Barbara A Mansholt1, Robert D Vining2. 1. Associate Professor, Clinic, Palmer College of Chiropractic. 2. Associate Professor, Senior Research Clinician, Palmer Center for Chiropractic Research, Palmer College of Chiropractic.
Abstract
INTRODUCTION: The reliability and validity of many evaluation tools leading to clinical decision-making for spinal manipulation are varied. We surveyed senior students and DC employees at one chiropractic college regarding 1) which analysis tools should be used and 2) factors that influence their choices. METHODS: The survey queried which tools should be used on a routine patient encounter. Clinical evaluation tools included palpation, skin temperature analysis, leg length analysis, and radiographs. RESULTS: Surveys were collected from 58 doctors of chiropractic (DCs) and 74 students. Respondents from both groups reported to most commonly use static palpation, followed by motion palpation and leg length analysis. DC respondents ranked evidence and personal experience high for rationale; student respondents frequently chose patient preference. CONCLUSION: DC and student respondents reported use of clinical evaluation tools consistently. However, some variations in rationale were noted. It is important for educators to provide a balanced presentation of the strengths and limitations of clinical analysis procedures to support the development of well-justified evidence-based clinical decision-making skills.
INTRODUCTION: The reliability and validity of many evaluation tools leading to clinical decision-making for spinal manipulation are varied. We surveyed senior students and DC employees at one chiropractic college regarding 1) which analysis tools should be used and 2) factors that influence their choices. METHODS: The survey queried which tools should be used on a routine patient encounter. Clinical evaluation tools included palpation, skin temperature analysis, leg length analysis, and radiographs. RESULTS: Surveys were collected from 58 doctors of chiropractic (DCs) and 74 students. Respondents from both groups reported to most commonly use static palpation, followed by motion palpation and leg length analysis. DC respondents ranked evidence and personal experience high for rationale; student respondents frequently chose patient preference. CONCLUSION: DC and student respondents reported use of clinical evaluation tools consistently. However, some variations in rationale were noted. It is important for educators to provide a balanced presentation of the strengths and limitations of clinical analysis procedures to support the development of well-justified evidence-based clinical decision-making skills.
Authors: Deed E Harrison; Donald D Harrison; Christopher J Colloca; Joseph Betz; Tadeusz J Janik; Burt Holland Journal: J Manipulative Physiol Ther Date: 2003-02 Impact factor: 1.437
Authors: Elise A van de Veen; Henrica C W de Vet; Jan J M Pool; Wouter Schuller; Annemarie de Zoete; Lex M Bouter Journal: J Manipulative Physiol Ther Date: 2005-02 Impact factor: 1.437
Authors: John J Triano; Brian Budgell; Angela Bagnulo; Benjamin Roffey; Thomas Bergmann; Robert Cooperstein; Brian Gleberzon; Christopher Good; Jacquelyn Perron; Rodger Tepe Journal: Chiropr Man Therap Date: 2013-10-21