2018-2019 annual research report

Through fiscal year 2018-2019, we've focused our energy on meeting milestones of current projects, developing new projects, and strengthening strategic partnerships. In addition, we continue to provide research experiences and training, publish in relevant scientific journals and communicate our research to varied audiences. Take a look around our Research Report and see for yourself.

strategy

We worked to develop this strategy with our Mission and Vision at the forefront.
mission
research mission

The Palmer Center for Chiropractic Research is dedicated to advancing health care for patients by developing knowledge and translating knowledge that improves the practice of chiropractic.

vision
research vision

The Palmer Center for Chiropractic Research impacts health care practice and policy through our universally recognized, robust and sustainable collaborative research, attracting accomplished scientists, high-level staff and dedicated trainees.

major accomplishments

female student researcher in laboratory
Project Milestones
ACT Projects, VERDICT, COCOV & Network Projects
Partnerships & Collaborations
NIH-DoD-VA Pain Management Collaboratory, Veterans Health Administration, Yale Center for Medical Informatics, Osher Center for Integrative Health, University of Iowa, Dartmouth College
Research Training
Post-Doctoral Research Scholars & Research Honors Program
Heightened Visibility
Publications & PCCR Team Members

active grants and projects

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 - 02/14/2019
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
Director, Clinical Trial Coordinating Center: Cynthia R. Long, Ph.D.
Co-Investigator: Robert Vining, D.C.
Lead Project Manager: Amy Minkalis, D.C., M.S.

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.

ACT Updates

ACT I: Study protocol published: Goertz CM, Long CR, Vining RD, et. al. Trials 2016;17:70. Primary manuscript published: Goertz C, Long C, Vining R, et.al. JAMA Network Open 2018;1(1):e180105
ACT II: Study protocol published: DeVocht JW, Smith DL, Long CR, et. al. Trials 2016;17(1). Primary manuscript published: DeVocht J, Vining R, et.al. Trials 2019;29(1):5
ACT III: Recruitment completed 11/20/18; data collection completed 12/19/18; protocol manuscript published: Vining R, Minkalis A, Long C, et.al. Trials 2018;19(1):671

Funding source: NIH/NCCIH
Grant number: 1-R34-AT008427
Award amount: $718,000
Funding period: 09/01/2014 - 06/30/2019
Co-Principal Investigators: Cynthia Long, Ph.D.; Christine Goertz, D.C., Ph.D.
Co-Investigators: 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.

COCOV Updates

Aim 1: Interview stakeholders: complete; presented at conference; manuscript in progress
Aim 2: Develop clinical pathways: manuscript published: Lisi A, Salsbury S et.al. J Manipulative Physiol Ther 2018;41(2):137-148
Aim 3: Conduct pilot clinical trial at Iowa City VA Health Care System: recruitment completed (40/40) 8/27/18; data collection completed 11/2/18; presented at conference; manuscript in progress

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.
Laboratory Support: Randy Sozio, B.S., L.A.T.G. and Charlie Arends, B.S., A.L.A.T.
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 have the opportunity to obtain hands-on laboratory experience by working with scientists.

Publications

Onifer SM, Sozio RS, DiCarlo DM, et. al. NeuroReport 2018;29(3):191-196.

Onifer SM, Sozio RS, Long CR. Evid Based Complement Alternat Med 2019.

 

 

    Funding Source: Palmer College Foundation
    Performance Period: 7/2017-6/2022
    Network Co-Directors: Anthony Lisi, D.C.; Cynthia R Long, Ph.D.; Peter Wayne, Ph.D.
    Network Steering Committee Members: Matthew Kowalski, D.C. and Robert Vining, D.C.
    Program Manager: Katie Hoyt, M.O.L.

    The Network is a 5-year multidisciplinary effort to create new knowledge to inform future chiropractic practice, education, and research; and deliver new scientific evidence to support health policy decisions for chiropractic care. Four research projects are currently underway with several others in various stages of development.

    Active Projects

    • Integrative Migraine Pain Alleviation through Chiropractic Therapy: The IMPACT Study
    • Longitudinal Cohort Assessing Healthcare Service Use for Spine-Related Disorders in VA
      • Site: Yale Center for Medical Informatics
      • Status: In progress.
    • Thoracolumbar Fascia Mobility: A Pilot Study
      • Site: PCCR Research Clinic
      • Status: Awaiting IRB approval.

    Funding Source: NIH/NCCIH
    Grant Number: UG3-AT009761
    Performance Period: 09/15/2017 - 09/14/2022
    Principal Investigator: Cynthia Long, Ph.D.
    Co-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., Stacie Salsbury, Ph.D., Robert Vining, D.C., Richard Branson, D.C., Sally Haskell, M.D., Kei-Hoi Cheung, Ph.D.
    Lead Project Manager: Amy Minkalis, D.C., M.S., C.C.R.P.
    Project Manager: Anna Walden, D.C., M.S. 
    Award Amount: $7,087,730

    Collaborating Institutions: University of Iowa College of Public Health, Yale University Center for Medical Informatics, The Dartmouth Institute for Health Policy & Clinical Practice, Spine IQ

    Clinical Sites: VA Connecticut Healthcare System, Minneapolis VA Health Care System, Iowa City VA Health Care System, VA Greater LA Healthcare System

      The award (UG3-AT009761) funds a two-year research planning project to address the short-term pain and functional outcomes associated with different numbers of chiropractic visits, and the long-term effectiveness of chiropractic care delivered at Veterans Health Administration (VHA) clinics. If the NIH determines initial project goals are met after the two-year planning phase the project and funding will extend over an additional four years totaling approximately $7,087,730, making it the largest award ever granted by the NIH to a chiropractic institution.

      VERDICT Update

      • 27/30 NIH milestones completed; VA Central IRB approval 1/19/2019; submission for transition to UH3 clinical trial in May 2019

       Administrative Supplements

      The goal of this administrative supplement funding is to provide in-depth research experiences for two chiropractors. They are being mentored by investigators at the Palmer Center for Chiropractic Research and the Yale Center for Medical Informatics. In these roles, they are actively participating in the planning phase of the large, pragmatic clinical trial studying optimal patterns of chiropractic use outlined above.This funding is the first of its kind at a chiropractic college. Opportunities like this have the potential to grow the number of chiropractic researchers to continue important patient-centered work.

         

          publications

          29 publications in 20 peer-reviewed journals
          Effect of usual medical care plus chiropractic care vs usual medical care alone on pain and disability among US service members with low back pain: a comparative effectiveness clinical trial.

          Goertz CM, Long CR, Vining RD, Pohlman KA, Walter J, Coulter I. Effect of usual medical care plus chiropractic care vs usual medical care alone on pain and disability among US service members with low back pain: a comparative effectiveness clinical trial.  JAMA Network Open 2018;1(1):e180105.
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          Chiropractic integrated care pathways for low back pain in veterans: results of a delphi consensus process.

          Lisi AJ, Salsbury SA, Hawk C, Vining RD, Wallace RB, Branson R, Long CR, Burgo-Black AL, Goertz CM. Chiropractic integrated care pathways for low back pain in veterans: results of a delphi consensus process. J Manipulative Physiol Ther 2018;41(2):137-148.
          Read More

          Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team.

          Salsbury SA, Vining RD, Gosselin D, Goertz CM. Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team. Chiropr Man Therap 2018;26:29.
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          Role of endocannabinoids in spinal manipulative therapy analgesia?

          Onifer SM, Sozio RS, Long CR. Role of endocannabinoids in spinal manipulative therapy analgesia? Evid Based Complement Alternat Med 2019. Article ID:2878352.
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          Stakeholder expectations from the integration of chiropractic care into a rehabilitation setting; a qualitative study.

          Shannon ZK, Salsbury SA, Gosselin D, Vining RD. Stakeholder expectations from the integration of chiropractic care into a rehabilitation setting; a qualitative study. BMC Complement Altern Med 2018;18(1):316.
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          A graphical clinical decision aid for managing imaging report information.

          Boysen JC, Shannon ZK, Khan YA, Wells BM, Vining RD. A graphical clinical decision aid for managing imaging report information. J Chiropr Educ 2018;32(1):43-49.
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          Assessment of chiropractic care on strength, balance, and endurance in active-duty US military personnel with low back pain: a protocol for a randomized controlled trial.

          Vining R, Minkalis A, Long CR, Corber L, Franklin C, Gudavalli MR, Xia T, Goertz CM. Assessment of chiropractic care on strength, balance, and endurance in active-duty US military personnel with low back pain: a protocol for a randomized controlled trial. Trials 2018;19(1):671.
          Read More

          See all Publications >

          budget

          pie graph: $1,677,078 - Palmer support; $895,602 - Federal Grant funding; $191,556 - Foundation Grant funding

          our team

          Administration & Faculty

          Cynthia Long, PhD, PStat ® - Dean of Research & Professor

          Robert Vining, DC, DHSc - Associate Dean of Clinical Research & Professor

          Robert Cooperstein, MA, DC - Director of Research, West Campus

          Stephen Onifer, PhD - Associate Professor

          Stacie Salsbury, PhD, RN - Assistant Professor

          Professor Emeritus

          Joel Pickar, DC, PhD

          Post-Doctoral Research Scholars

          Stephanie Halloran, DC

          Anna-Marie Schmidt, DC, MM

          Zacariah Shannon, DC, MS

          Professional, Technical & Administrative Staff

          Charlie Arends, BS, ALAT - Laboratory Animal Technician

          Leah Cafer - Administrative Assistant

          Lance Corber, MSITM - Data Core Manager

          Crystal Franklin, MPH, CCRP - Clinical Project Manager

          Ann Hileman, BPh - Assistant Director of Research

          Katie Hoyt, MOL - Research Program Manager

          Sujatha Kedilaya, BS - Data Analyst

          Amy Minkalis, DC, MS, CCRP - Clinical Project Manager II

          Kara Shannon, DC - Research Clinician

          Randall Sozio, BS, LATG - Animal Care Manager

          Elissa Twist, DC, MS, CCRP - Clinical Research Specialist

          Anna Walden, DC, MS, CCRC - Clinical Project Manager