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Daily Archives: February 20, 2016

Assessment of Chiropractic Treatment for Active Duty, U.S. Military Personnel with Low Back Pain

By |February 20, 2016|Low Back Pain|

Assessment of Chiropractic Treatment for Active Duty, U.S. Military Personnel with Low Back Pain: Study Protocol for a Randomized Controlled Trial

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SOURCE:   Trials. 2016 (Feb 9);   17 (1):   70 ~ FULL TEXT

Christine M. Goertz, Cynthia R. Long, Robert D. Vining,
Katherine A. Pohlman, Bridget Kane, Lance Corber,
Joan Walter, and Ian Coulter

Palmer College of Chiropractic,
Palmer Center for Chiropractic Research,
741 Brady Street,
Davenport, IA, 52803, USA.


BACKGROUND:   Low back pain is highly prevalent and one of the most common causes of disability in U.S. armed forces personnel. Currently, no single therapeutic method has been established as a gold standard treatment for this increasingly prevalent condition. One commonly used treatment, which has demonstrated consistent positive outcomes in terms of pain and function within a civilian population is spinal manipulative therapy provided by doctors of chiropractic. Chiropractic care, delivered within a multidisciplinary framework in military healthcare settings, has the potential to help improve clinical outcomes for military personnel with low back pain. However, its effectiveness in a military setting has not been well established. The primary objective of this study is to evaluate changes in pain and disability in active duty service members with low back pain who are allocated to receive usual medical care plus chiropractic care versus treatment with usual medical care alone.

METHODS/DESIGN:   This pragmatic comparative effectiveness trial will enroll 750 active duty service members with low back pain at three military treatment facilities within the United States (250 from each site) who will be allocated to receive usual medical care plus chiropractic care or usual medical care alone for 6 weeks. Primary outcomes will include the numerical rating scale for pain intensity and the Roland-Morris Disability Questionnaire at week 6. Patient reported outcomes of pain, disability, bothersomeness, and back pain function will be collected at 2, 4, 6, and 12 weeks from allocation.

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