The 2011 Octagon Conference brought practitioners, educators, researchers and inventors together with a goal of informing a discussion about the need for and characteristics of new models of subluxation. The 2011 Octagon concluded with the following consensus statements being generated by the participants:
The participants of the Conference on Contemporary Scientific Paradigms and a Model for the Concept of Subluxation in Chiropractic expressed the importance of the context in which the following consensus statements were developed and the manner in which they would be applied. It was agreed that the model should be informed, but not constrained, by the history and traditions of the profession. Further it was agreed that any model developed from this effort should consider the legal and regulatory environment within which the term subluxation is commonly used. An appropriate model would need to apply to various practice settings, clinical goals and patient needs. Finally, it was agreed that the model should reflect that the concept of subluxation is important to but not synonymous with the term chiropractic.
The conferees agreed:
A contemporary model for the conceptualization of subluxation within chiropractic:
- Was needed
- Should reflect a broad conceptual perspective capable of embracing physical, emotional and mind-body relationships
- Should integrate, at a minimum, elements of biomechanics and neurophysiology using the best data available
- Should be open and flexible allowing for the inclusion of new data and new explanations
And, it was further agreed that the model must reflect the following:
- A logical and rationale framework
- All elements of the model must be supported by the best evidence available
- The inclusion of linear and non-linear biological behaviors
- Acknowledgement of the gap between established evidence and the clinical outcomes experienced in practice
- Desired patient outcomes, active patient involvement in care, patient preferences in care, the impact of the patient-provider relationship and how it informs and affects the model
- Extends the consideration to the impact on the human experience
With this framework as a guide the LifeSource Octagon will envision, staff and conduct a series of workshops designed to address the various elements of the statements above and to extend the output of the Octagon into more finite and clearly understood outcomes.
The discussions of April 2011 are being carried forward in three workshops throughout the remainder of 2011 and on into 2012. The goal is for a final report to be issued by the Octagon no later than June 30, 2012.
The first of the continuation workshops will be completed before the end of 2011 and will involve the participation of Drs. Edward Cremata, Deed Harrison, Robert Leach, Dan Murphy, Rob Scott and Malik Slosberg. Additional invitations for participations have been extended but participation has not been confirmed at this time. The second round workshops are being planned at this time. The workshop participation is expected to be confirmed by November 1, 2011.
Among the goals of these two workshops will be to put into operation the agreements reached in April 2011 with respect to the characteristics of the models and to recommend dissemination for feedback on the models. The final workshop of the three will involve the construction, writing and distribution of the final report.