Chiropractic Management of Low Back Pain and Low Back-Related Leg Complaints: A Literature Synthesis

Lawrence, Dana J.; Meeker, William C.; Branson, Richard; Brønfort, Gert; Cates, Jeff R.; Haas, M.; Haneline, Michael T.; Micozzi, Marc S.; Updyke, William; Mootz, Robert D.; Triano, John J.; Hawk, Cheryl

doi:10.1016/j.jmpt.2008.10.007

Cited by 81 publications

(55 citation statements)

References 81 publications

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“…This is consistent with evidence suggesting that the addition of exercise to manual therapy has better clinical outcomes for low back pain. 22 …”

Section: Discussionmentioning

confidence: 99%

Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic

Lishchyna¹,

Mior²

2012

Journal of Chiropractic Education

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Purpose: We compare patient populations attending chiropractors in the field to those in teaching clinics to allow educational institutions to determine if students are exposed to a similar case mix. The purpose of our study was to describe and compare descriptively the clinical case mix of a recently opened community-based teaching clinic to previously published practice data. Methods: A retrospective descriptive cross-sectional study was conducted using new patient records completed at a clinic. Data were extracted using a specifically designed abstraction form. Results: We manually abstracted 649 files. A total of 580 new patient files was included in the analysis, among which 57.7% included female patients with a mean age of 43 years (SD 18), and 42.1% presented with a chief complaint of more than one year in duration. The vast majority of patients complained of spinal pain (81.4%), most commonly low back pain. Almost 92% of the diagnoses were classified as simple (sprain/strain). The average number of visits per patient was 7.4 (SD 11.3); 54.7% received spinal manipulation on their first visit. The majority of patients were referred by the treating intern (64.8%) and about 24% of patients were local residents. Conclusions: Our study contributed to the few studies detailing patients attending chiropractic academic teaching clinics. It provided benchmark demographic and clinical data that may be used for operational planning. Our study suggested that the case mix of this teaching clinic provides interns with appropriate learning opportunities to achieve entry to practice competencies.

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“…This is consistent with evidence suggesting that the addition of exercise to manual therapy has better clinical outcomes for low back pain. 22 …”

Section: Discussionmentioning

confidence: 99%

Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic

Lishchyna¹,

Mior²

2012

Journal of Chiropractic Education

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“…Research demonstrates that spinal manipulation can have a positive impact on neck and low back pain. [53][54][55][56][57][58][59][60][61][62][63][64][65] Future directions to engage in after this study that researchers intend to pursue shall be to (1) engage in a larger study to confirm trends observed with this survey and monitor health care disparities in a more in-depth manner and (2) develop a demographic profile of non-Hispanic blacks that do not use chiropractic health care for comparison purposes.…”

Section: Discussionmentioning

confidence: 99%

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Ward

Humphries

Coats

et al. 2015

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to describe non-Hispanic blacks that use chiropractic health care to better understand this underserved demographic. Methods: E-mail and telephone calls were used to recruit doctors of chiropractic (DCs) in Texas and Louisiana to distribute anonymous surveys to their non-Hispanic black patients. Twenty doctors volunteered to participate. Each was sent 10 surveys and self-addressed envelopes to distribute. All doctors were given at least 3 months to distribute surveys to as many non-Hispanic black patients that they had. The survey contained 20 questions designed to develop a profile of non-Hispanic black patients that used chiropractic care. Descriptive statistics were used to summarize demographic and other patient attributes. Results: Two-hundred surveys were distributed and 44 were completed, yielding a response rate of 22%. Non-Hispanic black patients were more likely to be female (54.5%), be older than 50 years (56.8%), be a college graduate (59.1%), be employed (61.9%), report not receiving public assistance in the past 5 years (81.4%), report a household income of $20 000 to $60 000 a year (48.8%), and born in the United States (83.7%). Participants reported that there was a DC within 30 minutes of their address (81.4%), their DC always explained things to them in an easy-to-understand manner (81.8%), their DC always showed respect for what they had to say (88.6%), and their DC always cared about them as a person (86.4%). Conclusions: In the sample surveyed, non-Hispanic black patients tended to be female, be older, be college educated, be employed, and have a positive viewpoint on their interactions with their DC.

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“…This article does not go into detail of the chiropractic treatments rendered, as several studies and trials on the use of manipulation and other forms of conservative care to treat patients with acute lumbar radiculopathy may be found in a systematic review by Lawrence et al 21 Rather, it hoped to depict the unique inclusion of chiropractic management as part of available treatments within a military treatment facility.…”

Section: Discussionmentioning

confidence: 99%

Resolution of low back and radicular pain in a 40-year-old male United States Navy Petty Officer after collaborative medical and chiropractic care

Lillie

2010

Journal of Chiropractic Medicine

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Chiropractic Management of Low Back Pain and Low Back-Related Leg Complaints: A Literature Synthesis

Cited by 81 publications

References 81 publications

Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic

Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Resolution of low back and radicular pain in a 40-year-old male United States Navy Petty Officer after collaborative medical and chiropractic care

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