The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

  • Recent Posts

  • Recent Comments

    Predicting patients likely to benefit from chiropractic

    Researchers at VU Medical Center in Amsterdam, the Netherlands, have identified a handful factors that predict a favorable outcome in patients with neck pain.

    First, the details.

    • 529 consecutive adults with neck pain of any duration were recruited.
    • They had not undergone chiropractic or manual therapy in the prior 3 months.
    • They completed questionnaires at the first 3 visits, and at 3 and 12 months.
    • 29 potential prognostic variables present at the start of treatment were evaluated.
    • Neck pain, neck disability, and perceived recovery were the outcomes measured statistically.

    And, the results.

    • Shorter duration of neck pain at the first visit was the best predictor of response, based on a positive outcome for the 3 criteria.
    • The following were predictors of benefit based on a positive outcome for 2 of the 3 outcomes measured.
      • Intermittent neck pain
      • Not being on sick-leave or receiving workers compensation at the start of treatment
      • Higher level of education
      • Less tiredness
      • Higher expectation that the treatment will help
      • Lack of morning pain
      • Worse perceived general health

    The bottom line?
    The authors concluded, “On the basis of the patient’s history, the clinician can identify a number of determinants, which are predictive of a favorable outcome.

    Among these, shorter duration of neck pain at the first visit was consistently a predictor of a favorable outcome for all 3 outcome measures examined — neck pain, neck disability, and perceived recovery.

    The same researchers have published predictors of side effects in patients with neck pain.

    7/12/08 16:34 JR

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