ACA Letter Writing Campaign

I have attached an article that was published in MORE magazine last month related to the manipulation prediction rule paper that was published in Ann Int Med at the end of last year. Although the article is very brief, the author specifically mentions "spinal manipulation through physical therapy", which of course is accurate because physical therapists peformed all…

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Prognosis

The EBP literature has been predominately focused on the
practice domain of intervention (or therapy). That will probably always be the
case as intervention is what practitioners do to try and effect positive change
(unfortunately, the opposite can/does occur) in a patient’s condition.  The domain of Diagnosis is now being
increasingly addressed, but what about Prognosis?

According…

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Psychosocial Interventions in Acute Low Back Pain

Attached is a trial (and associated commentary) just published in the BMJ that found no difference in a minimal intervention strategy aimed at assessment and modification of psychosocial prognostic factors versus usual care for treatment of subacute LBP in primary care. Although the trial was well done from an internal validity perspective, a couple of issues should be considered. There…

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WSJ article

Download WSJ_article.docApparently the WSJ article will not work if linked.  A subscriber can email to non-subscribers and it can be accessed by non-subscribers for 7 days.  I am posting this article and will take it off of the blog in 7 days. 
Larry…

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Techno Enhancements

Thanks to all of you who have maintained the momentum of this blog. We are over 300 email subscribers thru bloglet and have a readership of more than 1,200.  Although many of you receive new posts thru the daily email, I would encourage you to visit the site often as the email does not list the many insightful…

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Cervical Manip and Side Effects

I have attached an article that just came out in Spine related to the adverse side effects of manipulation and mobilization of the cervical spine associated with the UCLA study. As expected those receiving manipulation were more likely to experience adverse side effects. In addition, moderate to severe levels of disability was associated with adverse neurological symptoms. The conclusion: Clinicians…

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Patient Satisfaction Verus Treatment Effect

One our of colleagues, Dr. Steve George, just published a nice paper characterizing the ability of a particular questionnaire item assessing patient satisfaction to distinguish between satisfaction with treatment effect versus satisfaction with treatment delivery after physical therapy treatment of low back pain. The findings suggest that patient satisfaction with symptoms is weakly associated with other satisfaction items and more…

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Translating Research to Practice

Allan Jette’s May editorial (Phys Ther) is excellent and speaks to the issue most readers of this blog care passionately about: translating the evidence we have (verus that which always seems to be in motion) to evidence in practice.
Download EditorialJetteEBPPhysTher2005.pdf

Evidently this whole phenomenon of drag time from elucidating evidence to its eventual implementation has been noted…

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