title: A cross-sectional analysis of clinical outcomes following chiropractic care in veterans with and without post-traumatic stress disorder.
abstract: This study was a cross-sectional analysis of clinical outcomes for 130 veteran patients with neck or low back complaints completing a course of care within the chiropractic clinic at the VA of Western New York in 2006. Multivariate analysis of variance (MANOVA) was utilized, comparing baseline and discharge scores for both the neck and low back regions and for those patients with and without post-traumatic stress disorder (PTSD). Patients with PTSD (n = 21) experienced significantly lower levels of score improvement than those without PTSD (n = 119) on self-reported outcome measures of neck and low back disability. These findings, coupled with the theorized relationships between PTSD and chronic pain, suggest that the success of conservative forms of management for veteran patients with musculoskeletal disorders may be limited by the presence of PTSD. Further research is warranted to examine the potential contributions of PTSD on chiropractic clinical outcomes with this unique patient population.
authors: Chiropractic Service, VA of Western New York Healthcare System, 3495 Bailey Avenue, Buffalo, NY 14215, USA.
authors: Andrew S
authors: AS
authors: Dunn
authors: Steven R
authors: SR
authors: Passmore
authors: Jeanmarie
authors: J
authors: Burke
authors: David
authors: D
authors: Chicoine
mesh_terms: D000223:Adaptation, Psychological; D000704:Analysis of Variance; D015992:Body Mass Index; D016022:Case-Control Studies; D002684:Chiropractic; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006787:Hospitals, Veterans; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D008890:Military Psychiatry; D019547:Neck Pain / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000628:therapy; D013315:Stress, Psychological / Q000150:complications / Q000628:therapy; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D014728:Veterans / Q000523:psychology