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Can't EVB be what you as a clinician find to work for a given condition? In PT there are so many variables of how the patient presents, and then the practitioner has many different ways of applying the same technique. Although everything a practitioner does should be uniform I find that very difficult to do. For example: the next time you have a student PT look at how they do an ultrasound versus how you do it, it's different, and you might advise them to do it a certain way that you think is more effective. The same goes for many techniques when instructing a student. Patrick Zerr www.apluspt.com The easiest way to prepare for the National PT Exam! www.summitpt.com Summit Physical Therapy; Tempe, Arizona ----- Original Message ----- From: "Jackie Waterfield" <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, January 15, 2002 2:32 AM Subject: Re: Evidence based practice - getting a grip > Evidence based practice emphasies the judicious use of best > external evidence, clinical expertise and patient > preferences > they do not expect you to put aside clinical reasoning > thats how you make 'all sorts of evidence' work for you > jackie > > > On Tue, 15 Jan 2002 10:51:26 +1000 Henry Tsao > <[log in to unmask]> wrote: > > > Doug, > > > > Yes, I do see your point about US. I guess I continue to use it regardless > > of the evidence for the old clients who believe that the machine with the > > gel gets rid off their pain :D Even if it is just placebo, if it is what the > > patient wants and makes the patients feel better, then I am not going to > > ignore this effect. Apart from this, I do not use it in my other patients > > unless it is specifically requested. > > > > U/S has been used for a long time, but has only come under strict and close > > scrutiny in recent days, and I think we can say this to be true for most > > physiotherapy techniques. It would be interesting however to see > > replications of those studies published in physical therapy 2001 on the > > effects of U/S in the near future. As we all know, it is a study's > > reproducibility that strengthens its evidence. > > > > The article that I mentioned in Manual Therapy November 2001 is entitled > > "Evidence-based practice - getting a grip and finding a balance." One of the > > statements made were: > > > > "We have a lot of evidence to gather, a lot of ground to make up. > > Importantly, we must avoid the "evidence-based practice technique syndrome" > > where every patient with a certain diagnostic label, for example low back > > pain... if clinicians do this... clinical reasoning skills will be lost and > > clinicians themselves will become little more than technicians who can be > > replaced by a cheaper workforce." > > > > Henry*** > > > > > > _________________________________________________________________ > > Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp. > > ---------------------- > Jackie Waterfield > Department of Physiotherapy Studies > Keele University > Keele > Staffs ST5 5BG > Email:[log in to unmask] > Tel: 01782 583537 >