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The New Zealand Chiropractors’ Association (NZCA) has developed a new public website (chiropracticnz.org) to provide up to date information on the research supporting the role of one of the world’s fastest growing healthcare sectors [1].
In 2019 the NZCA, the country’s peak body for chiropractors commissioned research amongst the general population and health professionals to better understand how chiropractic care is perceived.
NZCA spokesperson Dr Jenna Duehr, chiropractor explains: `The survey found that overall chiropractors are seen by the general public as being professional and knowledgeable. Chiropractors are regarded as being effective for back pain and there is awareness that chiropractic is partly funded by ACC. But over two thirds of New Zealanders surveyed said they were unfamiliar with chiropractic care citing perceptions of high cost, lack of scientific evidence, and safety barriers to visiting a chiropractor. Since then we’ve worked very hard to present the growing body of evidence supporting the role of chiropractic in a way that is entertaining and easily accessible to New Zealanders.’
The growing body of evidence includes the 2021 Nobel prize in Medicine or Physiology given to researchers for work which sheds new light on how hands on therapy, such as chiropractic, improves pain and other conditions by converting physical sensations into electrical messages in the nervous system [2].
Dr Jenna Duehr, chiropractor explains: `US researchers Professor David Julius and Professor Ardem Patapoutian have shown how our bodies convert physical sensations into electrical messages in the nervous system. They have identified the different type of receptors that are activated in response to mechanical force or touch. These touch and temperature sensors have since been shown to have a wide role in the body and in some diseases, such as chronic pain, how our body regulates its core temperature and multiple roles from urinating to blood pressure.’
According to the NZCA, a plethora of new research findings are reinforcing the importance of exercise and spinal function in protecting health longer term. A paper in the PNAS (Proceedings of the National Academy of Sciences of the USA) warns that a growing worldwide epidemic of physical inactivity is accelerating the prevalence of noncommunicable diseases among aging populations [3] and finds that `extended human health spans and lifespans are both a cause and an effect of habitual physical activity, helping explain why the lack of lifelong physical activity in humans can increase disease risk and reduce longevity’.
The NZCA survey found that seven in ten New Zealand health professionals who had recommended chiropractic care in the previous year would consider referring in the future.
The survey showed that key factors in the appreciation of chiropractic include
• Good previous results
• Knowledgeable, highly trained practitioners
• Holistic approach
• Understands the whole body
• Back is responsible for other issues
• Pain management
• An alternative approach
• For complementary care
Amid the COVID-19 crisis, the global market for Chiropractic Care estimated at US$36.9 Billion in the year 2020, is projected to reach a revised size of US$52 Billion by 2027. Led by countries such as Australia, New Zealand, India, and South Korea, the market in Asia-Pacific is forecast to reach US$6.8 Billion by the year 2027.
Chiropractors are regulated primary health care professionals registered under the HPCA Act with close to 700 annual practicing certificate holders working in solo, group, and multidisciplinary clinics around New Zealand. New Zealand chiropractors have significant training (a minimum 5-year tertiary degree) and a highly skilled ​scope of practice and clinical expertise.
New Zealand’s chiropractors are taking the lead to inform and inspire people to improve their health and prevent pain and disability by educating the public to have a greater understanding of the relationship between their spine and nervous system and how this affects their function and overall well-being.
Working from home during the pandemic has generated an upsurge in compromised spines, warns the New Zealand Chiropractors’ Association (NZCA), the country’s peak body for chiropractors. The NZCA says the increasing problems were made worse by restricted access to chiropractic care caused by the unnecessary extension of Covid-19 mandates for private health professionals.
Marking World Spine Day, held on 16th October each year, the NZCA says it is vital to raise awareness of the permeative and diverse nature of spinal pain and disability as part of the global burden of disease and address the need for access to evidence-based spinal healthcare and rehabilitation. The theme of this year’s World Spine Day is ‘Every Spine Counts.’
NZCA members are reporting a particular rise in spinal problems, especially among young New Zealanders, which is borne out by British research [1] which shows that two-thirds of people aged 18 to 29 suffered new episodes of back pain during the pandemic brought on by enforced remote working.
According to NZCA spokesperson Dr Jenna Duehr, chiropractor: `We are seeing similar problems to the UK post pandemic. Around a third of people have problems with the lower back, which is often caused by poor posture.’
Dr Duehr points out that office furniture is often designed to help people with their posture and reduce pressure on the lower part of the spine. But she notes: `This survey reports that one in five young adults work from bed when at home, one in six sit on the sofa and around one in 100 do so from the floor. We know that many people don’t have access to a table at the right height and a properly supportive chair at home. They are compromising their spines by forcing them to endure really bad posture and this is storing up trouble for their future spinal health.’
The scrapping of Covid-19 restrictions has meant that many people now work partly from home in a hybrid, which was unusual before the pandemic, but is now part of the work-life balance.
Dr Duehr adds: `The prolonged enforcement of mandates for chiropractors also means that we have a backlog of cases and our members are still working their way through those. Every spine does count and good spinal health has been shown to reduce stress and boost energy so we can live our lives to the full, without pains and aches holding us back.'
The Straighten Up NZ site https://www.straightenup.org.nz/ has a range of exercises, which can be done at home. Dr Duehr also recommends boosting vitamin D levels by getting outside, supporting the immune system with quality vitamin C and zinc supplements, maintaining good hydration, staying positive and by exercising so that the heart rate is raised and endorphins are generated.
World Spine Day is the largest interprofessional global public health event dedicated to promoting spinal health and well-being and occurs during Global Chiropractic Health Month. It also celebrates the work of chiropractors, who adopt evidence-based, people-centered, interprofessional and collaborative approaches to healthcare that optimise health and well-being globally.
Chiropractors are regulated primary health care professionals registered under the HPCA Act with close to 700 annual practicing certificate holders working in solo, group, and multidisciplinary clinics around New Zealand. New Zealand chiropractors have significant training (a minimum 5-year tertiary degree) and a broad yet highly skilled scope of practice and clinical expertise.
New Zealand’s chiropractors are taking the lead to inform and inspire people to improve their health and prevent pain and disability by educating the public to have a greater understanding of the relationship between their spine and nervous system and how this affects their function and overall well-being.
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