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




Given the complexities involved in identifying and reporting suspected cases of child abuse and neglect, it's crucial that the Mandated Reporter Guide emphasizes the importance of objective findings as solid evidence.


Objective Findings

Objective findings, such as radiological findings in chiropractic clinics, can provide concrete evidence of abuse that may otherwise be missed. Radiological examinations often reveal patterns of injuries that are inconsistent with the explanations provided. For example, multiple fractures at different stages of healing, unusual fractures for the child's developmental stage, or injuries that are rare from accidental trauma.

Therefore, the guide should recommend that:

Chiropractors should consider ordering radiological examinations when physical examination and patient history raise suspicion of abuse, even in the absence of visible injuries.

Findings from these examinations should be thoroughly documented, including the location, nature, and age of injuries.

Any discrepancy between these findings and the provided history of the injury should be noted as it may indicate a potential case of abuse.

Subjective Findings

While subjective findings such as inconsistencies in injury history or behavioral signs can be crucial, they should not be the sole basis for reporting suspicion of abuse. Children and elderly patients may have difficulty accurately recalling events, leading to inconsistencies that are not necessarily indicative of abuse.

This doesn't mean we should disregard subjective findings. On the contrary, the guide should instruct chiropractors to:

Be attentive to verbal and non-verbal cues that may indicate distress or fear.

Document any observed behavioral changes or emotional responses that seem disproportionate to the situation.

Note any inconsistencies in the history and presentation of injuries.

Limitations of Physical Examination

Given the nature of chiropractic practice, chiropractors may not examine private parts such as breasts and female chest, potentially missing signs of abuse. The guide should acknowledge this limitation and recommend that:

Chiropractors should be trained to identify signs of abuse visible in the areas they typically examine.

If suspicion arises from observed or reported symptoms that fall outside the chiropractor's scope of practice, the chiropractor should refer the patient to a suitable medical professional for a more comprehensive examination.

In conclusion, the Mandated Reporter Guide should emphasize the importance of both objective and subjective findings in identifying potential abuse cases. It should also acknowledge the limitations of physical examinations in chiropractic settings and provide guidance on referring patients for further evaluation when necessary.



我們最近發表在《自然科學報告》上的研究剛剛在上週於澳大利亞黃金海岸舉行的第17 屆世界脊骨神經科聯合會(WFC) 雙年度大會上獲得了國際脊醫國家考試委員會(IBCE)海報獎,這標誌著該研究是最重要的研究之一專業人士:
​https://www.nature.com/articles/s41598-023-28520-4。 我們的工作代表了與脊醫手法相關的不良事件的最大研究之一,包括 960,140 次治療。

✔ 我們發現與脊椎矯正相關的嚴重不良事件非常罕見,只有兩起嚴重不良事件(發生率為每 10 萬人中 0.21 例),均為骨質疏鬆症的老年女性發生的肋骨骨折。 沒有危及生命或導致死亡的不良事件。



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."


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"。

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,


Chiropractic Doctors Association of Hong Kong.​







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。




朱君璞脊醫 博士




香港執業脊醫協會「2023 施政報告」建議書



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


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



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. https://cda.org.hk/wp-content/uploads/2023/12/Radiology-Letter.pdf Dr. Eric Chun-Pu Chu, BSc, DC, PhD, FRCC (ortho), Chairman, Chiropractic Doctors Association of Hong Kong




【博士獎學金】美國生命大學(Life University) 博士課程