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Why not do the research?
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Why not do the research? - December 20, 2006 5:59:00 AM
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Jeffre
Posts: 130
Joined: August 18, 2005
From: Lafayette, LA
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I visited a PT I did a clinical at not to long ago just to see what was going on. As we talked he mentioned that he had recently bought an ATM2 table/device. It surprised me because I had just read the dicussion on the EIM website( led by Jason Silvernail) about the lack of evidence for their claims. I mentioned this to my friend and his reply was "well, I know it works because I've seen it work". A very similar response to the ones in the EIM discussion. This got me thinking. Why don't companies that are trying to sell a product or technique (ATM2, VaxD, anodyne, ASTYM, total motion release, etc.) try to produce credible peer reviewed research? Now, let me say that I am not king of research. I have not had anything published myself, although I am hoping to get a case study published. I also realize that a good RCT costs money and other resources that certain people may not have access to. But why not start at the bottom of the pyramid? A case study and case series in a well read journal would do wonders for the companies trying to get their technique or device out there. I would also guess that after a case series more interest would be generated leading to funding for a RCT.
So does anyone have any insight as to why companies don't start out this way?
_____________________________
"You are as well as your insurance company is willing to allow."
- Dr. Hibbert
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Re: Why not do the research? - December 20, 2006 6:40:00 AM
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swoodard23
Posts: 36
Joined: March 18, 2002
From: Abilene
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Many companies do produce research which is often, if not alway, biased. Independant studies which have no motivation to skew results are generally held with higher regard. I don't blame the companies. I would never publish information that what I was trying to sell didn't work as well(or at all for that matter) as my sales people tell the customers.
Scott
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the student
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Re: Why not do the research? - December 20, 2006 6:53:00 AM
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Shill
Posts: 1098
Joined: February 13, 2003
From: Madison WI USA
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I think they avoid quality studies as they are afraid of what they might find. They dont want to be out the investment money, and so far, they dont need to provide evidence. These are companies with things to sell , and sell they will. Devices fly off shelves if there is any mention of pain relief, or of weight loss potential. You could write a book on the weight loss benefits of eating crackers and cheese only, and people would buy it. The pain relieving benefit of pixie dust. If morals or ethics stood above monetary gain on the priority list, we might see a change.
That said, they do need to get the product out before the research rolls in, so that people will know what the wonder device is when it is proven to be so fabulous. Perhaps this is what earns the money to afford the quality research. Yes, that must be it.........or not.
I will admit that all products must start somewhere, and for that reason they deserve to be looked at. (Looked at, not necessarily purchased). However, what is interesting is the longevity of said products/devices, or lack thereof, as the case may be. I have to think that if there were quality studies showing benefit, these things would be around a lot longer.
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Steve Hill PT
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Re: Why not do the research? - December 20, 2006 8:14:00 AM
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JSPT
Posts: 284
Joined: April 19, 2005
From: Michigan
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How To Make Money 101:
1. Invent a gimmicky widget.
2. Make the widget so universal that anyone can use it for anything, thereby eliminating its effectiveness.
3. Generate a bunch of research that supports the use of your widget.
3a. If your research doesn't support your widget, do more research, changing variables until it does.
3b. Don't forget to augment with a placebo attachment for your widget.
4. Hire a sales person, find some people who look like they have benefitted from your widget, and start your sales drive.
5. Profit.
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JS
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Re: Why not do the research? - December 21, 2006 12:43:00 AM
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Sebastian Asselbergs
Posts: 1211
Joined: September 29, 1999
From: Barrie, Canada
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I remember a clinic I was at in 1986 trying out a magnificent new piece of modality: magnetic field therapy. German engineered - evokes images of Benz, BMW, Audi - "proof" that the magnetic fields "realigned" molecules and reduced inflammation and pain - especially for arthritis.
Big unit - with multi joint arm with a large circular (donut) device at the end - this is where the patient would put the limb or the trunk in for treatment.
So, we tried it: 4 OA knees for a month (free of charge) - no change other than the initial "I think it feels better" . We weren't even lucky enough to have a patient with a natural fluctuation and improvement in the symptoms - we could ahve used the "testimonial"....Needless to say, we had the thing removed - the salesman was extremely aggressive in his disappointment - the unit price (1986) was $16,000.....
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Mundi vult decipi
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Re: Why not do the research? - December 22, 2006 4:55:00 AM
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Jeffre
Posts: 130
Joined: August 18, 2005
From: Lafayette, LA
Status: offline
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While I understand that some wonder device that is intended to be marketed to the general public by some guy with an english accent on a 60 min infomercial will only have testmonials to "prove" its effectiveness, what about devices or techniques marketed towards professionals like the ones I listed above? It would seem that a case series would enable the company to have a bit more lasting power and also perhaps entice a few more clinicians to buy into the product or device. Of course bias will almost always cast some doubt on the research, but if the study is well designed I think it would make up for some of the bias.
_____________________________
"You are as well as your insurance company is willing to allow."
- Dr. Hibbert
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