1. The RAND Study- The RAND
Corporation, one of the most prestigious centers for research in public policy and health released a study in
1991 which found that spinal manipulation is appropriate for specific kinds of low back
pain. (Shekelle PG, Adams, A., et.al..The Appropriateness
of Spinal Manipulation for Low Back Pain: Indications and Ratings by a Multidisciplinary Expert Panel, RAND
Corporation, Santa Monica, California, 1991)
2. The Koes Clinical Trial- A 1992 Dutch project compared manipulative therapy
(chiropractic) and physiotherapy for the treatment of persistent back and neck complaints. After 12
months, the manipulative therapy group showed greater improvement in the primary complaint as well as in
physical function, with fewer visits. (Koes, BW, Buoter LM,
et.al., British Medical Journal, March 7, 1992; Vol. 304, No. 6827, pp. 601-605)
3. The AHCPR Guideline- In 1994, the Agency for Health Care Policy and Research
(AHCPR), now the Agency on Health Research and Quality (AHRQ), an arm of the US Department of Health and Human
Services, released a clinical practice guideline for the treatment of acute low back problems. The
guidelines recommend the use of spinal manipulation as an effective method of symptom
control. The researchers developing the guidelines found that "Manipulation... is safe
and effective for patients in the first month of acute low back symptoms without radiculopathy (disease of the
spinal nerve roots). (Bigos S., Bowyer, O, et. al., Acute Lower
Back Problems in Adults. Clinical Practice Guideline, Number 14, Rockville Maryland: US Department of Health
and Human Services, Public Health Service, Agency for Health Care Policy and Research, AHCPR Pub. No. 95-0642;
December 1994)
4.
The Manga Study- This study researched both the effectiveness and
cost-effectiveness of the chiropractic management of low-back pain. Dr. Pran Manga, the study's author, found
"on the evidence, particularly the most scientifically valid clinical studies, spinal manipulation
applied by chiropractors is shown to be more effective than alternative treatment for LBP [lower back pain].
Many medical therapies are of questionable validity or are clearly inadequate." (Manga, P., Angus, D., et.al. The Effectiveness and Cost-Effectiveness of Chiropractic
Management of Low-Back Pain. The Ontario Ministry of Health, Ottawa, Ontario, Canada; August
1993)
5.
The Duke Study- Based on a literature review of several headache treatment
options, a panel of 19 multidisciplinary experts concluded that spinal manipulation resulted in almost
immediate improvement for cervicogenic headaches and had significantly fewer side effects and longer lasting
relief of tension-type headache than a commonly prescribed medication. Researchers concluded the following:
"Manipulation appeared to result in immediate improvement in headache severity when used to treat
episodes of cervicogenic headache compared with an attention-placebo control. Furthermore when compared to
soft-tissue therapies (massage), a course of manipulation treatments resulted in sustained improvement in
headache frequency and severity." (McCrory DC, et.al. Evidence
Report: Behavioral and Physical Treatments to Tension-type and Cervicogenic Headache. Duke University
Evidence-Based Practice Center, Durham, North Carolina, January 2001.)
6.
The Nelson Migraine Study- This study compared chiropractic spinal manipulation to
amitriptyline which is a medication often prescribed for the treatment of headache. The researchers found that
"spinal manipulation seemed to be as effective as a well-established and efficacious treatment
(amitriptyline), and on the basis of a benign side effects profile, it should be considered a treatment option
for patients with frequent migraine headaches."
In other words, the safety and effectiveness of chiropractic
treatment or spinal manipulation in the treatment of headache should be considered by patients suffering these
symptoms. The researchers also found that in the weeks immediately following treatment, patients who had
received spinal manipulation had a 42% reduction in headache frequency, compared to only 24% of those who took
amtriptyline. The chiropractic group had fewer headaches even after treatment had ceased. (Nelson CF, et al. Journal of Manipulative and
Physiological Therapeutics. October 1999; Vol. 22, No. 8, pp. 517-522.)
7. The Windsor
Autopsies- An M.D. validates chiropractic through scientific research.
For more information regarding chiropractic research (done by
the US government/private sectors/medical doctors/chiropractors), visit The Secrets of Health wellness
center. We will be glad to share some of the important information about
chiropractic in our research library
to you.
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