I'm with you. Joe
-----Original Message-----
From: Bruce Gray [mailto:[log in to unmask]]
Sent: Tuesday, October 17, 2000 4:11 AM
To: [log in to unmask]
Subject: RE: evidence based practice...
Just to get the thread back on topic, I am the sole OPD physio at a Qld
country 90 bed hospital in Australia. I recently put all the machines that
go "ping" into the back storage room, and there are many other hospital
storerooms like this.
So to affirm my point, electrotherapy sucks. There is no convincing
comparative invivo studies that show it is a better treatment then the
intelligent appn of ice/heat, rest/movement, and anti-inflamms. I am talking
everything from US to SWD to laser. My litmus test for the benefits of
electrotherapy is to go and try the putated anti-inflamm properties of US on
an acute gout attack.......any of you out there charging good money to treat
inflammation with electrotherapy instead of encouraging your patients to go
and get a script for NSAIDs cannot call yourselves scientifically trained.
If you think 30 mins of electrotherapy 2x/wk (if you are lucky) can do
anything significant to fibroblast or leucocyte function, then you are a
captive of the dogma of a conservative bunch of old women who know no
better.
I urge you all to come join the revolution- throw your placebo "ping"
machines away, draw out Occam's Razor and slash the ties that bind you to a
flawed anachronistic paradigm.....choose instead to never compromise on
finding truth again......
>
> Like their rugby I suppose?!?
>
> > They're learning them from New Zealand!!!
> >
> > >>> [log in to unmask] 10/17/00 12:27 >>>
> > Henry
> >
> > Although South African trained, I am working in the UK and have
> > worked
> > with or been associated with numerous physios from OZ. Almost
> > without
> > exception, they have all used elements of Maitland, Mulligan, soft
> > tissue work akin to Travell and Simons, rehab and very little
> > electrotherapy .
> >
> > Where are they learning these 'radical' techniques if not in
> > Australia?
> >
> > dave riddell
> >
> >
> > > From: Henry Tsao [SMTP:[log in to unmask]]
> > > Sent: 16 October 2000 11:43
> > > To: [log in to unmask]
> > > Subject: evidence based practice...
> > >
> > > Recently, since I have joined the mailbase, I have found myself
> > > searching
> > > for research and looking for answers behind what I am actually
> > doing.
> > > I have
> > > continued to question my work. From what I know, it seems that
> > > everybody is
> > > interested in evidence based practice.
> > >
> > > However, I was talking to Megan Dalton, who is a well known
> > > physiotherapist
> > > in Australia early last week. She is a very out spoken Physio and
> > a
> > > very
> > > interesting physio to talk to (I have seen her talk in 2
> > occasions,
> > > and she
> > > just has so much energy!!). She told me that it seemed ridiculous
> > that
> > >
> > > Physiotherapy departments in Australia don't teach Mulligan's,
> > > Mckenzie and
> > > other radical techniques, for the pure reason that there is not
> > enough
> > >
> > > evidence. However, (and I know that this is true for me) they teach
> > so
> > > much
> > > electrotherapy, most of which does not have too much research
> > anyway
> > > (due
> > > mostly to the difficulty of these techniques), and this seemed
> > very
> > > ironical
> > > to her and to me also.
> > >
> > > Megan perceived the future of physiotherapy to be with little or no
> >
> > > electrotherapy (which to me is a very big step), and I just wanted
> > to
> > > ask
> > > what people in this mailbase thought about this claim. To let
> > people
> > > know,
> > > the electro I use is a Likon, ultrasound, at time the
> > interferential
> > > (which
> > > I do not use too often these days), and very rarely the magnetic
> > wave.
> > > I
> > > tried to search for research the other day, but obviously was
> > limited
> > > in
> > > what I found. any thoughts or ideas??
> > >
> > > Henry***
> > >
> > ______________________________________________________________________
> > > ___
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