Layden Chiropractic Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research grounds the role of healthcare’s pain relieving ability. In chiropractic healthcare, much research revolves around providing evidence of chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. Layden Chiropractic delivers just such research-documented, effective care to our Plainville chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to develop long-term plans to decrease the problem of low back pain on patients and healthcare systems. They clarified that developing effective strategies remains a daunting job for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not increased despite a larger number of published research papers 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 typical recommendations. Other reviewing researchers pointed to a few issues 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 feels like spinal manipulation is really challenging. (Just touching a spine can be relieving some, but that is a topic for a different article!) Observational studies are the next in line. How so? Researchers observe how patients respond when they experience treatment and describe changes and effects. Fortunately, Cox® Technic research has a mix of biomechanical and clinical observational studies resulting in case reports, case series, plus retrospective and prospective clinical studies. Layden Chiropractic feels this mix of research support helps explain to our Plainville chiropractic patients what clinical outcome relief they may expect.

MINIMAL CLINICAL IMPORTANCE

Occasionally, 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 defined as 30% or 20% and even 10% improvement. That is reported to be an “effective” outcome. Cox® Technic has proposed 50% improvement in 30 days as the aim…and still does. Many times, chiropractic patients find that 50% relief in fewer 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 getting relief or only reaches 30% or 40%. Some patients desire more while others, particularly patients who have already had back surgery or sought non-relieving care from many other providers, are excited. 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 consider. Weighed against medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Plainville chiropractic clinical outcome targets 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 settings with well-established and well-financed research departments. Global chiropractic researchers are looking for a solution.  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 assets to advance chiropractic’s quality and quantity of research.  (3,4) Strong research carries on at chiropractic universities to record the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Layden 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 explains research studies he’s managed.

Make your next Plainville chiropractic appointment soon. Bring your questions about the research supporting our chiropractic care with you! Layden Chiropractic loves to share research! 

 
Layden Chiropractic 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."