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Category: Elderly Care

Chiropractic Safer than Medical Care for Elderly

Chiropractic Safer than Medical Care for Elderly

Many studies have found that chiropractic care is a safe and effective treatment method when dealing with a number of spine-related issues. The American Chiropractic Association even lists a number of research studies on their website that show that it is a valuable treatment method for easing (and sometimes completely resolving) back pain, neck pain, headaches, and more.

While all of this is good news for professionals that practice in the chiropractic field, some researchers wondered if chiropractic was just as safe for elderly patients as it is for younger patients experiencing these types of problems. So, they set out to find the answer, which they did via a retrospective cohort study funded by NIH and the National Center for Complementary and Alternative Medicine, and also which was subsequently printed in Spine upon its completion.

What researchers wanted to discover was whether the relationship between the risk of injury to people 66 years old and older when engaging in chiropractic care was higher than, lower than, or equal to the risk of injury to this same age group after undergoing medical care by their primary care physician. To find their answer, they studied data on Medicare B patients who went to the doctor in 2007 for a neuromusculoskeletal issue, evaluating their risk of injury seven days post-treatment.

They discovered that seniors that received chiropractic care had a 76% lower rate of injury within seven days of treatment when compared to the subjects that met with their primary physician as a result of a neuromusculoskeletal complaint. Researchers also pointed out that they found that males contained within the research group, older study participants, and those with a higher Charlson co-morbidity score were most at risk of injury within the week after acquiring a neuromusculoskeletal issue.

Additionally, certain medical conditions raised the risk of injury, even after chiropractic care. Therefore, chiropractic professionals should consider whether treatment via spinal manipulation is best for “patients with coagulation defects, inflammatory spondylopathy, osteoporosis, aortic aneurysm & dissection, or [those who have engaged in] long term use of anticoagulant therapy” as the increased risk may not be worth the benefits.

Whedon JM, Mackenzie TA, Phillips RB, Lurie JD. Risk of traumatic injury associated with chiropractic spinal manipulation. Spine 2014;Dec 9.

Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

older-adult-couple
older-adult-couple

Older adults have long relied on chiropractic care to help keep them healthy and active. However, little scientific data has been gathered about the use of chiropractic by seniors, and few studies have been conducted to evaluate the potential benefits. New research published in the March edition of the Journal of Manipulative and Physiological Therapeutics has helped to fill this important gap. The investigators’ findings confirmed what chiropractors and their older patients have known for some time. Not only does chiropractic care help relieve older adults’ back pain, it also seems to keep them more active and protect them from limitations in their daily activities.

The study analyzed data on 1,057 Medicare recipients gleaned from nationwide research conducted by the Centers for Medicare and Medicaid Services, called the survey on Assets and Health Dynamics among the Oldest Old (AHEAD). In the AHEAD survey, a subset of patients who had been identified as suffering from back pain were asked questions about their overall health as well as their ability to complete activities of daily living (ADL) and their lower body function. ADL was defined as normal activities such as walking up stairs, doing household chores, and going shopping for groceries. The researchers then compared the survey information with medical records indicating which of the older adults had received either medical care or chiropractic care during the 11-year period covered by the study.

After analyzing the data, the researchers found that the chiropractic patients were much less likely to show declines in ADF and lower body function than patients who received only medical care. This indicates that they were more able to maintain an active lifestyle. The chiropractic patients were also less likely to report significant declines in their health.

The researchers thus concluded that chiropractic care appears to have had a protective effect against age-related frailty and disability. As they said in the study, “These results suggest that when chiropractic care is delivered in practice at care levels comparable to those used in clinical trials and relative to the types of services delivered within an episode of medical care only, chiropractic confers significant and substantial benefits to older adult functional ability and self-rated health.”

The findings were considered particularly significant because Medicare patients have a great deal of flexibility with respect to treatment options. They can consult medical doctors, doctors of chiropractic, physical therapists, internists, neurologists, orthopedists, and interventional pain providers. This means that the results attributed to chiropractic care were achieved in a setting where patients had access to a wide variety of therapies rather than in a clinical study format where subjects typically have only one or two options available to them.

This research also added to the existing body of evidence that chiropractic care is safe for seniors with back and neck pain, and that chiropractic can offer substantial relief for spinal conditions such as arthritis and disk herniation. Because aging causes the degeneration of spinal disks, regular chiropractic care may help to make seniors less prone to painful and debilitating back injuries like bulging disks and pinched spinal nerves.

All of this means that older chiropractic patients may be better able to enjoy their “golden years” freer from pain and disability. And it also means that they may be able to maintain a more active and healthier lifestyle.