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提供机制，这些机制促进了将成为合格的CAM专业人员的独立途径的机制，他们将从事严格的CAM研究职业。候选人的长期目标是从脊椎治疗的私人实践过渡到全日制研究职业，研究脊骨治疗和CAM治疗的临床有效性。该奖项的K99博士后奖学金部分将为他提供一个机会，可以在非常合格的导师的指导下对自己的研究技能进行微调，并完成他的论文研究，这将为根据该奖项的ROO部分提出的随机临床试验提供重要的初步数据，并为他准备提交自己的R01 Grant申请所需的技能。 3年ROO奖的独特“可移植性”将在申请CAM研究的机构申请任期职位时促进候选人的职业机会，因为他们知道候选人为他带来了NIH的资金，并且能够提交R01申请以供未来的资助。候选人提出了该奖项的ROO部分，以设计和实施一项随机临床试验，该试验比较了从他的论文研究中获得的初步数据，比较了机械和手动操纵方法的临床有效性。这项研究与公共卫生的相关性是，脊椎治疗师提供了用于治疗下背痛的绝大多数脊柱操纵治疗方法，但关于脊医使用的不同类型的脊柱操纵类型的数据很少。脊椎治疗师最常用的两种类型的脊柱操作是用于治疗下背部的两种操纵，是侧姿势手动操纵和提供机械冲动的仪器。拟议的随机试验将比较这两种类型的操纵，并得出有关治疗效果大小，报告副作用率以及剂量（治疗频率和持续时间）的差异的数据。候选人预计，未来研究的漫长职业生涯致力于促进有关各种脊椎治疗方法在不同条件下的临床有效性的知识，从而为公众提供了更多的数据，可以在这些数据上做出有关脊椎治疗的知情医疗保健决定。