Dear Henry
Once again I am struggling to understand your reasoning. I take it as a
student you despised electro because it was boring. I would personally
settle for an approach which was successful, even if it was not stimulating.
Secondly you have a habit of telling us things we already know in a way that
is sensational, ie chiros are using it now!. Yes I know and this neither
strengthens or weakens any electro argument just because chiros are using
it. If anything I am heartened to hear they are and perhaps in some quarters
no longer believing spinal manip can cure everthing from dyslexia to cholic.
Sometimes I feel physios get a little insecure with regard to the other
manual therapies ie Chiro and Osteo. There are jewels in our own background
and we do not need them to tell us they are now 'scientific' atlhough I am
gratified by their conversion.
We leap from this to the thoracic spine and evidencing. There is a simple
philosophical premise ' it is much easier to disprove than prove'. Balance
is what is needed between clinical evidence and scientific. While people
continue to polarise themselves, the conflicts of practice will exist. We
should try to aleast be happy in what we do.
Finally I find little to disagree with Mels statement. One final word of
caution however. Chiros are expert marketeers, as clinicians we must be
careful not to swallow whole the line presented which works so well with
their patients. Bruce Lees Jeet Kune Do may mean way of the blocking fist,
but can also be interpreted as absorb that which is useful. The same is
true of manual therapy.
I am reminded of one last quote from Johnston a 17th century physician. '
Science is a wonderful piece of furniture to have on the first floor, as
long as common sense is firmly situated on the ground.'
Warm Regards Kevin
----- Original Message -----
From: Henry Tsao <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 07, 2000 10:23 PM
Subject: Re: ELECTROTHERAPY
> Kevin,
>
> If you read my e-mails, I said that most students including myself in my
> year despised electrotherapy and promised never to use it, because the
older
> tutors would make use use it with every single patient for any
condition...
> the rationale would always be that it helps to increase blood flow and
> advance the inflammatory process. It was a recipe and it made
physiotherapy
> boring.
>
> When I left uni and got into private practice, I started looking into the
> research and talking to a few chiropractors (who use to be
physiotherapists)
> and physio's, and their point of view is that electrotherapy plays a part
in
> treatment. Like many other techniques, electrotherapy has long been abused
> by the physiotherapy profession, and now by the chiropractic profession
> (many chiro's are using electrotherapy now!). What they recommend and this
> changed my dislike about electrotherapy was that if one use it wisely and
> for a reason that is scientifically proved, then it will have an effect.
>
> Most of physiotherapy, like electrotherapy, is lacking hard scientific
> evidence. People can form an opinion, but later change it, and I believe
> this is good because it shows that they are open minded and not stubborn
> enough to simply hang on to their old beliefs.
>
> Looking through the literature recently, so much attention has been placed
> on the lumbar and cervical spine, but there is not too much literature on
> the efficacy of our techniques on the thoracic spine... and yet we
continue
> to use it knowing that it works, and waiting for the evidence to come out
> one day (I know in the US they have just started look at the thoracic
spine
> now!).
>
> Henry***
>
> >From: "k.reese" <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: <[log in to unmask]>
> >Subject: Re: ELECTROTHERAPY
> >Date: Tue, 7 Nov 2000 14:48:36 -0000
> >
> >Dear Henry
> >
> >How can you be neither for or against something, yet still despise it?. I
> >certainly would not like to be in your bad books, goodness knows how you
> >would feel.
> >
> >Regards Kevin Reese UK PT.
> >----- Original Message -----
> >From: Henry Tsao <[log in to unmask]>
> >To: <[log in to unmask]>
> >Sent: Friday, October 27, 2000 1:07 AM
> >Subject: Re: ELECTROTHERAPY
> >
> >
> > > Dr Siff,
> > >
> > > I will go and have a look a these articles. As I have emphaised, I am
> >not
> > > universally dismissing any electrotherapy, because I use it myself
(and
> >if
> >I
> > > did, then I would be a hypocrite!!). No, I believe electrotherapy
plays
> >a
> > > role in manual therapy, but all I am saying is that if this is not
> >carefully
> > > studied and analyzed in this age of evidence based practice, it will
not
> > > survive!!
> > >
> > > Henry***
> > >
> > >
> > > >From: [log in to unmask]
> > > >Reply-To: [log in to unmask]
> > > >To: [log in to unmask]
> > > >Subject: ELECTROTHERAPY
> > > >Date: Thu, 26 Oct 2000 15:41:45 EDT
> > > >
> > > >On 10/20/00, [log in to unmask] writes:
> > > >
> > > ><< Going through an undergraduate degree whereby electrotherapy was
> >focused
> > > >so
> > > >much and yet despised by most students(including myself), I am not
for
> >or
> > > >against electrotherapy. However, I believe (and this is only my
> >opinion)
> > > >that unless there is more research for the efficacy of
electrotherapy,
> >not
> > > >too many future physiotherapists will include it in their treatment
> >regime.
> > > > >>
> > > >
> > > >***Before you universally dismiss the value of all types of
> > > >electrostimulation, you would find it interesting to read some more
of
> >the
> > > >hundreds of journal articles on the different applications of ES. To
> > > >assist
> > > >you in your search, you may read a web article (plus several hundred
> > > >references on microcurrent) that I wrote on the possible applications
> >of
> > > >macrocurrent "Faradic, Interferential, Galvanic) and microcurrent
> > > >stimulation
> > > >in sports training and rehabilitation:
> > > >
> > >
> >
>http://24.16.71.95/SPORTSCI/JANUARY/macrocurrent_and_microcurrent_el.htm
> >
> > > >
> > > >Dr Mel C Siff
> > > >Denver, USA
> > > >[log in to unmask]
> > > >http://www.egroups.com/group/supertraining
> > > >
> > >
> > >
> >_________________________________________________________________________
> > > Get Your Private, Free E-mail from MSN Hotmail at
> >http://www.hotmail.com.
> > >
> > > Share information about yourself, create your own public profile at
> > > http://profiles.msn.com.
> > >
> > >
> >
>
> _________________________________________________________________________
> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.
>
> Share information about yourself, create your own public profile at
> http://profiles.msn.com.
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|