Research proving Chiropractic is extremely safe and effective.
Chiropractic philosophy is based upon the fact, and research supports that every single cell, tissue, and organ is controlled by the nervous system. We are all born with an innate healing ability (innate wisdom) which is constantly at work to maintain our bodies in a state of health and to heal us when we are in a state of dis-ease.
The brain, the spinal cord and the peripheral nerves that exit the spine make up the nervous system. They are the body's super information highway. Any disruption of the communication between the brain and the body or innate wisdom from spinal misalignment (vertebral subluxations causing nerve interference) can result in a state of dis-ease or symptoms.
Abnormal Spinal Function like tooth decay, a subluxation may not be painful at first. Only a chiropractic doctor has the educational background, has a state license and is qualified to detect and remove or reduce vertebral subluxations. Looking for the cause of the problem not covering symptoms.
A chiropractic doctor detects and corrects these spinal misalignments (vertebral subluxation causing nerve interference), restoring normal nerve impulses to the body allowing the body's own innate healing capabilities to function optimally.
The following is a sample of the many hundreds of scientific peer-reviewed and magazine articles showing the effectiveness of chiropractors through the top rated world class research facilities or critical published observation.
Dr. Phil Show March 14, 2012 regarding Chiropractic YouTube video Amazing experiences on chiropractic.
For Discussion only
Chiropractic Treatment is rated #1 by Consumers Report in May 2009 after more than 14,000 subscribers were surveyed Chiropractic Rated #1
A Good Reason to See a Chiropractor First, Consumer Perspectives: Chiropractic vs. Traditional Medical Care, Chiropractic Care is Clinically Appropriate and Cost-Effective and Growing Consumer Demand for Chiropractic Care. Chiropractic profession policy statement on national healthcare reform A good reason to see a chiropractor first
Chiropractic safety comparison with over the counter medication reported spinal manipulation was several hundred times safer than prescription NSAIDS and was just as efficacious for the treatment of spinal pain." Chiropractic is several hundred times safer than over-the-counter non steroidal anti-inflammatory drugs (NSAIDS)
H.R. 1017 requires the VA to have doctors of chiropractic on staff at no fewer than 75 major VA medical centers before the end of 2011 and for all major VA medical centers to have a doctor of chiropractic on staff before the end of 2013. There are nearly 160 VA treatment facilities nationwide. Currently, the VA provides chiropractic care at 32 treatment facilities across the country. Chiropractic in the Military
Chiropractic patients are less likely to be hospitalized, less likely to have used a nursing home, more likely to report a better health status, more likely to exercise vigorously, and more likely to be mobile in the community. In addition, they were less likely to use prescription drugs according to researcher Ian D. Coulter, PhD. Study shows geriatric Chiropractic patients are more active and independent lifestyle
Buzz McClain, reports research states, "Patients who turned first to chiropractors, and other alternative care practitioners, for treatment were hospitalized less and had surgery 60 percent less often and spent 85 percent less on medication." Mainstream Makes Adjustments - Washington Post
Spinal manipulation provided better short and long-term functional improvement, and more pain relief in the follow-up when compare to other treatments say Francesca Cecchi et al, Scientific Institute, Florence and Department of Medical and Surgical Critical Care, University of Florence, Italy in 2010 Research shows manipulation provides better short and long-term functional improvement
Web site article regarding decreasing lower back pain and decreasing labor time by 25% during pregnancy utilizing chiropractic care. The data collected showed almost 25% reduction from the accepted average labor times in first time mothers who had regular chiropractic care during pregnancy, and 33% reduction from the norm in woman who had previously given birth. Chiropractic adjustments are beneficial during pregnancy
April 2011 WFC 2011 Award Winning Research article shows elite judo athletes' grip strength increases with chiropractic adjustments. This article also has references showing chiropractic adjustments generates neuromuscular manipulation reflex responses in a surface electromyography in patients with low back pain, increases quadricepts' strength after adjustments of the ipsilateral sacroiliac joint and causes temporary excitatiory inhibition of lumbar and cervical motorneurons.
January 4, 2012 Article by the Annals of Internal Medicine researching which is the most effective between: spinal manipulation by a chiropractic doctor, medication, or home exercise with advice for neck pain. Conclusion: spinal manipulation therapy by chiropractic doctors has statistically significant advantage over medication. Spinal manipulative therapy was more effective than medication in both short and long term. Home exercise with advice had superior results to medication as welll. In our office, we give both adjustments and exercises.
ASBE Seminar References for discussion only
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56 Peterson et. al, Chiropractic Radiography, Chiropractic Management of Spine-Related Disorders pg. 90-110
57 Department of Health Services: Radiologic Health Section, Syllabus on Diagnostic X-ray Radiation Protection for Certified X-ray Supervisors and Operators, January 1982
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64 Nelson, D.C., The APFS X-ray View: A Discussion of Some Critical Factors in its Production, The ACA Journal of Chiropractic/ March 1980 Vol 14, S -39-41
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68 Hardman, Henderson, Comparative Dosimetric Radiographic Evaluation, The Journal of the CCA Volume 25 Number 4 December 1981 141-145
69 Dimnet, Fischer, Gonon, Carret, Radiographic Studies of Lateral Flexion in the Lumbar Spine, Journal Biomechanics, 1978 Vol 11 143-150
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81 Marugg, Streule, Hedtler, Berchtold, Additive Filtering, The British Journal of Radiology, October 1990 800-801
82 Andrews, Earth Imaging, The American Chiropractor, November 1987 34
83 Pearcy Tibrewal, Axial Rotation and Lateral Bending in the Normal Lumbar Spine Measured by Three-Dimensional Radiography, SPINE Volume 9 Number 6 1984 582-587
84 Pope, Wilder, Stokes, Frymoyer. Biomechanical Testing as an Aid to Decision Making in Low-Back Pain Patients, SPINE Volume 4 Number 2 March/April 1979 135-140
85 Thompson, Augstine Comparative analysis of 1200 speed screen cassette vs. 400 speed
86 Buehler, Hrejsa, Application of Lead-Acrylic Compensation Filters in Chiropractic Full Spine Radiography: a Technical Report, Journal of Manipulative and Physiological Therapeutics, Volume 8 Number 3 September 1985
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88 Vernon, D.C., Static and Dynamic Roentgenography in the Diagnosis of Degenerative Disc Disease: A Review and Comparative Assessment, Journal of Manipulative and Physiological Therapeutics Volume 5 Number 4 December 1982
89 Cooper, Jayson, Radiographic Demonstration of Paraspinal Muscle Wasting in Patients with Chronic Low Back Pain, British Journal of Rheumatology Volume 31 1992 389-394
90 Plamondon, Gagnon, Maurais, Application of a Steroradiographic Method for the Study of Intervertebral Motion, SPINE Volume 13 Number 9 1988 1027-1032
91 White, Southwick, Panjabi, Clinical Instability in the Lower Cervical Spine; A Review of Past and Current Concepts, SPINE Volume 1 Number 1 March 1976 15-27
92 HEW Publication, A Practitioner's Guide to the Diagnostic X-ray Equipment Standard, Journal of Manipulative and Physiological Therapeutics, Volume 1 Number 4 December 1978 260-264
93 Shrimpton, Jones, Wall, The Influence of Tube Filtration and Potential on Patient Dose During X-ray Examinations, Phys Med Biol Vol 33 No. 10 1988 1205-1212
94 Kohn, Goovh, Keller, Filters for Radiation Reduction: A Comparison, Medical Physics, Mercy Hospital, Scranton, PA 1987 255-257
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98 Stokes, Medlicott, Wilder, Measurement of Movement in Painful Intervertebral Joints, Medical and Biological Engineering and Computing, September 1980 18, 694-700
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104 Oxland, Panjabi, Southern, Duranceau,An Anatomic Basis for Spinal Instability: A Porcine Trauma Model, Journal of Orthopaedic Research 1991 9:462
105 Henderson, Significance of Vertebral Dyskinesia in Relation to the Cervical Syndrome, Journal of Manipulative and physiological Therapeutics Volume 2 Number 1 March 1979 43-53
106 Frymoyer, Wilder and Pope, The Mechanical and Kinematic Analysis of the Lumbar Spine in Normal Living Human Subjects in Vivo, Journal of Biomechanics Vol 12 1979 165-172
107 C.H. Suh, The Fundamentals of Computer Aided X-ray Analysis of the Spine, Journal of Biomechanics 1974 Vol 7 161-169
108 Brown, Burstin, Nash and Schock, Spinal Analysis Using a Three-Dimensional Radiographic Technique, Journal of Biomechanics 1976, Vol 9 355-365
109 Fickel, D.C., Ph.D., Organ - Specific Dosimetry in Spinal Radiography: An Analysis of Genetic and Somatic Effects, Journal of Manipulative and Physiological Therapeutics, Vol 11 Number 1 February 1988 3-9
110 Carrick, D.C. Treatment of Pathomechanics of the Lumbar Spine by Manipulation, Journal of Manipulative and Physiologic Therapeutics, Vol 4 Number 4 December 1981 173-177
111 Vernon, D.C., Static and Dynamic Roentgenography in the Diagnosis of Degenerative Disc Disease: A Review and Comparative Assessment, Journal of Manipulative and Physiological Therapeutics Vol 5 Number 4 December 1982 163-169
112 Brunarski, D.C., Chiropractic Biomechanical Evaluations: Validity in Myofascial Low Back Pain, Journal of Manipulative and Physiological Therapeutics, Vol 5 Number 4 December 1982 155-161
113 Grice, D.C., Radiographic, Biomechanical and Clinical Factors in Lumbar Lateral Flexion: part I, Journal of Manipulative and Physiological Therapeutics, Vol 2 Number 1 March 1979 26-34
114 Buehler, Hrejha, Application of Lead-Acrylic Compensating Filters in Chiropractic Full Spine Radiography: A Technical Report, Journal of Manipulative and Physiological Therapeutics, Vol 8 Number 3 September 1985 175-180
115 Bronfort, Jochumsen, The functional Radiographic Examination of Patients with Low-Back pain: A study of Different Forms of Variations. Journal of Manipulative and Physiological Therapeutics, Volume 7 Number 2 June 1984 89-97
116 Carrick, Cervical Radiculopathy: The Diagnosis and Treatment of Pathomechanics in the Cervical Spine, Journal of Manipulative and Physiological Therapeutics Volume 6 Number 3 September 1983 129-137
117 Pearcy, Tibrewal, Axial Rotation and Lateral Bending in the Normal Lumbar Spine Measured by Three-Dimensional Radiography, SPINE Volume 9 Number 6 1984 582-587
118 Stokes, Wilder, Frymoyer, Pope, Assessment of Patients With Low-Back Pain By Biplanar Radiographic Measurement of Intervertebral Motion, SPINE Volume 6 Number 3 May/June 1981 233-240
119 Stokes, Frymoyer, Segmental Motion and Instability, SPINE Volume 12 Number 7 1987 688-691
120 Wilder, Seligson, Frymoyer, Pope, Objective Measurement of L4-5 Instability, SPINE Volume 5 Number 1 Jan/Feb. 1980
121 Tibrewal, Pearcy, Portek, Frcap. Spivey, Chir, A Prospective Study of Lumbar Spinal Movements Before and After Disectomy Using Biplanar Radiography, SPINE Volume 10, Number 5 1985, 455-460
122 Andersson, The Biomechanics of the Posterior Elements, SPINE Volume 8 Number 3 1983 326
123 Pope, Panjabi, Biomechanical Definitions of Spinal Instability, SPINE Volume 10 Number 3 1985 255-256
124 Frymoyer, Selby, Segmental Instability: Rational for Treatment SPINE Volume 10 Number 3 1985 280-286
125 Nachemson, Lumbar Instability: A Critical Update and Symposium Summary SPINE Volume 10 Number 3 1985 290-291
126 Kohn, Gooch, Keller, Filters for Radiation Reduction: A Comparison Radiology Volume 167 Number 1 256-257
127 Wagner Adsorbed Dose in Imaging: Why Measure It, Radiology Volume 178 622-623
128 Sinclair, Effects of Low-Level Radiation and Comparative Risk, Radiology 138:1-9 January 1981
129 White, Panjabi, Basic Kinematics of the Human Spine, SPINE Volume 3 Number 1 March 1978 12-19
130 Ogston, King, Gertzbien, Tile, Kapasouri, Rubenstein, Centrode in the Lumbar Spine: Baseline Studies in Normal Subjects, SPINE Volume 11 Number 6 1986 591-595
131 Stokes, Bigalow, Moreland, Measurement of Axial Rotation of Vertebrae in Scoliosis, SPINE Volume 11, Number 3 1986 214-218
132 Guebert, Yochum, Ultra Fast radiographic Screen /Film Systems Reduce Patient Exposure and Motion Problems, Dynamic Chiropractic, April 8, 1994 Volume 12 Number 1, 9-32
133 Sherman, Chiropractic Journal of the CCA Volume 30 Number 1 March 1986, 33-35
134 Kirkaldy-Willis, Farfan, Instability of the Lumbar Spine, Clinical Orthopedics and Related Research, Number 165 May 1982 110-123
135 Speiser, Aragona, Heffernan, The Application of Therapeutic Exercises Based Upon Lateral Flexion Roentgenography to Restore Biomechanical Function in the Lumbar Spine, Chiropractic Research Journal Volume 1 Number 4
136. Kalmar, M.D. et al, Low Dose Scoliosis Examinations SPINE Vol 19 Number 7 1994 pg. 818-823
137 Hellstrom Reduction of Radiation Dose in Radiologic Examination of Patients with Scoliosis Lanex, SPINE Vol 8 Number 1983 pg. 28-30
138 Nash et al, Risks of Exposure to X-rays in Patients Undergoing Long-Term Treatment for Scoliosis, The Journal of Bone and Joint Surgery 1979 pg. 371-374
139 Drummond et al, Radiation Hazards in Scoliosis Management, SPINE Vol 8 number 7 1983 pg. 741- 748
140 Aragona, et al. A.S.B.E. Fellowship Commission on X-ray Safety, Patient Consumer Protection and Standards of Care in Spinal and Dental Diagnostic Roentgenography and Academy Recommendations to develop Equitable Chiropractic Practice Standards of Care Guidelines. The American Academy of Applied Spinal Biomechanical Engineering. pg. 1-120 1992
141 Consensus meeting of A.S.B.E. Fellowship Commission on X-ray Safety, Patient Consumer Protection and Standards of Care. Chicago, Ill. June 25, 1994 In Attendance: J. Augustine, D.C., L.W. Bateman, D.C., C.A. Mueller, D.C., R. Meskill, D.C., T. Spieles, D.C., M. Hudson, D.C., R. Piasio, D.C., R. Aragona, D.C., G. Aragona, D. Borges, D.C.
142 John MacRae, D.C.: Roentgeometrics in Chiropractic. Canadian Memorial Chiropractic College, Toronto 1979 pg 90-104
143 A.S.B.E. Subluxation Study Series 1221, Ronald J. Aragona, Ph.D., F.A.S.B.E. TX1-247-628, U.S. Copyright, The Library Of Congress-- 12.07.83
144 Aragona, R.J.: Vol. I: The Fundamental Principles and Practice of A.S.B.E. TX-1-410-244--6.15.84
145 Aragona, R.J.: Vol. II: Lumbosacral Quantum Biomechanicophysiological Maneuvers TX-45-800--9.24.84
146 Aragona, R.J.: Vol. I: Fundamental Principles and Practice of A.S.B.E. Revised Edition TXU-186-818--2.11.85
147 Aragona, R.J.: Vol. II: The Science of A.S.B.E. Maneuvers For Spinal Reconstructive Care Revised Edition TXU-211-621--9.30.85
148 Aragona, R.J.: Vol. III: Lateral Cervical Quantum Biomechanicophysiologicodynamic Engineering Maneuvers of A.S.B.E. TXU-176-924--11.05.84
149 Aragona, R.J.: Vol. III: Lumbosacral Quantum Maneuvers & Coefficients of Structural Instability, Revised Edition (c) -- 9.24.84
150 Aragona, R.J.: Vol. IV: Lumbosacral Quantum Maneuvers & Coefficients Of Structural Instability Arthropathobiomechanicophysiologically TXU-184-732--1.23.85
151 Aragona, R.J.: A Renaissance In Biophysics: Applied Spinal Biomechanical Engineering TXU-177-434--11.13.84
152 Aragona, R.J.: Vol. V: A.P. Cervical Differential Coefficients, Maneuvers and Quantum Maneuvers of A.S.B.E. TXU-192-618--4.3.85
153 Aragona, R.J.: Vol. VI: Congenital and Developmental Spinal Biomechanics--Spinal Pathobiomechanics: Congenital Vertebral Anomalies and Asymmetrical Contiguous Developmental Defects TXU-202-339--6.24.85
154 Aragona, R.J.: A.S.B.E. II: Instructor's Handbook -- The Science of A.S.B.E. Maneuvers For Spinal Reconstructive Care TXU-215-185--10.28.85
155 Aragona, R.J.: Vol. VII: Efficient Clinical Procedures For Reducing Thoracic Biomechanical Instability Distortion Coefficients of V.S.S. an V.S.C. Part One: TXU-215-087--10.28.85
156 Aragona, R.J.: Approval Introduction Copy--A.S.B.E. Principles and Practice--The Science Of Spinal Remodeling TXU-231-216--3.07.86
157 Aragona, R.J.: Vol. VIII: Biophysical Diagnostic Principles Monitoring Chronic Thoracic Pathobiomechanical Vertebral Subluxation Syndromes TXU-231-607--3.07.86
158 Aragona, R.J.: Vol. IX: Tri-Level Clinical Spinal Biomechanics Diagnostic and Therapeutic Procedures -l987
159 O. J. Ressel, B.Sc., D.C. Disc Regeneration: Reversibility is possible in Spinal Osteoatrhritis ICA Review of Chiropractic March/April 1989
160 NIOBI-X X-ray reduction literature
161 North American Spine Society SPINE Vol 16 number 18 Oct 1991 pg 1162
162 Journal of the American Medical Association: Motion, Not Immobility Advantages for Healing Synovial Joints Nov 6, 1981
163 American Academy of Clinical A.S.B.E. 1987 A.S.B.E. Research Lab Manchester NH
164 Ameve Abnormal Instantaneous Axis of Rotation in Patients with Neck Pain SPINE 1992 Vol 17 number 7
165 Leibowitz and Conninton Alexander Technique Harper and Perennail 1990
166 American Chiropractic Association/ American Chiropractic College of Radiology and Council on Diagnostic Imaging: Floroscopic Position Statement 6/1991
167 Clinical Practice Guideline: Vertebral Subluxation in Chiropractic Practice
168 Panjabi, MM A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction European Spine Journal 7/27/2005
170 Campbell, Kent, Banne, Amiri and Pero Surrogate Indication of DNA Repair in Serum After Long Term Chiropractic Intervention
172 Aure et al Manual Therapy Superior to Exercise: Spine
175 Meade TW, et al. Chronic spinal pain using adjustments is superior to hospital outpatient treatment. British Medical Journal
176 Dabbs Chiropractic is safe A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain.J Manipulative Physiol Ther 1995 Oct;18(8):530-6.
177 Oakley Diagnostic X-Ray Risks
178 Haldeman 1 in 5.6 million treatments extremely rare arterial dissections following cervical manipulation: the chiropractic experience. Canadian Medical Association.
CMAJ • October 2, 2001; 165 (7)
179 Thiel, D.C. Safety of Chiropractic Manipulation of the Cervical Spine SPINE 32, Number 21, pp 2375-2378 2007
180 Bronfort Randomized Clinical Trial of Exercise and spinal manipulation for Patients with Chronic Neck Pain Spine 2001;26:788-99
181 Council on Chiropractic Practice Clinical Practice Guideline 2003 Outcome measurements
182 Chou The American College of Physician and the American Pain Society Comprehensive Joint Clinical Practice Guideline for the Diagnosis and Treatment of Low Back Pain Annals of Internal Medicine. October 2, 2007pgs 478-491
183 Morris, D.C. Low Back Syndromes
184 R S Jemmett Rehabilitation of lumbar multifidus dysfunction in low back pain: strengthening versus a motor re-education model Br J Sports Med 2003;37:91
185 Hides, J. Multififidus muscle recovery is not automatic after resolution of acute first-episode low back pain. Conclusion Spine. 2006;31(25):2926-2933. 2006 Lippincott Williams & Wilkins
186 Adams and Hutton, The Relevance of Torsional Injuries to the Mechanical Derangement of the Lumbar Spine, SPINE vol. 6, 1981
187 The Flu: Sorting Fact from Fiction Journal Vertebral Subluxation Research 11/12/2007
188 Overview article citing Rhodes WR "The Official History of Chiropractic in Texas."Texas Chiropractic Association Austin TX 1978
189 Chiropractic Statistics Research review by WCT on the "The Chiropractic Research and Review Service" Burton Shields Press Indianapolis IN 1925
190 Cassidy No increased risk of stroke using chiropractic care Risk of vertebrobasilar stroke and chiropractic care Spine 33 Number 45 2008
191 Bishop, D.C., Ph.D., M.D. Chiropractic Doctors in hospitals Evidence-Based Care That Included Chiropractic Manipulation More Effective Than Usual Medical Treatment
192 James Eloitta, MRI study of the cross-sectional area for the cervical extensor musculature in patient with persistent whiplash Spine 2006
193 Johnson NP Mueller J Updating the account: global mortality of the 1918 - 1920 Spanish influenza pandemic Bull Med 76, 105-115 2002
194 Turner J A PhD Early Predictors of Chronic Work Disability: A Prospective, Population Based Study of Workers with Back SPINE Volume 33, Number 25, pp 2809-2819
195 RS Jemmett Rehabilitation of lumbar multifidus dysfunction in lower back pain. Strengthening versus a motor re-education Br J Sports Med 003;37:91
196 D.R Noll et al Efficacy of manipulation as an adjunctive treatment for hospitalized patients with pneumonia Osteopathic Medicine and Primary Care
197 F Cerritelli, et al Osteopathic manipulation as a complementary treatment for the prevention of cardiac complications Journal of Bodywork and Movement Therapies (2011)
198 Forward head tilt posture in older men and women have higher mortality rates. Be careful to keep proper posture. J Am Geriatr Soc. 2004 Oct;52(10):1662-
199 Ed Taub, Ph.D. Brain Plactisity - The brain can change JAMA, November 1, 2006; 296: 2095 - 2104
200 Paul Bach-Y-Rita Father of Neuroplasticity How does the BrainPort work?
201 Implications are that chronic lower back pain causes non use brain tissue atrophy (shrink). A good reason not to have lower back pain for a long time Manual Therapy 16 (2011) 15-20
202 Gartsang, M.D., Stitik, M.D 2006 American Journal of Physical Medicine and Rehabilitation Osteoarthritis Epidemiology, Risk Factors, and Pathophysiology. "the clinical and pathologic outcome of a range of disorders that results in structural and functional failure of synovial joints.
203 Mark Studin DC Evaluate and test until you have reached a conclusive diagnosis The American Chiropractor, Diagnostics , Volume 30, Issue 11 2/25/2009
204 Craig Liebenson, DC The Neurodevelopmental Basis for Spine Stability
205 Weslye Parke professor of Anatomy at the University of South Dakota School of Medicine Impairment of venous return is the primary reason that compressed nerves become pain generators
206 Smith et al Journal of Manipulative and Physiological Therapeutics Fitt's Law May 2006
207 Panjabi Journal of Biomechanics Coordinate System, Volume 7, Issue 4, August 1974, Pages 385-387
208 Ward, Kim, MD, Gottschalk, Departments of Orthopaedic Surgery Radiology, and Bioengineering , V.A. Medical Center and University of California at San Diego, The Journal of Bone and Joint Surgery (American). 2009;91:176-185
209 Francesco Cerritelli, MS, DO Osteopathic manipulation as a complementary treatment for the prevention of cardiac complications: 12-Months follow-up of intima media and blood pressure on a cohort affected by hypertension Journal of Bodywork & Movement Therapies (2011) 15, 68e74
210 Randall Predictability and Predictiveness in Health Care Spending Economics Department, Boston University, Harvard University 2006 Journal Health Economics 26 (2007) 25-48
212 Francesca Cecchi Spinal Manipulation is better short and long-term functional improvement, and more pain relief in the follow-up than either back school or individual physiotherapy. Clinical Rehabilitation 2010; 24: 26-36
213 David Cassidy, Ph.D. Testimony online to Connecticut Board of Chiropractic Examiners Jan 22, 2010 Should patients be required to sign an informed consent form before cervical adjustment? Conclusion: No! Because there are no increased risks of problems with chiropractic treatment.
214 Manuel Cifuentes, MD, PhD The use of chiropractor services generally cost less than services from other providers Journal of Occupational & Environmental Medicine: April 2011 - Volume 53 - Issue 4 - p 396-404
215 Liliedahl, MD Paid costs for episodes of care initiated with a DC were almost 40% less than episodes initiated with an MD.Journal of Manipulative and Physiological Therapeutics Vol 33, Issue 9 Pages 640-643, November 2010
216 Christiansen, Haselhurst, Willens An assisted-walking device for patient with injured nerves Sensastep
217 James M. Elliott , PT, PhD Are There Implications for Morphological Changes in Neck Muscles After Whiplash Injury? SPINE Volume 36, Number 25S, pp S205-S210 2011
218 Balthazard et al. Manual therapy followed by specific active exercises versus a placebo ST followed by specific active exercises: a randomized controlled trial University of Applied Sciences Western Switzerland, Switzerland BMC Musculoskeletal Disorders 2012, 13:162
219 von Heymann WJ Spinal HVLA-Manipulation in Acute Nonspecific LBP: A Double Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo. Orthopedic Practice, Bremen University Bremen. Spine 2012 Sep 28
220 Cifuentes et al Health Maintenance Care in Work-Related Low Back Pain and its Association with Disability Recurrence, CONCLUSIONS: In work-related nonspecific LBP, the use of health maintenance Care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment, Journal of Occupational and Environmental Medicine 2011 53(4) 396-404
221 Legorreta, Department of Health Services, UCLA School of Public Health Comparative analysis of individuals with and without chiropractic coverage: patient characteristics, utilization, and costs. Chiropractic care not only may prove to be clinically beneficial but also may reduce overall health care costs, Archives of Internal Medicine 164(18), 1985-1992
222 Wolfgang J. et al Institute for Biometrics, University of Bremen, Germany, Double blinded, placebo –controlled, parallel trial with 3 arms comparison manipulation with NSIADS and placebo. Patients with acute non-specific lower back pain, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug and clinically superior to placebo, Spine 4/2013 vol 38, Number 7 pp 540-548 Lippencott Williams and Wilkins
223 Goertz, Christine M. DC, PhD Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP. Spine 4/2013 vol 38 8 pp 627-634 Lippencott Williams and Wilkins
224. Peterson, RN, DC, M.Med.Ed Outcomes From Magnetic Resonance Imaging–Confirmed Symptomatic Cervical Disk Herniation Patients Treated With High-Velocity, Low-Amplitude Spinal Manipulative Therapy: A Prospective Cohort Study With 3-Month Follow-Up Fifty patients were included. At 2 weeks, 55.3% were “improved,” 68.9% at 1 month and 85.7% at 3 months. Statistically significant decreases in neck pain, arm pain, and NDI scores were noted at 1 and 3 months compared with baseline scores (P < .0001). Of the subacute/chronic patients, 76.2% were improved at 3 months. Conclusions Most patients in this study, including subacute/chronic patients, with symptomatic magnetic resonance imaging–confirmed CDH treated with spinal manipulative therapy, reported significant improvement with no adverse events. Spinal Manipulation for Cervical Disk Herniation, JMPT, Vol. 36, No. 8, October 2013, pp. 461-7
225 Benjamin J. Keeney, PhD Early Predictors of Lumbar Spine Surgery After Occupational Back Injury Results From a Prospective Study of Workers in Washington State Approximately 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor. The area under the receiver operating characteristic curve of the multivariate model was 0.93 (95% confidence interval, 0.92–0.95), indicating excellent ability to discriminate between workers who would versus would not have surgery. Spine. 2013;38(11):953-964.
226 Carrick FR. Normal mechanical attitudes could be restored by manipulative reduction of the cervical motion segments. J Manipulative Physiol Ther 1983 Sep;6(3):129-37.
227 Patrick A. Sugrue , MD Redefining Global Spinal Balance Normative Values of Cranial Center of Mass From a Prospective Cohort of Asymptomatic Individuals SPINE Volume 38, Number 6, pp 484–489 ©2013, Lippincott Williams & Wilkins
228 Weigel PA The comparative effect of episodes of chiropractic and medical treatment on the health of older adults. 2 year study 2014 Mar-Apr;37(3):143-54. doi: 10.1016/j.jmpt.2013.12.009. Epub 2014 Mar 11.
229 Wei W et al Straightened cervical lordosis causes stress concentration: a finite element model study.: The straightening of the cervical spine caused a 24-33% loss of motion and an increase of stress of 5-95%. Australasian Physical and Engineering Sciences in Medicine 2013 Mar;36(1):27-33. doi: 10.1007/s13246-013-0182-4. Epub 2013 Jan 25. http://www.ncbi.nlm.nih.gov/pubmed/23355324
230 Gert Bronfort, DC, PhD et al For participants with acute and subacute neck pain, spinal manipulative therapy (SMT) was more effective than medication in both the short and long term. Annuals of Internal Medicine 3 January 2012, Vol 156, No. 1 http://annals.org/article.aspx...
231. Peterson CK, et al Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. For example, when asked one week into the treatment sessions whether or not the women noticed a reduction in their level of pain, 52 percent said yes. That amount increased to 70 percent one month into treatment, then to 85 percent being happy with the results after just three months of chiropractic care. At the six month mark, 90 percent said that they noticed reduced pain in their back region, and the benefits continued with 88 percent reporting positive effects one year after the initial chiropractic treatment session. Chiropr Man Therap. 2014 Apr 1;22(1):15
232. Kenneth K Hansaraj, MD Chief of Spinal Surgery New Your Spine Surgery Assessment of
Stresses in the. Cervical Spine Caused by Posture and. Position of the Head. The weight seen by the spine dramatically increases when flexing the head forward at varying degrees. Loss of the natural curve of the cervical spine leads to incrementally increased stresses about the cervical spine. 60 degrees neck flexion adds 60 pounds of pressure on neck. These stresses may lead to early wear, tear, degeneration, and possibly surgeries
233.Valter Santilli, MD et al, Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations CONCLUSIONS: Active manipulations have more effect than simulated manipulations on pain relief for acute back pain and sciatica with disc protrusion. The Spine Journal 6 (2006) 131–137
234 Liliedahl R. Cost of Care for Common Back Pain Conditions Initiated with Chiropractic Doctor vs. Medical Doctor, Patients receive nearly 3 times better results at almost half the cost when consulting a chiropractor Journal of Manipulative and Physiological Therapeutics 33 (9) pgs. 640-643
235 Harvard Health Publications Harvard Medical School Most research on chiropractic has focused on spinal manipulation for back pain. Chiropractic treatment for many other problems—including other musculoskeletal pain, headaches, asthma, carpal tunnel syndrome, and fibromyalgia—has also been studied. A recent review concluded that chiropractic spinal manipulation may be helpful for back pain, migraine, neck pain, and whiplash.
236 McMorland G Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Acute and Chronic Herniated Discs Have Significantly Favorable Outcomes With Chiropractic Care 95% Reported Improvement Continual growing body of evidence of treatment of herniated discs via conservative care and specifically with a chiropractic spinal adjustment. It considers herniated discs with radicular or leg pain patients. Patients with symptomatic LDH failing medical management should consider spinal manipulation followed by surgery if warranted. J Manipulative Physiol Ther. 2010 Oct;33(8):576-84. doi: 10.1016/j.jmpt.2010.08.013.
237 Kovanur Sampath Ket al. New Zealand Measureable changes in the neuro-endocrinal mechanism following spinal manipulation.US National Library of Medicine National Institutes of Health Med Hypotheses. 2015 Oct 10. http://dx.doi.org/10.1016/j.mehy.2015.10.003
238 January 2017 "The Journal of Nuclear Medicine," researchers assert that exposure to medical radiation does not increase a person's risk of getting cancer. The long-held belief that even low doses of radiation, such as those received in diagnostic imaging, increase cancer risk is based on an inaccurate, 70-year-old hypothesis, according to the authors. https://www.sciencedaily.com/r...
239 May 19 2017American College of Physicians issued a formal recommendation that doctors include spinal manipulation in the tools they use to treat back pain. The change comes after two new systematic reviews found a visit to the chiropractor can provide improvements for people with low back pain https://www.psychologytoday.com/blog/evidence-based-living/201705/the-evolving-evidence-chiropractors-low-back-pain
240 Frequency & Duration of Chiropractic Care for Headaches, Neck and Upper Back Pain J. Maltby, DC Don. Harrison, PhD, DC, MSE Deed Harrison, DC J, Betz, BS, DC J. Ferrantelli, BS, DC5 G. W. Clum, DCJ. Vertebral Subluxation Res. August 21, 2008 https://www.researchgate.net/publication/293175568_Frequency_Duration_of_Chiropractic_Care_for_Headaches_Neck_and_Upper_Back_Pain
241 Program of Care Derived from Pain Data Reported in RCTs on Low Back Pain J. Maltby, DC Don. Harrison, PhD, DC, MSE Deed Harrison, DC J, Betz, BS, DC, J. Ferrantelli, BS, DC, G. W. Clum, DC J. Vertebral Subluxation Res. February 14, 2009 https://www.researchgate.net/p...
242 U.S. Department of Health and Human Services Agency fro Healthcare Research and Quality Frequency and Duration of Chiropractic Care for Uncomplicated Axial Pain https://ngc.gov/summaries/summ...
243 Clinical Practice Guideline: Chiropractic Care for Low Back Pain JMPT 2015; 38 Globe et al http://www.jmptonline.org/arti...
245 Decreased Vertebral Artery Hemodynamics in Patients with Loss of Cervical Lordosis M. Bulut Medical Science Monitor 2016 Feb 15;22:495-500. https://www.ncbi.nlm.nih.gov/p...
246 Ebell, Department of Epidemiology and Biostatistics University of Georgia July 13, 2017 How good is evidence to support primary care practice? 18% of recommendations were based on consistent, high quality patient oriented evidense http://ebm.bmj.com/content/ebm...
247 Tan MD Department of Orthopedic Surgery Columbia University Medical Center Cervical Spine Deformity - Part 1: Biomechanics, Radiographic Parameters and Classification Neurosurgery 81:197–203, 4/14/2017
248 Chu Chiropractic Care of Postlaminectomy Syndrome: A Report of 2 Cases International Journal of Medical and Health Science www.ijmhs.net July 2017 Vol 6 Issue 3
249 Gokcen, M.D. A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical Radiculopathy Int J Spine Surgery 2017; 11: 30. Published online 2017 Nov 28. doi: PMCID: PMC5779266
250 Arlene Welch and Ralph Boone Sympathetic and parasympathetic responses to specific diversified adjustments to chiropractic vertebral subluxations of the cervical and thoracic spine Journal of Chiro Med https://www.ncbi.nlm.nih.gov/p...Sherman College
251 Physical Therapy Scope of Practice Honorable Leland Y. Yee California State Capital February 10, 2014 http://www.chiro.ca.gov/about_...
252 Harvard Medical School "... make your first call to a professional who can assess your problem, such as a primary care physician or a chiropractor. Both can serve as the entry point for back pain...and 35% to 42% of the people with their first episode of back pain will consult a chiropractor." November 2017 Harvard Health Letter https://www.health.harvard.edu/pain/where-to-turn-for-low-back-pain-relief
253 Sadler Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies BioMed Central Musculoskeletal Disorders May 2017
254 Pelise The global burden of Adult Spinal Deformity was huge compared with other self-reported chronic conditions: arthritis, chronic lung disease, diabetes and congestive heart failure in the general population of eight industrialized countries. The impact of ASD on HRQL warrants the same research and health policy attention as other important chronic European Spine Journal 2015 Jan;24(1):3-11