BACK Issue 16 News and Views for MATTERS Canada’s Chiropractors A BOLD FUTURE FOR CHIROPRACTIC Dr. Jan Hartvigsen sees potential to address gaps in the healthcare system Page 34 Issue 16 | Canadian Chiropractic Association | 2018 1 TAKE A POSTURE BREAK AND ENHANCE YOUR HEALTH IN JUST THREE MINUTES A DAY! 2 Issue 16 | Canadian Chiropractic Association | 2018 ISSUE 16 BACK MATTERS COLUMNS 6 Message from the Chair 8 Message from the CEO 14 Advocacy: One Step Closer: Empowering Chiropractors to Issue Disability 5 Staying within the lines Tax Credits (DTC) Certificates 18 Message from the CBO 20 Researcher Spotlight: Dr. Carol Cancelliere Clinical Value of Assessing Lumbar CHECK IT OUT 24 Segmental Stiffness 12 Celebrating 75 Years in Saskatchewan 16 Celebrating 60 Years and Beyond in New Brunswick 22 CCGI Student Ambassadors Take the Lead Sports and the Convergence of Chiropractic 26 Looking Back: CCA National Convention 30 & Tradeshow 37 Connecting Canadian Chiropractors Through Podcasts 38 CCA Endorses: Schoolbags from Beckmann of Norway & NormalizerTM Posture Pillows Professor Hartvigsen Sees A 34 Bold Future For Chiropractic 39 CCA Plus: Your CCA Perks! Issue 16 | Canadian Chiropractic Association | 2018 3 CONTRIBUTORS TRACY BERTRAM Ms. Bertram is the Executive Director of the Chiropractors’ Association of Saskatchewan. She graduated from the University of Saskatchewan in 1998 with a Bachelor of Commerce Degree (with Distinction), with majors in Health Care Administration and General Business. Issue 16, 2018 Ms. Bertram has almost 20 years of experience working within healthcare, government and with professional associations. She has held various positions with the Saskatchewan Ministry of Health, the Ministry of Social Services and the Regina Qu’Appelle Health Region. chiropractic.ca [email protected] DR. CAROL CANCELLIERE, DC, PHD Dr. Cancelliere is a CCRF Research Chair in Knowledge Translation in the Faculty of Health Sciences, BACK Matters™ is a publication University of Ontario Institute of Technology, and the project lead for the Canadian Chiropractic of the Canadian Chiropractic Guideline Initiative. The objectives of this program are to develop, adopt or adapt clinical practice guidelines relevant to musculoskeletal health and disability, and to engage in knowledge translation Association (CCA) and is activities and research. She is a CMCC graduate (2004) and practised for 10 years in Saskatchewan, published two times per year. British Columbia and Ontario. Carol received her PhD in Clinical Epidemiology and Health Care Research from the University of Toronto (2017). Her research program also focuses on concussion (management and prognosis) and spinal pain in the Canadian Armed Forces. She Copyright © 2018 Canadian has received competitive awards from major national and provincial funding agencies. Chiropractic Association. All DR. GAELAN CONNELL, BHK, DC rights reserved. The opinions Dr. Connell graduated from CMCC in 2014. He works in a multidisciplinary practice in expressed in this publication Vancouver, British Columbia, and is a knowledge broker with the Canadian Chiropractic are those of the authors and Guideline Initiative. He also works with the CCA as a policy advisor and is a former Student Canadian Chiropractic Association president. Dr. Connell is currently undertaking a master’s do not necessarily reflect degree at the University of British Columbia in Rehabilitation Sciences. He has a keen interest the opinions and policies of in knowledge translation and implementation science. He is also passionate about running and has completed several trail ultramarathons over the past year. the CCA. Advertisements shall not be considered an DR. GREG DUNN, DC endorsement, warranty or Dr. Greg Dunn graduated from CMCC in 1976. He had an active practice in Manitoba until June 1999. Dr. Dunn served on the Board of the Canadian Chiropractic Protective Association (CCPA) guarantee of the product(s) or from 1990 until his appointment of COO in September 1999. While serving on the CCPA Board, service(s) advertised, nor an Dr. Dunn became Chair of the Risk Management Committee. Dr. Dunn is also a national and international lecturer on the topic of risk and risk management. Currently, Dr. Dunn serves as endorsement by the CCA of the CEO of the CCPA. Dr. Dunn is a past president of the Manitoba Chiropractors’ Association the manufacturer, distributor, and a past president of the CCA. Dr. Dunn has been very active in community volunteer work. He co-chaired the 1992 Manitoba Summer Games, was a founding member and first Chairman supplier or advertiser of such of the Beautiful Plains Community Foundation Inc., and was the leading force in getting Canada product or service. Post to issue a centennial stamp commemorating one hundred years of chiropractic in Canada. No part of this publication DR. JAN HARTVIGSEN, DC, PHD may be reprinted without the Dr. Hartvigsen graduated from Palmer College of Chiropractic in 1989 and earned his PhD in clinical epidemiology in 2001. Dr. Hartvigsen has worked in several roles at the University of Southern editor’s written permission. Denmark (SDU) since 2006: professor and head of the Research Unit for Clinical Biomechanics at the Department of Sports Science and Clinical Biomechanics, leader of the Graduate Program for Physical Activity and Musculoskeletal Health, and co-founder of the Center for Muscle and Joint Health. In 2017, he won Researcher of the Year from the American Chiropractic Association and the Published by the CCA David Chapmann-Smith Honorary Award from the World Federation of Chiropractic. Editor: Ronda Parkes DR. KENT STUBER, DC, MSC [email protected] Dr. Kent Stuber works in private practice in Calgary, Alberta, and is Editor-In-Chief of the Journal of the Canadian Chiropractic Association. He is an Adjunct Professor at Canadian Memorial Chiropractic College and is currently working on a PhD, focusing on patient- Tel: 416-585-7902 centredness. Kent is a Best Practice Collaborator in Alberta for the CCGI and has published Toll Free: 1-877-222-9303 more than 30 articles in peer-reviewed journals. He is also a keen volunteer for youth sports, particularly the teams that his sons play for. Fax: 416-585-2970 Publications Mail DR. FRANCES LEBLANC, DC Dr. Frances LeBlanc is the CEO of the New Brunswick Chiropractors Association and Agreement No. 40036842 chiropractor in Moncton, NB. Frances completed a bachelor’s degree and graduate studies in psychology at the Université de Moncton. She later graduated from the Canadian Memorial Return undeliverable Chiropractic College and completed a master’s degree in Public Policy, Administration and Law at York University. Frances is currently enrolled in CAE and MBA programs. Frances is a Canadian addresses to: passionate health advocate with a special interest in models of care and integrative practices. 186 Spadina Ave, Suite 6, Frances continues to support the work of numerous organizations, including as Chair of the NB Coalition for Pay Equity, member of the NB Advisory Board of The Arthritis Society, and as a Toronto, Ontario M5T 3B2 best practice collaborator for the Canadian Chiropractic Guideline Initiative, among others. DR. SHAWN THISTLE, DC Dr. Thistle is a practising chiropractor, educator, international speaker, knowledge- transfer leader, entrepreneur and medicolegal consultant. He is the Founder and CEO of RRS Education, a continuing education company providing weekly research reviews, informative seminars, and convenient online courses for chiropractors, physiotherapists, and osteopaths MIX Paper from worldwide. For 14 years, he has been a part-time faculty member at CMCC in the Orthopedics responsible sources Department. His skillsets are strengthened by his experience in expert medicolegal reporting C011603 in chiropractic malpractice cases. 4 Issue 16 | Canadian Chiropractic Association | 2018 Staying within the lines Keeping a professional mindset in your practice BY DR. GREG DUNN, DC CEO, CANADIAN CHIROPRACTIC PROTECTIVE ASSOCIATION s chiropractors, we all place Our DC, who thinks of himself as a great emphasis on high- a friend to his patients, recently Remember to keep these Aquality care for our patients. received several complaints. While the steps in mind: The Canadian Chiropractic Protective chiropractor was treating the patient, Association (CCPA) regularly speaks he noticed a concerning neurological • Update informed consent with DCs who are passionate about each symptom but did not re-evaluate it. with any change to the one of their patients’ well-being. But As the symptom worsened for the patient’s treatment, it’s still worth reminding ourselves patient, the DC realized he never did symptoms, diagnosis or what factors go into providing our baseline neurological testing despite health status, using the patients with the best care possible the patient’s presenting symptoms. most recent version of the and giving ourselves a refresher on our The DC also didn’t advise the patient CCPA form. Revisit informed consent after a prolonged basic, professional obligations. of possible differential diagnoses nor absence from care. the potential natural progression of In our conversations with DCs, her condition. As she progressed, she • Ensure you record all positive we sometimes see the chiropractors’ linked her worsening symptoms to the and negative exam findings. focus drifting from these professional treatment she had received. It turns out • Document differential obligations — becoming so eager