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Daily Archives: August 24, 2011

And, Speaking of Professor Edzard Ernst:
If The Shoe Fits…

By |August 24, 2011|Editorial|

Double Standards Exist in Judging Traditional and Alternative Medicine

The Chiro.Org Blog

SOURCE:   British Medical Journal 1998 (Jun 6); 313: 1694

By Hilary Bower

This posting is dedicated to all those evidence-based nay-sayers out there, who love to criticize without contributing anything back except negativity.

Dr. Chalmers is the head of the Cochrane group in the UK. He speaks for the REAL evidence people.

Dr Iain Chalmers, the director of the UK Cochrane Centre and a vociferous proponent of systematic reviews, told delegates:

“Critics of complementary medicine often seem to operate a double standard, being far more assiduous in their attempts to outlaw unevaluated complementary medical practices than unevaluated orthodox practices.”

He also said:

“These double standards might be acceptable if orthodox medicine was based solely on practices which had been shown to do more good than harm, and if the mechanisms through which their beneficial elements had their effects were understood, but neither of these conditions applies.”


Manipulative Therapy: Just a Placebo?

By |August 24, 2011|Placebo, Spinal Manipulation|

Manipulative Therapy: Just a Placebo?

The Chiro.Org Blog

SOURCE:   Dynamic Chiropractic

By John J. Triano, DC, PhD

Excerpted from: Triano J:
Manipulative Therapy in the Management of Pain.
Clinical Pain Management: A Practical Approach 3rd Edition,
Lippincott, Williams & Wilkins Pub, November 2001.

Chiropractic care, particularly spinal manipulation or adjustment, is an increasingly frequent topic in medicine and health care policy circles. As evidence has accumulated to support use of these services, there is frequent reference to a presumption of placebo effect being the mechanism of favorable responses reported in the literature. These charges are easily refuted by specific data. In my experience, a professional head-on response silences these critiques and allows the discussion to refocus on a much more useful topic: appropriate use the paragraphs that follow were crafted as a part of a book chapter on the role of chiropractic manipulation in management of pain the basis often used to set the stage for a claim of a placebo effect. An effective rejoinder follows.

Discourse on manipulation usually raises the question of placebo effect. A frequent observation is that chiropractic patients are more satisfied by their treatment experience than when they are attended by other proaviders. [1, 2]

A number of elements contribute to this popular contentment, including physician-patient interaction. Manipulation treatment often requires several encounters involving physical contact and direct physician attention over a focused time interval. Can these factors be responsible for the perceived clinical benefits?

There are more articles like this @ our:

The Problem with Placebos/Shams Page