Chiropractic Research 2016-11-24T11:58:22+00:00

Chiropractic Research

chiropractic-researchChiropractic, like other forms of healthcare, is ever changing and is a science that is very much evidence based. There is a growing base of literature to support the benefits of chiropractic for many common conditions – such as low back pain, neck pain and headaches (see links below).There are also certain benefits from chiropractic care that are very difficult to quantify – like improved sleep and feeling more energetic. Patients regularly describe these effects, and this is what we refer to as anecdotal evidence. In simple terms, there are benefits that we can’t measure as well!

The purpose of chiropractic is to find and reduce stress and interference to the body’s neuromusculoskeletal systems, allowing the body to experience greater function and an overall improved quality of life. It is important to realize that while people do usually seek chiropractic care for a specific problem, the results they achieve from spinal correction can often be more profound and far reaching. Restoring the body’s function and in built communication system can result in an improved ability of the body’s internal repair mechanisms to facilitate healing.

For Acute and Chronic Pain

  • Goodman et al. (2013), Journal of the American Medical Association
  • Goertz et al. (2013), Spine
  • Korthals-de Bos et al (2003), British Medical Journal
  • Nyiendo et al (2000), Journal of Manipulative and Physiological Therapeutics

In Comparison to Other Treatment Alternatives

  • Keeney et al (2012), Spine
  • Haas et al (2005), Journal of Manipulative and Physiological Therapeutics
  • Hoving et al (2002), Annals of Internal Medicine

For Headaches

  • McCrory, Penzlen, Hasselblad, Gray (2001), Duke Evidence Report
  • Boline et al. (1995), Journal of Manipulative and Physiological Therapeutics

For Neck Pain

  • Bronfort et al. (2012), Annals of Internal Medicine

For the Elderly

Chiropractic has therefore become a popular and cost effective natural treatment option, offering a high level of patient satisfaction:

Cost Effectiveness

  • Liliedahl et al (2010), Journal of Manipulative and Physiological Therapeutics
  • Haas et al (2005), Journal of Manipulative and Physiological Therapeutics

Patient Satisfaction

  • Hertzman-Miller et al (2002), American Journal of Public Health

Popularity of Chiropractic

  • Meeker, Haldeman (2002), Annals of Internal Medicine

Chiropractic Study

TITLE:

“Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patient with Acute Low Back Pain: Results of a Pragmatic Randomised Comparative Effectiveness Study”

STUDY DESIGN:

Randomized controlled trial.

OBJECTIVE:

To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back pain (LBP) among 18 to 35-year-old active-duty military personnel.

SUMMARY OF BACKGROUND DATA:

LBP is common, costly, and a significant cause of long-term sick leave and work loss. Many different interventions are available, but there exists no consensus on the best approach. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments of LBP, but its appropriate role in the healthcare delivery system has not been established.

METHODS:

Prospective, 2-arm randomized controlled trial pilot study comparing SMC plus CMT with only SMC. The primary outcome measures were changes in back-related pain on the numerical rating scale and physical functioning at 4 weeks on the Roland-Morris Disability Questionnaire and back pain functional scale (BPFS).

RESULTS:

Mean Roland-Morris Disability Questionnaire scores decreased in both groups during the course of the study, but adjusted mean scores were significantly better in the SMC plus CMT group than in the SMC group at both week 2 (P < 0.001) and week 4 (P = 0.004). Mean numerical rating scale pain scores were also significantly better in the group that received CMT. Adjusted mean back pain functional scale scores were significantly higher (improved) in the SMC plus CMT group than in the SMC group at both week 2 (P < 0.001) and week 4 (P = 0.004).

CONCLUSION:

The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.

Read more…

Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker W (2013) Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine (Phila Pa 1976) 2013 Apr 15;38(8):627-34C.

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