Evidence map›Paper›PMID 26857706›Full record

Trial reportTrials2016

Assessment of chiropractic treatment for active duty, U.S. military personnel with low back pain: study protocol for a randomized controlled trial.

Christine M Goertz, Cynthia R Long, Robert D Vining, Katherine A Pohlman, Bridget Kane, Lance Corber, Joan Walter, Ian Coulter

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01692275 (Assessment of Chiropractic Treatment for Low Back Pain and Smoking Cessation in Military Active Duty Personnel), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01692275 nacompletednot on this map

Assessment of Chiropractic Treatment for Low Back Pain and Smoking Cessation in Military Active Duty Personnel

TypeinterventionalSponsorRANDRan2012 to 2016Enrolled750ConditionsLower Back PainArmsMedical Care + Chiropractic Care, Conventional Medical Care Only
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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  12. Between-group minimally important change versus individual treatment responders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Christine M GoertzPalmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA, 52803, USA. christine.goertz@palmer.edu.
Cynthia R LongPalmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA, 52803, USA. long_c@palmer.edu.
Robert D ViningPalmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA, 52803, USA. robert.vining@palmer.edu.
Katherine A PohlmanResearch Institute, Parker University, 2540 Walnut Hill Lane, Dallas, TX, 75229, USA. kpohlman@parker.edu.
Bridget KanePalmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA, 52803, USA. bridget.kane.actstudies@gmail.com.
Lance CorberPalmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA, 52803, USA. corber_l@palmer.edu.
Joan WalterSamueli Institute, 1737 King Street, Suite 600, Alexandria, VA, 22314, USA. jwalter@SIIB.org.
Ian CoulterRAND Corporation, 1776 Main Street, Santa Monica, CA, 90401, USA. coulter@rand.org.
Palmer College of Chiropractic · USParker University · USRAND Corporation · USSamueli Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is highly prevalent and one of the most common causes of disability in U.S. armed forces personnel. Currently, no single therapeutic method has been established as a gold standard treatment for this increasingly prevalent condition. One commonly used treatment, which has demonstrated consistent positive outcomes in terms of pain and function within a civilian population is spinal manipulative therapy provided by doctors of chiropractic. Chiropractic care, delivered within a multidisciplinary framework in military healthcare settings, has the potential to help improve clinical outcomes for military personnel with low back pain. However, its effectiveness in a military setting has not been well established. The primary objective of this study is to evaluate changes in pain and disability in active duty service members with low back pain who are allocated to receive usual medical care plus chiropractic care versus treatment with usual medical care alone. METHODS/

designThis pragmatic comparative effectiveness trial will enroll 750 active duty service members with low back pain at three military treatment facilities within the United States (250 from each site) who will be allocated to receive usual medical care plus chiropractic care or usual medical care alone for 6 weeks. Primary outcomes will include the numerical rating scale for pain intensity and the Roland-Morris Disability Questionnaire at week 6. Patient reported outcomes of pain, disability, bothersomeness, and back pain function will be collected at 2, 4, 6, and 12 weeks from allocation. DISCUSSION: Because low back pain is one of the leading causes of disability among U.S. military personnel, it is important to find pragmatic and conservative treatments that will treat low back pain and preserve low back function so that military readiness is maintained. Thus, it is important to evaluate the effects of the addition of chiropractic care to usual medical care on low back pain and disability.

trial registrationThe trial discussed in this article was registered in ClinicalTrials.gov with the NCT01692275 Date of registration: 6 September 2012.

Indexed as

Clinical ProtocolsManipulation, ChiropracticMilitary PersonnelAdolescentAdultData CollectionHumansLow Back PainMiddle AgedOutcome Assessment, Health CarePatient SelectionQuality Assurance, Health CareStatistics as Topic

Identifiers

PMID26857706
PMCPMC4746780
OpenAlexW2330529488

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.