Comparison of Bioenergetic Synchronization Technique and Customary Chiropractic Care for Older Adults With Chronic Musculoskeletal Pain

Rupert, Ronald L.; Colonvega, Makasha; Boyd, Jennell; Hall, Stephanie

doi:10.1016/j.jmpt.2006.06.026

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…It is similar to a previous study conducted by the principal investigator in another location but with a similar population of communitydwelling older adults. 41 Premature adoption of a randomized design may not be the best strategy to gather larger samples for exploratory areas such as ours. The studies we have undertaken while this one was running are single group interventions or observational practice-based research projects, which provide in-depth information of a pragmatic nature, to inform the development of larger controlled studies.…”

Section: Discussionmentioning

confidence: 99%

“…36 Although the PDI's clinical responsiveness has not been definitively described, from the literature and our previous studies, it appears that a 6-point change is clinically important. [39][40][41][42] Geriatric Depression Scale. Because depression is relatively common in the elderly, especially in those with chronic pain, we assessed presence of depression using the 15-item short form of the GDS, a questionnaire shown to be valid and reliable; 5 to 10 points indicate mild depression and 11+ points indicate severe depression.…”

Section: Assessment Of Chronic Pain and Dizzinessmentioning

confidence: 99%

See 1 more Smart Citation

Pilot Study of the Effect of a Limited and Extended Course of Chiropractic Care on Balance, Chronic Pain, and Dizziness in Older Adults

Cambron

Pfefer

2009

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionmentioning

confidence: 99%

Section: Assessment Of Chronic Pain and Dizzinessmentioning

confidence: 99%

Pilot Study of the Effect of a Limited and Extended Course of Chiropractic Care on Balance, Chronic Pain, and Dizziness in Older Adults

Cambron

Pfefer

2009

Journal of Manipulative and Physiological Therapeutics

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“…Hawk et al compared the clinical outcomes of spinal manipulation and a non-manipulative mind-body approach (Bioenergetic Synchronization Technique) for patients with chronic musculoskeletal pain in older adults. They reported that for this particular group of patients, both groups demonstrated similar improvement scores on the Pain Disability Index [64].…”

Section: Manual Therapymentioning

confidence: 81%

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Edeer¹,

Tuna²

2012

Pain in Perspective

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Pain in Perspective 94percent of community dwelling adults aged 60 years or above have been found to experience pain and this number increases to 45-80% in the nursing home population with analgesics being used in 40% to 50% of residents [1,[13][14][15][16][17][18][19]. Brown et al report higher percentage and state that more than 90% of the elderly living in the community experienced pain within the past month [6]. Given the prevalence of chronic pain, its impact on health, and its costs, which approach $100 billion annually, chronic pain represents a major public health issue [20].While the existence of acute pain remains approximately the same across the adult life span, there is an age-related increase in the prevalence of chronic pain at least until the seventh decade of life [13,15]. Approximately 57% of older adults report experiencing pain for 1 or more years compared with less than 45% of younger people. Furthermore, long-term care data indicate that over 40% of patients, who were known to have pain at an initial assessment, had worsening or severe pain at the time of the second assessment 2-6 months later [21]. Chronic musculoskeletal painChronic musculoskeletal pain (CMP) is the most common, non-malignant disabling condition that affects at least one in four older people [22,23]. The most musculoskeletal pain in the joints of the upper and lower extremities, especially hips, knees, and hands, is associated with the degenerative changes of osteoarthritis. Older adults may also develop tendonitis and bursitis, as well as inflammatory joint and muscle disease [24]. The most common painful musculoskeletal conditions among older adults are osteoarthritis, low back pain, fibromyalgia, chronic shoulder pain, knee pain, myofascial pain syndrome and previous fracture sites [7,23,25].It is reported that the most common causes of pain identified in nursing home patients included arthritis and previous fractures. Arthritis alone affects well over 20 million Americans with an increase to 40 million expected by 2020. Twenty-nine percent of Medicare patients in nursing homes with a fracture in the prior 6 months suffer with daily pain [13]. Also surgical procedures are more frequently performed on older people. In the Medicare population in the United States for example, rates of total joint replacement surgery for patients with severe hip or knee osteoarthritis are more than doubled between 1988 and 1997. Over the same time period, rates of spine surgery in Medicare patients increased by 57% [23]. Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain condition s i n o l d e r a d u l t s [ 2 6 ] . M a n y o l d e r a d u l t s r e m a i n q u i t e functional despite CLBP, and because age-related co-morbidities often exist independently of pain, the unique impact of CLBP is unknown [27]. The Framingham Study (1992-1993 reported 63% of women pain in one or more regions, compared to 52% of men. Widespread CMP was more prevalent among women than men (15 versu...

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“…This study replicated the experience of similar studies at a different location in demonstrating that personal contact with senior centers and events is the most productive and economical recruitment method. 9,11,12 The second specific aim was to assess compliance with treatment group assignment and study protocols. It appears from our results that assigning patients to a group they do not prefer may increase attrition, with 2 patients dropping out immediately when they were not assigned to their preferred group.…”

Section: Discussionmentioning

confidence: 99%

“…Based on successful strategies used in previous studies elsewhere, 9,11,12 our recruitment methods were (1) presentations at senior centers and events (primary method); (2) posters and flyers in the college and local neighborhood; (3) ads in local newspaper and/or senior publications; and (4) word of mouth and referrals through friends and family members of college employees, students, and clinic patients.…”

Section: Recruitment Strategiesmentioning

confidence: 99%

Feasibility study of short-term effects of chiropractic manipulation on older adults with impaired balance

Hawk

Pfefer

Strunk

et al. 2007

Journal of Chiropractic Medicine

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Comparison of Bioenergetic Synchronization Technique and Customary Chiropractic Care for Older Adults With Chronic Musculoskeletal Pain

Cited by 12 publications

References 15 publications

Pilot Study of the Effect of a Limited and Extended Course of Chiropractic Care on Balance, Chronic Pain, and Dizziness in Older Adults

Pilot Study of the Effect of a Limited and Extended Course of Chiropractic Care on Balance, Chronic Pain, and Dizziness in Older Adults

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Feasibility study of short-term effects of chiropractic manipulation on older adults with impaired balance

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