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The December issue of the Spine Journal outlines a single-blind randomized study where 92 patients were recruited to either have medical or chiropractic care. Their progress was measured by a standard developed by the Quebec Task Force or the Roland-Morris Disability Questionnaire. Patients who were not treated by chiropractic spinal manipulation were called the "usual care" group or UC. The UC patients were treated with various therapists ranging from "a variety of professionals including family physicians, massage therapists, kinesiologists, and/or physiotherapists." The group who received chiropractic care were called the "study care" or SC group.
Patients in the SC group received acetaminophen, a "progressive walking program" and up to four weeks of lumbar chiropractic spinal manipulative therapy. The manipulative therapy was provided "using conventional side-posture, high-velocity, low-amplitude techniques" to the lumbar region only, and only by a chiropractor. (Dynamic Chiropractic – March 12, 2011, Vol. 29, Issue 06)
The study also even included a placebo spinal manipulative therapy performed by a physical therapist or physiotherapist in additional to NSAIDS and for some even narcotic pain killers. Their main criticism for the 2007 study was that the outcome was based on therapy provided by non-chiropractors. Another interesting note was that the chiropractors were only allowed to adjust the lumbar spine (low back not including the pelvis). The UC therapists adjusted the thoracic spine, lumbar spine, pelvis, sacroiliac joints and hips.
I hope there will be more studies like this that are well designed and fair to all types of therapy. In the end, I hope it promotes more cooperation between chiropractors and all other professions. Every profession has their own unique perspective and in it has their own strengths and weaknesses. The patient benefits in the end with more cooperation. When more patients get better, we may even potentially benefit from lower health costs. Something to think about.ChiroWorks Care Center
Anthony Tsai, D.C.
Chiropractor in San Jose, CA
Graston Technique Certified
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