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Here
is some research by the scientific community discussing the benefits
of chiropractic care.
Here
are some of our affiliations with links to more information on chiropractic
care.
A
major study to assess the most appropriate use of available health
care resources was reported in 1993. This was an outcomes study
funded by the Ontario Ministry of Health and conducted in hopes
of sharing information about ways to reduce the incidence of work-related
injuries and to address cost-effective ways to rehabilitate disabled
and injured workers. The study was conducted by three health economists
led by the University of Ottawa professor Prank Manga, Ph.D. The
216-page report of the study is commonly called the Manga Report.
The Manga Report overwhelmingly supported the efficacy, safety,
scientific validity and cost-effectiveness of chiropractic for low
back pain. Additionally, it found that higher patient satisfaction
levels were associated with chiropractic care than with medical
treatment alternatives.
Evidence
from Canada and other countries suggests potential savings of hundreds
of millions annually, the Manga Report states. The literature
clearly and consistently shows that the major savings from chiropractic
management come from fewer and lower costs of auxiliary services,
fewer hospitalizations, and a highly significant reduction in chronic
problems, as well as in levels and duration of disability.
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A
four-phase study conducted in the early 1990s by RAND, one of Americas
most prestigious centers for research in public policy, science
and technology, explored many indications of low-back pain.
In
the RAND studies, an expert panel of researchers, including medical
doctors and doctors of chiropractic, found that:
- Chiropractors
delivered a substantial amount of health care to the U.S. population.
- Spinal
manipulation is of benefit to some patients with acute low back
pain.
The
RAND reports marked the first time that representatives on the medical
community went on record stating that spinal manipulation is an
appropriate treatment for certain low back pain conditions.
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A
particularly significant study of chiropractic was conducted between
1978 and 1980 by the New Zealand Commission of Inquiry. In its 377-page
report to the House of Representatives, the Commission called its
study probably the most comprehensive and detailed independent
examination of chiropractic ever undertaken in any country.
The Commission entered the inquiry with the general impression
shared
by many in the community: that chiropractic was an unscientific
cult, not to be compared with orthodox medical or paramedical services.
By
the end of the inquiry, the commission reported itself irresistibly
and with complete unanimity drawn to the conclusion that modern
chiropractic is a soundly based and valuable branch of health care
in a specialized area
Conclusions
of the Commissions report, based on investigations in New
Zealand, the U.S., Canada, the United Kingdom and Australia, stated:
- Spinal
manual therapy in the hands of a registered chiropractor is safe.
- Spinal
manual therapy can be effective in relieving musculoskeletal symptoms
such as back pain, and other symptoms known to respond to such
therapy, such as migraine.
- Chiropractors
are the only health practitioners who are necessarily equipped
by their education and training to carry out spinal manual therapy.
- In
the public interest and in the interests of patients, there must
be no impediment to full professional cooperation between chiropractors
and medical practitioners.
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A
1988 study of 10,652 Florida workers compensation cases was
conducted by Steve Wolk, Ph.D., and reported by the Foundation for
Chiropractic Education and Research. It was concluded that a
claimant with a back-related injury, when initially treated by a
chiropractor versus a medical doctor, is less likely to become temporarily
disabled, or if disabled, remains disabled for a shorter period
of time; and claimants treated by medical doctors were hospitalized
at a much higher rate than claimants treated by chiropractors.
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In
1989, a survey administered by Daniel C. Cherkin, Ph.D. and Frederick
A. MacCornack, Ph.D. concluded that patients receiving care from
health maintenance organizations (HMOs) within the state of Washington
were three times as likely to report satisfaction with care from
chiropractors as they were with care from other physicians. The
patients were also more likely to believe that their chiropractor
was concerned about them. [ top of
page ]
A
workers compensation study conducted in Utah by Kelly B. Jarvis,
D.C., Reed B. Phillips, D.C., Ph.D. and Elliot K. Morris, JD, MBA,
compared the cost of chiropractic care to the costs of medical care
for conditions with identical diagnostic codes. Results were reported
in the August 1991 Journal of Occupational Medicine.
The study indicated that costs were significantly higher for medical
claims than for chiropractic claims; in addition, the number of
work days lost was nearly ten times higher for those who received
medical care instead of chiropractic care. [ top
of page ]
A
1992 article in the Journal of Family Practice reported a study
by D.C. Cherkin, Ph.D., which compared patients of family physicians
and of chiropractors. The article stated the number of days
of disability for patients seen by family physicians was significantly
higher (mean 39.7) than for patients managed by chiropractors (mean
10.8).
A related editorial in the same issue referred to risks of complications
from lumbar manipulation as being very low.
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A
1991 repot on a workers compensation study conducted in Oregon
by Joanne Nyiendo, Ph.D. concluded that the median time loss days
(per case) for comparable injuries was 9.0 for patients receiving
treatment by a doctor of chiropractic and 11.5 for treatment by
a medical doctor.[ top of page
]
A
study by Miron Stano, Ph.D. reported in the June 1993 Journal of
Manipulative and Physiological Therapeutics involved 395,641 patients
with Neuromusculoskeletal conditions. Results over a two-year period
showed that patients who received chiropractic care incurred significantly
lower health care costs than did patients treated solely by medical
or osteopathic physicians. [ top of
page ]
Following
a 1993 study, researchers J. David Cassidy, D.C., Haymo Thiel, D.C.,
M.S., and W. Kirkaldy-Willis, M.D. of the Back Pain Clinic at the
Royal University Hospital in Saskatchewan concluded that the
treatment of lumbar intervertebral disc herniation by side posture
manipulation is both safe and effective. [ top
of page ]
A
1978 study conducted by J.S. Wight, DC and reported in the ACA Journal
of Chiropractic indicated that 74.6% of patients with recurring
headaches, including migraines, were either cured or experienced
reduced headache symptomatology after receiving chiropractic manipulation.
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A
12-month study conducted by P.S. Ebrall, BappSc, and reported in
the June 1992 Chiropractic Journal of Australia indicated:
- When
chiropractic management was chosen, fewer claimants required compensation
and fewer compensation days were taken.
- When
medical management was chosen, the average payment per claim was
greater and a greater number of patients regressed to chronic
status.
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A
1991 demographic poll conducted by the Gallup Organization revealed
that 90% of chiropractic patients felt their treatment was effective;
more than 80% were satisfied with that treatment; and nearly 75%
felt most of their expectation had been met during their chiropractic
visits. [ top of page ]
A
study conducted by T.W. Meade, a medical doctor, and reported in
the June 2, 1990 British Medical Journal concluded after two years
of patient monitoring, for patients with low back pain in
whom manipulation is not contraindicated, chiropractic almost certainly
confers worthwhile, long-term benefit in comparison with hospital
outpatient management.
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A
1992 study conducted by L.G. Schifrin, Ph.D., provided an economic
assessment of mandated health insurance coverage for chiropractic
treatment within the Commonwealth of Virginia. As reported by the
College of William and Mary, and the Medical College of Virginia,
the study indicated that chiropractic provides therapeutic benefits
at economical costs. The report also recommended that chiropractic
be a widely available form of health care.
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A
1992 review of data from over 2,000,000 users of chiropractic care
in the U.S., reported in the Journal of American Health Policy,
stated chiropractic users tend to have substantially lower
total health care costs, and chiropractic care reduces
the use of both physician and hospital care.
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In
1985 the University of Saskatchewan conducted a study of 283 patients
who had not responded to previous conservative or operative
treatment and who were initially classified as totally disabled.
The study revealed that 81%
became symptom free or achieved
a state of mild intermittent pain with no work restrictions
after daily spinal manipulations were administered.
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