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The primary form of care to reduce vertebral subluxations is a schedule of chiropractic adjustments.By applying a specific and precise force, in the right direction and at the right time, over time, changes in the position and motion of spinal bones can be made.Although mixers are the majority group, many of them retain belief in vertebral subluxation as shown in a 2003 survey of 1100 North American chiropractors, which found that 88% wanted to retain the term "vertebral subluxation complex", and that when asked to estimate the percent of disorders of internal organs (such as the heart, the lungs, or the stomach) that subluxation significantly contributes to, the mean response was 62%.A 2008 survey of 6,000 American chiropractors demonstrated that most chiropractors seem to believe that a subluxation-based clinical approach may be of limited utility for addressing visceral disorders, and greatly favored non-subluxation-based clinical approaches for such conditions. Palmer repudiated his earlier theory that vertebral subluxations caused pinched nerves in the intervertebral spaces in favor of subluxations causing altered nerve vibration, either too tense or too slack, affecting the tone (health) of the end organ. Palmer theorized that the nervous system controlled health: "Physiologists divide nerve-fibers, which form the nerves, into two classes, afferent and efferent.You can have vertebral subluxations and not even know it.Like the early stages of tooth decay or cancer, vertebral subluxations can be present before warning signs appear.
No studies regarding the importance of patient expectations have been done in the chiropractic field.
Their philosophy and explanations are metaphysical in nature and they prefer to use traditional chiropractic lexicon terminology (e.g., perform spinal analysis, detect subluxation, correct with adjustment).
Many of them incorporate mainstream medical diagnostics and employ conventional treatments including techniques of physical therapy such as exercise, stretching, massage, ice packs, electrical muscle stimulation, therapeutic ultrasound, and moist heat.
The main chiropractic treatment technique involves manual therapy, especially spinal manipulation therapy (SMT), manipulations of other joints and soft tissues.
Chiropractic has two main groups: "straights", now the minority, emphasize vitalism, "innate intelligence" and spinal adjustments, and consider vertebral subluxations to be the cause of all disease; "mixers", the majority, are more open to mainstream views and conventional medical techniques, such as exercise, massage, and ice therapy.OBJECTIVE: To investigate the expectations of new patients consulting a chiropractor and to evaluate differences and similarities in expectations between chiropractors and patients. STUDY PARTICIPANTS: Thirty chiropractors and 336 patients from 17 private practices throughout Sweden.