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What Techniques Might Be Used to Harness Placebo Effects in Non-malignant pain?

Chiro.Org Blog: Placebo recipients in clinical trials and experiments are exposed to a large number and variety of procedures, many of which might contribute to placebo effects. Researchers seeking to develop a translational science of placebo effects are thus faced with myriad possibilities. We have systematically identified and defined these procedures, classified them into five domains and suggested possible clinical applications. […]

Imperfect Placebos Are Common In Low Back Pain Trials:

Chiro.Org Blog: This review reveals that imperfect placebos are common in low back pain trials, a finding that has implications for the design of future trials and also for the interpretation of published trials evaluating treatment of low back pain. Two common problems were identified in the design of trials: the use of placebos that are potentially not inert (as indicated by contemporary treatment) and the uncertain success of blinding. […]

Placebo Effects In Trials Evaluating 12 Selected Minimally Invasive Interventions

Chiro.Org Blog: It is normally assumed that medical practices are based on firm clinical evidence and that new practices or techniques are introduced when superiority, or at least non-inferiority, has been demonstrated compared to established treatments. However, medical history reveals numerous examples contradicting this assumption. Forty-two per cent of 146 medical practices were found to be reversed in a recent review analysing 10-years of publication in a high-impact medical journal. [1] Large effects of an intervention in initial reports are often spurious findings, while the vast majority may represent substantial overestimations. [2] […]

Spinal Manipulation: The Right Choice For Relieving Low Back Pain

Chiro.Org Blog: In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo. […]

The Placebo, the Sensory Trick and Chiropractic

The Placebo, the Sensory Trick and Chiropractic

The Chiro.Org Blog

SOURCE:   Chiropractic J. Australia 2004 (Jun); 34 (2): 58–62

Brian S. Budgell, DC, MSc

School of Health Sciences, Faculty of Medicine, Kyoto University, Kyoto, Japan

Thanks to Dr. Brian S. Budgell and Dr. Rolf Peters, editor of the Chiropractic Journal of Australia for […]

The Chiropractic Care of Patients with Asthma: A Systematic Review of the Literature to Inform Clinical Practice

Chiro.Org Blog: This systematic review found 2 previous reviews that concluded that chiropractic care provided benefit to asthmatic patients, [41] and [42] one review was neutral [40] while 3 reviews [7], [39] and [43] concluded that the addition of chiropractic care to usual medical care provided no benefit to asthmatic patients. From a chiropractic perspective, the dissenting reviews challenge the veracity of the chiropractic clinical experience. The sweeping conclusion by Ernst [7] that spinal manipulation is not effective in the treatment of asthma reflected his disinclination to critically and objectively appraise such studies. Alcantara et al. [56] challenged the veracity of Ernst’s review by pointing out the same issues that Kaminskyj et al. [42] failed to consider in their systematic review. […]

Manipulative Therapy: Just a Placebo?

Chiro.Org Blog: 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. […]