b'was published in the online journal Chiropractic & Manual Therapies. In addition to the above studies, some of the findings were: 98% of chiropractors stated that they believed that MCcould be used as a preventive tool, at least sometimes. Chiropractors develop good long-term relationshipswith their patients and could play the role of back pain coaches. In the Nordic countries, around 30% of chiropractic patientsare MC patients. Most MC visits were at intervals of 1-3 months. For older adults with chronic back and neck disability, extending management with SMT and exercise from 12 to 36 weeks did not result in any additional important reduction in disability. Patients reason for MC are primarily to prevent recurrencesGET A COMPLETE(78%) and remain pain-free (658%), with a few interested in general wellness (17%). WEB-BASED EHR FORMC is used by patients as secondary prevention (earlyONLY $99/MONTH! detection and intervention of a condition) or tertiary prevention (management of a chronic condition to lessen its negative impact on ones life). In patients under MC, 99% appear to value it and feel it helps achieve these goals.FOR MORE INFORMATION:MC visits almost exclusively consist of a brief consultationChiroFusionSoftware.com|(877) 210-3230 and exam and treatment.There is good evidence on the value of certain aspects of chiropractic maintenance care. There is still much research to be done. The decision on which patient is a candidate for MC, the content and frequency of MC visits, and the goals of the MC plan are always to be done on an individualized basis. Taking into account the experience and philosophy of the chiropractor and the values of the patient, maintenance careFAMILY OWNED AND OPERATED SINCE 1972can be a reasonable and effective part of our patients health game plan.David Graber, DC, CCSP, is the chairman of the ANJC Council on Technique and Clinical Excellence. He maintains a private practice in Parsippany, NJ. REFERENCESi Senna MK, Machaly SA. Does maintained spinal manipulation therapy forchronic nonspecific low back pain result in better long-term outcome? Spine. 2011;36(18):1427-37.ii Cifuentes M, Willetts J, Wasiak R. Health maintenance care in work-related low back pain and its association with disability recurrence. J Occup Environ Med. 2011;53(4):396-404.iii Eklund A, Jensen I, Lohela-Karlsson M, Hagberg J, Leboeuf-Yde C, et al. (2018) The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance careThe Most Supportive & Comfortable Mattresses,versus symptom-guided treatment for recurrent and persistent low back painACustom Built At A Lower Price Than The pragmatic randomized controlled trial. PLOS ONE 13(9): e0203029. Name Brand CompetitionivEklund, Andreas & Jensen, Irene & Leboeuf-Yde, Charlotte & Kongsted, Alice & Jonsson, Mattias & Lvgren, Peter W & Petersen-Klingberg, Jakob & Calvert, Christian & Axn, Iben. (2019). The Nordic Maintenance Care Program: Does psychologicalDesigned with the spine in mind.profile modify the treatment effect of a preventive manual therapy intervention? A secondary analysis of a pragmatic randomized controlled trial. PLOS ONE. 14. e0223349. 10.1371/journal.pone.0223349.(908) 322-4178 ShovlinMattress.comvinfo@shovlinmattress.com 35 South Ave., Fanwood, NJAxn, I., Hestbaek, L. & Leboeuf-Yde, C. Chiropractic maintenance care - whats new?[ CONTINUED ON PAGE 14 ]A systematic review of the literature. Chiropr Man Therap 27, 63 (2019).www.njchiropractors.com I 23'