Self-reported nonmusculoskeletal responses to chiropractic intervention: a multination survey

Autor: Charlotte Leboeuf-Yde, William C. Meeker, John Tucker, Ray Hayek, Max J Walsh, Octavio Terrazas, Eva N Pedersen, David Cosman, Peter Bryner, Junaid Shaik
Rok vydání: 2005
Předmět:
Zdroj: Leboeuf-Yde, C, Pedersen, E N, Bryner, P, Cosman, D, Hayek, R, Meeker, W C, Shaik, J, Terrazas, O, Tucker, J & Walsh, M 2005, ' Self-reported Nonmusculoskeletal Responses to Chiropractic Intervention : A multination survey ', Journal of Manipulative and Physiological Therapeutics, vol. 28, pp. 1-9 . https://doi.org/10.1016/j.jmpt.2005.04.010
ISSN: 1532-6586
Popis: Objective To replicate a previous study of nonmusculoskeletal responses to chiropractic intervention and to establish whether such responses are influenced by the country of study, chiropractors' attitudes, and information to patients, patients' demographic profiles, and treatment regimens. Methods Information obtained through questionnaires by chiropractors and patients on return visit within 2 weeks of previous treatment from chiropractic practices in Canada, United States, Mexico, Hong-Kong, Japan, Australia, and South Africa. In all, 385 chiropractors collected valid data on 5607 patients. Spinal manipulation with or without additional therapy was the intervention provided by chiropractors. Outcome measures included self-reported improved nonmusculoskeletal reactions (allergy, asthma, breathing, circulation, digestion, hearing, heart function, ringing in the ears, sinus problems, urination, and others). Results The results from the previous study were largely reproduced. Positive reactions were reported by 2% to 10% of all patients and by 3% to 27% of those who reported to have such problems. Most common were improved breathing (27%), digestion (26%), and circulation (21%). Some variables were identified that somewhat influenced the outcome: patients informed that such reactions may occur (odds ratio [OR] 1.5), treatment to the upper cervical spine (OR 1.4), treatment to lower thoracic spine (OR 1.3), and female sex (OR 1.3). However, these had a very small “explanatory” value (pseudo R 2 3%). Conclusion A minority of patients with self-reported nonmusculoskeletal symptoms report definite improvement after chiropractic care, and very few report definite worsening. Future studies should use stringent criteria to investigate a possible treatment effect and concentrate on specific diagnostic subgroups such as digestive problems and tinnitus. (J Manipulative Physiol Ther 2005;28:294—302)
Databáze: OpenAIRE
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