Kevin:
1. What did you use as a measure of pain
2. Did you measure "area of pain"
3. Did you measure "duration of pain"
Herb Silver, PT
At 12:15 PM 12/9/00 +0000, you wrote:
>Dear Joseph
>
>The majority of the references are not RCT's but I would not say anecdotal.
>RCT is a simple research tool, hoping for a homogenous sample, one
>experimental variable and one to monitor change. When dealing with
>complicated organisms this may be too simple and this is why I reel many
>RCT's are not applicable to therapy research. The Dr's/Cons are begining to
>catch on to this newer way of reasoning present in the therapies for some
>years.
>
>My research was five single subject designs monitoring intensity and spread
>of self reported pain in chronic LBP. CTM was introduced and numerical
>scores were attained. Using Ottenbachers semi statistical analysis I was
>able to say that serial dependency (one measure influencing the next), was
>unlikely to be present and four of the five cases showed clinical and
>statistically significant reduction in these two measures of pain.
>
>This of course does not mean CTM cures 80% of chronic LBP sufferers. It does
>say it can on ocassion change the perceived pain by the patient. A larger
>study and I would suggest more of the same, may give increased generisable
>reliability.
>
>The beauty of this type of research is that it mimics the therapeutic
>processes of assessment and treatment closely and allows for each case to be
>scrutinised in greater detail with many variables being measured at once. I
>feel this is a more holistic way of researching as opposed to the randomised
>controlled attempts to make each individual case, identical; people as we
>know are not like that. The averaging of extreme variables may hide serious
>flaws in treatments. Perhaps if what we did made drug companies lots of
>money as opposed to saving health agencies these costs, we might get more
>research assistance and less organised critism.
>
>Hope this helps Kevin
>
>
>
>----- Original Message -----
>From: Joseph Beatus <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Tuesday, December 05, 2000 2:17 PM
>Subject: Re: Connective Tissue Massage
>
>
> > --Dear Kevin: thanks for ref list. It is not clear to me how you
>integrated
> > the diverse studies (mostly seem anecdotal?). I'm enclosing my e-mail, if
> > you prefer describing your study and results; or send the abstract.
>thanks.
> > Joe
> > [log in to unmask]
> >
|