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Abstract
Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual prowess rather than standardised evidence based management. This situation has changed in recent years with the acceptance of many within sports chiropractic to operate under an evidence informed banner and to embrace a research culture. Despite recent developments within the sports chiropractic movement, the profession is still plagued by a minority of practitioners continuing to espouse certain marginal and outlandish technique systems that beleaguer the mainstream core of sports chiropractic as a cohesive and homogeneous group. Modern chiropractic management is frequently multimodal in nature and incorporates components of passive and active care. Such management typically incorporates spinal and peripheral manipulation, mobilisation, soft tissue techniques, rehabilitation and therapeutic exercises. Externally, sports chiropractic has faced hurdles too, with a lack of recognition and acceptance by organized and orthodox sports medical groups. Whilst some arguments against the inclusion of chiropractic may be legitimate due to its historical baggage, much of the argument appears to be anti-competitive, insecure and driven by a closed-shop mentality.sequently, chiropractic as a profession still remains a pariah to the organised sports medicine world. Add to this an uncertain continuing education system, a lack of protection for the title 'sports chiropractor', a lack of a recognized specialist status and a lack of support from traditional chiropractic, the challenges for the growth and acceptance of the sports chiropractor are considerable. This article outlines the historical and current challenges, both internal and external, faced by sports chiropractic within Australia and proposes positive changes that will assist in recognition and inclusion of sports chiropractic in both chiropractic and multi-disciplinary sports medicine alike.
Highlights
Orthodox medicine in Western nations has evolved essentially into a two-tiered structure with general practitioners and specialists
A number of ancillary health professional groups have arisen to service the ongoing comanagement needs of individuals under care. In this way physiotherapists and others have contributed to the health care system in a supportive role
In parallel to this development, a number of complementary and alternative health care professions have arisen in separation from orthodox medicine, amongst which chiropractic has become the most established [1,2,3]
Summary
Orthodox medicine in Western nations has evolved essentially into a two-tiered structure with general practitioners and specialists. This is despite the five or six year chiropractic university based, private practice focused education being of longer duration than the majority of professions entitled to full membership This lack of recognition has seen chiropractors typically not considered for appointments to major sporting competitions such as the Commonwealth and Olympic Games and a large section of professional sport within Australia and the government funded AIS. For over 20 years the chiropractic profession has been involved in a long standing battle to gain recognition with SMA as full members [17] This lack of status appears to be a problem inherent and unique to Australia as chiropractors face no impediment in applying for full membership in other international sports medicine organizations such as the American College of Sports Medicine, Sports Medicine New Zealand and the South African Sports Medicine Association. Members that would be more than happy to abide by a code of conduct so long as their professional identity is recognised
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