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J Manipulative Physiol Ther. 2012 Sep;35(7):556-67. doi: 10.1016/j.jmpt.2012.05.002. Epub 2012 Jun 27.

Consensus process to develop a best-practice document on the role of chiropractic care in health promotion, disease prevention, and wellness.

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  • 1Logan College of Chiropractic, Chesterfield, MO 63017, USA.



The purposes of this project were to develop consensus definitions for a set of best practices that doctors of chiropractic may use for promoting health and wellness and preventing disease and to describe the appropriate components and procedures for these practices.


A multidisciplinary steering committee of 10 health care professionals developed seed statements based on their clinical experience and relevant literature. A Delphi consensus process was conducted from January to July 2011, following the RAND methodology. Consensus was reached when at least 80% of the panelists were in agreement. There were 44 Delphi panelists (36 doctors of chiropractic, 6 doctors of philosophy, 1 doctor of naturopathy, 1 registered nurse).


The statements developed defined the terms and practices for chiropractic care to promote health and wellness and prevent disease.


This document describes the procedures and features of wellness care that represent a reasonable approach to wellness care and disease prevention in chiropractic clinical practice. This living document provides a general framework for an evidence-based approach to chiropractic wellness care.

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