To thoroughly evaluate the response of balance systems to spinal curvature, it is necessary to conduct standardised balance tests using muscle tension analysis with the electromyography method.
Issues of tailoring highlight debates about the role of preferences and choice in access to mental health treatments [ 66], the tension between providing standardised treatments favoured by the clinical guideline development process, and the role of health services in meeting the personal preferences of patients.
Concerns have been raised that pathways to standardise care are complex documents, as use combines a framework for decision making within an individual patient record, with potential tensions arising between providing standardised care and offering individualised care.
No differences were found between spinal manipulation and tricyclics in two studies of tension-type headaches (average standardised mean difference −0.25, 95% confidence interval −0.59 to 0.09, I=0.0%, table 4) and one study of migraine headaches (−0.31, −0.69 to 0.08).
Tricyclics were more effective than placebo in reducing the burden from both tension-type headaches (average standardised mean difference −0.99, 95% confidence interval −1.66 to −0.32; 11 arms, I=93.8%) and migraine headaches (−1.00, −1.52 to −0.48; 10 arms, I=89.4%, fig 2).
Tricyclics also reduced the number of doses of analgesics taken for acute headache pain for both tension-type headaches (average standardised mean difference −1.71, 95% confidence interval −3.37 to −0.05, six studies, I=14.5%) and migraine headaches (−0.94, −1.87 to −0.02, four studies, I=32.6%).
In a limited number of trials the effectiveness between tricyclics and selective serotonin reuptake inhibitors did not differ for tension-type headaches (average standardised mean difference −0.80, 95% confidence interval −1.63 to 0.02, four studies, I=89.5%, fig 6) or migraine headaches (−0.22, −0.75 to 0.31, four studies, I=89.5%).
This tension between grief as a standardised process and grief as an individual process was also demonstrated within GPs, with some GPs articulating grief as both standardised and a unique experience.
These tensions were: (1) grief as a standardised versus an individualised process; (2) intervening versus promoting resilience; (3) the GP as a broker of services versus a service provider; and (4) formal education and professional development versus 'on-the-job' experiential learning.
Retailers' mixed, and at times discrepant, views on standardised packaging and arguments raised by tobacco companies reflect earlier findings and highlight tensions between concerns over their immediate livelihood and their knowledge of the widespread harm tobacco causes.
Forward pulling movements were elicited by a standardised stroke of the tail with serrated forceps, and the corresponding forward pulling tensions were recorded using a Grass Polyview recording system.
