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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 Frank M. Painter|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

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.

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LOW BACK PAIN page and the:

CHIROPRACTIC CARE FOR VETERANS page

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Changes Are Afoot

By Frank M. Painter|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 Frank M. Painter|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)

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LOW BACK PAIN Page and the:

CHIROPRACTIC AND CHRONIC NECK PAIN Page

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The Global Spine Care Initiative: Resources

By Frank M. Painter|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

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Global Spine Care Initiative Page

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The Global Spine Care Initiative: Classification

By Frank M. Painter|May 14, 2020|Global Spine Care Initiative|

The Global Spine Care Initiative:
Classification System for Spine-related Concerns

The Chiro.Org Blog

SOURCE: European Spine Journal 2018 (Sep)

OPEN ACCESS

Scott Haldeman, Claire D. Johnson, Roger Chou, Margareta Nordin, Pierre Côté, Eric L. Hurwitz, et al.

Department of Epidemiology,
School of Public Health,
University of California Los Angeles,
Los Angeles, CA, USA

PURPOSE: The purpose of this report is to describe the development of a classification system that would apply to anyone with a spine-related concern and that can be used in an evidence-based spine care pathway.

METHODS: Existing classification systems for spinal disorders were assembled. A seed document was developed through round-table discussions followed by a modified Delphi process. International and interprofessional clinicians and scientists with expertise in spine-related conditions were invited to participate.

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Global Spine Care Initiative Page

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Manipulative Therapy for Children Complaining of Spinal Pain

By Frank M. Painter|April 29, 2020|Spinal Pain Management|

Potential Treatment Effect Modifiers for Manipulative Therapy for Children Complaining of Spinal Pain. Secondary Analyses of a Randomised Controlled Trial

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2019 (Dec 10)

Kristina Boe Dissing, Werner Vach, Jan Hartvigsen, Niels Wedderkopp & Lise Hestbæk

Department of Sports Science and Clinical Biomechanics,
Faculty of Health Sciences,
University of Southern Denmark,
Campusvej 55, DK-5230 Odense M, Denmark.

BACKGROUND: In children, spinal pain is transitory for most, but up to 20% experience recurrent and bothersome complaints. It is generally acknowledged that interventions may be more effective for subgroups of those affected with low back pain. In this secondary analysis of data from a randomized clinical trial, we tested whether five indicators of a potential increased need for treatment might act as effect modifiers for manipulative therapy in the treatment of spinal pain in children. We hypothesized that the most severely affected children would benefit more from manipulative therapy.

METHOD: This study was a secondary analysis of data from a randomised controlled trial comparing advice, exercises and soft tissue treatment with and without the years complaining of spinal pain. A text message system (SMS) and clinical examinations were used for data collection (February 2012 to April 2014).Five pre-specified potential effect modifiers were explored:

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PEDIATRICS Section

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

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

Changes Are Afoot

Changes Are Afoot

Predictors of Visit Frequency for Patients

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

The Global Spine Care Initiative: Resources

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

The Global Spine Care Initiative: Classification

The Global Spine Care Initiative: Classification System for Spine-related Concerns

Manipulative Therapy for Children Complaining of Spinal Pain

Potential Treatment Effect Modifiers for Manipulative Therapy for Children Complaining of Spinal Pain. Secondary Analyses of a Randomised Controlled Trial

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

The Global Spine Care Initiative:
Classification System for Spine-related Concerns