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Malverne Health & Wellness Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research established the role of healthcare’s pain relieving ability. In chiropractic healthcare, much research entails documenting chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. Malverne Health & Wellness delivers just such effective, research-documented care to our Malverne chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

One group of back pain researchers challenged fellow researchers to create long-term plans to lower the burden of low back pain on sufferers and healthcare systems. They explained that developing effective strategies remains 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 papers regarding back pain care. No consensus on the best way to manage low back pain has been agreed upon. Non-drug and non-invasive options like exercise, manual therapy, massage, and such are general recommendations. Another group of reviewing researchers pointed to a few problems 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 especially challenging. (Just touching a spine can help some, but that’s a topic for a different discussion!) Observational studies are the next best thing. How so? Researchers observe what happens to patients when they undergo treatment and note changes and effects. Fortunately, 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. Malverne Health & Wellness feels this mix of research support helps outline the expectations our Malverne chiropractic patients may expect.

MINIMAL CLINICAL IMPORTANCE

Occasionally, chiropractic physicians and low back pain patients alike find themselves disappointed with the outcomes of treatment for back pain. They should not be! In medicine, the minimal clinically important difference (MCID) is reported 30% or 20% and even 10% improvement. That’s reported as an “effective” outcome. Cox® Technic has proposed 50% improvement in 30 days as the aim…and still does. Often, chiropractic patients realize that 50% relief in fewer than 30 days and that the 50% relief is closer to 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 had back surgery or sought non-relieving care from many other providers, are thrilled. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That’s not a big move but is realistic. (2) It’s 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 Malverne 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 maintaining a flow of research as many programs are not incorporated into large university settings with well-established and well-funded research departments. Global chiropractic researchers are seeking 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 elevate 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 Malverne Health & Wellness

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 Malverne chiropractic appointment now. Bring your questions about the research supporting our chiropractic care with you! Malverne Health & Wellness is always ready to share research! 

 
Malverne Health & Wellness 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."