PMID- 35774630
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221202
IS  - 1556-3707 (Print)
IS  - 1556-3715 (Electronic)
IS  - 1556-3707 (Linking)
VI  - 21
IP  - 2
DP  - 2022 Jun
TI  - Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower 
      Back Pain: A Retrospective Review of Quality-Assurance Data.
PG  - 77-82
LID - 10.1016/j.jcm.2022.02.004 [doi]
AB  - OBJECTIVE: The purpose of this study was to determine whether a sample of older 
      adult male U.S. veterans demonstrated clinically and statistically significant 
      improvement in chronic lower back pain on validated outcome measures after a 
      short course of chiropractic care. METHODS: We performed a retrospective review 
      of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 
      89 years, who had chronic low back pain, defined as pain in the lower back region 
      present for at least 3 months before evaluation. We included those who received 
      chiropractic management from January 1, 2010, to December 31, 2018. Paired t 
      tests were used to compare outcomes after 4 treatments on both a numeric rating 
      scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically 
      important difference (MCID) was set at 30% change from baseline. RESULTS: There 
      were 217 individuals who met the inclusion criteria. The mean NRS score change 
      from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < 
      .001). The mean score change for BBQ was 14.7 points, representing a 35.9% 
      reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID 
      for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% 
      (n = 90) of the sample reaching the MCID for both the NRS and BBQ. CONCLUSION: 
      This retrospective review revealed clinically and statistically significant 
      improvement in NRS and BBQ scores for this sample of older male U.S. veterans 
      treated with chiropractic management for chronic low back pain.
CI  - (c) 2022 by National University of Health Sciences.
FAU - Davis, Brian A
AU  - Davis BA
AD  - Chiropractic Department, VA Western New York Healthcare System, Buffalo, New 
      York.
AD  - Department of Chiropractic Clinical Sciences, Northeast College of Health 
      Sciences, Seneca Falls, New York.
FAU - Dunn, Andrew S
AU  - Dunn AS
AD  - Chiropractic Department, VA Western New York Healthcare System, Buffalo, New 
      York.
AD  - Department of Chiropractic Clinical Sciences, Northeast College of Health 
      Sciences, Seneca Falls, New York.
FAU - Golley, Derek J
AU  - Golley DJ
AD  - Chiropractic Department, VA Western New York Healthcare System, Buffalo, New 
      York.
AD  - Department of Chiropractic Clinical Sciences, Northeast College of Health 
      Sciences, Seneca Falls, New York.
FAU - Chicoine, Dave R
AU  - Chicoine DR
AD  - Department of General Education, Purdue University Global, West Lafayette, 
      Indiana.
LA  - eng
PT  - Journal Article
DEP - 20220404
PL  - United States
TA  - J Chiropr Med
JT  - Journal of chiropractic medicine
JID - 101163637
PMC - PMC9237589
OTO - NOTNLM
OT  - Adult
OT  - Chiropractic
OT  - Low Back Pain
OT  - Manipulation, Spinal
OT  - Veterans
EDAT- 2022/07/02 06:00
MHDA- 2022/07/02 06:01
PMCR- 2022/12/01
CRDT- 2022/07/01 02:40
PHST- 2021/04/06 00:00 [received]
PHST- 2022/01/25 00:00 [revised]
PHST- 2022/02/08 00:00 [accepted]
PHST- 2022/07/01 02:40 [entrez]
PHST- 2022/07/02 06:00 [pubmed]
PHST- 2022/07/02 06:01 [medline]
PHST- 2022/12/01 00:00 [pmc-release]
AID - S1556-3707(22)00013-X [pii]
AID - 10.1016/j.jcm.2022.02.004 [doi]
PST - ppublish
SO  - J Chiropr Med. 2022 Jun;21(2):77-82. doi: 10.1016/j.jcm.2022.02.004. Epub 2022 
      Apr 4.