Comparisons

Knee Injections in OA: Which Is Best?

02.16.2015 Action Points Note that this randomized trial of hyaluronic acid versus betamethasone, injections for knee osteoarthritis demonstrated that effects at 1 year were superior in the hyaluronic acid arm. Be aware that significant differences in BMI between the groups leads to some concern about randomization quality. Intra-articular injections of both hyaluronic acid and steroids […]

Comparison between Activator and Diversified Manipulation for LBP

This comparitive study demonstrates some differences in low back pain patients treated with either standard diversified manipulation vs. Activtor (or instrumented assisted) manipulation. (https://youtu.be/_faaALCq_3g?si=l-pji-Wwtl6bRh98)

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain: A Randomized Clinical Trial Schneider, Michael DC, PhD; Haas, Mitchell DC, MA; Glick, Ronald MD; Stevans, Joel DC; Landsittel, Doug PhD Spine: 15 February 2015 Vol. 40 – Issue 4: p 209–217 Abstract Study Design. Randomized controlled trial with […]

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Whedon, James M. DC, MS; Mackenzie, Todd A. PhD; Phillips, Reed B. DC, PhD; Lurie, Jon D. MD, MS Spine: 15 February 2015 Vol. 40 – Issue 4: p 264–270 Abstract Study Design. Retrospective cohort study. Objective. In older adults with a neuromusculoskeletal complaint, to evaluate risk of injury to the head, neck, or trunk after […]

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial

Spine (Phila Pa 1976). 2015 Feb 15;40(4):209-17. doi: 10.1097/BRS.0000000000000724. Michael Schneider PMID: 25423308 PMCID: PMC4326596 DOI: 10.1097/BRS.0000000000000724 Abstract Study design: Randomized controlled trial with follow-up to 6 months. Objective: This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC). Summary of background data: Low […]

How Much Treatment is Necessary? Understanding Measurement Outcomes

FEBRUARY 10, 2015 BY CHIROTRUST The cost of healthcare is extremely high in the United States. According to the California HealthCare Foundation, these are the most recent numbers (1): United States Health Care Spending 2012 2014(projected) Total Health Spending $2.8 Trillion $3.1 Trillion Health Care as Share of GDP 17.2% 18.3% Per Capita Spending $8,915 […]

Optum Texas – Leveraging Data to Improve the Quality and Affordability of Spine Care

Texas Version 1/21/2015 Dave Elton, D.C. | SVP Clinical Programs, Optum Physical Health | david.elton@optum.com Objectives: • Share insights obtained from a unique data set and analytic approach • Support your efforts to improve spine care • Illustrate importance of the first provider seen by a patient with back pain • Invite potential collaboration opportunities […]

Effects of spinal manipulation versus therapeutic exercise on adults with chronic low back pain

Effects of spinal manipulation versus therapeutic exercise on adults with chronic low back pain: a literature review J Can Chiropr Assoc. Dec 2014; 58(4): 456–466. Alban Merepeza, BA, DC Abstract Background Context: Chronic low back pain (CLBP) is a prevalent disorder that has a significant burden to society in terms of loss of work time […]

Disc extrusions and bulges in nonspecific low back pain and sciatica: Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment

J Back Musculoskelet Rehabil. 2014 Sep 29. [Epub ahead of print] Disc extrusions and bulges in nonspecific low back pain and sciatica: Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment. Monro R Abstract BACKGROUND: Previous trials of yoga therapy for nonspecific low back pain (nsLBP) (without sciatica) showed beneficial effects. OBJECTIVE: To […]

Chiropractic Use in the Medicare Population

J Manipulative Physiol Ther. 2014 Sep 15. pii: S0161-4754(14)00144-4. doi: 10.1016/j.jmpt.2014.08.003. [Epub ahead of print] Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations With 1-Year Changes in Health and Satisfaction With Care. Weigel P Abstract OBJECTIVE: The purpose of this study was to examine how chiropractic care compares to medical treatments on 1-year […]

Disc Herniations- Injections or Chiropractic Care?

August 14, 2014 by The Evidence Based Chiropractor Chiropractic, Low Back Pain Research Disc herniations (also known as slipped discs, disc bulges, disc extrusions, etc) are a common problem which can lead to disabling pain.  Pain down the extremities (arms or legs) is called radicular pain and can stem from a disc herniation which is […]

Best Treatment for Shoulder Pain?

Pauline Anderson August 06, 2014 Both manual physical therapy (MPT) and corticosteroid injections (CSI) significantly improve symptoms in patients with shoulder impingement syndrome (SIS), but physical therapy may be less costly to the healthcare system, according to a new study. Physicians might consider physical therapy for patients with SIS — a sort of “catch all” […]

Positive Findings in Military Low-Back Pain Study

In a low-back pain study led by the Palmer Center for Chiropractic Research, 73 percent of those who received standard medical care and chiropractic care rated their improvement as pain “completely gone,” “much better” or “moderately better.” In comparison, 17 percent of participants who received only standard medical care rated their improvement this way. These results, as well as other measures of pain and […]

Morbidly Obese Have Death Risk Similar to Smokers

Marcia Frellick July 08, 2014 Extremely obese people — those with a body mass index (BMI) greater than 40 kg/m2 — have higher mortality rates, and most of these additional deaths are caused by cancer, heart disease, and diabetes, according to a study published online July 8 in PLOS Medicine. Cari Kitahara, PhD, from the […]

Cost-Effectiveness of Manual Therapy for the Management of Musculoskeletal Conditions

A Systematic Review and Narrative Synthesis of Evidence From Randomized Controlled Trials Tsertsvadze A, et al. J Manipulative Physiol Ther. 2014 Jun 27. pii: S0161-4754(14)00087-6. doi: 10.1016/j.jmpt.2014.05.001. [Epub ahead of print] PubMed Reference Abstract OBJECTIVES: The purpose of this study was to systematically review trial-based economic evaluations of manual therapy relative to other alternative interventions […]

Comparison of non-surgical treatment methods for patients with lumbar spinal stenosis

Comparison of non-surgical treatment methods for patients with lumbar spinal stenosis: protocol for a randomized controlled trial Michael Schneider Chiropractic & Manual Therapies 2014, 22:19 Full Text Article Abstract Background Lumbar spinal stenosis is the most common reason for spinal surgery in older adults. Previous studies have shown that surgery is effective for severe cases […]

Mechanical Neck Pain: Trial of Thoracic Thrust Manipulation vs Non–Thrust Mobilization

Immediate Changes in Neck Pain Intensity and Widespread Pressure Pain Sensitivity in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Controlled Trial of Thoracic Thrust Manipulation vs Non–Thrust Mobilization Jaime Salom-Moreno, PT, PhD Journal of Manipulative and Physiological Therapeutics Volume 37, Issue 5 , Pages 312-319, June 2014 Journal Reference Abstract Objective The purpose […]

The Comparative Effect of Episodes of Chiropractic and Medical Treatment on the Health of Older Adults

JMPT March–April, 2014 Volume 37, Issue 3, Pages 143–154 Paula A Weigel, MS Abstract Objectives The comparative effect of chiropractic vs medical care on health, as used in everyday practice settings by older adults, is not well understood. The purpose of this study is to examine how chiropractic compares to medical treatment in episodes of […]

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews. Hidalgo B1, Detrembleur C1, Hall T2, Mahaudens P3, Nielens H3. J Man Manip Ther. 2014 May;22(2):59-74. doi: 10.1179/2042618613Y.0000000041. PubMed Reference Abstract OBJECTIVE: to review and update the evidence for different forms of manual therapy (MT) […]

Two-year comprehensive medical management of degenerative lumbar spine disease : a value analysis of cost, pain, disability, and quality of life

Two-year comprehensive medical management of degenerative lumbar spine disease (lumbar spondylolisthesis, stenosis, or disc herniation): a value analysis of cost, pain, disability, and quality of life. Parker SL, et al. J Neurosurg Spine. 2014 May 2. [Epub ahead of print] Abstract Object Current health care reform calls for a reduction of procedures and treatments that […]