Henry,
Well we lost another one. If anyone knows Henry, tell him not to go. He
often adds a nice "twist" to the discussions. Hopefully his knickers are
not too twisted and he will consider returning to the frey. If not, Good
Luck were ever you are!!
Rege
At 10:47 PM 2/3/2003 +0000, you wrote:
>Frank,
>
>I know who you are and I have see the website. I think it is a very good
>idea and very impressive, but that does not take away from the point that
>evidence based practice and even guidelines are only that... The
>guidelines in australia alll state at the beginning that "these are only
>guidelines. Mangement of the individual is the most important." Guidelines
>assume homongeneity of the population and if used wrongly, can be
>dangerously misleading for the patient. Keep in mind we are dealing with
>people who vary greatly! This is what i mean by integrating the literature
>with one's clinical expertise and patient care.
>
>Of course I know about the insurance situation etc. However, keep in mind
>research in Physiotherapy is still young and there is much to go in terms
>of not just providing evidence for efficacy, but also mechanisms by which
>Physiotherapy works. Therefore to say anything is conclusive at this stage
>is ridiculous.
>
>I respect the fact that everyone on this list are from different
>backgrounds and environments and hence have different opinions. As I said,
>we don't have to agree, and by god we don't have to always prove others
>wrong. But your lack of insight into the evolution of other approaches and
>ideas, especially the trend towards neurophysiological explanation in
>Manual Therapy and exercise therapy put forth by people like Louis Gifford
>and David Butler (and believe me, he has changed a great deal.... try
>reading the new book rather than hearing what others say) tell me that you
>are still living in the "stone age" using your own words again. McKenzie
>Physiotherapy has evolved a lot since the 80's, so do you think other
>manual therapy approaches are going to stay static?
>
>I feel that all I am doing is putting forth my views based on my
>background and have learnt long ago that there is no right and wrong in
>Physiotherapy. However, your strong desire to prove people wrong based on
>your collection of literature is unfortunate, especially for someone in
>your position. I feel that this debate will only end until you feel that
>you have proven me wrong and "wave me off", and that to me is not the
>purpose of this forum or why I am here.
>
>Therefore, this is my final post and I am unsubscribing myself out of this
>post. Thank you for helping me learn throughout the last 3 years of my
>career. Being a new graduate physio when I first subscribed 3 years ago, I
>have found it to be a invaluable source of information.
>
>Henry Tsao, MPhty (Manip) BPhty
>Musculoskeletal/Manipulative Physiotherapist.
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