The following definitions will be applicable to the rules of
the Iowa board of chiropractic.
"Active chiropractic physiotherapy" means
therapeutic treatment performed by the patient, including but not limited to
exercises and functional activities that promote strength, endurance,
flexibility, and coordination.
"Acupuncture" means the same as defined in
Iowa Code section 148E.1.
"Adjustment/manipulation of neuromusculoskeletal
structures" means the use by a doctor of chiropractic of a skillful
treatment based upon differential diagnosis of neuromusculoskeletal structures
and procedures related thereto by the use of passive movements with the
chiropractic physician's hands or instruments in a manipulation of a joint by
thrust so the patient's volitional resistance cannot prevent the motion. The
manipulation is directed toward the goal of restoring joints to their proper
physiological relationship of motion and related function, or stimulation of
joint receptors. Movement of the joint is by force beyond its active limit of
motion, but within physiologic integrity. Adjustment or manipulation commences
where mobilization ends and specifically begins when the elastic barrier of
resistance is encountered by the doctor of chiropractic and ends at the limit
of anatomical integrity. Adjustment or manipulation as described in this
definition is directed to the goal of the restoration of joints to their proper
physiological relationship and associated functions of motion and related
function, release of adhesions or stimulation of joint receptors. Adjustment or
manipulation as described in this definition is by hand or instrument. The
primary emphasis of this adjustment or manipulation is upon specific joint
element adjustment or manipulation and treatment of the articulation and
adjacent tissues of the neuromusculoskeletal structures of the body and nervous
system, using one or more of the following:
1. Impulse adjusting or the use of sudden, high
velocity, short amplitude thrust of a nature that patient volitional resistance
is overcome, commencing where the motion encounters the elastic barrier of
resistance and ending at the limit of anatomical integrity.
2. Instrument adjusting, utilizing instruments
specifically designed to deliver sudden, high velocity, short amplitude
thrust.
3. Light force adjusting,
utilizing sustained joint traction or applied directional pressure, or both,
that may be combined with passive motion to restore joint mobility.
4. Long distance lever adjusting, utilizing
forces delivered at some distance from the dysfunctional site and aimed at
transmission through connected structures to accomplish joint
mobility.
"Anatomic barrier" means the limit of motion
imposed by anatomic structure, the limit of passive motion.
"CCCA" means the Certified Chiropractic
Clinical Assistant program offered by the FCLB.
"Certified chiropractic assistant" means a
person who has completed a certified chiropractic assistant training program to
perform selected chiropractic health care services under the supervision of a
chiropractic physician.
"Chiropractic insurance consultant" means an
Iowa-licensed chiropractic physician registered with the board who serves as a
liaison and advisor to an insurance company.
"Chiropractic manipulation" means care of an
articular dysfunction or neuromusculoskeletal disorder by manual or mechanical
adjustment of any skeletal articulation and contiguous articulations.
"Differential diagnosis" means to examine
the body systems and structures of a human subject to determine the source,
nature, kind or extent of a disease, vertebral subluxation,
neuromusculoskeletal disorder or other physical condition, and to make a
determination of the source, nature, kind, or extent of a disease or other
physical condition.
"Elastic barrier" means the range between
the physiologic and anatomic barrier of motion in which passive ligamentous
stretching occurs before tissue disruption.
"Extremity manipulation" means a corrective
thrust or maneuver by a doctor of chiropractic by hand or instrument based upon
differential diagnosis of neuromusculoskeletal structures applied to a joint of
the appendicular skeleton.
"FCLB" means the Federal Chiropractic
Licensing Board.
"Malpractice" means any error or omission,
unreasonable lack of skill, or failure to maintain a reasonable standard of
care by a chiropractic physician in the practice of the profession.
"Mobilization" means movement applied
singularly or repetitively within or at the physiological range of joint
motion, without imparting a thrust or impulse, with the goal of restoring joint
mobility.
"PACE" means Providers of Approved
Continuing Education and is the signature program of the FCLB.
"Passive chiropractic physiotherapy" means
therapeutic treatment administered and received by the patient, including but
not limited to mechanical, electrical, thermal, or manual methods.
"Physiologic barrier" means the limit of
active motion, which can be altered to increase range of active motion by
warm-up activity.
"Practice of acupuncture" means the same as
defined in Iowa Code section
148E.1.
"Supervising chiropractic physician" means
the Iowa-licensed chiropractor responsible for supervision of services provided
to a patient by a certified chiropractic assistant.
"Supervision" means the physical presence
and direction of the supervising chiropractic physician at the location where
services are rendered.
