Ph: 18759966

Talk:Chiropractic

From Wikipedia, the free encyclopedia

Jump to: navigation, search

This is the talk page for discussing improvements to the Chiropractic article.

Please sign and date your posts by typing four tildes (~~~~). Put new text under old text. Click here to start a new topic. New to Wikipedia? Welcome! Ask questions, get answers. This is not a forum for general discussion about the article's subject.
Article policies
Archives: Index1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29


 This article is within the scope of the following WikiProjects:
WikiProject Alternative medicine      (Rated A-Class)
This article is within the scope of the WikiProject on Alternative Medicine. Please visit the project page for more details, or ask questions on talk.
A This article has been rated as A-Class on the quality scale.
WikiProject Rational Skepticism      (Rated A-Class)

This article is being improved by WikiProject Rational Skepticism. Wikiproject Rational Skepticism seeks to improve the quality of articles dealing with science, pseudosciences, pseudohistory and skepticism. Please feel free to help us improve this page.

See Wikipedia:Contributing FAQ.

A This article has been rated as A-Class on the quality scale.
High This article has been rated as High-importance on the importance scale.
The only thing that benefits from doubt is truth.


There is a page Talk:Chiropractic/Admin log for the use of uninvolved administrators in managing this article.

Mediation in progress at Talk:Chiropractic/Mediation

[edit] Removal of references

I would like the following two references removed from the article:

I would also like the associated article text removed. These two references are opinion pieces. Certain editors of this article are misusing them to present the opinions in those articles as established fact, in a thinly veiled attempt to discredit the chiropractic profession. This is in violation of WP:NPOV --Surturz (talk) 18:59, 12 November 2008 (UTC)

PMID 18759966 (How can chiropractic become a respected mainstream profession? The example of podiatry) is a review written by five expert authors, published in a specialist peer-reviewed journal. I think this is an excellent reference to include in the article and use to support factual statements. The other article, by Ferrance on vaccinations, is used to reference the statement that "Within the chiropractic community there are significant disagreements about vaccination". This does not seem a controversial statement to me, but this reference isn't as high-quality as the review, and the use of this citation could therefore be improved by attributing this as an opinion of the author. An additional reference on this point would be useful, such as PMID 15530683 or PMID 10742364 Tim Vickers (talk) 19:35, 12 November 2008 (UTC)
I agree with TimVickers on both sources. The stronger source (Murphy et al. 2008 (PDF), PMID 18759966) is indeed an opinion piece, and its advocacy should not be stated as fact here; but its discussion of facts can be cited here as facts, which is what Chiropractic is doing. The weaker source (Ferrance 2002 (PDF)) is there because of a longrunning controversy over whether vaccination is controversial within chiropractic:
Surturz objected to the former lead sentence of Chiropractic #Vaccination, which said that vaccination "remains controversial within the chiropractic community"[1] (citing Busse et al. 2005, PMID 15965414), on the grounds that Busse et al. used neither the word "controversial" nor the phrase "chiropractic community". After a long discussion involving Surturz and other editors (see Talk:Chiropractic/Archive 26 #Topic sentence of Vaccination and Talk:Chiropractic/Archive 26 #Topic sentence of Vaccination should summarize the section), the phrase was eventually changed to its current form "Within the chiropractic community there are significant disagreements about vaccination", citing Ferrance 2002. Ferrance 2002 was brought in not because it was a better source, but because its lead sentence's phrasings correspond more closely to the phrasing used in Chiropractic.
I agree with TimVickers that Russell et al. 2004 (PMID 15530683) and/or Campbell et al. (PMID 10742364) would be better than Ferrance. Of the two, I'd prefer Campbell et al. as it's a review not a primary study. However, Busse et al. would be even better than Campbell et al., as it's newer and focuses on today's attitudes rather than focusing on a historical perspective. With the above in mind, perhaps the best approach would be to cite both Busse et al. and Campbell et al., instead of citing Ferrance. That is, we could replace this:
<ref>{{cite journal |journal= J Can Chiropr Assoc |year=2002 |volume=46 |issue=3 |pages=167–72 |title= Vaccinations: how about some facts for a change? |author= Ferrance RJ|url=http://jcca-online.org/client/cca/JCCA.nsf/objects/Issue+46_3/$file/Pages167-172.pdf |format=PDF}}</ref>
with this:
<ref name=Busse/><ref name=Campbell/>
This would remove the reference to the weaker source. A possible objection to this change would be that neither Busse et al. nor Campbell et al. support a claim that there are significant disagreements about vaccination within chiropractic, but I don't think this objection would be a reasonable one, as both sources clearly establish the existence of the controversy.
Eubulides (talk) 21:34, 12 November 2008 (UTC)
Procedural note - I've removed the actual edit protected template for the moment - the template should only be used for something completely uncontroversial (like spelling or grammar errors) or when the consensus already exists. It looks like things are headed in the right direction to get a consensus going, so as soon as there's a solution everyone would be happy with, feel free to pop the template back up there. Shell babelfish 21:50, 12 November 2008 (UTC)

No comments for five days. Can we take it that there's no objection to the most recent proposal, which was to replace the citation to Ferrance (the weaker source) with citations to Busse et al. and to Campbell et al.? Eubulides (talk) 07:08, 18 November 2008 (UTC)

{{editprotected}}

As described above, in Chiropractic #Vaccination, please replace this citation:

<ref>{{cite journal |journal= J Can Chiropr Assoc |year=2002 |volume=46 |issue=3 |pages=167–72 |title= Vaccinations: how about some facts for a change? |author= Ferrance RJ|url=http://jcca-online.org/client/cca/JCCA.nsf/objects/Issue+46_3/$file/Pages167-172.pdf |format=PDF}}</ref>

with these two citations:

<ref name=Busse/><ref name=Campbell/>

This was proposed in the above discussion, with no comment or dissent. Thanks. Eubulides (talk) 06:48, 26 November 2008 (UTC)

Done. Cheers. --MZMcBride (talk) 18:55, 28 November 2008 (UTC)

[edit] Add lay summaries to two citations

{{editprotected}} I recently found two lay summaries to citations used in Chiropractic. It would improve the article to use the laysummary= parameter of {{Cite journal}} to mention these, as they're easier for the general public to read. So here are two changes I propose for Chiropractic.

Let's change this citation:
Ernst E, Canter PH (2006). "A systematic review of systematic reviews of spinal manipulation". J R Soc Med 99 (4): 192–6. doi:10.1258/jrsm.99.4.192. PMID 16574972, http://www.jrsm.org/cgi/content/full/99/4/192. 
to this:
Ernst E, Canter PH (2006). "A systematic review of systematic reviews of spinal manipulation". J R Soc Med 99 (4): 192–6. doi:10.1258/jrsm.99.4.192. PMID 16574972, http://www.jrsm.org/cgi/content/full/99/4/192. Lay summary â€“ BBC News (2006-03-22). 
And let's change this citation:
Ernst E (2007). "Adverse effects of spinal manipulation: a systematic review". J R Soc Med 100 (7): 330–8. doi:10.1258/jrsm.100.7.330. PMID 17606755, http://www.jrsm.org/cgi/content/full/100/7/330. 
to this:
Ernst E (2007). "Adverse effects of spinal manipulation: a systematic review". J R Soc Med 100 (7): 330–8. doi:10.1258/jrsm.100.7.330. PMID 17606755, http://www.jrsm.org/cgi/content/full/100/7/330. Lay summary â€“ Med News Today (2007-07-02). 

Eubulides (talk) 21:35, 20 November 2008 (UTC)

No objection for a week, so I added an {{editprotected}}. Eubulides (talk) 02:28, 28 November 2008 (UTC)
Done. Cheers. --MZMcBride (talk) 18:55, 28 November 2008 (UTC)

[edit] Update CCGPP citation

This section is subsumed by #Update to low back pain bullet below. Eubulides (talk) 19:46, 30 November 2008 (UTC)

[edit] Update to low back pain bullet

Our mediation in Talk:Chiropractic/Mediation #Proposed text (may be changed freely subject to rules above) seems to have converged on a working consensus, so let's install the changes we have so far (more later, we hope). The changes are mostly to the low back pain bullet in Chiropractic #Effectiveness, although one phrase is moved to another section and one citation is updated to a later version. Here is the change. First, in Chiropractic #Effectiveness, change the Low back pain bullet from this:

Low back pain. There is continuing conflict of opinion on the efficacy of SMT for nonspecific (i.e., unknown cause) low back pain; methods for formulating treatment guidelines differ significantly between countries, casting some doubt on the guidelines' reliability.[3] A 2007 U.S. guideline weakly recommended SM as one alternative therapy for spinal low back pain in nonpregnant adults when ordinary treatments fail,[4] whereas the Swedish guideline for low back pain was updated in 2002 to no longer suggest considering SMT for acute low back pain for patients needing additional help, possibly because the guideline's recommendations were based on a high evidence level.[3] A 2008 review found strong evidence that SM is similar in effect to medical care with exercise, and moderate evidence that SM is similar to physical therapy and other forms of conventional care.[5] A 2007 literature synthesis found good evidence supporting SM and mobilization for low back pain and exercise for chronic low back pain; it also found fair evidence supporting customizable exercise programs for subacute low back pain, and supporting assurance and advice to stay active for subacute and chronic low back pain.[1] Of four systematic reviews published between 2000 and May 2005, only one recommended SM, and a 2004 Cochrane review[6] stated that SM or mobilization is no more or less effective than other standard interventions for back pain.[7] A 2008 systematic review found insufficient evidence to make any recommendations concerning medicine-assisted manipulation for chronic low back pain.[8] A 2005 systematic review found that exercise appears to be slightly effective for chronic low back pain, and that it is no more effective than no treatment or other conservative treatments for acute low back pain.[9]

to this:

Low back pain. There is continuing conflict of opinion on the efficacy of SMT for nonspecific (i.e., unknown cause) low back pain.[3] A 2008 review found strong evidence that SM is similar in effect to medical care with exercise.[5] A 2007 review found good evidence that SM is moderately effective for low back pain lasting more than 4 weeks;[10] a 2008 literature synthesis found good evidence supporting SM for low back pain regardless of duration.[2] Of four systematic reviews published between 2000 and May 2005, only one recommended SM, and a 2004 Cochrane review[11] found that SM or mobilization is no more or less effective than other standard interventions for back pain.[7] Methods for formulating treatment guidelines for low back pain differ significantly between countries, casting some doubt on their reliability.[3]

Also, in Chiropractic #Effectiveness's Other bullet, please change this:

A 2007 literature synthesis found fair evidence supporting assurance and advice to stay active for sciatica and radicular pain in the leg.[1]

to this:

A 2008 literature synthesis found fair evidence supporting assurance and advice to stay active for sciatica and radicular pain in the leg.[2]

Finally, in Chiropractic #Treatment techniques, change this sentence:

Medicine-assisted manipulation, such as manipulation under anesthesia, involves sedation or local anesthetic and is done by a team that includes an anesthesiologist.[8]

to this:

Medicine-assisted manipulation, such as manipulation under anesthesia, involves sedation or local anesthetic and is done by a team that includes an anesthesiologist; a 2008 systematic review did not find enough evidence to make recommendations about its use for chronic low back pain.[12]

For reference, I have applied this change to my sandbox: you can see the diff here. Thanks. Eubulides (talk) 19:46, 30 November 2008 (UTC)

Support as per the mediation page. I think there was one dissenting editor (DoctorIsIn), not sure about Levine2112. It should be noted that this change is not intended to address the WP:OR concerns raised elsewhere. But the new version is shorter, so therefore even editors that have WP:OR concerns should prefer it to the current article text. --Surturz (talk) 23:05, 30 November 2008 (UTC)
Support. But agree with Surturz that it does not address the underlying WP:OR concerns. -- Levine2112 discuss 23:08, 30 November 2008 (UTC)
No comment at this time except Congratulations for reaching a consensus on this change. ☺Coppertwig(talk) 00:04, 1 December 2008 (UTC)
Support. It may not be perfect, but I find it encouraging that we are willing to accept improvement and slow progress over constant edit warring. This is a good thing. -- Fyslee / talk 06:44, 1 December 2008 (UTC)

[edit] References

Please keep this section at the bottom. TO ADD A NEW SECTION, just click the EDIT link at the right and add the new section ABOVE this one. Then copy the heading into the edit summary box.

(The following resolve otherwise-dangling references: [13][14][7][8] )


You are viewing a mobilized version of this site...
View original page here

How do you rate mobile version of this page?

Mobilized by Mowser Mowser