I mean, that was really funny, but I don’t see what a parody study has to do with the topic.
It’s a summary of the available evidence. Studies often fail to investigate what you really want to know for all sorts of reasons by having a study environment that differs from the way the technique is practiced in the real world.
I checked this paragraph and I’m not quite convinced, but I think we’ve exhausted the topic at this point (in any case, the OP knows about it, so it’s up to him to choose).
That paragraph is written in the same spirit of summarizing the evidence as what I wrote about parachutes. Both are straightforward summaries of the published evidence without engaging in deeper thought about the underlying mechanisms.
The paragraph also does say “moderate-quality evidence that OMT reduces pain and improves functional status in acute and chronic nonspecific low back pain”.
It’s in the nature of looking for evidence that you will be able to write metastudies about thousands of different things for which there’s no evidence that treatment X helps. Aspirin (another treatment for low back pain) also doesn’t help with asthma. That in no way implies Aspirin not being EBM.
It’s a summary of the available evidence. Studies often fail to investigate what you really want to know for all sorts of reasons by having a study environment that differs from the way the technique is practiced in the real world.
That paragraph is written in the same spirit of summarizing the evidence as what I wrote about parachutes. Both are straightforward summaries of the published evidence without engaging in deeper thought about the underlying mechanisms.
The paragraph also does say “moderate-quality evidence that OMT reduces pain and improves functional status in acute and chronic nonspecific low back pain”.
It’s in the nature of looking for evidence that you will be able to write metastudies about thousands of different things for which there’s no evidence that treatment X helps. Aspirin (another treatment for low back pain) also doesn’t help with asthma. That in no way implies Aspirin not being EBM.