Past Monographs

Below is a collection of past monographs.


NUCCA Standards of Care


Welcome to the Upper Cervical Monograph

The National Upper Cervical Chiropractic Association (NUCCA) and the Upper Cervical Research Foundation (UCRF) are dedicated to the research, education and sustainability of a unique and profoundly influential form of healthcare.

This website is dedicated to bridging the understanding of research and clinical practice to offer best of outcome measures, the safest interventions and the greatest enhancement in quality-of-life.

Please explore the information here and look for updates as we continue to discover new possibilities for a healthier future.

New Edition – Fall 2019

  • UCRF President’s Message, Dr. Craig Lapenski
  • Research Knowledge Translation for Everyday Practice, Dr. Gordon Hasick
  • UCRF Impact Report, Dr. Gordon Hasick and Kathy Waters
  • Certification, Dr. Marshall Dickholtz
  • Standards Review Committee Update, Dr. Glenn Cripe
  • Standards Protocol Updates, Dr. Glenn Cripe, Dr. Craig Lapeski and Dr. Tym Flory

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Relationship between craniocervical orientation and center of force of occlusion in adults

Drs. Scholten, Westersund, and Turner recently published in CRANIO describing the occlusive force before and after a NUCCA correction. Is this another indicator a patient needs a correction?

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Evaluating the feasibility of using online software to collect patient information in a chiropractic practice-based research network,

Congratulations to Dr. Jeffrey Scholten and Dr. Mikaël Reney for their publication in the March 2016 volume of the Journal of the Canadian Chiropractic Association.  The paper discusses validity of patient’s answers collected on-line vs. face to face.  Foundational research moving NUCCA’s PBR effort forward.

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Effect of Atlas Vertebrae Realignment in Subjects with Migraine: An Observational Pilot Study

Groundbreaking research to share with your patients!

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UCRF research demonstrates problems in the cervical spine can cause progressively degenerative structural, neurological, physiological and pathological symptoms. Yet, when a small but measurable spinal misalignment known as the Atlas Subluxation Complex (ASC) is detected and corrected, a return toward good health and normal activity can be realized.

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NUCCA Standards of Care
From the very origins of the organization, the National Upper Cervical Chiropractic Association (NUCCA) has developed a precise protocol for the evaluation and correction of spinal distortion. Our decades of research have been used to validate and improve upon the accuracy and reliability of these corrective protocols. All of the NUCCA education today is based upon this prior investigation and study along with the carefully monitored clinical application of these restorative health care protocols. The NUCCA Certification and Standards Board organizes and maintains these standards today and works continuously to support and mentor the education and clinical practice of the NUCCA procedure.

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Since its inception, the National Upper Cervical Chiropractic Association (NUCCA) and the NUCCA procedure has helped thousands of people of all ages regain and maintain their health throughout their lifetime. NUCCA is an important part of our health care system and offers an individualized, conservative approach to healing that enhances the body’s innate ability to be well. Even with so many remarkable results, NUCCA is still only practiced by a relatively small number of practitioners worldwide. However, the demand for this work is global and we are striving to increase the number of NUCCA practitioners in order to provide needed care.

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