2017 annual research report

Through 2017, we've focused our energy on developing strategic partnerships and growing our already long list of outside collaborators. In addition, we reorganized the Palmer Center for Chiropractic Research to better leverage resources and to become more competitive in obtaining grant funding through a narrowed research focus. It was a success! Take a look around our Research Report and see for yourself.

2017 strategy

We worked to develop this strategy with our Mission and Vision at the forefront.
mission
Research Mission

The Palmer Center for Chiropractic Research is dedicated to advancing health care for patients by developing knowledge and translating knowledge that improves the practice of chiropractic.

vision
Research Vision

The Palmer Center for Chiropractic Research impacts health care practice and policy through our universally recognized, robust and sustainable collaborative research, attracting accomplished scientists, high-level staff and dedicated trainees.

active grants and projects

Assessment of Chiropractic Treatment for Low Back Pain, Military Readiness, and Smoking Cessation in Military Active Duty Personnel (Act I, II and III)

Funding source: Department of Defense
Award amount: $5,214,001
Funding period: 2/2011 – 2/2017
Principal Investigator: Ian Coulter, PhD, RAND Corporation
Co-Principal Investigators: Christine Goertz, DC, PhD; Joan Walters, JD, PA, Samueli Institute
Co-Investigators: Cynthia Long, PhD; Robert Vining, DC
Lead Project Managers: Julie Hartmann, DC, MS, CCRP, Amy Minkalis, DC, MS, CCRP
Site Project Managers: Darla Freehardt, BS, LPN, CCRP, Crystal Franklin, MPH, CCRP, Elissa Twist, DC, MS, CCRP

Goal: Assess the effectiveness of chiropractic manipulative therapy for pain management and improved function in active duty service members with low back pain. This study looks at the role of chiropractic care within the military health care system and has applications for a diverse population in a real-world setting.

ACT Updates:

ACT 1: Primary manuscript has been submitted and is under review.
ACT 2: Primary manuscript has been submitted and is under review.
ACT 3: Enrollment is at 40% or 44/110.

Collaborative Care for Veterans with Spine Pain and Mental Health Conditions (COCOV)

Funding source: NIH/NCCIH
Award amount: $718,000
Funding period: 9/2014 - 6/2018
Principal Investigator: Christine Goertz, DC, PhD
Co-Investigators: Cynthia Long, PhD; Stacie Salsbury, PhD, RN; Robert Vining, DC; Richard Branson, DC; Lucile Burgo-Black, MD; Anthony Lisi, DC; Robert Wallace, MD, MSc; Thad Abrams, MD, MS

Goal: Develop an integrative care model that includes doctors of chiropractic in multidisciplinary teams treating patients in Veterans Health Administration (VHA) facilities.

Kiernan Chiropractic Care Program

Funding source: Dr. William & Mrs. Mary Kiernan, Kiernan Family Trust
Award amount: $2,000,000
Funding period: 1/2015 – 12/2017
Co-Principal Investigators: Robert Vining, DC, Carl Cooley, MD
Co-Investigators: Stacie Salsbury, RN, PhD, Christine Goertz, DC, PhD

Goal: Add chiropractic care to multi-disciplinary care teams at Crotched Mountain Specialty Hospital in Greenfield, NH and study how the addition of chiropractic impacts outcomes for those with brain and spinal cord injury, and other acquired/developmental disabilities.

2017 Highlights:

  • Conducted focus group research & completed health record data collection
  • Conducted 3 scientific presentations at DC 2017
  • Published 1 article in Medicine
  • Submitted 1 article reporting treatment and health record data
  • 2 manuscripts in development
Chiropractic Integration into Multidisciplinary Healthcare Systems

Funding source: NCMIC Group
Award amount: $100,000
Funding period: 10/2014 – 12/2016
Principal Investigator: Christine Goertz, DC, PhD
Co-Investigators: Anthony Lisi, DC; Stacie Salsbury, PhD, RN
Project Manager: Elissa Twist, DC, MS, CCRP

Goal: Describe and assess the delivery of chiropractic services in a group of private healthcare facilities, allowing us to develop and make available working models that can be used by others.

2017 Highlights:

  • 8 multidisciplinary reports published on dynamic Palmer webpage within the Evidence-Based Clinical Practice Toolkit
  • 1 publication accepted to J Manipulative Physical Therapy
Expanding EBCP and Research across Palmer College of Chiropractic (R25) & 2017 Conference: Process of Integrating Evidence (PIE) for CIH Educators

Expanding EBCP and Research across the Palmer College of Chiropractic

Funding source: NIH/NCCIH
Award amount: $1,600,000
Funding period: 9/2007 - 8/2017
Principal Investigator: Cynthia Long, PhD
Collaborators: Kevin Lyons, PhD; Mark Wilson, MD, MPH; Kristi Ferguson, PhD
Program Manager: Katie Hoyt, MOL

Goal: In collaboration with the University of Iowa and Thomas Jefferson University, this grant supports an on-going faculty development program toward enhancing the integration of evidence-based clinical practice (EBCP) and research content into the Doctor of Chiropractic curriculum at all three Palmer campuses.

2017 Conference: Process of Integrating Evidence (PIE) for CIH Educators

Funding source: NCMIC Foundation
Award amount: $20,000
Funding period: 11/2016 - 12/2017
Principal Investigator: Cynthia Long, PhD

2017 Highlights:

  • R25 grant concluded on 8/31/2017
  • Final R25 progress report submitted 12/2017
  • Final R25 deliverables
    • PIE Conference for CIH Educators – July 2017 in Bloomington, MN
    • Brightspace Faculty Training Modules to launch 3/2018

2017 publications

21 publications in 17 peer-reviewed journals

Interdisciplinary practice models for older adults with back pain: a qualitative evaluation.
Salsbury SA, Goertz CM, Vining RD, Hondras M, Andresen AA, Long CR, Lyons KJ, Killinger LZ, Wallace RB. Interdisciplinary practice models for older adults with back pain: a qualitative evaluation. The Gerontologist 2017 (epub ahead of print) IF: 3.505
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A proposal to improve healthcare value in spine care delivery: the primary spine practitioner.
Goertz CM, Weeks WB, Justice B, Haldeman S. A proposal to improve healthcare value in spine care delivery: the primary spine practitioner. Spine J 2017;17(10):1570-1574. IF: 2.962
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Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial.
Goertz CM, Salsbury SA, Long CR, Vining RD, Andresen AA, Hondras MA, Lyons KJ, Killinger LZ, Wolinsky FD, Wallace RB. Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial. BMC Geriatr 2017;17(235). IF: 2.611
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Decreased spontaneous activity and altered evoked nociceptive response of rat thalamic submedius neurons to lumbar vertebra thrust.
Reed WR, Cranston JT, Onifer SM, Little JW, Sozio RS. Decreased spontaneous activity and altered evoked nociceptive response of rat thalamic submedius neurons to lumbar vertebra thrust. Exp Brain Res 2017;235(9):2883-2892. IF: 2.395
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Association of lumbar spine stiffness and flexion-relaxation phenomenon with patient-reported outcomes in adults with chronic low back pain - a single-arm clinical trial investigating the effects of thrust spinal manipulation.
Xia T, Long CR, Vining RD, Gudavalli MR, DeVocht JW, Kawchuk GN, Wilder DG, Goertz CM. Association of lumbar spine stiffness and flexion-relaxation phenomenon with patient-reported outcomes in adults with chronic low back pain - a single-arm clinical trial investigating the effects of thrust spinal manipulation. BMC Complement Altern Med 2017;17(303). IF: 1.987
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