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Table 6 Justifications for diagnostic imaging that do not reflect the use of mainstream guidelines received by DACBRs from referring chiropractors (Item 26, N = 42)

From: Historical influence on the practice of chiropractic radiology: Part I - a survey of Diplomates of the American Chiropractic College of Radiology

Response Number of respondents
No red flags 4
No history 5
Equivocal exam findings 1
Uncomplicated back or neck pain 6
Subluxation analysis 4
No symptoms 2
Allergies 1
Postural analysis (not for scoliosis) 3
‘Rule out pathology’ 3
Looking for anomalies 1
‘Has never been x-rayed before’ 1
‘Scoliosis assessment’ in patient with straight back 1
Failure to use Ottawa ankle/knee rules 2
Routine for motor vehicle accidents 1
‘Something just isn’t right’ 1
Rule out contraindications to adjustment 3
‘Tightness’ or ‘soreness’ 1
Minimal trauma 2
Full spine films on every patient without regard for symptoms or age 1
Areas imaged do not correlate to symptoms 5
Young person being assessed for degenerative changes 1
Repeat imaging due to recent prior imaging not being available 1
No clear or specific justification 2
Rule out disc herniation 1
Segmental dysfunction 1
‘Chiropractic evaluation’ 1
‘Positive posterior lumbar instability test, rule out spondylolisthesis’ 1
Postural change over time 1
Post treatment 2
‘Wellness care’ 1
‘3 region subluxations’ 1
Lumbar oblique images for intervertebral foraminal stenosis 1
Follow up on scoliosis well past skeletal maturity 1