Chiropractic Health Care
Section Newsletter
Fall 2011

Fall 2011 Update from the CHC Chair

Submitted by: Paul Dougherty, DC

Position: Chiropractic Health Care Section Chair


This has been a busy year for the Chiropractic Health Care Section. Although our section is small compared to the whole of APHA, we have a very dedicated group of working members who have a vision for the future of chiropractic and a vision for improved health for America. Our 2011 annual conference program will include two joint sessions with the Public Health Education and Health Promotion PHEHP Section and the Occupational Health Section. Our Program Chair Mike Schneider, DC, PhD, has been aided in these efforts by Bart Green, DC, MSEd and Will Evans, DC, PhD. This year’s Annual Meeting will offer an excellent program and one that will allow for collaboration. At the 2011 CHC midyear meeting, Section members voted to develop a long term strategy. This planning process will be headed up by Claire Johnson, DC, MSEd. We were represented at APHA’s midyear meeting by our incoming chair, Lori Byrd, MS, and communications chair, Dr. Johnson. Lori and Claire put together a summary report of this meeting that articulated the potential role for the chiropractic profession in health care reform. The CHC Section is also honored to have as one of its founding members the current chair of APHA’s Bylaws Committee, Mitch Haas, DC, MS.


As the outgoing chair, it is my hope that the CHC Section will continue to focus on various ways to address the important public health concern of musculoskeletal disorders.  I am pleased to see the CHC Section moving in the direction of developing cultural authority within APHA, especially in the area of musculoskeletal disorders. We look forward to an exciting Annual Meeting, and I look forward to seeing each of you there.

CHC Meeting Minutes at ACC/RAC March 19, 2011

Submitted by: Jason Napuli, DC, MBA

Position: APHA-CHC Acting Secretary


Members in attendance 24

Jason Napuli, John Hyland, Connie Mitchell, John Stites, Stephen Perle, Bill O Connell, Stacie Lyons, Rob Vining, Lisa Killenger, Barry Taylor, Mike Schneider, Michele Maiers, Maria Honduras, Darcy Vavrek, Dana Lawrence, Gary Schultz, Bart Green, Lori Byrd, Paul Dougherty, Mike Haneline, Will Evans, Barry Wiese, Ron Kirk, Claire Johnson.


Welcome: Paul Dougherty welcomes everyone to the midyear meeting and thanks everyone for attending at 7 a.m. 


Announcements and Discussions

Nominations have been received for the upcoming elections to begin 2012.  Will see electronic ballots via email in May, and voting will take place.  Seats are open for chair elect, Governing Council, and Section Council. 

APHA Annual Meeting will be held October 29-Nov 2. 

            CHC will be conducting two joint sessions this year with occupational health and health education and promotion.

            27 papers have been submitted. 

            Thank you to Bart Green and Mike Schneider for helping organize this


Committee Reports:

            Communications Update: (handout provided)

            Dynamic Chiropractic Articles

            Continue to need authors to submit articles for the public health column

            Claire Johnson and Lori Byrd both submitted a proposal for the CHC Facebook page

            Website discussion continued and motion was brought up to have the site updated with the inclusion of the immunization information resource.  Motion was carried and passed. 


APHA Membership

            Northwestern Health Sciences University will start compulsatory APHA membership for their students.  This will increase membership and will bring four schools total: NYCC, SCUHS, and WSU.


Meeting was adjourned at 7:50 am.

Applying Evidence-Based Clinical Practice Concepts to Public Health Issues

Submitted by: John Stites, DC, DACBR

Position: CHC Immediate Past Chair:


Evidence-based clinical practice, or EBCP, evidence-based medicine, evidence informed practice; all are terms being heard more and more in chiropractic practice. The essential elements of EBCP include the conscientious use of best available evidence with the clinician's experience and the patient’s values. (1) Some of the skills in practice EBCP include asking an answerable clinical question, acquiring information, appraising the literature and applying it in a clinical situation. (2) There are currently four chiropractic colleges with NIH grants supporting educational initiatives to incorporate EBCP into chiropractic curricula, thus further improving chiropractic practitioners with these skills. (3)


The process of EBCP is equally applicable to public health and public health initiatives. Especially in the roles of advocacy and policy development having a firm grasp of the evidence both for and against your position is important. A position based on the synthesis of sound scientific evidence is a powerful tool for the public good. It informs strategic decisions and bolsters success of public health programs. (4)


For example, if you look at an injury prevention initiative encouraging the use of bicycle helmets you can go through the EBCP process. You can ask the clinical question “In recreational bicyclists does the use of a helmet as compared to no helmet reduce mortality and traumatic brain injury?” A quick literature search yields multiple papers supporting the use of helmets including a recent case control study showing the reduction of injury ranging from 30-50 percent. (5) This information is combined with the societal values and balanced with cost, social mores and implementation barriers to determine if bicycle helmet use should be mandated by policy or encouraged by education.


Therefore, the elements of EBCP are easily applied to public health and strengthen the process. Familiarity with basic EBCP principles (6,7) can aid in furthering the public health agenda in local and national venues.




1.    Sackett, D.L., Rosenberg, W., William, M.C., Gray, J.A., Haynes, B. and Richardson, W.S., 1996. Evidence-based medicine: What it is and what it isn’t. British Medical Journal 312, pp. 71–72.

2.    Guyatt G, Meade MO, Richardson S, Jaeschke R. Chapter 3. What is the question? In: Guyatt G, Rennie D, Meade MO, Cook DJ, eds. Users’ Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice. 2nd ed. New York, NY: McGraw-Hill; 2008.

3.    Lefebvre RP, Peterson DH, Haas M, Gillette RG, Novak CW, Tapper J, Muench JP. Training the evidence-based practitioner: university of Western States document on standards and competencies. J Chiropr Educ. 2011 Spring;25(1):30-7.

4.    Anderson LM, Brownson RC, Fullilove MT, Teutsch SM, Novick LF, Fielding J, Land GH. Evidence-based public health policy and practice: promises and limits. Am J Prev Med. 2005 Jun;28(5 Suppl):226-30.

5.    Amoros E, Chiron M, Martin JL, Thélot B, Laumon B. Bicycle helmet wearing and the risk of head, face, and neck injury: a French case-control study based on a road trauma registry. Inj Prev. 2011 Jun 24.

6.    Johnson C. Evidence-based practice in 5 simple steps. J Manipulative Physiol Ther. 2008 Mar;31(3):169-70.

7.    Johnson C. Highlights of the basic components of evidence-based practice. J Manipulative Physiol Ther. 2008 Feb;31(2):91-2.


John Stites, DC, DACBR

Chiropractic Health Care Section Announces 2011 Award Recipients

Submitted by: Bart Green, MSEd, DC, DACBSP

Position: Chiropractic Health Care section Awards Chair


The APHA Chiropractic Health Care Section is proud to announce the recipients of the 2011 Section awards. Following peer nominations, the recipients were determined by the Awards Committee. We thank these Section members for their efforts on behalf of the section and the association! The recipients are as follows:


John Pammer, DC, DACBR – Lifetime Achievement Award

Dr. Pammer has been a member of the APHA since before the CHC was an official section. He began chiropractic practice in 1960. In his more than 50 years of service to the profession, he has served as the chair of the CHC Section and as president of the American Chiropractic Association. He has further served the CHC Section in participation at the annual meetings, volunteering to represent the section at the APHA Expo, and has served as an advisor for the Section in its activities with the American Chiropractic Association. Pammer has previously been awarded the Distinguished Service Award from the CHC Section in 2005.










Michael T. Haneline, DC, MPH – Distinguished Service Award

Dr. Haneline is a multi-year member of the CHC Section and has served a term as Section secretary during which he performed exemplarily. He is the principal editor of a major new textbook, Introduction to Public Health for Chiropractors, that has filled a gap in the literature of public health, chiropractic involvement in mainstream public health activities, and student resources in this topic. He has published several articles on public health and chiropractic. He recently started the chiropractic degree program at the International Medical University of Malaysia, the first of its kind in Southeast Asia, where he now serves as head of the Chiropractic Department.

Jason Ross Bartlett, DC – Rising Star Award

Dr. Bartlett has been a CHC Section member for the past five years. Dr. Bartlett has shown great dedication to attending the APHA conferences and being supportive of the CHC Section's efforts by freely offering to assist when help was needed. He is currently serving as CHC Section Councilor and has represented the APHA-CHC at the Association of Chiropractic Colleges-Research Agenda Conference by being a co-presenter of a public health focused workshop titled “Back and Spinal Pain: a Public Health Priority.”  He has contributed an article to the CHC Section supported public health column of Dynamic Chiropractic and is typically the first to sign up to represent the CHC Section at the Section booth at the APHA Expo.



Mark T. Zeigler, DC - Special Award for Advancing Public Health & Chiropractic

Dr. Zeigler has demonstrated leadership in encouraging chiropractic students to participate in areas of concern to public health by joining a small cadre of other chiropractic college presidents in committing to an auto enrollment of students at Northwestern Health Sciences University in the APHA CHC Section. He has been president of Northwestern Health Sciences University since 2006 and previously was in private practice for 26 years and served as Mayor of Sturgis, South Dakota. He has served on the South Dakota Governor’s Health Care Task Force on Managed Care, the Governor’s Public Health Advisory Committee, and was appointed by the South Dakota Attorney General to the South Dakota Law Enforcement Standards and Training Commission. Dr. Zeigler also served as the South Dakota delegate to the American Chiropractic Association. He currently is serving as vice president of the Association of Chiropractic Colleges and serves on the board of the Minnesota Campus Compact and Foundation for Chiropractic Progress.


Bart Green, MSEd, DC

Is Chiropractic Relevant to Health Care Reform? APHA 2011 Midyear Meeting Report

Submitted by: Claire Johnson, DC, MSEd

Position: APHA-CHC Communication Chair

Submitted by: Lori Byrd, MS

Position: APHA-CHC Chair Elect


We feel strongly that the answer is “Yes!”  CHC Section members Lori Byrd and Claire Johnson represented the Section at the 2011 APHA Midyear Meeting held in Chicago.  As requested by APHA, a summary report of this meeting was drafted as it relates to the CHC Section. This report includes key points, action steps, helpful links, resources, and documents that are aimed to inform readers about how the chiropractic profession may be more involved in health care reform.


Purpose of APHA Midyear Meeting: Implementing Health Reform: A Public Health Approach. APHA 2011 Midyear Meeting, Chicago - June 23-25, 2011


The midyear APHA meeting in June 2011 focused on health care reform. “The 2011 Midyear Meeting brought together over 600 public health practitioners interested in learning what the Affordable Care Act means for public health, wellness and prevention. Attendees participated in sessions ranging from fiscal implications and technology to legal challenges and engaging policy-makers.”


CHC Participation:

APHA leadership asked for one representative from each of APHA’s 27 sections to attend this meeting and complete the following duties:

1. Attend the full meeting and a luncheon for State Affiliate and Section leaders.
2. Participate in quarterly conference calls to discuss the topics emerging from the Midyear Meeting.
3. Be the point of contact on health reform for his or her Section/SPIG.
4. Write a report at the end of the retreat to share with Section leaders and disseminate to Section members.
5. Participate in face-to-face discussions at the Annual Meeting on health care reform.
Attending on Behalf of the CHC:

For the APHA Chiropractic Health Care section, Claire Johnson (APHA-CHC Communication Chair) was selected to represent the CHC Section. Also attending the APHA Midyear meeting was Lori Byrd (CHC Chair Elect).


Summary report:

The purpose of this summary report is to disseminate the information from this midyear meeting to the constituents of the APHA Chiropractic Health Care Section, as specifically instructed by APHA: “Suggestions as to how your section can move forward in getting your members more educated and involved in health reform efforts.”


Please download and read the full report. Please feel free to read and share this document with others who may be interested. 


Claire Johnson, DC, MSEd and Lori Byrd, MS at the APHA Midyear meeting

Public Health Focus Issue of the JMPT 2011 – Another Success!

Submitted by: Claire Johnson, DC, MSEd

Position: APHA-CHC Communication Chair


The July/August 2011 issue of the Journal of Manipulative and Physiological Therapeutics provides a special focus on public health issues and chiropractic care. This fourth annual public health issue offers a wide range of public health topics from some of our CHC Section leaders and members (see below for the JMPT table of contents).


Through the generosity of the National University of Health Sciences and Elsevier, the CHC Section will receive extra copies of this special issue of the JMPT for distribution at the APHA Annual Meeting, the chiropractic sessions, and the CHC Section booth.


We are already beginning to prepare for the 2012 issue. Articles for the 2012 public health-themed issue of the JMPT can be submitted throughout this year. Guidelines for submissions can be found at: or by contacting the editor at



Journal of Manipulative and Physiological Therapeutics

Volume 34, Issue 6, (July/Aug 2011)


JMPT Highlights
Claire Johnson


Original Articles

The Association Between a Lifetime History of a Work-Related Neck Injury and Future Neck Pain: A Population Based Cohort Study
Paul S. Nolet, Pierre Côté, J. David Cassidy, Linda J. Carroll

Usual Source of Care for Adults With and Without Back Pain: Medical Expenditures Panel Survey Data Pooled for Years 2000 to 2006
Monica Smith

Prevalence and Risk Factors Associated with Low Back Pain in Iranian Surgeons
Mohammad A. Mohseni-Bandpei, Marjan Ahmad-Shirvani, Nazanin Golbabaei, Hamid Behtash, Zahra Shahinfar, César Fernández-de-las-Peñas

Quantitative Assessment of Postural Alignment in Young Adults Based on Photographs of Anterior, Posterior, and Lateral Views
Elizabeth A. Ferreira, Marcos Duarte, Edison P. Maldonado, Ana A. Bersanetti, Amélia P. Marques

The Sustainable Training, Treatment, Employment Program Model: Effects of Manual Therapy on Musculoskeletal Pain and Limitation in a Filipino Squatter Community
Dein Vindigni, Barbara Polus, Joan van Rotterdam, Cliff da Costa, Gay Edgecombe, Max Walsh, Michael Howard, Tuesday Bromwell, Alm a Biasbas, Marc Cohen, Charlotte Patterson

A Survey of Wellness Management Strategies Used by Canadian Doctors of Chiropractic
Brynne E. Stainsby, Jason T.C. Porr, Peter Kim, Ashley M. Collinge, Julie C. Hunter

Familiarity With and Advocacy of Healthy People 2010 Goals by Mississippi Chiropractic Association Members
Robert A. Leach, Ronald E. Cossman, Joyce M. Yates


JMPT Patient Education Page

Health and Wellness
Claire Johnson


Case Reports

Chiropractic Management of Postsurgical Lumbar Spine Pain: A Retrospective Study of 32 Cases
Ralph A. Kruse, Jerrilyn Cambron

Spinal Manipulative Therapy for Elderly Patients With Chronic Obstructive Pulmonary Disease: A Case Series
Paul E. Dougherty, Roger M. Engel, Subramanyam Vemulpad, Jeanmarie Burke


To access the above articles, please visit the journal online:


Claire Johnson, DC, MSEd

Editor in Chief, JMPT

Straighten Up and Just Start Walking Are Moving

Submitted by: Ron Kirk, MA, DC

Position: Straighten Up Facilitator


APHA Chiropractic Health Care Section members and leadership have played pivotal roles in the development and promulgation of the Straighten Up and Just Start Walking Initiatives. Begun as a simple concept at an ACC-RAC conference in 2004, Straighten Up has gone global, gaining scores of partnering organizations and health promotion networks around the world.


APHA-CHC Section members John Hyland, Meridel Gatterman and Ron Kirk served on the original five-member seed panel for the initiative. Seed panelists saw the need for a simple procedure to promote healthy posture in an increasingly sedentary society with rapidly increasing rates of spinal disability. Because of the great global burden of spinal disability and a populist grassroots vision, the Posture Pod from Straighten Up America has now been translated into 15 languages.


Realizing that inactivity and sedentary lifestyles are damaging to people’s spinal and overall health, the original seed panel reconvened in 2010 and expanded to create and promulgate additional activity modules. John Hyland’s seminal concept of Just Start Walking is gaining traction as a global program through partners such as the Bone and Joint Decade, the World Federation of Chiropractic, World Spine Care, the Alliance of Health Promotion, the Forum for Health, and the WHO Health Promotion Unit. Additionally, health ministries in Nigeria and Tonga have embraced Just Start Walking and are using it as a central theme for national campaigns to promote activity. In addition to spine disorders, inactivity increases risk for cardiovascular and cerebrovascular disease, diabetes, many forms of cancer, depression, Alzheimer’s disease and other debilitating disorders.


Below is a list of a few of our many grassroots collaborative breakthroughs with Straighten Up and Just Start Walking in 2010 and 2011:


·         Completion of the Just Start Walking Delphi process and establishment of Just Start Walking websites, Facebook pages and APPS.

·         Incorporation of Just Start Walking on multiple partners’ websites.

·         Participation of entire health ministries in Just Start Walking healthy activity campaigns.

·         Publication of qualitative research related to Just Start Walking.

·         Development of new Straighten Up activity modules through a continuing Delphi process.

·         Development of an online health promotion educational module through


To learn more about Straighten Up and Just Start Walking, please visit,,, or check out what chiropractors in Australia are doing with Just Start Walking at


Ron Kirk, MA, DC

Win a free Annual Meeting registration!

Forward the contact information for new companies or organizations that you would like to see included as exhibitors at the Annual Meeting to Priya Bose, Meetings and Exhibits Coordinator, at . Anyone submitting a qualified lead for potential new exhibitors will be entered into a drawing for a free full registration. Get to know our exhibitors before the meeting on our Virtual Expo ( )!

Public Health and Equity Principles for Transportation

APHA has recently released a list of 10 Public Health and Equity Principles for Transportation ( ). These policies recognize the various impacts that transportation policies can have on public health — they can lead to an increased risk of heart disease, asthma, obesity and mental health disorders — especially on vulnerable populations, including the elderly, the poor and individuals with disabilities. We believe that if transportation policies are reviewed and evaluated with these principles in mind, we will be better able to ensure that health and equity are well-represented. By holding transportation policies to a stated set of standards, we can encourage a transportation system that supports health, and direct funds to programs that improve health, equity and well-being. It is essential that other organizations — at the national, state and local level — demonstrate their support for these principles by joining us as signatories. Please sign on here ( ) to show your organization’s support for these essential principles.

Drexel University discount

APHA is pleased to announce a new collaboration with Drexel University Online. Under this program, APHA members and their families are eligible for special tuition discounts of up to 25 percent when they enroll in any of Drexel’s online courses.  Drexel University Online offers a wide range of courses in a flexible online format, including CEPH-accredited programs in biostatistics and epidemiology. Please see the APHA partnership page for more details ( ).

Any agreement entered into between Drexel University Online and an APHA member, employee or family member, is with Drexel University Online and not with APHA.  APHA does not endorse any products or services displayed or referred to in conjunction with this partnership and is not responsible for the actual content of Drexel University Online programs.

PHACT: Call for Federal Public Health Funds at Work in Your State

In addition to attending town hall meetings this year, APHA would like for you to share a story about why public health funding is important in your community or state. Preferably, the funding would come from one of these three sources:


1.  Centers for Disease Control and Prevention

2.  Health Resources and Services Administration

3.  Prevention and Public Health Fund


Examples can provide:


·    An approximate estimate of the amount of the funding received

·    Location of the program (City, state)

·    A summary of the program/intervention (PH issue and intervention being used)

·    Any examples of positive outcomes to date

Make all submission to or email us at

Thanks for taking action to protect public health!

Let APHA Host Your Public Health Career Day at the Annual Meeting

Employers, this is your opportunity to meet thousands of public health professionals and qualified candidates for hire. Job seekers, here is your chance to market your resume, meet recruiters and sign up for a professional career coaching session, either an individual or group session. Advance your public health career and find new prospects with APHA’s Public Health CareerMart. Find out more at

Check out APHA’s Advocacy Track at this year’s Annual Meeting

APHA will host a one-day advocacy track of sessions during the 2011 Annual Meeting in D.C. on Monday, Oct. 31, 2011, and all APHA members are encouraged to attend to hone their public health advocacy skills. For more detailed information regarding the particular sessions, refer to the 2011 online program ( ) and enter the session number to see the list of planned speakers and topics to be covered. Attendees will be eligible for CE credit.

Ø  “Nailing your policy: Creating APHA’s policy buddy system,” Session 3007.0, 8:30 a.m.-10 a.m.

Ø  “Media Advocacy: Breaking through the crowded news cycle,” Session 3119.0, 10:30 a.m.

Ø  “The Who, What & How of Advocacy,” Session 3216.0, 12:30-2 p.m.

Ø  “Mobilizing a public health campaign,” Session 3318.0, 2:30-4 p.m.

“The Role of Social Media in Public Health,” Session 3417.0, 4:30 p.m.

APHA’s Public Health Buyer’s Guide Links Users to Industry Products  is designed specifically for public health professionals, allowing easy search of vendors from a link on the APHA website’s home page, . Within the Public Health Buyer's Guide, public health professionals will be able to easily locate products and services unique to our industry without the clutter of general Internet search engine results.

APHA Annual Meeting

From Oct. 29 – Nov. 2, 2011, join us in Washington, D.C., for the APHA 139th Annual Meeting and Exposition. Our section will have a strong presence at the meeting. View the sessions sponsored by our section by visiting the interactive Online Program ( ). Search the program using keyword, author name or date. Don’t forget to stop by our new Section and SPIG Pavilion (Booth 3073) in the Public Health Expo next to Everything APHA. For more information about the Annual Meeting visit