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Chiropractic Spine Sports And Rehabilitation Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s relief of pain. In chiropractic healthcare, much research revolves around documenting chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. Chiropractic Spine Sports And Rehabilitation offers just such research-documented, effective care to our Tonawanda chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to develop long-term plans to decrease the burden of low back pain on patients and healthcare systems. They explained that developing effective strategies remains a huge job for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not improved despite an increased quantity of published research papers about back pain care. No consensus on the best way to handle low back pain has been agreed upon. Non-drug and non-invasive methods like exercise, manual therapy, massage, and such are general recommendations. Another set of reviewing researchers indicated a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Coming up with a “sham” protocol for spinal manipulation that seems like spinal manipulation is especially challenging. (Just touching a spine can be relieving some, but that is a topic for a different article!) Observational studies are the next in line. How so? Researchers observe what happens to patients when they undergo treatment and describe changes and effects. Fortuitously, Cox® Technic research has a mix of biomechanical and clinical observational studies resulting in case reports, case series, plus retrospective and prospective clinical studies. Chiropractic Spine Sports And Rehabilitation feels this mix of research support helps outline the expectations our Tonawanda chiropractic patients may anticipate.

MINIMAL CLINICAL IMPORTANCE

Occasionally, chiropractic physicians and low back pain patients alike are frustrated with the outcomes of treatment for back pain. They shouldn’t be! In medicine, the minimal clinically important difference (MCID) is reported 30% or 20% and even 10% improvement. That’s reported as an “effective” outcome. Cox® Technic has proposed 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients realize that 50% relief in fewer than a month and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in attaining relief or only reaches 30% or 40%. Some patients desire more while others, particularly patients who have previously undergone back surgery or sought non-relieving care from many other providers, are quite satisfied. A study of 1232 low back pain subjects found a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That is not a big move but is reasonable. (2) It is a statistic to consider. Compared with medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Tonawanda chiropractic clinical outcome goals are high and frequently achievable.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, experiences a little more difficulty in maintaining a flow of research as many programs are not in large university situations with well-established and well-financed research departments. Global chiropractic researchers are looking for a solution.  Australia, Canada, and Denmark chiropractic researchers have formed a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to stimulate more chiropractic research. US-based researchers are turning to the RAND Corporation’s Center for Collaborative CIH Research to assemble research talent and assets to elevate chiropractic’s quality and quantity of research.  (3,4) Strong research continues at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Chiropractic Spine Sports And Rehabilitation

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates research studies he’s managed.

Make your next Tonawanda chiropractic appointment today. Bring your questions about the research supporting our chiropractic care with you! Chiropractic Spine Sports And Rehabilitation is always ready to share research! 

 
Chiropractic Spine Sports And Rehabilitation shares the importance and value of chiropractic research in healthcare decision-making and relevance. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."