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Summaries of research that support the
effectiveness of chiropractic care
The
RAND Study:
Preliminary reports published in 1991 by one of the most prestigious centers
for research in public policy confirms the appropriateness of spinal manipulation
for some low-back pain patients. This study is part of a larger, multi-year
project designed by the Consortium for Chiropractic Research to help establish
standards of care for the chiropractic profession. The Foundation for
Chiropractic Education and Research (FCER) is assisting in the management
of this study.
The
Florida Study:
The highlights of this 1988 FCER-funded report support the findings of
earlier studies of workers' compensation claims that chiropractic care
is more cost-effective than standard medical care in the management of
work-related back injuries. The results of this study indicated chiropractic
patients suffered shorter periods of total disability, and their cost
of care was lower, compared to patients of medical doctors, who were likely
to be hospitalized.
The
Utah Study:
In another study of workers' compensation claims, this 1991 study found
that patients of chiropractic care returned to work sooner after an injury,
reporting an average of two lost work days to 20 under standard medical
care. Furthermore, the study revealed that chiropractic care was 10 times
less expensive than standard medical care in compensation payouts. Funding
of this study was provided by the Workers' Compensation Fund of Utah,
the Los Angeles College of Chiropractic, and the Greenawalt Fellowship
Fund.
The
Meade Study:
A three-year British comparison of chiropractic care and standard medical
care of low-back pain patients found chiropractic treatment more effective
than hospital outpatient management for patients with chronic or severe
back pain. The positive effects of chiropractic care in this 1990 study
were even more evident during the follow-up period. Funding of this study
was provided by the Medical Research Council, the National Back Pain Association,
The European Chiropractors Union, and the Kind Edward's Hospital Fund
for London.
The
Koes' Clinical Trial:
A 1991 Dutch project compared manipulative therapy (chiropractic) and
physiotherapy (physical therapy) for the treatment of persistent back
and neck complaints. After 12 months, the manipulative therapy groups
showed greater improvement in the primary complaint as well as in physical
function, with fewer visits. Funding for this trial was provided by the
Dutch Ministry of Welfare, Health and Cultural Affairs, and by the Dutch
Health Insurance Council.
The
Magna Study:
This
study researched both the effectiveness and cost-effectiveness of the
chiropractic management of low-back pain, and found "on the evidence,
particularly the most scientifically valid clinical studies, spinal manipulations
applied by chiropractors is shown to be more effective than alternative
treatment for low-back pain. Many medical therapies are of questionable
validity or are clearly inadequate." The study was funded by the
Ontario Ministry of Health.
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Excerpted
from the FCER Awareness Series, copyright © 1991, 1995, by the Foundation
for Chiropractic Education and Research.
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