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Enhancing a Biopsychosocial Approach

Part of the Evidence in Action series by Palmer College of Chiropractic

The concept of caring for the whole patient is not new. As early as the 5th century BC, Hippocrates described the importance of attending to the person behind the disease rather than the disease itself. He described psychological, social and physical elements that variously combine and contribute to a person’s health. Assessing and addressing all three components (biological, psychological and social conditions) contributing to health is called a biopsychosocial approach.

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Publication Bias and Outcome Switching: Threats to Evidence Assessment

Publication bias is a growing problem in evidence-based practice. In the hierarchy of evidence, systematic reviews and meta-analyses lie at the top of the evidence pyramid because they are regarded as the most rigorous form of evidence for possible clinical decision-making. But publication bias can color the results of those reviews and meta-analyses in ways not easily seen nor understood. 

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Interpreting “Quality” and “Strength” in a Practice Guideline

Part of the Evidence in Action series by Palmer College of Chiropractic

The American College of Physicians (ACP) recently released a clinical practice guideline for noninvasive treatments for low back pain. The goal of this guideline is to inform care decisions by systematically evaluating and summarizing available scientific evidence for treating acute, subacute and chronic low back pain. Many treatments used by doctors of chiropractic, such as spinal manipulation, superficial heat, acupuncture, motor control exercise and low level laser are included as recommended first-line treatments.

 

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“Soy Doctor Bryan”

For those of you who don’t speak Spanish, I will translate; Hello!  My name is Bryan Kent, I am a volunteer doctor for World Spine Care in the Dominican Republic!  Over the past week, I have had the humbling experience of treating spine pain, among other chief complaints, for the people of the Dominican Republic.  

Author: Bryan Kent
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Taking an Evidence-Based Approach to Patient Care

By now you are no doubt familiar with the concept of evidence-based clinical practice (EBCP). But what does that really mean for the doctor of chiropractic? How does one actually implement the “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual patient” when that individual patient is on the adjusting table? It is not that easy, for a number of reasons. 
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Upcoming Webinar: The Treatment of Whiplash Associated Disorders: A Clinical Practice Guideline

Representatives of ACA and the Canadian Chiropractic Guideline Initiative together will present a free webinar on guidelines for whiplash-associated disorders on June 20 at 9 pm ET. Presenters Dr. Andre Bussieres, Dr. Joel Weisberg and Dr. Michele Maiers take a moment to share why the  topic is relevant to your practice…and why you won’t want to miss this information-packed webinar.

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How Is the Clinical Compass Valuable to Your Practice?

The mission of the Clinical Compass is to provide consistent and widely adopted chiropractic practice information and to perpetually distribute and update this data as necessary so that consumers and others have reliable information on which to base informed healthcare decisions. It is also charged with examining—with a chiropractic lens—all existing guidelines, parameters, protocols and best practices in the United States and other nations. 

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Take the Clinical Compass Chiropractic Guideline for Low Back Pain Challenge

I strongly believe that if we do the right thing right now, the chiropractic profession is uniquely positioned to significantly impact the quality of spine care delivery. The flipside is that if we don't take right action now, chiropractic risks becoming a marginalized profession that's on the outside looking in as other health care providers take ownership of musculoskeletal conditions and spinal manipulation. 

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A Student’s Perspective: Last-Year Concerns

*Member-Exclusive Content* Last week was my first week treating the general public—instead of just other students—at our university clinic. It was completely frightening. When I was treating students at the university, I didn’t have any acute patients or a patient that had contraindications for treatment. The general public is completely a different story…and a whole new ball game.

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The Evolution of Low Back Pain Treatment

*Member-Exclusive Content* In February 2017, the American College of Physicians (ACP) published a guideline calling for both physicians and patients to consider non-pharmacological options first when treating acute, subacute, and chronic low back pain (LBP).  Specifically, it recommends superficial heat, massage, acupuncture, and spinal manipulation for acute and subacute LBP, and exercise, tai chi, yoga, spinal manipulation and progressive relaxation for chronic LBP.

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