The Research

The Basis

The definitive lumbar spine textbook on this technique and its low back procedures is published by Lippincott Williams and Wilkins titled Low Back Pain: Mechanism, Diagnosis and Treatment (6th edition) by James M. Cox, DC, DACBR, with guest authors. (This and other reference material are available through the website www.chiromanis.com.)  The cervical spine textbook on the cervical spine, Neck, Shoulder & Arm Pain: Mechanism, Diagnosis, Treatment (3rd edition, 2005), is the companion text.



The Research Studies

Cox^® Technic is based on clinical and experimental research. The U.S. Department of Health Resources and Services Administration as well as the chiropractic FCER organization and others fund some of the research. Other funding and projects come from clinical physicians. 

Funded studies (by HRSA starting in 1994, NIH, FCER, other funding agencies) in flexion distraction treatment outcomes are underway and are supported by federal and other agency grants. Please visit the following for details:

Funded Projects Completed & Underway - DESCRIPTIONS
Funded Projects -- PUBLISHED OUTCOMES -- proceedings and peer reviewed journals
Forces applied in flexion-distraction
"A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain" in European Spine Journal, July 2006
Follow Up Report #1 -- "Amount of health care and self-care following a randomized clinical trial comparing flexion-distraction with exercise program for chronic low back pain" in Chiropractic and Osteopathy (full article)
Follow Up Report #2 -- "One-Year Follow-Up of a Randomized Clinical Trial Comparing Flexion-distraction with an Exercise Program for Chronic Low-Back Pain" in Journal of Alternative and Complementary Medicine (full article from www.pubmedcentral.nih.gov)
NYCC Receives Funds to compare SMT & exercise for chronic LBP




Clinical Research Opportunities for Field Practitioners

YOU are invited to participate in a clinical data collection research project. Click here for more information on the Cervical Spine Clinical RESEARCH PARTICIPATION OPPORTUNITY for doctors who have the cervical spine flexion-distraction table.  THANK YOU for your consideration!



Published Case Reports

Case Reports (Website)
Published Articles & Case Reports (Journals)



Published Research by Topic

• Top published articles--totally subjectively listed!
  
• 1000 Cases Study -- Topics in Clinical Chiropractic 1996;3(3) (also reprinted with permission in Cox's Textbook)
  
• Conservative Distraction Manipulation Care of a Disc Herniation
  
• Facet Tropism
  
• Conservative Care of Synovial Cyst
  
• Benefits of Low Back Wellness Classes
  
• Cox^® Technic Used By Many Chiropractors
  
• Pelvic Inflammatory Disease
  
• Proven Technique
  
• What Happens During Distraction Manipulation? Disc Pressure Changes
  
• Cervical Spine Care with Cox^® Technic
  
• Disc Prolapse & Fragment
  
• Eosinophilic Granuloma: Interdisciplinary Diagnosis
  
• Degenerative Disc Disease
  
• Acute Low Back Pain
  
• Clinical Outcomes: How Long To Feel Better?
  
• Effects of Smoking and Exercise on Back and Leg Pain
  
• Spondylolisthesis
  
• Automated Axial Distraction for Cox^® Decompression
  
• Flexion Distraction Reduces Percentage of Spinal Canal the Disc Occupies
  
• EMG studies (NYCC)
  
• Pregnant Patients with low back and radiculopathy pain NEW!!!
  
• "Tables Turn in Favor of Flexion-Distraction" by Jack Dolbin DC
  
• Foraminal Stenosis With Radiculopathy From a Cervical Disc Herniation in a 33-Year-Old Man Treated With Flexion Distraction Decompression Manipulation  NEW!!!
  
  

• National University of Health Sciences Research Department -- Basic science projects & Clinical science projects
  
• Palmer University Research Department
  
• New York Chiropractic College Research Department