Main Article Content
Culture, Linguistics, Lexicaon, Subluxation
Objective: To construct an evidence-based paragraph in English (the paragraph) describing subluxation and its role in conventional chiropractic that has fidelity of meaning when translated to other languages. I give my meaning of ‘conventional chiropractic’ and ‘subluxation’ in the Lexicon and Context.
Method: The 5 parts of the method were (1) to undertake a thematic analysis of papers returned in an earlier systematic review of the indexed literature where subluxation is described, (2) through thematic analysis, extract terms common to expressed understandings of subluxation, (3) to assemble these terms, concepts and wordings into a constructed paragraph describing subluxation and its place in conventional chiropractic practice, (4) the translation of this constructed paragraph to selected languages and then the reverse translation back into English, and (5) to undertake a subjective assessment of the fidelity of the result in each language where the determinant was whether the reverse translation meant in English what I meant when I constructed the original paragraph in English.
Results: A paragraph was able to be constructed and then shown to retain fidelity in both translation and reverse translation in 15 languages other than English. The languages tested in this work were purposively selected as Afrikaans, Arabic, Chinese (Traditional), Danish, Filipino, French, German, Hebrew, Hindi, Japanese, Korean, Russian, Spanish, Turkish, and Ukrainian. The paragraph was true to the found themes from the literature and is presented in this paper.
Discussion: An ongoing issue in chiropractic is the absence of a common, agreed understanding of subluxation and its place in the clinical practice of conventional chiropractors. Most organizations, institutions, and associations carry their own understanding of subluxation, which may not be concordant, and indeed a minority deny subluxation and its meaning in chiropractic. If subluxation is a central tenet within chiropractic then the term should retain common meaning when used in different cultures and languages. Further, given that chiropractic is a growing healthcare system rapidly expanding into different cultures and languages, it is reasonable to expect consistency of meaning regarding subluxation and its role in clinical practice.
Conclusion: A constructed paragraph is presented in English which is shown to retain fidelity of meaning through machine translation to any of 15 chosen languages. I propose that this constructed paragraph be widely adopted as the universal meaning of subluxation within chiropractic. The paragraph is particularly suited to inform the World Federation of Chiropractic in their current project to recommend training benchmarks to the WHO.
2. WFC History. World Federation of Chiropractic. Accessed 10 August 2022. URL https://www.wfc.org/website/index.php?option=com_content&view=article&id=89&Itemid=87&lang=en.
3. Definition of chiropractic. World Federation of Chiropractic. Accessed 10 August 2022. URL https://www.wfc.org/website/index.php?option=com_content&view=article&id=90&Itemid=110&lang=en.
4. Facts on chiropractic. World Federation of Chiropractic. Accessed 10 August 2022. URL https://www.wfc.org/website/index.php?option=com_content&view=article&id=122&Itemid=138&lang=en.
5. Brown RA. Chiropractic as part of the solution to the world crisis in spine-related disability. J Chiropr Humanit 2018;25C:6-9. URL https://pubmed.ncbi.nlm.nih.gov/31019416/.
6. Brown RA. Spinal Health: The backbone of chiropractic’s identity. J Chiropr Humanit 2016;23:22-8. URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127906/pdf/main.pdf.
7. Guidelines on basic training and safety in Chiropractic. World Health Organisation. Geneva. 2005:4. URL https://apps.who.int/iris/handle/10665/43352.
8. Hart J. Analysis and adjustment of vertebral subluxation as a separate and distinct identity for the chiropractic profession: a commentary. J Chiropr Humanit 2016 Oct 25;23(1):46-52. DOI 10.1016/j.echu.2016.09.002. PMID: 27920618; PMCID: PMC5127903.
9. Russell D. The assessment and correction of vertebral subluxation is central to chiropractic practice: Is there a gap in the clinical evidence? J Contemporary Chiropr 2019;20:4-17. URL https://journal.parker.edu/index.php/jcc/article/view/42.
10. Glucina T, Gaskin H, Fox M et al. Practice characteristics of New Zealand chiropractors: A 2019 survey. Asia-Pac Chiropr J 2021;1(4):1015. URL https://www.apcj.net/glucina-et-al-demographics-new-zealand.
11. Ebrall P. The perspective-dependent knowledge claim as an explanation of chiropractic’s subluxation conundrum. J Contemporary Chiropr 2021;4:52-65. URL https://journal.parker.edu/index.php/jcc/article/download/157/70.
12. Funk MF, Frisina-Deyo A, Mirtz TA, et al. The prevalence of the term subluxation in chiropractic degree program curricula throughout the world. Chiropr Man Therap 2018 Jul 2;26:24. DOI 10.1186/s12998-018-0191-1.
13. Examples of lexicon. ThoughtCo. English. Accessed 15 August 2022. URL https://www.thoughtco.com/what-is-a-lexicon-1691231.
14. Ebrall P. The conventional identity of chiropractic and its negative skew. J Contemporary Chiropr 2020;3(1):111-26. URL https://journal.parker.edu/index.php/jcc/article/view/133.
15. Gatterman MI. Foundations of chiropractic: Subluxation. St Louis: Mosby 2005:9.
16. Ebrall PS. A survey of sets of principles of chiropractic. Chiropr J Aust 2001; 31:58-69.
17. Senzon SA. The chiropractic vertebral subluxation part 9: complexes, models, and consensus From 1979 to 1995. J Chiropr Humanit 2018;25C:130-145. URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472115/.
18. Senzon SA. The chiropractic vertebral subluxation Part 10: Integrative and critical literature from 1996 and 1997. J Chiropr Humanit 2018;25C:146-68. URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472121/.
19. Ebrall P, Bovine G. A history of the idea of subluxation: A review of the medical literature to the 20th Century. J Contemporary Chiropr.= 2022;5:150-69. URL https://journal.parker.edu/index.php/jcc/article/download/219/106.
20. Noveck IA, Reboul A. Experimental pragmatics: a Gricean turn in the study of language. Trends Cog Sci 2006;12(11):425-30. DOI 0.1016/j.tics.2008.07.009.
21. Palmer DD. The chiropractor. Los Angeles: Press of Beacon Light Printing Company. 1914:96.
22. Senzon SA. The chiropractic vertebral subluxation part 1: introduction. J Chiropr Humanit 2019 Apr 6;25:10-21. DOI 10.1016/j.echu.2018.10.002. PMID: 31019417; PMCID: PMC6472118.
23. Nelson C. The subluxation question. J Chiropr Humanit. 1997;7:46-55.
24. Haavik-Taylor H, Holt K, Murphy B. Exploring the neuromodulatory effects of vertebral subluxation. Chiropr J Aust 2010;40:37-44.
25. Testing conducted 04 September 2020 using Safari 13.1.2 within Mac OS 10.15.6 at Google Translate URL https://translate.google.com. All languages were retested at the time of manuscript preparation (August 2022) and additional languages were added and are reported.
26. Hieronymi JH. De luxationibus et subluxationibus [thesis] Jena University: 1746.
27. Health is a fundamental human right. World Health Organisation. Geneva. 10 December 2017. Accessed 11 August 2022. URL https://www.who.int/news-room/commentaries/detail/health-is-a-fundamental-human-right.
28. Chiropractic: In depth. National Center for Complementary and Integrative Health. National Institutes of Health. URL https://www.nccih.nih.gov/health/chiropractic-in-depth.
29. Brown, R. A health care system in transformation: making the case for chiropractic. Chiropr Man Therap 2012;20, 37. URL https://doi.org/10.1186/2045-709X-20-37.
30. Hartvigsen J, French SD. So, what is chiropractic? Summary and reflections on a series of papers in Chiropractic and Manual Therapies. Chiropr Man Therap 2020;28,4. https://doi.org/10.1186/s12998-019-0295-2.
31. Petersen Jr D. As go the colleges, so goes the profession [Report of my findings]. August 2022. Dynamic Chiropractic. URL https://www.dynamicchiropractic.com/digital/index.php?i=1291&s=123247&l=13&a_id=59119&pn=18&r=t&Page=18.
32. The Rubicon Group. Participants. Website accessed 11 August 2022. URL https://www.therubicongroup.org/participants/.
33. Councils on Chiropractic Education International. Home. URL https://www.cceintl.org.
34. Competency standards for graduating chiropractors. Council on Chiropractic Education Australasia. 2017. URL https://www.ccea.com.au/s/CCEA_Accreditation_and_Competency_Standards_2017-jk9r.pdf.
35. Innes S, Leboeuf-Yde C, Walker BF. How comprehensively is evidence-based practice represented in councils on chiropractic education (CCE) educational standards: a systematic audit. Chiropr Man Therap 2016:24,30. URL https://doi.org/10.1186/s12998-016-0112-0.
36. Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Training. URL https://training.cochrane.org/handbook/current.
37. How should we summarize bodies of evidence? The emerging evidence architecture for knowledge brokering. Campbell Collaboration. URL https://www.campbellcollaboration.org/blog/how-should-we-summarize-bodies-of-evidence-the-emerging-evidence-architecture-for-knowledge-brokering.html.
38. Faulkner TJ. The chiropractor’s protégé. Rock Island: The Association for the History of Chiropractic. 2017:72.
39. Palmer BJ. Chiropractic. The Chiropractor 1906;2(11): frontispiece.
40. Forster A. Principles and practice of chiropractic 2. Chicago: The National Publishing Company. 1920.
41. Baltzell LG. Firth’s technic notes, Revised 1967. Self published. 1967.
42. Wilson GA. Spinatology. Salt Lake City: The Standard Research Laboratories 1955 and 1956.
43. Palmer BJ. Our masterpiece. Hamilton: Hamilton Press. 1961.
44. Homewood AE. The neurodynamics of the vertebral subluxation 3e. St. Petersburg: Valkyrie. 1977.
45. Illi FWH. High-lights of 45 years of experience and 35 years of research, Lectures and films. Geneva: Institute for the study of the statics and dynamics of the human body. 1971.
46. Kirkaldy-Willis WH, Burton CV. Managing low back pain New York: Churchill Livingstone. 1992.
47. Keating Jr. JC. Toward a philosophy of the science of chiropractic. Stockton: Stockton Foundation for Chiropractic Research. 1992.
48. Wardwell WE. Chiropractic, history and Evolution of a new profession. St. Louis: Mosby. 1992.
49. Leach RA. The chiropractic theories. Principles and clinical applications 3e. Baltimore: Williams & Wilkins 1994.
50. Lantz CA. Back to basics. A review of the evolution of chiropractic concepts of subluxation. Top Clin Chiropr 1995;2(2):1-10.
51. Waddell W. The back pain revolution. Edinburgh: Churchill Livingstone. 2004.
52. Cooperstein R, Gleberzon BJ. Technique systems in Chiropractic. Edinburgh: Churchill Livingstone. 2004.
53. Kent C, McCoy M, Gutierrez V, et al. Open Letter from Council on Chiropractic Education. Foundation for Vertebral Subluxation. 2011. URL http://www.mccoypress.net/subluxation/docs/cce_response_open_letter.pdf.
54. McDowall DA. Daniel David Palmer’s heritage and his legacy of tone to chiropractic [Thesis]. Southern Cross University. 2021. URL 2021. URL https://doi.org/10.25918/thesis.121.
55. McDowall D, Emmanuel E, Grace S et al. Tone as a health concept: An analysis. Comp Thera Clin Prac 2017;29: 27-34. URL http://dx.doi.org/10.1016/j.ctcp.2017.08.001.
56. Palmer DD. Text book of the science, art and philosophy of chiropractic for students and practitioners. Portland: Portland Printing House Company 1910:frontispiece.
57. Ebrall PS. A descriptive report of the case-mix within Australian Chiropractic practice, 1992. Chiropr J Aust 1993; 23:92-7.
58. Ebrall PS. Residual disability from delayed manipulative treatment for mechanical low-back pain: A case review. Chiropr J Aust 1993; 23:54-8.
59. DeCoster LD, Ebrall PS. A description of WorkCare claims where chiropractors wrote the initiating certificate: Victoria 1990/91. Chiropr J Aust 1993; 23:33-7.
60. Ebrall PS. The determinants of chiropractors being providers of appropriate manipulative health care in Australia. J Canadian Chiropr Association 1993; 37(3):159-63 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2485038/pdf/jcca00043-0033.pdf.
61. Ebrall PS, Ellis WB. Transient syncope in chiropractic practice: A case series. Chiropr J Aust 2000; 30:82-91.
62. Repka A, Ebrall PS, Draper B. Failure to use vertebral subluxation complex as a diagnostic term: a flaw of reductionistic diagnosis with resultant compromise of student and patient outcomes in chiropractic teaching clinics. Chiropr J Aust 2007; 37:84-91.
63. De Souza R, Ebrall PS, Kimpton A. Preliminary Report: Practice-based measures of wellbeing in a typical Australian chiropractic practice. Chiropr J Aust 2007; 37:126-134.
64. De Souza R, Ebrall PS. Understanding wellness in a contemporary context of chiropractic practise. Chiropr J Aust 2008; 38:12-6.
65. Ebrall PS. Discussion paper: Evidenced-based practice and chiropractic. Chiropr J Aust 2016;44(4): 309-19. Available at http://www.cjaonline.com.au/index.php/cja/article/view/120.
66. Ebrall PS. Finding the professional identity of chiropractic in Australasia: A pragmatic narrative of the Formative Period to 1960. Chiropr Hist 2020:40(1):49-71.
67. How Accurate is Google Translate? (Updated 2022 Review). Lingperfect. Accessed 12 August 2022. URL https://lptranslations.com/learn/how-accurate-is-google-translate/.
68. Google Translate: 6 reasons to avoid using it [Industry Blog]. Language Insight. Accessed 12 August 2022. URL https://www.languageinsight.com/blog/2019/google-translate-avoid-using-it/.
69. Coulehan JL. Adjustment, the hands and healing. Cult Med Psych 1985;9:353–82. URL https://doi.org/10.1007/BF00049230.
70. Gorrell LM, Beath K, Engel RM. Manual and instrument applied cervical manipulation for mechanical neck pain: A randomized controlled trial. J Manipulative Physiol Ther 2016;39:319-29. URL http://www.jmptonline.org/article/S0161-4754(16)30005-7/fulltext.
71. Oakley PA, Harrison DE. A systematic review of CBP® methods applied to reduce lateral thoracic translation (pseudo-scoliosis) postures. J Contemporary Chiropr 2022 ;5(1):13-8. URL https://journal.parker.edu/index.php/jcc/article/view/184.
72. Wang S, Niedjalski C, Hogg-Johnson S. Discomfort during setup of side posture hypothenar/ilium push manipulation. Platform presentation, Association of Chiropractic Colleges Research Agenda Conference 2020 Abstracts of Proceedings. Platform and poster presentation abstracts [planned to be presented at the 27th ACC-RAC Conference, Dan Diego, California, March 19-21, 2020; cancelled due to the global coronavirus pandemic]. J Chiropr Educ. 2020 Mar;34(1):72-103. URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074944/.
73. Robinault L, Holobar A, Crémoux S et al. The effects of spinal manipulation on motor unit behavior. Brain Sci 2021 Jan 14;11(1):105. DOI 10.3390/brainsci11010105. PMID: 33466707; PMCID: PMC7828823.
74. Haavik H, Kumari N, Holt K et al. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. Eur J Appl Physiol 2021 Oct;121(10):2675-2720. DOI 10.1007/s00421-021-04727-z. Epub 2021 Jun 23. PMID: 34164712; PMCID: PMC8416873.
75. McDowall DA. Daniel David Palmer’s heritage and his legacy of tone to chiropractic [Thesis]. Southern Cross University. Rankings/Most viewed. URL https://researchportal.scu.edu.au/esploro/.
76. Maiers M, Agaoglu M, Brown R et al. Chiropractic in global health and wellbeing: a white paper describing the public health agenda of the World Federation of Chiropractic. Chiropr Man Therap 2018;26,26. URL https://doi.org/10.1186/s12998-018-0194-y.
77. Ebrall P. Antagonists, protagonists, and the General Chiropractic Council: a pragmatic narrative of eminence- based chiropractic. J Phil, Princ Prac Chiropr 2020;July 27:37-48. Paywall URL https:// www.vertebralsubluxationresearch.com/2020/07/05/antagonists-protagonists-and-the-general-chiropractic-council- a-pragmatic-narrative-of-eminence-based-chiropractic/.
78. Dodgson C (Lewis Carol). Through the looking-glass. Oxford, MacMillan. 1871 (Dated 1872), Chapter 6.
79. World Federation of Chiropractic. WHO Benchmarks for training in chiropractic. WFC home. August 2022. URL https://www.wfc.org/website/images/wfc/Latest_News_and_Features/WHO_Benchmarks_WG_-_Call_for_expressions_of_interest_2022.pdf.
80. Young KJ, Theroux J. Prevalence of chiropractic-specific terminology on chiropractors' websites in the United Kingdom with comparison to Australia: an analysis of samples. J Chiropr Humanit 2021 Dec 22;28:15-21. DOI 10.1016/j.echu.2021.10.001. PMID: 35002574; PMCID: PMC8720836.
81. CCE Accreditation Standards Principles, Processes & Requirements for Accreditation. The Council on Chiropractic Education. 2021:27. URL https://www.cce-usa.org/uploads/1/0/6/5/106500339/2021_cce_accreditation_standards__current_.pdf.
82. Program Standards for the Doctor of Chiropractic Degree Program - Canada. The Federation of Canadian Chiropractic. URL https://chirofed.ca/wp-content/uploads/2021/03/program-standards-DCP-Canada-Nov-9-final-1.pdf.
83. ECCE Accreditation procedure and standard. European Council on Chiropractic Education. Accreditation Procedures and Standards Version 5.3. URL https://www.cce-europe.com/index.php/accreditation-documentation.html?file=tl_files/documents/documents/archive/Accreditation%20Procedures%20and%20Standards%205.3%20-%20November%202019%20Aachen%20%20270320.pdf.
84. General Chiropractic Council. Education Standards public consultation launched. August 2022. URL https://www.gcc-uk.org/gcc-news/news/entry/education-standards-public-consultation-launched.
85. Ebrall P. Murakami Y. A critical analysis of the reality distortion of chiropractic among scientists with constructive criticism of the current debate. J Phil Princ Prac Chirop 2019;July 11:1-11. https://www.vertebralsubluxationresearch.com/2019/07/10/a-critical-analysis-of-the-reality-distortion-of-chiropractic-among-scientists-with-constructive-criticism-of-the-current-debate/.
86. Kent C. An analysis of the General Chiropractic Council’s policy on claims made for the vertebral subluxation complex. J Philos Principles Practice Chiropr 2011;May 16:1-8. URL http://www.mccoypress.net/subluxation/docs/kent_gcc_subluxation_analysis.pdf.
87. Through Google translate, does Google become the owner of the processed content? Quora. Accessed 12 August 2022. URL https://www.quora.com/Through-Google-translate-does-Google-become-the-owner-of-the-processed-content?share=1.