An Assessment of the ‘Evidence’ of Evidence-Based Medicine

Rosner AL. An Assessment of the ‘Evidence’ of Evidence-Based Medicine. Canadian Chiropractor October 2005; 10(6):16-18.

COMMENTS: The current buzzword in health care and health care-related issues is “evidence-based medicine.” Is it really meaningful? Is standard allopathic medicine more “evidence-based” than other forms of care like chiropractic? The reality is that allopathic medicine typically uses drugs and procedures in manners not supported by research. One example: antibiotics are commonly given for known viral disorders.

Cleland JA, Flynn TW, Palmer JA. Incorporation of Manual Therapy Directed at the Cervicothoracic Spine in Patients with Lateral Epicondylalgia: A Pilot Clinical Trial. The Journal of Manual & Manipulative Therapy 2005; 13(3):143-151.

ABSTRACT: Recent trends in the use of manual therapy directed at the cervicothoracic spine in patients with lateral epicondylalgia have been observed. However, only short-term preliminary evidence exists to support the use of these techniques. This pilot clinical trial describes the outcomes of patients with lateral epicondylalgia undergoing local treatment (LT) solely directed at the elbow and a program consisting of local treatment plus manual therapy aimed at the cervicothoracic spine (LT + MTCT). Ten consecutive patients referred to physical therapy by their primary care physician with a diagnosis of lateral epicondylalgia were randomly assigned to receive LT or LT + MTCT. Both groups received 10 treatments over a 6-week period. Outcome measures, including the Numeric Pain Rating Scale; pain-free grip strength; Disability of the Arm, Shoulder, and Hand questionnaire; and a global rating of change were completed at discharge and at 6-month follow-up. Patients in both groups exhibited clinically meaningful improvement in all outcome measures as compared to the LT group. The results suggest that the incorporation of manual therapy directed at the cervicothoracic spine may be an effective adjunct to treatment directed solely at the elbow for patients with lateral epicondylalgia.

COMMENTS: Chiropractors have been saying to always check the spine no matter where the symptoms are. When doctors bring up extremity problems at Gonstead Seminars, Dr. Alex Cox always says to check the spine first. This pilot study supports what chiropractors have been saying for years.