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Participate in a Wellness Care/
Maintenance Care Research Project

Participate in a Wellness Care/
Maintenance Care Research Project

The Chiro.Org Blog


Wellness care, or “maintenance care,” is widely accepted by the profession as an integral part of chiropractic practice. However, to date, a cause-and-effect relationship between wellness care and improved long-term health outcomes has yet to be clearly demonstrated. This proposed study is designed to add to the evidence base about this important topic.

Purpose of this Study

The purpose of this study is to assess changes in Health-Related Quality of Life over a 12 month period for chiropractic patients who do, or do not participate in wellness care. It is being conducted in the offices of U.S. chiropractors who are members of the Integrated Chiropractic Outcomes Network (ICON).

For this study, we define chiropractic wellness care as a course of long-term care provided to a patient who is either asymptomatic or whose original presenting complaint has been resolved or stabilized, and is provided for the purpose of preventing disease, optimizing function, and supporting the patient’s wellness-related activities and/or minimizing recurrences of previous complaints.

Cheryl Hawk, DC, PhD, Michael Schneider, DC, PhD, Marion Willard Evans Jr., DC, PhD, MCHES, Daniel Redwood, DC
Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

J Manipulative Physiol Ther. 2012 (Sep); 35 (7): 556-567

Study Design

Baseline data are collected in practitioners’ offices; follow-up is conducted by the central office at Logan, by phone and email. Each doctor enrolls 5 consecutive new patients. New patients of any age are eligible! Data are collected at 4 points: first visit and 1, 6 and 12 months later. Outcomes are assessed primarily via questions from the CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Patients are entered in a drawing for a $100 gift card when they complete the follow-up.

Would You Like to Join Our Study?


We have rolling enrollment so you can still join!

Simply email or call Program Coordinator
Michelle Anderson:

michelle.anderson@logan.edu or call her at: (636) 230-1946


Principal Investigator: Cheryl Hawk, DC, PhD
Coinvestigators: Katherine Pohlman, DC, MS, U of Alberta
Jay Greenstein, DC, CCSP, private practice
Program Coordinator: Michelle Anderson

You may also want to review our:

Maintenance Care, Wellness and Chiropractic Page

The Impact of Chiropractic Care On Health
Why Maintenance Care Makes Sense

The Impact of Chiropractic Care On Health
Why Maintenance Care Makes Sense

The Chiro.Org Blog


A Chiro.Org Editorial


Coulter and researchers at the RAND Corporation [1] performed an analysis of an insurance database, comparing persons receiving chiropractic care with non-chiropractic patients. The study consisted of senior citizens >75 years of age.

Recipients of chiropractic care reported better overall health, spent fewer days in hospitals and nursing homes, used fewer prescription drugs, and were more active than the non-chiropractic patients.

As part of a comprehensive geriatric assessment program, the RAND Corporation studied a subpopulation of patients who were under chiropractic care compared to those who were not and found that the individuals under continuing chiropractic care were:

  • Free from the use of a nursing home [95.7% vs 80.8%];

  • Free from hospitalizations for the past 23 years [73.9% vs 52.4%];
  • More likely to report a better health status;
  • More likely to exercise vigorously;
  • More likely to be mobile in the community [69.6% vs 46.8%].

Although it is impossible to clearly establish causality, it is also reasonably clear that continuing chiropractic care is among the attributes of the cohort of patients experiencing substantially fewer costly healthcare interventions.

There are many more articles like this @ our:

Maintenance Care, Wellness and Chiropractic Page


In another study, Van Breda et al [2] interviewed 200 pediatricians and 200 chiropractors, to determine what, if any, differences were to be found in the health status of their respective children, because their families were being raised with 2 very different health care models.

Continue reading …

B Vitamins Slows the Rate of Brain Atrophy in Mild Cognitive Impairment

B Vitamins Slows the Rate of Brain Atrophy
in Mild Cognitive Impairment

The Chiro.Org Blog


The Oxford Project to Investigate Memory and Ageing (OPTIMA) published the results of a key aspect of their study in the online journal Public Library of Science ONE in 2010. In this arm of the study, they investigated the effect of B-vitamin supplementation on various parameters of brain aging and associated cognitive function. The study group consisted of 168 individuals over the age of 70 with mild cognitive impairment.

You may also enjoy our page on:

Vitamin B Complex

The treatment group was given daily supplementation of the following B vitamins: folic acid (800 mcg), vitamin B12 (500 mcg) and vitamin B6 (20 mg). The main outcome measured was change in rate of whole brain atrophy on MRI investigation after 24 months of supplementation compared to the placebo group.

Study results showed that the group taking the B-vitamin cocktail experienced a 30-percent slower rate of brain atrophy, on average, and in some cases patients experienced reductions as high as 53 percent. Greater rates of atrophy were associated with lower cognitive test scores.

The authors also observed that, in the control group, the the degree of atrophy was directly related to elevated homocysteine levels.


Homocysteine-lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial
PLoS One. 2010 (Sep 8); 5 (9): e12244

Continue reading …

Chiropractic Research & Practice:
State of the Art

Chiropractic Research & Practice
State of the Art

The Chiro.Org Blog


Cleveland Chiropractic College

By Daniel Redwood, D.C., professor, Cleveland Chiropractic College

Peer Reviewers: Carl S. Cleveland III, D.C., J. Michael Flynn, D.C., Cheryl Hawk, D.C., PhD., Anthony Rosner, PhD.

©2010 Cleveland Chiropractic College – Kansas City and Los Angeles


Chiropractic Research & Practice

State of the Art

Since chiropractic’s breakthrough decade in the 1970s — when the U.S. federal government included chiropractic services in Medicare and federal workers’ compensation coverage, approved the Council on Chiropractic Education (CCE) as the accrediting body for chiropractic colleges, and sponsored a National Institutes of Health (NIH) conference on the research status of spinal manipulation — the profession has grown and matured into an essential part of the nation’s healthcare system.

Chiropractic was born in the United States in the late 19th century and the U.S. is home to approximately 65,000 of the world’s 90,000 chiropractors. [1] The chiropractic profession is the third largest independent health profession in the Western world, after medicine and dentistry. Doctors of chiropractic are licensed throughout the English-speaking world and in many other nations as primary contact providers, licensed for both diagnosis and treatment without medical referral. In 2005, the World Health Organization (WHO) published WHO Guidelines on Basic Training and Safety in Chiropractic, which documented the status of chiropractic education and practice worldwide and sought to ensure high standards in nations where chiropractic is in the early stages of development. [2]

Rigorous educational standards are supervised by government-recognized accrediting agencies in many nations, including CCE in the United States. After fulfilling college science prerequisites similar to those required to enter medical schools, chiropractic students must complete a chiropractic college program of four academic years, which includes a wide range of courses in anatomy, physiology, pathology, and diagnosis, as well as spinal adjusting, physiotherapy, rehabilitation, public health and nutrition.

Continue reading …

General Health, Wellness, and Chiropractic Care

General Health, Wellness, and Chiropractic Care

The Chiro.Org Blog



The World Health Organization defines health as being “a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity”. [ 1 ]

Given this broad definition of health, epistemological constructs borrowed from the social sciences may demonstrate health benefits not disclosed by randomized controlled trials.

Health benefits, such as improvement in self-reported quality-of-life (QOL), behaviors associated with decreased morbidity, patient satisfaction, and decreased health care costs, are reported in the following articles, and they make a compelling statement about the effects of chiropractic on general health.

Despite the historic emphasis on treatment, prevention and health promotion are receiving increased attention within the US health care system. These same health promotion tasks are considered by the National Academy of Science and others as essential components of health services delivered by primary care providers. Chiropractors are viewed by many as capable of and actively delivering prevention and health promotion in addition to providing other primary care services.

Continue reading …

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