Episode

066- Dr. Ronald Farabaugh – The Cost of Chiropractic vs Medical Management of Adults With Spine-Related Musculoskeletal Pain

In this episode, Dr. Ronald Farabaugh and I discuss his recent systematic review regarding the cost of chiropractic vs. medical management of adults with spine-related musculoskeletal pain. Dr. Farabaugh has been in practice in Ohio since 1982. He was appointed by the Governor in 1994 to serve on the Healthcare Quality Advisory Council to help design managed care programs for the Bureau of Workers’ Compensation (BWC), specifically Qualified Health Plans (QHP). He became the 1996-President of the Ohio State Chiropractic Association. He is the former Chairman of the CCGPP (Council on Chiropractic Guidelines and Practice Parameters).  He was past president of the Ohio Chiropractic State Board, appointed by Governor Strickland in 2010. He is on the ODG-Board of Advisors (Official Disability Guidelines).  He currently serves as VP and National Physical Medicine Director for Advanced Medicine Integration Group, LP (AMI).

Dr. Farabaugh was appointed to serve on the Scientific Commission of The Clinical Compass and he has published 15 papers on clinical practice guidelines in peer reviewed journals including the paper that we will discuss today on cost-effectiveness that just came out in March of 2024. 

Please visit Dr. Farabaugh’s research page at researchgate.net.

Here is the reference and link to the article we discuss in this episode.

Farabaugh R, Hawk C, Taylor D, Daniels C, Noll C, Schneider M, McGowan J, Whalen W, Wilcox R, Sarnat R, Suiter L, Whedon J. Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review. Chiropr Man Therap. 2024 Mar 6;32(1):8. doi: 10.1186/s12998-024-00533-4. PMID: 38448998; PMCID: PMC10918856.Copy

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051- Dr. William Reed Discusses Mechanisms of Spinal Manual Therapy

Dr. William Reed is an Associate Professor in the School of Health Professions, Department of Physical Therapy at University of Alabama at Birmingham. He is the director of the Mechanisms of Spinal Manual Therapy Laboratory. His research is directed towards determining the peripheral and central mechanisms of spinal manipulation (manual therapy) for the treatment of musculoskeletal pain.  He is also the Interim Co-Director of the PhD program in Rehabilitation Science at the University of Alabama at Birmingham. Here we discuss some of Dr. William Reed’s research starting with his introduction to research as a chiropractic student in 1994 then we’ll discuss his work with Dr. Joel Pickar, his K01 award topic, and progressing to his latest line of research on characterization of a rat LBP model and spinal mobilization mechanisms. 

See more of Dr. Reed’s research at researchgate.net.

The articles we discuss in this episode include:

1.
Chiropractic management of primary nocturnal enuresis.
Reed WR, Beavers S, Reddy SK, Kern G.
J Manipulative Physiol Ther. 1994 Nov-Dec;17(9):596-600.
PMID: 7884329 Clinical Trial.
2.
Relationship between Biomechanical Characteristics of Spinal Manipulation and Neural Responses in an Animal Model: Effect of Linear Control of Thrust Displacement versus Force, Thrust Amplitude, Thrust Duration, and Thrust Rate.
Reed WR, Cao DY, Long CR, Kawchuk GN, Pickar JG.
Evid Based Complement Alternat Med. 2013;2013:492039. doi: 10.1155/2013/492039. Epub 2013 Jan 20.
PMID: 23401713 Free PMC article.
3.
Paraspinal Muscle Spindle Response to Intervertebral Fixation and Segmental Thrust Level During Spinal Manipulation in an Animal Model.
Reed WR, Pickar JG.
Spine (Phila Pa 1976). 2015 Jul 1;40(13):E752-9. doi: 10.1097/BRS.0000000000000915.
PMID: 25856263 Free PMC article.
4.
Neural responses to the mechanical characteristics of high velocity, low amplitude spinal manipulation: Effect of specific contact site.
Reed WR, Long CR, Kawchuk GN, Pickar JG.
Man Ther. 2015 Dec;20(6):797-804. doi: 10.1016/j.math.2015.03.008. Epub 2015 Mar 27.
PMID: 25841562 Free PMC article.
5.
Spinal Mobilization Prevents NGF-Induced Trunk Mechanical Hyperalgesia and Attenuates Expression of CGRP.
Reed WR, Little JW, Lima CR, Sorge RE, Yarar-Fisher C, Eraslan M, Hurt CP, Ness TJ, Gu JG, Martins DF, Li P.
Front Neurosci. 2020 Apr 30;14:385. doi: 10.3389/fnins.2020.00385. eCollection 2020.
PMID: 32425750 Free PMC article.

 

Check out related chiropractic science podcasts on neurophysiology and the brain.

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