• Test various recruitment methodologies. [ Time Frame: Through December 2008 ]
• Describe baseline characteristics of enrolled patients. [ Time Frame: Through December 2008 ]
• Assess patient outcomes in terms of balance, neck or back pain, and dizziness [ Time Frame: Through December 2008 ]

The effect of chiropractic manipulation on spine-related pain and balance in older adults.

Chronic pain and risk factors for falls in older adults are significant public health issues. In order to evaluate an appropriate role for chiropractic in managing these problems in the population, this pilot cohort study will take multiple measurements, both self-reported and functional, on a sample of older adults with chronic spine-related pain who are recruited from the local community and receive chiropractic care in the Cleveland Chiropractic College health center over a four-week period.

• Musculoskeletal Equilibrium
• Back Pain

Inclusion Criteria:

1. Aged 60 or older
2. spine-related pain of >3 months duration (by self-report).

Exclusion Criteria:

1. Non-ambulatory
2. chiropractic care or physical therapy within the past month (by self report)
3. contraindications to manipulation, as determined by the clinician through physical exam and x-rays (if indicated)
4. absence of indications for CMT, as determined by the clinician through history, physical exam, orthopedic tests, and static and motion palpation
5. unable to understand English adequately to complete study forms.