(G) An opinion regarding the treatment procedures that
are contraindicated in the therapeutic care of a patient or condition;
(H) An opinion that a patient or condition is in need
of care from a medical or other class of provider;
(I) An opinion regarding an individual's ability to
perform normal job functions and activities of daily living, and the
assessment of any disability or impairment;
(J) An opinion regarding the biomechanical risks
to a patient, or patient population from various occupations, job
duties or functions, activities of daily living, sports or athletics,
or from the ergonomics of a given environment; and
(K) Other necessary or appropriate opinions consistent
with the practice of chiropractic.
(e) Treatment Procedures and Services.
(1) In the practice of chiropractic, licensees recommend,
perform or oversee the performance of the treatment procedures that
are indicated in the therapeutic care of a patient or patient population
in order to:
(A) Improve, correct, or optimize the biomechanical
condition of the spine or musculoskeletal system of the human body
including, but not limited to, the following:
(i) the health and integrity of the structures of the
musculoskeletal system; and
(ii) the coordination, balance, efficiency, strength,
conditioning, and functional health and integrity of the musculoskeletal
system;
(B) Promote the healing of, recovery from, or prevent
the development or deterioration of abnormalities of the biomechanical
condition of the spine or musculoskeletal system of the human body
including, but not limited to, the following:
(i) the structural pathology, functional pathology,
or other abnormality of the musculoskeletal system;
(ii) the effects and complicating factors of any structural
pathology, functional pathology, or other abnormality of the musculoskeletal
system;
(iii) the etiology of any structural pathology, functional
pathology, or other abnormality of the musculoskeletal system; and
(iv) the effect of any structural pathology, functional
pathology, or other abnormality of the musculoskeletal system on the
health of an individual patient or population of patients; and
(C) Promote the healing of, recovery from, or prevent
the development or deterioration of a subluxation complex of the spine
or musculoskeletal system, including, but not limited to, the following:
(i) the structural pathology, functional pathology,
or other abnormality of a subluxation complex;
(ii) the effects and complicating factors of any structural
pathology, functional pathology, or other abnormality of a subluxation
complex;
(iii) the etiology of any structural pathology, functional
pathology, or other abnormality of a subluxation complex; and
(iv) the effect of any structural pathology, functional
pathology, or other abnormality of a subluxation complex on the health
of an individual patient or population of patients.
(2) In order to provide therapeutic care for a patient
or patient population, licensees are authorized to use:
(A) osseous and soft tissue adjustment and manipulative
techniques;
(B) physical and rehabilitative procedures and modalities;
(C) acupuncture and other reflex techniques;
(D) exercise therapy;
(E) patient education;
(F) advice and counsel;
(G) diet and weight control;
(H) immobilization;
(I) splinting;
(J) bracing;
(K) therapeutic lasers (non-invasive, nonincisive),
with adequate training and the use of appropriate safety devices and
procedures for the patient, the licensee and all other persons present
during the use of the laser;
(L) durable medical goods and devices;
(M) homeopathic and botanical medicines, including
vitamins, minerals; phytonutrients, antioxidants, enzymes, nutraceuticals,
and glandular extracts;
(N) non-prescription drugs;
(O) referral of patients to appropriate health care
providers; and
(P) other treatment procedures and services consistent
with the practice of chiropractic.
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Source Note: The provisions of this §78.1 adopted to be effective January 29, 2015, 40 TexReg 379; amended to be effective September 13, 2015, 40 TexReg 5787; transferred effective November 1, 2018, as published in the Texas Register October 19, 2018, 43 TexReg 6963 |