Upcoming Blog and Website Updates

I just wanted to let everyone know about a few blog and website updates that are forthcoming. Many of you have suscribed to our Bloglet feature, which automatically provides you with daily email updates in a summary format. If there is more than one post in a day, you only get one email, and if there are no posts for…

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An alternative to EBP

The post on Seth Godin’s blog the other day entitled “Where
do you get your advice” reminded me that people in every field as well as every
day life are always in need of and looking for advice. http://sethgodin.typepad.com/seths_blog/2005/07/where_do_you_ge.html

  
It was interesting to see the confidence that many people…

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treatment choice & outcomes in non-specific LBP

Here is a recent article from JMPT analyzing RCTs of manual therapy for LBP to determine if giving the clinician the choice of technique/intervention (vs. protocol) has improved outcomes. The authors found no difference with choice (vs. no choice). The authors describe weaknesses of the meta-analysis and the available RCTs. I found the discussion about subgroups (including the…

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knife in the back

Speaking of history…I have used this article by Jerome Groopman from the New Yorker to discuss the demise of the AHCPR guidelines and other issues around care of chronic low back pain patients. The piece is abit dated, but the discussion, including candid discussions with Richard Deyo MD about the concerted efforts by members of AAOS to ‘de-fund…

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History of LBP Classification

I have attached an article that was recently published FACETS, a magazine published by the School of Health and Rehabilitation Sciences at the University of Pittsburgh. It has an interesting article in this quarter’s issue related to the history of the low back classification system. Those of us who use the system to improve the management of our patients…

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Lessons in Life, Givers of Hope

 I had the privilege and honor last week of helping my 84
year-old grandmother make funeral arrangements for my great-grandmother who
died at the age of 106. My grandmother
herself is still a very active and independent woman who lives by herself in
her own home and who’s driving includes local destinations as well as…

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Consumer Driven Health Care

What exactly is consumer driven health care (CDHC)?  I know I increasingly hear about it, but it seems it has taken on multiple meanings depending on the circle of discussion. However, it does have a specific definition.  This publication from the National Center for Policy Analysis (NCPA) discusses some very interesting (revolutionary?) CDHC concepts that, in my opinion…

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