关键词: Chiropractors Covid-19 Debate Infodemic Professional traditionalism Spinal manipulation

Mesh : Betacoronavirus COVID-19 Chiropractic / ethics Communication Consumer Health Information / ethics Coronavirus Infections Deception Humans Manipulation, Spinal / ethics Pandemics / ethics Pneumonia, Viral Professional Misconduct SARS-CoV-2

来  源:   DOI:10.1186/s12998-020-00353-2   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
In March 2020, the World Health Organization elevated the coronavirus disease (COVID-19) epidemic to a pandemic and called for urgent and aggressive action worldwide. Public health experts have communicated clear and emphatic strategies to prevent the spread of COVID-19. Hygiene rules and social distancing practices have been implemented by entire populations, including \'stay-at-home\' orders in many countries. The long-term health and economic consequences of the COVID-19 pandemic are not yet known.
During this time of crisis, some chiropractors made claims on social media that chiropractic treatment can prevent or impact COVID-19. The rationale for these claims is that spinal manipulation can impact the nervous system and thus improve immunity. These beliefs often stem from nineteenth-century chiropractic concepts. We are aware of no clinically relevant scientific evidence to support such statements. We explored the internet and social media to collect examples of misinformation from Europe, North America, Australia and New Zealand regarding the impact of chiropractic treatment on immune function. We discuss the potential harm resulting from these claims and explore the role of chiropractors, teaching institutions, accrediting agencies, and legislative bodies.
Members of the chiropractic profession share a collective responsibility to act in the best interests of patients and public health. We hope that all chiropractic stakeholders will view the COVID-19 pandemic as a call to action to eliminate the unethical and potentially dangerous claims made by chiropractors who practise outside the boundaries of scientific evidence.
摘要:
2020年3月,世界卫生组织将冠状病毒病(COVID-19)疫情提升为大流行,并呼吁在全球范围内采取紧急和积极的行动。公共卫生专家已经传达了明确而有力的策略,以防止COVID-19的传播。卫生规则和社会距离的做法已经在全体人民中实施,包括许多国家的“呆在家里”订单。COVID-19大流行的长期健康和经济后果尚不清楚。
在这个危机时期,一些脊医在社交媒体上声称,脊医治疗可以预防或影响COVID-19。这些说法的基本原理是脊柱操纵可以影响神经系统,从而提高免疫力。这些信念通常源于19世纪的脊椎按摩概念。我们知道没有临床相关的科学证据来支持这种说法。我们探索了互联网和社交媒体,从欧洲收集错误信息的例子,北美,澳大利亚和新西兰关于脊椎治疗对免疫功能的影响。我们讨论这些说法带来的潜在危害,并探讨脊医的作用,教学机构,认证机构,和立法机构。
脊椎按摩疗法专业的成员共同承担着为患者和公共卫生的最佳利益行事的集体责任。我们希望所有脊椎指压疗法的利益相关者将COVID-19大流行视为采取行动的呼吁,以消除脊医在科学证据范围之外进行实践的不道德和潜在危险的主张。
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