Active Grants & Projects

Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBP
Funding Source: NIH/NCCIH
Grant Number: UG3-AT009761
Performance Period: 09/15/2017 - 09/14/2022
Principal Investigator: Christine Goertz, D.C., Ph.D.
Co-Investigators: Erin Krebs, M.D., M.P.H., Thad Abrams, M.D., M.S., Anthony Lisi, D.C., Jon Lurie, M.D., M.S., Paul Shekelle, M.D., Ph.D., Robert Wallace, M.D., M.Sc., Cynthia Long, Ph.D., Stacie Salsbury, Ph.D., Robert Vining, D.C., Cynthia Brandt, M.D., M.P.H., Richard Branson, D.C.
Award Amount: $7,087,730

Antinociceptive Mechanisms of Spinal Manipulative Therapy for Neuropathic Pain
Funding Source: NIH/NCCIH
Grant Number: R15-AT009612
Performance Period: 07/05/2017 - 06/30/2020
Principal Investigators: Stephen Onifer, Ph.D. and Bradley K. Taylor, Ph.D.
Co-Investigator: Cynthia Long, Ph.D.
Award Amount: $451,522
This project is a collaboration between the Palmer Center for Chiropractic Research (PCCR) and the University of Kentucky were awarded a $451,522 grant by the National Institutes of Health, National Center for Complementary and Integrative Health. The grant funds a three-year research project to learn more about the underlying factors of pain relief following spinal manipulative therapy (SMT). The project also includes a student research training component, the first of its kind at a chiropractic college. Doctor of chiropractic students on Palmer’s Davenport campus will have an opportunity to obtain hands-on laboratory experience by working with scientists.                    

Palmer Clinics Registry
Funding Source: Palmer College of Chiropractic
Project Period: 08/02/2016 – 08/02/2018 
Principal Investigator: Robert Vining, D.C.
Co-Investigators:  Ron Boesch, D.C., Christine Goertz, D.C., Ph.D., Cynthia Long, Ph.D., Elissa Twist, D.C., M.S., C.C.R.P., Lance Corber, M.S.I.T.M.
In this project, researchers will use health-care records of Palmer Clinic patients with military benefits to learn more about conditions treated, types of care provided, costs, and procedures used during treatment. Over the course of one year, participants also will complete a monthly online questionnaire about their health.

Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain
Funding Source: Dr. William J. Kiernan
Award Amount: $2,000,000
Funding Period: 01/01/2015 - 12/31/2018 
Co-Principal Investigators: Robert Vining, D.C., Carl Cooley, MD
Co-Investigators: Christine Goertz, D.C., Ph.D., Stacie Salsbury, R.N., Ph.D.
The primary goals of this project are to add chiropractic care to the multi-disciplinary care model at Crotched Mountain Specialty Hospital in Greenfield, NH and to provide evidence that will help future care teams improve meaningful clinical outcomes for individuals with brain and spinal cord injury, and other acquired or developmental disabilities.

Assessment of Chiropractic Treatment for Low Back Pain, Military Readiness, and Smoking Cessation in Military Active Duty Personnel (ACT I, II, III)

Funding Source: Department of Defense
Grant Number: W81XWH-10-DHP-CCTA
Award Amount: $7,500,000 ($5,100,000 to Palmer)
Funding Period: 02/01/2011 - 08/31/2016

Principal Investigator: Ian D. Coulter, Ph.D., RAND Corporation
Co-Principal Investigators: Christine Goertz, D.C., Ph.D.,: Joan Walter, J.D., P.A., Samueli Institute
Co-Investigators: Cynthia Long, Ph.D.; James DeVocht, D.C., Ph.D.; Ram Gudavalli, Ph.D.; Ting Xia, Ph.D.; Robert Vining, D.C.
Lead Project Managers: Julie Hartman, D.C., Amy Minkalis, D.C.
ACT comprises 3 separate randomized controlled trials, a collaborative effort between Palmer and the Department of Defense. The overarching goal is to assess the effectiveness of chiropractic manipulative therapy for pain management and improved function in active duty service members with low back pain. This study looks at the role of chiropractic care within the military health care system and has applications for a diverse population in a real-world setting.

The total targeted enrollment for all 3 studies is 980 participants. Recruitment  commenced in the fall of 2012 for ACT I and the fall of 2014 for ACT II. A pilot study testing ACT III protocols has been completed at the Palmer Research Clinic with community participants; research staff are preparing to launch the ACT III study with active military in the summer of 2015.

ACT I: Assessment of Chiropractic Treatment for Low Back Pain and Smoking Cessation in Military Active Duty Personnel
Sites:
• Walter Reed National Military Medical Center, Bethesda, MD 
Project Manager: Elissa Twist, D.C., M.S., C.C.R.P.
Principal Investigator: LTC Keith Myers, M.D.
• Naval Medical Center San Diego, San Diego, CA 
Project Manager: Erin Cesario, B.A., C.C.R.C.
 Principal Investigator: CAPT Michael Rosenthal, P.T., D.Sc.
• Naval Hospital Pensacola, Pensacola, FL 
Project Manager: Wendy Freiberger, R.N., C.C.R.C.
Principal Investigator: CDR Joseph Penta, M.D. 

ACT II:  Assessment of Chiropractic Treatment Using Reaction and Response Times in Members of the Special Operation Forces
Site: Blanchfield Army Community Hospital, Chiropractic Clinic, Ft. Campbell, KY 
Project Manager: Darla Freehardt, B.S., L.P.N., C.C.R.P.
Principal Investigator: Thomas Jones, D.C.
 
ACT III: Assessment of Chiropractic Treatment: Strength and Balance
Site: Naval Hospital Pensacola, Pensacola, FL 
Project Manager: Crystal Franklin, M.P.H.
Principal Investigator: CDR Joseph Penta, M.D. 

Collaborative Care for Veterans with Spine Pain and Mental Health Conditions (COCOV)
Funding source: NIH/NCCIH
Grant number: 1-R34-AT008427
Award amount: $718,000
Funding period: 09/01/2014 - 06/30/2018
Principal Investigator: Christine Goertz, D.C., Ph.D.
Co-Investigators: Cynthia Long, Ph.D.; Stacie Salsbury, Ph.D., R.N.; Robert Vining, D.C.; Richard Branson, D.C.; Lucile Burgo-Black, M.D.; Anthony Lisi, D.C.; Robert Wallace, M.D., M.Sc.; Thad Abrams, M.D., M.S.
The goals of this project are to develop an integrative care model that includes doctors of chiropractic in multidisciplinary teams treating patients in Veterans Health Administration (VHA) facilities; use a consensus building process to tailor existing chiropractic guidelines to interlink with current VHA pain management initiatives; and conduct a pilot clinical trial to test this model in 40 veterans with pain and mental health co-morbidities to assess the feasibility, acceptability, safety, tolerability, and target outcomes for large-scale randomized controlled trial. This project is a collaboration between the PCCR, Veterans Health Administration at the VA Connecticut Healthcare System, the VHA in Minneapolis, MN, University of Iowa, and the Iowa City VA Health Care System.

Recently Completed Grants & Projects

Epigenetic regulation of neuronal differentiation by HVLA and LVVA forces
Funding source: Australian Spinal Research Foundation
Award amount:$40,000
Funding period: 02/01/2015 - 01/31/2016
Principal Investigator: Liang Zhang, M.D., Ph.D.
This project examines the cell's response to variations in mechanical force.

Expanding EBCP and Research across the Palmer College of Chiropractic
Funding Source: NIH/NCCIH 
Grant Number: R25-AT003580
Award Amount: $1,600,000
Funding Period: 09/01/2007 - 08/31/2017
Principal Investigator: Cynthia Long, Ph.D.
Collaborators: Kevin Lyon, Ph.D.; Mark Wilson, M.D., M.P.H.; Kristi Ferguson, Ph.D.
Program Manager: Katie Hoyt, M.O.L. 
In collaboration with the University of Iowa and Thomas Jefferson University, this grant supports an on-going faculty development program toward enhancing the integration of evidence-based clinical practice (EBCP) and research content into the Doctor of Chiropractic curriculum at all three Palmer campuses. 

Chiropractic Integration into Multidisciplinary Healthcare Systems
Funding source: NCMIC Group
Award amount: $100,000
Funding period: 10/1/2014 - 12/31/2017
Principal Investigator: Christine Goertz, D.C., Ph.D.
Co-Investigators: Anthony Lisi, D.C.; Stacie Salsbury, Ph.D., R.N.
Project Managers: Elissa Twist, D.C., M.S., C.C.R.P., Virginia Smith, M.S., M.A.T., M.S.
This project is a Private Sector Integrated Chiropractic Study with the goal to describe and assess the delivery of chiropractic services in a group of private healthcare facilities using a qualitative case study approach.

2017 Conference: Process of Integrating Evidence (PIE) for CIH Educators 
Funding Source: NCMIC Foundation      
Performance Period: 11/21/2016-12/31/2017   
Principal Investigator: Cynthia Long, Ph.D.  
Award Amount: $20,000

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