October 2014 Volume 10 Number 2 - European Chiropractors' Union

Transcription

October 2014 Volume 10 Number 2Newsletter of the European Chiropractors’ UnionIn BACK space:3President’smessage4ECU news8Convention15Research16General news23Feature PhD for JoyceMiller25Making themost of it Gitte TønnerJonathan Mulholland of Foot Levelers presents a seminar on pelvic stabilisationDiversity a hitwith delegates at2014 ConventionOver 400 delegatesdescended on Dublinin May for the ECU’s annualConvention, where a freshnew format introduced by newAcademic Convention OrganiserGitte Tønner included a rich mixof plenary sessions, debate andpractical workshops.Held in the iconic ConventionCentre Dublin (CCD) the annualECU event welcomed delegatesfrom as far afield as Canada andthe United States.This year’s Convention focusedon including all facets of theprofession, resulting in over 95%of delegates reporting that theywould be returning for futureECU events. The emphasis wason neurology, sports and debate,with big names from the worldof chiropractic coming togetherto share thoughts, ideas andperspectives on the profession.The Convention beganon the Wednesday eveningwith a welcome reception,where the Executive, GeneralCouncil, researchers, students,delegates and guests mingledwith sponsors and traders in theexhibition area. With backgroundmusic provided by a local harpist,ECU President Øystein Ogrewelcomed all to what was tobe one of the most successfulConventions in recent years.BACKsp a c e www.ecunion.euOctober 2014 tionSwiss chiropractors havebeen celebrating the newsthat their Zürich programmehas been formally accredited.In a statement issued on 16July, Professor Kim Humphreys,Head of the ChiropracticMedicine Programme at theUniversity of Zürich, announcedthat with immediate effect, andfor a period of seven years, theMaster in Chiropractic Medicine(M.Chiro.Med) degree has beenofficially accredited by the SwissUniversity Conference (SUK)and the Swiss AccreditationCouncil (CSA).Continued on page 17Continued on page 827Chiropractictrailblazers Coralie Pellissier29EAC31Review Born to WalkTrailblazing – see page 27Previous issues of BACKspaceare available from the ECU office.See page 3 for contact details.1

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Newsletter of the European Chiropractors’ UnionPresident’s messageWhy we need to integratewith mainstream health careFor most of the 119year period of chiropractic’sexistence, chiropractors havebeen looked upon as practitionersof alternative medicine. WhenI graduated, chiropractic wasvirtually unknown and colleaguesin other health professions referredto it as unscientific and dangerousto the public.Now chiropractic is a householdword. Those health professionals,who had said years ago thatchiropractic was dangerous orunscientific, now find themselvescompeting with us and copyingeverything we do.Natural developmentI think we need to accept that whenmethods that have traditionallyBACKspace is published twice ayear by the European Chiropractors’Union (ECU) and distributed freeto all ECU members. Opinions inBACKspace are not necessarily thoseof the editor or the ECU, who reservethe right to edit all contributions.The ECU accepts no responsibility foradvertising content.European Chiropractors’ Union,The Glasshouse, 5A Hampton Road,Hampton Hill, Middlesex TW12 1JNTel: 44 (0) 20 8977 2206Email: claire@ecunion.euWebsite: www.ecunion.euEdited and produced byManya McMahon atPinpoint Communication Ltdwww.pinpoint-uk.co.ukinfo@pinpoint-uk.co.ukTel: 44 (0) 1395 269573Design by Impress Publications LtdPrint by Advent Colour Ltd,19 East Portway Industrial Estate,Andover, Hampshire SP10 3LUTo advertise in BACKspace,please contact Claire Wilmot at ECUHead Office: claire@ecunion.eu ECU. All rights reserved. Reproductionof any part of BACKspace is not allowedwithout the written permission of ECU.BACKsp a c e www.ecunion.eubeen considered to be alternativegain acceptance and recognition,they are no longer consideredalternative. This inevitably meansthat conventional medicine islikely to accept the methods andimplement them.Today, there are a number ofprofessions that include spinalmanipulation in their training.We are no longer alone in offeringmanipulative spine care.When I started in practice,most chiropractors performedspinal adjustments as their onlymethod of treating patients. It waseasy for the public: chiropractorsadjusted, physiotherapists didrehab. Today, we see chiropractorsutilising a broad range of othertechniques: soft tissue work,advanced rehabilitation exercises,cognitive behavioural therapy andacupuncture. Investigations havemoved forward too. From x-rayingmost patients, chiropractors nowuse other imaging methods and wehave seen great growth in the use ofMRI and ultrasound.What we are seeing is a naturaldevelopment in a modern society,where knowledge and skillsbelong to everyone, not one singlegroup. The different health careprofessions look at the evidence forwhat most benefits patients andadopt methods that work.What does this meanfor the public?It is becoming increasingly difficultfor the public to see the bigdifferences between the professions.A study recently undertaken bythe Norwegian Health Directorateshowed that physiotherapists,manual therapists, osteopaths,naprapaths and chiropractors allperformed methods like spinaladjustments, stretching, rehabOctober 2014 exercises, trigger point therapyand soft tissue techniques. Theonly objective difference betweenthe professions was the level ofeducation. To our satisfaction,the study found that it waschiropractors who were the besttrained health professionals to takecare of spinal problems.What is our answer tothis situation?The Achilles heel of chiropracticremains the lack of integrationinto the health care system.Traditionally, chiropractors haveentered single practices and workedon their own throughout theirprofessional careers and chiropracticinstitutions have often had theirfocus on students masteringthis part of their professionallives. However, today we see amovement towards improved interprofessional relations, especiallyin countries with advancedlegislation and regulation such asDenmark, Norway, Liechtensteinand Switzerland. Nowadays,the trend is that chiropractorsestablish practices with otherhealth professions or join alreadyestablished multi-disciplinarycentres. Sole practice is no longerthe only option.In my opinion, we must learnand be comfortable in workingwith other health professionalsin the health care system and ourchiropractic institutions must workto develop their inter-professionaltraining. We must move away fromthe situation where I still see fearand discomfort in students’ eyeswhen they pick up the phone inorder to communicate with the localmedical doctor or physiotherapist.I know there are exceptionswithin our chiropracticprogrammes. The universities ofZürich and Southern Denmarkhave inter-professional training asa natural part of their educationalready, with chiropractic studentsbeing educated alongside theirmedical colleagues. However, thisshould become the norm and I feelthat we need to see all chiropracticeducational programmes follow thispathway. How can we expect ourstudents to co-operate and interactwith other health professionals whenwe never taught them how to?In many countries in Europe,and also the United States, thephysiotherapy education is movingtowards a five-year programmeinstead of the three-year bachelorprogramme. During the course oftraining, physiotherapists (and alsoosteopaths who are physiotherapistswith some extra training)are trained in hospitals andmultidisciplinary institutions. Theyare trained to communicate andwork together with different healthcare professionals and use theirlanguage. Who do you think healthcare professionals, like medicaldoctors, are more likely to referpatients to? People you have workedwith and speak the same languageas you, or some chiropractor youdon t really know?I think we need to see a shiftin our chiropractic programmestowards inter-professionaltraining. If we manage to makethis shift, then I see a great futurefor our profession; improvingour interaction with other healthprofessions and integration ofchiropractic into mainstream healthcare. The ECU is committed to seethis happen.Øystein Ogre DC, FEACECU PresidentBlog address: ecupresidentblog.comEmail: ecupresident@gmail.com3

ECU newsECU General Council Meeting –Dublin 2014The 82nd ECU AnnualGeneral Council meetingtook place this year on 28 Mayin Dublin. It was attended by 19GC representatives of the 22 ECUMembers, all members of theExecutive Council and Secretariat,Chairs of the three ECU subcommittees (EAC, ResearchCouncil and EU affairs) and 16observers, including Laurie Tassell,President of the ChiropracticAssociation of Australia, andLone Koulsgaard, President of theDanish Chiropractic Association.For the first time, studentleaders were invited to attend andthe ECU was pleased to welcomeMario Olarte of the BarcelonaCollege of Chiropractic and ChrisWood of the McTimoney Collegeof Chiropractic.The meeting was chaired byECU President Øystein Ogreand was conducted in a spiritof co-operation and harmony.As well as having completed adetailed questionnaire prior tothe meeting, GC representativesdescribed the current status ofchiropractic in their countries,outlining both achievements andchallenges.AECC receives ECUgrant towardsMRI facilityThe ECU General Councilhas approved a grant of 30,000 in support of the newopen and upright MRI facility atthe Anglo-European College ofChiropractic (AECC).Installation of the MRI unit,the first of its kind in a Europeanchiropractic institution, is nearlycomplete and is on scheduleto open in mid-September.Once the unit is commissioned,applications training for thededicated MR radiologist andthe radiography team will takeplace and imaging protocols andsequences will be finalised.Principal of the AECC,Professor Haymo Thiel, said, “I4 am extremelygrateful tothe ECU forapprovingthis grant.Not onlywill it helpto support what is anexciting and importantadvancement for the institution,its students and patients, butultimately it will be of benefit tothe profession in Europe.“Our recent MRI awarenessCPD event sold out and we arenow in the process of buildingthe Bournemouth Open andUpright MRI (BOUMRI) website.We also have a JustGivingwebsite (www.justgiving.com/AECCMRI) for donations towardsthe MRI scanner project. Iwould like to thank all of thoseindividuals and organisationswho have already donated andencourage others to follow suit.”For more information aboutthe AECC’s open and uprightMRI, visit www.bournemouthopenuprightmri.co.uk.The meeting heard from theDC Title Working Group, setup following the last GCmeeting to examine the issuessurrounding the awarding ofDC certificates to graduates.The Chair of the WorkingGroup, Vivian Kil gave apresentation and a discussionfollowed. It was agreed thatthe group would reconvene andreport back to the GC at itsnext meeting.Reports were given by SidneyRubinstein, Chair of the ResearchCouncil, Philippe Druart, Chairof the EU Affairs Committeeand Martin Wangler, Deanof the EAC. In an historicdecision, the GC agreed thatfrom 1 January 2015, every ECUmember chiropractor wouldautomatically become a memberof the European Academy ofChiropractic (see page 29).The meeting was honoured bythe presence of Laurie Tassell, whodescribed recent attacks on theprofession from sceptic groupsand the media. He stressed theneed for a clear identity and forthe profession to stop makingunfounded claims.The GC considered twofinancial requests and granted 30,000 to AECC in respectof its new upright open MRIscanner (see left) and 5,000 tothe Hungarian Chiropractors’Association for translation ofimportant documents fromEnglish into Hungarian.Finally, the GC voted thirdterms of office to ECU PresidentØystein Ogre and ECU TreasurerVasileios Gkolfinopoulos, whowill both continue to serve on theExecutive Council until 2016.The next meeting of the GCwill take place in Stockholm,Sweden on 14-15 November.BACKspace www.ecunion.euOctober 2014

AIC SPRING SEMINARS 2015ECU newsNewsletter of the European Chiropractors’ UnionDr. Robert MelilloDisconnected KidsChildhood and developmentaldisorders within chiropractic practiceapril, 18th, 19thbologna, italyRegister at chiropratica.it/aic-seminars s.sobold - fotolia.comDr. Robert Melillo is an internationallyknown lecturer, author, educator, researcherand clinician in the areas of neurology,rehabilitation, neuropsychology andneurobehavioral disorders in children.He's also an expert in nutrition with morethan 20 years of clinical experience.ASSOCIAZIONE ITALIANA CHIROPRATICIchiropratica.it - aic@chiropratica.it - 390105533036aic continuing education seminar 12 credits awardedBACKsp a c e www.ecunion.euOctober 2014 5

ECU newsPhilippe Druart receives2014 Honour AwardPast ECU President PhilippeDruart has been recognisedfor his contribution to thechiropractic profession in Europewith the 2014 ECU HonourAward.At the annual ECU GalaDinner, held this year in Dublinat the conclusion of its successfulConvention, Dr Druart washonoured for his work, which hasspanned over 40 years.Presenting the award, ECUPresident Øystein Ogre paidtribute to Dr Druart: “Philippe’scontribution has been immenseover many years and theprofession owes him a huge debtof gratitude. Over the time he hasbeen involved in the politics of theprofession in Europe, we have seenmany positive achievements, notleast of which was the publicationof the first ever European Standardfor a health profession.”Belgian-born Philippe Druartqualified from AECC in 1972. Atthat time, AECC was housed inCavendish Road, Bournemouthand was a far smaller institutionthan it is now. Proud of his almamater, he served not only asthe Belgian representative (for18 years!) but also as Chair ofthe AECC Board of Governors.During this time he saw the profileof chiropractic education grow inEurope and worked closely withpast AECC principal Dr KennethVall.As well as working in hissuccessful clinics withinthe Belgian towns of Liègeand Waremme, Dr Druartbecame involved with theECU in 1986, serving as theBelgian Chiropractors’ Unionrepresentative on the GeneralCouncil until he was elected ECUPresident in 2004.chiropractic-ecu.org – anew website for the ECUThe ECU has continued itsrebranding exercise withthe developing and launch of anew website.With the development of itsnew logo last year, the ECU hasbeen working on a fresh new lookfor its site, which will incorporateboth the European Academy andthe Research Council.Designed to be simple andintuitive, it is hoped that thenew site will serve as a resourcefor chiropractors, chiropracticpatients and other interestedparties wanting to find outmore about chiropractic.Secretary-General RichardBrown said: “The development6 of a new site is long overdue.It seemed crazy to us thatthere were separate websitescovering what were allfunctions of the ECU andwith the decision to formallyreincorporate the EAC withinthe ECU, it seemed sensibleto cover all areas of the ECU’swork under one site.”The new site, www.chiropractic-ecu.org carriesnews and features, as well asforthcoming CPD events andinformation about membernational associations. It willalso link to a brand new Twitterfeed, @ECUchiropractic and itsFacebook page.“Over the course of 18 years,I had a fairly good idea of whatwas going on within the ECU!”he says. “As President, I had theopportunity to work with somevery strong national presidentswho were at the GC table and wequickly moved towards a muchmore European approach. It wasalso great to see the developmentof the ECU Conventions,especially the 2007 joint ECU/WFC event in Vilamoura wherewe celebrated the ECU’s 75thanniversary.”In 2005, Dr Druart moved toSpain with his wife, Kate, wherethey settled in Andalucía. “It is abeautiful area with lovely peopleand plenty of sunshine,” he says.“It was not easy to give up mypractices, but I felt it was the righttime for me and the quality of lifehere in Spain is good.”After his presidency, Dr Druartreturned to clinical practice, thistime in Spain, where, he says,things are somewhat different thanin Belgium.“In some ways, it has felt a littlelike going back to when I firstgraduated in 1972. There is a needto build chiropractic’s reputationand we have no legislation inSpain. Sadly, we also have to payVAT. There is a need to educateand inform our communitiesthere, which will take some time.”In 2013, Dr Druart wasappointed as the Chair of anew committee charged withoverseeing EU Affairs. After hissuccess in steering through theCEN Standard for the chiropracticprofession, Øystein Ogreconsidered him just the person forthe job.“Philippe brings with himsuch a wealth of experience andhas a very detailed knowledgeof the EU and its various arms,”said Dr Ogre. “For the ECUthis knowledge is valuable as it’simportant that we have a coherentstrategy to ensure that chiropracticis best represented.”In receiving the ECU HonourAward, Dr Druart also paidtribute to long-serving ExecutiveSecretary, Anne Kemp, with whomhe worked closely for many years:“Anne had a massive workload,but she dealt with everythingreally well. It was a blow when shedecided to retire and we were allvery sad to see her go.”Dr Druart is grateful for havingbeen given the opportunity toreturn to ECU activities, but isrealistic about the challenges thatlie ahead: “The current climatein the EU is not easy. We’venot long had elections. It takesat least six months for the newadministration to get itself inplace, then another six to startbecoming effective!“Our biggest opportunitieslie with the Recognition ofProfessional QualificationsDirectives and with EU Patientmobility issues. We needchiropractic to be legislated inevery EU Member State and thisis what we all must work hard toachieve for the future success ofour profession.”Dr Druart is clear on whatneeds to be done for the future ofthe ECU: “I want to appeal to theyoung people in our profession toinvest themselves for the futureof chiropractic in Europe. Wehave so much to offer as a natural,manual, scientific profession –often copied, but never equalled!”BACKspace www.ecunion.euOctober 2014

Newsletter of the European Chiropractors’ UnionECU newsECU GC agrees to fund EU AffairsJoint Working projectThe ECU General Councilhas agreed to grant 12,000to allow the EU Affairs Committeeto participate in a new Joint ActionPlanning and Forecasting project.The project, known as JA-HWF,was initiated to address currentchallenges within health systems. Anageing population, ageing workforce,increased demands for health careand rising costs all contribute toa need to transform the currentframework. This has been recognisedwithin the European Commissionand the JA-HWF provides a platformfor collaboration and exchangewithin EU Member States to preparefor a future health workforce.The JA-HWF project is fundedby the Health Programme ofthe European Union. It relatesspecifically to the identified shortagein terms of the European healthworkforce (which it is estimated willreach one million by 2020) and thechallenges of a mobile workforcebetween Member States.While mobility is a core value ofthe EU, it creates problems whenthe valued workforces of somecountries migrate to their wealthierneighbours. The JA-HWF willfocus on meeting challenges interms of the availability of healthworkers and their skill mixes.The AIC has taken the lead inthis project and John Williams,Baiju Khanchandani and DonatelloTesterini have already been involved,including attendance at a meetingin Bratislava in January 2014.They are familiar with theobjective of the project and havebeen able to network effectivelywith other stakeholders, includingthe Health Ministries of 24EU States, professional groups(including AIC chiropractors),teaching institutions, the WHOand NGOs. In this way, keydecision-makers in EU Health havebeen introduced to chiropractic.The Joint Action project lastsfor three years. For the ECU tofund this project, an estimated 12,000 is required for 2014, withan anticipated lesser amount for2015 and 2016.There are four main areas ofwork in the project, known asWork Packages: WP4 focuses on data collection,particularly as it relates tomobility and migration. WP5 looks at supply and demandplanning methodologies based onan analysis of current practice as itrelates to best practice. WP6 focuses on horizonscanning, including theestimation of future needs interms of skills and competencies. WP7 is concerned with thesustainability of the Joint Actionproject as it relates to activitiesand collaboration.From a chiropractic perspective,the current focus is on WP5 andthe opportunity to demonstratechiropractic’s role in best practicemodels.The key aim of ECU involvementis to try to convince the largeexisting stakeholders (medicaldoctors, dentists, pharmacists, etc.)of the need to include chiropracticas part of the solution in relation tohealth system transformation.Continuing Professional DevelopmentMotion Palpation Institute - MPI Spine - Corey Campbell18-19 OctoberPrimary Spine Practitioner - Course A - Donald Murphy8-9 NovemberNeuro Orthopaedic Institute in association with AECC presents - Explain Pain Tim Beames15-16 NovemberSeries in Clinical Musculoskeletal Paediatrics - Seminar 1 Pregnancy and FoetalDevelopment - Joyce Miller & Maria Browning15-16 NovemberGonstead Seminar of Chiropractic - John Cox & William Droessler15-16 NovemberCervicogenic Dizziness and Vestibular Rehabilitation - Richard O’Hara6-7 DecemberSeries in Clinical Musculoskeletal Paediatrics - Seminar 2 Paediatric Feeding,Nutrition and Growth - Joyce Miller & Maria Browning31 January - 1 FebruaryDynamic Neuromuscular Stabilisation - DNS - Exercise Course31 January - 1 FebruaryManagement of Lumbar Disc Derangements - William Morgan7-8 February(Chiropractic representative for the United States Navy’s Musculoskeletal Continuum of Care Advisory Board)Primary Spine Practitioner – Course B - The Cervical Spine - Donald Murphy14-15 FebruaryPrague School to Athletic Development Series - Faulty Movement Patterns &Rehab of the Athlete - Craig Liebenson6-8 MarchFor details of all postgraduate opportunities please visit: www.aecc.ac.uk/cpdBACKsp a c e www.ecunion.euOctober 2014 7

ConventionDiversity a hit with delegatesat 2014 ConventionContinued from page 1The first day of the eventbegan with an energetic displayof Irish dancing following by anofficial welcome from the hosts,the Chiropractic Association ofIreland. Øystein Ogre gave aninspiring opening address beforeGitte Tønner chaired a livelyopening session on the value ofdiversity in the profession.High-profile sports chiropractorAlan Sokoloff deliveredan energetic and inspiringpresentation on the value ofteamwork, and shared hispractical knowledge during somehighly popular workshops.Research, workshops,quantum physics and whiskyAs usual, the Conventionattracted submissions oforiginal research, with both newand experienced researcherspresenting their latest work. Thequality of this year’s abstractsubmissions was extremely high,with individual and institutionalresearchers producing highTim Raven with Lise Lothe8 L-R David Newell, Øystein Ogre, Erik Poulsen, Gitte Tønnerquality presentations. Thisprovided some difficulty for thejudges, chaired by ECU ResearchChair, Sidney Rubinstein, indeciding which researcher wouldreceive the annual Jean RobertAward for Research, but in theend it was Denmark’s Erik Poulsonwho was named the winner for hiswork on osteoarthritis of the hip(see page 15).One of the features of thisyear’s new format was the rangeof practical workshops. Delegateswere given a wide choice ofthemes with ECU joint platinumsponsors Activator Methods andFoot Levelers providing excellentinstructors to share techniquesas well as captivating sessions onfunctional neurology and sportschiropractic.A big attraction at this year’sConvention was ProfessorBruce Lipton. His work in thefield of quantum physics drewa large audience as he sharedhis thought-provoking work, asdelegates were invited to discardtraditionally-held views and opentheir minds to new ideas.At the end of a busy first day,over 200 delegates and guestsmade their way to the JamesonIrish Whiskey Museum for anevening of traditional food, drinkand entertainment hosted by theCAI. The mix of Jameson’s andlively Irish singing and dancingensured that people were ontheir feet very quickly!Day two saw more excellentpresentations, with Dr MaryBaker of the European BrainCouncil, Professor DavidCassidy and Professor TedCarrick presenting in the areaof neurology and brain injury.With increasing interest in thefield of functional neurology,the presentations stimulateddelegates and proved popularwith all.Maintenance care,masterclass andmoving forwardAmong the liveliest debates wasone on the value of maintenancecare. Conflicting views ensuredPrab Chandhok with Professor Jenni BoltonBACKspace www.ecunion.euOctober 2014

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Conventionthe chiropractic profession,embrace Darwinism and moveforward. Offering differingphilosophical perspectives thetwo traded ideas on the meritsof modernising the profession,yet on the whole a respectfulconsensus was achieved.Thankfully, the debate did notboil down to a dance-off at theSaturday night gala dinner!Popular new formatThis year’s Convention saw a richthread of workshops that ensuredthat there was something foreveryone. The new formatproved extremely popular, withoptions to learn new techniquesrelating to peripheral joint care,attend ultrasound workshops,and find out more about thelatest evidence-based methodsfor spine care.The Convention ended withthe presentation of researchawards and a closing speechfrom Øystein Ogre, who paidtribute to the efforts of the CAIorganising team and to GitteTønner.On Saturday evening,delegates were treated to thebest of Irish hospitality at awell-attended Gala Dinner withgreat food, fine wine, livelyentertainment and dancing untilthe early hours.All agreed that Dublin 2014was a great success and withthe joint WFC Congress/ECUConvention next year in Athens,now is the time to start makingplans for what promises tobe another stimulating andenjoyable event.Sue Wakefield, who is retiring as Executive Director of the BCA, onbeing presented with a gift in recognition of her service to the ECU.“Participants were treatedto a diverse range of ideason treatment prescriptionand volume”audience participation and withEurovision-style voting, therewere plenty of opinions voicedfrom all parties! The debate wasenhanced by the presence ofCharles Normand, a professor ofhealth policy and managementand economics. Stressing thevalue of supportive care in longterm conditions, he provideda stimulating ‘outsider’s view’on the issue of maintenance inchiropractic.This year’s EAC masterclasswas entitled The Great DosageDebate and featured a hostof chiropractic personalities,10 including David Byfield, Tammyde Koekkok and DominiqueHort. Participants were treatedto a diverse range of ideason treatment prescriptionand volume. The debate wasconducted in a lively spiritand the exchanges were bothentertaining and stimulating.Focusing on the theme ofdiversity, Saturday afternoonsaw a ‘fireside chat’ styleddebate between GerryClum and Richard Brown.Chaired by David ChapmanSmith, Drs Clum and Browndebated the need to evolveMark Zieglar of Foot Levelers withAECC Director of Clinic Neil OsborneBACKspace www.ecunion.euOctober 2014

Newsletter of the European Chiropractors’ UnionConventionECCE President Olivier Lanlo with Brenda van der VossenECU President Øystein Ogre with CAA President Laurie Tassell“There was so much on offer”Second-year chiropractic student Mario Olarte talks of his experience at Dublin 2

manipulative spine care. When I started in practice, most chiropractors performed spinal adjustments as their only method of treating patients. It was easy for the public: chiropractors adjusted, physiotherapists did rehab. Today, we see chiropractors utilising a broad range of other techniques: soft tissue work, advanced rehabilitation exercises,