A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods

手动与手动的比较。

• 批准号: 7532169
• 负责人: MICHAEL J SCHNEIDER
• 金额: $ 9.45万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7532169
• 关键词: Adverse effects; Advertising; Applications Grants; Attention; Award; Back; Caring; Chiropractic manipulation; Chiropractor; Clinical; Clinical Trials; Clinical effectiveness; Condition; Data; Drops; Expectancy; Expenditure; Fellowship; Follow-Up Studies; Frequencies; Funding; Future; General Population; Healthcare; Institution; Knowledge; Literature; Low Back Pain; Manuals; Mechanics; Medical; Medical Research; Mentors; Methods; Mission; National Center for Complementary and Alternative Medicine; Numbers; Occupations; Outcome; Pain; Pathway interactions; Positioning Attribute; Postdoctoral Fellow; Posture; Preparation; Primary Care Physician; Private Practice; Provider; Public Health; Purpose; Qualifying; Questionnaires; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Rate; Reporting; Research; Respondent; Score; Seminal; Services; Side; Spinal Manipulation; Strategic Planning; Subacute Care; Surveys; Telephone; Time; United States National Institutes of Health; Visit; Week; base; career; chiropracty; compliance behavior; design; dosage; follow-up; instrument; portability; size; skills; treatment effect; trial comparing

DESCRIPTION (provided by applicant): The mission and strategic plan of the NCCAM includes providing mechanisms that facilitate a pathway to independence for qualified CAM professionals who will become engaged in careers of rigorous CAM research. The candidate's long term objective is to make a transition from the private practice of chiropractic to a full-time research career, investigating the clinical effectiveness of chiropractic and CAM treatments. The K99 post doctoral fellowship portion of this award will provide him with an opportunity to fine tuning his research skills under the guidance of extremely qualified mentors and finish his dissertation research, which will yield important preliminary data for the randomized clinical trial proposed under the ROO portion of this award and prepare him with the skills required to submit his own R01 grant application. The unique "portability" of the 3 year ROO award should facilitate the candidate's career opportunities when applying for tenure track positions at institutions engaged in CAM research, knowing that the candidate brings NIH funding with him, as well as the ability to submit R01 applications for future funding. The candidate proposes for the ROO portion of this award to design and implement a randomized clinical trial comparing the clinical effectiveness of mechanical versus manual manipulation methods for low back pain, using preliminary data obtained from his dissertation research. The relevance of this research to public health is that chiropractors provide the vast majority of spinal manipulation treatments used for the treatment of low back pain, yet there is a paucity of data on the comparison of the different types of spinal manipulation used by chiropractors. The two types of spinal manipulation most commonly used by chiropractors for the treatment of low back are side posture manual manipulation and instruments that deliver a mechanical impulse. The proposed randomized trial will compare these two types of manipulation, and derive data regarding the differences in treatment effect size, reported rates of side effects, and issues regarding dosage (treatment frequency and duration). The candidate anticipates a long career of future research that is dedicated to advancing knowledge about the clinical effectiveness of a wide variety of chiropractic methods for different conditions, giving the public more data on which to make informed health care decisions regarding chiropractic care.

描述（由申请人提供）：NCCAM的使命和战略计划包括为合格的CAM专业人员提供独立途径的机制，这些专业人员将从事严格的CAM研究。候选人的长期目标是从私人执业脊医过渡到全职研究职业，调查脊医和辅助医学治疗的临床有效性。本奖项的K99博士后奖学金部分将为他提供一个机会，在非常合格的导师的指导下微调他的研究技能，完成他的论文研究，这将为本奖项的ROO部分提出的随机临床试验提供重要的初步数据，并为他提交自己的R01资助申请做好准备。3年ROO奖励的独特“可移植性”应该有助于候选人在申请从事CAM研究的机构的终身职位时的职业机会，知道候选人带来了NIH的资助，以及提交R01申请未来资助的能力。候选人提议为该奖项的ROO部分设计并实施一项随机临床试验，比较机械和手动操作方法对腰痛的临床效果，使用他的论文研究中获得的初步数据。这项研究与公共卫生的相关性在于，脊椎按摩师提供了绝大多数用于治疗腰痛的脊椎推拿疗法，然而，关于脊椎按摩师使用的不同类型脊椎推拿的比较数据却很缺乏。脊椎按摩师治疗腰背部最常用的两种脊椎操作方式是侧位式手动操作和提供机械脉冲的器械。拟议的随机试验将比较这两种类型的操作，并得出有关治疗效果大小差异、副作用报告率和剂量问题（治疗频率和持续时间）的数据。该候选人预计未来将从事长期的研究工作，致力于提高对各种脊椎指压治疗方法在不同情况下的临床有效性的了解，为公众提供更多关于脊椎指压治疗的数据，以做出明智的医疗保健决策。