 |
 |
Steve, ***It is good to see critical thinking in a PT. One of the biggest lessons I learnt while doing my masters is that one can mobilise and retrain all we want, but if we don't stop the aggravating activity, then all may be in vain. But why does there appear to be so many discrepancies in clinical practice that do not appear to be evidenced based. ***This is something that I find many people misunderstand. Evidence based practice according to Shacklock is not just the best of the available evidence (ie, RCT's, controlled trials etc), but also considers the best of the patient and the best of one's clinical judgement and expertise. Only when these three factors are considered that "best practice" can be offered to the client. I do not believe that we will ever just have several ways to manage LBP, because individuals vary so greatly and we need to consider each person that comes in. Remember that Physio is not just pure science but also an art. One of the phrases my clinical tutor uses again and again is "Physiotherapy offers 2 things to patients: movement and education." Henry*** _________________________________________________________________ The new MSN 8: smart spam protection and 2 months FREE* http://join.msn.com/?page=features/junkmail