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Occupational Medicine 1998;48:389-395
© 1998 Society of Occupational Medicine

research-article

A chiropractic service arrangement for musculoskeletal complaints in industry: a pilot study

T. C. Jay*, S. L. Jones*, N. Coe{dagger} and A. C. Breen{ddagger},

* Taunton Chiropractic Clinic Woodstock Road, Taunton, Somerset, UK
{dagger} Somerset Health Authority Wellsprings Road, Taunton, Somerset, UK
{ddagger} Research Department, Anglo-European College of Chiropractic Parkwood Road, Bournemouth, Dorset, UK

Chiropractic services are commonly used by workers with musculoskeletal problems, especially low back and neck complaints. Research into the effectiveness and cost-effectiveness of this approach is, however, difficult to design without prior pilot studies. This study followed 32 workers with these complaints attending one such service and used five measures of outcome over a 6-month period. These measured pain (VAS), disability (FLP), quality of life (SF-36), perceived benefit and satisfaction with care. Additionally, sickness costs to the companies were recorded over two years encompassing the study period. Treatment utilization was also monitored. Over half the population were chronic sufferers. The effect sizes were large for pain and for seven out of eight dimensions of the SF-36 questionnaire at 6-month follow-up, although not for disability (FLP). High levels of satisfaction and perceived improvement were reported and sickness costs to the companies fell. However, the sample size in this pilot study was small and did not include controls. We would, therefore, recommend a full cost-effectiveness study incorporating a randomized trial in this area.

Keywords      Backache; chiropractic; cost of care; industry; neck pain

Received       11 November 1997
Accepted        9 March 1998

Correspondence and reprint requests to: A. C. Breen, Research Director, Anglo-European College of Chiropractic, 13-15 Parkwood Road, Bournemouth, Dorset BH5 2DF, UK


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