quiz ch 8 9 57

Question 1

what is evidence based health care

Answer 1

system that optimizes patient care by combining clinical expertise wtih external scientific evidence

Question 2

what is teh best way of determing the evidence for the efficacy of a treatment for a given condition

Answer 2

bydoing a high quality systematic review of all available published randomized clinical trials on the topic

Question 3

is there any scientific evidence for the efficacy of spinal manipulation for the treatment of low back pain

Answer 3

some for short term efficacy for btoh acute and chronic. non firm conclusion for manipulation for lumbar radiculopathy caused by disc herniation

Question 4

is there scientific evidence for efficacy of spinal manipulation for treatment of neck pain

Answer 4

manipulation has effects similar to treatment like physical therapy and exercise but superior to medical care. we need more trials and update them

Question 5

what are most importnt areas that need to be addressed regarding effectiveness of chiropractic spinal manipulation

Answer 5

theres a need to pick best manipulation for diff type os muscoskele conditions in diff types of patients as well as optimal dose ad frequenncy of spinal manip

Question 6

ch 9 identify and explain 2 mechnisms for effect of manipu on non skeletal conditions

Answer 6

korrs: autonomic nerve function was function of spinal jt dysfunction could lead to disturbance ins vasomotor, sudomotor and secretory motor control an all organ physiology
nansel and slazak: afferent input from spinal pain syndroms resulted in signs and symptoms that mimic visceral dysfunction but was incorrectly diagnosed as visceral origin manipulation relieved sign adn symptoms but not effect visceral function

Question 7

how many randomized contorl trials have been conducted on spinal manip in treatment of tenstion type headace, migrane, cervicogenic

Answer 7

3 each tension type and migrane, 4 for cervicogenic and randomized traement need for other question

Question 8

how would characterize results of evidence for effective ness of manipulation for asthma

Answer 8

4 random trials, 4 case series, 2 case reports. 2 didnt demonstrate (random) difference between manip and sham. 3rd improvement but all were small trials. the larger trial by balon did nont show diff between sham and manip even though improved quality of life of paitnets

Question 9

how would characterize results of the three randomized tials for care for infantile colic

Answer 9

2 indicated manip had moer beneficial effects than control group. 1 tial unable demonstarts difference between 2 groups

Question 10

what si teh state of evidence based treatment by manipulation of nonmusculosksletal conditions what arent predominated by pain

Answer 10

evidence is poor. few tirals randomized, case series, case reports, more research needed