Improving the psychological evaluation of exercise referral: psychometric properties of the Exercise Referral Quality of Life Scale

There is a growing need to assess the psychological outcomes of exercise referral and the National Institute of Health and Care Excellence has called for the routine assessment of life-quality. However, a quality of life scale specific to the requirements of exercise referral is currently unavailable. Therefore, the aim of this study was to produce a quality of life measure for this purpose. The Exercise Referral Quality of Life Scale is a 22-item measure comprising three domains: mental and physical health, injury pain and illness and physical activity facilitators. Exploratory factor analysis determined the initial factor structure and was subsequently confirmed by confirmatory factor analysis. Additional scale properties were also assessed. The scale contributes to the global need for improved consistent psychological outcome assessment of exercise referral

Australian chiropractic sports medicine: half way there or living on a prayer?

Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual prowess rather than standardised evidence based management. This situation has changed in recent years with the acceptance of many within sports chiropractic to operate under an evidence informed banner and to embrace a research culture. Despite recent developments within the sports chiropractic movement, the profession is still plagued by a minority of practitioners continuing to espouse certain marginal and outlandish technique systems that beleaguer the mainstream core of sports chiropractic as a cohesive and homogeneous group. Modern chiropractic management is frequently multimodal in nature and incorporates components of passive and active care. Such management typically incorporates spinal and peripheral manipulation, mobilisation, soft tissue techniques, rehabilitation and therapeutic exercises. Externally, sports chiropractic has faced hurdles too, with a lack of recognition and acceptance by organized and orthodox sports medical groups. Whilst some arguments against the inclusion of chiropractic may be legitimate due to its historical baggage, much of the argument appears to be anti-competitive, insecure and driven by a closed-shop mentality.sequently, chiropractic as a profession still remains a pariah to the organised sports medicine world. Add to this an uncertain continuing education system, a lack of protection for the title 'sports chiropractor', a lack of a recognized specialist status and a lack of support from traditional chiropractic, the challenges for the growth and acceptance of the sports chiropractor are considerable. This article outlines the historical and current challenges, both internal and external, faced by sports chiropractic within Australia and proposes positive changes that will assist in recognition and inclusion of sports chiropractic in both chiropractic and multi-disciplinary sports medicine alike

A PHENOMENOLOGICAL ONTOLOGY FOR PHYSICS: Merleau-Ponty and QBism

Few researchers of the past made sense of the collapse of representations in the quantum domain, and looked for a new process of sense-making below the level of representations: the level of the phenomenology of perception and action; the level of the elaboration of knowledge out of experience. But some recent philosophical readings of quantum physics all point in this direction. They all recognize the fact that the quantum revolution is a revolution in our conception of knowledge. In these recent readings of quantum physics (such as QBism), quantum states are primarily generators of probabilistic valuations. Accordingly, they should not be seen as statements about what is the case, but as statements about what each agent can reasonably expect to be the case. Three features of such non-interpretational, non-committal approaches to quantum physics strongly evoke the phenomenological epistemology. These are: (1) their deliberately first-person stance; (2) their suspension of judgment about a presumably external domain of objects, and subsequent redirection of attention towards the activity of constituting these objects; (3) their perception-like conception of quantum knowledge. But beyond phenomenological epistemology, these new approaches of quantum physics also make implicit use of a phenomenological ontology. Chris Fuch’s participatory realism thus formulates a non-external variety of realism for one who is deeply immersed in reality. But participatory realism strongly resembles Merleau-Ponty’s endo-ontology, which is a phenomenological ontology for one who deeply participates in Being. This remarkable analogy is supported by Merleau-Ponty himself. Indeed, 50 years before QBism, Merleau-Ponty acknowledged the strong kinship between the status of quantum mechanics and his phenomenology of embodiment. He did so in two texts that remained unpublished until after his death: Visible and invisible, and the Lectures on Nature. The final part of this article is then devoted to a study of Merleau-Ponty’s conception of quantum physics