Chiropractic research has validated what all DCs and their patients have long known. For biomechanical conditions unquestionably manipulation is potent and cost effective. For 'medical' conditions such as constipation, shingles, high blood pressure, otitis media and infertility the available data is less convincing and, whilst plenty of anecdotal stories abound, the profession is still looking for hard-core research that Chiropractic is effective in many other domains.
Perhaps the single greatest mover of opinion and shaper of the medical horizon has not been research that proves chiropractic is effective for this or that. Those who WILL not see remain the blindest of them all. But powerful research that has and is convincing insurance companies that utilisation of Chiropractic saves them money, lots of it, is changing albeit slowly the horizons in the health arena.
For example, over an extended period of seven years in a safe and highly regulated environment, research has overwhelming convinced insurance companies that inclusion of Chiropractic yields a consistent decrease in cost and care utilization. Just the 60% decrease in hospital admissions alone is sufficient.
Adding grist to the mill is the fact that
• Chiropractic Primary Care Physicians over a 7-year period have managed 60% of their enrolled patients without requiring a referral.
Read more …
A review of frozen shoulder treatments suggests that there is no scientific validation of any treatment that is effective and cost effective. Yet as chiropractors we know that treatment that addresses both the lower cervical (or first rib) fixations, the mid thoracic fixations, AND the rotator cuff muscles and the capsule is extremely effective. Who is going to be the first to prove it? Frozen shoulder is one of my favourite conditions in the practice.
In a pilot study reported in JMPT 2010;33 forty patients with were randomised to receive either spinal adjustments or micro-discectomy.
Lumbar disc herniation patients who have failed three months of conservative non-operative medical treatment should first consider Chiropractic spinal adjustments, followed by micro-discectomy if the manipulative treatment is unsuccessful.
In the short term, the surgical group responded better. However, after one year, there was little difference between those who were operated on and those who were randomised for chirorpractic care.
Whilst the scientific research paradigm has obviously contributed enormously to the chiropractic profession, one questions that science is the be all and end all of treatment protocols.
MURKY SCIENCE ...
Every chiropractor knows that patients with sacralisations have to be adjusted differently. They often don't follow the normal rules of side-posture manipulation. More Research is needed - do they repond better to McManis traction, or activator, or Terminal Point? Is the lumbar roll contraindicated?
They are especially difficult when associated with other anomalies and pathology, for example a leg length inequality, or Femero Acetabular Impingement Syndrome ...
SACRALISATION OF L5 CaseFile ...
2009: A new Chiropractic Research randomized controlled trial (RCT) comparing two types of "spinal manipulation" with "minimal conservative medical care" for adults 55 years and older with subacute or chronic low back pain. JMPT 32(5)
240 patients, 71% of whom had LBP for more than one year, and at least 4 weeks, with and without leg pain, were divided into three treatment groups:
All three groups received instruction in a home exercise program.
"Contradiction is not a sign of falsity, nor the lack of contradiction a sign of truth."
Blaise Pascal, Christian philosopher and mathematician (1623-1662)
2009: Effectiveness of the PT Godelive Denys-Struyf (GDS) manual treatment method for non-specific LBP. SPINE (15)
137 patients suffering from chronic LBP were randomized into two groups:
The authors conclude that a combination of manual treeatments and exercise produces better results that either of those treatments alone.
I recall having a good laugh with a colleague of a chiropractic research proposal topic concerning the contents of the navel each morning. It seems that researchers sometimes run out of relevant topics. Better
RESEARCH PROPOSAL TOPICS
Both chiropractors and surgeons have long suspected that smoking is the greatest risk factor in the treatment of low back pain. New Finnish research now confirms those suspicions ... Atherosclerosis Symptoms Low Back Pain ...
Basic science is now giving a huge boost to justifying Chiropractic therapy. Hypomobile joints have been shown to increase bombardment of the cord, decrease inhibition of the cord, cause measurable degenerative changes within the joint within 12 hours ... Read more:
One Chiropractor, the retired principal of a Chiropractic College I'll have you know, thinks that adjustment of the Pubic Symphysis may be a cure for Athlete's foot. He has no Chiropractic Research to confirm this.
Read more from Anecdote of the Jar ...
There appears to be a worrying trend towards non-chiropractors using Chiropractic terminology. Can a physiotherapist give a "Chiropractic Adjustment"?
Read more about INAPPROPRIATE CHIROPRACTIC TERMINOLOGY...
New research reported in 2008 in the J. of Arthritis and Rheumatism confirms that patients who take more than one NSAIDs simultaneously are "putting themselves at risk for complications."
Read more about the dangers of taking more than one NSAIDs … DUAL ANTIINFLAMMATORY DRUGS.
Over 50% of physicians surveyed by a group of ethicists responded that they would likely prescribe a placebo treatment that had been shown to be more effective than no treatment.
What roll does the placebo effect have in chiropractic, and to what extent do chiropractors use this effect? Is there any Chiropractic research confirming these benefits?Read more about Placebo effect in medicine: PLACEBO SPECIAL NEEDS ...
Research done in a Swiss clinic found that function centred rehabilitation was significantly more effective than medication in treating Low Back Pain.
However, in both programmes, around 50% of the patients were permanently disabled.Read more about FUNCTION CENTRED TRAINING VERSUS DRUGS …
Interesting research from Melbourne, Australia confirms what every chiropractor knows - more movement means less arthritis.Read more about KNEE ARTHRITIS AND EXERCISE …
There remain many answered question in the field of Chiropractic. Doctors in the field are invited to contribute their suggestions and concerns to Chiropractic Research - what puzzles you, and what would you like researchers to investigate?
Read more about College Research Topics …
Convincing evidence confirming what chiropractors all know. Whiplash usually leaves its mark on the victims of whiplash. More from Chiropractic Research.Read more about SOFT TISSUE INJURIES OF THE NECK …
Dramatic improvement in osteoarthritic knees using distraction techniques confirms what chiropractors have long known: Unloading of joints and increasing cartilage perfusion lessens joint pain and disability and initiates joint cartilage healing.Read more about KNEE JOINT DISTRACTION …
There have been many studies involving thousands of patients proving conclusively that arthritis sufferers benefit from exercise, both improved function and less pain.
Whilst this may come as a surprise to medicine, many doctors still taking the line: "you have arthritis, learn to live with it, there's no known treatment that helps." That is not the evidence based health care that medicine purports to worship.
Codswollop. We chiropractors have known for more than a century, and Chiropractic research has proved for decades that movement within a joint improves function and decreases pain. Whilst most of the studies were done on the knee, the guiding principles apply to all joints.Read more: EXERCISE CLASS BENEFITS ...
Chiropractic-Help.com and Chiropractic-Books.com send out a joint monthly newsletter. It covers an overview of a health topic (this last month’s Issue #14 Hip and Groin pain), always a nutritional corner (Cholesterol /Statins and aching legs), and a review of an interesting Chiropractic book (and sometimes medical).
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NUTRITIONAL VALUE OF MUSHROOMS …
Issue #17 Facial Pain / Mussel Facts
Issue #16 Obesity in the Chiropractic Clinic / Flax seed
Issue #15-Breastbone-pain / Broccoli
Issue #14-Hip-and-Groin-pain /Statins for lowering cholesterol
Issue #13-Can-a-DC-help-your-Lumbar-Facet-Syndrome / Strawberries, a wonder food.
Issue #12-Help-Baby-Colic-Cures-2 / Eggplant for high cholesterol
Issue #11-Groin-and-Thigh-Pain / Hummus
Issue #10-Friday-Fun-Stone-in-my-Clog. / Cucumber
Issue #09 – Friday Fun: Headache
Issue #08- Spinal Stenosis/ Celery
Issue #07- Root-of-all-Healing/ Garbanzo beans /Chickpeas
Issue #06 - Safety-on-the-Stairs/ Ginger
Issue #05 - Safety-in-the-home/ Red foods
Issue #04 - Whiplash-and-the-Joints-of-Luschka/ Parsley
Issue #03 - How to stop falling/ Danger of a low fat diet
Issue #01 - Tingling in the arms and hands/ Apples
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