were investigated to help inform their decisions about seeking manual

therapy care for their infants;• compiling evidence for distressed,

unsettled and excessively crying infants based on multiple ‘clinical diagnoses’ using varied definitions is difficult;

• the mechanism of action of complex interventions was not explained by the pragmatic research investigations used in this review; and

• low to moderate quality studies limited the certainty of conclusions, suggesting they are liable to change with further research.”

CONCLUSIONIn summary, Carnes et al. (2018) offers equivocal support for the management of unsettled babies using manual therapy. This result is unlikely to provide sufficient support or justification for the Chiropractic Board of Australia to change its stance as regards advertising. In other words, advertising claims that suggest manual therapy can assist with unsettled infant behaviour or colic are not supported by robust evidence, so cannot be made.

Practitioners should note that where better evidence for care for managing colic and/or excessive crying exists outside of chiropractic then patients should be advised of this. If not, a trial of manual care can be discussed after an explanation of the current evidence on effectiveness and safety is provided.

Since publication of the recent systematic review there has been discussion about whether this new evidence provides evidence for safety relating to treatment by manual therapy. Although the review reported adverse events, the study design (type of study) was not sufficient to test safety of any particular intervention. The authors extracted data on adverse events, as reported by primary studies, to conclude that manual therapy is a relatively low risk intervention. However, they argue the need for better study designs that focus on adverse events in children before robust conclusions about treatment safety can be made.

assessors (parents) were not blind to who had received the intervention and when combining only those trials with a low risk of such performance bias, the results did not reach statistical significance. We cannot quantify any risk of adverse effects when using manipulative therapies for the treatment of infantile colic.”

In addition, a Miller et al. (2012)10 conducted a single-blind randomised trial to test the efficacy of manipulative therapy for the management of infantile colic. They reported no adverse events, and a positive effect after controlling for performance bias (parent assessors). However, study limitations were small sample size and (early) discharge of patients part way through the study due to early improvement (i.e. any relapse was not recorded). The authors concluded that rigorous randomised trials to track adverse events with parental blinding were required to advance the field.

These examples highlight methodological limitations within the current literature on this topic. When combined with the lack of high-quality basic science research needed to underpin biological mechanisms associated with this type of treatment, caution must be exercised when recommending this type of care for infants with this presentation.

EVIDENCE RATINGIn summary, the RSSRO reported ‘favourable inconclusive evidence’ for cranial osteopathic manual treatment, massage and spinal manipulation for the treatment of infantile colic.

From Appendix 1 of the RSSRO, ‘favourable inconclusive evidence’ means:

POLICY ADVOCACY

REFERENCES:1. Wessel MA, Cobb JC, Jackson EB, et al. Paroxysmal fussing in infancy, sometimes called ‘colic’. Pediatrics 1954; 14:421–435.

2. Savino F, Tarasco V. New treatments for infant colic. Current Opinion in Pediatrics 2010; 22: 791-7.

3. Keefe MR, Kajrlsen KA, Lobo ML, et al. Reducing parenting stress in families with irritable infants. Nurs Res 2006; 55:198–205

4. Carnes D, Plunkett A, Ellwood J, et al. Manual therapy for unsettled, distressed and excessively crying infants: a systematic review and meta-analyses. BMJ Open 2018;8:e019040. doi:10.1136/bmjopen-2017-019040.

5. Available at https://chiropractors.asn.au/images/CAA_Research_Summary_and_Strategic_Research_Opportunities_2016_v1.1.pdf

6. Bronfort, G., et al., Effectiveness of manual therapies: the UK evidence report. Chiropractic & Osteopathy, 2010. 18: p. 3–33.

7. Clar, C., et al., Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report. Chiropractic & Manual Therapies, 2014. 22(1): p. 1–34.

8. Ernst, E., Chiropractic spinal manipulation for infant colic: a systematic review of randomised clinical trials. International Journal of Clinical Practice, 2009. 63(9): p. 1351–1353.

9. Dobson, D., et al., Manipulative therapies for infantile colic. Cochrane Database Syst Rev, 2012. 12: p. CD004796

10. Miller, J.E., Newell, D. and Bolton, J.E., Efficacy of chiropractic manual therapy on infant colic: a pragmatic single-blind, randomized controlled trial. J Manipulative Physiol Ther., 2012. 35(8): p. 600–607

Table 1: Rating level of evidence - definitions

Level of Evidence Actions Supported

High- and moderate-quality POSITIVE evidence

• Support public favourable claims regarding effectiveness• Advise patients that this is an effective treatment choice

Inconclusive favourable evidence

• Do not support any public claims regarding effectiveness• Recommend an effective alternative if available• Advise patients that this is a treatment option in the absence of an effective treatment

Inconclusive evidence in an unclear direction

• Recommend effective alternative if available• Advise patients that the effectiveness of this treatment option has not been established

Inconclusive non-favourable evidence

• Advise patients that this treatment option is unlikely to be effective• Recommend effective alternative if available

High- and moderate-quality negative evidence

• Advise patients against this as a treatment option• Recommend effective alternative if available

From: Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropractic & Osteopathy, 2010;18:3.


PUBLIC ENGAGEMENT CAMPAIGNS

SPINAL HEALTH WEEK SUCCESS


pinal Health Week is our flagship public education campaign and in 2018 used the theme ‘Chiro Can

Help’ to help Australians discover how chiropractors can help improve their quality of life. Held 21-27 May, this year’s campaign highlighted some common symptoms that prompt people to visit a chiropractor, such as neck and back pain. By using common characteristics of modern life, such as phone usage and binge watching, we aimed to educate the public on the benefits of chiropractic care in a creative and relevant way.

“I feel the theme was relevant and applicable for the average person and led to good discussion with patients as well as creating interest,” said Dr James Farmer from Maryborough, Queensland.

Many of our members took part wholeheartedly and we were delighted to see the high level of participation. We saw our members engaging with the campaign by putting up posters, wearing Spinal Health Week t-shirts, raising awareness using local media and posting thought-provoking content on social media.

It was great to see the resources provided by CAA National put to good use for the campaign. “The videos and social media images were great and easy to share and get the message across, said Dr Eleanor Cafra from Tullamarine, Victoria.

We were very pleased with this year’s media coverage, with almost 300 positive articles in online news and newspapers, up from 91 last year. This

S

282

242

339

273

113

480POSTS ON FACEBOOK

NEWSPAPER/ONLINE ARTICLES

COLOURING COMPETITION ENTRIES*

POSTS ON INSTAGRAM

VISITS TO LOCATE A CHIROPRACTOR

ONLINE COMPETITION ENTRIES*

246,620CAA’S TOTAL SOCIAL

MEDIA REACH

75,882CAA’S VIDEO

VIEWS

8,501CAA’S TOTAL SOCIAL MEDA ENGAGEMENT

4,703VISITS TO THE

SHW WEBSITE*

CAMPAIGNS PUBLIC ENGAGEMENT

ARIEL TATE

FIGURES ARE FOR SPINAL HEALTH WEEK: 21-27 MAY 2018. * INDICATES FIGURES FOR CAMPAIGN LEAD-UP: 1 MARCH-31 MAY 2018.


IN THE MEDIA

$699*

Super Saver23/10/17 - 3/08/18

$1099*

Standard7/9/18 - 19/10/18

$899*

Early Bird4/08/18 - 6/09/18

www.caaannualconference.com.au*Prices shown are for standard CAA members

Register now & save $400*

Positive Ageing Full Page Ad.indd 1 31/05/2018 1:35 pm

positive media response to SHW has been a testament to the collective hard work put in by so many members across Australia. Many thanks and congratulations to everyone who contributed.

This year we released a series of videos which recieved over 75,000 views across our social media channels, up from 44,000 last year. Approximately 250,000 Australians saw one of our social media posts and just under 5,000 visited our campaign website.

The online presence of Spinal Health Week continues to grow and this year we had almost 900 social media posts using our campaign hashtag #ChiroCanHelp, up from 580 last year. “The social media templates and images were helpful and made it easy to schedule posts for the week”, said Dr Aisha Strand from Mortdale, NSW.

PUBLIC ENGAGEMENT CAMPAIGNS

THE SOCIAL MEDIA TEMPLATES AND IMAGES WERE HELPFUL AND MADE IT EASY TO SCHEDULE POSTS FOR THE WEEK.

Dr Lindy Kuburic from Balance For Life Chiropractic in Castle Hill, NSW won a $200 gift card as well as a full set of SHW promotional material. Their clinic encouraged patients to take a photo with ‘chiropractic’ props which were then placed in a #ChiroCanHelp frame and posted onto their Facebook and Instagram accounts. Congratulations to the Balance for Life Chiropractic team and thank you to all the members who participated.

As part of our commitment to providing high-quality public education campaigns, we sought members’ feedback on this year’s campaign. 84% of members were satisfied with this year’s theme. The videos were particularly well received by members, with the only negative feedback being that they weren’t on television. “I loved the video and the comedy feel it had to common issues that people can relate to”, said Dr Karina Drake from Terrey Hills, NSW.

We would like to thank all members for sharing our posts and also contributing to their own social media accounts and websites throughout the week.

To celebrate SHW we ran several competitions. We received 236 colourful entries for our childrens colouring competition. This year our lucky winners received a pair of Vivobarefoot shoes from the kids Primus range, valued up to $129.95.

We received over 100 entries for our online competition, asking participants to tell us in 50 words or less how ‘Chiro Can Help’ improve their quality of life. Our three lucky winners are: Simon Aird, SA (iPad); Margaret-Anne Lauren, WA (Wireless Headphones); and Mollie Smith, NSW (Nutri Bullett). Congratulations to Simon, Margaret-Anne and Mollie, and thank you to all those who participated.

Members have indicated their preference for more online marketing resources, reflecting the shift of marketing campaigns from print to online. We are looking at how to expand our online resources for future campaigns and help members utilise the cost-effective nature of online marketing.

Once again, we would like to thank members for making Spinal Health Week 2018 a success. We look forward to developing another successful campaign next year.


$699*

Super Saver23/10/17 - 3/08/18

$1099*

Standard7/9/18 - 19/10/18

$899*

Early Bird4/08/18 - 6/09/18

www.caaannualconference.com.au*Prices shown are for standard CAA members

Register now & save $400*

Positive Ageing Full Page Ad.indd 1 31/05/2018 1:35 pm


Ethical Marketing In-Line with AHPRA Guidelines

he Australian Health Practitioner Regulation Agency (AHPRA) is a Federal Government

agency that regulates approximately 630,000 Australian health practitioners in partnership with 15 National Boards.

The organisation’s mission is to develop a system that has public safety at its heart. This means that more than 630,000 registered health practitioners are expected to follow professional standards of practice set by their health profession board and this includes ethical advertising that adheres with the National Law.

“The Australian public is entitled to receive good quality information about their healthcare services. Health practitioners, as trusted professionals, have regulatory obligations when advertising a regulated health service.” [Source: AHPRA]

Part 1

THE RULESUnder the National Law, a regulated health service or a business providing a regulated health service must not advertise in a way that:• is false, misleading or deceptive;• uses gifts, discounts or

inducements without explaining the terms and conditions of the offer;

• uses a testimonial or a purported testimonial;

• creates an unreasonable expectation of beneficial treatment; and/or

• directly or indirectly encourages the indiscriminate or unnecessary use of regulated health services.

There are also restrictions on advertising in a way that identifies a health practitioner as a specialist when they do not hold registration as a specialist or as an endorsed practitioner in a health profession:

THE AUSTRALIAN PUBLIC IS ENTITLED TO RECEIVE GOOD

QUALITY INFORMATION ABOUT THEIR HEALTHCARE SERVICES.

HEALTH PRACTITIONERS, AS TRUSTED PROFESSIONALS, HAVE REGULATORY OBLIGATIONS WHEN

ADVERTISING A REGULATED HEALTH SERVICE.

PUBLIC ENGAGEMENT MARKETING

MEGAN WALKER

T


THE FOLLOWING DIAGRAM

SHOWS THE RELATIONSHIP

BETWEEN AHPRA AND

THE NATIONAL BOARDS:

treatment, there are many intervening factors, relapses frequently occur and the response to treatment varies considerably from individual to individual. Wording about the potential to reduce the severity of symptoms is often safer, such as “I cannot cure arthritis but I may be able to reduce the severity of the symptoms”.

THE WORDS “CAN HELP / IMPROVE/ TREAT” OR “EFFECTIVELY TREATS” When there is acceptable evidence that a health service can help certain conditions, it may be reasonable to state something like “x treatment or x approach can help / improve these conditions”. When there is limited or inconclusive evidence that treatment can help certain conditions, it is unacceptable to claim or suggest that it can help / improve or treat those conditions. In these cases, it can still be misleading to state that treatment or a particular approach may / might help or improve certain conditions unless the advertisement is clear about the limited or inconclusive evidence.

THE WORD “SAFE” When a treatment is generally considered safe based on acceptable evidence, it may be reasonable to

use wording like “x treatment is generally considered to be safe but occasionally may be associated with possible adverse reactions in individual cases”. It is potentially misleading to state that treatment or a particular approach is safe without also acknowledging that all forms of treatment have the potential for adverse reactions.

THE WORD “EFFECTIVE” When there is acceptable evidence that a health service can help certain conditions, it is acceptable to state something like “X treatment or approach has been shown to be effective for the treatment of these conditions”. When there is limited or inconclusive evidence that treatment has been shown to be effective in the management of certain conditions, it may be reasonable to state something like “there is mixed and / or inconclusive evidence about whether X treatment or approach may be effective in the management of certain conditions”.

Part 2 of this article will be in the August edition of The Australian Chiropractor and will discuss unacceptable advertising statements, social media and what you can do.

SOURCESwww.ahpra.gov.auwww.chiropracticboard.gov.au

MORE INFORMATIONFor more information, please visit the AHPRA website.

Megan Walker is the Owner and Director of Market Savvy, the health promotions and marketing agency www.marketsavvy.com.au. Megan specialises in developed ethical marketing strategies for allied health practitioners in-line with AHPRA guidelines.

NATIONALREGISTRATION

ANDACCREDITATION

SCHEMEAHPRA

PROTECTINGTHE PUBLIC

SELLINGNATIONAL

STANDARDS

AUDITINGCOMPLIANCE

MANAGINGCOMPLAINTS

(NOTIFICATIONS)

ABOUT HEALTHPRACTIONERS*

PUBLISHINGTHE ONLINE

REGISTER

ACCREDITINGTRAINING AND

EDUCATION

FACILITATINGA MOBILE HEALTH

WORKFORCE

REGISTERING630,000 + HEALTH

PRACTITIONERS

15 NATIONAL BOARDS

MARKETING PUBLIC ENGAGEMENT

• you are responsible for your advertising and must be able to substantiate any claim you make that your treatments benefit patients.

• if you do not understand your advertising obligations, then please refer to the explanatory information published by AHPRA and National Boards. You may also wish to seek appropriate advice, for example, from your legal advisor.

• if you do not understand whether the claims you have made can be substantiated based on acceptable evidence, then remove them from your advertising. These are serious matters that can have serious consequences for your professional standing.

WORDS TO BE WARY ABOUT

THE WORD ‘CURE’ The unqualified use of the word ‘cure’ could breach section 133 unless there is acceptable evidence that a health service cures a condition. It is often not possible to establish a causal connection between providing a health service and subsequent patient improvement. This is because not all improvement in a condition can necessarily be attributed to

Disclaimer: Please note that the information provided here is sourced from the AHPRA website and its associated entities. This information does not constitute advice.


NAIDOC Week

he National Aborigines and Islanders Day Observance Committee (NAIDOC) is a committee

made up of both Indigenous and Islander groups and NAIDOC week takes its name from this committee. This year, NAIDOC Week is held 8-15 July and celebrates the 65,000 years of unbroken rich cultural history that makes Australia unique.

This week has its origins before the 1920s when Aboriginal rights groups boycotted Australia Day in protest against the status and treatment of Indigenous Australians, called the Day of Mourning. In 1955 this day was shifted to the first Sunday in July and it became not only a protest day, but also a celebration of aboriginal culture. In 1974 the NAIDOC committee comprising entirely of indigenous

members, decided the event should cover a week.

This year’s celebrations are themed “because of her, we can” and celebrates Aboriginal and Torres Strait Islander women, their achievements, passion and the strength they have and give to past, present and future generations. Such women include Evonne Goolagong Cawley who works with young indigenous tennis players, Linda Burney a member of parliament and also pioneering women such as Truganini and Mum Shirl.

THIS YEAR’S CELEBRATIONS ARE THEMED “BECAUSE OF HER, WE CAN” AND CELEBRATES ABORIGINAL AND TORRES STRAIT

ISLANDER WOMEN.

TThis year, as in previous years,

Hands on Health Australia will have a group of chiropractic students treating people at NAIDOC Week celebrations which is held at the Redfern Indigenous Centre of Excellence. If you would like to help with supervision of students, please contact Franca Smarrelli on 0394176787, e-mail her at [email protected] or visit the HoHA website at hoha.org.au.

MEMBER SERVICE INTEREST GROUPS

DR JOAN VAN ROTTERDAM


here is more than meets the eye when it comes to healthy ageing, and Professor Peter Reaburn

is no exception. As Professor and Head of Exercise and Sports Science at Bond University’s Bond Institute of Health and Sport, he is an exemplar of a lifetime’s commitment to health and fitness. His athletic achievements parallel his professional ones: he is an academic, author, researcher, competitive swimmer, Surf Lifesaver and National Ironman Triathlete, to name a few.

With an abundance of knowledge and experience to share, Professor Reaburn will be doing just that, as he steps on stage as a keynote speaker at CAA’s Annual Conference in Hobart this October. His session will focus on masters athletes and the conclusive findings that highlight these individuals as paragons of successful ageing. He will discuss the age-related changes in sports performance, why such changes occur, as well as the measures that are necessary in preventing the deterioration in athletic performance and recovery.

Older masters athletes do recover less quickly than their younger counterparts and there is now conclusive scientific evidence behind why this is. Quite simply, “older athletes take longer to assimilate proteins”, Professor Reaburn adds. So, what can older masters athletes do in their biggest competition against nature, and how can they age successfully and keep performing at their best? At a physical level, he suggests they increase their protein, carbohydrate and nutritional intake, do active recovery, stretching and utilise compression activewear.

As he awaits this year’s conference, Professor Reaburn has his objectives in clear sight. He aims to help practitioners gain a better understanding of the older masters athletes; they “…are as dedicated and as committed as younger athletes and, therefore, are to be taken seriously”, he said. He also aims to teach practitioners to take a comprehensive approach when working with such individuals, in turn understanding the fundamental reasons for their engagement and

motivation. He anticipates that attending practitioners will come to have a better understanding of this area; “…they’ll take away four or five strategies that they can use in their practice to better screen and work with older athletes”, he said.

Professor Reaburn agrees that a positive mindset, dedication and healthy lifestyle are some of the fundamental complementary factors that facilitate ‘successful aging’. He does, however, suggest the need to look beyond the periscope and learn from other countries and their advancements. He advocates for change not only at Federal Government level, but also at a societal level. That is, we need to work towards a cohesive approach that addresses the individual, public and governmental components of healthy aging. He cites the Netherlands and Canada as prime examples of this; here “…the government has created infrastructure,” he said of the aforementioned countries.

“If you put in footpaths and put in cycleways, people will use them; put in walking trails and mountain bike trails, people will use them, and that’s what we really need in Australia”, he added.

Professor Reaburn agrees with the need to move towards a proactive approach to health and ageing, moving away from the reactive paradigm that has previously governed the treatment, rights and access of ageing Australians.

“We are being reliant on doctors to fix our health, whereas all the evidence points to exercise as medicine”, he added.

With the conference approaching, we look forward to acquiring more knowledge on this subject and working together to abolish the stigma that is too often attached to ageing. It is individuals like Professor Reaburn that pave the way for a bright future for ageing Australia. We look forward to the growth and developments ahead, and the ongoing successful and positive ageing of the Australian and global population. For more information and to register visit caaannualconference.com.au

T DANIELLE JACOBS

Professor Peter Reaburn

CAA ANNUAL CONFERENCE KEYNOTE SPEAKER

GETTING TO KNOW

EVENTS MEMBER SERVICE

CAA ANNUAL

CONFERENCE

20-21

October

Hotel Grand

Chancellor

Hobart

Register

now and

save $400*

*Super Saver

discount for

standard

members

ends 3 August


MEMBER SERVICE CHIROPRACTORS’ HR

ReducingStress At Work

JACK BYRNES

ccording to some, stress can be good. Specifically, small doses of stress are said to

keep us alert, on our toes and able to overcome the challenges put before us. As we are all aware, however, too much stress can be dangerous and this is particularly pertinent in the workplace. While it is fair to assume that nearly all of us will encounter stress at some point in our working lives, this is not to say stress is uncontrollable. This article will provide some practical tips for employers and employees to ensure stress is controlled, managed and limited in your workplace.

STRESS? WHY THE WORRY? If left to fester, stress can lead to more serious mental and physical health issues. Sadly, research conducted by the Black Dog Institute found that one in six Australian workers are currently suffering from a mental illness. Of greater concern, however, is that many more are said to be suffering from issues such as excessive worry, insomnia and fatigue.

As employers, there is an obligation under the Work, Health and Safety Act 2011 to provide a safe and healthy workplace for all workers. Therefore, limiting and controlling stress can go a long way to reducing the likelihood

of more serious health issues to arise further down the line.

As well as ensuring legal compliance, managing and reducing stress in the workplace can also increase morale and productivity while also simultaneously reducing absenteeism.

TIPS FOR EMPLOYERS

BE REASONABLE IN YOUR EXPECTATIONS While every employee is expected to perform to a particular standard, one which positively contributes to the overall functionality of your practice, placing unreasonable or unrealistic expectations on them can be one of the key triggers of workplace stress. Demanding excessive overtime, placing an unrealistic deadline on a particular task or repeatedly expecting an employee to perform at a level 'beyond their pay grade' can contribute significantly to workplace stress.

BE CLEAR, CONSISTENT AND UNAMBIGUOUSTwo of the major contributors to stress in the workplace are task ambiguity and information overload. Task ambiguity is when a worker is not clear on the job at hand; whether this be from confusing instructions,

A lack of direction or lack of training in a particular area of work. On the other hand, information overload is where employees are fed too much information, or expected to adhere to an entirely new and somewhat overwhelming set of procedures or guidelines relating to how they do their job. Employers need to be aware of the dangers of both, and ensure they are clear, consistent and unambiguous when managing their workers.

INVOLVE YOUR WORKERS AND KEEP COMMUNICATION OPENWhere possible, seek input from your workers on potential changes or major decisions that could affect the workplace. This will help them to feel more valued and allow them to stay on top of their work. Similarly, ensure communication channels are open and transparent.

BE ALERT FOR ANY WARNING SIGNS Remember, stress is almost inevitable in the majority of workplaces. As employers, we need to remain on our toes for any signs of increased stress among our workforce.

This could include employees appearing physically disheveled, disinterested, or being absent from work more than usual. If you are concerned about a particular


employee, contact the Chiropractors' HR Service.

CREATE A SUPPORTIVE WORKING ENVIRONMENTSome environments isolate workers from one another and make it difficult for them to receive the encouragement and support of colleagues. Foster a supportive network to allow your staff to share problems and resources; colleagues' support softens the effects of stress on staff members' lives.

BE FLEXIBLE Many modern workers value non-monetary benefits just as much as financial reward. Therefore, providing flexibility, where reasonable, will go a long way to ensuring your workforce is engaged while also reducing the likelihood of stress arising.

TIPS FOR EMPLOYEES

PLAN AHEAD Staying organised and keeping on top of tasks is a critical means of

stress is employees working through their lunch break. While it may seem unavoidable at times, always try to use your allocated lunch break to pause, eat something nutritious and recharge your batteries.

CHIROPRACTORS' HR SERVICETo discuss your workplace matter, contact the Chiropractors’ HR Service on (02) 8448 3211 between 8:30 am and 5:30pm AEST Monday to Friday. Alternatively, email your workplace enquiry to [email protected], or browse the online HR resources at www.chiropractors.asn.au/hrservice

reducing stress at work. Use a diary or calendar to plan ahead and avoid feeling overwhelmed when work levels increase.

TALK TO YOUR MANAGER (OR EMPLOYER) Don’t be afraid of stigma – if you feel work is beginning to cause high levels of stress, speak with your manager or employer.

SPEND TIME DOING THINGS YOU ENJOYWhile work is an important part of our lives, it’s important not to let it consume us. Outside of work, look to engage in activities that you are enjoy such as sport, reading or playing video games.

STAY HEALTHYEating well, getting adequate sleep and exercising regularly are some of the most important things we can do to stay on top of our stress levels at work.

TAKE YOUR LUNCHBREAK One of the major contributors to

CHIROPRACTORS’ HR MEMBER SERVICE

Disclaimer: The material contained in this publication is general comment and is not intended as advice on any particular matter. No reader should act or fail to act on the basis of any material contained herein. The material contained in this publication should not be relied on as a substitute for legal or professional advice on any particular matter. Wentworth Advantage Pty Ltd, expressly disclaim all and any liability to any persons whatsoever in respect of anything done or omitted to be done by any such person in reliance whether in whole or in part upon any of the contents of this publication. Without limiting the generality of this disclaimer, no author or editor shall have any responsibility for any other author or editor. For further information please contact Wentworth Advantage Pty Ltd. © Wentworth Advantage Pty Ltd 2018


The new way way to Relieve pain in yourpatients 100% DRUG FREENO SIDE EFFECTS

SILK’N RELIEF CAN OFFER YOUR PATIENTS PAIN RELIEF AND FASTER HEALING WITH A 10 TO 20 MINUTE DAILY SELF TREATMENT*

* The e�cacy of Silk’n Relief will vary from patient to patient. Duration and length of treatment will depend on the severity of the injury.

25% DISCOUNT FOR CHIROPRACTORSSELL, RENT OR USE SILK’N RELIEF WITH YOUR PATIENTS - Buy now at www.easepain.com.au

UNIQUE COMBINATION OF 3 WELL ESTABLISHED HEATING MODALITIES:

• BI-POLAR RADIO FREQUENCY (RF) • LOW LIGHT LASER THERAPY (LLLT) • INFRARED LIGHT (IR)

• BACK PAIN• PERIOD PAIN

• CHRONIC PAIN• TRAUMA PAIN• SPORTS PAIN

• 60 Day Money Back Guarantee• Free Trial

Do your patients su�er any of these forms of pain?

www.easepain.com.au Call today 03 9824 8888


ACORN Update

he ACORN project has continued to make excellent progress since initial recruitment in

late 2015. The commitment of the 2,005 chiropractors who completed the baseline practitioner survey and the 1,680 chiropractors who joined the ACORN practice-based research network (PBRN) database has provided a solid platform for a wide range of publications, sub-study initiatives and extensive research capacity building in Australian chiropractic profession and beyond, to date.

ACORN is the only chiropractic PBRN worldwide to have acquired US Department of Health and Human Services, Agency for Healthcare Research and Quality (AHRQ) Registration and approval and has attracted the largest coverage of any PBRN for any profession in world to date (Adams et al 2017).

To date, the ACORN PBRN has directly produced 17 publications. With ten papers published or in press/submitted, in the journals BMJ Open, Australian Journal of Rural Health, BMC Complementary and Alternative Medicine, Chiropractic and Manual Therapies, Chiropractic Journal of

Australia, Journal of Manipulative and Physiological Therapeutics, Australasian Journal of Ageing).

The ACORN PBRN remains active and strong with latest sub-study recruitment achieving over 30% response rates (please note: the average response rates from non-coordinated recruitment not via a PBRN is in the region of 5-15%). A number of recent sub-study recruitments have successfully utilised the ACORN database and the database continues to attract extensive engagement from not only across Australia but also internationally with another four sub-study proposals in train at time of writing. ARCCIM continues to offer ACORN recruitment at no cost to applicants and we foresee the resource being available, and utilised, for the mid- to long-term period (well beyond the initial three years of CAA National funding).

ACORN has facilitated and encouraged a wide range of collaborations across chiropractic researchers, both nationally and internationally, and between researchers and individuals who were or are primarily in practice (e.g CAA Chiropractors of the Year, Craig Moore

PROFESSOR JON ADAMS

PEER-REVIEWED JOURNAL ARTICLES: 1. Lee, MK., Amorin-Woods, L., Cascioli, V., Adams, J. (2018). The use of nutritional

guidance within chiropractic patient management: a survey of 333 chiropractors from the ACORN practice-based research network. Chiropractic & Manual Therapies, 26, 7.

2. Adams, J., Peng, W., Steel, A., Lauche R, Moore C, Amorin-Woods L, Sibbritt D. (2017). A cross-sectional examination of the profile of chiropractors recruited to the Australian Chiropractic Research Network (ACORN): a sustainable resource for future chiropractic research. BMJ Open, 7, e015830.

3. Moore C, Adams J, Leaver, A, Lauche R, Sibbritt D. (2017). The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 chiropractors. BMC Complementary and Alternative Medicine, 17, 519.

4. Adams, J., Lauche, R., Peng, W., Steel A, Moore C, Amorin-Woods L, Sibbritt D. (2017). A workforce survey of Australian chiropractic: the profile and practice features of a nationally representative sample of 2,005 chiropractors. BMC Complementary and Alternative Medicine, 17, 14.

5. Adams, J., Steel, A., Moore, C., Amorin-Woods L, Sibbritt D. (2016). Establishing the ACORN national practitioner database: Strategies to recruit practitioners to a national Practice-Based Research Network. Journal of Manipulative and Physiological Therapeutics, 39, 594-602.

6. Adams J, Steel A, Chang S, Sibbritt D. (2015). Helping address the national research and research capacity needs of Australian chiropractic: introducing the Australian Chiropractic Research Network (ACORN) project. Chiropractic & Manual Therapies, 23, 12.

7. Amorin-Woods L, Moore C, Adams J. (in press) How does a practice-based research network facilitate evidence-informed practice within the chiropractic profession in Australia? A commentary. Chiropractic Journal of Australia

8. Adams J, de Lucia K, Swain M, Funabashi M, Wong A, Page I, Sibbritt D, Peng W. (under second minor revision) Prevalence and practice characteristics of urban and rural/remote Australian chiropractors: Analysis of a nationally-representative sample of 1,830 chiropractors. Australian Journal of Rural Health

9. De Lucia K, Adams J, Moore C, Swain M, Sibbritt D, Peng W. (in press) Prevalence and profile of Australian chiropractors treating athletes or sports people: a cross-sectional study. Complementary Therapies in Medicine

10. Moore C, de Lucia K, Wong A, Fernandez M, Swain M, Hartvigsen J, Adams J, Peng W. (under review) Characteristics of chiropractors who manage people aged 65 and older: A nationally representative sample of 1903 chiropractors. Australasian Journal of Ageing.

INITIATIVES RESEARCH

T

INVESTIGATORS UTILISING ACORN INCLUDE REPRESENTATION FROM THE FOLLOWING INSTITUTIONS: Australia: Macquarie University; RMIT University; Murdoch University, University Technology Sydney; University of Sydney; University of South Australia; George Institute

International: University of Alberta, Canada; University of Southern Denmark, Denmark; Karolinska Institute, Sweden; Hong Kong Polytechnic University, Hong Kong; Parker University, US; Universite de Quebec a Trois-Rivieres, Canada; Memorial University of Newfoundland, Canada; Canadian Memorial Chiropractic College, Canada; AECC University College, UK

and Lyndon Amorin-Woods plus Mi Kyung Lee and Vincenzo Cascioli). The baseline manuscripts and sub-studies currently involve over 30 investigators, many of whom have not collaborated together previously.

A key strength of the ACORN PBRN beyond the immediate tangible output of publications and growth in coordination, collaboration and research capacity has been the far-reaching branding of the program, the ACA and the profession more generally. As more national and international thought leaders and researchers submit sub-studies so too the profile and standing of the ACORN Project, ACA partnership and Australian profession grows.


hiropractors often provide care for children and adolescents with musculoskeletal (MSK)

conditions such as spinal pain and sports injuries. In clinical practice, young patients and their parents seek to understand the cause of these painful conditions. The clinician’s response has a meaningful contextual impact on the nature and quality of chiropractic care. Growth and maturation, the defining biological events of adolescence, are frequently clinically linked to MSK disorders in young people. This snapshot evaluates evidence underpinning the assertion for a relationship between growth, maturation, and MSK conditions in adolescents.

ARTICLE BACKGROUND The prevalence of MSK conditions increases steeply during adolescence to adult rates.1 Persistent problems in this period of life (adolescence) strongly predicts pain and disability later in life.2 Understanding the role of biological development in the onset of MSK conditions in adolescents is important to guide clinical and preventative efforts. Rapid physical growth (i.e., ‘the adolescent growth spurt’) and biological maturity (e.g., stage of skeletal or pubertal development) have been proposed as risk factors for MSK pain and injury.3

Michael Swain is a chiropractor, health researcher and full time lecturer in the Department of Chiropractic at Macquarie University. His clinical interests are in sports injuries and pain management. He completed a Master of Philosophy in 2011 and is currently completing a Doctor of Philosophy (PhD) in the School of Public Health at the University of Sydney. His research focuses on the epidemiology of sports injuries and adolescent musculoskeletal pain.

Despite much clinical inference, it is currently unclear the role physical growth and pubertal change plays, if any, in adolescent pain and injury.

While adolescence has been defined as the second decade of life (10-19 years of age), chronological age remains a poor clinical measure to encompass the construct of physical growth and maturation. Adolescents of the same age can vary considerably in physical stature, and the timing and rate of pubertal events ranges greatly between adolescents. Pain in adolescence, like in adulthood, is clinically contextualised through a bio-psycho-social lens, with several potential risk factors adding to the clinical impression. Given there is no systematic review on the topic, we aimed to specifically determine whether physical growth and/or stage of development are linked to MSK conditions in adolescents.

METHODSThis study is a systematic review of the literature. Three electronic databases (PubMed, EMBASE and CINAHL) were searched up to 6 September 2017. We identified epidemiological studies that evaluated the association between biological maturation or growth, and MSK disorders in adolescents (chronological age 10-19 years). The quality of each study was appraised by assessing sources of study bias.

Associations between maturation and/or growth, and MSK conditions were extracted. Meta-analysis was not possible due to clinical and methodological heterogeneity, so narrative synthesis was conducted.

RESULTSA total of 56 studies exist on this topic and were included in our narrative synthesis. All included articles were quality appraised and deemed to be at high risk of bias.

Of the 56 included studies, 25 studies evaluated associations with outcomes of pain, 22 with injury and nine with fracture. Pain types identified in studies include back pain (13 studies), neck pain (three studies), extremity pain (five studies), head/face pain (nine studies), chest pain (one study), and any or multiple pain (eight studies). This snapshot will summarise only studies that evaluate MSK pain.

At present, 101 associations comprise the total body of knowledge on the relationship between adolescent development and back, neck, extremity, or any report of MSK pain. Exposure measures, the factor that may be associated with an outcome of interest for adolescent development were categorised as either biological maturity (i.e. physical and physiological state of human development) or growth (i.e. the process of increasing in size).

THE RELATIONSHIP BETWEEN GROWTH, MATURATION, AND MUSCULOSKELETAL CONDITIONS IN ADOLESCENTSA Systematic Review

RESEARCH SNAPSHOT

SERIES EDITOR: CRAIG MOORE GUEST EDITOR: MIKE SWAIN

AUTHORS: MICHAEL SWAIN, STEVEN J KAMPER, CHRISTOPHER G MAHER, CAROLYN BRODERICK, DAMIEN MCKAY, NICHOLAS HENSCHKE

C


REFERENCES: 1. Swain MS, Henschke N, Kamper SJ, Gobina I, Ottova-Jordan V, Maher CG. An international survey of pain in adolescents. BMC public health 2014;14(1):447.

2. Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine 2006;31(4):468-72.

3. Caine D, Maffulli N, Caine C. Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clinics in sports medicine 2008;27(1):19-50, vii.

4. Henschke N, Harrison C, McKay D, Broderick C, Latimer J, Britt H, Maher CG. Musculoskeletal conditions in children and adolescents managed in Australian primary care. BMC musculoskeletal disorders 2014;15(1):164.

5. Pincus T, Noel M, Jordan A, Serbic D. Perceived diagnostic uncertainty in pediatric chronic pain. Pain 2018.

6. Huguet A, Tougas ME, Hayden J, McGrath PJ, Stinson JN, Chambers CT. Systematic review with meta-analysis of childhood and adolescent risk and prognostic factors for musculoskeletal pain. Pain 2016;157(12):2640-56.

7. O'Sullivan P, Smith A, Beales D, Straker L. Understanding Adolescent Low Back Pain From a Multidimensional Perspective: Implications for Management. Journal of Orthopaedic & Sports Physical Therapy 2017;47(10):741-51.

8. DiFiori JP, Benjamin HJ, Brenner JS, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. British journal of sports medicine 2014;48(4):287-8.

9. Hirano A, Fukubayashi T, Ishii T, Ochiai N. Relationship between the patellar height and the disorder of the knee extensor mechanism in immature athletes. Journal of pediatric orthopedics 2001;21(4):541-4.

Regarding biological maturity, 35 associations evaluated biological status (a physical characteristic state) and 23 associations evaluated biological timing (a physical characteristic at a given time). For growth, 26 associations evaluated growth rate (increase in physical stature in a given time-period) and 17 associations evaluated growth spurt (a prespecified rapid growth rate). Across the 101 associations, there were inconsistent patterns of association for both longitudinal (a research design that involves repeated observations of the same variables) and cross-sectional (a research design that measures a variable at a specific point in time) estimates. Towards this, some associations reported a positive relationship between growth/maturation and MSK pain, some reported no associations, and some reported negative association between growth/maturation and MSK pain in adolescents.

DISCUSSIONThis study found little research evidence to support the supposition that rapid growth and/or stage of development are linked to MSK conditions in adolescents. Although there are 56 articles on the topic, the knowledge base has several gaps for common MSK conditions. The data that are available provide limited evidence due to high risk of bias, including inherent limitations in studying risk in cross-sectional studies.

In primary care, care seeking due to pain increases dramatically from childhood to adolescents. More than 10% of adolescents seek medical care for musculoskeletal pain.4 Lower extremity conditions, specifically knee pain is the most common reason for adolescents to seek care. Primary care providers must postulate a timely and accurate diagnosis to aid in the effective management of pain conditions.5 Albeit, there are few researchers and limited research into child and adolescent pain to empower clinicians’ to diagnose, or identify a biological cause that explains pain in adolescence, much less select an appropriate treatment intervention.

Several risk factors have been proposed for pain in adolescents.

These include demographic, clinical, biological, family, psychological, ergonomic, and lifestyle factors. A systematic review by Huguet et al., suggests there is high-quality evidence for low socioeconomic status (SES), and moderate-quality evidence for negative emotional symptoms and regular smoking as risk factors for MSK pain in adolescents.6 Shared psychosocial factors (including catastrophising, negative affectivity, and poor sleep hygiene) have been proposed as mechanisms underlying the associations between SES and emotional symptoms, whereas structural damage to body systems is thought to be the consequence of exposure to cigarette smoke and nicotine. Challenging our clinical beliefs was the finding that there is moderate-quality evidence to also suggest that high body mass index, taller height, and having joint hypermobility are not risk factors for onset of MSK pain.6 Ironically, other factors that we, as clinicians, have historically thought to be important predictors of LBP, such as “poor” spinal posture, scoliosis, carrying school bags, joint hypermobility, and poor back muscle endurance, are not strong predictors for MSK pain in adolescents.7

Our study advances the adolescence field in several ways. Firstly, it is the first study to draw doubt on a meaningful link between growth, maturation and MSK pain, which has formed a longstanding basis for clinical management of MSK conditions. For example, our review queries the position statement of the American Medical Society for Sports Medicine that states that overuse injuries may be more likely during the adolescent growth spurt.8 This position leads clinicians to monitor adolescent growth rate and limit training workloads during rapid growth periods. Secondly, and unlike previous work, we delineated the construct of pubertal development into specific construct domains of biological maturity status (e.g. Tanner staging), biological timing (e.g. age at peak height velocity), growth rate (i.e. change in physical stature within a specific time-period) and growth spurt (e.g. 5 cm of height growth in

a 6-month period). This, along with clearly separating MSK outcomes (i.e. specifying factors and effects) allowed us to appropriately evaluate studies that propose causality. Finally, by evaluating each study for risk of bias and applying the Bradford Hill criteria for causal inference in our evaluation of aetiological associations we have highlighted methodological issues that currently impede progress in understanding adolescent MSK conditions.

Our review also highlights several knowledge gaps in the adolescent MSK field, which may be of clinical interest to chiropractors who work with youth sports. For example, periods of rapid growth have traditionally been linked to the onset of traction apophysitis, such as Osgood-Schlatter Disease. However, we found only one article that explored this clinical viewpoint.9 In this study, skeletal age and disorders of the knee extensor mechanism were studied in 40 young male soccer players, and no association was found. Adding to the notion of adolescent vulnerability is the biologically plausible relationship between rapid growth and fracture, given a reduction in cortical bone mineral density occurs as growth increases during early-mid puberty. We found only two conflicting studies had attempted to determine whether maturation (not rapid growth) is associated with fracture in adolescents. The inconsistency between these two studies, and lack of exposure construct specifically typifies the issues that create uncertainty in the field.

CONCLUSIONWhile the relationship between maturation, growth and MSK conditions remains plausible, the available evidence is not supportive. This review challenges our clinical beliefs and highlights the need for a flexible and targeted multidimensional approach to assessment and management of adolescent MSK pain. Given the potentially adverse contextual impact, clinicians should avoid supposing a causal relationship between maturation, growth and MSK conditions as studies on the topic report inconsistent findings and are at high risk of bias.

SNAPSHOT RESEARCH


Company Secretary

GOVERNANCE STAFF PROFILE

or over 10 years, Kim Tompkin has been pivotal in keeping the Association running smoothly. Now

as Company Secretary, Kim works closely with the CEO and Board in the legal requirements and governance processes in running a company.

Kim joined the CAA in 2008 as the CPD Coordinator, a role she held for approximately a year. She had previously worked for a metal manufacturing company, working across marketing, administration and executive services. These skills proved to be of value for the Association and she became better utilised as an Executive Assistant to the CEO at the time.

Over the last 10 years Kim’s role has expanded significantly as the Association has grown and evolved. As Company Secretary, Kim is vital to the operations of the Board. For Board meetings Kim arranges the meetings, prepares papers, writes the minutes and follows up action items. Kim also coordinates the AGM, including the Awards and the election process - from notice of nominations to counting the votes.

“I really enjoy getting to meet the members, particularly as they join the Board” says Kim.

Kim knows the company

Kim Tompkin

ARIEL TATE

F constitution well, ensuring that we are following all the legal requirements of running a company, including our Annual General Meeting (AGM). If you have attended a CAA National AGM in the past, you might have seen Kim side of stage as she assists in the background.

Our various Committees are supported by Kim, including the work relating to them such as the coordination of PhD and MRes scholarships. Kim has also been involved with other projects that come up, such as the restructure or the relocation of the Head Office to Parramatta.

“It’s never been boring working for the Association as it is continually evolving. I’m particularly excited for the changes coming with the restructure” added Kim.

Kim lives on the fringes of Sydney with her husband Mark, and recently celebrated 30 years of marriage. They have three daughters and now have four grandchildren – all boys!

When not working or travelling the country for Board meetings, Kim enjoys camping and keeping active – running, boxing and even kayaking. Kim has even completed the MS Sydney Wollongong Charity Bike Ride, cycling for 68kms to raise money for this important cause.


21

19

15

13

9

1

11

10

20

5

2

16

12

3

14

17

6

18

7

4

8

© Lovatts Puzzles

CROSSWORD1. Excess movement of a joint, such

as a section of the spine

5. The pads of cartilage that

separate each vertebra

7. Plastic clothing material (1,1,1)

9. And the rest

11. The conscious mind

12. Private instruction

13. Set of explanatory principles

14. The pioneer of chiropractic in

the United States, Daniel David

"D.D." ...

15. Church tower

17. Small hotel

18. Youngster

19. Spanish coast, Costa del ...

20. Biblical peak, Mount ...

21. Verbal contact

Answers to crossword on page 39

1. A state of physiological

equilibrium within an organism

2. Specially sensitised films that

record the structure of a body via

X-rays

3. Beginning (of illness)

4. A loss or abnormality of

psychological or anatomical

structure or function

6. Birth condition characterised by

the incomplete closing of the

spinal column and associated

membranes (5,6)

8. Labour spasm

10. The 'hind' brain involved in

coordination of movement,

walking, and balance

16. Listlessness

ACROSS

DOWN

CROSSWORD REGULAR SECTION

Tickets (incl. early bird special) www.gonstead.com.au

GonsteadInternational Seminar18th - 19th AugustRydges Hotel, Exhibition St. Melbourne

Presented by Gonstead USA seminar staff and Australian GCS Fellows.

Essentials: Dr Joe BonannoTechnique: Dr John Cox Dr Amy KolmanAdvanced: Dr Tim Free Dr David Leach Dr Brad Prestidge Dr Robin Birchall


REGULAR SECTION CLASSIFIEDS

ASSOCIATES/LOCUMS AVAILABLEASSOCIATES/LOCUMS AVAILABLE

DEREK THOMPSON, Palmer Grad, 35 yrs solo country practice experience, 11 yrs locum experience Australia wide. Gonstead, Diversified, AK. References available. Willing to work in country and remote areas. Ph 0417838883, email [email protected]

DR DANIEL KOSTUR, exp. doctor relocated from Canada. 1978 grad of CMCC is advanced rated in activator as well as manual adjusting. Have your patients treated as you would treat them, with competence and care. References available. Phone (02) 9418 4525.

DR TIM WOICEK, 1989 Palmer grad. Available for locums in NSW. Activator, Drop-piece, Diversified, Flexion-Distr. Great with patients of all ages. Refs. Ph 0401 331 748 or email [email protected]

ANDREW PAUL Available nationwide with 33 years experience. Diplomate in SOT and proficient in Thompson, Activator, AK, NET, TRT, Diversifed. Skilled in paediatrics and cranial. Excellent rapport and versed in many practice management systems. Ph: 0413524476 E: [email protected]. Check availability at www.aurorachiropractic.com.au

LOCUM -DR ATHOL MORRIS Take a break or a holiday or maybe you just need a short-term locum. Please call 0412 594 004 or [email protected]

LINDA BLYTHE available for short term locums Australia-wide. Graduated RMIT 1996. Run own practices 21 years. Competent in high volume, paeds, pregnancy etc. Primarily drop-piece/CBP focussed, diversified and basic SOT and AK. Email for details: [email protected]

ASSOCIATES/LOCUMS REQUIRED

NEW SOUTH WALES ASSOCIATE POSITIONS AVAILABLE... Riverside town! Country

beauty! Base of Snowy Mountains! Affordable living! Highly sought after service! Supportive team! Loads to learn! Tailored package! See link for more info and contact details......If you're intrigued flick us an email and lets Skype! www.nestchiro.com/join-the-team

LIVE YOUR DREAM IN THE BEAUTIFUL NEWCASTLE BEACHES, Lake Macquarie and the Hunter Valley. Healing Wave has just taken over its 5th local practice location. We have 2 excellent positions available now, or else as soon as the right person is able to join us. If you want loads of fun in a passionate team that is focussed on lifestyle, and is also proud of its Quality Professional Relaxed Principled Chiropractic service, then come to paradise in the Hunter now. Part time mentoring, full time support, and plenty of team building will guarantee your success and allow you to define your own ideal Chiropractic Life within a supportive and fun group dynamic. Systems and service already great and also improving all the time as a result of our close team of 30 Chiro's and Ca's that are full of LIFE, FUN and CHIROPRACTIC PASSION. You will take over a solid base and receive overwhelming support growth and satisfaction. Slow or fast progression from Associate to Principle to Partner/Owner available if required or desired. Otherwise just relax and Enjoy for as long as you please. Please contact [email protected] (Cover letter appreciated and also a resume if appropriate. Thank you)

ASSOCIATE POSITION-SYDNEY CBD Centrally located and highly equipped office. Training includes: presenting educational seminars, spinal screening, gait analysis. Will have new marketing to increase your patient base. Chinese as second language is needed to take over patient base during maternity leave of the principle chiropractor. Contact: [email protected]

CHIROPRACTIC HEALTH QUARTERS is looking for part time associates for our Pyrmont and/or Blue Mountains clinics. This role will be to support one of our Chiros whilst she is pregnant and to pick up the load whilst she is on maternity leave. Ideally this role will grow into a full time role. Working in an integrative group with chiros, naturopath, acupuncturist and massage therapists. Pyrmont is an ideal demographic being located on the Sydney CBD fringe and with a upwardly mobile professional client base. The Blue Mountains clinic offers exposure in a rapidly growing area with a large increase in families and is under supplied in terms of Chiropractors. Our clinic uses a lot functional neurology and muscle rehab along side of a mix of manual therapy. We also look at peoples broader lifestyle in terms of nutrition and exercise and someone interested in addressing the whole picture would thrive in this clinic. Please email all questions or interest to [email protected]

GREAT OPPORTUNITY FOR LOCUM OR PART-TIME ASSOCIATE ON THE BEAUTIFUL MID-NORTH COAST! Join our wellness clinic short or long term from July. Enjoy the lifestyle and work in a fun and relaxed environment. We are located 15mins from Crescent Head, and 30mins to South West Rocks and Hat Head. Great climate, fishing and surfing! Manual adjusting and excellent communication skills a must. New grads welcome to apply. Enquirers to [email protected]

ASSOCIATE CHIROPRACTOR WANTED FOR SYDNEY CBD CLINIC. Are you looking to grow and retain a patient base straight out of Uni and work in a energetic fast-paced environment in the heart of Sydney? The principal chiropractor is fully booked and a new chiropractor is needed to deal with the overflow of new patients coming through. Full training and weekly mentoring will be provided. Percentage based remuneration on a sliding scale. New graduates encouraged to apply. Email your resume to [email protected] to apply.

ASSOCIATE CHIROPRACTOR REQUIRED, SYDNEY CBD We're looking for a motivated associate chiro to join our Sydney CBD practice. Do you like the idea of working 3 days a week and having the weekend off? Do you like having fun while empowering people to be healthier? Are you an experienced chiro who can work independently to build their patient base? Our Sydney practice is waiting for the right person to help take us to the next level. As an associate you can expect to work alongside a team of allied health professionals; ongoing promotion and marketing; weekly coaching/mentoring with the principal; generous percentage based remuneration. Send your expression of interest to [email protected]

ASSOCIATE POSITION NSW CENTRAL COAST. Our long established, multi-disciplinary, evidence-based family clinic is looking for an associate to replace out-going principal chiro. Start part-time but potential to build to full-time. The successful applicant will have strong adjusting skills, enjoy caring for families, and be motivated to build their patient base. Excellent remuneration. New grads welcome to apply. Please email [email protected] to register your interest. Balanced for Life at the Hawkesbury location is looking for the right chiropractor to fill part time position and provide quality services to an existing patient base. This two days a week, with potential of extending work to three days a week, position will best suit a chiropractor who loves treating families and is acquainted with using low-force and Activator techniques. This position is available end of June. If you would like more information about the advertised position, or if you want to send your CV, please contact Lindy at [email protected]

WELL-ESTABLISHED HEALTH CLINIC with lots new patients awaits for you. Back Pain Solutions is a high paying clinic currently looking for a structural Chiropractor to join the team. We have positions ourselves as the leading Chiropractors in the Sydney CBD and we do this through providing our practitioners mentoring and clinical support to further their CPD. Excellent location. Lots of New patients. If this sounds like you, email your CV to [email protected] or call Dr. Jason on 0414 529908

ASSOCIATE WANTED!! We are a team of passionate Chiropractors, committed to postural correction, fixing spines and helping our patients live better lives. Established 17yrs ago we have two clinics, Crow’s Nest and North Sydney. Our North Sydney clinic has a surplus of new patients wanting better posture, so we need a Chiropractor to take on our new patient overflow. We have a fantastic mentoring system to get you easily and effortlessly integrated into our busy practice, and offer a permanent $700 per week retainer for all our Chiros! If you’re passionate about helping people, correcting posture, enjoy working with well-trained happy CAs, we would love to meet you. We provide technique and patient communication training, full CA support, Radiographers (for our in house digital x-rays), marketing, and a generous retainer. Call 02 9460 8459 or email us at [email protected] to organize a time to come see the clinic and have a chat. www.spineandhealth.com.au

RIVERINA FAMILY CHIROPRACTIC IS LOOKING FOR AN ASSOCIATE to join our family focused, lifestyle wellness clinic.Are you a Chiropractor or Chiropractic couple with a young family? Do you want to bring up your children in a safe but vibrant community? affordable housing? a great work/life balance? a 5-10min drive to work? excellent renumeration? to see 100-200 clients per week? options for succession? mentoring and autonomy to be a part of a multidisciplinary team? to live a thriving lifestyle, enjoying sport, music, arts, good food and excellent wine? We would love to hear from you! For more information: Please email [email protected] For more information about our clinic and location: www.riverinafamilychiropractic.com.au

POSITION AVAILABLE FOR FEMALE ASSOCIATE to join our team that includes Physios, Massage therapist, podiatrist and Psychologist. Rapidly growing clinic with family focus and variety of cases. Position can be PT or FT and we able to cater for school hours for work/life balance. Great pay with potential partnership opportunity. Apply now by sending your resume to [email protected] or contact 0402 255977

ASSOCIATE WANTED FOR A LOVELY COUNTRY CHIROPRACTIC CLINIC IN TAMWORTH NSW. The clinic is currently operating with 2 Chiropractors and a massage therapist. The principal would like to expand her paediatric practice, allowing her adult patients to see the other 2 Chiropractors. Please email Tanya on [email protected] if this would be a position you would be interested in.

IN SEARCH OF AN ASSOCIATE IN ALBURY, NSW, AUSTRALIA (We are kind of Vic too, as only 3 hours from Melbourne) Are you a warm, fun, caring, passionate & teachable Chiropractor who is a team player and loves adjusting spines? House of Chiropractic desires a Chiro with a couple years of experience who can hit the ground running. We are bursting at the seams and really need you… yesterday! Diversified, Drop Piece - CBP foundation (with a bit of SOT) using Omni tables in a semi-open setting using Spinalogic Software is our style. You will have a fantastic young, energetic, trained team to enjoy working with who love chiropractic, encouraging patients and living a healthy life themselves. You will work alongside the principal Chiro educating & adjusting the community who is hungry to learn and need Chiropractic in their life. If this sounds like you, please email us at [email protected]. Include why you’re a great fit for our team & why you should be our patient’s chiropractor. A resume is awesome too, plus a short video introducing yourself would be the icing on the cake! We are super excited for a new Chiro to join us (Feel free to check us out on our website & FB page – www.houseofchiro.com)

ASSOCIATE POSITION AVAILABLE - WOLLONGONG A well established, evidence based practice is looking for an associate to take over an existing patient base. An interest in active care and preference for manual adjusting is preferred. Please email [email protected] with your expression of interest https://www.youtube.com/watch?v=xUEFnXS_j8c

20 YEARS ESTABLISHED MULTIDISCIPLINARY CLINIC IN THE HEART OF SYDNEY CBD is looking for a Chiropractor associate to become a full time part of the team. Must be motivated and ready to see high volume. Corporate & clinic work available for the right applicant. Supportive team and benefits such as massage, Yoga/Pilates studio and Podiatry. Must have strong adjustment skills and strong chiropractic philosophy. Please resume to Josie Sielaff: [email protected] or call 02 92991661 for more info.

OPPORTUNITY TO JOIN A WELL ESTABLISHED CLINIC IN RIVERWOOD. This area's population has boomed recently, and we need help caring for them! External marketing opportunities in place to turbo-charge your practice, and mentoring for newer practitioners is available. Hours are flexible, and remuneration excellent. If you are interested in practicing in a caring and nuturing environment, please contact: [email protected]

AUSTRALIAN CAPITAL TERRITORY ASSOCIATE POSITION – DEAKIN, CANBERRA We are looking for

a chiropractor to join our team. Our clinic has a vitalistic and reorganisational approach to healing and living. Skills used in our clinic include Activator, NSA, AK, NET. Our preference is for a full time chiropractor with experience, though we will consider someone with less experience who is growing and developing in to their potential. Please email your resume to [email protected] or contact Fiona on 0409 443 253

QUEENSLAND ARE YOU A CHIROPRACTOR LOOKING FOR A CAREER IN SUNNY

QUEENSLAND? Our well-established, multi-disciplinary health-centers with hot yoga, chiro, massage, nutrition and live events is looking for passionate chiropractor to join our team. Positions available in Gold Coast and Brisbane Coaching and mentorship will be provided. Email for inquiries [email protected]

ASSOCIATE NEEDED FOR BUSY TOOWOOMBA CLINIC We are looking for an associate to join our family based clinic in Toowoomba, QLD. Learn specialised techniques while working with a diverse range of patients - elite athletes, pregnant mums, babies, the elderly and everyone in between. Toowoomba is Australia’s second most populated inland city. It is a major education hub for the region, with a number of boarding schools drawing families from Qld, NSW and further afield. Toowoomba boasts a new library and shopping facilities, as well as a number of excellent mountain-bike/walking trails, and more than 150 public parks and gardens. Toowoomba offers a wonderful lifestyle choice - fresh air, cafes, parks, sporting facilities and dams. The cost of living in Toowoomba is lower, but is within easy driving distance to Brisbane and the Gold/Sunshine Coast beaches. Wellcamp airport offers direct flights to Sydney, Melbourne, Townsville and Cairns. Techniques used in our clinic include full body manual adjusting, drop piece bench, percussion soft tissue work, detailed cranial work, kinesiology and more. Please contact us at: [email protected]

EXCITING POSITION IN BUSTLING CHIROPRACTIC CLINIC- BRISBANE NORTHERN SUBURBS. Have you always wanted to work in a vibrant, modern and exciting clinic with a surplus of new patients? Are you a person who would love the opportunity to see large numbers of patients and have fun doing this? Are you ready to see large number of new patients and receive great remuneration for this? If so, we have the opportunity for you. Interested, please send cover letter to [email protected]


CLASSIFIEDS REGULAR SECTION

ARE YOU THE MOTIVATED AND DYNAMIC PRACTITIONER WE ARE LOOKING FOR? About you You are a fun, personable, outgoing practitioner. You are ready to join a team dedicated to combining both chiropractic and soft tissue techniques to provide the best outcome for the clients. Well, we have a position available in tropical Townsville at Kirwan Complete Care. The perks. A consistent and reliable income. Super, Sick leave, and holiday pay.Incentives as you hit your goals.Support you through your chiropractic journey. Learn new approaches to chiropractic. Strengthen your current skills. Learn how to get better outcomes for your clients About us We are a modern, and progressive practice known for delivering excellent patient outcomes in a fun and friendly environment. The current chiropractor at this clinic employs a range of other techniques including full body ART, IASTM tools, peripheral adjustment, exercise advice, orthotics and Rocktape. NEW GRADS are encouraged to apply.Watch our video: https://youtu.be/K34PC-oDFSA If you’ve heard enough, simply email your interest with a resume and cover letter to [email protected]

SUNNY QUEENSLAND IS LOOKING FOR A NEW CHIROPRACTOR, Experienced or New Graduate ...to start as soon as possible. The position comes with an excellent established patient base and a constant stream of new patients.Excellent staff, along with all equipment will be provided, just walk in and start working. Bundaberg is an excellent place to live, with a variety of sports, outdoor activities, beautiful subtropical beaches with miles of bike paths, along with very affortable housing,You will wonder why it took you so long to get there.You couldn't ask for a better combination of a busy practice ,excellent staff and beautiful weather. Job opportunities like this don't come along too often, so don't miss out.Please email your resume to [email protected]

TOTAL LIFESTYLE CHIROPRACTIC IS SEEKING PASSIONATE CHIROPRACTORS TO JOIN OUR TEAM. We have practices in QLD and NSW and each location offers a well-established brand within the community and brings a loyal and thriving patient base to step into. Every TLC practice has a highly trained CA team to assist you with making a seamless and successful transition. At TLC you'll be offered a comprehensive 20 hours of onboard training covering everything you might need to manage a successful practice including how to powerfully communicate with your patients, how to better manage care plans, X-Ray analysis, and much more. You'll also receive fortnightly coaching and training, yearly workshops and have access to a steady stream of training from our highly experienced leadership team along the way. Enjoy the benefits of over 30 years combined experience and support without feeling micromanaged. You’ll operate independently within the practice while relying on our team to support, train and coach you along the way. Our aim is to help you identify YOUR vision and goals, and then walk with you as you achieve them! Our support team handles everything from marketing to CA training and office management, so you can focus entirely on caring for your patients and your own professional development. We even offer relocation support if required! If you are a highly motivated Chiropractor, with integrity and passion you may be just the person we are looking for! Contact us today for more information about these amazing practice locations! Applications welcome from experienced chiropractors and newer graduates. To apply email [email protected] www.TLCAutralia.com

BRISBANE - LOCUM POSITION – MATERNITY LEAVE We are looking for an evidence based practitioner with competent manual adjusting skills to join us for a period of 14 months from mid September 2018 with the option of a permanent position. Manual adjusting skills are essential and competent knowledge of soft tissue and lighter force techniques appreciated. Mentorship and training can be provided if deemed necessary. Please send resumes and or enquiries to [email protected]

BEAUTIFUL ONE YEAR OLD QUEENSLAND COUNTRY PRACTICE WITH ONE PRINCIPAL CHIROPRACTOR, LOOKING FOR ANOTHER DOC TO JOIN THE TEAM. The practice is growing beautifully. Tremendous opportunity for a new or experienced doctor. If you are ready to set down roots and get an amazing start to your practice career or ready to wind down in a laid back country town, then this is an awesome opportunity. We have ample room to grow and expand. We have an amazing ninja Chiropractic Assistant. The practice is located in a prime location and is a part of an amazing health hub, including naturopath, podiatrist, gym, exercise physiologist and dietician. We are located 35 minutes south west of Ipswich and 45 minutes from Brisbane. Please contact me for more details if you think this may be the right opportunity for you [email protected]

AN EXCITING OPPORTUNITY IS NOW AVAILABLE FOR AN ASSOCIATE to join our thriving family practice in the beautiful garden city of Toowoomba on the Darling Downs. We are looking for a dedicated associate that shares our values to join our team. Our practice utilises diversified, drops, activator, TBM, NET and more. If you are a new graduate or experienced chiropractor looking for flexible hours and the opportunity to develop your own patient base in a family focused practice in a family friendly city then please email your CV to [email protected]

CAIRNS NORTH QUEENSLAND, AUSTRALIA ASSOCIATE WANTED We are looking for an associate to take over an existing busy, family-based practice within our well-established clinic in the heart of Cairns. Our current associate is relocating interstate. You will receive a guaranteed retainer; be working in a great environment and new building, with paperless record-keeping, excellent systems and a digital x-ray machine. Our current team consists of 5 Chiropractors and 7 Chiropractic Assistants. A basic knowledge of the Gonstead system is essential. Both experienced and new graduate chiropractors may apply, as well as students about to graduate as mentoring and training will be provided. Please e-mail your interest to [email protected]

REMEDY CHIROPRACTIC IS LOOKING FOR AN ASSOCIATE TO JOIN OUR THRIVING PRACTICE. The principal is at capacity and is seeking a professional, caring practitioner, committed to learning to care for the overflow and build a solid base of new practice members. Applicants must be passionate about providing family care, with a wellness focus. Our practice cares for a diversity of patients, with 50% being under the age of 10 years. Techniques used include SOT, TBM, AK, NET. Remedy Chiropractic is a purpose built, modern practice just minutes away from Kirra Beach, on the lower Gold Coast. Our practice manager is highly experienced, organised and caring, which ensures the practice runs smoothly. We are seeking a genuine, diligent and reliable chiropractor who is passionate about holistic health and wellness care. We are happy & willing to train and mentor new graduates and we encourage you to apply. Apply now by sending your resume and cover letter to [email protected]

ASSOCIATE REQUIRED TO JOIN OUR MODERN PRACTICE- HOLLAND PARK, BRISBANE. We are a thriving practice. Established for over 30 plus years with long term committed practitioners and support staff, we’ve recently relocated and expanded. Join our warm and welcoming clinic, where you will work alongside like-minded dedicated professionals, supported by an experienced team of CA’s. The successful applicant will have strong manual adjusting skills as well as adjusting techniques that may include, or a desire to learn, Diversified, Gonstead, Drop piece, SOT, AK and NET. If you possess strong communication and interpersonal skills, self-drive and passion as well as long term commitment to build a patient base, we would love to hear from you. Hours and remuneration negotiable for the right applicant. Email your resume with a cover letter to [email protected]

WE ARE LOOKING FOR A VIBRANT CHIROPRACTOR TO JOIN OUR TEAM. If you are looking for a position where there are a high number of new patients to help grow a varied caseload; where you will get mentoring and support; where you get to work in a multi-modality centre with other health professionals and where patient care comes first….. look no further. Apply today and tell us what you could bring to this position – Email your Resume to [email protected]

JOIN THE VIBRANT BONFIRE TEAM IN BEAUTIFUL BRISBANE QUEENSLAND. We can sponsor overseas applicants if you fit the bill, and we can support a new grad to learn and grow within this amazing health community. If you'd like to practice in beautiful Brisbane, call me on 0499003366 or email [email protected] to discuss the opportunity that has just opened up.

BRISBANE – NORTHSIDE An established family practice, is looking for an enthusiastic Chiropractor available Tuesdays, Thursdays and Saturdays. The successful applicant would be passionate and motivated with strong manual adjusting skills. We're looking for a long-term practitioner with a proactive approach to continued building of our successful family practice. Please email CV to: [email protected]

ASSOCIATE POSITION AVAILABLE IN A BUSY ASHGROVE PRACTICE, PART TIME hours with option to increase as desired. Primary techniques include SOT, Activator, Diversified and NET. Good support team of CA's and principal Chiropractor. Please contact for further details Email: [email protected]

ROCKHAMPTON, IDEALLY SUITED TO A CHIRO WITH EXPERIENCE with the aim of ownership in 2+ years. Start in the 2nd part of 2018. The position comes with a stream of new patients (clinic averages 15+/week) & runs off a waiting list. Excellent CA staff, X-Rays, large, modern practice. Work as an associate for 2 years & then take over, the ideal scenario. Make a great income while you work as an associate & cash in on the low cost of living before you buy. Further incentives are relocation costs & a yearly CPD subsidy. Practice in the centre of town, close to everything such as shops, great schools, local restaurants, leisure activities. Rockhampton is the capital of Central Queensland straddling the Fitzroy River with an inviting temperate climate and thriving local community. Fantastic sporting facilities, a large interactive art's community and Rockhampton is a regional hub for many industries. The jewel is the amazing Great Keppel Island at the southernmost tip of the Great Barrier Reef, only a short distance away. Please contract [email protected] or call 1300 652 361

HERVEY BAY Interested practicing in beautiful Hervey Bay, 2min walk from beach? Great opportunity for motivated chiro to join well established practice. Accommodation, retainer and coaching to be provided. New Grads Welcome. Call 0415-845-815

ASSOCIATE CHIROPRACTOR REQUIRED FOR A BUSY GOLD COAST CLINIC. We are a well established clinic in a great location and we are seeking a motivated chiropractor to join our team. An interest in pediatrics would be advantageous. We offer a great opportunity to build a practice as part of friendly and supportive team.Please contact us via email if interested at [email protected]

GOLD COAST - ASSOCIATE POSITION AVAILABLE. Open to New Grads. 30-50pv/wk patient base to take over. 20-30NP's/month via existing marketing. Are you a team oreientated chiropractor, with a strong philosophy and willingness to learn and work within an established, family wellness/preventative care office? Please forward your CV to [email protected]

VICTORIA AN OUTSTANDING OPPORTUNITY HAS ARISEN to join a busy,

prestigious, family friendly practice located in Glen Waverley, Victoria. Our clinic has an integrated, holistic approach to spinal health care. With state of the art facilities and a vibrant team, we are focused on optimal results in an environment of service and excellence. We offer incredible support staff including highly trained CA's, which allows you to focus on being the BEST Chiropractor you can be. If you are eager to learn, coachable, down to earth and have a “whatever it takes” attitude, we would love to hear from you. To apply for this position please email your resume to: [email protected]

ARE YOU AN ENTHUSIASTIC AND PASSIONATE CHIROPRACTOR. Excellent opportunity for someone with drive and initiative. Need to be able to adjust manually.Send ""Hello email"" to: [email protected]

MELBOURNE-WIDE: Full time Associate positions now available at Wellbeing Chiropractic. Multiple locations. Great training, modern practices, retainer & career/future opportunities. New grads welcome. For more info: www.wellbeing365.com.au/careers

PART TIME ASSOCIATE POSITION AVAILABLE in a busy, well established practice in the northern suburbs. Become part of a dynamic team in a growing wellness based practice with definite potential to develop into a full time position. Mentorship and support provided.The successful applicant must be proficient in manual adjusting, caring, enthusiastic, professional, eager to learn, a great communicator and preferably have a keen interest in treating athletes and families. Please email your CV to [email protected]

PART TIME ASSOCIATE REQUIRED for our well established business in the heart of Geelong. The position would suit an experienced associate who can help support the existing chiropractor. Must be proficient in manual adjusting. Expressions of interest to be sent to [email protected]

SOUTH AUSTRALIA CHIROPRACTOR SOUGHT FOR MULTIDISCIPLINARY CLINIC

with brand new fully serviced rooms. Work alongside podiatrists, physiotherapists and remedial massage therapists to provide holistic care. Saltfleet Clinic is located in the heart of the prime Port Noarlunga beachfront setting. The successful candidate will receive an attractive percentage of billings remuneration scheme and the opportunity to schedule clinic times. For more about this opportunity visit http://www.saltfleetclinic.com.au To apply please send your resume and cover letter to: Jason Williams, Managing Director [email protected]

ASSOCIATE CHIROPRACTOR POSITION AVAILABLE IN WEST LAKES. Multidisciplinary clinic offering services in physiotherapy, massage and acupuncture in addition to chiropractic care. We are looking for a team member to add to our 2 chiropractors for a 3-4 day work week with an existing client base of 80 per week. Hours are flexible to suit lifestyle goals. Proficiency in manual adjusting is a must, and experience or a strong interest in AK, NOT, TBM, CVP or similar preferred. New graduates welcome to apply as training can be provided. Situated right on the doorstep of the lake, we pride ourselves on maintaining a friendly environment for our clients as well as our reception and allied health teams. If you are looking for a position within a team that are goal driven, patient focussed and determined to succeed then please contact Brad on 0403 057 077 with all enquiries.

ARE YOU A GREAT ADJUSTER? Did you become a chiropractor to help people & change lives or just work in a “Back Factory” where it all comes down to minutes & numbers? We have a Multi-D practice with amazing support staff in our Main Road building in Southern Adelaide. We’ve been established for 10 years with a huge patient base & continuous referrals. We believe in service & value so our patients never feel rushed or just like a number. The principal chiropractor is booked out & needs the right associate ASAP! Send your resume to [email protected] We can’t wait to hear from you.


REGULAR SECTION CLASSIFIEDS

WESTERN AUSTRALIA ASSOCIATE POSITION AVAILABLE A passionate, committed and

highly motivated Chiropractor is needed for a busy, well established family wellness practice in the Joondalup CBD. The successful Chiropractor will be provided with ongoing mentoring and training from two Chiropractors with collective 30+ years experience. The techniques practiced are diversified, activator, Thompson, SOT and drop piece. The practice has been established for over 20 years and has excellent procedures in place to serve the patients and help the practice grow. We are looking for an enthusiastic wellness based Chiropractor that is ready to learn, grow and start as soon as possible. Experience is valued but new graduates are welcome to apply. For any additional information please contact Natasha on 0419912436 or email @ [email protected]

ASSOCIATE POSITION SUBIACO We are looking for a person who puts the patient’s needs first and is great at communicating and adjusting. There is a marketing plan in place to build the successful applicants practice. Experience is preferred however recent graduates are welcome to apply. The clinic has a unique approach to helping people achieve their desired outcomes and training is supplied to become accustomed with these. High practitioner satisfaction is achieved consistently making the role fun to be in with good people to be around. Please contact Paul on 0413580321 or [email protected]

ASSOCIATE OR LONG-TERM LOCUM WANTED Start Sep/Oct- 18 Do you love the outdoors? Fishing, surfing, beach. Work in regional coastal town of Carnarvon, WA and make the most of your time off. Working in regional Australia can be both clinical and financial rewarding. $120,000 + Minimum of two years’ experience (or less experienced with exceptional clinical and manual skills Looking for a hard working and motivated chiropractor with strong manual skills and caring nature. Experience with AK and cranial work a plus, but not essential. Please send me and email and your CV to: [email protected]

NORTHERN TERRITORY DARWIN. NORTHERN TERRITORY. Associate wanted to replace

existing associate who left our employ at the end of 2016. The new Associate will be required to rebuild a predominantly Family and Paediatric patient base. Great opportunity for a Chiropractor with an existing background in Paeds, or a newer graduate with an interest in Paeds who is looking to expand their knowledge and experience further whilst being supported by an established practice. Our previous Paed associate was very busy and well respected in the community, and worked alongside other practitioners in our multidisciplinary clinic in our small tropical city. Great remuneration and conditions available for the successful applicant, particularly if you are relocating from interstate or overseas. For more information or to apply for the position contact Marc at [email protected] 0407 744 455

TASMANIA SUPERSTAR ASSOCIATE REQUIRED - Please navigate to:

apply.taschiro.com

OVERSEAS CHIROPRACTOR QUEENSTOWN, NEW ZEALAND Motivated Chiropractor

required for an established, forward thinking, multidisciplinary clinic in Queenstown. We are looking for an enthusiastic, confident, and proactive chiropractor, who is willing to learn and be guided by the experienced clinicians on our team. You will have an interest in sports chiropractic and the clinic will assist you in gaining a post graduate ICCSP qualification. Queenstown is an outdoor paradise. It provides a fantastic lifestyle and wonderful opportunity to learn and work with sports individuals and teams. For more information, please go to our website www.queenstownhealth.com, Facebook Queenstownhealth and email your CV to [email protected]. Tel: +64 (03) 442 8190.

PRACTICES FOR SALE

QUEENSLAND READY-TO-GO GOLD COAST CHIROPRACTIC CENTRE FOR SALE! Do

you want to buy a chiropractic centre that is established, known in the community, and ready for a new owner? Then this is it! This practice has complimentary practitioners in place who contribute to the income, long time clients, and has been setup in a way to be all about the community. Check out www.goldcoastchiropractor.tv today to learn more about your next practice.

BRISBANE SUBURBS : TURN-KEY CHIRO CLINIC. Want to practice in Sunny Qld just out of Brisbane CBD? Low overhead practice for sale. Steady flow of New Patients and established clientele. Serious enquiries only. Email [email protected] for information.

SUNSHINE COAST, QLD- CHIROPRACTIC PRACTICE FOR SALE Busy family practice using spinal corrective techniques with emphasis on posture and wellness. Manual diversified and drop table techniques. 2 X Omni's, 3 consultation rooms, 2 semi private adjusting bays and a studio for classes/workshops with over 100 sq m floor plan. Clinic established 5 years ago with modern state of the art purpose built fit out. High exposure position within a shopping centre near hospital precinct. Will suit a group/multidisciplinary or sole practitioner.Potential to increase turnover by increasing trading hours or the addition of an associate. Principal willing to stay on during handover period to ensure a smooth transition and sustain goodwill. For more information email [email protected].

SOUTHERN GOLD COAST (CURRUMBIN) - WELL ESTABLISHED PRACTICE FOR SALE. The practice was started by the principal in 2001. Well-established and consistent patient base that is built purely on word of mouth referral, with no external marketing required. Practice currently operates two days (13 hours) per week with NET profit of approx. 180K (excluding rent). The practice has a great reputation for an holistic approach with a strong focus on dietary/lifestyle modification and the use of supplements for organ/system support. Principal is selling to pursue other interests. Would suit motivated practitioner looking to build it to a full-time practice or someone desiring to semi-retire on a substantial income and enjoy the surrounds of the beautiful southern Gold Coast, whilst still contributing to the health of the local community. Call Errol 0403 277 211

CHERMSIDE, BRISBANE, QUEENSLAND An outstanding opportunity to buy straight into strong cash flow, quality goodwill and an outstanding clinical setting. Adjusting approx. 100/wk, banking on average $23k/mth; we spent over $140,000 fitting out the clinic. Can even help with vendor finance potential. Incredible Value; Be your own Boss! Come and see for yourself: 0499003366 or email me: [email protected]

NEW SOUTH WALES LONG RUNNING CHIROPRACTIC WELLNESS PRACTICE ONLY

5KMS TO SYDNEY CBD, NSW. Highly Motivated Seller! Well established profitable practice originally setup in 2009 by current owner, focussing on whole family chiropractic (babies, kids, pregnant women and all adults) and deliberately building strong relationships within the local community. Strong patient database with excellent referrals. Fantastic location on the main shopping street of this inner Sydney suburb, with ample parking. Various great opportunities for growth. Highly streamlined procedures. Present owner selling due to relocation to Europe. Willing to stay on during handover period to help ensure smooth transition for the new owner. For more information please call Kimberley on 1300 652 361, or email [email protected]

INTERESTED IN A CHIRO/MASSAGE BUSINESS WITH OVER $24K IN PREPAID HEALTH PROGRAMS? That’s right – $24k in your pocket on day 1! Looking for a practice with strong goodwill, strong referrals, strong growth – ready for you to make it your own?! Take a look at this - well established, inner west sydney, 15 years strong, iconic business in local community, brand new fitout/equipment, grossing over $200k on part time hours!! That’s correct – $200k on only 25hrs/wk!! Integrative Lifestyle & Wellness philosophy looking after Families, Young Professionals, Mums & Bubs, Retirees, Sports & Athletes, Local Businesses. Diversified/Gonstead/Activator/AK/Cranials/Drops/Soft Tissue/Myofascial & More!Fantastic streamline systems in place, touchscreen + digital platforms, Highly trained CA, Two P/T Associates, Massage Therapist/Kinesiologist, great referrals from GP’s & Locals. Fantastic corner location, dual street frontage, amazing signage, ample free parking, great coffee shop next door! Long lease, business mentoring + coaching, longer settlement, vendor finance also available/negotiable – just ask! BONUS – satellite practice could be added at no cost for the Right Buyer! Owner lives interstate & downsizing from 4 practices, happy to stay/help with transition a few days a month. Is this the opportunity waiting for you? All reasonable offers considered! Call now – Gemma 0406 528 535 or email [email protected]

VICTORIA LONG RUNNING CHIROPRACTIC PRACTICE IN FANTASTIC LOCATION

only 8kms from Melb CBD VIC. ID: 2253 . Well established clinic setup in 1993 and purchased by current owner in February 2016. Large patient database with excellent referrals located close to many schools, shopping centres & amenities. Ample parking options with 12 on-site spaces & plenty of off-street parking option. Fully equipped for new owner to just walk into & start. Modalities: Manual Chiropractic, Diversified, Rehab & Soft Tissue work, Acupuncture, Myotherapy, Remedial Massage. Present owner selling due to relocation / changing professions. Willing to stay on during handover period to help ensure smooth transition & sustain goodwill more information call 1300 652 361 or email [email protected]

SOUTH AUSTRALIA PRACTICE 17 YEARS. NORTHERN SUBURB ADELAIDE. Very

growing area. Busy shopping centre, external entrance. Great visibility. Large area, low overhead. Very professional. Full X-ray and professional furnishings. Very well appointed. Owner retiring, having surgery. 0410 448 880 [email protected]

WESTERN AUSTRALIA HIGHLY MOTIVATED SELLER! Long running well established practice

originally setup in January 2008, purchased by current owner in 2011. Servicing two sites one based around Carnarvon & satellite clinic located in Shark Bay. Strong patient database with excellent community reputation & Opportunity to own successful practice while become an integral part of tight knit community. Potential to increase turnover by increasing chiropractic & massage trading hours. selling due to relocation interstate. Willing to stay on during handover period to help ensure smooth transition & sustain goodwill For more information email [email protected]

ROOM TO RENT

NEUTRAL BAY HEALTH AND WELLBEING IS A MULTIDISCIPLINARY CHIROPRACTIC CLINIC. We are looking for an enthusiastic, motivated and patient focused allied health professional to join our team, with opportunities to rent a room or become an associate. Please contact Nick at [email protected]

EQUIPMENT FOR SALE

HEAD REST PAPER. Crepe and single ply available. $90 per box delivered for 25 rolls. [email protected] or 0418 575 052 to order.

PORTABLE TABLES – height adjustable, 2 drops, tilt head piece, face paper holder, carry bag, light weight at 18kg, black only $789 plus GST. Call 0418 575 052 or [email protected]

METRON CHIROPRACTIC TABLE , height adjustable , 3 piece drop . As new . Price is $4200 Ono. Currently situated in VictoriaPark, Perth. Contact Helen at [email protected]

METRON CHIROPRACTIC TABLE AS NEW. $3200. Contact Jason at [email protected] Located Albury NSW

THULI, TOUR PORTABLE CHIROPRACTIC TABLE, black, 57 cm high, 4 drops including FHP cervical, protective cover, airline case, pull cart, in perfect condition $1500.00 Contact 0417 015 845 or [email protected]

EQUIPMENT WANTED

WANTED - X-RAY EQUIPMENT. Generators and CR processors. Can arrange un-installation & transport. Call 0415-845-815

PRACTICE CONSULTING

PERSONALISED PRACTICE COACHING – Let us assist you to develop philosophical clarity, scientific certainty, technical excellence and leadership with integrity. Call Mark Postles and the team at Quest Chiropractic Coaching on 07 5444 2311 for a complimentary practice audit or visit us at www.questchiropracticcoaching.com

ACA MEMBERS NON-MEMBERS

CROSSWORD ANSWERS

C

SISATSOEMOH

O

O

T

H

T

Y

MULLEBEREC

P

M

E

O

G

E

U

SHPARGOIDAR

N

I

L

Y

I

M

IUNNE

TESNO

C

A

P

U

C

B

ADIFIBANIPS

I

T

N

L

T

L

I

TNEMRIAPMI

O

O

E

O

V

T

NOITCARTNOC

Y

© Lovatts Puzzles


CALENDAR REGULAR SECTION

DATE LOCATION EVENT NAME EVENT PROVIDER CONTACT DETAILS FLA

13-14 Sydney Applied Kiinesiology Module 1 - Basic Procedures Intl Col. of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 9

21-22 Brisbane SOTO Categories SOTO Australasia www.soto.net.au/events 14

21-22 Brisbane Activator Seminar Weekend CAAQLD [email protected] 12.5

28-29 Sunshine Coast ABC™ Live Seminar ABC Australasia [email protected] 12.5

Online Online Neural Organization Technique Online Study Neural Organization Technique www.notaustralasia.org 12.5

4-5 Melbourne Switched-on Kids Switched-on Kids switched-on-kids.com.au 12.5

4-5 Hong Kong Managing the Cervcogenic Patient Brain Hub Academia www.brainhubacademia.com.au 11

4-5 Sydney Getting Ahead of the Curve Scolicare www.scolicare.com.au/seminars 12.5

4-5 Noosa SOTO Mid Year Retreat SOTO Australasia www.soto.net.au/events 6

7-9 Jindaybne MDS Snow Sports Medicine Conference National MD Solutions events.humanitix.net/md-solutions NA

11-12 Sydney Cervicogenic Masterclass with Dr Julia Treleaven Brain Hub Academia www.brainhubacademia.com.au 12.5

11-12 Brisbane SOTO C.M.R.T SOTO Australasia www.soto.net.au/events 12

18-19 Melbourne Gonstead International Seminar Gonstead CSA gonstead.com.au 12.5


25 Perth Unravelling Tongue Tie SOTO Australasia www.soto.net.au/events 5

31-1 Sydney Applied Kinesiology Module 2 - Spine and Pelvis Int. Col.of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 10

31-1 Newcastle Mark and Measure, Powered by Well Kids Dr Jacey Pryjma wellkidsprogram.com/seminars 14

2 Newcastle Mark Their Steps Seminar Dr Jacey Pryjma wellkidsprogram.com/seminars 7

8-9 Brisbane SOTO Cranial SOTO Australasia www.soto.net.au/events 10.5

10-13 Hawaii Four Days of Human Dissection Marc Pick Creations www.marcpick.com N/A

15 Sydney SOTO Intra Orals SOTO Australasia www.soto.net.au/events 5

19 Parramatta Disc Pathology Management Spinal Decompression Australia spinaldecompressionaustralia.com 8


12-14 Melbourne Inspiral Kids - Dynamic Development Module 1 Inspiral www.inspiralproduct.com 16

13-14 Melbourne ABC™ Live Seminar ABC Australasia [email protected] 12.5

19-20 Sydney Applied Kinesiology Module 3 - Peripheral Correction Intl Col. of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 10

20-21 Hobart CAA Annual Conference 2018 CAA caaannualconference.com.au TBC


9-11 Melbourne Inspiral Kids - Dynamic Development Module 2 Inspiral www.inspiralproduct.com 16

16 Gold Coast SOTO Certification Exams SOTO Australasia www.soto.net.au/events NA

17-18 Gold Coast SOTO Annual Convention - Afferentate and Integrate SOTO Australasia www.soto.net.au/events 12.5


25 Wellington NZ Managing the Cervicogenic Patient Brain Hub Academia www.brainhubacademia.com.au 7.5

30-1 Sydney Applied Kinesiology Module 4 - Cranial Faults Int. Col.of Applied Kinesiology icaka.org.au/2018-Cert-Sydney 10

JULY 2018

AUGUST 2018

SEPTEMBER 2018

OCTOBER 2018

NOVEMBER 2018

Disclaimer: ACA is recognised by the Chiropractic Board of Australia to assess programs for formal learning hours. Inclusion on this list is as an information source only and does not indicate, expressly or impliedly, that the ACA endorses the products, services or techniques offered.

EVENT CALENDAR


a complete iastm systemTwo stainless steel precision-engineered toolsRock Rub emollient and cleaning wipesA powerful, yet gentle soft tissue alternativeProvides sensitive tissue informationErgonomic and effective soft tissue workProtect your most valuable asset - your hands!Half day courses available

Assists to reduce painAssists to reduce swellingAssists to correct postureAllows full range of movementWater resistantWear up to 5 daysHypoallergenicNo latex or zinc oxide

STRETCHIER.STICKIER.SUPERIOR.

PH. 08 9379 3400 | [email protected] | WWW.ROCKTAPE.COM.AU

powerfully simplesoft-tissue tools

CHIRO CAN HELP 034 July … · the australian chiropractor uly 2018 2 visit your local store: 1300...

Documents

Transcript of CHIRO CAN HELP 034 July … · the australian chiropractor uly 2018 2 visit your local store: 1300...