Paramus Medical & Sports Rehabilitation Center Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research established the role of healthcare’s relief of pain. In chiropractic healthcare, much research revolves around providing evidence of chiropractic’s benefit for painful musculoskeletal pain issues like neck pain, back pain, arm pain and sciatic leg pain. Paramus Medical & Sports Rehabilitation Center delivers just such effective, research-documented care to our Paramus 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 described that developing effective strategies continues to be 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 reports about 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 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 feels 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 undergo 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. Paramus Medical & Sports Rehabilitation Center feels this mix of research support helps outline the expectations our Paramus chiropractic patients may expect.

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 as 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 less 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 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 change on a scale of 0 no pain to 10 worst imaginable pain). That’s not a huge 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 Paramus chiropractic clinical outcome objectives are high and often achieved.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, experiences a little more difficulty in maintaining a flow of research as many programs are not in large university situations with well-established and well-funded 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 turning to the RAND Corporation’s Center for Collaborative CIH Research to assemble research talent and assets to elevate chiropractic’s quality and quantity of research.  (3,4) Solid 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 Paramus Medical & Sports Rehabilitation Center

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 of which he’s been a part.

Make your next Paramus chiropractic appointment soon. Bring your questions about the research supporting our chiropractic care with you! Paramus Medical & Sports Rehabilitation Center is always ready to share research! 

 
Paramus Medical & Sports Rehabilitation Center shares 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."