Certified Chiropractic Assistants shall be directly supervised by the chiropractor at all times. The scope of services to be performed by a certified Chiropractic Assistant may include: hydrotherapy (the application of heat and cold); electrotherapy; physiotherapy (therapeutic massage, traction, instruction in home therapies and exercises, instruction in the use of structural supports, crutches, walkers or canes); patient positioning and draping; and note taking and charting. The scope of practice does not include performing physical examinations, taking x-rays or performing osseous adjustments or manipulations. Similar Keywords: CCA