Read Dr. Chestnut’s 2020 Four-Part Article Series on Evidence-Based Care in Canadian Chiropractor

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Spinal Health Assessment

The Evidence-Based Chiropractic Protocols Spinal Health Assessment (SHA) is the first spinal health assessment that allows the valid and reliable detection and severity rating of Vertebral Subluxation Complex (VSC) or segmental joint dysfunction. Using the peer-reviewed diagnostic criteria for VSC or segmental joint dysfunction (restricted segmental motion, segmental muscle hypertonicity, and segmental joint and muscle allodynia) we have created the first valid, evidence-based, standardized assessment protocol to assess both the presence and severity of VSC.


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Dr. James L. Chestnut
B.Ed., M.Sc., D.C., C.C.W.P.

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