Tennis Tom
Beloved Grand Eagle
http://jama.jamanetwork.com/article.aspx?articleid=1872817
"...These components, together with patient confidence in the treatment and its effectiveness, are all known to contribute to an effective placebo response.37- 39 There is evidence that the quality of the therapeutic relationship influences outcomes such as pain and function7,38 and that a more patient-focused communication style (eg, listening, providing reassurance, encouragement) enhances this relationship.36 It is possible that this was a strong element of the sham intervention, whereas in the active intervention the therapists’ focus on content delivery may have reduced the time available for this element. Thus both active and sham physical therapy may have contained different therapeutic elements that resulted in similar clinical improvements."
"...These components, together with patient confidence in the treatment and its effectiveness, are all known to contribute to an effective placebo response.37- 39 There is evidence that the quality of the therapeutic relationship influences outcomes such as pain and function7,38 and that a more patient-focused communication style (eg, listening, providing reassurance, encouragement) enhances this relationship.36 It is possible that this was a strong element of the sham intervention, whereas in the active intervention the therapists’ focus on content delivery may have reduced the time available for this element. Thus both active and sham physical therapy may have contained different therapeutic elements that resulted in similar clinical improvements."
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