of patients, so improving outcomes. Video-fluoroscopy of the lumbar spine may
help distinguish these subgroups by detecting the quality as well as the quantity of
inter-vertebral motion. OSMIA is now a fully operational clinical and research tool.
Fiona Mellor is a research radiographer and Alan Breen is a
chiropractor at the Institute for Musculoskeletal Research and
Clinical Implementation, Anglo-European College of Chiropractic.
Acknowledgements
We are grateful to the staff of the departments of clinical radiology at Salisbury
District Hospital and Royal Hampshire County Hospital, Winchester, for their long
standing support of this work. Also to Mike Kondracki, Alex Breen, Miles Woodford,
Emma Lunn, Suzanne Cooper and David Antrobus for the wide variety of expertise
they brought to the development and use of OSMIA.
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