Christopher Prater 1, Melissa Tepe 2, Patrick Battaglia 3
1. Washington University School of Medicine, St. Louis, MO, USA.
2. Affinia Healthcare, St. Louis, MO, USA.
3. Logan University, Chesterfield, MO, USA.
Background: Chronic spinal pain is one of the most common diseases in the United States. Underserved patients are most affected, and disproportionately may use opioid medications as they lack access to other therapies. It is therefore important to develop systems to treat spinal pain within the primary medical home.
Methods: We designed a prospective observational pilot study at a community health center to measure the effectiveness of two interventions among an underserved population: a multidisciplinary pain team and chiropractic care. Study outcomes were pain and functional disability measured by the Pain Disability Questionnaire (PDQ), and reduction of opioid dose at baseline and 6–12 months. Multivariate linear regression was used to determine associating factors for change in PDQ scores.
Results: Thirty-five individuals completed baseline and follow-up PDQs from August 2018 to May 2020. Overall, the mean baseline PDQ was 92.4 +/– 6.1 and the mean follow-up PDQ was 81.9 +/– 7.7, resulting in a mean improvement of 10.6 (95% CI 1.2 – –22.3, P = .08). Participants in the chiropractic team (mean change –25.0, P = .01) and those completing the study before COVID-19 (mean change = –22.6, P < .01) were found to have significantly greater improvement at follow-up.
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.
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.
Paul S Nolet, Peter C Emary, Vicki L Kristman, Kent Murnaghan, Maurice P Zeegers, Michael D Freeman
Care and Public Health Research Institute,
Objective: The purpose of this study is to summarize the evidence for the association between exposure to a motor vehicle collision (MVC) and future low back pain (LBP).
Literature survey: Persistent low back pain (LBP) is a relatively common complaint after acute injury in a MVC, with a reported 1 year post-crash prevalence of at least 31 % of exposed individuals. Interpretation of this finding is challenging given the high incidence of LBP in the general population that is not exposed to a MVC. Risk studies with comparison control groups need to be examined in a systematic review.
Methodology: A systematic search of five electronic databases from 1998 to 2019 was performed. Eligible studies describing exposure to a MVC and risk of future non-specific LBP were critically appraised using the Quality in Prognosis Studies (QUIPS) instrument. The results were summarized using best-evidence synthesis principles, a random effects meta-analysis and testing for publication bias.
Synthesis: The search strategy yielded 1,136 articles, three of which were found to be at low to medium risk of bias after critical appraisal. All three studies reported a positive association between an acute injury in a MVC and future LBP.