CMT Clinical Reasoning & Evidence-Based Practice Flashcards

In evidence-based practice (EBP), clinical decisions should integrate:

Answer: Best available research, clinical expertise, and patient values and preferences

EBP integrates the best available research evidence with the practitioner's clinical expertise and the individual patient's values and preferences.

A systematic review differs from a narrative review in that it:

Answer: Uses explicit, reproducible methodology to identify, appraise, and synthesize all relevant studies

Systematic reviews use predefined, reproducible search and appraisal methods to synthesize all available evidence on a question, minimizing bias.

The clinical prediction rule (CPR) for lumbar spinal manipulation includes which of the following criteria?

Answer: Duration of symptoms < 16 days, no symptoms distal to the knee, low fear-avoidance beliefs

Flynn's CPR for lumbar manipulation includes: symptoms 35°.

In clinical reasoning, a hypothesis-deductive approach involves:

Answer: Generating diagnostic hypotheses from patient information and testing them through examination findings

Hypothesis-deductive reasoning generates diagnostic possibilities based on history and tests them systematically with physical examination findings.

Which outcome measure is most appropriate to assess disability in a patient with chronic low back pain?

Answer: Oswestry Disability Index (ODI)

The Oswestry Disability Index (ODI) is a validated, widely used patient-reported outcome measure specifically designed for low back pain-related disability.

The concept of 'clinical equipoise' is most relevant when:

Answer: There is genuine uncertainty in the expert community about which treatment is superior

Clinical equipoise justifies randomized trials when genuine uncertainty exists among experts about which treatment is better, making random allocation ethical.