A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods

手动与手动的比较。

• 批准号: 7661467
• 负责人: MICHAEL J SCHNEIDER
• 金额: $ 9.62万
• 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/7661467
• 关键词: Adverse effects; Advertising; Applications Grants; Award; Back; Caring; Chiropractic manipulation; Chiropractor; Clinical; Clinical effectiveness; 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; Occupations; Outcome; Pain; Pathway interactions; Positioning Attribute; Postdoctoral Fellow; Posture; Preparation; Primary Care Physician; Private Practice; Provider; Public Health; Qualifying; Questionnaires; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Reporting; Research; Respondent; Seminal; Services; Side; Spinal Manipulation; Strategic Planning; Subacute Care; Surveys; Telephone; Time; United States National Institutes of Health; Visit; career; chiropracty; compliance behavior; design; dosage; evidence base; follow-up; instrument; medical attention; portability; 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，促进合格的CAM专业人员谁将成为从事严格的CAM研究的职业生涯的独立性。候选人的长期目标是从脊椎指压治疗的私人实践过渡到全职研究职业，调查脊椎指压治疗和CAM治疗的临床效果。该奖项的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，并完成他的论文研究，这将为该奖项的ROO部分下提出的随机临床试验提供重要的初步数据，并为他提供提交自己的R01资助申请所需的技能。独特的“便携性”的3年ROO奖应促进候选人的职业机会时，申请终身职位的轨道位置在从事CAM研究的机构，知道候选人带来了NIH的资金与他，以及提交R01申请未来的资金的能力。候选人建议该奖项的ROO部分设计和实施一项随机临床试验，比较机械与手动操作方法治疗腰痛的临床有效性，使用从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柱手法治疗，但关于脊椎按摩师使用的不同类型脊柱手法的比较数据却很少。脊医最常用的两种脊柱推拿方法是侧位手法和机械脉冲器械。拟议的随机试验将比较这两种类型的操作，并获得有关治疗效果大小差异的数据，报告的副作用发生率以及剂量（治疗频率和持续时间）问题。候选人预计未来研究的长期职业生涯，致力于推进有关各种不同条件的脊椎治疗方法的临床有效性的知识，为公众提供更多的数据，以便就脊椎治疗护理做出明智的医疗保健决策。

项目成果

Mechanical vs manual manipulation for low back pain: an observational cohort study.

机械与手动治疗腰痛：一项观察性队列研究。

• DOI: 10.1016/j.jmpt.2010.01.010
• 发表时间: 2010
• 期刊: Journal of manipulative and physiological therapeutics
• 影响因子: 1.3
• 作者: Schneider,MichaelJ;Brach,Jennifer;Irrgang,JamesJ;Abbott,KatherineVerdolini;Wisniewski,StephenR;Delitto,Anthony
• 通讯作者: Delitto,Anthony