Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19772
  Title Quality control in the chiropractic clinical setting utilizing thermography instrumentation as a model
Journal J Vert Sublux Res. 2007 ;OCT(12):Online access only p. 1-6
Peer Review Yes
Publication Type Article
Abstract/Notes Objective: To describe a model for quality control in the chiropractic health care setting.

Methods: The study presents one model for monitoring the reliability of reproducing thermal pattern scans using a series of different instruments in different adjusting rooms. The study was comprised of two separate trials (A), and (B). In each trial, one student served as the "subject" while a second student obtained thermogaphic scans. The subject then moved to the next room, and the second student again obtained a thermographic scan on the same subject. The scan from room 1 was then compared to determine percent agreement with the scan from room 2. This procedure was repeated in room 3, etc. Data was then analyzed and interpreted. Trial B also included a recording of the ambient temperature of each adjusting room immediately prior to the scan, and directly after each scan was taken.

Results: Trial A: Comparisons of scans from instruments 1 through 18 fell within a range of 2 standard deviations (84.3 – 59.1 % similarity) around a mean of 71.7 + 6.3. The coefficient of variation for Trial A was 8.8% for the left and 6.6% for the right paraspinal thermographic comparisons. Trial B: The same results were observed as with Trial A, with one exception. One instrument fell outside of 2 standard deviations of the mean, 72.4 + 5.2, by 0.3 % similarity for the right paraspinal thermographic findings. The coefficient of variation for the left paraspinal thermographic comparisons was 8.1% for the left and 7.2% for the right. Pre – Post scan temperature readings taking place for the 16 instruments assessed in Trial B were not significantly different (p 0.24.

Conclusion: Quality control procedures are well documented and employed in many different settings ranging from clinical laboratories to manufacturing enterprises and has direct application to the chiropractic setting.

This abstract is reproduced with the permission of the publisher; full text by subscription.

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