Re: Fwd: Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research

[Guest guest]

Hi Judith,

Thank you for forwarding this excellent research article.

Herb Freeman D.C.

Fwd: Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research

Forwarded to me by my cousin's wife a PhD in PT...... she's not a fan of Chiro.... except for musculoskeletal issues.... but skeptical for all else and I am glad someone else sent her this.

:-)

Judith Allan, DC

Lake Oswego, OR

Vestibular Rehabilitation SIG

Abstract of the Week

March 23, 2011 (63)

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Remember that all abstracts from the "Abstract of the Week" are archived on the Vestibular Rehabilitation SIG webpage, for future reference. Please be sure to visit the Neurology Section's website often for a variety of members-only resources at www.neuropt.org.

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Becky Olson-Kellogg, PT, DPT, GCS

Vestibular SIG Nominating Committee, & Chair of Abstract Committee

Abstract Committee Members: Marc Broberg, MS, PT; Sara Oxborough, MS, PT; Mike Studer, PT, MHS, NCS; Brady Whetten, PT, DPT

Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research

Hawk C, Khorsan R, Lisi AJ, Ferrance RJ, MW. Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research. J Altern Complement Med. 2007 Jun;13(5):491-512.

Abstract

OBJECTIVES: (1) To evaluate the evidence on the effect of chiropractic care, rather than spinal manipulation only, on patients with nonmusculoskeletal conditions; and (2) to identify shortcomings in the evidence base on this topic, from a Whole Systems Research perspective.

DESIGN: Systematic review.

METHODS: Databases included were PubMed, Ovid, Mantis, Index to Chiropractic Literature, and CINAHL. Search restrictions were human subjects, peer-reviewed journal, English language, and publication before May 2005. All randomized controlled trials (RCTs) were evaluated using the ish Intercollegiate Guidelines Network (SIGN) and Jadad checklists; a checklist developed from the CONSORT (Consolidated Standards of Reporting Trials) guidelines; and one developed by the authors to evaluate studies in terms of Whole Systems Research (WSR) considerations.

RESULTS: The search yielded 179 papers addressing 50 different nonmusculoskeletal conditions. There were 122 case reports or case series, 47 experimental designs, including 14 RCTs, 9 systematic reviews, and 1 a large cohort study. The 14 RCTs addressed 10 conditions. Six RCTs were rated "high" on the 3 conventional checklists; one of these 6 was rated "high" in terms of WSR considerations.

CONCLUSIONS: (1) Adverse effects should be routinely reported. For the few studies that did report, adverse effects of spinal manipulation for all ages and conditions were rare, transient, and not severe. (2) Evidence from controlled studies and usual practice supports chiropractic care (the entire clinical encounter) as providing benefit to patients with asthma, cervicogenic vertigo, and infantile colic. Evidence was promising for potential benefit of manual procedures for children with otitis media and elderly patients with pneumonia. (3) The RCT design is not necessarily incompatible with WSR. RCTs could improve generalizability by basing protocols on usual practice. (4) Case reports could contribute more to WSR by increasing their emphasis on patient characteristics and patient-based outcomes. (5) Chiropractic investigators, practitioners, and funding agencies should increase their attention to observational designs.

PMID: 17604553 [PubMed - indexed for MEDLINE]

This abstract can be found on Pub Med http://www.ncbi.nlm.nih.gov/sites/entrez by entering the PMID number listed above into the "Search" field.

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[Guest guest]

You're welcome!Judith Allan, DCLake OswegoOn Apr 1, 2011, at 6:47 AM, BERNICE FREEMAN wrote:Hi Judith, Thank you for forwarding this excellent research article. Herb Freeman D.C. Fwd: Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems researchForwarded to me by my cousin's wife a PhD in PT...... she's not a fan of Chiro.... except for musculoskeletal issues.... but skeptical for all else and I am glad someone else sent her this.:-)Judith Allan, DCLake Oswego, ORVestibular Rehabilitation SIGAbstract of the Week March 23, 2011 (63) Join Our Database of Providers!Click on link above to be added to our national provider list of Vestibular Rehabilitation Therapists.Please include:1. Name with credentials2. Business name & full address3. Phone number4. Preferred email address Quick LinksNeuro Section Website Vestib Rehab SIG WebpageJoin Vestibular Rehab SIGVestibular Rehabilitation Abstract of the WeekFocus for March Abstracts: Cervicogenic DizzinessNews & NotesThank you for your membership in the Vestibular Rehabilitation Special Interest Group! If you have colleagues who treat vestibular patients, make sure they are members of the Vestibular Rehab SIG as well, so they can also receive this valuable benefit. They can click on the link above to join the SIG. Remember that all abstracts from the "Abstract of the Week" are archived on the Vestibular Rehabilitation SIG webpage, for future reference. Please be sure to visit the Neurology Section's website often for a variety of members-only resources at www.neuropt.org. Please feel free to contact us with your ideas, questions, or suggestions at neuro@.... Becky Olson-Kellogg, PT, DPT, GCSVestibular SIG Nominating Committee, & Chair of Abstract CommitteeAbstract Committee Members: Marc Broberg, MS, PT; Sara Oxborough, MS, PT; Mike Studer, PT, MHS, NCS; Brady Whetten, PT, DPTChiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research Hawk C, Khorsan R, Lisi AJ, Ferrance RJ, MW. Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research. J Altern Complement Med. 2007 Jun;13(5):491-512.AbstractOBJECTIVES: (1) To evaluate the evidence on the effect of chiropractic care, rather than spinal manipulation only, on patients with nonmusculoskeletal conditions; and (2) to identify shortcomings in the evidence base on this topic, from a Whole Systems Research perspective.DESIGN: Systematic review.METHODS: Databases included were PubMed, Ovid, Mantis, Index to Chiropractic Literature, and CINAHL. Search restrictions were human subjects, peer-reviewed journal, English language, and publication before May 2005. All randomized controlled trials (RCTs) were evaluated using the ish Intercollegiate Guidelines Network (SIGN) and Jadad checklists; a checklist developed from the CONSORT (Consolidated Standards of Reporting Trials) guidelines; and one developed by the authors to evaluate studies in terms of Whole Systems Research (WSR) considerations.RESULTS: The search yielded 179 papers addressing 50 different nonmusculoskeletal conditions. There were 122 case reports or case series, 47 experimental designs, including 14 RCTs, 9 systematic reviews, and 1 a large cohort study. The 14 RCTs addressed 10 conditions. Six RCTs were rated "high" on the 3 conventional checklists; one of these 6 was rated "high" in terms of WSR considerations.CONCLUSIONS: (1) Adverse effects should be routinely reported. For the few studies that did report, adverse effects of spinal manipulation for all ages and conditions were rare, transient, and not severe. (2) Evidence from controlled studies and usual practice supports chiropractic care (the entire clinical encounter) as providing benefit to patients with asthma, cervicogenic vertigo, and infantile colic. Evidence was promising for potential benefit of manual procedures for children with otitis media and elderly patients with pneumonia. (3) The RCT design is not necessarily incompatible with WSR. RCTs could improve generalizability by basing protocols on usual practice. (4) Case reports could contribute more to WSR by increasing their emphasis on patient characteristics and patient-based outcomes. (5) Chiropractic investigators, practitioners, and funding agencies should increase their attention to observational designs.PMID: 17604553 [PubMed - indexed for MEDLINE]This abstract can be found on Pub Med http://www.ncbi.nlm.nih.gov/sites/entrez by entering the PMID number listed above into the "Search" field.You have recieved this e-mail as a Neurology Section member because your APTA e-mail preferences indicate that you would like to get e-mails from your Chapter and Section(s). To change your e-mail preferences, please visit www.apta.org and click "My APTA," or call 1-800-999-APTA (2782) x3395. We respect your e-mail preferences.Forward emailThis email was sent to allisonl@... by olso0184@... | Update Profile/Email Address | Instant removal with SafeUnsubscribe™ | Privacy Policy.Neurology Section - American Physical Therapy Association | 1111 N. Fairfax Street | American Physical Therapy Association | andria | VA | 22314