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Dr. Carolina Kolberg and I discuss her research dealing with the effect of chiropractic care on oxidative stress blood markers. Dr. Kolberg has a degree in chiropractic from the Anhembi Morumbi University in São Paulo, Brazil (2004), and she completed her Masters (2009) and PhD (2013) in Biological Sciences: Physiology at the Federal University of Rio Grande do Sul (UFRGS). Her research interests include the neurophysiology of pain and physiological effects of chiropractic treatment. Dr. Kolberg’s thesis on oxidative stress blood markers in patients with chronic back or neck pain treated with high-velocity and low-amplitude manipulation support the hypothesis that HVLA spinal manipulation leads to an antioxidant effect which, in turn, could be related to the analgesic response. Being the first chiropractor graduated in Brazil with a PhD, her goal is to promote the interest of Brazilians’ young chiropractors in research.
Dr. Kolberg is a member of the Research Committee of the WFC, is the Chair of the Research Committee of the Latin American Federation of Chiropractic (FLAQ) and a member of the editorial board of the Journal Coluna/Columna (ISSN 1808-1851), the official scientific publication of the Brazilian Spine Society and affiliated Societies. Dr. Kolberg is active in clinical practice; she is a Physiology professor at the University Center of the Serra Gaúcha (FSG) in the south of Brazil and is an associate researcher at the Neurobiology group from the Federal University of Rio Grande do Sul.
View Dr. Kolberg’s research at researchgate.net.
Here are the research articles we discussed in this episode:
| 1. | Peripheral oxidative stress blood markers in patients with chronic back or neck pain treated with high-velocity, low-amplitude manipulation. |
| Kolberg C, Horst A, Moraes MS, Duarte FC, Riffel AP, Scheid T, Kolberg A, Partata WA. | |
| J Manipulative Physiol Ther. 2015 Feb;38(2):119-29. doi: 10.1016/j.jmpt.2014.11.003. Epub 2014 Dec 5. | |
| PMID: 25487299 [PubMed – indexed for MEDLINE] Free Article | |
| Similar articles |
| 2. | Effect of high-velocity, low-amplitude treatment on superoxide dismutase and glutathione peroxidase activities in erythrocytes from men with neck pain. |
| Kolberg C, Horst A, Moraes MS, Kolberg A, Belló-Klein A, Partata WA. | |
| J Manipulative Physiol Ther. 2012 May;35(4):295-300. doi: 10.1016/j.jmpt.2012.04.010. | |
| PMID: 22632589 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 3. | Effects of high-velocity, low-amplitude manipulation on catalase activity in men with neck pain. |
| Kolberg C, Horst A, Kolberg A, Belló-Klein A, Partata WA. | |
| J Manipulative Physiol Ther. 2010 May;33(4):300-7. doi: 10.1016/j.jmpt.2010.03.002. | |
| PMID: 20534317 [PubMed – indexed for MEDLINE] | |
| Similar articles |
Dr. Craig Moore discusses the role of chiropractors in the management of headaches. Some areas of discussion we touch upon include the societal impact and costs associated with headaches; prevalence of headaches in the community; prevalence of headache in chiropractic clinical settings; why do people turn to chiropractors; current level of evidence for chiropractic treatment of different headache types; what do the headache guidelines recommend for each headache; what should a chiropractor consider when examining a headache patient (history and examination).
Dr. Craig Moore is the director of a multi-disciplinary allied-health clinic in Crows Nest, Sydney. His clinic focus is toward the diagnosis and management of musculoskeletal disorders and in headache disorders in particular (migraine, tension-type headache, cervicogenic headache).
Dr. Moore has completed a Masters of Clinical Trials Research and is currently enrolled at the University of Technology Sydney, doing a PhD in Public Health – focused on the chiropractic management of headache disorders. As a founding member of the Australian Chiropractic Research Network (ACORN) he has a strong interest in supporting the development of chiropractic research through the utilization of this practice-based research network project. He has numerous publications in the scientific literature in such journals as Spine, BMC Neurology, JMPT, BMC Musculoskeletal Disorders and Headache to name a few. Dr. Moore is also a CARL Fellow!
See Dr. Moore’s research at researchgate.net.
Here are the articles we mentioned during the podcast:
| 1. | The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 chiropractors. |
| Moore C, Adams J, Leaver A, Lauche R, Sibbritt D. | |
| BMC Complement Altern Med. 2017 Dec 4;17(1):519. doi: 10.1186/s12906-017-2026-3. | |
| PMID: 29202816 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
| 2. | A cross-sectional examination of the profile of chiropractors recruited to the Australian Chiropractic Research Network (ACORN): a sustainable resource for future chiropractic research. |
| Adams J, Peng W, Steel A, Lauche R, Moore C, Amorin-Woods L, Sibbritt D. | |
| BMJ Open. 2017 Sep 29;7(9):e015830. doi: 10.1136/bmjopen-2017-015830. | |
| PMID: 28965091 [PubMed – in process] Free PMC Article | |
| Similar articles |
| 3. | The Prevalence, Patterns, and Predictors of Chiropractic Use Among US Adults: Results From the 2012 National Health Interview Survey. |
| Adams J, Peng W, Cramer H, Sundberg T, Moore C, Amorin-Woods L, Sibbritt D, Lauche R. | |
| Spine (Phila Pa 1976). 2017 Dec 1;42(23):1810-1816. doi: 10.1097/BRS.0000000000002218. | |
| PMID: 28459779 [PubMed – in process] | |
| Similar articles |
| 4. | A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, communication and self-reported effectiveness. |
| Moore CS, Sibbritt DW, Adams J. | |
| BMC Neurol. 2017 Mar 24;17(1):61. doi: 10.1186/s12883-017-0835-0. Review. | |
| PMID: 28340566 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
| 5. | A workforce survey of Australian chiropractic: the profile and practice features of a nationally representative sample of 2,005 chiropractors. |
| Adams J, Lauche R, Peng W, Steel A, Moore C, Amorin-Woods LG, Sibbritt D. | |
| BMC Complement Altern Med. 2017 Jan 5;17(1):14. doi: 10.1186/s12906-016-1542-x. | |
| PMID: 28056964 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
Listen as Dr. Gregory Cramer interviews Dr. Dean Smith regarding his research involving chiropractic as well as exercise on response time, letters to editor and case studies. Dr. Dean Smith is a senior clinical faculty member in the Department of Kinesiology and Health at Miami University. He also maintains a private practice of chiropractic in Eaton, Ohio at Essence of Wellness Chiropractic Center. He is founder and host of Chiropractic Science – this podcast. Chiropractic Science is dedicated to publicizing chiropractic research through podcast interviews with leading chiropractic scientists.
In his private practice, Dr. Smith incorporates lifestyle intervention (exercise, nutrition, other non-drug methods) with chiropractic adjustments and other manual methods to encourage wellness. He has been in practice now for 20+ years. Dr. Smith’s education includes a bachelor’s degree in human biology, a master’s degree in exercise science, a doctor of chiropractic degree and a PhD in brain and cognitive science with a focus on motor behavior and postural control.
His research interests lie broadly in the area of human movement and coordination. He is most interested in how chiropractic, exercise and rehabilitation affect human performance. His scientific articles have been published in such journals as Human Movement Science, Journal of Manipulative and Physiological Therapeutics, Journal of Strength and Conditioning Research, Chiropractic Research Journal, Chiropractic and Osteopathy and The Open Neurology Journal.
Dr. Smith has played several competitive sports such as soccer, hockey and golf. He had a varsity golf scholarship at Miami University where he now teaches and does research. He has provided chiropractic care to professional athletes including Women’s Tennis Association tour pros at the Canadian Open. He also works with varsity university and high school athletes. Dr. Smith is also an Internationally Certified Chiropractic Sports Practitioner (ICCSP).
Here is a link to Dr. Smith’s research articles on research gate.
Below are some articles we discuss in this podcast episode:
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Listen as Dr. Pierre Côté and I discuss his involvement in hugely impactful research on stroke, lumbar disc herniations and neck pain. He provides chiropractors with key information that helps de-mystify these topics. Pierre Côté DC, PhD is an epidemiologist. In 2013, he was awarded the prestigious Canada Research Chair in Disability Prevention and Rehabilitation from the Canadian Government. He is currently an Associate Professor in the Faculty of Health Sciences at the University of Ontario Institute of Technology, director of the UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation and an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto. Dr. Côté graduated from the Canadian Memorial Chiropractic College in 1989. In 1996, he obtained a Master’s Degree in Surgery from the University of Saskatchewan. He completed his PhD in epidemiology at the University of Toronto in 2002. In 2003, he received a New Investigator Award from the Canadian Institutes of Health Research.
Dr. Côté was a member of the scientific secretariat of the 2000-2010 Bone and Joint Task Force on Neck Pain and its Associated Disorders; a large international collaboration aimed at synthesizing the scientific evidence on the problem of neck pain. In 2010, he reviewed and proposed modifications to the definition of catastrophic impairment related to traffic collision for the Financial Services Commission of Ontario. More recently in 2012, he was mandated by the Government of Ontario to develop evidence- based Clinical Practice Guidelines for the management of traffic injuries. He submitted his report on the management of Common Traffic injuries to the Ontario Government in 2015. Dr. Côté’s research focuses on understanding the etiology, prognosis and evidence-based management of musculoskeletal pain and disability and mental health. Dr. Côté has published more than 200 scientific papers in prestigious peer-reviewed journals such as the New England Journal of Medicine, the Annals of Internal Medicine, Pain and the American Journal of Epidemiology. His 2017 Google Scholar h-index is 56 and it is 48 according to Scopus.
Website: www.cdpr-research.org
You can find a listing of Dr. Côté’s research at researchgate.
Below are the articles we discuss in this interview:
| 1. | Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study. |
| Hincapié CA, Tomlinson GA, Côté P, Rampersaud YR, Jadad AR, Cassidy JD. | |
| Eur Spine J. 2017 Oct 16. doi: 10.1007/s00586-017-5325-y. [Epub ahead of print] | |
| PMID: 29038870 [PubMed – as supplied by publisher] | |
| Similar articles |
| 2. | Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. |
| Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ. | |
| Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83. doi: 10.1097/BRS.0b013e3181644600. Erratum in: Spine (Phila Pa 1976). 2010 Mar 1;35(5):595. | |
| PMID: 18204390 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 3. | Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. |
| Côté P, Wong JJ, Sutton D, Shearer HM, Mior S, Randhawa K, Ameis A, Carroll LJ, Nordin M, Yu H, Lindsay GM, Southerst D, Varatharajan S, Jacobs C, Stupar M, Taylor-Vaisey A, van der Velde G, Gross DP, Brison RJ, Paulden M, Ammendolia C, David Cassidy J, Loisel P, Marshall S, Bohay RN, Stapleton J, Lacerte M, Krahn M, Salhany R. | |
| Eur Spine J. 2016 Jul;25(7):2000-22. doi: 10.1007/s00586-016-4467-7. Epub 2016 Mar 16. Review. | |
| PMID: 26984876 [PubMed – in process] | |
| Similar articles |
| 4. | The annual incidence and course of neck pain in the general population: a population-based cohort study. |
| Côté P, Cassidy JD, Carroll LJ, Kristman V. | |
| Pain. 2004 Dec;112(3):267-73. | |
| PMID: 15561381 [PubMed – indexed for MEDLINE] | |
| Similar articles |
In this interview, Dr. Axén and I discuss the trajectories of low back pain, the characteristics of chiropractic patients with low back pain and practice based research. Iben Axén is a chiropractor in private practice in Stockholm, Sweden, who started to engage in practice-based research in the 1990’s. In 2011, she earned her PhD at Karolinska Institutet (KI) in Stockholm. She previously held a post-doc position shared between KI and the University of Southern Denmark. Currently she is an Associate professor in Musculoskeletal Health at the Karolinska Institutet. Her research centers on chiropractic care for low back pain (LBP). She has published work regarding predictors of treatment outcome, the clinical course and episodes of LBP and of subgrouping patients. Further, she is involved in the Nordic Maintenance Care Program, including the use of, indications for and outcomes of prevention. Iben Axen’s work is mainly based ondata from multicentre longitudinal studies. She is a firm believer in engaging chiropractic clinicians in data collection as part of the implementation process. In several studies, she has used a novel way of frequently measuring outcome using mobile phones and text messages, which allow for detailed studies of conditions that vary over time, for instance LBP.
View Dr. Axen’s research here.
Below are the articles discussed in this episode:
| 1. | “Typical” chiropractic patients- can they be described in terms of recovery patterns? |
| Axén I, Leboeuf-Yde C. | |
| Chiropr Man Therap. 2017 Aug 9;25:23. doi: 10.1186/s12998-017-0152-0. eCollection 2017. | |
| PMID: 28804617 [PubMed] Free PMC Article | |
| Similar articles |
| 2. | What have we learned from ten years of trajectory research in low back pain? |
| Kongsted A, Kent P, Axen I, Downie AS, Dunn KM. | |
| BMC Musculoskelet Disord. 2016 May 21;17:220. doi: 10.1186/s12891-016-1071-2. | |
| PMID: 27209166 [PubMed – in process] Free PMC Article | |
| Similar articles |
| 3. | Trajectories of low back pain. |
| Axén I, Leboeuf-Yde C. | |
| Best Pract Res Clin Rheumatol. 2013 Oct;27(5):601-12. doi: 10.1016/j.berh.2013.10.004. Epub 2013 Oct 10. Review. | |
| PMID: 24315142 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 4. | Conducting practice-based projects among chiropractors: a manual. |
| Axén I, Leboeuf-Yde C. | |
| Chiropr Man Therap. 2013 Feb 1;21(1):8. doi: 10.1186/2045-709X-21-8. | |
| PMID: 23369259 [PubMed] Free PMC Article | |
| Similar articles |
| 5. | The Nordic maintenance care program: the clinical use of identified indications for preventive care. |
| Axén I, Bodin L. | |
| Chiropr Man Therap. 2013 Mar 6;21(1):10. doi: 10.1186/2045-709X-21-10. | |
| PMID: 23497707 [PubMed] Free PMC Article | |
| Similar articles |
Dr. Eklund and I discuss topics such as: the effect and cost-effectiveness of Chiropractic Maintenance Care (MC) in a population with recurrent and persistent LBP, the demarcation of a LBP episode, psychological and behavioral characteristics of chiropractic patients compared to the other primary care patients, and predictive properties of the West-Haven Yale Multidimensional Pain Inventory (MPI-S) among patients with recurrent and persistent LBP receiving chiropractic care.
Andreas Eklund, DC, PhD graduated from the Anglo European College of Chiropractic 2002 and was in full time Chiropractic practice up until 2012 when he was enrolled in a PhD program at Karolinska Institutet.
In 2015 he was a co-founder of a multidisciplinary rehab unit, which today employs 23 persons working as an integrated team of health professionals, Chiropractors, Physiotherapists, Occupational therapists, Dietitians, and massage therapists.
He earned his PhD degree in 2016, and the title of his thesis was “Recurrent and persistent low back pain – course and prevention”. He currently works as a post Doc at Karolinska Institutet along with his clinical duties. At the moment he also serves as the chair of the scientific committee of the Swedish Chiropractic Association.
See Dr. Eklund’s profile at researchgate.
Below are the articles we discussed in this interview:
| 1. | Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care. |
| Eklund A, Jensen I, Lohela-Karlsson M, Leboeuf-Yde C, Axén I. | |
| Chiropr Man Therap. 2016 Feb 18;24:3. doi: 10.1186/s12998-016-0085-z. eCollection 2016. | |
| PMID: 26893824 [PubMed] Free PMC Article | |
| Similar articles |
| 2. | Do psychological and behavioral factors classified by the West Haven-Yale Multidimensional Pain Inventory (Swedish version) predict the early clinical course of low back pain in patients receiving chiropractic care? |
| Eklund A, Bergström G, Bodin L, Axén I. | |
| BMC Musculoskelet Disord. 2016 Feb 12;17:75. doi: 10.1186/s12891-016-0933-y. | |
| PMID: 26867930 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
| 3. | Psychological and behavioral differences between low back pain populations: a comparative analysis of chiropractic, primary and secondary care patients. |
| Eklund A, Bergström G, Bodin L, Axén I. | |
| BMC Musculoskelet Disord. 2015 Oct 19;16:306. doi: 10.1186/s12891-015-0753-5. | |
| PMID: 26483193 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
| 4. | Prevention of low back pain: effect, cost-effectiveness, and cost-utility of maintenance care – study protocol for a randomized clinical trial. |
| Eklund A, Axén I, Kongsted A, Lohela-Karlsson M, Leboeuf-Yde C, Jensen I. | |
| Trials. 2014 Apr 2;15:102. doi: 10.1186/1745-6215-15-102. | |
| PMID: 24690201 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
I am really excited that in this interview, we’ll discuss topics such as: spine care as a framework for the chiropractic identity (as well as primary spine care), psychologic factors in spinal pain, lumbar spinal stenosis and, the Clinical Reasoning in Spine Pain (CRISP) protocols.
Dr. Donald Murphy is Medical Director of the Spine Care Program for Care New England, a large multi-hospital system in Rhode Island where he oversees the development and implementation of an integrated spine care pathway. He is also Clinical Assistant Professor in the Department of Family Medicine at Alpert Medical School of Brown University. His other faculty appointments include Professor, Part-Time University Faculty at Southern California University of Health Sciences and Adjunct Associate Professor of Research at New York Chiropractic College. Dr. Murphy has been admitted as a Fellow of the Royal College of Chiropractors in the United Kingdom. Dr. Murphy has served on the Expert Panel for several spine care guidelines, including those of the American College of Environmental and Occupational Medicine, American College of Physicians and American Pain Society.
Dr. Murphy has 29 years’ experience practicing and teaching primary spine care and has nearly 100 publications in peer-reviewed scientific journals and book chapters. He is the lead instructor for the certification course for Primary Spine Practitioners offered by the University of Pittsburgh. His recent books, Clinical Reasoning in Spine Pain, Volume I and II serve as the required texts for that course. His consulting activities include assisting hospitals, healthcare systems and insurers implement high-value spine care services through Spine Care Partners, LLC.
Here are Dr. Murphy’s textbooks that were discussed in the interview. Click on the books to examine and purchase.
See Dr. Murphy’s scientific articles on researchgate.
Articles that we discuss in this interview are below:
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Dr. Cynthia Long and I discuss the importance of statistics in chiropractic science. We talk about the role of statistics in research, when to involve a biostatistician into the research process, and the top statistical terms (such as power, effect size, significance, confidence intervals and many more). Dr. Long is Professor and Director of Research at Palmer College of Chiropractic, Davenport, IA, and Director of the Office of Data Management & Biostatistics (ODM) at the Palmer Center of Chiropractic Research (PCCR). She holds an M.S. degree in statistics from Iowa State University and a Ph.D. in biostatistics from the University of Iowa. Dr. Long joined the faculty of the PCCR at its inception in 1995 and contributed to developing PCCR’s research infrastructure, in particular creating the ODM to support the research design, data management and data analysis needs of PCCR research investigators. Since 2000, she has directed the ODM staff as data coordinating centers for 15 on-site, off-site and multi-site federally-funded clinical trials of chiropractic care. Dr. Long is the principal investigator of “Expanding Evidence-Based Clinical Practice and Research Across the Palmer College of Chiropractic”, a grant awarded by the National Center of Complementary and Integrative Health of the National Institutes of Health. She is also the director of Palmer’s MS in Clinical Research where she teaches 10 credit hours of biostatistics. She is on the editorial boards of JMPT and JCCA and has just completed a 3-year term as an elected member of the American Statistical Association board of directors.
Take a look at Dr. Long’s publications at researchgate.
Here is a link to Dr. Long’s webpage at Palmer Center for Chiropractic Research.
Dr. Long mentioned the following paper in the show “Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache“.
Dr. Martin Descarreaux and I discuss his research regarding learning to perform chiropractic adjustments, neuromuscular responses following spinal manipulation and several other studies. Dr. Descarreaux graduated from the UQTR’s first cohort of the chiropractic program in 1998, and completed a PhD in kinesiology at the Université Laval 6 years later. He is now a full professor in the Human Kinetics Department (UQTR), and an invited professor and researcher at the Institut Franco-Européen de Chiropraxie, in Paris and Toulouse. His current research projects involve the characterization of the neurophysiological and biomechanical effects of spinal manipulation, the various effects of pain and pain-related psychological components on trunk neuromuscular strategies, as well as spinal manipulation learning, as can attest the numerous articles he has published on these topics. Over the years, he has developed several strategies to better integrate motor learning principles, which have been shared with students, professors and those responsible for clinical training within chiropractic teaching institutions not only in Canada, but also in Europe. His work in this specific area has contributed to the characterization of the adjustment learning sequence, and showed the importance of augmented feedback in the technical training of future chiropractors. He is currently the Director of graduate studies in human kinetics and director of the Groupe de recherche sur les affections neuromusculosquelettiques at UQTR.
Take a look at Dr. Descarreaux’s publications at researchgate.
Here are the links to the articles we discussed in this interview:
| 1. | Effects of practice variability on spinal manipulation learning. |
| Marchand AA, Mendoza L, Dugas C, Descarreaux M, Pagé I. | |
| J Chiropr Educ. 2017 Jan 25. doi: 10.7899/JCE-16-8. [Epub ahead of print] | |
| PMID: 28121458 [PubMed – as supplied by publisher] | |
| Similar articles |
| 2. | Influence of Lumbar Muscle Fatigue on Trunk Adaptations during Sudden External Perturbations. |
| Abboud J, Nougarou F, Lardon A, Dugas C, Descarreaux M. | |
| Front Hum Neurosci. 2016 Nov 14;10:576. | |
| PMID: 27895569 [PubMed – in process] Free PMC Article | |
| Similar articles |
| 3. | Physiological and Psychological Predictors of Short-Term Disability in Workers with a History of Low Back Pain: A Longitudinal Study. |
| Dubois JD, Cantin V, Piché M, Descarreaux M. | |
| PLoS One. 2016 Oct 26;11(10):e0165478. doi: 10.1371/journal.pone.0165478. | |
| PMID: 27783666 [PubMed – in process] Free PMC Article | |
| Similar articles |
| 4. | Neuromechanical response to spinal manipulation therapy: effects of a constant rate of force application. |
| Nougarou F, Pagé I, Loranger M, Dugas C, Descarreaux M. | |
| BMC Complement Altern Med. 2016 Jun 2;16:161. doi: 10.1186/s12906-016-1153-6. | |
| PMID: 27249939 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
| 5. | Systematic Augmented Feedback and Dependency in Spinal Manipulation Learning: a Randomized Comparative Study. |
| Lardon A, Cheron C, Pagé I, Dugas C, Descarreaux M. | |
| J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):185-91. doi: 10.1016/j.jmpt.2016.02.002. | |
| PMID: 27016338 [PubMed – in process] | |
| Similar articles |
| 6. | Effects of a prehabilitation program on patients’ recovery following spinal stenosis surgery: study protocol for a randomized controlled trial. |
| Marchand AA, Suitner M, O’Shaughnessy J, Châtillon CÉ, Cantin V, Descarreaux M. | |
| Trials. 2015 Oct 27;16:483. doi: 10.1186/s13063-015-1009-2. | |
| PMID: 26507388 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
Dr. Michele Maiers and I discuss the patient perspective in chiropractic clinical trials, integrative care and leveraging research to inform health care policy.
“We’re drowning in information and starving for knowledge.” ~Rutherford Rogers
This axiom aptly characterizes how many see research as it relates to health care delivery. Dr. Maiers’ professional goal is to facilitate the pragmatic use of research to both inform clinical practice and shape public health policy. Her research has focused on clinical trials that answer practical questions, including, are patient outcomes improved with co-management by different provider types? Is short term treatment or long term management a better approach for chronic musculoskeletal conditions? What aspects of care matter most to patients? It is essential that the information gained in these and other studies is translated into knowledge that improves patient care, policy guidelines, access and reimbursement. Dr. Maiers is excited about her work because she believes in the capacity for integrative and complementary professions to be a positive force to improving the landscape of health care. When not at work, she enjoys traveling, reading, running and baking pies.
See Dr. Maiers publications on researchgate.
Here are the links to the articles we discussed in this interview:
| 1. | What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial. |
| Maiers M, Hondras MA, Salsbury SA, Bronfort G, Evans R. | |
| Man Ther. 2016 Dec;26:183-191. doi: 10.1016/j.math.2016.09.008. | |
| PMID: 27705840 [PubMed – in process] | |
| Similar articles |
| 2. | Adverse events among seniors receiving spinal manipulation and exercise in a randomized clinical trial. |
| Maiers M, Evans R, Hartvigsen J, Schulz C, Bronfort G. | |
| Man Ther. 2015 Apr;20(2):335-41. doi: 10.1016/j.math.2014.10.003. | |
| PMID: 25454683 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 3. | Perceived value of spinal manipulative therapy and exercise among seniors with chronic neck pain: a mixed methods study. |
| Maiers M, Vihstadt C, Hanson L, Evans R. | |
| J Rehabil Med. 2014 Nov;46(10):1022-8. doi: 10.2340/16501977-1876. | |
| PMID: 25258045 [PubMed – indexed for MEDLINE] Free Article | |
| Similar articles |
| 4. | Spinal manipulative therapy and exercise for seniors with chronic neck pain. |
| Maiers M, Bronfort G, Evans R, Hartvigsen J, Svendsen K, Bracha Y, Schulz C, Schulz K, Grimm R. | |
| Spine J. 2014 Sep 1;14(9):1879-89. doi: 10.1016/j.spinee.2013.10.035. | |
| PMID: 24225010 [PubMed – indexed for MEDLINE] | |
| Similar articles |
| 5. | Integrative care for the management of low back pain: use of a clinical care pathway. |
| Maiers MJ, Westrom KK, Legendre CG, Bronfort G. | |
| BMC Health Serv Res. 2010 Oct 29;10:298. doi: 10.1186/1472-6963-10-298. | |
| PMID: 21034483 [PubMed – indexed for MEDLINE] Free PMC Article | |
| Similar articles |
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