Evidence map›Paper›PMID 30606225›Full record

Trial reportTrials2019

Effect of chiropractic manipulative therapy on reaction time in special operations forces military personnel: a randomized controlled trial.

James W DeVocht, Robert Vining, Dean L Smith, Cynthia Long, Thomas Jones, Christine Goertz

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02168153 (Assessment of Chiropractic Treatment Using Reaction and Response Times in Members of the Special Operation Forces), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

NCT02168153 nacompletednot on this map

Assessment of Chiropractic Treatment Using Reaction and Response Times in Members of the Special Operation Forces (ACT2)

TypeinterventionalSponsorRANDRan2014 to 2016Enrolled120ConditionsPhysiological Measurements of Response and Reaction TimesArmsChiropractic Manipulative Therapy, Wait-list
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

James W DeVochtPalmer Center for Chiropractic Research, Palmer College of Chiropractic, 741 Brady St., Davenport, IA, 52803, USA.
Robert ViningPalmer Center for Chiropractic Research, Palmer College of Chiropractic, 741 Brady St., Davenport, IA, 52803, USA. robert.vining@palmer.edu.
Dean L SmithDepartment of Kinesiology and Health, 26E Phillips Hall, Miami University, Oxford, OH, 45056, USA.
Cynthia LongPalmer Center for Chiropractic Research, Palmer College of Chiropractic, 741 Brady St., Davenport, IA, 52803, USA.
Thomas JonesChiropractic Clinic, Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY, 42223-5349, USA.
Christine GoertzPresent Address: The Spine Institute for Quality (Spine IQ), Davenport, IA, USA.
Palmer College of Chiropractic · USBlanchfield Army Community Hospital · USMiami University · USThe Spine Institute · US

Funding

RENOVATION OF PALMER CENTER FOR CHIROPRACTIC RESEARCHC06RR015433 · NCRR · PALMER COLLEGE OF CHIROPRACTIC · PI MEEKER, WILLIAM C · 2000 to 2000
$1.3M
Department of Defense Office of Congressionally Directed Medical Research Programs W81XWH-11-2-0107NCRR NIH HHS C06 RR015433
6 · The paper itself

Abstract

backgroundChiropractic manipulative therapy (CMT) has been shown to improve reaction time in some clinical studies. Slight changes in reaction time can be critical for military personnel, such as special operation forces (SOF). This trial was conducted to test whether CMT could lead to improved reaction and response time in combat-ready SOF-qualified personnel reporting little or no pain.

methodsThis prospective, randomized controlled trial was conducted at Blanchfield Army Community Hospital, Fort Campbell, KY, USA. Active-duty US military participants over the age of 19 years carrying an SOF designation were eligible. Participants were randomly allocated to CMT or wait-list control. One group received four CMT treatments while the other received no treatment within the 2-week trial period. Assessment included simple hand/foot reaction time, choice reaction time, and Fitts' Law and whole-body response time. On visits 1 and 5, the same five assessments were conducted immediately pre- and post-treatment for the CMT group and before and after a 10-min wait period for the wait-list group. Primary outcomes included between-group differences for the pre-CMT/wait-list period at visit 1 and visit 5 for each test. Secondary outcomes included between-group differences in immediate pre- and post-(within visit) changes. Analysis of covariance was used for all data analysis.

resultsOne hundred and seventy-five SOF-qualified personnel were screened for eligibility; 120 participants were enrolled, with 60 randomly allocated to each group. Due to technical problems resulting in inconsistent data collection, data from 77 participants were analyzed for simple hand/foot reaction time. The mean ± standard deviation (SD) age was 33.0 ± 5.6 years and all participants were male. No between-group statistically significant differences were found for any of the five biomechanical tests, except immediate pre- and post-changes in favor of the CMT group in whole-body response time at both assessment visits. There were four adverse events, none related to trial participation.

conclusionsA single session of CMT was shown to have an immediate effect of reducing the time required for asymptomatic SOF qualified personnel to complete a complex whole-body motor response task. However, sustained reduction in reaction or response time from five tests compared with a wait-list control group was not observed following three sessions of CMT.

trial registrationClinicalTrials.gov, NCT02168153 . Registered on 12 June 2014.

Indexed as

Military PersonnelReaction TimeAdultHumansMaleManipulation, ChiropracticProspective StudiesChiropracticMilitaryReaction timeResponse timeSpecial Operations ForcesSpinal manipulative therapy

Identifiers

PMID30606225
PMCPMC6318970
OpenAlexW2947960022

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.