1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 EVIDENCE-BASED MANUAL MEDICINE: A PROBLEM-ORIENTED APPROACH Copyright © 2007 by Saunders, an imprint of Elsevier Inc.
ISBN-13: 978-1-4160-2384-5
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Library of Congress Cataloging-in-Publication Data Seffinger, Michael A. Evidence-based manual medicine : a problem-oriented approach/Michael A. Seffinger, Raymond J. Hruby; illustrator, William A. Kuchera. – 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4160-2384-5 1. Evidence-based medicine–Handbooks, manuals, etc. 2. Musculoskeletal system–Diseases–Handbooks, manuals, etc. I. Hruby, Raymond J. II. Title. [DNLM: 1. Musculoskeletal Diseases—therapy. 2. Evidence-Based Medicine–methods. 3. Manipulation, Orthopedic–methods. 4. Pain–therapy. 5. Sprains and Strains–therapy. WE 140 S453e 2007] RC55.S426 2007 616–dc22
Acquisitions Editor: Rolla Couchman Project Manager: Bryan Hayward Design Director: Steve Stave Printed in United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1
2007004481
Foreword Professional organizations, government agencies, insurance companies, and the general public now demand that clinical decision making by health care providers should rely as much as possible on evidence that has been derived from research. The comprehensive approach to clinical problem-solving and therapeutic planning set forth in this book offers physical/manual medicine practitioners therapeutic choices based on, or that are informed by, evidence. The description of detailed approaches to clinical problem solving is a major feature of this book. This feature provides physical/manual medicine practitioners with an excellent resource to meet standards requiring evidence-informed reasoning and planning. The therapeutic decision-making processes necessary to meet these requirements may involve overcoming a number of obstacles, such as evaluating apparently conflicting evidence and judging the efficacy of long-used procedures of assessment and treatment. For the health care provider, the old adage that “lack of evidence of efficacy does not equal evidence of lack of