Kelsey L Corcoran1, Andrew S Dunn2, Bart N Green3, Lance R Formolo2, Gregory P Beehler4. 1. Chiropractic Department, Medical Care Line, VA Western New York, 3495 Bailey Ave, Buffalo, NY 14215, USA; Yale University, Yale Center for Medical Informatics, 300 George St, New Haven, CT 06511, USA; Chiropractic Department, VA Connecticut, 950 Campbell Ave, West Haven, CT 06516, USA; Clinical Sciences, New York Chiropractic College, 2360 New York 89, Seneca Falls, NY 13148, USA. Electronic address: kelsey.corcoran@yale.edu. 2. Chiropractic Department, Medical Care Line, VA Western New York, 3495 Bailey Ave, Buffalo, NY 14215, USA; Clinical Sciences, New York Chiropractic College, 2360 New York 89, Seneca Falls, NY 13148, USA. 3. Qualcomm Health Center, Stanford Heath Care, 10155 Pacific Center Blvd, San Diego, CA 92121, USA; National University of Health Sciences, 200 E. Roosevelt Rd, Lombard, IL 60148, USA. 4. VA Center for Integrated Healthcare, VA Western New York, 3495 Bailey Ave, Buffalo, NY 14215, USA; School of Nursing, University at Buffalo, South Campus, 202 Beck Hall, 3435 Main St, Buffalo, NY 14214, USA; School of Public Health and Health Professions, University at Buffalo, Kimball Tower, 401 Goodyear Rd, Buffalo, NY 14215, USA.
Abstract
OBJECTIVE: To determine if U.S. female veterans had demonstrable improvements in neck pain after chiropractic management at a Veterans Affairs (VA) hospital. METHODS: This was a retrospective cross-sectional study of medical records from female veterans attending a VA chiropractic clinic for neck pain from 2009 to 2015. Paired t-tests were used to compare baseline and discharge numeric rating scale (NRS) and Neck Bournemouth Questionnaire (NBQ) scores with a minimum clinically important difference (MCID) set at a 30% change from baseline. RESULTS: Thirty-four veterans met the inclusion criteria and received a mean of 8.8 chiropractic treatments. For NRS, the mean score improvement was 2.7 (95%CI, 1.9-3.5, p < .001). For the NBQ, the mean score improvement was 13.7 (95%CI, 9.9-17.5, p < .001). For the MCID, the average percent improvement was 45% for the NRS and 38% for the NBQ. CONCLUSION: Female veterans with neck pain experienced a statistically and clinically significant reduction in NRS and NBQ scores.
OBJECTIVE: To determine if U.S. female veterans had demonstrable improvements in neck pain after chiropractic management at a Veterans Affairs (VA) hospital. METHODS: This was a retrospective cross-sectional study of medical records from female veterans attending a VA chiropractic clinic for neck pain from 2009 to 2015. Paired t-tests were used to compare baseline and discharge numeric rating scale (NRS) and Neck Bournemouth Questionnaire (NBQ) scores with a minimum clinically important difference (MCID) set at a 30% change from baseline. RESULTS: Thirty-four veterans met the inclusion criteria and received a mean of 8.8 chiropractic treatments. For NRS, the mean score improvement was 2.7 (95%CI, 1.9-3.5, p < .001). For the NBQ, the mean score improvement was 13.7 (95%CI, 9.9-17.5, p < .001). For the MCID, the average percent improvement was 45% for the NRS and 38% for the NBQ. CONCLUSION: Female veterans with neck pain experienced a statistically and clinically significant reduction in NRS and NBQ scores.
Authors: Carol P Roth; Ian D Coulter; Lisa S Kraus; Gery W Ryan; Gary Jacob; Joyce S Marks; Eric L Hurwitz; Howard Vernon; Paul G Shekelle; Patricia M Herman Journal: J Manipulative Physiol Ther Date: 2019-06-27 Impact factor: 1.437