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

Cambron, Jerrilyn A.; Pfefer, Mark T.

doi:10.1016/j.jmpt.2009.06.008

Cited by 27 publications

(47 citation statements)

References 42 publications

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“…The research surrounding the wider functional effects, and possible clinical applications of the technique however, is limited. A small number of studies have reported significant improvements in postural stability following treatment interventions involving asymptomatic (Hawk, Pfefer, Strunk, Ramcharan, & Uhl, 2007;Jones, 2003) and symptomatic individuals (Hawk, Cambron, & Pfefer, 2009;Karlberg, Magnusson, Eva-Maj, Agneta, & Moritz, 1996). The treatment protocols included the use of spinal manipulation amongst other techniques such as massage, trigger point, and hot/cold therapy.…”

Section: Cervical Spine Manipulation and Postural Swaymentioning

confidence: 99%

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

Fisher

Bacon

Mannion

2015

Journal of Manipulative and Physiological Therapeutics

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Section: Cervical Spine Manipulation and Postural Swaymentioning

confidence: 99%

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

Fisher

Bacon

Mannion

2015

Journal of Manipulative and Physiological Therapeutics

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“…Studies involving chiropractic care as a treatment option for balance problems in this age cohort also remain under represented [1,25]. There remain important research questions we hope to address in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Normal sagittal spinal alignment has been shown to play an important role in the reduction of fall risk [24]. Hawk et al published feasibility clinical trials looking at the effects of chiropractic care on balance, dizziness and chronic pain in the elderly [25,26]. There is a need for further investigations on the effects of chiropractic on pain and balance.…”

Section: Introductionmentioning

confidence: 99%

Methodology and demographics of a single blinded, randomized controlled trial of chiropractic compared to physical therapy for balance impairments in community dwelling geriatric patients with or without low back pain

et al. 2014

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Background: Postural control problems effect between 28% and 35% of individuals over the age 65 and increases with age. Musculoskeletal pain in the elderly impacts 20% to 49% of people between the ages of 65 and 75, is a leading falls risk factor, and a robust predictor of morbidity. Polypharmacy in the management of chronic pain is common in the geriatric population. Conservative treatment options for balance and back pain are underrepresented in scientific literature.

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“…7 At this time, there have been only 4 small experimental studies that have investigated the effects of chiropractic care on balance. [15][16][17][18] The purpose of this study was to collect preliminary information on the effects of chiropractic care (SM/ MT) on cervicogenic dizziness, balance, and neck pain.…”

Section: Introductionmentioning

confidence: 99%

Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study

Strunk

2009

Journal of Chiropractic Medicine

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Objective: This feasibility study was conducted to further the development of a line of investigation into the potential effects of spinal manipulation/manual therapy on cervicogenic dizziness, balance, and neck pain in adults. Methods: A single-group, preexperimental, feasibility study was conducted at a chiropractic college health center and a senior fitness center with a target sample size of 20 patients (40 years or older). Patients were treated by either a clinician or a chiropractic student intern for 8 weeks. The Dizziness Handicap Inventory was the primary outcome measurement, with the Short Form Berg Balance Scale (SF-BBS) and the Neck Disability Index used as secondary outcome measurements. Results: Twenty-seven patients were recruited over a period of 13 months. Twenty-one patients enrolled in the study; but because of 2 dropouts, 19 patients completed the treatment. A median Dizziness Handicap Inventory change score of +7 points was calculated for those dizziness patients, with 3 patients improving by at least 18 points, indicating a clinically meaningful change. Seven of the 15 patients who performed the SF-BBS attained at least a 4-point improvement with an effect size of 1.2. A median Neck Disability Index change score of +1 was calculated for those patients with neck pain. Twelve minor adverse reactions were reported by 8 patients, with 3 of those reactions lasting longer than 24 hours. Conclusion: A large effect size was calculated for the SF-BBS. Most patients demonstrated improved balance, and some showed reduced dizziness and neck pain. Involving interns in care proved feasible. Further studies with comparison groups and larger samples are needed to explore the promising results of this study before any cause and effect relationship can be determined.

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

Cited by 27 publications

References 42 publications

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

Methodology and demographics of a single blinded, randomized controlled trial of chiropractic compared to physical therapy for balance impairments in community dwelling geriatric patients with or without low back pain

Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study

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