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.

Monday, July 17, 2017/Author: Robert Vining, DC/Number of views (1902)/Comments (0)/ Article rating: 5.0

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. 

Monday, June 26, 2017/Author: Dana Lawrence, DC/Number of views (718)/Comments (0)/ Article rating: No rating

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.


Thursday, June 22, 2017/Author: Robert Vining/Number of views (811)/Comments (0)/ Article rating: No rating

“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.  

Thursday, June 22, 2017/Author: Bryan Kent/Number of views (1650)/Comments (0)/ Article rating: No rating

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. 
Wednesday, June 14, 2017/Author: Christine Goertz/Number of views (1468)/Comments (3)/ Article rating: 5.0