Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, September 28, 2020
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 20086
  Title The use of a numerical point system in the assessment of clinical progress in patients under subluxation-based chiropractic care: a case study [case report]
URL https://www.vertebralsubluxationresearch.com/2017/09/10/the-use-of-a-numerical-point-system-in-the-assessment-of-clinical-progress-in-patients-under-subluxation-based-chiropractic-care-a-case-study/
Journal J Vert Sublux Res. 1998 ;2(2):pp. 1-10
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

This case study describes the first stage in the evolution of a Numeric Point System reflecting a Numeric Index and visual depiction of patient progress. The structure of the System embodies four categories which are considered "doctor active" as the results are derived from tests conducted by the practitioner. The categories, comprised of a total of 28 different tests have been categorized into the areas of Neuromuscular, Kinesiological, Orthopedic/neurological, and Pain. These categories are assigned points based on aberrant and/or abnormal findings. Coupled to this assessment is a separate self-report, or "patient active" response to questions concerning health status, current pain or discomfort, and physical function. The "patient active" responses are reported on a visual analog scale and later quantified. The practitioner's Numeric Index based on the four categories, and the patients self-report collectively form the Numeric Point System. The tests and patient responses are administered as an initial examination followed by periodic re-examinations. This approach serves as one form of quality control for the practitioner to assess the outcomes associated with the formation of a clinical impression and plan of care established for the patient. By coupling the patient's self-perceptions with clinical findings, a link is made between the value of the tests performed and the care received. Thus, the patient and practitioner have a quantified, visual reflection of progress, or lack thereof, associated with the subluxation-based chiropractic plan of care. In the present single subject report, the patient received an initial examination and five reassessment examinations. The level of progress is reported in a layered fashion such that it can be viewed collectively, with all categories consolidated, or more specifically by individual test. It is believed that this approach contributes to the holistic nature of subluxation-based chiropractic care, as well as serving as a means of providing quantifiable assessment data reflecting the outcomes of patient care. Further study is underway to enhance the Numeric Point System by measuring the reliability of the components of the four assessment categories, and evaluating the significance of progressive changes over time through appropriate statistical analyses.

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


   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips