Assessment of Chiropractic Treatment
The Department of Defense (DoD) Congressionally Directed studies
are in full swing. The Assessment of Chiropractic Treatment 1
(ACT 1) study, assessing the pain and functional outcomes of
chiropractic plus conventional medical care compared to those
receiving conventional medical care alone, had enrolled 260
participants as of October 2013. One of the three sites for the
study, the Naval Medical Center San Diego, has already reached
50 percent of its recruitment goal of 250 research participants.
The Naval Hospital Pensacola site, as well as the Walter Reed
National Military Medical Center (WRNMMC) site, are extremely
active and recruitment is going well. All three sites are working
toward enrolling 250 participants each.
Additionally, a new project manager has been hired to work
with Bill Morgan, D.C., West ’85, and Terrence Kearney, D.C.,
West ’89, to manage the ACT 1 study at WRNMMC. The former
site project manager has accepted and begun work as the
Clinical Project Manager II at the Palmer Center for Chiropractic
Research on the Davenport Campus.
The ACT 2 clinical study is being conducted at Ft. Campbell/
Blanchfield Army Community Hospital in Kentucky. This study is
designed to assess the effect of chiropractic treatment on military
readiness by evaluating pre- and post-treatment differences in
reaction and response times in the special population. The study
team has finalized its testing protocol and has full support from
the command and key study personnel at the Army base. Final
Institutional Review Board (IRB) approval is pending. Once all
approvals are received, the site will begin recruiting participants.
The ACT 3 study is a randomized clinical trial designed to
detect differences in strength, balance and low back pain
recurrence in members of the armed forces who are eligible for
deployment following either standard chiropractic care or a
sham chiropractic intervention. This study is being conducted
at Madigan Army Medical Center (MAMC) in Tacoma, Wash.
Study investigators conducted a pre-study site visit in August
2013 to discuss recruitment strategies and study logistics with
the chiropractic team at MAMC. The study protocol will be submitted
to the IRB at MAMC this winter.
Collaborative Care for Older Adults
with low back pain by family medicine
physicians and doctors of chiropractic
The COCOA clinical trial was completed in March 2013.
The study team is conducting data analysis and writing up
the study findings. Several articles were published during the
- Study protocol: http://tinyurl.com/mslz71f.
- Focus group study: http://tinyurl.com/focus-grp-study.
A presentation on the study made at the March 2013 Association
of Chiropractic Colleges–Research Agenda Conference. Presentation
authors were: Stacie Salsbury, R.N., Ph.D., Palmer Center
for Chiropractic Research (PCCR); Kevin Lyons, Ph.D., Thomas
Jefferson University; Cynthia Long, Ph.D., PCCR; Maria Hondras,
D.C., M.P.H, PCCR; Robert Vining, D.C., PCCR; Lisa Killinger,
D.C., Diagnosis and Radiology, Davenport Campus; and Christine
Goertz, D.C., Ph.D., PCCR. The presentation was titled “Doctors
of chiropractic self-reported practice patterns and attitudes
toward interdisciplinary co-management of older adults with
low back pain.”
Manual Cervical Distraction (MCD)
manipulation study update
The MCD clinical trial ended in October 2013, and data
analysis is being conducted with a plan to publish findings
in summer 2014.
A presentation on the study was made at the November 2013
International Mechanical Engineering Congress and Exposition.
Presentation authors were: M. Ram Gudavalli, Ph.D., PCCR:
Vikas Yadav, M.S., Auburn University; Robert Vining, D.C.,
PCCR; Michael Seidman, D.C., PCCR; Stacie Salsbury, R.N.,
Ph.D., Paige Morgenthal, D.C., PCCR; Avinash Patwardhan,
Ph.D., Loyola University Chicago School of Medicine; and
Christine Goertz, D.C., Ph.D., PCCR. The presentation was
titled “Development of force-feedback technology for training
clinicians to deliver manual cervical distraction.”