Moses Chiropractic Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s pain relieving ability. 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. Moses Chiropractic delivers just such research-documented, effective care to our West Palm Beach chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to develop long-term plans to lower the burden of low back pain on sufferers and healthcare systems. They explained that developing effective strategies remains a daunting task for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not increased despite an increased quantity of published research papers about back pain care. No consensus on the optimal 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 problems with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is tough. Coming up with a “sham” protocol for spinal manipulation that seems like spinal manipulation is really challenging. (Just touching a spine can be relieving 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 experience treatment and report on changes and effects. Fortunately, Cox® Technic research has a mix of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. Moses Chiropractic feels this mix of research support helps explain to our West Palm Beach chiropractic patients what clinical outcome relief they may anticipate.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike are frustrated with the outcomes of treatment for back pain. They should not be! In medicine, the minimal clinically important difference (MCID) is defined as 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 aim…and still does. Often, chiropractic patients find that 50% relief in fewer 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 attaining relief or only reaches 30% or 40%. Some patients want more while others, particularly patients who have previously undergone back surgery or sought non-relieving care from many other providers, are quite satisfied. A study of 1232 low back pain subjects discovered 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 huge 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 West Palm Beach chiropractic clinical outcome goals 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 difficulty 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 seeking am amswer.  Australia, Canada, and Denmark chiropractic researchers have formed 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 pool research talent and resources to elevate chiropractic’s quality and quantity of research.  (3,4) Robust 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 Moses 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 West Palm Beach chiropractic appointment soon. Bring your questions about the research supporting our chiropractic care with you! Moses Chiropractic is always ready to share research! 

 
Moses Chiropractic communicates the importance and value of chiropractic research in healthcare decision-making and relevance. 
« View All Featured Articles
"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."