Chiropractic Scope of Practice: Update 2003


Lamm LC, Pfannenschmidt K, Chiropractic Scope of Practice: What the Law Allows - Update 1999, Journal of the Neuromusculoskeletal System, Fall 1999; 7(3): 102-6.
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The authors of this above article surveyed all state and provincial chiropractic regulatory boards in North America regarding what diagnostic and treatment procedures are permitted by statute in each of their practice acts. The following list combines information from their article as it particularly relates in the United States to "Craniopathy" and "Temporomandibular Joint Evaluation and/or Treatment" as well as updated information by SOTO-USA as of 2003.

The following is a combination of findings from the Lamm and Pfannenschmidt study as well as exhaustive inquiries by SOTO-USA to support SOT chiropractors practicing Cranial Manipulation, Craniopathy and TMJ methods of treatment. Various state boards have offered qualified responses, which means they refer to their state statutes and do not wish at this time to make an explicit statement.  Those inprogress and offering only qualified responses are being followed up bySOTO-USA at the present time.  Usually these qualified responses isthe way the state can allow Craniopathy and TMJ care within its scope ofpractice.

If you arepracticing, Craniopathy or TMJ care, in a state it would behoove you to check out the information below.

SOTO-USA is attempting to make sure that all states recognize craniopathy or cranial manipulation and TMJ therapies as within the scope of practice of all United States chiropractors..

Some states required that craniopathy and TMJ treatments be part of a spinal component of treatment.  SOTO-USA has written a position paper that the states can use to justify craniopathy or cranial therapy and TMJ treatment and its relationship to chiropractic spinal related treatment.


SOTO-USA Spinal-Cranial-TMJ Position Paper

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State          


Craniopathy

TMJ

Alabama YES
YES
Alaska
YES
YES
Arizona
YES
YES
Arkansas
YES
YES
California
YES
YES
Colorado
YES
YES
Connecticut
Qualified Response
Qualified Response
Delaware
YES
YES
District of Columbia   
Qualified Response  
YES
Florida
YES
YES
Georgia
YES
YES
Hawaii
YES
YES
Idaho
YES
YES
Illinois
Qualified Response
Qualified Response
Indiana
Qualified Response
Qualified Response
Iowa YES YES
Kansas YES YES
Kentucky YES YES
Louisiana
YES YES
Maine YES YES
Maryland YES YES
Massachusetts YES YES
Michigan 
In Process   
In Process   
Minnesota
Qualified Response
Qualified Response
Missouri 
YES 
YES 
Mississippi
YES 
YES 
Montana
YES 
YES 
Nebraska
YES 
YES 
Nevada
YES 
YES 
New Hampshire
Qualified Response  
Qualified Response  
New Jersey
Qualified Response
Qualified Response
New Mexico
YES 
YES 
New York
YES 
YES 
North Carolina
YES
YES
North Dakota
YES
YES
Ohio
YES
YES
Oklahoma
YES
YES
Oregon
YES
YES
Pennsylvania
YES
YES
Rhode Island
YES
YES
South Carolina
YES
YES
South Dakota
YES
YES
Tennessee
YES
YES
Texas
     Qualified Response    
YES
Utah
YES
YES
Vermont  
YES
YES
Virginia
YES
YES
Washington
YES
YES
West Virginia
YES
YES
Wisconsin
YES
YES
Wyoming
YES
YES

State 

Craniopathy


TMJ