09/25/2026
A few minute read...
This study is SO important because it looks beyond the traditional question of “Did the pain get better?” and examines broader measures of health and quality of life. In 1,419 adults receiving Chiropractic care, researchers found significant improvements in sleep, fatigue, anxiety, depression, physical function, social participation, and overall sense of coherence. Sense of coherence is particularly interesting because it reflects whether a person experiences life as understandable, manageable, and meaningful. Those are important foundations of overall health and wellbeing—not simply the absence of symptoms.
For developing children, the principle is especially worth considering. Healthy development involves much more than growing taller or treating an occasional complaint. Sleep, movement, physical function, participation, stress, confidence, and the ability to interact with the world are all part of a child's development. While this particular study involved adults it reinforces a broader view of health that considers the whole person from birth on forward and the development of the nervous system, rather than focusing only on symptoms.
For adults, the same concept continues throughout life. Health is not merely the absence of disease or pain; it is the ability to function, adapt, participate, sleep, move, connect with others, and engage meaningfully in life.
That is why studies such as this are worth paying attention to. They help expand the conversation about healthcare from simply “What hurts?” to “How well is this person functioning and experiencing life?” Paradigm shift in our thinking on what HEALTH truly is.
Improvements in Sense of Coherence and Quality of Life in 1419 Subjects Following Chiropractic Care: A Prospective Practice-Based Study.
Joel Alcantara, DC, PhD, Andrew Whetten, PhD, Dennis Richards, DC, PhD.
Annals of Vertebral Subluxation Research ~ Volume, 2026.
This Study Is About Much More Than “Sense of Coherence”
A new prospective study followed 1,419 adult chiropractic patients and measured what changed during a course of care.
The findings deserve attention.
Patients reported significant improvements in:
Depression • Anxiety • Sleep • Fatigue • Pain • Physical Function • Social Participation
They also demonstrated a statistically significant improvement in sense of coherence, a measure of how understandable, manageable, and meaningful people perceive their lives and health to be.
This matters because chiropractic has historically described health as something broader than simply reducing symptoms.Results: Among 1,419 respondents (mean age, 41 years), SOC significantly increased following chiropractic care (mean increase, 1.99; 95% CI, 1.30–2.76; p = .00532), with significant improvements across SOC subdomains and PROMIS-29 QoL measures. Changes in depression, anxiety, sleep disturbance, social participation, and fatigue were important predictors of SOC change, with motivation for care also retained in the final model.
Conclusion: Among adults participating in a chiropractic practice-based research network, SOC and multiple QoL domains improved significantly over a course of chiropractic care. Changes in mental, physical, and social QoL, particularly depression, anxiety, sleep disturbance, social participation, and fatigue, were associated with changes in SOC
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