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20823

Title

Injury prevalence among patients at a chiropractic college teaching clinic

URL

Journal

Palmer Jnl Res. 1994 Sep;1(1):22-27

Author(s)

Subject(s)

Peer Review

Yes

Publication Type

Article

Abstract/Notes

Chiropractors treat approximately 30% of patents who seek care for back pain, yet they have not been integrated into surveillance efforsts such os the 1991 National Amublatory Medical Care Survey (NAMCS)of office-based physicians in the U. S., conducted by the National Center for Health Statistics. The purpose of this study was to document the role of chiropractic in the treatment of musculoskeletal injuries and to assist in building a case for the profession's participation in Federally funded injury prevention and control programs. A review of 372 patient records was conducted at Palmer College of Chiropractic's main clinic to investigate injury prevalence. Results indicated that 46.2% of patients reported an injury-related chief complaint; most (70.4%) of these related to the spine. Lifting (15.4%) and sports-related activities (21.4%) were the predominant reported causes. A total of 43.9% of injuries were acute or subacute (occuring less than seventeen weeks prior to treatment). Only 11% of injury patients reported previous treatment of their complaint by a medical or osteopathic practitioner. The proportion of chiropractic patients who seek primary treatment of injuries is significant in terms of injury control research. The 1991 NAMCS showed that 9% of patients visits to MD's and DO's were related to injury; over 40% of chiropractic patients in this study presented with injury-related complaints. This suggests that the inclusion of chiropractors in office-based surveillance could provide a more complete view of the spectrum of injuries in America.

This abstract is reproduced with the permission of the publisher; full text by subscription.

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