Benefits of Chiropractic
Goertz, C., Long, C., Hondras, M., Petri, R., Delgado, R., Lawrence, D., Owens, E., & Meeker, W. (2013). Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain. Spine, 38(8), 627-634.
Article or Abstract Found: http://www.ncbi.nlm.nih.gov/pubmed/23060056
Key Finding(s): A prospective, two-arm randomized control trial (RCT) concluded that chiropractic manipulative therapy in conjunction with standard medical care “offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.”
Bishop, P., Quon, J., Fisher, C., & Dvorak, M. (2010). The Chiropractic Hospital-Based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. The Spine Journal, 10(12), 1055-1064.
Article or Abstract Found: http://www.ncbi.nlm.nih.gov/pubmed/20889389
Key Finding(s): An RCT comparing full clinical practice guideline (CPG) driven treatment of acute mechanical LBP including chiropractic spinal manipulative (CSMT) to standard medical care concluded “full CPG-based treatment including CSMT is associated with significantly greater improvements in condition-specific functioning.”
Brontfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: the UK evidence report. Chiropractic & Osteopathy, 18(3).
Article or Abstract Found: http://www.chiromt.com/content/18/1/3
Key Finding(s): This report is based on the results of systematic reviews of randomized clinical trials (RCTs), evidence-based clinical guidelines, as well as the results of relevant RCTs not covered in either of these categories. The authors conclude that “Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain.”
Esmail, N. (2007). Complementary and alternative medicine in Canada: Trends in use and public attitudes, 1997-2006. Fraser Institute.
Key Finding(s): In this policy report published by the Fraser Institute, the author found that “In 2006, chiropractic care was the most common type of therapy used by Canadians over their lifetime, with 40 percent having tried it—a significant 4 percentage point increase over 1997.”
Legorreta, A., Metz, R., Nelson, C., Ray, S., Chernicoff, H., & DiNubile, N. (2004). Comparative analysis of individuals with and without chiropractic coverage. Archives of Internal Medicine, 164(18), 1985-1992.
Article or Abstract Found: http://www.ncbi.nlm.nih.gov/pubmed/15477432
Key Finding(s): A four year retrospective claims data analysis found that for back pain patients who had chiropractic coverage versus those who did not, overall back pain related costs were reduced by 28%, hospitalizations were reduced by 41%, back surgeries were reduced by 32%, and medical imaging, including MRI, was reduced by 37%.
UK BEAM Trial Team. (2004). United Kingdom Back Pain Exercise and Manipulation (UK BEAM) randomised trial: Effectiveness of physical treatments for back pain in primary care. British Medical Journal, 329(7479), 1377.
Article or Abstract Found: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC535454/
Key Finding(s): In this 2004 study, back pain patients were randomized into one of four groups: general practice (the control group), exercise, manipulation, and manipulation plus exercise. Compared to the control group, the manipulation group and the manipulation plus exercise groups experienced statistically significant disability improvements at both three and 12 months.