Can Chiropractors and Evidence-Based Manual Therapists Work Together? An Opinion From a Veteran Chiropractor

  title={Can Chiropractors and Evidence-Based Manual Therapists Work Together? An Opinion From a Veteran Chiropractor},
  author={S. Homola},
  journal={Journal of Manual \& Manipulative Therapy},
  pages={14E - 18E}
  • S. Homola
  • Published 1 April 2006
  • Medicine
  • Journal of Manual & Manipulative Therapy
Abstract Use of manual therapy in the form of manipulation and massage is evident in the earliest recordings of history. Today, manual therapy is an evidence-based practice that can be used with predictable results in the treatment of a variety of neuromusculoskeletal problems. However, for some manual therapists, treatment is still based on a belief system that incorporates vitalism, energy healing, and other metaphysical concepts. Cooperation of practitioners in researching the effects of… 


A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain.
For patients with low back pain, the McKenzie method of physical therapy and chiropractic manipulation had similar effects and costs, and patients receiving these treatments had only marginally better outcomes than those receiving the minimal intervention of an educational booklet.
Chiropractic in the United States: trends and issues.
Although patients express a high level of satisfaction with chiropractic treatment and politicians are sympathetic to it, this may not be enough as the nation grapples to define the health care system that it can afford.
Chiropractic as spine care: a model for the profession
The spine care model is presented as a means of developing chiropractic cultural authority and relevancy and is based on principles that would help integrate chiropractor care into the mainstream delivery system while still retaining self-identity for the profession.
Complications of spinal manipulation: a comprehensive review of the literature.
It is difficult to estimate the incidence of SMT complications, as they are probably underreported in the literature, but most non-VBA complications can be prevented by excluding patients with contraindications for SMT.
Spinal manipulative therapy for low back pain.
There is no evidence that spinal manipulative therapy is superior to other standard treatments for patients with acute or chronic low-back pain and previous estimates of effectiveness are updated.
Subluxation: dogma or science?
This paper lament efforts to generate unity within the profession through consensus statements concerning subluxation dogma, and believe that cultural authority will continue to elude us so long as dogma as though it were validated clinical theory is asserted.
Chiropractic for low back pain
Several national guidelines on the treatment of low back pain recommend spinal manipulation, including chiropractic, as a symptomatic treatment for acute uncomplicated cases where pain fails to resolve spontaneously within the first months.
The Appropriateness of Spinal Manipulation for Low-Back Pain
An internist and on the faculty of UCLA, his research interests are in assessing the appropriateness and quality of health services, and he is the principal investigator of this project.
Somatic dysfunction and the phenomenon of visceral disease simulation: a probable explanation for the apparent effectiveness of somatic therapy in patients presumed to be suffering from true visceral disease.
There have been no appropriately controlled studies that establish that spinal manipulation or any other form of somatic therapy represents a valid curative strategy for the treatment of any internal organ disease, and current scientific knowledge fails to support the existence of a plausible biological mechanism that could account for a causal segmentally or regionally related "somato-visceral disease" relationship.
Treatment by Manipulation
Whatever the merits of the different schools of manipulative surgery may be, this book describes one only, that with sufficient general anaesthesia to give full muscle relaxation.