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香 港 執 業 脊 醫 協 會
The Chiropractic Doctors' Association of Hong Kong

知多D

知多D

09/01/2023

香港執業脊醫協會「活力健康　無煙香港」建議書

Professor Lo Chung-mau,
Secretary for Health,
Health Bureau,
18/F, East Wing, Central Government Offices,
2 Tim Mei Avenue, Tamar, Hong Kong.

Public consultation on tobacco control strategies for vibrant, healthy and tobacco-free Hong Kong

Dear Professor Lo,

As the Chairman of the Chiropractic Doctors Association of Hong Kong (CDAHK), I am penning this letter to express our support for the public consultation on the Vibrant, Healthy, and Tobacco-free Hong Kong initiative. We acknowledge the compelling need to address the prevalent issue of tobacco usage in our society.

We concur with your concerns about the health implications of smoking, particularly in light of our aging population and the rising incidence of chronic diseases. The uptrend in female smokers and the vulnerability of secondary school students to smoking pose serious threats that demand immediate attention.

Research has shown that chiropractors cater to a significant proportion of tobacco users (Muramoto ML et al., 2014). Our health and healing philosophies, as well as our practice patterns, are ideally suited to provide brief interventions (Muramoto ML et al., 2014). Studies have illuminated the feasibility of implementing systematic changes in chiropractic settings to identify tobacco users, advise them to quit, and refer them to cessation services (Buettner-Schmidt K et al., 2018). Chiropractors have proven their ability to offer effective smoking cessation counsel (Buettner-Schmidt K et al., 2018).

Given the link between tobacco usage and the health issues often treated by chiropractors, we are uniquely positioned to provide patients with personalized health feedback, which could potentially motivate them to quit smoking. Despite the potential value of chiropractors in conducting tobacco interventions, we are often underutilized and inadequately trained in these techniques (Rose KA, 2017). Thus, including alternative practitioners in tobacco cessation efforts can be beneficial (Eaves ER, 2017).

We are in complete agreement with the government's endorsement of the WHO's recommendations to achieve a smoking prevalence target of 7.8% by 2025 and aim for further reduction in the long term. The strategies outlined in the consultation document are in alignment with these objectives.

However, to fully harness the potential of the chiropractic community in tobacco control, we suggest putting more emphasis on the strategy to 'Enhance Education, Support Cessation.' Chiropractors can contribute by educating patients on the health risks of smoking during consultations and providing referrals to cessation support services as needed. We recommend the introduction of training programs for chiropractors on conducting effective tobacco interventions.

We eagerly look forward to contributing further to this public consultation and supporting the government's efforts to create a vibrant, healthy, and tobacco-free Hong Kong.

Yours sincerely,

Dr. Eric Chun Pu Chu,

Chairman,

Chiropractic Doctors Association of Hong Kong.​

08/22/2023

香港執業脊醫協會「殘疾人士的福利支援」建議書

尊敬的香港立法會福利事務委員會委員：

我們代表香港執業脊醫協會就議題“殘疾人士的福利支援”提供我們的意見。我們對香港政府為殘疾人士提供多元化的康復服務和職業康復服務的承諾表示讚賞，並深信這些服務在協助殘疾人士融入社會上擔當重要角色。

面對香港長期存在的醫療資源短缺問題，我們支持將脊醫服務納入政府為殘疾人士提供的康復服務中。脊骨神經醫學專注於神經肌肉骨骼系統的健康，是一種獨特的醫療方法 [1]。脊醫能透過有效的疼痛和神經回覆管理方法，改善殘疾人士的生活質量並提升其身體功能[2]。我們呼籲政府將脊醫服務納入康復服務的範疇，並撥出必要資源，以確保這類服務的可達性和服務品質。

此外，我們也認為脊醫服務應納入職業康復服務的範疇。脊醫在日常工作中經常處理因工作受傷的病患，因此能為殘疾人士提供專業的復健訓練，提升他們的工作能力和生活質量。這不僅能協助他們找到適合的工作，還能減輕他們的醫療費用負擔。

我們期待我們的建議能助力將脊醫服務更有效地納入社會福利署的康復服務和職業康復服務中，從而進一步提升殘疾人士的生活質量和工作能力。

我們香港執業脊醫協會將全力支持此項工作，並期待與貴委員會攜手合作，為殘疾人士提供更全面且更有效的服務。

朱君璞脊醫 博士

香港執業脊醫協會主席

2023年8月22日

08/22/2023

林哲玄立法會議員的2023年施政報告諮詢會建議

林哲玄立法會議員的2023年施政報告諮詢會建議！
林議員對於我們的醫療衛生系統有深入的見解，他強調了脊醫在我們社會中的重要性。他建議政府應該給予脊醫在香港醫療衛生更多的角色，不僅僅在醫院中，也應該在《基層醫療健康藍圖》中。
脊醫在香港已經有診斷、治療以及轉介造影掃描的權力，實實在在是醫療衛生大家庭的一員。然而，他們仍然需要得到更多的認可和支持，以便更好地為社會服務。
我們不應該忽視脊醫的專業知識和能力，他們可以提供很多傳統醫療方法無法解決的問題的解答。透過讓他們在醫療衛生系統中扮演更大的角色，我們可以提供更全面、更個性化的醫療服務給我們的市民。
讓我們一起支持林哲玄議員的建議，給予脊醫在香港更大的角色，讓我們的醫療衛生系統更加完善。
08/09/2023

香港執業脊醫協會「2023 施政報告」建議書

尊敬的黃元山組長，

對於《2023年施政報告》的諮詢提出以下建議。我們深信脊醫在提升公眾健康，特別是針對長者和青年的保健和教育方面，均可以發揮重要作用。

1  疫情的爆發讓我們明白醫療系統的優化不僅需要增加醫護人手，更需要擴大和多元化醫療服務的提供。脊醫可以在減輕傳統醫療系統的壓力，提升城市應對突發公共衛生事件的能力方面發揮作用。因此，我們建議政府考慮在基層醫療系統中加入脊醫服務，以提供更全面的醫療護理。我們之前的建議已經交給基層醫療健康管理局 [1]。並可完善開發病假紙的權力，提升病患的照顧 [2]

2 關懷安老助弱解困的政策中，我們建議政府能夠考慮脊醫在長者健康上的貢獻。脊醫可以透過非侵入性的治療方式，幫助減輕長者的疼痛，提升他們的生活品質。對於長期關注長者健康的政府來說，這是一種有效且預防的解決方案。

3 青年的健康和教育是社會發展的重要基石。脊醫可以為青年提供正確的身體保健知識和生活習慣建議，防止因長時間坐姿不正、學習壓力大等因素導致的身體問題如脊椎側彎。業界多年來兒童提供脊科義診，及早偵查脊骨問題，從而建立「脊骨護理從小做起」的護脊習慣。我們並舉行護脊大使工作坊，裝備參加者各種護脊知識。我們需要更多的政府支持讓香港的兒童可以成長的健康和預防疾病。

4 促進脊骨神經科在香港的發展：因為尚未得到大專院校和政府的支持，業界已透過和英國大學在港成立脊骨神經醫學院，可以讓更多青年人提供脊醫訓練和發展機會，可確保脊科服務質量不斷提高。

5 邀請青年愛國愛港脊醫參與不同層面的委員會

2022年施政報告》，為香港推廣國內和國際兼得良性互動。我們在過去一年提高管理水平，完成了以下的項目


1. 準確貫徹「一國兩制」

朱君璞脊醫 博士 香港執業脊醫協會主席2023年七月三十日

 
簡介 服務內容 認識脊骨神經科 脊科研究 認可產品 今日資訊 聯絡我們
06/27/2023

脊醫致脊醫管理局的信

 

Dear Members of the Chiropractors Council of Hong Kong, 

 I am writing to you on behalf of the Chiropractic Doctors Association of Hong Kong to bring your attention to a pressing issue affecting our profession. We recently conducted a study to investigate the utilization, challenges, and attitudes of chiropractors in Hong Kong towards laboratory testing and radiological imaging. The findings reveal that a significant proportion of chiropractors are frequently facing rejection of their referrals for diagnostic tests and imaging, which adversely impacts the quality of care they can provide to their patients.  

Our cross-sectional survey was conducted and involved 151 registered chiropractors, representing a response rate of 46.5%. The results indicate that chiropractors in Hong Kong actively utilize laboratory testing and radiological imaging for diagnosis, monitoring of existing conditions, and disease progression. However, high rejection rates for specific imaging requests lead to patient frustration, increased costs, and delayed diagnosis. Despite these challenges, our respondents demonstrated a strong belief in evidence-based practice and a willingness to incorporate relevant literature into their daily practice. 

 Chiropractors in Hong Kong are facing high rate of rejection in referrals. In light of these findings, we urge the Chiropractors Council of Hong Kong to take the necessary steps to address this issue and facilitate better communication and collaboration with other regulatory professionals, including the boards and associations of radiographers, radiologists, and laboratory technicians. It is essential to ensure that chiropractors' referrals are fully accepted to enable them to provide optimal care to their patients. 

 We strongly believe that enhancing access to diagnostic tests and working towards reducing rejection rates will play a pivotal role in supporting chiropractors' role as primary healthcare providers in Hong Kong. By fostering collaborative efforts among chiropractors, healthcare professionals, healthcare facilities, policymakers, and insurance companies, we can effectively address the challenges identified in our study and improve patient care outcomes. 

We look forward to working closely with the Chiropractors Council of Hong Kong to address this issue and continuously advance the chiropractic patient's benefit in our region. 

Thank you for your attention to this matter. 

Sincerely, 

Dr. Eric Chun-Pu Chu, BSc, DC, PhD, FRCC (ortho),

Chairman, Chiropractic Doctors Association of Hong Kong

04/26/2023

脊醫致基層醫療保健藍圖的信

Dear Members of the Hong Kong Healthcare Commission,

As the largest professional chiropractic association, I am writing to propose the integration of chiropractic care into Hong Kong's primary healthcare system. Our healthcare system is currently shifting towards a preventive and primary care approach to address the complex demands of our aging population. Chiropractic professionals are uniquely positioned to contribute to this prevention-focused strategy.

Incorporating chiropractors into public health programs can significantly improve population health in Hong Kong and strengthen primary care. By identifying musculoskeletal problems early, chiropractic care can effectively reduce risks, prevent complications, and promote healthy lifestyles. We propose the inclusion of chiropractors in district health centres and other initiatives, offering safer and more cost-effective options for treating functional issues and chronic pain. This integration of chiropractic care will not only benefit our citizens but also alleviate the burden on our healthcare system.

Internationally, chiropractors play a vital role in prevention-focused healthcare systems, such as in North America and Europe. In these systems, chiropractic care has proven to reduce disability and healthcare costs while generating high patient satisfaction. By learning from these successful models, Hong Kong can integrate chiropractors into its healthcare system and provide affordable, sustainable musculoskeletal and wellness-focused care.

In our quest to create a sustainable healthcare system that meets Hong Kong's long-term healthcare requirements, it is crucial to involve chiropractors in policymaking efforts. The Chiropractic Doctors Association of Hong Kong is committed to working alongside the Hong Kong Healthcare Commission and other stakeholders to ensure the successful integration of chiropractic care into our healthcare system. We kindly request the Hong Kong Healthcare Commission's support and collaboration in promoting the inclusion of chiropractic care in our primary healthcare system. Together, we can make a positive impact on the health and well-being of our community. Thank you for your consideration. We look forward to further discussing this proposal and exploring how we can work together to enhance Hong Kong's healthcare system. Our detail proposal are peer-reviewed at published at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064816/

Sincerely,

Dr. Eric Chun-Pu Chu, BSc, DC, PhD, FRCC (ortho), Chairman, Chiropractic Doctors Association of Hong Kong

01/29/2023

世界脊柱聯盟世界脊柱日競賽

​
Wow! Congratulations on receiving THREE World Spine Day Awards from Hong Kong. What an accomplishment!
The World Federation of Chiropractic (WFC) hosts its biggest annual World Spine Day competition every year. The WFC WSD competition is open to WFC member national chiropractic associations, chiropractic educational institutions and individual chiropractic clinics worldwide.
Commendation of the national association category went to the Chiropractic Doctors Association of Hong Kong (CDAHK) with an outstanding program of of community action, utilizing bus and tram advertising, saw thousands benefit from self-help advice, tips and general education to maintain a healthy spine.
In the individual/clinic category, first prize went to the New York Medical Group (Hong Kong SAR, China). NYMG ran an outstanding WSD campaign. Commendation goes to Children Chiropractic Foundation (Hong Kong SAR, China).
World Spine Day organizing committee co-chair, Dr Dani Weisner, said, "Public health initiatives like World Spine Day are critical in raising awareness, providing information and empowering the public to care for their spines. For spine health experts, World Spine Day provides a perfect opportunity to meaningfully contribute and proactively participate in their communities through education."
祝賀香港執業脊醫協會和會員榮獲得了三個國際最大的奬項：世界脊柱日獎。
世界脊骨神經醫學聯會（WFC）每年都會舉辦其最大的年度世界脊柱日比賽。世界脊柱聯盟世界脊柱日競賽向世界脊柱聯盟成員國家的脊醫協會、脊醫學院和脊醫診所開放。
香港執業脊醫協會（CDAHK）獲得了國家學會組的表揚，香港執業脊醫協會用巴士和電車廣告開展了一項出色的社區活動，使成千上萬的人受益於自助建議、提示和保持脊柱健康的一般教育。
在個人/診所類別中，總部位於香港的紐約醫療集團獲得了頭獎。NYMG開展了一場出色的WSD活動。兒童脊科基金會（中國香港特別行政區）也獲得了表彰。
世界脊柱日組委會聯合主席Dani Weisner博士說："像世界脊柱日這樣的公共衛生活動對於提高公眾的意識、提供信息和增強公眾對脊柱的關愛至關重要。對於脊柱健康專家來說，世界脊柱日提供了一個完美的機會，通過教育為他們的社區做出有意義的貢獻和主動參與"。

01/05/2022

香港執業脊醫協會獲頒WFC世界脊柱日比賽二等獎

世界脊柱日競賽獲獎者宣佈。香港執業脊醫協會獲頒WFC世界脊柱日比賽二等獎。

WFC於每年10月16日舉行，自2008年以來一直協調世界脊柱日。世界脊柱日被認為是致力於促進脊柱健康和福祉的最大全球公共衛生活動，關注脊柱護理的衛生專業人員和公共組織都會慶祝世界脊柱日。
Back2Back的主題反映了需要重置和重新關注脊柱疼痛和殘疾，將其作為全球疾病負擔的一部分。據估計，世界上任何時候都有5.4億人患有腰痛，這仍然是多年來殘疾的主要原因。
"該類別的二等獎授予了香港脊骨神經醫學醫生協會，該協會通過公共交通廣告計劃和通過大量媒體來源推廣的一系列活動，吸引了數百萬消費者。由世界脊醫聯合會的季度世界報告報導.
世界脊柱日組織委員會和評委小組由Danielle Wiesner，Kelly McCormack，Lean Swaenpoel，Rebekah Wilks和Richard Brown組成。 委員會主席理查·布朗醫生說：「像世界脊柱日這樣的公共衛生倡議對於提高認識，提供資訊和增強公眾照顧脊柱的能力至關重要。對於脊柱健康專家來說，世界脊柱日提供了一個絕佳的機會，可以有意義地貢獻並積极參與他們的社區。」
過去數年，香港在不同類別的WFC獎項中已獲超過20個獎項。我們的成就不僅在於價格，還在於我們創造的環境，以擁抱亞洲的所有組織。我們要感謝所有參加2020年世界脊柱日比賽的人，感謝他們對這項活動的熱情和支援。

2020-21 協會和會員得獎
CDAHK was awarded as the World Spine Day 2021 (2nd Prize) by World Federation of Chiropractic (association category)
New York Medical Group was awarded as the World Spine Day 2021 (First Prize) by World Federation of Chiropractic (clinic category)
Child Chiropractic Foundation was awarded as the World Spine Day 2021 (Highly Commended) by World Federation of Chiropractic (clinic category)
CDAHK was awarded as the World Spine Day 2020 (2nd Prize) by World Federation of Chiropractic (association category)
Kids First Chiropractic Clinic  was awarded as the World Spine Day 2020 (First Prize) by World Federation of Chiropractic (clinic category)
New York Medical Group was awarded as the World Spine Day 2020 (Highly Commended) by World Federation of Chiropractic (clinic category)
Dr William Wan and Wesly Ku received the Metro Radio Excellence in Chiropractic Service Award

2020-21 香港脊醫學案例研究

2020-21 Hong Kong Case Studies 1) Chu EC, Leung K. Vascular Thoracic Outlet Syndrome: A Case Report. J Contemp Chiropr. 2021 December; 4(1):142–145. 2) Chu EC, Wong AY. Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report. Adolesc Health Med Ther. 2021;12:111-116. doi: 10.2147/AHMT.S341069. eCollection 2021. 3) Chu EC, Zoubi FA, Yang J. Cervicogenic Dizziness Associated With Craniocervical Instability: A Case Report. J Med Cases. 2021 Nov;12(11):451-454. doi: 10.14740/jmc3792. Epub 2021 Nov 5. 4) Leung K, Chu EC. Hong Kong Chiropractic Survey: Analysis of Data. Asia-Pac Chiropr J. 2021 November; 2(3). 5) Chu EC. Chiropractic and Future of Healthcare in Asia. J Contemp Chiropr. 2021 November; 4(1):138-141. 6) Chu ECP, Wong AYL, Lee LYK. Chiropractic care for low back pain, gait and posture in a patient with Parkinson's disease: a case report and brief review. AME Case Rep. 2021;5:34. doi: 10.21037/acr-21-27. eCollection 2021. 7) Chu ECP, Lee LYK. Cervicogenic dysphagia associated with cervical spondylosis: A case report and brief review. J Family Med Prim Care. 2021 Sep;10(9):3490-3493. doi: 10.4103/jfmpc.jfmpc_359_21. Epub 2021 Sep 30. 8) Chu EC. Hong Kong poised for rapid healthcare change. Asia-Pac Chiropr J. 2021 September; 2(2). Leung K, Huang K, Chu EC. Chiropractic management as conservative care for adolescent idiopathic scoliosis: A cases report. Asia-Pac Chiropr J. 2021 September; 2(2). 9) Chu ECP, Wong AYL, Sim P, Krüger F. Exploring scraping therapy: Contemporary views on an ancient healing - A review. J Family Med Prim Care. 2021 Aug;10(8):2757-2762. 10) Chu EC, Butler KR. Resolution of Gastroesophageal Reflux Disease Following Correction for Upper Cross Syndrome-A Case Study and Brief Review. Clin Pract. 2021 May 21;11(2):322-326. 11) Chu ECP, Wong AYL. Chronic Orchialgia Stemming From Lumbar Disc Herniation: A Case Report and Brief Review. Am J Mens Health. 2021 May-Jun;15(3):15579883211018431. 12) Chu EC, Wong AY, Lee LY. Craniocervical instability associated with rheumatoid arthritis: a case report and brief review. AME Case Rep. 2021;5:12. doi: 10.21037/acr-20-131. eCollection 2021. 13) Chu E. Thoracolumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis. European Journal of Molecular and Clinical Medicine. 2021 April; 8(3):2834-2840. 14) Chu EC, Wong AY, Lin AF. Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120977844. 15) Pu Chu EC, Chakkaravarthy DM, Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: A retrospective chart review. Clin Pract. 2020 Sep 4;10(3):1258. doi: 10.4081/cp.2020.1258. eCollection 2020 Sep 4. 16) Chu ECP. Taming of the Testicular Pain Complicating Lumbar Disc Herniation With Spinal Manipulation. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320949358. 17) Chu ECP, Chakkaravarthy DM, Lo FS, Bhaumik A. Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120939069. doi: 10.1177/1179544120939069. eCollection 2020. 18) Chu EC. Regression of Lumbar Disc Herniation Following Non-surgical Treatment. European Journal of Molecular & Clinical Medicine. 2020 July; 7(1):27-79. 19) Chu EC. Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: a report of two cases. Asia-Pac Chiropr J. 2020 July; 1. 20) Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. J Family Med Prim Care. 2020 May;9(5):2517-2520. 21) Chu EC, Lo FS, Bhaumik A. Secondary atlantoaxial subluxation in isolated cervical dystonia-a case report. AME Case Rep. 2020;4:9. doi: 10.21037/acr.2020.03.03. eCollection 2020.

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