Dr. Peter McCarthy and I discuss his varied research in the profession from spine function to dysfunction and multidisciplinary teamwork. Professor Peter McCarthy PhD (Full Professor of clinical technology, University of South Wales, UK) has been involved in the education of chiropractors for 30 years. He obtained his PhD in neurophysiology from the University of St Andrews (1986) and worked in various institutes around the world. He first joined the AECC in 1989, moving in 1998 to the University of Glamorgan to help Susan King create and consolidate the first University based chiropractic course in the UK: later becoming the Welsh Institute of Chiropractic. Holding a couple of patents, Peter has been awarded honorary fellowships, from the BCA, RCC and EAC, and research awards from the National Back Pain Association and British Association for Sport and Exercise Medicine, amongst others; even being part of a team that won a National design award. He has successfully supervised PhD students from a wide range of professions across medicine, including 4 chiropractors. Although his research publication profile appears eclectic, it is tied together by his overarching interest in sensory neurophysiology. He has studied the innervation of spinal structures, factors that affect cervical spine function and also performed RCTs of therapies on chronic back pain. More recently, he has been looking at measuring the sensory factors that can help predict relative discomfort when sitting or lying as well as developing a multidisciplinary team interested in studying neck function changes in sport and developing ways of reducing the impact these changes can have.
How to cite this episode:
Smith DL. Chiropractic Science: From Spine Function to Dysfunction and Multidisciplinary Teamwork With Dr. Peter McCarthy [internet]. Eaton, Ohio; Aug 1, 2018. Podcast: 59:14. Available from: https://chiropracticscience.com/podcast/drpetermccarthy/
Below is a list of some of the articles we discuss in this interview.
https://chiropracticscience.com/wp-content/uploads/2018/07/mccarthy.jpg480300Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-08-01 07:34:142018-08-30 20:28:17036- From Spine Function to Dysfunction and Multidisciplinary Teamwork With Dr. Peter McCarthy
Ian Coulter, PhD, is a senior health policy analyst at the RAND Corporation, where he holds the Samueli Institute Chair in Policy for Integrative Medicine. He is a full professor in the School of Dentistry, UCLA, in the Division of Public Health and Community Dentistry; a professor at the Pardee RAND Graduate School; and a research professor at the Southern California University of Health Sciences.
Dr. Coulter has published over 200 articles, chapters and books. He is the past Vice President for Integrative Medicine at the Samueli Institute. He has had numerous grants from NIH and the DoD. For the past 20 years he has taught ethics and research ethics at UCLA and to various professional bodies throughout the United States. He currently teaches Professional Ethics/Research Ethics in the Pediatric Dentist Residency Program at the UCLA School of Dentistry.
Dr. Coulter was born in New Zealand and holds degrees in sociology from the University of Canterbury (B.A., M.A. Honors) and the London School of Economics & Political Science (Ph.D.) and an honorary doctorate in humanities from the Southern California University of Health Sciences. He was a Pew Fellow at the RAND/ University of California at Los Angeles, Center for Health Policy Study from which he received a certificate in health policy analysis. Additional qualifications include a diploma in educational management from the Institute of Educational Management, Harvard University. He is also a past President of the Canadian Memorial Chiropractic College.
And…more specifically regarding his research that relates to this interview, Dr. Coulter was an author of the recent JAMA article on adding chiropractic care to usual medical care, and lead author on the recent Spine Journal systematic review on spinal manipulation and chronic LBP. In addition, he is currently lead investigator of the CERC project (funded at over $8 million) to investigate chiropractors and their patients for Clinician Based Appropriateness, Outcomes Based Appropriateness, Patient Preferences Appropriateness and Resource Utilization Based Appropriateness.
How to cite this episode:
Smith DL. Chiropractic Science: Dr. Ian Coulter Discusses Research in JAMA, Appropriateness and Contextual Factors in Chiropractic Care [internet]. Eaton, Ohio; July 10, 2018. Podcast: 1:19:47. Available from: https://chiropracticscience.com/podcast/driancoulter/
Research discussed in this episode with Dr. Coulter include:
https://chiropracticscience.com/wp-content/uploads/2018/06/IanCoulter.jpg375300Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-07-11 19:41:052020-10-30 22:37:57035- Dr. Ian Coulter Discusses Research in JAMA, Appropriateness and Contextual Factors in Chiropractic Care
Join Dr. John Mayer and I as we discuss his extensive clinical and research experience in therapeutic exercise, wellness, chiropractic and first responders. John M. Mayer, DC, PhD, CCRP, FACSM is the Lincoln Endowed Chair in Biomechanical & Chiropractic Research, Executive Director of the Center for Neuromusculoskeletal Research, and Professor of the School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. He is Director of Research and Innovation for U.S. Spine & Sport Foundation, Chief Scientific Officer of Excellcior LLC, and Co-Founder of Pillar of Health LLC
Dr. Mayer obtained a Doctor of Chiropractic (DC) degree from the National College of Chiropractic (currently known as National University of Health Sciences) and a PhD degree in Exercise Science/Science Education from Syracuse University. He is a licensed Chiropractic Physician in the state of Florida, a Fellow of the American College of Sports Medicine (FACSM), and a Certified Clinical Research Professional (CCRP) from the Society of Clinical Research Associates. He has extensive clinical and research experience in occupational health, wellness, and therapeutic exercise. Dr. Mayer has led teams on numerous clinical trials across the country on various aspects of wellness, clinical management, and prevention funded through federal, state, industry, and foundation sources, including the largest single financial commitment by the US Department of Homeland Security on low back injury prevention in firefighters. He serves on the Scientific Secretariat for the Global Spine Care Initiative and Clinical and the Scientific Advisory Board for World Spine Care. Dr. Mayer received the 2012 Safety Award from Tampa Fire Rescue, 2014 “Researcher of the Year” Award by the American Chiropractic Association, and 2015 “Outstanding Research Achievement Award” by USF.
https://chiropracticscience.com/wp-content/uploads/2018/04/JohnMayerDCPhD.jpg750601Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-05-24 17:00:422018-05-24 17:02:43034- Dr. John Mayer Discusses Back Exercise, Wellness, Chiropractic and First Responders
Join Dr. Kongsted and I as we discuss her unique role as an author of the recent groundbreaking Lancet series of articles on Low Back Pain as well as many other topics. Alice Kongsted, DC, PhD graduated from the University of Southern Denmark in 1999 and completed her PhD at the Faculty of Health Sciences at the University of Southern Denmark in 2005. Up till 2009 she had clinical work as a chiropractor alongside her academic work, mainly in an outpatient hospital department. Currently she holds a position as senior researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics (NIKKB) and a position as Associate Professor at the Department of Sports Science and Clinical Biomechanics at University of Southern Denmark. At NIKKB she has set up a network of chiropractic primary care research clinics that regularly participates in data collection for research purposes, the data being made available to researchers both inside and outside NIKKB. Her research interests concern spinal pain with a focus on primary care. This includes investigating the prognosis of spinal pain and why people have different outcomes.
Lately, she has been much occupied with a large project exploring ways to implement evidence-based care in practice. She has an interest in methodology and has taught PhD courses on prognostic research at University of Southern Denmark and at Curtin University in Perth, Australia. Alice Kongsted is an Associate Editor of BMC Musculoskeletal Disorders and she is a member of the editorial board for Chiropractic & Manual Therapies. She has been involved in The Danish Health Authority’s development of three national clinical guidelines for treatment of lumbar radiculopathy, cervical radiculopathy and of non-specific neck pain. She was part of the Lancet Low Back Pain Series Working Group that published three papers in March 2018 to call for worldwide recognition of the disability associated with back pain and the need for prioritizing this globally growing problem. This Lancet series will be a focus of our conversation today.
https://chiropracticscience.com/wp-content/uploads/2018/03/alice2.jpg30722048Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-05-17 14:52:522018-05-17 14:58:50033- Why We Need to Pay Attention to Back Pain with Dr. Alice Kongsted
Dr. Carolina Kolberg and I discuss her research dealing with the effect of chiropractic care on oxidative stress blood markers. Dr. Kolberg has a degree in chiropractic from the Anhembi Morumbi University in São Paulo, Brazil (2004), and she completed her Masters (2009) and PhD (2013) in Biological Sciences: Physiology at the Federal University of Rio Grande do Sul (UFRGS). Her research interests include the neurophysiology of pain and physiological effects of chiropractic treatment. Dr. Kolberg’s thesis on oxidative stress blood markers in patients with chronic back or neck pain treated with high-velocity and low-amplitude manipulation support the hypothesis that HVLA spinal manipulation leads to an antioxidant effect which, in turn, could be related to the analgesic response. Being the first chiropractor graduated in Brazil with a PhD, her goal is to promote the interest of Brazilians’ young chiropractors in research.
Dr. Kolberg is a member of the Research Committee of the WFC, is the Chair of the Research Committee of the Latin American Federation of Chiropractic (FLAQ) and a member of the editorial board of the Journal Coluna/Columna (ISSN 1808-1851), the official scientific publication of the Brazilian Spine Society and affiliated Societies. Dr. Kolberg is active in clinical practice; she is a Physiology professor at the University Center of the Serra Gaúcha (FSG) in the south of Brazil and is an associate researcher at the Neurobiology group from the Federal University of Rio Grande do Sul.
Dr. Craig Moore discusses the role of chiropractors in the management of headaches. Some areas of discussion we touch upon include the societal impact and costs associated with headaches; prevalence of headaches in the community; prevalence of headache in chiropractic clinical settings; why do people turn to chiropractors; current level of evidence for chiropractic treatment of different headache types; what do the headache guidelines recommend for each headache; what should a chiropractor consider when examining a headache patient (history and examination).
Dr. Craig Moore is the director of a multi-disciplinary allied-health clinic in Crows Nest, Sydney. His clinic focus is toward the diagnosis and management of musculoskeletal disorders and in headache disorders in particular (migraine, tension-type headache, cervicogenic headache).
Dr. Moore has completed a Masters of Clinical Trials Research and is currently enrolled at the University of Technology Sydney, doing a PhD in Public Health – focused on the chiropractic management of headache disorders. As a founding member of the Australian Chiropractic Research Network (ACORN) he has a strong interest in supporting the development of chiropractic research through the utilization of this practice-based research network project. He has numerous publications in the scientific literature in such journals as Spine, BMC Neurology, JMPT, BMC Musculoskeletal Disorders and Headache to name a few. Dr. Moore is also a CARL Fellow!
https://chiropracticscience.com/wp-content/uploads/2018/02/DrCraigMoore.jpg399309Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-03-16 23:00:312018-03-16 23:00:31031- Dr. Craig Moore: Role of Chiropractors in the Management of Headaches
Listen as Dr. Gregory Cramer interviews Dr. Dean Smith regarding his research involving chiropractic as well as exercise on response time, letters to editor and case studies. Dr. Dean Smith is a senior clinical faculty member in the Department of Kinesiology and Health at Miami University. He also maintains a private practice of chiropractic in Eaton, Ohio at Essence of Wellness Chiropractic Center. He is founder and host of Chiropractic Science – this podcast. Chiropractic Science is dedicated to publicizing chiropractic research through podcast interviews with leading chiropractic scientists.
In his private practice, Dr. Smith incorporates lifestyle intervention (exercise, nutrition, other non-drug methods) with chiropractic adjustments and other manual methods to encourage wellness. He has been in practice now for 20+ years. Dr. Smith’s education includes a bachelor’s degree in human biology, a master’s degree in exercise science, a doctor of chiropractic degree and a PhD in brain and cognitive science with a focus on motor behavior and postural control.
His research interests lie broadly in the area of human movement and coordination. He is most interested in how chiropractic, exercise and rehabilitation affect human performance. His scientific articles have been published in such journals as Human Movement Science, Journal of Manipulative and Physiological Therapeutics, Journal of Strength and Conditioning Research, Chiropractic Research Journal, Chiropractic and Osteopathy and The Open Neurology Journal.
Dr. Smith has played several competitive sports such as soccer, hockey and golf. He had a varsity golf scholarship at Miami University where he now teaches and does research. He has provided chiropractic care to professional athletes including Women’s Tennis Association tour pros at the Canadian Open. He also works with varsity university and high school athletes. Dr. Smith is also an Internationally Certified Chiropractic Sports Practitioner (ICCSP).
Here is a link to Dr. Smith’s research articles on research gate.
Below are some articles we discuss in this podcast episode:
https://chiropracticscience.com/wp-content/uploads/2018/01/DrDeanphotojpg.jpg35093509Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2018-01-05 07:00:382020-10-30 21:42:07030- Chiropractic, Exercise and Response Time, Letters to Editor and Case Studies with Dr. Dean Smith
Listen as Dr. Pierre Côté and I discuss his involvement in hugely impactful research on stroke, lumbar disc herniations and neck pain. He provides chiropractors with key information that helps de-mystify these topics. Pierre Côté DC, PhD is an epidemiologist. In 2013, he was awarded the prestigious Canada Research Chair in Disability Prevention and Rehabilitation from the Canadian Government. He is currently an Associate Professor in the Faculty of Health Sciences at the University of Ontario Institute of Technology, director of the UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation and an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto. Dr. Côté graduated from the Canadian Memorial Chiropractic College in 1989. In 1996, he obtained a Master’s Degree in Surgery from the University of Saskatchewan. He completed his PhD in epidemiology at the University of Toronto in 2002. In 2003, he received a New Investigator Award from the Canadian Institutes of Health Research.
Dr. Côté was a member of the scientific secretariat of the 2000-2010 Bone and Joint Task Force on Neck Pain and its Associated Disorders; a large international collaboration aimed at synthesizing the scientific evidence on the problem of neck pain. In 2010, he reviewed and proposed modifications to the definition of catastrophic impairment related to traffic collision for the Financial Services Commission of Ontario. More recently in 2012, he was mandated by the Government of Ontario to develop evidence- based Clinical Practice Guidelines for the management of traffic injuries. He submitted his report on the management of Common Traffic injuries to the Ontario Government in 2015. Dr. Côté’s research focuses on understanding the etiology, prognosis and evidence-based management of musculoskeletal pain and disability and mental health. Dr. Côté has published more than 200 scientific papers in prestigious peer-reviewed journals such as the New England Journal of Medicine, the Annals of Internal Medicine, Pain and the American Journal of Epidemiology. His 2017 Google Scholar h-index is 56 and it is 48 according to Scopus.
Côté P, Wong JJ, Sutton D, Shearer HM, Mior S, Randhawa K, Ameis A, Carroll LJ, Nordin M, Yu H, Lindsay GM, Southerst D, Varatharajan S, Jacobs C, Stupar M, Taylor-Vaisey A, van der Velde G, Gross DP, Brison RJ, Paulden M, Ammendolia C, David Cassidy J, Loisel P, Marshall S, Bohay RN, Stapleton J, Lacerte M, Krahn M, Salhany R.
Eur Spine J. 2016 Jul;25(7):2000-22. doi: 10.1007/s00586-016-4467-7. Epub 2016 Mar 16. Review.
https://chiropracticscience.com/wp-content/uploads/2017/10/DrPierreCote.jpg378300Dean Smith, DC, PhDhttps://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpgDean Smith, DC, PhD2017-11-15 20:17:002017-12-10 13:13:10029- Dr. Pierre Côté Discusses Neck Pain, Stroke and Lumbar Disc Herniation
Is sitting killing you? What kind of posture should you have seated or standing? How much time should you sit versus stand at work? How much spine flexion is too much? Can chiropractic manipulation help with seated postures? These are some of the many questions that are addressed in this interview. Dr. Diana De Carvalho is an Assistant Professor at Memorial University of Newfoundland in the Discipline of Medicine, Faculty of Medicine. She holds the Canadian Chiropractic Research Foundation Professorship in Spine Biomechanics and is cross-appointed to the School of Human Kinetics and Recreation.
After completing a BSc in Human Kinetics at the University of Guelph (2002), she attended the Canadian Memorial Chiropractic College graduating with the class of 2006. Concurrent to part-time clinical practice, Dr. De Carvalho completed a Certificate in University Teaching along with her MSc (2008) and PhD (2015) in Kinesiology at the University of Waterloo. She has extensive experience with industry-partnered research involving both automotive and ergonomic office seating.
Directly related to decreased productivity, decreased quality of life and high health care costs, low back pain might be the first of many negative health outcomes experienced by sedentary workers. Dr. De Carvalho’s research program focuses on spine mechanics, especially in response to sustained flexion, in order to better define and direct early diagnosis, prevention and intervention strategies for low back pain.
In addition to numerous peer-reviewed conference presentations both at the national and international level, Dr. De Carvalho has published articles in such journals as JMPT, Applied Ergonomics and Human Factors and she is an editorial board member of the Journal of the Canadian Chiropractic Association.
In this interview, Dr. Axén and I discuss the trajectories of low back pain, the characteristics of chiropractic patients with low back pain and practice based research. Iben Axén is a chiropractor in private practice in Stockholm, Sweden, who started to engage in practice-based research in the 1990’s. In 2011, she earned her PhD at Karolinska Institutet (KI) in Stockholm. She previously held a post-doc position shared between KI and the University of Southern Denmark. Currently she is an Associate professor in Musculoskeletal Health at the Karolinska Institutet. Her research centers on chiropractic care for low back pain (LBP). She has published work regarding predictors of treatment outcome, the clinical course and episodes of LBP and of subgrouping patients. Further, she is involved in the Nordic Maintenance Care Program, including the use of, indications for and outcomes of prevention. Iben Axen’s work is mainly based ondata from multicentre longitudinal studies. She is a firm believer in engaging chiropractic clinicians in data collection as part of the implementation process. In several studies, she has used a novel way of frequently measuring outcome using mobile phones and text messages, which allow for detailed studies of conditions that vary over time, for instance LBP.
Ian Coulter, PhD, is a senior health policy analyst at the RAND Corporation, where he holds the Samueli Institute Chair in Policy for Integrative Medicine. He is a full professor in the School of Dentistry, UCLA, in the Division of Public Health and Community Dentistry; a professor at the Pardee RAND Graduate School; and a research professor at the Southern California University of Health Sciences.
Join Dr. John Mayer and I as we discuss his extensive clinical and research experience in therapeutic exercise, wellness, chiropractic and first responders. John M. Mayer, DC, PhD, CCRP, FACSM is the Lincoln Endowed Chair in Biomechanical & Chiropractic Research, Executive Director of the Center for Neuromusculoskeletal Research, and Professor of the School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. He is Director of Research and Innovation for U.S. Spine & Sport Foundation, Chief Scientific Officer of Excellcior LLC, and Co-Founder of Pillar of Health LLC
Join Dr. Kongsted and I as we discuss her unique role as an author of the recent groundbreaking Lancet series of articles on Low Back Pain as well as many other topics. Alice Kongsted, DC, PhD graduated from the University of Southern Denmark in 1999 and completed her PhD at the Faculty of Health Sciences at the University of Southern Denmark in 2005. Up till 2009 she had clinical work as a chiropractor alongside her academic work, mainly in an outpatient hospital department. Currently she holds a position as senior researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics (NIKKB) and a position as Associate Professor at the Department of Sports Science and Clinical Biomechanics at University of Southern Denmark. At NIKKB she has set up a network of chiropractic primary care research clinics that regularly participates in data collection for research purposes, the data being made available to researchers both inside and outside NIKKB. Her research interests concern spinal pain with a focus on primary care. This includes investigating the prognosis of spinal pain and why people have different outcomes.
Dr. Carolina Kolberg and I discuss her research dealing with the effect of chiropractic care on oxidative stress blood markers. Dr. Kolberg has a degree in chiropractic from the Anhembi Morumbi University in São Paulo, Brazil (2004), and she completed her Masters (2009) and PhD (2013) in Biological Sciences: Physiology at the Federal University of Rio Grande do Sul (UFRGS). Her research interests include the neurophysiology of pain and physiological effects of chiropractic treatment. Dr. Kolberg’s thesis on oxidative stress blood markers in patients with chronic back or neck pain treated with high-velocity and low-amplitude manipulation support the hypothesis that HVLA spinal manipulation leads to an antioxidant effect which, in turn, could be related to the analgesic response. Being the first chiropractor graduated in Brazil with a PhD, her goal is to promote the interest of Brazilians’ young chiropractors in research.
Dr. Craig Moore discusses the role of chiropractors in the management of headaches. Some areas of discussion we touch upon include the societal impact and costs associated with headaches; prevalence of headaches in the community; prevalence of headache in chiropractic clinical settings; why do people turn to chiropractors; current level of evidence for chiropractic treatment of different headache types; what do the headache guidelines recommend for each headache; what should a chiropractor consider when examining a headache patient (history and examination).
Listen as Dr. Gregory Cramer interviews Dr. Dean Smith regarding his research involving chiropractic as well as exercise on response time, letters to editor and case studies. Dr. Dean Smith is a senior clinical faculty member in the Department of Kinesiology and Health at Miami University. He also maintains a private practice of chiropractic in Eaton, Ohio at Essence of Wellness Chiropractic Center. He is founder and host of Chiropractic Science – this podcast. Chiropractic Science is dedicated to publicizing chiropractic research through podcast interviews with leading chiropractic scientists.
Listen as Dr. Pierre Côté and I discuss his involvement in hugely impactful research on stroke, lumbar disc herniations and neck pain. He provides chiropractors with key information that helps de-mystify these topics. Pierre Côté DC, PhD is an epidemiologist. In 2013, he was awarded the prestigious Canada Research Chair in Disability Prevention and Rehabilitation from the Canadian Government. He is currently an Associate Professor in the Faculty of Health Sciences at the University of Ontario Institute of Technology, director of the UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation and an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto. Dr. Côté graduated from the Canadian Memorial Chiropractic College in 1989. In 1996, he obtained a Master’s Degree in Surgery from the University of Saskatchewan. He completed his PhD in epidemiology at the University of Toronto in 2002. In 2003, he received a New Investigator Award from the Canadian Institutes of Health Research.
Is sitting killing you? What kind of posture should you have seated or standing? How much time should you sit versus stand at work? How much spine flexion is too much? Can chiropractic manipulation help with seated postures? These are some of the many questions that are addressed in this interview. Dr. Diana De Carvalho is an Assistant Professor at Memorial University of Newfoundland in the Discipline of Medicine, Faculty of Medicine. She holds the Canadian Chiropractic Research Foundation Professorship in Spine Biomechanics and is cross-appointed to the School of Human Kinetics and Recreation.
In this interview, Dr. Axén and I discuss the trajectories of low back pain, the characteristics of chiropractic patients with low back pain and practice based research. Iben Axén is a chiropractor in private practice in Stockholm, Sweden, who started to engage in practice-based research in the 1990’s. In 2011, she earned her PhD at Karolinska Institutet (KI) in Stockholm. She previously held a post-doc position shared between KI and the University of Southern Denmark. Currently she is an Associate professor in Musculoskeletal Health at the Karolinska Institutet. Her research centers on chiropractic care for low back pain (LBP). She has published work regarding predictors of treatment outcome, the clinical course and episodes of LBP and of subgrouping patients. Further, she is involved in the Nordic Maintenance Care Program, including the use of, indications for and outcomes of prevention. Iben Axen’s work is mainly based ondata from multicentre longitudinal studies. She is a firm believer in engaging chiropractic clinicians in data collection as part of the implementation process. In several studies, she has used a novel way of frequently measuring outcome using mobile phones and text messages, which allow for detailed studies of conditions that vary over time, for instance LBP.
