A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research
Abstract Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05783-y |
| _version_ | 1828418481722228736 |
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| author | Weronika Grabowska Wren Burton Matthew H. Kowalski Robert Vining Cynthia R. Long Anthony Lisi Jeffrey M. Hausdorff Brad Manor Dennis Muñoz-Vergara Peter M. Wayne |
| author_facet | Weronika Grabowska Wren Burton Matthew H. Kowalski Robert Vining Cynthia R. Long Anthony Lisi Jeffrey M. Hausdorff Brad Manor Dennis Muñoz-Vergara Peter M. Wayne |
| author_sort | Weronika Grabowska |
| collection | DOAJ |
| description | Abstract Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps. |
| first_indexed | 2024-12-10T14:37:15Z |
| format | Article |
| id | doaj.art-bc5f9ec1f6574b3ba14ba32e8e5873c8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-10T14:37:15Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-bc5f9ec1f6574b3ba14ba32e8e5873c82022-12-22T01:44:48ZengBMCBMC Musculoskeletal Disorders1471-24742022-09-0123113110.1186/s12891-022-05783-yA systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future researchWeronika Grabowska0Wren Burton1Matthew H. Kowalski2Robert Vining3Cynthia R. Long4Anthony Lisi5Jeffrey M. Hausdorff6Brad Manor7Dennis Muñoz-Vergara8Peter M. Wayne9Brigham and Women’s Hospital and Harvard Medical School Division of Preventive Medicine, Osher Center for Integrative MedicineBrigham and Women’s Hospital and Harvard Medical School Division of Preventive Medicine, Osher Center for Integrative MedicineOsher Clinical Center for Integrative Medicine, Brigham and Women’s Healthcare CenterPalmer Center for Chiropractic ResearchPalmer Center for Chiropractic ResearchYale University Center for Medical InformaticsCenter for the Study of Movement Cognition and Mobility, Tel Aviv Sourasky Medical CenterHinda and Arthur Marcus Institute for Aging ResearchBrigham and Women’s Hospital and Harvard Medical School Division of Preventive Medicine, Osher Center for Integrative MedicineBrigham and Women’s Hospital and Harvard Medical School Division of Preventive Medicine, Osher Center for Integrative MedicineAbstract Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps.https://doi.org/10.1186/s12891-022-05783-yChiropracticChiropractic careFallsFall preventionGaitBalance |
| spellingShingle | Weronika Grabowska Wren Burton Matthew H. Kowalski Robert Vining Cynthia R. Long Anthony Lisi Jeffrey M. Hausdorff Brad Manor Dennis Muñoz-Vergara Peter M. Wayne A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research BMC Musculoskeletal Disorders Chiropractic Chiropractic care Falls Fall prevention Gait Balance |
| title | A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research |
| title_full | A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research |
| title_fullStr | A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research |
| title_full_unstemmed | A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research |
| title_short | A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research |
| title_sort | systematic review of chiropractic care for fall prevention rationale state of the evidence and recommendations for future research |
| topic | Chiropractic Chiropractic care Falls Fall prevention Gait Balance |
| url | https://doi.org/10.1186/s12891-022-05783-y |
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