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| The effect of chiropractic care on jet lag of Finnish junior elite athletes | 
| Straub WF, Spino MP, Alattar MM, Pfleger B, Downes JW, Belizaire MA, Heinonen OJ, Vasankari T | 
| Journal of Manipulative and Physiological Therapeutics 2001 Mar-Apr;24(3):191-198 | 
| clinical trial | 
| 5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: Yes; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* | 
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                     OBJECTIVE: To determine the effect of chiropractic care on jet lag in Finnish junior elite athletes. SUBJECTS: Fifteen Finnish junior elite athletes. METHODS: Through use of a table of random numbers, each athlete was assigned by sex to one of 3 groups: chiropractic adjustment, sham adjustment, or control. As needed, the chiropractic adjustment group athletes (n = 5) were adjusted on a daily basis by licensed chiropractors using a toggle/recoil procedure. The sham adjustment group athletes (n = 5) received sham adjustments on a daily basis by licensed chiropractors. The control group athletes (n = 5) were not adjusted or sham-adjusted but participated in all test protocols. Sleep, jet lag, chiropractic, and mood data (the last acquired through use of the Profile of Mood States) were collected on a daily basis for 18 consecutive days. RESULTS: Repeated-measures analyses of variance (3x2) of total mood disturbance scores and heart rate variables indicated that there were no significant (.05 level) between-group differences. Sleep data were analyzed through use of a 3x2, repeated-measures multivariate analysis of variance. Pillai's trace indicated that there were no between-group differences. Self-assessment of jet lag by participants after traveling to Georgia and after returning to Finland showed no between-group differences. CONCLUSIONS: It was concluded that chiropractic care did not reduce the effects of jet lag.  
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