Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 8, 2011
   Pages 927 — 934

Abstract —  Retrospective case series of clinical outcomes associated with chiropractic management for veterans with low back pain

Andrew S. Dunn, DC, MS, MEd;1-2* Bart N. Green, DC, MSEd;3 Lance R. Formolo, DC, MS;1-2 David Chicoine, BS2

1Department of Veterans Affairs (VA) Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, NY; 2New York Chiropractic College, Seneca Falls, NY; 3Department of Physical and Occupational Therapy, Chiropractic Division, Naval Medical Center San Diego, Marine Corps Air Station, Miramar Branch Medical Clinic, San Diego, CA, and National University of Health Sciences, Lombard, IL

Abstract — Musculoskeletal complaints, most notably low back pain (LBP), are prevalent among veterans. Despite a focus on LBP management by chiropractors within the Veterans Health Administration, limited published accounts detail clinical outcomes with chiropractic management of LBP among veterans. This was a retrospective case series of 171 veterans with a chief complaint of LBP who were managed with chiropractic care. Descriptive statistics and paired t-tests were used, with the Numeric Rating Scale (NRS) and the Back Bournemouth Questionnaire (BBQ) serving as the outcome measures. A minimum clinically important difference (MCID) was set as 30% improvement from baseline for both measures. The mean number of treatments was 8.7. For the NRS, the mean raw score improvement was 2.2 points, representing 37.4% change from baseline; 103 (60.2%) patients met or exceeded the MCID. For the BBQ, the mean raw score improvement was 13.6 points, representing 34.6% change from baseline; 92 patients (53.8%) met or exceeded the MCID. For this sample of veterans with LBP, the mean percentages of clinical improvement were statistically significant and clinically meaningful for both the NRS and BBQ.

Key words: chiropractic, hospitals, low back pain, musculoskeletal and neural physiological phenomena, Operation Enduring Freedom, Operation Iraqi Freedom, outcome assessment, rehabilitation, spinal manipulation, veterans.


View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 8
This article and any supplementary material should be cited as follows:
Dunn AS, Green BN, Formolo LR, Chicoine D. Retrospective case series of clinical outcomes associated with chiropractic management for veterans with low back pain. J Rehabil Res Dev. 2011;48(8):927-34.
DOI:10.1682/JRRD.2010.10.0202

ResearcherID: Andrew S. Dunn, DC, MS, MEd: B-5935-2011.
Crossref

Last Reviewed or Updated  Friday, October 14, 2011 9:52 AM

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