Chiropractic Research

Chiropractic Research

CLIENT SATISFACTION WITH CHIROPRACTIC

Patients in Medicare Demonstration Project Give Their Chiropractors High Marks

When asked to rate their satisfaction on a 10-point scale: 87 percent of patients in the study gave their doctor of chiropractic a level of 8 or higher, and 56 percent of those patients rated their chiropractor with a perfect 10.

 

Consumer Reports Lists Chiropractic Patients As Most Satisfied

A study in the May issue of Consumer Reports shows that hands-on therapies were top among treatments for relief of back pain. The study, which surveyed more than 14,000 consumers, was conducted by the Consumer Reports Health Ratings Center. The report states that, “eighty-eight percent of those who tried chiropractic said it helped a lot, and 59 percent were ‘completely’ or ‘very’ satisfied with their chiropractor.”

 

Chiropractic Services in the Canadian Armed Forces: A Pilot Project

This article reports on satisfaction associated with the introduction of chiropractic services within a military hospital, through a Canadian Armed Forces Pilot Project on 102 military personnel presenting for on-site chiropractic services at the Archie McCallum Hospital in Halifax, Nova Scotia. The majority of military personnel (94.2%) and referring physicians (80.0%) expressed satisfaction with chiropractic services.

 

References for the PATIENT SATISFACTION
Chiro.org Medicare Demonstration Project 
Consumer Reports Health/Back Pain Overview
Chiropractic Services in the Canadian Armed Forces: A Pilot Project. Military Medicine 2006 (Jun); 171 (6): 572 – 576
Chiropractic-Satisfaction

LESS DRUGS & SURGERY WITH CHIROPRACTIC

In a 7 year study it was found that with people who sought chiropractic care had the following benefits:

Reduced days in hospital by 59%

Reduced hospital admissions by 60%

Reduced outpatient surgeries by 62%

Reduced drug costs by 85%

The Alternative Medicine Integration Study. Journal of Manipulative and Physiological Therapy, May 2007; 30(4): 263-269, Richard L. Sarnat, MD, James Winterstein, DC, Jerrilyn A. Cambron, DC, PhD

CHIROPRACTIC SAFETY & EFFECTIVENESS

The “Manga Report” by the Canadian Government

This comprehensive government study reviewed all the published literature on low back pain and concluded that:

  • Chiropractic should be the treatment of choice for low back pain – and traditional medical care be excluded from treating low back pain altogether!
  • Chiropractic management of low-back pain is more cost-effective than medical management
  • Chiropractic services should be fully insured under the Ontario Health Insurance Plan
  • Chiropractic services should be fully integrated into the health care system
  • Because of the high incidence and cost of low back pain, hospitals, managed health care groups, community health centres, comprehensive health organisations, health service organisations, and long-term care facilities should all employ chiropractors on a full-time and/or part-time basis
  • The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada

The New Zealand Government Inquiry into Chiropractic Safety & Effectiveness

  • Commissioned by the New Zealand Government in 1978, The New Zealand Report developed into the most comprehensive and detailed independent examination, at that time, of chiropractic ever undertaken in any country
  • Chiropractors are the only health practitioners who are necessarily equipped by their education and training to carry out spinal manual therapy
  • Spinal manual therapy in the hands of a registered chiropractor is safe
  • The education and training of a registered chiropractor are sufficient to enable him/her to determine whether there are contraindications to spinal manual therapy in a particular case, and whether the patient should have medical care instead of or as well as chiropractic care
  • Spinal manual therapy can be effective in relieving musculoskeletal symptoms, such as back pain and other symptoms known to respond to such therapy, such as migraine
  • In a limited number of cases where there are organic and/or visceral symptoms, chiropractic treatment may provide relief, but this is unpredictable, and in such cases the patient should be under concurrent medical care if that is practicable
  • In the public interest and in the interests of patients, there must be no impediment to full professional cooperation between chiropractors and medical practitioners
  • The responsibility for spinal manual therapy training, because of its specialised nature, should lie with the chiropractic profession
  • Part‑time or vacation courses in spinal manual therapy for other health professionals should not be encouraged
  • New Zealand Report. Hasselberg PD. Government Printer, Wellington – 1979

Safety of chiropractic for babies and children

  • This study on the safety of chiropractic for children found that out of 5,438 office visits, only 3 adverse events were reported from the adjustments – a .00055 percent chance of negative reaction. The 3 events reported were of temporary minor discomfort following the adjustment, which was readily resolved with continued adjustments. The study demonstrates a risk factor well below 1 percent, showing that children have over a 99 percent chance of experiencing zero problems when receiving chiropractic care.
“The Safety and Effectiveness of Pediatric Chiropractic: A Survey of Chiropractors and Parents in a Practice- Based Research Network.” Explore (NY).2009 Sep-Oct;5(5):290-5. doi: 10.1016/j.explore.2009.06.002. Alcantara J, Ohm J, Kunz D.

Safety of Neck Adjustments

Chiropractic is extremely safe and has an amazing track record. Recently it has been calculated by epidemiologist Dr Scott Haldemann that the estimated incidence of stroke following cervical manipulation was found to be one per 5.85 million cervical adjustments. That means that for an average chiropractor they would have to work for 1430 years before encountering such a case!

 

Haldeman S, Carey P, Townsend M, Papadopoulos C. Arterial dissections following cervical manipulation: the chiropractic experience. CMAJ 2001;165(7):905-6

Safety of Low Back Adjustments

Only 8 cases of low back disc injury as a complication of chiropractic care have been reported over the last 80 years in the French, German and English literature. This sort of safety record is unheard of with medical intervention.

 

Guidelines for Chiropractic Quality Assurance and Practice Parameters. Preceedings of the Mercy Center Consensus Conference; Page 171 Aspen Publications 1993.

GENERAL CHIROPRACTIC RESEARCH

American Medical Association Recommends Chiropractic Before Resorting to Surgery

The Journal of the American Medical Association released new guidelines for back pain treatment that encouraged patients to seek chiropractic and physical therapy before resorting to surgery.

 

American Chiropractic Association. JAMA suggests chiropractic for low back pain. Businesswire May 8, 2013. businesswire.com.

Chiropractic as Effective as Epidural Injections for Lumbar Disc Herniation

Patients with lumbar disc herniation were randomly assigned to receive either nerve root injections or chiropractic care. Overall, 76% of chiropractic patients reported feeling “better” or “much better” after treatment compared to just 62.5% of injection patients.

 

Peterson, CK, et al. Symptomatic Magnetic Resonance Imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Journal of Manipulative and Physiological Therapeutics 2013; doi: 10.1016/j.jmpt.2013.04.005

Chiropractic Lowers Blood Pressure

Hypertensive patients had reduced diastolic blood pressure readings after receiving chiropractic adjustments.

 

McMasters KL, et al. Blood pressure changes in African American patients receiving chiropractic care in a teaching clinic: a preliminary study. Journal of Chiropractic Medicine 2013; 12(2): 55-59

Chiropractic Best Option for Sacro-iliac Joint Pain

Chiropractic care was better than physical therapy or injections of corticosteroids for sacroiliac joint dysfunction.

 

Visser L, Woudenberg N, et al. Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. European Spine Journal 2013 [online]. doi: 10.1007/s00586-013-2833-2

Neck Adjustments Immediately Improve Joint Position Sense

Cervical manipulation was shown to improve joint position sense, which could assist in improving mobility in patients with neck pain.

 

Gong, Wontae. Effects of cervical joint manipulation on joint position sense of normal adults. Journal of Physical Therapy Science 2013; 25:721–723.

Chiropractic Better than Medical Care Alone for Back Pain

Military personnel with back pain had a significantly better chance of recovery when they received a combined treatment of chiropractic and medical care, compared to those who only received medical care.

 

Haavik H, and Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. Journal of Manipulative and Physiological Therapeutics 2011; 34(2):88-97. doi: 10.1016/j.jmpt.2010.12.009.

Spinal Adjustments Relieve Muscle Pain Instantly

Patients with myofascial pain experienced immediate improvements in pressure pain thresholds after receiving chiropractic adjustments.

 

Goertz C, et al. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: Results from a pragmatic randomized comparative effectiveness study. Spine 2013; 38 (8): 627–634. doi: 10.1097/BRS.0b013e31827733e7.

Cervical Disc Herniation Eased by Chiropractic

A study of patients with cervical radiculopathy showed that 85% experienced significant reductions in pain and disability after receiving chiropractic care for three months.

 

Peterson CK, et al. Outcomes from magnetic resonance imaging–confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy: a prospective cohort study with 3-month follow-up. Journal of Manipulative and Physiological Therapeutics 2013; doi 10.1016/j.jmpt.2013.07.002).

Chiropractic Thaws Frozen Shoulder Syndrome

Chiropractic Thaws Frozen Shoulder Syndrome: Patients had a 78% improvement in pain after receiving chiropractic care for frozen shoulder syndrome.

 

Murphy F. Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients. Journal of Chiropractic 2012; 11: 267-72.

CHIROPRACTIC BABIES & CHILDREN

Asthma & Respiratory problems

Asthma & Respiratory problems

 

  • Bronfort, G. et al. Chronic Paediatric asthma and Chiropractic Spinal Manipulation; a prospective clinical series and randomised clinical pilot study. JMPT. 2000; 24: 69-77
  • Graham, R. L. and Pistolese, R.A. An impairment rating analysis of asthmatic children under chiropractic care. JVSR. 1997; Vol 1, No 4
  • Jamison, J.R., McEwen, A.P. and Thomas, S.J. Chiropractic adjustment in the management of visceral conditions: a critical appraisal. JMPT. 1992 (Mar-Apr); 15(3): 171-180
  • Kessinger, R. Changes in pulmonary function associated with upper cervical specific chiropractic care. JVSR. 1997; 1(3): 1-7
  • Kessinger, R. Specific upper cervical chiropractic care and lung function. CRJ. 1997; 27/ Mantis ID 38010
  • Miller WD. (1975) ‘Treatment of visceral disorders by manipulative therapy’ in Goldstein M, Ed. The Research Status of Spinal Manipulative Therapy. Bethesda: Dept. HEW, pp 295-301
  • Peet, J.B., Marko, S.K. and Piekarczyk, W. Chiropractic response in the pediatric patient with asthma: a pilot study. Chiropractic Pediatrics. May 1995; Vol 1 No 4: 9-13

Bed wetting

Bed wetting

 

  • LeBouf, C., Brown, P., Herman, A. et al. Chiropractic care of children with nocturnal enuresis: a prospective outcome study. JMPT. 1991; 14 (2):110-115

Behavioural imbalances

Behavioural imbalances

 

  • Archives of Disease in Childhood. 2004; 89: 506-511
  • Brzozowske, W.T. and Walton, E.V. The effect of chiropractic treatment on students with learning and behavioral impairments resulting from neurological dysfunction (part 1). J Aust Chiro Assoc 1980;11(7):13-18
  • Brzozowske, W.T. and Walton, E.V. The effect of chiropractic treatment on students with learning and behavioral impairments resulting from neurological dysfunction (part II). J Aust Chiro Assoc 1980;11(8):11-17
  • Canadian Medical Assoc J. 2004; 171(5): 450
  • Giesen, J.M., Center, D.B. and Leach, R.A. An evaluation of chiropractic manipulation as a treatment of hyperactivity in children. JMPT. Oct 1989; 12 (5): 353-363
  • Harding, K.L., Judah, R.D. and Gant, C. Outcome-based comparison of ritalin versus food-supplement treated children with ADHD. Alternative Medicine Review Aug 2003; 8 (3): 319-330
  • Lavigne, J.V. et al. Sleep and behaviour problems among preschoolers. J Dev Behav Pediatr. 1999; 20(3): 164-169
  • Mathews, M.O. and Thomas, E. (1986) A pilot study of applied kinesiology in helping children with learning disabilities. British Osteopathic Journal Vol. X11 1993; Ferreri CA
  • Schetchikova, N.V. Children with ADHD: Medical vs Chiropractic Perspective and Theory (part I). J Am Chiro Assoc. July 2002; 28-38
  • Schetchikova, N.V. Children with ADHD: Medical vs Chiropractic Perspective and Theory (part II). J Am Chiro Assoc. Aug 2002; 34-44
  • Upledger, J.E. The relationship of craniosacral examination findings in grade school children with developmental problems. J Am Osteopath Assoc. Jun 1978;77(10):760-776
  • Walton, E.V. The effects of Chiropractic treatment on students with learning and behavioral impairments due to neurological dysfunction. Int Rev of Chiro. 1975; 29:45, 24-26

Colic

Colic

 

  • Klougart, N., Nilsson, N. and Jacobsen J. Infantile colic treated by chiropractics: a prospective study of 316 cases. JMPT. 1989; 12:218-288
  • Munck, L.K., Hoffman, H. and Nielsen, A.A. Treatment of infants in the first year of life by chiropractors. Incidents and reasons for seeking treatment. Ugeskr Laeger. 1988; 150:1841-1844
  • Nilsson, N. Infantile colic and chiropractic. Eur J Chiro. 1985; 33 (4): 264-265
  • Wiberg, J.M.M., Nordsteen, J. and Nilsson, N. The short-term effect of spinal manipulation in the treatment of infantile colic: a randomised controlled clinical trial with a blinded observer. JMPT. 1999; Vol 22 No 8: 517-522

General

General

 

  • Abram, N. The importance of Chiropractic care for children. The Chiropractic Report. 1992; Vol 6 No 5
  • Anrig, C. and Plaugher, G. (1998) Pediatric Chiropractic. Lippincott Williams & Wilkins
  • Frymann, V.M., Carney, R.E. and Springall, P. Effect of osteopathic medical management on neurologic development in children. J Am Osteopath Assoc. Jun 1992; 92(6): 729-744
  • Hannaford, C. (1995) Smart Moves: Why Learning is not all in your Head. Great Ocean: NC
  • Hannaford, C. (2002) Awakening the Child Heart: Handbook for Global Parenting. Jamilla Nur: Hawaii
  • Hayden JA, Mior SA, Verhoef MJ. Evaluation of chiropractic management of pediatric patients with low back pain: A prospective cohort study. JMPT. 2003: 26(1): 1-8
  • Lewit, K. (1973) Manuelle Therapie. Functional disorders (fixations) of the spine in children. J.A. Barth, Leipzig. Chap 2.7., pp 50-54
  • Marshall, L.T. (1931) Chiropractic success in a reform school: Report of State Supervisor of Chiropractors of Kentucky in connection with Kentucky Houses of Reform, Greendale, Kentucky
  • Naish, F. and Roberts, J. (2000) The Natural Way to Better Babies. Random House: Sydney
  • Naish, F. and Roberts, J. (2000) The Natural Way to Better Birth and Bonding. Random House: Sydney
  • Naish, F. and Roberts, J. (2000) The Natural Way to Better Breastfeeding. Random House: Sydney
  • Purse, F.M. Manipulative therapy of upper respiratory tract infections in children. J Am Osteopath Assoc 1966 (May); 65(9): 964–972
  • Rose-Aymon, S., Aymon, M., Prochaska-Moss, G., Moss, R., Rebne, R., and Nielsen, K. The relationships between intensity of Chiropractic care and the incidence of childhood diseases. J of Chiro Research. 1989; Spring: 70-77

Recurrent Ear Infections

Recurrent Ear Infections

 

  • Fallon, J.M. The role of the Chiropractic adjustment in the care and treatment of 332 children with otitis media. J Clin Chiro Pediatrics. 1997; Vol 2 No 2:167-183
  • Froehle, R.M. Ear infection: A retrospective study examining improvement from Chiropractic care and analysing influencing factors. JMPT. 1996; 19: 169-177
  • Fysh, P. Chronic recurrent otitis media; case series of five patients with recommendations for case managements. J Clin Chiro Paed. 1996; 1
  • McCormick, D.P., Chomnaitree, T., Pittman, C., et al. Nonsevere acute otitis media: a clinical trial comparing outcomes of watchful waiting versus immediate antibiotic treatment. Pediatrics. Jun 2005; 115(6): 1455-1465
  • Phillips N. Vertebral subluxation and Otitis Media; a case study. J Chiro Research and Clin Investigation. 1992; 8:38
DISCLAIMER: Chiropractic is still not officially recognised & regulated as a health profession in Spain – click here for details.
CHIROPRACTIC, whilst recognised as a health profession by the World Health Organisation (WHO), and forming part of the healthcare system in most developed countries including European countries such as Britain, France, Portugal, Italy, Denmark and Switzerland – many of which recognise it as a primary healthcare profession – WITHIN SPAIN IT IS NOT A RECOGNISED HEALTH PROFESSION AND IS NOT SUBJECT TO REGULATION BY THE SPANISH GOVERNMENT. Because health legislation is a matter of regulatory law under the sovereignty of each EU member country, the chiropractic profession finds itself in a legal vacuum in Spain, meaning there are no laws to regulate it. The Spanish Association of Chiropractors (A.E.Q.) has petitioned the courts and relevant health and education ministries requesting that Parliament boost the legislative process to officially recognise chiropractic as a health profession in Spain. In countries legally recognising chiropractic as a health profession, the chiropractic degree is obtained after 5-6 years of educational training. Two Spanish institutions currently offer five-year chiropractic programs (with unofficial titles) in anticipation of the legal recognition of the profession in Spain: the Real Central University Maria Cristina of Madrid (UCR) and the Barcelona College of Chiropractic (BCC). The training from these institutions meet all the standards of quality and excellence demanded by the European Council of Chiropractic Education (ECCE), and paradoxically, Spanish graduates may work as official chiropractic health professionals in other countries like the United States, France or England, but not in their own country. The A.E.Q. was created and recognised by the Ministerio del Interior in 1986, and has over 200 members with chiropractic degrees recognised by the European Council of Chiropractic, ensuring compliance with the highest standards of professional practice at a European level. Unfortunately so far, these degrees and diplomas ARE NOT RECOGNISED AS OFFICIAL TITLES IN SPAIN. To ensure your chiropractor meets the quality standards established by ECCE regulation of chiropractic in Spain, check and verify that they are a member of the A.E.Q. in “Find a chiropractor” on the website: www.quiropractica-aeq.com. The regulation of chiropractic in Spain is a matter of political expediency, but in the meantime chiropractic professionals who meet the requirements of the AEQ statutes find themselves in a situation of legal uncertainty and disadvantage compared to other professionals from neighbouring European countries. Additionally due to the lack of regulation, Spanish citizens may be treated by unqualified people claiming to be chiropractors who do not meet the minimum international standards.

 

(**) The web www.centroquiropractioibiza.com & www.chiropracticibiza.com provide information on the professional services of Jans Olde Wolbers, owner of the contents of these websites. The content of these sites is offered for informational and informative purposes. The owner is not responsible for the content or comments and opinions expressed by third parties on their websites. The contents of the websites are not intended to replace health professional advice, since CHIROPRACTIC IS NOT A RECOGNISED HEALTH PROFESSION IN SPAIN AND HAS NOT BEEN THE SUBJECT OF REGULATION IN SPAIN, so that the owner assumes no responsibility, directly or indirectly, which may arise from the use made of this information.

 

 (***) “Chiropractic is a health profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these on overall health. It is based on manual techniques, including joint adjustment and / or manipulation focusing mainly on subluxations. “

 

Definition of the World Health Organisation (O.M.S.). Guidelines on Chiropractic, 2005
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