Physical Therapists and the Chiropractic Practice Act Denise

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Physical Therapists and the Chiropractic Practice Act Denise Natale, D. C. Vermont Board of

Physical Therapists and the Chiropractic Practice Act Denise Natale, D. C. Vermont Board of Chiropractic

History • March 2005 – PT Advisor Board proposes “housekeeping” changes to practice act,

History • March 2005 – PT Advisor Board proposes “housekeeping” changes to practice act, including adding mobilization • April 2005 – VCA responds with concerns • July 2005 – PT publishes draft language for proposed act

History • September 2005 – PT responds to VCA April 2005 letter, claiming qualifications

History • September 2005 – PT responds to VCA April 2005 letter, claiming qualifications • November 2005 – PT requests meeting with VT Board to discuss definitions of manipulation, mobilization • December 2005 – PT and VT Board meet for fact-finding

History • January 2006 – PT’s invited back to VT Board – PT’s respond

History • January 2006 – PT’s invited back to VT Board – PT’s respond with letter

The Problems • PT’s offer language from their Federation of State Board of Physical

The Problems • PT’s offer language from their Federation of State Board of Physical Therapy Model Practice Act

The Problems • OPR/Legislator confusion – Both PT’s and DC’s offer their version of

The Problems • OPR/Legislator confusion – Both PT’s and DC’s offer their version of the truth • The PT language offers mobilization and manipulation as synonyms

The Problems • No good universal definition of manipulation, mobilization seemed to exist –

The Problems • No good universal definition of manipulation, mobilization seemed to exist – Many suggested definitions are • • Politically motivated Old chiropractic dogma Not reflective of current, unbiased science Not defensible in court

The Problems • Compared to the extensive background work PT’s have conducted, DC’s are

The Problems • Compared to the extensive background work PT’s have conducted, DC’s are not prepared to defend their practice to legislators

The Problems • To stay out of the “turf war” trap – This is

The Problems • To stay out of the “turf war” trap – This is not about politics – This is a public protection issue

The Problems • We need resources!!!

The Problems • We need resources!!!

Concerns Raised by Colleagues • % of PT’s who currently perform manipulation – %

Concerns Raised by Colleagues • % of PT’s who currently perform manipulation – % of their patients receiving manipulation • PT’s ability to assess contraindications to manipulation • DC’s ability to present a united front

Solutions • Education – Define mobilization/ manipulation – Safety record of DC’s vs. others

Solutions • Education – Define mobilization/ manipulation – Safety record of DC’s vs. others – Present to OPR, Board, Legislature prn

Resources • FCLB • Becoming an expert – Definitions – PT’s practice • “medical”

Resources • FCLB • Becoming an expert – Definitions – PT’s practice • “medical” differential diagnosis vs. • PT diagnosis – Risks and benefits of manipulation

When we circle the wagons this time, let’s not shoot in!

When we circle the wagons this time, let’s not shoot in!

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