Chiropractic care for older adults with low back pain reduces declines in activities of daily living (ADLs), instrumental ADLs, and improves self-rated health better than medical care

The Comparative Effect of Episodes of Chiropractic & Medical Treatment on the Health of Older Adults.
Weigel PS, MS, Wolinsky FD, PhD.JMPT 2014;xx:1-12. Epub ahead of print.

Comments:This 2014 paper reviews a large data base of 1057 older adults treated with either chiropractic care or standard medical care for low back pain and then follows them for two additional years to compare outcomes. Chiropractic care was associated with reduced declines in ADLs, instrumental ADLS (using the phone, taking medication, handling money, shopping, preparing meals), and better self-rated health than medical care. Slowing the rate of functional decline, disability, & dependency among older adults reduces the threat of institutionalization & preserves autonomy & well-being. The study concludes that chiropractic use in episodes of care for uncomplicated back conditions has protective effects against declines in ADLs, instrumental ADLs, & self-rated health for older Medicare beneficiaries over a 2-year period. Read More...

Chiropractic adjustments improve smoothness of intervertebral motion, acceleration, & angular velocity of lumbar motion segments

Lumbar motion changes in chronic low back pain patients.
Mieritz RM, DC, PhD, Bronfort G, DC, PhD et al.Spine J 2014; 14:xxxepub ahead of print.

Comments:This 2014 paper uses a high tech” piece of equipment (Spine Motion Analyzer) to quantify not only the overall range of motion (ROM), but the quality of motion based on angular velocity, acceleration, & smoothness of motion (aka jerk index) which is based on the number of changes in acceleration throughout a particular ROM. The results document that chiropractic adjustments improved all measurements of improved quality of motion, but several exercise programs which were also evaluated improved only half of the measurements. Importantly, this study is the first to document that chiropractic adjustments improved smoothness of motion but the exercises did not. The paper notes that simply measuring end range of motion and not quality of motion is not sensitive enough to detect important clinical improvements of motion that occur with chiropractic adjustments. Read More...


Chiropractic care demonstrated better results than the natural history for both acute & chronic lumbar disc herniations.

Outcomes of Acute & Chronic Pts w MRI-confirmed Symptomatic Lumbar Disc Herniations (LDH) receiving HVLA SM.
Leemann S, DC, Peterson CK, RN, DC, ME Humphreys BK, DC, PhD, et al.JMPT 2014 epub ahead of print.

Comments:This 2014 study documents that chiropractic adjustments accelerate the recovery time for both acute and chronic lumbar disc herniations when compared to the natural history of recovery. Until very recently the database on effectiveness of adjustments for disc herniation has been poor, but this study, which follows on the heels of several other recent papers, demonstrates the effectiveness of chiropractic adjustments in promoting recovery based on disability scores, numerical pain rating scores, and patient global impression of change. This outcomes are considered today, to be the standards to evaluate patient-centered outcomes. Read More...


Improved diffusion of water in lumbar intervertebral discs after spinal manipulation reduces pain.

Study to determine if there are differences in diffusion of water within the lumbar intervertebral discs (IVDs) between LBP Pts who reported reduction in pain intensity after a single spinal manipulation (SM) visit & those who did not.
Beattie PF, PT, PhD, et al.J Orthop Sports PhysTher 2014;44(1):19-29.

Comments:This 2014 study is the first to document that spinal manipulation can result in improved intradiscal diffusion and that this is associated with reduced pain in symptomatic LBP patients. The authors propose that the pain reduction may be due to enhanced gas and nutrient transport, improved removal of metabolic waste products associated with pain, and the positive effect of improved pressure gradients acting on the disc. Improved intradiscal diffusion has not be studied before because until now there was no way to visualize such changes. However, now the “diffusion-weighted MRI” allows diffusion of water within the IVD to be quantified. Read More...

Bryans R, DC, Decina P, DC, Descarreaux M, DC, PhD, et al.

Bryans R, DC, Decina P, DC, Descarreaux M, DC, PhD, et al. WFC 2013 AWARD WINNING PAPER. Evidence-based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. JMPT 2013;xx:1-22. Epub ahead of print

Comments:This is a new evidence-based guideline based on a systematic review of the scientific literature for chiropractic treatment of adults with nonspecific/mechanical neck pain. Eleven recommendations including some with strong, moderate, weak evidence are made. The strongest evidence includes HVLA manipulation in combination with exercise. Look to see if what you are currently doing in practice conforms to recommendations in this new guideline. Read More...

Meier ML, PhD, Hotz-Boendermaker S, PhD, PT, et al.

Meier ML, PhD, Hotz-Boendermaker S, PhD, PT, et al.strong> WFC 2013 AWARD WINNING PAPER. Neural Responses of Posterior to Anterior Movement on Lumbar Vertebrae: A Functional MRI Study. JMPT 2013; xx:1-10. Epub ahead of print.

Comments:This 2013 epub ahead of print paper documents that in the primary somatosensory cortex (postcentral gyrus (S1)) there is a significant bilateral neural response to thumb pressure applied in a posterior-to-anterior direction to the spinous processes of L1, L3, & L5 which was a distinctly different response than when the same pressure was applied to the Pt’s thumb based on MRI evaluation. In other words, the brain responds in a specific manner when P-A pressure is applied to vertebrae that is distinctive and may provide a method for studying the impact of both manipulation and back pain on brain function. Read More...

Daligadu J, MHSc, Haavik H, PhD, Murphy B, DC, PhD et al.

Daligadu J, MHSc, Haavik H, PhD, Murphy B, DC, PhD et al. Alterations in Cortical & Cerebellar Motor Processing in Subclinical Neck Pain Pts following SM. JMPT 2013; 36:527-537.

Comments:This paper by two highly esteemed chiropractors/neurophysiologists demonstrates for the first time that high velocity low amplitude chiropractic cervical manipulations improved/normalized the cerebellar impact on the motor cortex and resulted in improved motor learning and task performance. Read More...

Peterson CK, RN, DC, MMedEd et al.

Peterson CK, RN, DC, MMedEd et al. Outcomes from MRI–confirmed symptomatic disk herniation patients treated with HVLA SM: A prospective cohort study with 3 month follow-up (F-U). JMPT 2013, 36:461-467.

Comments:This is a very important 2013 paper, the first to document the effectiveness of manipulation for Pts w MRI-confirmed symptomatic cervical disc herniation/radiculopathy. This paper demonstrates that in a large percent of these Pts cervical manipulation resulted in clinically significant in improvement in pain & disability scores. It is a very valuable addition to chiropractic’s database. Read More...

March 2011 Newsletter from Malik Slosberg, DC, MS

Senna MK, Machaly , SA. Does ‘maintained’ spinal manipulation therapy for chronic non-specific low back pain result in better long term outcome? Spine 2011;36: epub ahead of print.

Hopayian, K et al. The clinical features of the piriformis syndrome: a systematic review. Euro Spine J 2010; 19:2095-2109. Read More...

February 2011 Newsletter from Malik Slosberg, DC, MS

Bishop PB, DC, MD, PhD et al. The Chiropractic Hospital based Interventions Research Outcomes (CHIRO) Study: a randomized controlled study on the effectiveness of clinical practice guidelines in medical and chiropractic management of patients with acute mechanical LBP. Spine J 2010;10:1055-64.

Richard L. Liliedahl, MD, Michael D. Finch, PhD, David V. Axene, FSA, FCA, MAAA, Christine M. Goertz, DC, PhD. Cost of Care for Common Back Pain Conditions initiated with DC vs MD/DO as First Physician: Experience of one of Tennessee-based General Health Insurer. JMPT 2010;33(9):640-43. Read More...

January 2011 Newsletter from Malik Slosberg, DC, MS

Dagenais, S, DC, PhD et al. NASS Contemporary Concepts in Spine Care: SMT for ALBP. The Spine Journal 2010; 10: 918–940.

Lindstrøm R et al. Association between neck muscle coactivation, pain, and strength in women with neck pain. Manual Therapy 2011; 16(1):80-86. Read More...

December 2010 Newsletter from Malik Slosberg, DC, MS

Cramer GD, DC, PhD, Henderson C, DC, PhD. Zygapophyseal Joint Adhesions After Induced Hypomobility. JMPT 2010; 33:508-18.

Roy RA, DC, MSc, Boucher JP, PhD, FACSM, Comtois AS, PhD. Inflammatory response following a short-term course of chiropractic treatment in subjects with and without chronic low back pain. Journal of Chiropractic Medicine. 2010; 9, 107–114. Read More...

November 2010 Newsletter from Malik Slosberg, DC, MS

McMorland G, DC, Suter E, PhD, Casha S, MD, PhD, FRCSC, du Plessis SJ, MD, Hurlbert RJ, MD, PhD, FRCSC, FACSc. Manipulation or Microdiskectomy for Sciatica? A Prospective Randomized Clinical Study. JMPT 2010; 33(8): 576-84.

Sekendiz, B, Cug˘ , M, Korkusuz, F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. Journal of Strength and Conditioning Research 2010. 24(11): 3032–3040. Read More...

October 2010 Newsletter from Malik Slosberg, DC, MS

Leaver AM, et al. A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. Arch Phys Med Rehabil 2010;91:1313-8

Gemmell H, Miller P. Relative effectiveness & adverse effects of cervical manipulation, mobilization & the activator instrument in patients with sub-acute non-specific neck pain. Chiropractic & Osteopathy 2010, 18:20. Read More...

September 2010 Newsletter from Malik Slosberg, DC, MS

Boudreau SA, Farina D, Falla D. The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders. Manual Ther 2010; xxx: 1-5. Epub ahead of print.

Wand BM, et al. Cortical changes in chronic low back pain: Current state of the art and implications for clinical practice. Manual Therapy 2010;xxx:1-6. Epub ahead of print.
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August 2010 Newsletter from Malik Slosberg, DC, MS

Article #1 Hinton PM, DC, FCCRS(C) et al. Outcome Measures and Their Everyday Use in Chiropractic Practice. Journal of the Canadian Chiropractic Association 2010; 54(2):118–131.

Article #2: Hezog, Walter, PhD. The Biomechanics of Spinal Manipulation. Journal of Bodywork & Movement Therapies. 2010; 14: 280-286. INVITED REVIEW. Read More...

July 2010 Newsletter from Malik Slosberg, DC, MS

Article # 1: Gross A, et al. Manipulation or mobilization for neck pain: A Cochrane Review.  Manual Therapy 2010; 15(4): 315-333.
Article #2: Miller J, et al. Manual Therapy and Exercise for Neck Pain: A Systematic Review. Manual Therapy 2010, online ahead of print. doi:10.1016 / j.math.2010.02.007. Read More...

June 2010 Newsletter from Malik Slosberg, DC, MS

Dagenais S, DC, PhD, Tricco AC, PhD, Haldeman S, DC, MD, PhD. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. The Spine Journal 10 (2010) 514–529. This paper reviews recent guidelines including data from 2001 - 2009 published in Australia, Belgium, Europe (ALBP), Europe (CLBP), Italy, New Zealand, Norway, United Kingdom, United States (1), and United States (2).

Carnes D, Mars TS, Mullinger RF, Underwood M. Adverse events and manual therapy: A systematic review, Manual Therapy (2010), doi:10.1016 epub ahead of print.
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May 2010 Newsletter from Malik Slosberg, DC, MS

De Carvalho, DE, DC, MSc, et al. Lumbar spine and pelvic posture between standing and sitting: A radiologic investigation. JMPT 2010;33(1):48-558.

O'Sullivan P, PhD, et al. Evaluation of the flexion relaxation phenomenon of the trunk muscles in sitting. Spine 2006;31(17):2009-16. Read More...

April 2010 Newsletter from Malik Slosberg, DC, MS

Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: a randomized trial with one-year follow-up. Cecchi, F et al. Clinical Rehab 2010; 24(1):26-36.

CT features of spinal degeneration: prevalence, intercorrelation, and association with self-reported low back pain. Kalichman, L, PT, PhD, Kim, DH, MD, et al. The Spine Journal 2010; 10(3):200–208.
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March 2010 Newsletter from Malik Slosberg, DC, MS

Bronfort G, DC, PhD, Haas M, DC, Evans,R, Leiniger B, Triano J, DC, PhD. Effectiveness of manual therapies: the UK evidence report.  Chiropractic & Osteopathy 2010, 18:3. 

Lee CD, Sui X, Blair SN. Combined effects of cardiorespiratory fitness, not smoking, and normal waist girth on morbidity and mortality in men. Arch Intern Med 2009;169:2096-101. 
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February 2010 Newsletter from Malik Slosberg, DC, MS

Why do Some Patients Keep Hurting Their Back? Evidence of ongoing back muscle dysfunction during remission from recurrent back pain. McDonald D, Moseley GL, Hodges PW. Pain 2009; 142: 183-188.

The Myth of Core Stability. Lederman, Eyal. Journal of Bodywork & Movement Therapies. 2010; 14, 84-98. Read More...

January 2010 Newsletter from Malik Slosberg, DC, MS

Study #1: Hondras MA, DC, MPH, et al. A randomized controlled trial comparing 2 types of spinal manipulation and minimal conservative medical care for adults 55 years and older with subacute or chronic low back pain. JMPT 2009;32(5):330-43.

Study #2: Kulig K, Scheid AR, Beauregard R, et al. Multifidus morphology in persons scheduled for single-level lumbar microdiscectomy. Am J Phys Med Rehabil 2009;88:355-61. Read More...

Core Stabilization Strategies: Abdominal Hollowing vs. Bracing

Slosberg, Malik, DC, MS. Dynamic Chiropractic – July 15, 2009, Vol. 27, Issue 21 Read More...

Update on Manipulation and Exercise: What the Research Says

Slosberg, Malik, DC, MS. Dynamic Chiropractic – July 15, 2009, Vol. 27, Issue 15 Read More...

Orthopaedists' and Family Practitioners' Knowledge of Simple Low Back Pain Management

Finestone A, MD, Raveh A, MD, Mirovsky Y, MD, et al. Spine 2009;34(15):1600-3. Read More...

Is Your Ab Workout Hurting Your Back?

Reynolds G. New York Times 2009, June 17 Read More...