Olawale,
Evidence based practice was originally devised for used in pharmacology,
to ensure that medicine was more effective than simply placebo or self
recovery, based on controlled trials and systematic reviews. Over the
years, Physiotherapy has adopted this evidence based approach. what needs
to be noted is that evidence based practice is not simply based on the
evidence available... it goes beyond randomized controlled trials and
systamatic reviews. As the father of evidence based medicine stressed time
and time again, for Physiotherapists, it is an integration of the best
evidence, with one's clinical expertise as well as the patient's
expectations and beliefs.
For further reading on this topic:
Bogduk, N., (2001) "Beyond evidence based practice" New Zealand Journal of
Physiotherapy 29(3): 4-5
Grant, R. Chapter 21: Reflections on clinical expertise and evidence-based
practice". In: "Physical Therapy of the cervical and thoracic spine" ed 3.
2002, Churchill Livingstone.
Hopwood, V., et al (2001): Poor reviews may not give a true reflection of
the evidence" Physiotherapy 87 (10) 549-551
Moore, et al (2001): "Evidence based practice - getting a grip and finding
a balance." Manual therapy 6(4): 195-196
Sackett, D.L. et al: Evidence Based Medicine, ed 2, Edinburgh, 2000,
Churchill Livingstone.
Henry***
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