User’s guide to the chiropractic literature-IA: how to use an article about therapy

Evidence-based practice is now a fundamental movement of established importance within health care, yet it remains a contentious concept for some chiropractors. Traditionally, chiropractic institutions have emphasized the development of clinical acumen over critical appraisal skills, 1 Keating J.C. Green B.N. Johnson C.D. “Research” and “science” in the first half of the chiropractic century. J Maniulative Physiol Ther. 1995; 18: 357-378 Google Scholar with the result that many practitioners may feel unequipped to interpret, or apply, the results of current literature to their everyday practices. Additionally, it can be difficult to incorporate the results of widely publicized studies that report equivocal or negative outcomes of modalities typically associated with chiropractic care (ie, manipulation) and which seem to fly in the face of positive clinical experience. Evidence-based practice is demanding a paradigm shift among all health care providers, and these concerns are not unique to chiropractic. CorrectionsJournal of Manipulative & Physiological TherapeuticsVol. 26Issue 6Preview Full-Text PDF