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More and More on Diagnostic Testing

September 22, 2014
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In my last blog post I discussed the importance of assessing the sensitivity and specificity of a diagnostic test. We asked the question: how well do our diagnostic tests help identify those with (sensitivity) and without (specificity) a condition of interest? I defined sensitivity as the ability of a diagnostic to correctly identify those...
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Efficacy evidence for manual therapies

September 19, 2014
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The Journal of Manual and Manipulative Therapy recently published a systematic review of evidence for the efficacy of spinal manipulation, mobilization and soft tissue techniques, exercise, and usual medical care for patients with acute and chronic low back pain (1). The authors found moderate...
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Shining a light on blind, double –blind and triple-blind

September 16, 2014
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I was recently looking at an article on the short term effects of manipulation on pain perception that classified itself as a “randomized, double-blind controlled clinical trial.” (1) Well, I know what “randomized” means and in general I know what a controlled clinical trial...
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More on Diagnostic Testing

September 8, 2014
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Within our profession we have many technique systems, and in each of those systems, we have diagnostic procedures whose primary goal seems to be to locate subluxation so that...
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Guidelines for treating adults with neck pain

August 28, 2014
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Clinical guidelines are, in short, recommendations for evidence-based care constructed from a synthesis of clinical trials and systematic reviews. Recently, guidelines for chiropractic treatment of adults with acute and...
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Informed Consent for Participation in Human Subject Research

August 25, 2014
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All of us who are involved in the practice of chiropractic are well acquainted with the concept of informed consent. We know we should sit down with our patients...
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