Evidence in Action

Exercise for Low Back Pain: What Works Best?

For a given, well-defined musculoskeletal disorder, what works best? Is a question like this even fair to ask? More to...

2022 Opioid Prescribing Guideline Acknowledges Value and Barriers to Non-drug Treatments for Pain

The Centers for Disease Control and Prevention (CDC) last week released its 2022 CDC Clinical Practice Guideline for Prescribing Opioids...

Why Do Patients Think We Are Good at Managing Low Back Pain?

A recent tweet from a research colleague in The Netherlands gave me new appreciation for a paper titled: “What does...

International Study on Adolescent Spinal Pain Seeks to Fill Gaps in Research

The American Chiropractic Association (ACA) Council on Chiropractic Pediatrics (CCP) is participating in an international study that seeks to fill...

Evidence in Action

The American Chiropractic Association and Palmer College of Chiropractic have partnered to provide “Evidence in Action,” a series of articles and videos that translate how the findings of research studies and other evidence can be applied in clinical practice.

What is Evidence-based Practice?

There is an abundance of definitions and variation of terms for evidence-based practice (EBP), including evidence-informed practice and evidence-based clinical practice (EBCP). Fortunately, most of them say essentially the same thing. The most well-known definition is that put forth by David Sackett and colleagues:

“Evidence-based [practice] is the integration of best research evidence with clinical expertise and patient values.”1

Evidence-based practice (EBP) is a term coined by Gordon Guyatt2 at McMaster University in 1991 to encompass the idea of teaching clinicians how to find, interpret and use the best available evidence for clinical practice. Evidence-based clinical practice (EBCP)–often used synonymously with EBP–is a patient-centered approach to clinical management that explicitly utilizes research evidence, patient values and clinician experience. The strength of that evidence, the benefits and risks of alternative approaches and patient preferences all influence management strategies.

With the focus on greatest patient benefit, ACA’s Evidence-Based Practice in Chiropractic Management policy (PDF) supports these principles as a means to incorporate current best evidence into all aspects of clinical care.

Articles and Videos

Sensitization (Part 1): Characteristics and Implications
By Anna-Marie Schmidt, MM, DC, and Robert Vining, DC, DHSc

Sensitization (Part 2): Management Strategies
By Anna-Marie Schmidt, MM, DC, and Robert Vining, DC, DHSc

“Chronic Pain: Screening for Potential Psychological Factors”
By Anna-Marie Schmidt, MM, DC, and Robert Vining, DC, DHSc

Best Practice Recommendations: Translating Evidence Into Action
By Anna-Marie Schmidt, MM, DC, and Robert Vining, DC, DHSc

Social Factors: A Sometimes-overlooked Opportunity
By Anna-Marie Schmidt, MM, DC, and Robert Vining, DC, DHSc

Developing Person-centeredness: A Continual Process
By Anna-Marie Schmidt, MM, DC, and Robert D. Vining, DC, DHSc

Choosing Outcomes Assessments for Back Pain
By Kara Shannon, DC, and Zacariah Shannon, DC, MS

“Improving Interprofessional Communication”
By Heather Mai-Roecker, DC, ARNP, and Christopher B. Roecker, DC, MS

“Collaboration for Low Back Pain Treatment in Older Adults”
By Zacariah Shannon, DC, MS
Listen to the author discuss the article in this video.

“Does Spinal Manipulation Affect Central Nervous System Pain Mechanisms?”
By Zacariah Shannon, DC, MS, Robert Vining, DC, and Stephen Onifer, PhD
> Listen to the author(s) discuss the article in this video.

Enhancing a Biopsychosocial Approach
By Robert Vining, DC, and Yasmeen Khan, DC

“Interpreting ‘Quality’ and ‘Strength’ in a Practice Guideline”
By Robert Vining, DC, and Zacariah Shannon, DC, MS

Relative Energy Deficiency in Sport (RED-S)
By Robert Vining, DC, and Breanne Bovee, DC