Randomized controlled trial.To assess changes in pain levels and physical functioning response to standard medical care (SMC) versus SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back (LBP) among 18 35-year-old active-duty military personnel.LBP is common, costly, a significant cause long-term sick leave work loss. Many different interventions are available, but there exists no consensus on best approach. One intervention often used therapy. Current evidence from...

Background: Back-related leg pain (BRLP) is often disabling and costly, there a paucity of research to guide its management. Objective: To determine whether spinal manipulative therapy (SMT) plus home exercise advice (HEA) compared with HEA alone reduces in the short long term adults BRLP. Design: Controlled pragmatic trial allocation by minimization conducted from 2007 2011. (ClinicalTrials.gov: NCT00494065) Setting: 2 centers (Minnesota Iowa). Patients: Persons aged 21 years or older BRLP...

<h3>Importance</h3> It is critically important to evaluate the effect of nonpharmacological treatments on low back pain and associated disability. <h3>Objective</h3> To determine whether addition chiropractic care usual medical results in better relief pain-related function when compared with alone. <h3>Design, Setting, Participants</h3> A 3-site pragmatic comparative effectiveness clinical trial using adaptive allocation was conducted from September 28, 2012, February 13, 2016, at 2 large...

Evidence based practice (EBP) is being increasingly utilized by health care professionals as a means of improving the quality care. The introduction EBP principles into chiropractic profession relatively recent phenomenon. There currently lack information about literacy level US chiropractors and barriers/facilitators to use in profession. A nationwide survey was administered online (Nov 2012-Mar 2013) utilizing validated self-report instrument (EBASE) which three sub-scores are reported:...

High velocity low amplitude spinal manipulation (HVLA-SM) is used frequently to treat musculoskeletal complaints. Little known about the intervention’s biomechanical characteristics that determine its clinical benefit. Using an animal preparation, we determined how neural activity from lumbar muscle spindles during a HVLA-SM affected by type of thrust control and thrust's amplitude, duration, rate. A mechanical device was apply linear increase in displacement or force duration. Under...

The purpose of this study was to determine how the preload that precedes a high-velocity, low-amplitude spinal manipulation (HVLA-SM) affects muscle spindle input from lumbar paraspinal muscles both during and after HVLA-SM.Primary afferent activity spindles in were recorded L6 dorsal root anesthetized cats. High-velocity, vertebra preceded either by no or systematic changes magnitude, duration, presence absence downward incisural point. Immediate effects on responses HVLA-SM determined...

Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different delivery models on outcomes in this population. The purpose study was to compare clinical adults receiving treatment under 3 professional practice that included primary medical care with or without chiropractic care. We conducted pilot randomized controlled trial 131 community-dwelling, ambulatory subacute chronic low pain. Participants...

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 pragmatic treatment approach. Participants were randomly allocated to 4 weeks of or wait-list control. Interventions: Chiropractic consisted spinal manipulation, education, advice, and reassurance. Settings/Location: Naval Air Technical Training...

Journal Article Decreased Survival with Increasing Prevalence of Full-Body, Radiographically Defined Osteoarthritis in Women Get access James R. Cerhan, Cerhan 1Department Preventive Methcine and Environmental Health, The University Iowa College MedicineIowa City, IA Reprint requests to Dr. A. Department Medicine 2800 Steindler Building, Medicine, 52242 Search for other works by this author on: Oxford Academic PubMed Google Scholar Robert B. Wallace, Wallace Georges Y. EI-Khoury, EI-Khoury...

A three-arm controlled trial with adaptive allocation.The aim of this study was to compare short-term effects a side-lying, thrust spinal manipulation (SM) procedure and nonthrust, flexion-distraction SM in adults subacute or chronic low back pain (LBP) over 2 weeks.SM has been recommended recently published clinical guidelines for LBP management. Previous studies suggest that nonthrust procedures, though distinctly different joint loading characteristics, have similar on patients...

Spinal manipulation (SM) is used commonly for treating low back pain (LBP). stiffness routinely assessed by clinicians performing SM. Flexion-relaxation ratio (FRR) was shown to distinguish between LBP and healthy populations. The primary objective of this study examine the association these two physiological variables with patient-reported intensity disability in adults chronic (>12 weeks) receiving A single-arm trial provided 12 sessions side-lying thrust SM lumbosacral region over 6...

Non-drug therapies for women with primary dysmenorrhea are primarily based on anecdotal evidence and small-scale clinical studies. This randomized, observer-blinded, trial evaluated the efficacy of spinal manipulative therapy (SMT) in treatment dysmenorrhea. Women were recruited from Chicago metropolitan area inclusion through four screening levels. One hundred thirty eight women, ages 18–45, diagnosed by participating gynecologists, randomly assigned to either SMT or a low-force mimic (LFM)...

Objective: There are fundamental differences between the administration of medications and application manual procedures, such as those used by chiropractors. The objective this study was to gather preliminary information on how address these in design a multisite, randomized placebo-controlled trial chiropractic care for women with chronic pelvic pain (CPP). Design: Pilot randomized, clinical trial. Setting: Three research clinics midwest United States. Subjects: Thirty-nine (39) CPP at...

Objectives: To evaluate the proposed manual placebo in terms of success blinding patients to treatment group assignment and outcomes between groups. Design: Randomized controlled trial. Setting: A chiropractic college research clinic midwestern United States. Subjects: One hundred eleven (111) individuals aged 18 years over with subacute or chronic lowback pain. Interventions: The active consisted flexion-distraction manipulation trigger point therapy control sham effleurage; both groups...

Low back pain is a prevalent and debilitating condition that affects the health quality of life older adults. Older people often consult primary care physicians about pain, with many also receiving concurrent from complementary alternative medicine providers, most commonly doctors chiropractic. However, collaborative model treatment coordination between these two provider groups has yet to be tested. The aim Collaborative Care for Adults Clinical Trial develop evaluate clinical effectiveness...

To present the varied approaches of 9 complementary and alternative medicine (CAM) institutions (all grantees National Center for Complementary Alternative Medicine) used to develop faculty expertise in research literacy evidence-based practice (EBP) order integrate these concepts into CAM curricula.A survey elicit information on development initiatives was administered via e-mail program directors. All completed survey, 8 provided narrative summaries training outcomes.The found following...