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TITLE 22EXAMINING BOARDS
PART 3TEXAS BOARD OF CHIROPRACTIC EXAMINERS
CHAPTER 78SCOPE OF PRACTICE AND DELEGATION
RULE §78.1Scope of Practice

    (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.


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

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