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| Flexion Distraction CHIROPRACTIC DOSAGE FOR LUMBAR STENOSIS Principal Investigator: Jerrilyn Cambron, DC, M.P.H., Ph.D. This randomized clinical trial pilot study will investigate the efficacy of different amounts of total treatment dosage over six weeks in 60 volunteer subjects with lumbar spinal stenosis. Subjects will be evenly randomized into four groups: Group 1 with 8 total chiropractic visits, Group 2 with 12 total chiropractic visits, Group 3 with 18 total chiropractic visits, and Group 4 with 8 total education visits. The study is designed: (1) To determine the feasibility of a larger scale study in terms of logistics, recruitment efforts, and sample size estimations and (2) To determine among the three treatment and one education groups the change in perceived pain levels and general functional health status at the end of six weeks of care and at three and six months post care as follow-up. Funding: Foundation for Chiropractic Education and Research FLEXION DISTRACTION VS. MEDICAL CARE FOR LOW BACK PAIN (HRSA II) Principal Investigator: Ram Gudavalli, Ph.D. (Palmer and NUHS), Co-Investigator/NUHS Project Manager: Jerrilyn Cambron, D.C., M.P.H., Ph.D. While our first HRSA-funded study demonstrated the biomechanics of flexion distraction therapy, the second project is concerned with the effectiveness of flexion distraction for the relief of chronic low back pain. The study compared the effectiveness of chiropractic flexion distraction therapy with non-operative conservative therapy, physical therapy. Study participants were randomly assigned to either the flexion distraction group or the physical therapy group. Patients completed a therapeutic regimen which lasted four weeks and were then followed for twelve months. Primary outcomes included patients’ perceived level of pain, health status, utilization of other health services, isometric trunk strength, ranges of motion, and patterns of motion. This study is a collaborative effort of Palmer Center for Chiropractic Research, National University of Health Sciences, Loyola University Stritch School of Medicine, Edward Hines VA Hospital, Orthosport Physical Therapy Clinics, and Auburn University. Manuscripts have been submitted for this project. Funding: Dept. of Health and Human Services Chiropractic Demonstration Project under the under the Health Resources and Services Administration
CHIROPRACTIC VS. MEDICAL CARE FOR NECK PAIN (HRSA III) Principal Investigators: Ram Gudavalli Ph.D. (Palmer and NUHS), Co-Investigator/NUHS Project Manager: Jerrilyn Cambron, D.C., M.P.H., Ph.D. While HRSA II compared flexion distraction therapy to physical therapy for the relief of chronic low back pain, this project is concerned with the effectiveness of flexion distraction for the relief of chronic neck pain. Study participants were randomly assigned to either (i.) the flexion distraction group, (ii.) the physical therapy group, or (iii.) a combination group of flexion distraction and physical therapy. Patients completed a therapeutic regimen that lasted six weeks and were then followed for twelve months. This study is a collaborative effort of Palmer Center for Chiropractic Research, National University of Health Sciences, Loyola University Stritch School of Medicine, Edward Hines VA Hospital, Orthosport Physical Therapy Clinics, and Auburn University. A manuscript has been submitted for this project. Funding: Dept. of Health and Human Services Chiropractic Demonstration Project under the Health Resources and Services Administration (HRSA) GRANT NO. 1 R18 HP 10011-01nd Manipulative Therapy | |
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