July 2008

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Introduction to Neuromechanical Instrument Adjusting: Impulse Adjusting Technique

Consultation request patterns, patient characteristics, and utilization of services within a Veterans Affairs medical center chiropractic clinic

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A review of completed chiropractic consultations in 2006 was carried out to investigate consultation request patterns, patient characteristics and the utilization of chiropractic services within the Department of Veterans Affairs of Western New York Health Care System. Primary care was the main source of patients with variation in the volume of consultation requests among providers. The average chiropractic patient was a 55-year-old male with low back pain who was overweight or obese with 27.43% service-connected disability. Post-traumatic stress disorder was diagnosed in 16.44% of the

patients. The average number of patient visits was minimized by following outcome-based practice parameter. Management consisted mainly of spinal manipulative therapy and mobilization techniques. Veteran chiropractic patients differed demographically from those in the general public who are predominantly female and younger. The implications of these differences on clinical outcomes and chiropractic clinical education are unclear and serve as an incentive for additional research.

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