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Yorkville Chiropractic and Wellness Centre Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies 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 neck pain, back pain, arm pain and sciatic leg pain. Yorkville Chiropractic and Wellness Centre delivers just such research-documented, effective care to our Toronto chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A set of back pain researchers challenged fellow researchers to develop long-term plans to lower the problem of low back pain on sufferers and healthcare systems. They described that developing effective strategies continues to be a daunting task for back pain clinicians, doctors, and researchers. Frustratingly, back pain disability levels have not improved despite a larger number of published research reports about back pain care. No consensus on the best way to handle low back pain has been achieved. Non-drug and non-invasive methods 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 difficult. Coming up with a “sham” protocol for spinal manipulation that feels like spinal manipulation is really challenging. (Just touching a spine can help some, but that is a topic for another discussion!) Observational studies are the next best thing. How so? Researchers observe what happens to patients when they go through 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. Yorkville Chiropractic and Wellness Centre feels this mix of research support helps outline the expectations our Toronto chiropractic patients may anticipate.

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 defined as 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 goal…and still does. Often, chiropractic patients find 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 want more while others, especially patients who have previously gone through 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 change 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 Toronto 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 effort in keeping research flowing as many programs are not incorporated into large university settings with well-established and well-financed 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 combine research talent and resources to elevate chiropractic’s quality and quantity of research.  (3,4) Strong 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 Yorkville Chiropractic and Wellness Centre

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.

Make your next Toronto chiropractic appointment now. Bring your questions about the research behind our chiropractic care with you! Yorkville Chiropractic and Wellness Centre loves to share research! 

 
Yorkville Chiropractic and Wellness Centre 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."