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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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Integrating a Multidisciplinary Pain Team

By |October 25, 2020|Integrative Care|

Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center

The Chiro.Org Blog

SOURCE:   Journal of Primary Care & Community Health 2020 (Sep 10) ~ FULL TEXT

Christopher Prater 1, Melissa Tepe 2, Patrick Battaglia 3

Affiliations
1.   Washington University School of Medicine, St. Louis, MO, USA.

2.   Affinia Healthcare, St. Louis, MO, USA.

3.   Logan University, Chesterfield, MO, USA.

Background:   Chronic spinal pain is one of the most common diseases in the United States. Underserved patients are most affected, and disproportionately may use opioid medications as they lack access to other therapies. It is therefore important to develop systems to treat spinal pain within the primary medical home.

Methods:   We designed a prospective observational pilot study at a community health center to measure the effectiveness of two interventions among an underserved population: a multidisciplinary pain team and chiropractic care. Study outcomes were pain and functional disability measured by the Pain Disability Questionnaire (PDQ), and reduction of opioid dose at baseline and 6–12 months. Multivariate linear regression was used to determine associating factors for change in PDQ scores.

Results:   Thirty-five individuals completed baseline and follow-up PDQs from August 2018 to May 2020. Overall, the mean baseline PDQ was 92.4 +/– 6.1 and the mean follow-up PDQ was 81.9 +/– 7.7, resulting in a mean improvement of 10.6 (95% CI 1.2 – –22.3, P = .08). Participants in the chiropractic team (mean change –25.0, P = .01) and those completing the study before COVID-19 (mean change = –22.6, P < .01) were found to have significantly greater improvement at follow-up.

There are more articles like this @ our:

SPINAL PAIN MANAGEMENT page

(more…)

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Chiropractic Turns 125 Today!

By |September 18, 2020|Announcement|

Chiropractic Turns 125 Today!

The Chiro.Org Blog

SOURCE:   Palmer College

Come to where it all began!

Palmer College of Chiropractic will host the virtual 125th Founder’s Day Celebration today at 5:15 p.m. CDT (Friday, Sept. 18) on Palmer’s Facebook page.

Hear from Palmer College of Chiropractic Chancellor and CEO Dennis Marchiori, D.C., Ph.D.; and the great-granddaughter of D.D. Palmer himself, Vickie Anne Palmer; and also from some current students.

Then, join in a toast to the profession with chiropractic leaders from around the world.

Make sure to click the (more…) link (see it below) to see a humorous picture of the young David Palmer and a friend, practicing their technique at age 8.

One of the school mottos is:

Palmer is to chiropractic
what sterling is to silver


D.D. Palmer, the Father of Chiropractic


B.J. Palmer, the Developer of Chiropractic

(more…)

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Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain

By |July 30, 2020|Low Back Pain, Veterans|

Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial

The Chiro.Org Blog

SOURCE:   J Altern Complement Med 2020 (Jul)

Robert Vining, Cynthia R. Long, Amy Minkalis, M. Ram Gudavalli, Ting Xia, Joan Walter, Ian Coulter, and Christine M. Goertz

Palmer Center for Chiropractic Research,
Palmer College of Chiropractic,
Davenport, IA, USA.

Objectives:   To investigate whether chiropractic care influences strength, balance, and/or endurance in active-duty United States military personnel with low back pain (LBP).

Design:   This study employed a prospective randomized controlled trial using a pragmatic treatment approach. Participants were randomly allocated to 4 weeks of chiropractic care or to a wait-list control. Interventions: Chiropractic care consisted of spinal manipulation, education, advice, and reassurance.

Settings/Location:   Naval Air Technical Training Center branch clinic at the Naval Hospital Pensacola Florida.

Subjects:   One hundred ten active-duty military personnel 18-40 years of age with self-reported LBP.

Outcome measures:   Isometric pulling strength from a semisquat position was the primary outcome. Secondary outcomes were single-leg balance with eyes open and eyes closed, and trunk muscle endurance using the Biering-Sorensen test. Patient-reported outcomes such as pain severity and disability were also measured. Outcomes were measured at baseline and 4 weeks. Linear mixed-effects regression models over baseline and 4 weeks were used for analysis.

Results:   Participants had mean age of 30 years (18-40), 17% were female, 33% were non-white, and 86% reported chronic LBP.

There are more articles like this @ our:

LOW BACK PAIN page and the:

CHIROPRACTIC CARE FOR VETERANS page

(more…)

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Changes Are Afoot

By |July 29, 2020|Announcement|

Changes Are Afoot

The Chiro.Org Blog

SOURCE:   Chiro.Org Editorial

When I first started compiling materials on Chiro.Org, I added materials to the LINKS section, where I got my start.

Over time, when enough material was compiled on a particular topic, I created a Topical Page to house them. As of today, the LINKS contains 95 different Topical pages.

My mentor Mark Street cobbled together a Search Tool that we configured to search within a specific section, rather than the whole website, so that it was easier (and faster) to find specific materials.

Finally, our 2 biggest Sections (the LINKS and the Research sections) became so big that Marks search tools took too long to scroll through all those materials.

So I have just created 6 new “sections” to house the largest topical collections, and they now have their own search tools. Because of that, all the other Sectional Search Tools are operating much more quickly.

Here’s what was created:

The LINKS section gave birth to 4 new sections:

And research gave birth to 2 new Sections;

So why not drop by our Search Section and enjoy reviewing any specific topics you may be interested in?

You may also want to re-visit our LINKS Section and our Research section, because they both point to our vast collection of Topical pages.


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Predictors of Visit Frequency for Patients

By |May 20, 2020|Chronic Low Back Pain, Chronic Neck Pain|

Predictors of Visit Frequency for Patients Using Ongoing Chiropractic Care for Chronic Low Back and Chronic Neck Pain; Analysis of Observational Data

The Chiro.Org Blog

SOURCE:   BMC Musculoskeletal Disorders 2020 (May 13); 21 (1): 298

Patricia M. Herman, PhD, Sarah E. Edgington, PhD, Eric L. Hurwitz, DC, PhD, & Ian D. Coulter, PhD

RAND Corporation,
Santa Monica, CA, USA.

 

Background:   Chronic spinal pain is prevalent, expensive and long-lasting. Several provider-based nonpharmacologic therapies have now been recommended for chronic low-back pain (CLBP) and chronic neck pain (CNP). However, healthcare and coverage policies provide little guidance or evidence regarding the long-term use of this care. To provide one glimpse into the long-term use of nonpharmacologic provider-based care, this study examines the predictors of visit frequency in a large sample of patients with CLBP and CNP using ongoing chiropractic care.

Methods:   Observational data were collected from a large national sample of chiropractic patients in the US with non-specific CLBP and CNP. Visit frequency was defined as average number of chiropractic visits per month over the 3-month study period. Potential baseline predictor variables were entered into two sets of multi-level models according to a defined causal theory-in this case, Anderson’s Behavioral Model of Health Services Use.

Results:   Our sample included 852 patients with CLBP and 705 with CNP. Visit frequency varied significantly by chiropractor/clinic, so our models controlled for this clustering. Patients with either condition used an average of 2.3 visits per month. In the final models visit frequency increased (0.44 visits per month, p = .008)

There are more articles like this @ our:

LOW BACK PAIN Page and the:

CHIROPRACTIC AND CHRONIC NECK PAIN Page

(more…)

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The Global Spine Care Initiative: Resources

By |May 15, 2020|Global Spine Care Initiative|

The Global Spine Care Initiative:
Resources to Implement a Spine Care Program

The Chiro.Org Blog

SOURCE:   European Spine Journal 2018 (Sep)

  OPEN ACCESS   

Deborah Kopansky-Giles, Claire D. Johnson, Scott Haldeman, Roger Chou, Pierre Côté, Bart N. Green, et al.

Department of Research,
Canadian Memorial Chiropractic College,
Toronto, ON, Canada.

PURPOSE:   The purpose of this report is to describe the development of a list of resources necessary to implement a model of care for the management of spine-related concerns anywhere in the world, but especially in underserved communities and low- and middle-income countries.

METHODS:   Contents from the Global Spine Care Initiative (GSCI) Classification System and GSCI care pathway papers provided a foundation for the resources list. A seed document was developed that included resources for spine care that could be delivered in primary, secondary and tertiary settings, as well as resources needed

There are more articles like this @ our:

Global Spine Care Initiative Page

(more…)

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