Evidence in Action

Vertebral Artery Dissection: An Evidence Review

For several decades, high-velocity low-amplitude cervical spine manipulation has been associated with rare instances of vertebrobasilar dissection and stroke. A...

Unpacking a Clinical Guideline

High-quality clinical guidelines are summaries of scientific literature designed to assist practitioner and patient decisions about health and healthcare.(1) These...

Medical Informatics: Researchers Explore Improving Patient Care by Analyzing EHR Data

Computers and technology are becoming more and more ubiquitous, with applications in every aspect of life and work. It’s no...

What Do Chiropractors Offer Athletes Who Sustain a Sport Concussion?

After a long scamper this past season in a Denver Broncos vs. Kansas City Chiefs matchup, Denver QB Russell Wilson...

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

The American Chiropractic Association and Palmer College of Chiropractic partnered to provide the following series of articles and videos that translate how the findings of research studies and other evidence can be applied in clinical practice.

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