Apple Country Chiropractic Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s relief of pain. In chiropractic healthcare, much research entails providing evidence of chiropractic’s benefit for painful musculoskeletal pain issues like neck pain, back pain, arm pain and sciatic leg pain. Apple Country Chiropractic offers just such research-documented, effective care to our Williamson chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

One set of back pain researchers challenged fellow researchers to come up with long-term plans to decrease the problem of low back pain on patients and healthcare systems. They clarified that developing effective strategies continues to be a huge task for back pain clinicians, doctors, and researchers. Frustratingly, back pain disability levels have not increased despite a larger number of published research reports regarding back pain care. No consensus on the best way to handle low back pain has been agreed upon. Non-drug and non-invasive options like exercise, manual therapy, massage, and such are general recommendations. Other reviewing researchers indicated a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Coming up with a “sham” protocol for spinal manipulation that seems like spinal manipulation is really challenging. (Just touching a spine can help some, but that’s a topic for another discussion!) Observational studies are the next in line. How so? Researchers observe what happens to patients when they go through treatment and describe changes and effects. Fortuitously, Cox® Technic research has a blend of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. Apple Country Chiropractic feels this mix of research support helps define to our Williamson chiropractic patients what clinical outcome relief they may expect.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike are disappointed with the outcomes of treatment for back pain. They shouldn’t be! In medicine, the minimal clinically important difference (MCID) is reported 30% or 20% and even 10% improvement. That’s reported to be an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients find that 50% relief in less than 30 days and that the 50% relief is more like 70% or 80% or 90%! Sometimes, a patient’s response may be slower in getting relief or only reaches 30% or 40%. Some patients desire more while others, especially patients who have already gone through back surgery or sought non-relieving care from many other providers, are quite satisfied. A study of 1232 low back pain subjects found a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That is not a big move but is realistic. (2) It’s a statistic to share. Compared with medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Williamson chiropractic clinical outcome objectives are high and frequently achievable.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, experiences a little more effort in keeping research flowing as many programs are not in large university situations with well-established and well-funded research departments. Global chiropractic researchers are looking for am amswer.  Australia, Canada, and Denmark chiropractic researchers have created a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to stimulate more chiropractic research. US-based researchers are turning to the RAND Corporation’s Center for Collaborative CIH Research to combine research talent and resources to advance chiropractic’s quality and quantity of research.  (3,4) Strong research continues at chiropractic universities to record the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Apple Country Chiropractic

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he describes research studies of which he’s been a part.

Make your next Williamson chiropractic appointment today. Bring your questions about the research behind our chiropractic care with you! Apple Country Chiropractic loves to share research! 

 
Apple Country Chiropractic shares the importance and value of chiropractic research in healthcare decision-making and relevance. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."