Mechanistic vs. Clinical Research: Two Worlds Colliding

If the blog is reaching its intended audience, most individuals reading this would identify themselves as being a clinician at heart. If so (and without a full understanding of the ongoing line of research), the clinical implications of the attached paper may not be readily apparent at first glance. However, one of our colleagues, Deydre Teyhen, has ventured into the…

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OpinionJournal – The Western Front

Link: OpinionJournal – The Western Front.
More broadly, Mr. Bredesen laid out a philosophy for reform. His analogy was that today health care is like going grocery shopping without any price tags on the food; when you get to the checkout counter, the government pays the tab. That’s a system that will predictably end up costing much more than it…

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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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