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A ChiroSecure Research Update
Assessment of chiropractic treatment for active duty, U.S. military personnel with low back pain: study protocol for a randomized controlled trial.
Abstract
Low back pain is highly prevalent and one of the most common causes of disability in U.S. armed forces personnel. Currently, no single therapeutic method has been established as a gold standard treatment for this increasingly prevalent condition. One commonly used treatment, which has demonstrated consistent positive outcomes in terms of pain and function within a civilian population is spinal manipulative therapy provided by doctors of chiropractic.
The primary objective of this study is to evaluate changes in pain and disability in active duty service members with low back pain who are allocated to receive usual medical care plus chiropractic care versus treatment with usual medical care alone.
Discussion
Because low back pain is one of the leading causes of disability among U.S. military personnel, it is important to find pragmatic and conservative treatments that will treat low back pain and preserve low back function so that military readiness is maintained. Thus, it is important to evaluate the effects of the addition of chiropractic care to usual medical care on low back pain and disability.
Improvements in pain and disability were significantly greater in the chiropractic care group. The information gleaned from this large, multisite trial may assist military healthcare providers to more effectively treat a highly prevalent condition responsible for high healthcare costs, debilitating effects on patients, and military readiness.
Reference
Goertz, C., Long, C., Vining, R. et al. Assessment of chiropractic treatment for active duty, U.S. military personnel with low back pain: study protocol for a randomized controlled trial. Trials 17, 70 (2016). https://doi.org/10.1186/s13063-016-1193-8
A ChiroSecure Research Update
Abstract
The chiropractor’s role in wellness care, prevention and treatment of injury or illness is based on education in anatomy and physiology, nutrition, exercise and healthy lifestyle counseling as well as referral to other health practitioners.
Depending on education, geographic location, scope of practice, as well as consumer preference, chiropractors may assume the role of primary care for families who are pursuing a more natural and holistic approach to health care for their families.
Research into the effectiveness of chiropractic care for pediatric patients has lagged behind that of adult care, but this is being addressed through educational programs where research is now being incorporated into academic tracks to attain advanced chiropractic degrees.
Discussion
The age range of pediatric patients visiting chiropractic clinics ranges from premature infants to adolescents. Besides those conditions traditionally classified as musculoskeletal (for example scoliosis, sprain/strains and spinal pain), there are also musculoskeletal presentations that include a somatovisceral component including, but not limited to, persistent crying and feeding problems in infants (like difficulty breastfeeding, colic), sleep disruption, otitis media, enuresis, asthma, headaches, constipation, learning disorders and a variety of presentations on the autistic spectrum.
Recent studies in the United States show that approximately14% of chiropractic patients are children under 18, and that chiropractors are the most common complementary and alternative medicine (CAM) providers visited by children and adolescents.
Amassing evidence for the effectiveness and safety of chiropractic care for children is gradually progressing, thanks to the dedication of academicians and clinicians around the world.
Reference
Vallone, S.A., Miller, J., Larsdotter, A. et al. Chiropractic approach to the management of children . Chiropr Man Therap 18, 16 (2010). https://doi.org/10.1186/1746-1340-18-16
A ChiroSecure Research Update
Abstract
A recent study in Chiropractic & Manual Therapies looked at Chiropractic Treatment of Older Adults with Neck Pain with or without headache or dizziness.
In this first known study of its kind, investigating chiropractic care of older adults living with neck pain; 288 Australian chiropractors completed the survey, yielding a response rate of 36%.
Neck pain is a leading cause of disability worldwide, affecting an estimated 1 in 5 people aged 70 years and older.
As reported by the surveyed chiropractors, the three most frequently used treatments for older adult patients presenting with neck pain were adjustment/manipulation of the thoracic spine, activator adjustment of the neck, and massage of the neck.
Discussion
The findings indicated that this target group of patients (37.9%) may frequently integrate chiropractic care with other health services in order to manage their neck pain.
The favorable outcomes reported by participants of this study highlight a potential role for using non-pharmacological multimodal therapeutic approaches for the management of neck pain in older adults.
Further research should provide in-depth investigation of older patients’ experience and other patient-reported outcomes of chiropractic treatment.
Reference
Vindigni, D., Zark, L., Sundberg, T. et al. Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views. Chiropr Man Therap 27, 65 (2019). https://doi.org/10.1186/s12998-019-0288-1
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