PURPOSE: This rule outlines the diagnostic procedures and instruments that may be used by a doctor of chiropractic in discharging his/her duty to his/her patients.

1. (1) The board will approve a diagnostic procedure or instrument only after the board determines that the diagnostic procedure or instrument has a sound scientific basis and is commonly taught by approved chiropractic colleges.

2. (2) Those diagnostic procedures presently approved by the board include, but are not limited to:

   1. (A) Physical Examination.

      1. 1. Inspection, including the use of in-

strumentation such as an ophthalmoscope, otoscope, tongue-depressor, tape measure, thermometer, percussion hammer, pinwheel, sphygmomanometer, proctoscope, nervoscope, neurocalometer, neurodermagraph, electromyograph, heartometer, phonocardiograph, electrocardiograph, spirometer, vitalor, visual acuity charts, weight measurement scales, dermathermagraph, vasculizer, and routine orthopedic and neurologic procedures.

1. 2. Palpation.
2. 3. Auscultation, including the use of a

stethoscope, tuning forks, audiograph and phonocardiograph;

1. (B) Radiographic Examination.

   1. 1. Motionless diagnostic X-ray study.
   2. 2. Fluoroscopy.
   3. 3. Cineradiography;

2. (C) Laboratory Examination.

   1. 1. Blood specimen.
   2. 2. Urine specimen.
   3. 3. Fecal specimen.
   4. 4. Sputum specimen; and
3. (D) Muscle testing with strength and endurance curves during isometric or isokinetic exercise, or both, mechanized or computerized evaluation with printout.

AUTHORITY: section 331.010, RSMo 2000.* This rule originally filed as 4 CSR 70-2.020. This version of rule filed Dec. 17, 1975, effective Dec. 27, 1975. Amended: Filed July 5, 1978, effective Oct. 13, 1978. Rescinded and readopted: Filed July 9, 1982, effective Nov. 11, 1982. Amended: Filed April 18, 1989, effective July 13, 1989. Amended: Filed July 31, 2003, effective Jan. 30, 2004. Moved to 20 CSR 2070-2.020, effective Aug. 28, 2006.

*Original authority: 331.010, RSMo 1939, amended 1969, 1982, 1995.