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Re: The Final Word: ALL DC education in Canada is UNIVERSITY based as of 2005
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 3:26:00 PM
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ONstudentPT555
Posts: 224
Joined: July 25, 2006
Status: offline
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Ok this will be the last time I will say this .. please at least make an attempt to look at the link I provided...
The study said there is a lacking of higher level chiropractic research
This directly from the text:
>>>>CONCLUSIONS: Literature on the chiropractic management of lower extremity conditions has a large number of case studies (level 4 evidence) and a smaller number of higher-level publications (level 1-3 evidence). Future chiropractic research should use higher-level research designs, such as randomized controlled trials.>>>
... ok so .. higher levels of research level 1b and 1a are higher quality RCTs and systematic reviews.
lower levels of evidence are for example level 2 are lower quality RCTs.. this is clear in the link I posted !
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 3:45:00 PM
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proud
Posts: 941
Joined: March 22, 2006
Status: offline
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I think it would be important to read the OBJECTIVE part of the : J Manipulative Physiol Ther. 2006 Oct;29(8):658-71 abstract.
Might help add some clarity.
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 3:51:00 PM
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Jeep
Posts: 353
Joined: March 28, 2003
From: USA
Status: offline
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Onstudent-
WHAT seems to be the problem? You provided an abstract only, proferred an opinion on the study, I ask you to provide just a portion of the study to support your assertion.......and you want to argue, and refuse to provide the text to support your position. One would expect someone who claims to be EBM to be able to readily supply this.
I can only assume your resorting to ad homs and obfuscation as a means to obscure the real issue: you haven't read the review in entirety.........sounds like an "abstract extractor" problem.
Until you can provide the text to support your position.....I will consider your position "unsupported" and without merit.
BTW- the "link" you provided is to the abstract only.......hence my request to you to provide the text from the body of the study, which is, what you based your declaration on?
No one can make a EB declaration based on reading only an abstract.
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 4:09:00 PM
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ONstudentPT555
Posts: 224
Joined: July 25, 2006
Status: offline
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Here is the Text not just from the abstract. If you want you can look up the study your self. I am not going to copy the whole thing onto here.
CONCLUSION
This literature review reveals a moderate number of lower-level-evidence publications reporting the use of chiropractic management protocols for lower extremity conditions. Despite this number, there is a lack of higher level research in the form of clinical trials. Given the high percentage of lower extremity conditions making up the typical chiropractic cases seen in practice, a requirement exists for the chiropractic profession to encourage further
research of sufficient quality and scope.
Practical Applications
There is a large number of case studies (level 4
evidence) documenting the use of chiropractic
management of peripheral lower extremity conditions.
There is a LACK OF HIGHER-QUALITY publications (level 1-3 evidence).
Management has been documented for a broad
array of different lower extremity conditions.
ACTUALLY the link I provided is to a oxford's EBM website!
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 4:14:00 PM
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savela
Posts: 63
Joined: October 7, 2004
From: toronto
Status: offline
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Onstudent,
Many of our peers, who teach our post grad levels, work in clinics that employ chiro's.
I am not sure what your interests are? But if it is sports med., many Canadian teams employ both PT's and Chiro's.
If you refuse to work with other health professionals, you may be limiting some great work experiences.
Your posts are clear about level's of evidence which is very important.
When you start to practice you may find that other treatment techs. with low levels of research, may also benefit your pts.
It would be great if research could give us a step by step treatment protocol that works for everyone, and for all injuries, but that is not the case.
I thought, this site was about sharing idea's, and discussing cases/treatments?
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Re: The Final Word: ALL DC education in Canada is UNIVE... - January 18, 2007 5:46:00 PM
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Marc Bronson
Posts: 113
Joined: January 13, 2007
From: Toronto
Status: offline
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Savela
Nice post. I agree that working with others is both personally and professionally rewarding. I've learned a lot from other manual therapists, they've learned from me and in the end we all benefit when we truly listen to one another. There's too much 'versus' going on in most cases and ultimately its the patient that loses out from our lack of collaboration and understanding.
There will always be extremes in any profession, but if we find the middle ground and use each others expertise we can really have a great impact in our patients care. I wish that multi-disciplinary clinics were the norm and not the exception. Personally that's my goal and I'm looking forward to the day when I can make the transition from associate to owner. Anybody out there in their late 20's early 30's want to open up shop one day? ;)
_____________________________
BSc (Hon), DC, Dipl. Med. Ac. CSCS
Integrative Manual Medicine
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