Pilot Study of Patient Response to Multiple Impulse Therapy for Musculoskeletal Complaints

The Use of Survival Analysis for the Evaluation of Musculoskeletal Therapy

“…18 A second example of survival analysis may be found in a study of the effectiveness of multiple impulse therapy for nonspecific low back pain. 15 The results of this study are presented in Fig 2. The 2 sets of experimental points represent the estimate of the upper and lower bounds of the results. The bounds resulted from the method of measuring the output variable.…”

“…18 Fortunately for the researcher, the tedious manual calculations required for completion of a Kaplan-Meier analysis are now available in commercial statistical software. In addition to MedCalc 25 used by Evans et al, 15 Peltz and Klein 26 have authored a comparison of 3 commercially available statistical software packages that all contain survival analysis capability.…”

“…[1][2][3][4][5][6][7][8][9][10][11] Nonparametric techniques of analysis such as survival analysis are less frequently used. [12][13][14][15] Survival analysis has a number of advantages that make a research design a better choice than ANOVA for clinical evaluation studies. Among these advantages are that survival analysis uses a patient-specific response as an output measure whereas ANOVA requires the valid generation of a group mean response.…”

A Proposed Method for Estimating the Efficiency and Effectiveness of Techniques of Musculoskeletal Therapy

“…The physical therapy and no treatment data were replotted from van den Hoogen et al 6 The osteopathic data were recalculated from MacDonald and Bell. 7 The multiple impulse data were taken from a study performed by Evans et al 8 The half-life shown for each technique is a reliable indicator of overall goodness. The effectiveness metric shows all 4 techniques to be nearly equal in effectiveness over the long run.…”

The Efficiency of Multiple Impulse Therapy for Musculoskeletal Complaints

“…I n a previous pilot study of the effectiveness of multiple impulse therapy for musculoskeletal complaints, 1 it was found that multiple impulse therapy compared favorably with published studies of other therapeutic regimens for the relief of pain. The study presented here uses the methodology developed in the pilot study to examine 249 patient files to report symptomatic responses to multiple impulse therapy.…”