Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18404
  Title Chiropractic care for older adults at risk for falls: a preliminary assessment
Journal JACA Online. 2005 Sep-Oct;42(7):Online access only p 10-18
Peer Review Yes
Publication Type Article
Abstract/Notes OBJECTIVE: to make a preliminary assessment of the possible effect of chiropractic spinal manipulative therapy (SMT) on risk of falls in older adults.

STUDY DESIGN: Single-group pre-test/post-test intervention.

INTERVENTION: 6-9 high-velocity, low-amplitude SMT treatments over a 3-week period by an experienced doctor of chiropractic.

OUTCOMES ASSESSMENTS: Risk of falls was assessed using the Berg Balance Scale (BBS); BBS scores of 45 or less are predictive of increased risk of falling. Additional assessments of balance-related symptoms were the One-Leg Standing Test (OLST) and the Dizziness Handicap Inventory.

RESULTS: Of 108 patients screened, 14 were enrolled and 13 completed the study. Six of 7 patients with baseline BBS scores of 45 or less had follow-up scores higher than 45.

CONCLUSION: Although this study was limited by its small sample size and absence of a comparison group, the change in patients’ fall risk pre- to post-intervention warrants further investigation of a possible role of SMT in fall prevention in older adults.

This abstract is reproduced with permission of the publisher. Full text is available by subscription; click on the above link.

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