Journal of Manipulative and Physiological Therapeutics
Volume 35, Issue 1 , Pages 7-17 , January 2012

Chiropractic Treatment vs Self-Management in Patients With Acute Chest Pain: A Randomized Controlled Trial of Patients Without Acute Coronary Syndrome

  • Mette J. Stochkendahl, DC, PhD

      Affiliations

    • Researcher, Nordic Institute of Chiropractic and Clinical Biomechanics and Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Part of Clinical Locomotion Science, Odense, Denmark
    • Corresponding Author InformationSubmit requests for reprints to: Mette J. Stochkendahl, DC, PhD, Researcher, Nordic Institute of Chiropractic and Clinical Biomechanics, Forskerparken 10A, DK-5230 Odense M, Denmark
  • ,
  • Henrik W. Christensen, DC, MD, PhD

      Affiliations

    • Director, Nordic Institute of Chiropractic and Clinical Biomechanics, Part of Clinical Locomotion Science, Odense, Denmark
  • ,
  • Werner Vach, PhD

      Affiliations

    • Professor, Clinical Epidemiology, Institute of Medical Biometry and Medical Informatics, University Medical Centre, Freiburg, Germany
  • ,
  • Poul F. Høilund-Carlsen, MD, DMSci

      Affiliations

    • Professor, Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark
  • ,
  • Torben Haghfelt, MD, DMSci

      Affiliations

    • Professor, Department of Cardiology, Odense University Hospital, Odense, Denmark
  • ,
  • Jan Hartvigsen, DC, PhD

      Affiliations

    • Professor, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Part of Clinical Locomotion Science, Odense, Denmark

Received 13 August 2010 ,Revised 16 April 2011 ,Accepted 1 May 2011.

References 

  1. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007;1–32
  2. Goodacre S, Cross E, Arnold J, Angelini K, Capewell S, Nicholl J. The health care burden of acute chest pain. Heart. 2005;91:229–230
  3. Murphy NF, MacIntyre K, Capewell S, Stewart S, Pell J, Chalmers J, et al. Hospital discharge rates for suspected acute coronary syndromes between 1990 and 2000: population based analysis. BMJ. 2004;328:1413–1414
  4. Eslick GD, Coulshed DS, Talley NJ. Review article: the burden of illness of non-cardiac chest pain. Aliment Pharmacol Ther. 2002;16:1217–1223
  5. How J, Volz G, Doe S, Heycock C, Hamilton J, Kelly C. The causes of musculoskeletal chest pain in patients admitted to hospital with suspected myocardial infarction. Eur J Intern Med. 2005;16:432–436
  6. Eslick GD, Talley NJ. Natural history and predictors of outcome for non-cardiac chest pain: a prospective 4-year cohort study. Neurogastroenterol Motil. 2008;20:989–997
  7. Goodacre S, Mason S, Arnold J, Angelini K. Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit. Ann Emerg Med. 2001;38:369–376
  8. Fagring AJ, Gaston-Johansson F, Danielson E. Description of unexplained chest pain and its influence on daily life in men and women. Eur J Cardiovasc Nurs. 2005;4:337–344
  9. Fagring AJ, Kjellgren KI, Rosengren A, Lissner L, Manhem K, Welin C. Depression, anxiety, stress, social interaction and health-related quality of life in men and women with unexplained chest pain. BMC Public Health. 2008;8165
  10. Kahn SE. The challenge of evaluating the patient with chest pain. Arch Pathol Lab Med. 2000;124:1418–1419
  11. Eslick GD, Coulshed DS, Talley NJ. Diagnosis and treatment of noncardiac chest pain. Nat Clin Pract Gastroenterol Hepatol. 2005;2:463–472
  12. Stochkendahl MJ, Christensen HW. Chest pain in focal musculoskeletal disorders. Med Clin North Am. 2010;94:259–273
  13. Jensen S. Musculoskeletal causes of chest pain. Aust Fam Physician. 2001;30:834–839
  14. Polkinghorn BS, Colloca CJ. Chiropractic management of chronic chest pain using mechanical force, manually assisted short-lever adjusting procedures. J Manipulative Physiol Ther. 2003;26:108–115
  15. Christensen HW, Vach W, Gichangi A, Manniche C, Haghfelt T, Høilund-Carlsen PF. Cervicothoracic angina identified by case history and palpation findings in patients with stable angina pectoris. J Manipulative Physiol Ther. 2005;28:303–311
  16. Christensen HW, Vach W, Gichangi A, Manniche C, Haghfelt T, Høilund-Carlsen PF. Manual therapy for patients with stable angina pectoris: a nonrandomized open prospective trial. J Manipulative Physiol Ther. 2005;28:654–661
  17. Brunse MH, Stochkendahl MJ, Vach W, Kongsted A, Poulsen E, Hartvigsen J, et al. Examination of musculoskeletal chest pain—an inter-observer reliability study. Man Ther. 2010;15:167–172
  18. Stochkendahl MJ, Christensen HW, Vach W, Høilund-Carlsen PF, Haghfelt T, Hartvigsen J. Diagnosis and treatment of musculoskeletal chest pain: design of a multi-purpose trial. BMC Musculoskelet Disord. 2008;940
  19. Bjorner JB, Kreiner S, Ware JE, Damsgaard MT, Bech P. Differential item functioning in the Danish translation of the SF-36. J Clin Epidemiol. 1998;51:1189–1202
  20. Bjorner JB, Damsgaard MT, Watt T, Groenvold M. Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol. 1998;51:1001–1011
  21. Spalding L, Reay E, Kelly C. Cause and outcome of atypical chest pain in patients admitted to hospital. J R Soc Med. 2003;96:122–125
  22. Chambers J, Bass C. Chest pain with normal coronary anatomy: a review of natural history and possible etiologic factors. Prog Cardiovasc Dis. 1990;33:161–184
  23. Panju A, Farkouh ME, Sackett DL, et al. Outcome of patients discharged from a coronary care unit with a diagnosis of “chest pain not yet diagnosed.”. Can Med Assoc J. 1996;155:541–546
  24. Juelsgaard P, Ronnow Sand NP. Somatic and social prognosis of patients with angina pectoris and normal coronary arteriography: a follow-up study. Int J Cardiol. 1993;39:49–57
  25. Achem SR, DeVault KR. Recent developments in chest pain of undetermined origin. Curr Gastroenterol Rep. 2000;2:201–209
  26. Jerlock M, Welin C, Rosengren A, Gaston-Johansson F. Pain characteristics in patients with unexplained chest pain and patients with ischemic heart disease. Eur J Cardiovasc Nurs. 2006;6:130–136
  27. Tew R, Guthrie EA, Creed FH, Cotter L, Kisely S, Tomenson B. A long-term follow-up study of patients with ischaemic heart disease versus patients with nonspecific chest pain. J Psychosom Res. 1995;39:977–985
  28. Turk DC, Dworkin RH, Allen RR, Bellamy N, Brandenburg N, Carr DB, et al. Core outcome domains for chronic pain clinical trials: IMMPACT recommendations. Pain. 2003;106:337–345
  29. Lauridsen HH, Hartvigsen J, Korsholm L, Grunnet-Nilsson N, Manniche C. Choice of external criteria in back pain research: does it matter? Recommendations based on analysis of responsiveness. Pain. 2007;131:112–120
  30. Eslick GD, Jones MP, Talley NJ. Non-cardiac chest pain: prevalence, risk factors, impact and consulting—a population-based study. Aliment Pharmacol Ther. 2003;17:1115–1124
  31. Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine J. 2004;4:335–356
  32. Leboeuf-Yde C, Nielsen J, Kyvik KO, Fejer R, Hartvigsen J. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A population-based study of 34,902 Danish twins 20-71 years of age. BMC Musculoskelet Disord. 2009;10:39
  33. Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine (Phila Pa 1976 ). 2001;26:788–797
  34. Gross AR, Goldsmith C, Hoving JL, et al. Conservative management of mechanical neck disorders: a systematic review. J Rheumatol. 2007;34:1083–1102
  35. Underwood M. Low back pain—early management of persistent non-specific low back pain. NICE clinical guideline 88. Developed by the National Collaborating Centre for Primary Care [Internet]. March 2010 [cited 2010 Oct].Available from: www.nice.org.uk/CG88.

PII: S0161-4754(10)00327-1

doi: 10.1016/j.jmpt.2010.11.004

Journal of Manipulative and Physiological Therapeutics
Volume 35, Issue 1 , Pages 7-17 , January 2012