Summary by Utah Sports and Wellness

Link to original article:

  • A randomized controlled trial
  • The Journal of Alternative and Complementary Medicine – July 2020
  • Study done at Naval Air Technical Training Center
  • 50 references


Outcomes that were measured after 4 weeks of Chiropractic Treatment:

  • Isometric pulling strength from a semi-squat position.
  • Single-leg balance with eyes both opened and closed.
  • Trunk muscle endurance.
  • Pain severity, which was measure with the visual analog scale.
  • Disability, which was measured with the Roland-Morris Disability Questionnaire.

The Chiropractic care received consisted of spinal manipulation, education, and advice. This included high-velocity thrust type motions directed toward the thoracolumbar or pelvic regions. It also involved other spinal regions or extremities when clinically indicated.

  • Low back pain is the most prevalent physical ailment for active military personnel and causes significant disability.
  • Chiropractic services are available to active-duty personnel in the United States through health clinics on military bases.
  • Spinal manipulation may improve trunk muscle strength, sensory signaling, and sensitivity to pain.


  • Maximum pulling strength increased by 5.08 kgs.
  • Reduction in low back pain related disability, pain intensity and interference, and fear avoidance behavior.
  • Improvement in isometric pulling strength, balance with eyes closed, and increased endurance.
  • Improved strength.