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Frank M. Painter

About Frank M. Painter

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.
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Are Chiropractic Patients Less Likely To Be Vaccinated?

By |March 11, 2011|News, Vaccination|

Are Chiropractic Patients Less Likely To Be Vaccinated?

The Chiro.Org Blog

Influenza vaccination among chiropractic patients and other users of complementary and alternative medicine: Are chiropractic patients really different?

SOURCE: Preventive Medicine 2011 (Feb 4) [Epub ahead of print]

Davis MA, Smith M, Weeks WB.

Center for Health Policy, The Dartmouth Institute for Health Policy & Clinical Practice, 35 Centerra Parkway, Lebanon, NH 03766, United States; Grace Cottage Hospital, Townshend, VT, United States.

OBJECTIVE: Previous studies suggest a possible association between using chiropractic care and lower influenza vaccination rates. We examined adult influenza vaccination rates for chiropractic patients to determine if they are different than those for users of other complementary and alternative medicine (CAM). (more…)

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Neck Pain Experienced By Air Force Pilots

By |March 9, 2011|Air Force Pilots, Legislation, Neck Pain, News|

Neck Pain Experienced By Air Force Pilots

The Chiro.Org Blog

SOURCE:   Military Medicine 2011 (Jan); 176 (1): 106–109

Netto K, Hampson G, Oppermann B, Carstairs G, Aisbett B.

School of Exercise and Nutrition Sciences,
Deakin University,
221 Burwood Highway,
Burwood, Victoria 3125, Australia

This article is of particular interest because the Department of Defense was instructed during the Clinton Administration to start providing chiropractic care through the Department of Veterans Affairs to American servicemen, and even after all these years, chiropractic care is only available at 36 VA facilities across the country. This still leaves (at least) 100 major VA medical facilities without a chiropractic physician on staff. [1]

In this study, therapists at the School of Exercise and Nutrition Sciences in Victoria, Australia designed an 18-question survey to determine type and effectiveness of various strategies used by Royal Australian Air Force (RAAF) fast jet aircrew in self-referral and management of flight-related neck pain. [2]

They provided this questionnaire to 86 eligible RAAF aircrew to determine aircrew demographics, the incidence of flight-related neck pain, and their self-referral strategies to manage these neck complaints. The results are quite dramatic: (more…)

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Chiropractic Goes To The Hospital

By |March 6, 2011|Evidence-based Medicine, Guidelines, Low Back Pain|

Chiropractic Goes To The Hospital

The Chiro.Org Blog

SOURCE:   J Manipulative Physiol Ther 2011 (Feb); 34 (2): 98–106

Paskowski I, Schneider M, Stevans J, Ventura JM, Justice BD.

Medical Back Pain Program,
Jordan Hospital,
Plymouth, Mass

This hospital-based study is interesting for several reasons:

  • First, they utilized an evidence-based program for treating low back pain (LBP)
  • Based on that evidence, they assigned 83% of those who sought care to chiropractic management.
  • Results for the patients treated by doctors of chiropractic were mean of 5.2 visits, mean cost per case of $302, and
  • 95% of those patients rated their care as “excellent.”

OBJECTIVE: A health care facility (Jordan Hospital) implemented a multidimensional spine care pathway (SCP) using the National Center for Quality Assurance (NCQA) Back Pain Recognition Program (BPRP) as its foundation. The purpose of this report is to describe the implementation and results of a multidisciplinary, evidence-based, standardized process to improve clinical outcomes and reduce costs associated with treatment and diagnostic testing.

METHODS: A standardized SCP was developed to improve the quality of back pain care. The NCQA BPRP provided the framework for the SCP to determine the standard of quality care delivered. Patients were triaged, and suitable patients were categorized into 1 of 5 classifications based upon history and examination, directional exercise flexion or “extension biases,” spinal manipulation, traction, or spinal stabilization exercises.

RESULTS: The findings for 518 consecutive patients were included. One hundred sixteen patients (10%) were seen once and triaged to specialty care; 7% of patients received magnetic resonance imagings. Four hundred thirty-two patients (83%) were classified and treated by doctors of chiropractic and/or physical therapists. Results for the patients treated by doctors of chiropractic were mean of 5.2 visits, mean cost per case of $302, mean intake pain rating score of 6.2 of 10, and mean discharge score of 1.9 of 10; 95% of patients rated their care as “excellent.” (more…)

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Research Tithing

By |February 27, 2011|Announcement, Research|

Research Tithing

The Chiro.Org Blog

The Board of Chiro.Org held their annual Board meeting on 2-22-2011 and unanimously approved another $2500 donation to Chiropractic Research. This will be the tenth year in a row that the website has made a research tithe, and to date that contribution totals $21,000.

In the Age of Accountability, insurers may only pay for care that is supported by research. Our intention is to do our part, and to encourage our readers (chiropractors all) to do their part, by putting their money where it will do the most good… into high quality research, which accurately describes the miracles that we see daily in our practices.

This year’s gifts includes a $1250. contribution to the Integrated Chiropractic Outcomes Network, a new Practice-based research project created by Cheryl Hawk, DC, PhD, the Director of Clinical Research at Logan College of Chiropractic.

This year also marks our 8th year in a row supporting the International Chiropractic Pediatric Association’s research projects, always aimed at demonstrating the benefits of chiropractic care for children.

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The Mythology Of Evidence-Based Medicine

By |February 25, 2011|Evidence-based Medicine, News|

The Mythology Of Evidence-Based Medicine

The Chiro.Org Blog

SOURCE:   The Huffington Post ~ 2-25-2011

Dr. Larry Dossey, Deepak Chopra and Dr. Rustum Roy

The current healthcare debate has brought up basic questions about how medicine should work. On one hand we have the medical establishment with its enormous cadre of M.D.s, medical schools, big pharma, and incredibly expensive hospital care. On the other we have the semi-condoned field of alternative medicine that attracts millions of patients a year and embraces literally thousands of treatment modalities not taught in medical school.

One side, mainstream medicine, promotes the notion that it alone should be considered “real” medicine, but more and more this claim is being exposed as an officially sanctioned myth. When scientific minds turn to tackling the complex business of healing the sick, they simultaneously warn us that it’s dangerous and foolish to look at integrative medicine, complementary and alternative medicine, or God forbid, indigenous medicine for answers. Because these other modalities are enormously popular, mainstream medicine has made a few grudging concessions to the placebo effect, natural herbal remedies, and acupuncture over the years. But M.D.s are still taught that other approaches are risky and inferior to their own training; they insist, year after year, that all we need are science-based procedures and the huge spectrum of drugs upon which modern medicine depends.

If a pill or surgery won’t do the trick, most patients are sent home to await their fate. There is an implied faith here that if a new drug manufacturer has paid for the research for FDA approval, then it is scientifically proven to be effective. As it turns out, this belief is by no means fully justified.

The British Medical Journal recently undertook an general analysis of common medical treatments to determine which are supported by sufficient reliable evidence. They evaluated around 2,500 treatments, and the results were as follows:

* 13 percent were found to be beneficial (more…)

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