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Abstract #152585
Eric R. Secor, ND, MS, LAc1, Jody H. Blumberg, BS2, Mary Markow, ND, MS, LAc3, Jessica MacKenzie, DC4, and Roger S. Thrall, PhD2. (1) University of CT Health Center, Department of Immunology, Graduate School, Public Health, 263 Farmington Avenue MC1319, Farmington, CT 06030, 860-679-8439, esecor@uchc.edu, (2) Department of Research, Hospital for Special Care, 2150 Corbin Avenue, New Britain, CT 06053, (3) Avons Wellness Center, 25 Court St, New Britain, CT 06051, (4) MacKenzie Chiropractic, 25 Court St, New Britain, CT 06051
Objectives: Evaluate changes in pain and quality of life in subjects receiving ongoing chiropractic care. Methods: A prospective cohort study of subjects receiving chiropractic care at an outpatient CAM clinic who had; entry pain level > 2, completed SF-12v2®, and at least 1 consistent medical complaint. Data collected from Numeric Pain Analogue Scale (NPAS) and SF-12v2® Health Outcomes Survey was analyzed among the 1st, 4th and 8th treatments and ICD-9 codes tracked the medical complaint. Results: A Significant reduction in pain was observed when comparing visit 1 to visits 4 and 8 (p < 0.001) but not when comparing visit 4 to 8. Improvements in the SF-12v2® subscale of Bodily Pain (p < 0.001), correlated well with the NPAS and improvements in Role Physical (p < 0.05) and General Health (p < 0.05) were noted between visits 1 and 4. The greatest degree of improvement was observed between visits 1 and 4 (37 day average) with no additional improvements noted by visit eight (51day average). Conclusions: The greatest reduction in pain and improvements to quality of life in subjects who utilized chiropractic care may occur in the early stages (visits 1 to 4) of treatment. Continued care (visits 4-8) may sustain initial pain reduction in the absence of additional improvements to quality of life or pain level. Outcomes research may advise patients of the potential prognosis of chiropractic care and identify trends which inform researchers in designing appropriate randomized controlled trials.
Learning Objectives:
- Discuss basic outcome measures which may be utilized in outpatient CAM clinics, Describe the patient demographic, and primary medical complaints of patients, who utilize chiropractic care, Correlate changes in pain and quality of life to treatment duration, Evaluate a model of care that may provide continuity of treatment from acute to chronic pain management, Examine the issues facing CAM providers and their patients regarding treatment efficacy through changes in pain and quality of life measures in outpatient settings as compared to RCT’s.
Keywords: Alternative Medicine/Therapies, Outcomes Research
Presenting author's disclosure statement:
Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA