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.
The easiest way to prepare for the National PT Exam!
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
> they do not expect you to put aside clinical reasoning
> thats how you make 'all sorts of evidence' work for you
> 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
> > of the evidence for the old clients who believe that the machine with
> > gel gets rid off their pain :D Even if it is just placebo, if it is what
> > 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
> > unless it is specifically requested.
> > U/S has been used for a long time, but has only come under strict and
> > 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
> > 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
> > where every patient with a certain diagnostic label, for example low
> > pain... if clinicians do this... clinical reasoning skills will be lost
> > clinicians themselves will become little more than technicians who can
> > replaced by a cheaper workforce."
> > Henry***
> > _________________________________________________________________
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> Jackie Waterfield
> Department of Physiotherapy Studies
> Keele University
> Staffs ST5 5BG
> Email:[log in to unmask]
> Tel: 01782 583537