Manchester Chiropractic & Sports Injuries Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research established the role of healthcare’s relief of pain. For chiropractic healthcare, much research entails documenting chiropractic’s benefit for painful musculoskeletal pain issues like neck pain, back pain, arm pain and sciatic leg pain. Manchester Chiropractic & Sports Injuries delivers just such research-documented, effective care to our Manchester chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to develop long-term plans to reduce the problem of low back pain on patients and healthcare systems. They clarified that developing effective strategies continues to be a daunting task for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not improved despite a larger number of published research reports regarding back pain care. No consensus on the optimal way to manage low back pain has been agreed upon. Non-drug and non-invasive methods like exercise, manual therapy, massage, and such are general recommendations. Another set of reviewing researchers indicated a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is tough. Designing a “sham” protocol for spinal manipulation that seems like spinal manipulation is really challenging. (Just touching a spine can help some, but that is a topic for a different discussion!) Observational studies are the next in line. How so? Researchers observe how patients respond when they go through treatment and note changes and effects. Fortuitously, Cox® Technic research has a blend of biomechanical and clinical observational studies resulting in case reports, case series, plus retrospective and prospective clinical studies. Manchester Chiropractic & Sports Injuries feels this mix of research support helps outline the expectations our Manchester chiropractic patients may expect.

MINIMAL CLINICAL IMPORTANCE

On occasion, chiropractic physicians and low back pain patients alike find themselves 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 proposed 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients find that 50% relief in less than a month and that the 50% relief is more like 70% or 80% or 90%! Sometimes, a patient’s response may be slower in attaining relief or only reaches 30% or 40%. Some patients desire more while others, especially patients who have previously gone through back surgery or sought non-relieving care from many other providers, are thrilled. A study of 1232 low back pain subjects found a MCID pain intensity of 2 (meaning a 2 point move on a scale of 0 no pain to 10 worst imaginable pain). That is not a big move but is reasonable. (2) It is 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 Manchester 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, has a little more difficulty in keeping research flowing as many programs are not in large university settings 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 promote more chiropractic research. US-based researchers are turning to the RAND Corporation’s Center for Collaborative CIH Research to assemble research talent and resources to elevate chiropractic’s quality and quantity of research.  (3,4) Solid research continues at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Manchester Chiropractic & Sports Injuries

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 illustrates research studies he’s managed.

Schedule your next Manchester chiropractic appointment soon. Bring your questions about the research behind our chiropractic care with you! Manchester Chiropractic & Sports Injuries is always ready to share research! 

 
Manchester Chiropractic & Sports Injuries communicates 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."