Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Spinal Manipulative Therapy and Specific Changes in Pain Sensitivity
- And Finally, a Story about Clinical Practice Guidelines in Orthopedics
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #466 recorded July 4, 2014.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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RSS Info – In this edition of HealthBeat, we discuss Spinal Manipulative Therapy and Specific Changes in Pain Sensitivity
And Finally, a Story about Clinical Practice Guidelines in Orthopedic.
Spinal Manipulative Therapy and Specific Changes in Pain Sensitivity
Spinal manipulative therapy (SMT) is effective for some individuals experiencing low back pain; however, the mechanisms are not established regarding the role of placebo.
SMT is associated with changes in pain sensitivity, suggesting related altered central nervous system response or processing of afferent nociceptive input.
Placebo is also associated with changes in pain sensitivity, and the efficacy of SMT for changes in pain sensitivity beyond placebo has not been adequately considered.
The authors of a recent study published in the Journal of Pain, randomly assigned 110 participants with low back pain to receive SMT, placebo SMT, placebo SMT with the instructional set “The manual therapy technique you will receive has been shown to significantly reduce low back pain in some people,” or no intervention.
Participants receiving the SMT and placebo SMT received their assigned intervention 6 times over 2 weeks. Pain sensitivity was assessed prior to and immediately following the assigned intervention during the first session.
Clinical outcomes were assessed at baseline and following 2 weeks of participation in the study. Immediate attenuation of supra-threshold heat response was greatest following SMT. Group-dependent differences were not observed for changes in pain intensity and disability at 2 weeks.
Participant satisfaction was greatest following the enhanced placebo SMT.
Surf to our Show Notes for Links – http://www.jpain.org/article/S1526-5900%2813%2901300-X/abstract
Clinical Practice Guidelines in Orthopedics
Historically, medicine has used an eminence-based paradigm, relying on expert opinion and clinical experience to support clinical decisions in the diagnosis and care of patients.
Over time, medicine, including the field of orthopedics, has embraced evidence-based decision-making, turning to the best and highest-quality published reports to make clinical decisions.
As a result, evidence-based clinical practice guidelines (CPGs), treatment recommendations based on a systematic review of the literature and an evaluation of all available treatment options, have been gaining prominence.
To date, the American Academy of Orthopedic Surgeons (AAOS) has published 14 CPGs; five other CPGs are in development.
Evidence-based CPGs should “serve as an educational tool [that are] based on the assessment of high-level clinical and scientific information and accepted approaches to treatment,” Frederick Azar, MD, president of the American Academy of Orthopaedic Surgeons.
Evidence-based CPGs also function to keep physicians apprised of ever-changing medical research. “CPGs are necessary because no one can keep up with the literature and no one can interpret the literature themselves except the people who basically do research in it.”
Surf to our Show Notes for the Full Article – http://www.healio.com/orthopedics/business-of-orthopedics/news/print/orthopedics-today/%7Bddf32a94-3187-435c-b676-a823e581305c%7D/despite-some-misconceptions-clinical-practice-guidelines-are-useful-in-orthopedics
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.