Chiropractic articles & RESEARCH

Global Forum: Spine Research and Training in Underserved, Low and Middle-Income, Culturally Unique Communities The World Spine Care Charity Research Program’s Challenges and Facilitators

January 01, 2020

The World Spine Care (WSC) charity is a non-profit organization established by volunteers and institutions from five continents created to providing sustainable, evidence based spine care to low and middle-income countries.  The WSC research committee oversees research and training projects and aims to maintain key priorities of its clinical programs focused on the prevention of disabilities from spinal disorders.  The WSC clinical and research programs have been successful in delivering four sustainable evidence-based spine care projects while overcoming challenges.

Summary by Jordan Yee

Our Highest Level of Contribution: Doing the Right Thing, the Right Way, for the Right Reason

January 01, 2020

The John A. Sweaney Lecture: Washington DC, March 2017, Given by Dr Geoff Outerbridge.

Dr. Geoff Outerbridge, was honored with the opportunity to present his lecture, ““Our Highest Level of Contribution: Doing the Right Thing, the Right Way, for the Right Reason”, at the World Federation of Chiropractic in Washington, DC, on March 14, 2017.  Dr. Outerbridge’s lecture emphasized the need for chiropractors to maintain the focus on the patient and at the center of all decisions.  By doing so, we will do the right thing, in the right way, for the right reason.  Dr. Outerbridge was inspired to contribute to his profession by serving patients in low-income countries gain access to spine care.  He also spoke about importance of integrated care models where chiropractors are part of the health care team.

Summary by Jordan Yee

Manipulation and Mobilization for Patients with Neck Pain: Clinical Outcomes from the UCLA Neck Pain Study

Eric L. Hurwitz, DC, PhD, Hal Morgenstern, PhD, Philip Harber, MD, MPH, Gerald F. Kominski, PhD, Fei Yu, PhD, and Alan H. Adams, DC, MS

In this study, manipulation and mobilization techniques were compared in attempt to determine the most effective treatment for neck pain. Different variables such as the presence or absence of heat, and the presence or absence of electrical muscle stimulation (EMS) were further combined with each treatment.

On average, for both treatment methods, a 65% reduction in neck pain was achieved by week 24, and roughly 50% pain improvements were experienced by week 6.

Those receiving heat therapy initially experienced a significant reduction in severe pain by the 2-week follow up appointment, however only a slightly better overall improvement long term in comparison to the other treatment variations.

Initially, the mobilization treatments resulted in slightly greater improvements in neck disability, average and severe pain levels; however by week 24 the results between manipulation and mobilization techniques were comparable.

Neither EMS nor heat alone, or in addition to either technique significantly improved outcomes. Heat application may however result in more rapid short-term improvements.

Summary by Skylar Urschel

Recovery Pattern of Patients Treated With Chiropractic Spinal Manipulative Therapy for Longlasting or Recurrent Low Back Pain

Stig, L.C, Nilsson, O., and Leboeuf-Yde, C.

Roughly half of patients who experienced lower back pain for 60 days or more reported general improvements and a noticeable reduction in pain level after their fourth chiropractic visit. The reduction of lower back pain status and overall improvement was found to be even greater following the twelfth chiropractic visit in over 75% of patients. Overall result optimization, in both pain status and general improvement, were experienced >56 days following their initial visit.

This study illustrates that some benefits of chiropractic intervention can be achieved following a handful of treatments, however more substantial results in lower back pain and overall improvement occur after a more extensive treatment plan.

Summary by Skylar Urschel

Efficacy of Preventive Spinal Manipulation for Chronic Low Back Pain and other related Disabilities: a Case Study

Descarreaux, M., Blouin, J.S., Drolet, S., Papadimitriou, S. and Teasdale, N.

Chronic lower back pain can be effectively treated by spinal manipulation therapy (SMT); more specifically it was the intensive therapy that yielded the most dramatic alleviation of both pain and disability. Pain remained measurably reduced 10 months following the intensive therapy phase (12 treatments), regardless if treatments were maintained after this period. However, those who continued to receive maintenance SMT following the initial treatment phase experienced an even further reduction in disability after 10 months.

In sum, a short-term spinal manipulation treatment effectively improves pain, even up to 10 months after treatment. Whereas long term SMT has the ability to significantly reduce both pain and any associated disability.

Summary by Skylar Urschel

Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trialq

Casanova-Mendez, A., Oliva-Pascual-Vaca, A., Rodriguez-Blanco, C., Heredia-Rizo, A., M., Gogorza-Arroitaonandia, K., & Almazan-Campos, G. (2014)

Two manipulation techniques were compared for their short-term efficacy in treating non-specific neck pain.  Participant’s received a single, 2-minute treatment of either the Dog Technique or the Toggle- Recoil technique; after which pressure pain threshold, self perceived neck pain and cervical mobility were evaluated. Both techniques resulted in pressure pain threshold improvements. The most significant improvements were seen in the participants self perceived neck pain, in both groups, immediately following treatment. Improvements in cervical range of motion, however, were only experienced after the toggle-recoil treatments. Despite the cervical mobility results, researchers concluded that after merely one treatment there is no clinically significant differences between the two techniques.

Summary by Skylar Urschel

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