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.
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.
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 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.
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.
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.
Integrative Migraine Pain Alleviation through Chiropractic Therapy: The IMPACT Study
- Site: Osher Center for Integrative Medicine
- Status: Data collection complete. Data analysis in progress.
- Publication: Rist PM, Hernandez A, Bernstein C, et.al. Headache 2019;59(4):532-542.
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.
- 27/30 NIH milestones completed; VA Central IRB approval 1/19/2019; submission for transition to UH3 clinical trial in May 2019
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.
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.
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.
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.
Onifer SM, Sozio RS, Long CR. Role of endocannabinoids in spinal manipulative therapy analgesia? Evid Based Complement Alternat Med 2019. Article ID:2878352.
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.
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.
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.
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
Post-Doctoral Research Scholars
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