title: Treatment of chronic nonresponsive patients with a nonforce technique.
abstract: OBJECTIVE
  To investigate how chronic pain patients respond to treatment with Bio-Energetic Synchronization Technique (BEST).
  
  
  METHODS
  Twenty-four adult patients with chronic pain-related conditions that failed to respond to previous chiropractic care were recruited. Subjects were given baseline assessments including pain Visual Analog Scale, Profile of Mood States, and the Global Well-being Scale. The 5-week treatment program consisted of an initial 3-day session with BEST therapy, followed by a single treatment session for the following 4 weeks. Patients were reevaluated at the end of the 3-day session and at weekly intervals throughout the course of care. At the end of week 5, patients were asked to assess their degree of satisfaction with the treatment.
  
  
  RESULTS
  Patients had 3 main categories of pain: headache (n = 8, mean duration 15 years), neck pain (n = 18, mean duration 11 years), and low back pain (n = 17, mean duration 10 years). Global Well-Being Scale scores significantly improved at the end of the 3-day session (P > .05) but not subsequently. The Profile of Mood States reflected favorable changes in all areas. Significant improvement in vigor (P > .003) and fatigue (P > .006) existed at the end of 5 weeks (P < .01). The reduction of pain was significant at both the end of the 3-day session and at follow-up (P = .0003). A statistically significant decrease in depression (P = .004) was noted after 3 days, and a substantial although not significant (P = .06) decrease in depression existed at the end of 1 month. Eighty-two percent reported satisfaction with BEST (47% reported being "extremely satisfied" and 35% "satisfied").
  
  
  CONCLUSIONS
  In this group of chronic pain patients, improvement in patient outcome measures was seen after 5 weeks of therapy. These patients also responded with a high degree of satisfaction with care.
authors.affiliation: Parker College of Chiropractic, Research Institute, Dallas, TX 75229, USA. rrupert@parkercc.edu
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Rupert
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: McKinzie
authors.forename: Milton T
authors.initials: MT
authors.lastname: Morter
authors.forename: Dwain M
authors.initials: DM
authors.lastname: Daniel
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D002908:Chronic Disease; D003863:Depression / Q000523:psychology; D004734:Energy Metabolism; D005260:Female; D006261:Headache / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D008297:Male; D026882:Manipulation, Chiropractic; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D019547:Neck Pain / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D017060:Patient Satisfaction; D019233:Retreatment; D017211:Treatment Failure; D016896:Treatment Outcome