Haneline Michael T, Cooperstein Robert
Professor, Head of Chiropractic, International Medical University, Bukit Jalil, Kuala Lumpur, 57000, Malaysia; Adjunct Professor, Palmer College of Chiropractic West, San Jose, CA 95134.
J Chiropr Med. 2009 Dec;8(4):143-55. doi: 10.1016/j.jcm.2009.08.003.
The purpose of this study was to determine the feasibility of a chiropractic practice-based research network to investigate the treatment of acute neck pain (ANP) and to report resulting findings.
Participating chiropractors recruited sequentially presenting ANP patients on their initial visit to the office. Patients were treated by the chiropractors using their usual methods. Data were prospectively collected by having patients complete the Neck Disability Index, Characteristic Pain Intensity score, and a patient satisfaction questionnaire. Questionnaires were completed during routine office visits at baseline and then at weeks 1, 2, 4, 8, and 26, either in the office or by mail.
Ten chiropractors supplied data on 99 patients. The number of cases contributed by each of the participating chiropractors ranged from 1 to 54, with a mean (SD) of 9.2 (10.5). Mean (SD) Neck Disability Index scores were 36 (17.9) at baseline and 9.8 (12.2) at the final evaluation; the Characteristic Pain Intensity scores were initially 55.3 (20.4) and were 24.5 (21.5) at the final evaluation. Transient minimal adverse effects were reported by chiropractors for only 7 (7.8%) patients. No serious adverse reactions were reported.
The practice-based research methodology used in this study appears to be a feasible way to investigate chiropractic care for ANP, and its methodologies could be used to plan future research.
本研究旨在确定基于整脊疗法实践的研究网络调查急性颈部疼痛（ANP）治疗方法的可行性，并报告研究结果。
参与研究的整脊治疗师在其诊所初诊时依次招募出现急性颈部疼痛的患者。整脊治疗师使用其常用方法对患者进行治疗。通过让患者完成颈部功能障碍指数、特征性疼痛强度评分和患者满意度调查问卷，前瞻性地收集数据。调查问卷在基线时以及第1、2、4、8和26周的常规门诊就诊时在诊所内或通过邮寄方式完成。
10位整脊治疗师提供了99名患者的数据。每位参与研究的整脊治疗师提供的病例数从1到54不等，平均（标准差）为9.2（10.5）。颈部功能障碍指数的平均（标准差）评分在基线时为36（17.9），在最终评估时为9.8（12.2）；特征性疼痛强度评分最初为55.3（20.4），在最终评估时为24.5（21.5）。整脊治疗师报告仅7名（7.8%）患者出现短暂的轻微不良反应。未报告严重不良反应。
本研究中使用的基于实践的研究方法似乎是一种可行的方式来研究整脊疗法对急性颈部疼痛的治疗，其方法可用于规划未来的研究。
