Executive Chiropractic of Iowa 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 revolves around documenting chiropractic’s benefit for painful musculoskeletal pain issues like back pain, neck pain, arm pain and sciatic leg pain. Executive Chiropractic of Iowa delivers just such research-documented, effective care to our West Des Moines chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A set of back pain researchers challenged fellow researchers to develop long-term plans to lower the burden of low back pain on patients and healthcare systems. They explained that developing effective strategies continues to be a daunting job 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 best 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 group of reviewing researchers indicated a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. 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 another article!) Observational studies are the next best thing. How so? Researchers observe what happens to patients when they go through treatment and make note of 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. Executive Chiropractic of Iowa feels this mix of research support helps define to our West Des Moines chiropractic patients what clinical outcome relief they may anticipate.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike find themselves 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 is reported to be an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients realize 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 getting 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 excited. 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 big move but is realistic. (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 Des Moines chiropractic clinical outcome goals are high and often achieved.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, has a little more effort 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 formed a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to promote more chiropractic research. US-based researchers are looking 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) Solid research carries on at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Executive Chiropractic of Iowa

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 West Des Moines chiropractic appointment today. Bring your questions about the research behind our chiropractic care with you! Executive Chiropractic of Iowa is always ready to share research! 

 
Executive Chiropractic of Iowa 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."