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Chiropractic Research
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Summary of Research Supporting Chiropractic Effectiveness

 

1. Journal of the American Medical Association - Patient Education Article

http://jama.jamanetwork.com/article.aspx?articleid=1681414

 

"Many treatments are available for low back pain. Often exercises and physical therapy can help. Some people benefit from chiropractic therapy or acupuncture. Sometimes medications are needed, including analgesics(painkillers) or medications that reduce inflammation. Surgery is not usually needed but may be considered if other therapies have failed.” (emphasis added)

 

2. Health Maintenance Care in Work-Related Low Back Pain and Its Association with Disability Recurrence Cifuentes et al J Occup Environ Med 2011 Apr;53(4):396-404. doi:10.1097/JOM.0b013e31820f3863

 


"Conclusion: In work-related nonspecific LBP, the use of health maintenance care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment.”

 

3. Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study Spine:15 April 2013 - Volume 38 - Issue 8 - p 627–634

 


Conclusion: The results of this trial suggest that CMT (Chiropractic Manipulative Therapy) in conjunction with SMC (Standard Medical Care) 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.

 

4. Early predictors of lumbar spine surgery after occupational back injury: Results from a prospective study of workers in Washington State. Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Spine (Phila Pa 1976). 2012 Dec 12. [Epub ahead of print]

 


Results:

Risk of having surgery of you see a surgeon first: 42.7%

Risk of having surgery if you see a chiropractor first: 1.5%

 

 

5. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. McMorland et al J Manipulative Physiol Ther 2010;33:576-584

Sixty percent of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention. Of 40% left unsatisfied, subsequent surgical intervention confers excellent outcome. Patients with symptomatic LDH failing medical management should consider spinal manipulation followed by surgery if warranted.

 

 

6. Dose-response for chiropractic care of chronic low back pain.

Haas M, Groupp E, Kraemer DF.Spine J. 2004 Sep-Oct;4(5):574-83.


There was a positive, clinically important effect of the number of chiropractic treatments for chronic low back pain on pain intensity and disability at 4 weeks. Relief was substantial for patients receiving care 3 to 4 times per week for 3 weeks.

 

 

7. Chiropractic Care: Is It Substitution Care or Add-on Care in Corporate Medical Plans? Metz et al J. Occupational and Environmental Medicine Vol. 46 No. 8, August 2004

 


Within a managed care setting, the inclusion of a chiropractic benefit does not increase the overall rates of patient complaints for low back pain, neck pain, and related NMS pain disorders. Patients appear to be directly substituting chiropractic care for medical care. At the same time, those patients who use chiropractic care experience more subsequent episodes
of care than patients who use medical care.

 

8. Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.

Von Heymann WJ, Schloemer P, Timm J, Muehlbauer B. spine(Phila Pa 1976). 2013 Apr 1;38(7):540-8.


In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.

 

9. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial.

Annals of Internal Medicine 3 January 2012, Vol. 156, No. 1_Part_1 Bronfort et al

 


For participants with acute and subacute neck pain, SMT was more effective than medication in both the short and long term. However, a few instructional sessions of HEA resulted in similar outcomes at most time points.

 

10. Effects of Inclusion of a chiropractic Benefit on the Utilization of Health Care Resources in Managed Health Care Plan.

Poster presentation at the World Federation of Chiropractic's Congress, Orlando,

Florida, on May 1-3, 2003.

 


This study demonstrates that the inclusion of a chiropractic benefit in a managed health care plan results in a reduction in the overall utilization of health care resources, and thereby, cost savings. There are four mechanisms that produce this cost reduction:
1. A favorable selection process; 2. A substitution effect of chiropractic care for medical care; 3. Lower rates of use of high cost procedures; 4. Lower cost management of care episodes by chiropractors.

 

11. Effects of a managed chiropractic benefit on the use of specific diagnostic and therapeutic procedures in the treatment of low back and neck pain.

 

J Manipulative Physiol Ther. 2005 Oct; 28(8):564-9

 


For the treatment of low back and neck pain, the inclusion of a chiropractic benefit resulted in a reduction in the rates of surgery, advanced imaging, inpatient care, and plain-film radiographs. This effect was greater on a per-episode basis than on a per-patient basis
.


 

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The North Carolina Chiropractic Association (NCCA), based in Raleigh, NC. is the only professional association in the state of North Carolina representing doctors of chiropractic. NCCA provides a unified voice for all its members and is dedicated to promoting chiropractic through public awareness, quality post-graduate education, legislative efforts and securing equality in the health care arena. These collective efforts assure continued growth of the profession, ultimately improving the overall well-being of North Carolina citizens through chiropractic.

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