The Race for Scientific Ownership of Manipulation

With the rapid dissemination via technology,
I find it hard to believe that this article was published in April 2005 and
that I first came across it this morning browsing around different chiropractic
websites. This should be mandatory reading for all physical therapists – not because it references some of our work, but because it expresses why physical therapists have become…

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Patient Satisfaction-Useless Part II

Part II from Oct 2005. Just as relevant today.My last post attempted to discredit the patient satisfaction survey process that many physical therapy clinics have in place.  My belief is simply that the incremental gains from the analysis of your surveys will not tell you much more than what we know from the published research (some of which…

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Educating Referral Sources II

Here’s one way to do some education to your referral sources. At my hospital based outpatient clinic in the US Army, we have a Fellowship training program in Sports Medicine for physicians. Here is a briefing I gave to them about the use of manipulation and stabilization exercise in the management of low back pain in physical therapy. It…

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John Iams Garbage

Perhaps I have had my head in the sand and not been in touch with the rise of today's generation of John Barnes and Barrett Dorko – welcome John Iams. I received the attached marketing gimmick in the mail today and was quickly reminded about some of the real problems that remain in our profession, at least in my…

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Educating Referral Sources

The below response from a physician, after having seen the flash file outlining how to use the manipulation prediction rule to improve decision-making, indicates that much work remains to align current thinking about LBP with current evidence. Here is the response written to the PT that introduced him to the flash file:
‘Confusion. The CPR that you sent out…

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OMT and The Big Elephant

Bob Boyles sent this to me in a separate email, and I thought it was worth sharing. Bob astutely pointed out that all healtcare professions are undergoing similar growing pains with the implementation of EBP. Although well intended, Dr. Bledsoe is misguided in his response to a recent study published in the JAOA demonstrating no added benefit of Osteopathic Manipulative…

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