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.
Results: Participants had mean age of 30 years (18-40), 17% were female, 33% were non-white, and 86% reported chronic LBP.
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.
Patricia M. Herman, PhD, Sarah E. Edgington, PhD, Eric L. Hurwitz, DC, PhD, & Ian D. Coulter, PhD
Santa Monica, CA, USA.
Background: Chronic spinal pain is prevalent, expensive and long-lasting. Several provider-based nonpharmacologic therapies have now been recommended for chronic low-back pain (CLBP) and chronic neck pain (CNP). However, healthcare and coverage policies provide little guidance or evidence regarding the long-term use of this care. To provide one glimpse into the long-term use of nonpharmacologic provider-based care, this study examines the predictors of visit frequency in a large sample of patients with CLBP and CNP using ongoing chiropractic care.
Methods: Observational data were collected from a large national sample of chiropractic patients in the US with non-specific CLBP and CNP. Visit frequency was defined as average number of chiropractic visits per month over the 3-month study period. Potential baseline predictor variables were entered into two sets of multi-level models according to a defined causal theory-in this case, Anderson’s Behavioral Model of Health Services Use.
Results: Our sample included 852 patients with CLBP and 705 with CNP. Visit frequency varied significantly by chiropractor/clinic, so our models controlled for this clustering. Patients with either condition used an average of 2.3 visits per month. In the final models visit frequency increased (0.44 visits per month, p = .008)