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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Ad libitum

Link: Ad libitum.
Resistance to Evidence-Based Medicine
Lately I have been encountering (or noticing more) a reluctance on the part of many physicians to accepting that evidence based medicine is a good thing. Theres quite a bit written about this. Physicians are resistant to accepting EBM for several reasons:
1. Many feel threatened that with EBM they will not…

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Advice as Good as Manual Therapy?

This post is a follow-on to one of Larry’s previous posts titled:
Advice could be as good as physical treatment for back pain
Larry linked to a press release referring to a LBP trial published by Hay and colleagues in the June 11 issue of The Lancet. The groups were essentially manual therapy versus information and advice, with…

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Screening for VBI: A Hopeless Cause?

Most practitioners recognize the difficulties inherent in the process of screening for VBI in patients with neck pain. However, in the event you have bought "hook-line and sinker" into the concept, here are a couple of papers that may stimulate your thinking in this area.
John
Download thiel_man_ther_2005.pdf
Download childs_jospt_2005.pdf…

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LBP Classification in Primary Care

Attached is an interesting study just published in Spine characterizing the fact that although primary care practitioners appreciate the potential for subgroups of patients with LBP, the classification methods remain largely based on pathoanatomic models, which have been shown to be incapable of guiding decision-making (and in some cases may be downright harmful). The results of this study is…

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