The Network is a collaborative effort between the Palmer Center for Chiropractic Research (PCCR), Yale University Center for Medical Informatics, and the Osher Center for Integrative Medicine (jointly based at Harvard Medical School and Brigham and Women’s Hospital).
Co-Directors: Cynthia Long, Ph.D.; Anthony Lisi, D.C.; Peter Wayne, Ph.D.
Steering Committee Members: Matt Kowalski, D.C.; Robert Vining, D.C., D.H.Sc.
Program Manager: Zachary Almquist, M.A.
Funding Source: Palmer College Foundation
Projects
IMPACT Study Project Description
Title: Integrative Migraine Pain Alleviation through Chiropractic Therapy: The IMPACT Study
Funding Source: Osher Center for Integrative Medicine, NCMIC, Palmer College Foundation
Principle Investigators: Peter Wayne, Ph.D., Carolyn Bernstein, M.D.
Co-Investigators: Cynthia Long, Ph.D., Robert Vining, D.C., DHSc
Performance Period: 2017-2021
Site Location: The Osher Center for Integrative Medicine
Description: This pilot-controlled trial was conducted at the Osher Clinical Center in preparation for a larger trial.
Status: Completed
Publications:
Rist PM, Bernstein C, Kowalski M, Osypiuk K, Connor JP, Vining R, Long CR, Macklin EA, Wayne PM. Multimodal chiropractic care for migraine: a pilot randomized controlled trial. Cephalalgia 2021;41(3):318-328.
Wayne PM, Bernstein C, Kowalski M, Connor JP, Osypiuk K, Long CR, Vining R, Macklin E, Rist PM. The integrative migraine pain alleviation through chiropractic therapy (IMPACT) trial: study rationale, design and intervention validation. Contemp Clin Trials Commun 2020;17
Rist PM, Hernandez A, Bernstein C, Kowalski M, Osypiuk K, Vining R, Long CR, Goertz C, Song R, Wayne PM. The impact of spinal manipulation on migraine pain and disability: a systematic review and meta-analysis. Headache 2019;59(4):532-542.
UnitedHealthcare Neck Pain Project
Principal Investigator: Anthony Lisi, D.C.
Steering Committee Members: Scott Haldeman, D.C., M.D., Ph.D.; Jason Sico, M.D., M.H.S.; Peter Way, Ph.D.
Collaborators: Yale Center for Medical Informatics, UnitedHealthcare and UC Davis
Description: To replicate the Optum Low Back Pain Study for chiropractic patients with neck pain.
Publications:
Lisi A, Graham S, Skanderson M, Best R, Seng E, Sico J. Assessing the use of Veterans Health Administration chiropractic care by patients with headache disorders. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.
Romano P, Ray M, Fang SY, Elton D, Haldeman S, Wayne P, Fenton J, Padilla K, Lisi A. First-seen provider and pharmacotherapy patterns among patients with new-onset neck pain. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.
Romano P, Ray M, Fang SY, Elton D, Haldeman S, Wayne P, Fenton, Padilla K, Lisi A. First-seen provider and utilization patterns among patients with new-onset neck pain. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.
Integrating Chiropractic Care & Mind-Body Training for the Treatment of Non-specific Chronic Neck Pain
Principal Investigator: Peter Way, Ph.D.
Site: Osher for Integrative Medicine
Study Team: Pamela Rist, Sc.D.; Matt Kowalski, D.C.; Wren Burton, D.C.
Description: Pilot study of nurses with chronic neck pain receiving chiropractic, Tai Chi and other mind-body therapies.
Publications:
Burton W, Kowalski M, Litrownik D, Wayne P. Integrating chiropractic care and Tai Chi training for the treatment of chronic nonspecific neck pain in nurses. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Burton W, Litrownik D, Kowalski M, Wayne P. Integrating chiropractic care and Tai Chi training for the treatment of chronic nonspecific neck pain in nurses. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.
Longitudinal Cohort Assessing Healthcare Service use for Spine-Related Disorders in the VA
Principle Investigator: Anthony Lisi, D.C.
Site: Yale Center for Medical Informatics
Description: Evaluate differences in healthcare use and outcomes in administrative data among a large cohort of U.S. veterans receiving care in Veterans Health Administration facilities.
Chart Review of Characteristics of Veterans Health Administration Chiropractic Care
Principal Investigator: Anthony Lisi, D.C.
Site: Yale Center for Medical Informatics
Description: Investigate elements of quality care, such as how visit dosage of exercise, adjustments, and patient education during care.
Publications:
Graham S, Sites A, Zhao X, Lisi A. Assessing referral patterns to on-station chiropractic clinics within the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Corcoran K, Coleman B, Zhao X, Bastian L, Brandt C, Lisi A. Assessing downstream healthcare utilization for low back pain among chiropractic users versus non-users in the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Sharma N, Graham S, Sites A, Coleman B, Lisi A. Describing congruence between ICD-10 coding and medical record text in Veterans Health Administration chiropractic notes. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Muller R, Graham S, Sites A, Corcoran K, Lisi A. Assessing quality indicators and guideline-concordance in chiropractic low back pain visits in the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Administrative Database of Veterans Health Administration Chiropractic Use in Headache Patients
Principal Investigator: Anthony Lisi, D.C.
Co-Investigators: Jason Sico, M.D., M.H.S. (National Director, Head Centers of Excellence Program, VA); Matt Kowalski, D.C.; Cynthia Long, Ph.D.; Robert Vining, D.C., DHSc; Peter Wayne, Ph.D.
Site: Department of Veterans Affairs Headache Center of Excellence, VA CT, Yale Center for Medical Informatics.
Description: Using administrative data in the Headache Centers to compare patients with headache who receive chiropractic care versus those who do not.
Chiropractic Care for Episodic Migraine
Funding Source: NIH/NCCIH
Performance Period: 12/11/2022-11/30/2025
Award Amount: 112,670 (subaward)
Status: Pending Notice of Grant Award
Principal Investigator: Peter Wayne, PhD; Pamela Rist, ScD; Jason Sico, MD, MHS.
Co-investigators: Anthony Lisi, DC; Cynthia Long, PhD; Robert D Vining DC, DHSc.
Sites: Osher Clinical Center and West Haven, CT VA Hospital.
Description: A 2-site pilot randomized trial of 60 patients (men and women) diagnosed with episodic migraine (R01 multisite feasibility clinical trial).
Presentations:
Wayne P, Bernstein C, Kowalski M, Osypiuk K, Connor J, Vining R, Long C, Maklin E, Rist P. Chiropractic care for migraine: A Pilot randomized clinical trial. International Congress on Integrative Medicine and Health Conference, April 28 – May 1, 2020, Cleveland Ohio.
Combined Chiropractic Care and Tai Chi for Chronic Non-Specific Neck Pain
Funding Source: NIH/NCCIH
Performance Period: 09/12/2022 – 05/30/2025
Principal Investigator: Peter Wayne, Ph.D.
PCCR Consultants: Cynthia Long, Ph.D; Robert Vining, D.C., DHSc.
Sites: Osher Center for Integrative Medicine at Harvard/BWH; Chiropractic and Tai Chi centers in Boston, MA.
Description: A 3-armed mixed methods pilot randomized trial of 48 patients with chronic pain with care from community-based Tai Chi instructors and chiropractors (R34 clinical trial planning grant application).
Chiropractic Care for Fall Prevention
Principal Investigator: Peter Wayne, Ph.D.
Lead Authors: Wren Burton, DC; Weronika Gabowska, MPH
Site: Osher Center for Integrative Medicine
PCCR co-authors: Cynthia Long, PhD; Robert Vining, DC, DHSc
Publication:
Grabowska W, Burton W, Kowalksi MH, Vining R, Long CR, Lisi A, Hausdorff JM, Manor B, Munoz-Vergara D, Wayne PM. A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research. BMC Musculoskelet. Disord. 2022;23:844.
Presentations:
Burton W, Grabowska W, Kowalski M, Long C, Bining R, Lisia, Munoz-Vergara D, Wayne P. Chiropractic care for fall prevention in our aging society: Rationale, state of the evidence, and a research agenda. ACC-RAC Conference, July 24-26, 2022, San Diego, CA.