 |
 |
Thanks, Kevin. You hit the nail right on the head regarding what I was trying to say. We should try and find out exactly why things work - but we shouldn't abandon a treatment because we can't find the theory: we just might not be able to fathom out WHY it works yet. What I meant about RCTs was that they are so controlled and as physios we do not work in controlled situations. We (hopefully) assess each patient as an individual not as a condition or symptom and then we use our problem solving skills regarding how we can best help them. Grey was in fashion, but then after buying a load of grey stuff my friends then tell me it is rapidly going out again. Back to the shops! Then again, I don't have much of an accessory in my little grey matter to go with the clothes. Alison. >From: "kevin reese" <[log in to unmask]> >Reply-To: [log in to unmask] >To: <[log in to unmask]> >Subject: Re: US Debate >Date: Mon, 14 Feb 2000 18:44:47 -0000 > >Dear John > >I do not think the original message was suggesting we turn off our brains >and rely on placebo. My interpretation is a sometimes lacking honesty in >physiotherapy that things work, but not for the reasons we understand and >think. > >Of course it is desireable to know all the effects of our physical >modalities but physio is not always as black and white as this works and >this doesn't. As Grieve once said be a 'Wise Sceptic'. Grey is not such a >bad colour; I am told it is the new black in fashion terms. > >Regards Kevin Reese PT UK >-----Original Message----- >From: John Willenbruch <[log in to unmask]> >To: [log in to unmask] <[log in to unmask]> >Date: 14 February 2000 17:26 >Subject: Re: US Debate > > > > > > > > > >>Dear Ian & Colette, > >> > >>It makes you wonder whether it really matters why it works, just that it > >>does and thus we should look for what is actually going to help that > >>individual patient in the best way. Makes you start to question the > >>current > >>furore over evidence based practice and RCTs all that. > >> > >>Also just a brief thought! > >> > > > >A further brief thought: > > > >If a desirable effect is caused by any person in a white coat with >suitable > >attire why should hospitals pay trained staff to do it when a physio > >assistant could do this just as well at a much cheaper cost. > > > >Surely as physiotherapists we should try to stick to treatments that have > >some physical effect as a reliance on placebo effect will just devalue >the > >service we provide. > > > >Cheers > > > >'German' John Willenbruch > > > > > >______________________________________________________ > >Get Your Private, Free Email at http://www.hotmail.com > > > ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%