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At least 19 recordsLinked to original sources
PubMedDate not supplied

Health services research related to chiropractic: review and recommendations for research prioritization by the chiropractic profession.

PURPOSE: This project was part of a national, federally sponsored effort to create a prioritized research agenda for the chiropractic profession. An overview (and a separate comprehensive annotated bibliography) of recent social sciences, medical, chiropractic and health services research literature regarding chiropractic is presented. Based on this information, key research questions and issues were identified in the areas of health services research, practice environments and account ability/quality management. Research issues were prioritized by a multidisciplinary panel. METHODS: Qualitative review of literature gathered through searches of electronic health care database retrieval systems and citation tracking. Nominal group-process methodology with an expert panel was used to identify research priorities from a comprehensive list of potential health services research questions. RESULTS: Six recommendations for a health services research agenda for the chiropractic profession were made: determine barriers to usage of chiropractic; develop models to explain chiropractic usage; determine cost-effectiveness of different chiropractic procedures; develop valid measures and predictors of quality of chiropractic care; and examine satisfaction with chiropractic services from patients, other providers, purchasers, etc.

Chiropractic↗
PubMed1998

Ted L. Shrader, D.C., F.I.C.C.: a gentle force for improvement in chiropractic. 1998 Lee-Homewood Chiropractic Heritage Award recipient.

Long before technology assessment and continuous quality improvement were in vogue in chiropractic, Ted L. Shrader, D.C., F.I.C.C., was working toward these goals in the profession. Convinced that chiropractic must change from within for the benefit of society, Dr. Shrader has made a career-long commitment to evaluating chiropractic procedures and establishing consensus statements regarding chiropractic principle. Determined in mind, moral by nature, and unobtrusive in manner, Dr. Shrader has been decidedly effective in his endeavors. He has encouraged in chiropractic a mind for critical thinking. The fruits of his labor can be seen today in chiropractic publication, among chiropractic scholars, within the American Chiropractic Association Council on Technique, in conference proceedings, and in our institutions.

Chiropractic↗
PubMed1991

Osteoarthritis, chiropractic, and nutrition: osteoarthritis considered as a natural part of a three stage subluxation complex: its reversibility: its relevance and treatability by chiropractic and nutritional correlates.

It is proposed that chiropractic and nutritional treatment contribute to the amelioration and perhaps reversal of osteoarthritis (OA). It is further proposed that the chiropractic manipulative thrust, is in effect, treating dysfunctional bio-mechanics of joints, affecting positive cartilaginous change. The pathophysiology and multi-factorial causes of OA are reviewed. New interpretations of the literature surrounding OA are discussed which offer arguments for OA's treatment and reversal through chiropractic manipulation and nutrutional support. Presented is a new model of the chiropractic concept of subluxation (abnormal joint complex resulting in fixation or decrease in normal range of motion) and the chiropractic manipulative thrust. The associated histologic correlates are also discussed. A review of the literature of anti-inflammatory and muscle/joint complex supportive nutrients appropriate for OA is presented. Finally, a complete treatment protocol for OA is summarized.

Animals↗
PubMed2001

Chiropractic manipulation for the foot: Diversified chiropractic techniques.

There has been increasing acceptance and development of manual methods in providing for the needs of patients with musculoskeletal dysfunction. Several professions have helped fuel this growth, including the chiropractic profession. To date, there has been only a small amount of collaboration between chiropractors and physical therapists. This paper provides a base foundation for one small part of general chiropractic practice, i.e. procedures used for manipulating the foot. Information is provided about the specific diagnostic procedures used by the chiropractic profession in assessing the joints and soft tissues of the foot, followed by descriptions of a number of chiropractic manipulative techniques drawn from the form of chiropractic in widest usage, Diversified technique. For each technique, information is provided on indications for use, patient position, therapist position, hand placements and procedure. In addition, a short discussion on the genesis of Diversified technique is provided.

Chiropractic↗
PubMed1993

Mainstreaming chiropractic: tracing the American Chiropractic Association.

The American Chiropractic Association (ACA) as it is known today was formed by a series of amalgamations. Starting with the Universal Chiropractic Association (UCA) of 1906 and the original American Chiropractic Association (ACA) of 1922, the two associations merged to form the National Chiropractic Association (NCA) in 1930. This Association merged with the New American Chiropractic Association (ACA) formed by non-NCA Association members and a splinter group from the International Chiropractors Association (ICA) in 1963. The total merger including all of NCA's assets, facilities, resources, personnel and membership was completed by 1964.

Chiropractic↗
PubMedDate not supplied

Outcomes research in chiropractic: the state of the art and recommendations for the chiropractic research agenda.

OBJECTIVE: To examine and document the state of the art in outcomes research in chiropractic, including the limitations of available data, and to make recommendations for further progress in this area. METHODOLOGY: An extensive search of the literature from 1990 through 1994 was undertaken using electronic databases (Medline, Index to Chiropractic Literature, EMBASE, and ERIC) and hand searches were conducted for relevant studies published in 1995. Publication in English, publication in a peer-reviewed journal, weight of evidence (study design) and measurement of patient-relevant outcomes were primary inclusion criteria. We prepared a draft with recommendation, rationale, actions required, responsible parties and expected outcomes for each seed statement. An outcomes workgroup, convened at the Research Agenda Work shop, added its perspective to the seed recommendations and actions required. Finally, the white paper authors prepared the final recommendations for outcomes research in chiropractic. RESULTS: This white paper presents six recommendations, emphasizing four general areas in which to develop the outcomes research agenda in chiropractic: research culture, infrastructure, opportunities and topics in outcomes research. CONCLUSION: The long-term goals of the chiropractic research agenda must be to advance the profession and to better meet the health needs of the public. Our final recommendations serve as a foundation for the development of proposals for future strategy with outcomes research a priority.

Case-Control Studies↗
PubMedDate not supplied

A compilation of chiropractic and complementary/alternative medicine (CAM) data from public-use national surveys: report on a health-services research resource for the chiropractic and CAM scientific community.

BACKGROUND: Federally funded national surveys are routinely conducted to provide reliable, valid, and relevant data on health and health care, and these "public-use" survey data are typically made available for further study by the wider scientific community. The full potential for using such data to examine the delivery, utilization, organization, and costs of chiropractic or complementary/alternative (CAM) health care remains largely untapped. OBJECTIVE: To report on a project that identifies and indexes public-use survey databases that contain explicit reference to chiropractic and CAM health care, and compiles that information into a web-based resource for the scientific community. METHODS: Review of database source collections. RESULTS: The utility and efficiency of secondary analyses as a cost-effective research strategy are well appreciated within the larger health-services research community, creating many possible opportunities for productive cooperative research endeavors across scientific disciplines. CONCLUSION: The Chiropractic and Complementary/Alternative Compilation User's Manual is available for free download at http://w3.palmer.edu/carber/manualhome.asp, or by following the links at the Palmer Center for Chiropractic Research homepage.

Chiropractic↗
PubMed1996

A place for chiropractic historians: the workshop to develop a chiropractic research agenda.

After a century of existence, the chiropractic profession has entered a new age of acceptance and accountability. With these privleges given by society have also come an increased responsibility in demonstrating cost effectiveness, validity and treatment effectiveness. The profession has taken this challenge seriously, creating a research agenda for the profession. Chiropractic historians, and in particular the Association for the History of Chiropractic, have a true role to play in the future of chiropractic by acting as consultants to research planners.

Chiropractic↗
PubMed1984

Attitudes of chiropractic patients: a preliminary survey of patients receiving care in a chiropractic teaching clinic.

A survey of 390 patients receiving care in the teaching clinics of the Northwestern College of Chiropractic (NWCC) was conducted to obtain information about patient satisfaction with their chiropractic care and about their prior or subsequent utilization of other types of health care services. Patients were contacted by telephone after a period of at least one month had passed since discharge or discontinuance of care. Of patients surveyed, 92.1% responded that there was improvement in their condition ranging from "slight" to "complete" while 7.9% stated that there was no improvement in their complaint after receiving care. When asked about receiving treatment for their complaint prior to admittance, 58.0% stated that they had not sought previous care while 42.0% received treatment from another doctor first. These data are discussed and compared to other recently published investigations regarding utilization of chiropractic health care services and patient attitudes concerning chiropractic.

Adolescent↗
PubMedDate not supplied

Chiropractic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropractic technique.

OBJECTIVE: To discuss a case of coccygodynia that responded favorably to conservative chiropractic adjusting procedures with the Activator Methods Chiropractic Technique (AMCT) and the Activator II Adjusting Instrument (AAI II). CLINICAL FEATURES: A 29-year-old woman had unremitting coccygeal pain of 3 weeks' duration. The problem began after she had moved heavy boxes while at work. The pain was characterized by a continual dull ache in the coccygeal region, accompanied by intermittent sharp pain, particularly upon sitting or rising from a seated position. She had been taking self-prescribed over-the-counter analgesics (aspirin and ibuprofen) for 3 weeks without obtaining relief. INTERVENTION AND OUTCOME: Treatment consisted of mechanical force, manually assisted, short-lever (MFMA) chiropractic adjusting procedures to the coccygeal area, primarily the sacrococcygeal ligament. The AAI II was used to deliver the adjustment according to diagnostic and treatment protocol specified for AMCT. The patient experienced first treatment. CONCLUSION: Chiropractic coccygeal manipulation may be effectively delivered via instrumental adjustment in certain cases of coccygodynia. The use of an AAI II in administering the coccygeal adjustment has the benefit of being a gentle, noninvasive procedure, as well as being comfortably tolerated by the patient. This method of coccygeal adjustment may bear consideration in certain cases of coccygodynia.

Adult↗
PubMed1996

Chiropractic biophysics technique: a linear algebra approach to posture in chiropractic.

OBJECTIVE: This paper discusses linear algebra as applied to human posture in chiropractic, specifically chiropractic biophysics technique (CBP). MATHEMATICAL ANALYSIS: Rotations, reflections and translations are geometric functions studied in vector spaces in linear algebra. These mathematical functions are termed rigid body transformations and are applied to segmental spinal movement in the literature. Review of the literature indicates that these linear algebra concepts have been used to describe vertebral motion. However, these rigid body movers are presented here as applying to the global postural movements of the head, thoracic cage and pelvis. CONCLUSION: The unique inverse functions of rotations, reflections and translations provide a theoretical basis for making postural corrections in neutral static resting posture. Chiropractic biophysics technique (CBP) uses these concepts in examination procedures, manual spinal manipulation, instrument assisted spinal manipulation, postural exercises, extension traction and clinical outcome measures.

Biomechanical Phenomena↗
PubMed1990

Nutritional intervention in chiropractic clinical practice: the chiropractic student's perspective.

A survey of chiropractic students reveals that they regard chiropractors as a knowledgeable source of information about nutrition. While the dissonance produced by the use of nutrients in clinical practice may be overcome by denying that this constitutes drug therapy, the controversies of appropriate use need to be addressed. The challenge faced by chiropractic undergraduate nutrition education involves identification of justifiable nutritional interventions, selection of effective doses and an awareness of the potential side effects. By resolving to match or better the medical profession as a source of nutritional health care, the future chiropractor has unwittingly embraced the cost-benefit paradigm of medical drug therapy.

Chiropractic↗