Doug,
I would like to believe that is true;however, that has not been my
experience with both the literature and discussions with those promoting
the theory (just look at the ultrasound literature). Utilizing other forms
of research may be a basic tenet, but one that is underpromoted. Thanks for
the response.
Rege
At 11:13 AM 4/1/2002 -0500, you wrote:
>Rege:
>
>Evidence-based "guru's" would appear to be an oxymoron... If you haven't
>already, you might want to read some of the literature on EBM/ EBP. EBM/EBP
>does not rule out using other methods of research. In fact, one of the basic
>tenets of EBM/EBP is that each practitioner should use all the information
>available to him/her when deciding how to intervene with a particular
>patient. I appreciate your philosophical points but it seems they miss the
>mark.
>
>********************************************************************
>Douglas M. White, PT, OCS
>191 Blue Hills Parkway
>Milton, MA 02186
>Ph: 617.696.1974
>[log in to unmask]
>http://DouglasWhite.org
>
>
>Colleagues,
>
>I think we should look at the evidence; however, we must also look at how
>the evidence was collected. Otherwise, we will evidence-base ourselves out
>of practice. What the evidence-based "guru's" fail to relaize, and promote,
>are the other methodologies available for meaningfull research such as
>qualitative research. What they are doing now is basing judgements on
>techniques that employ specific criteria that objectify and divide reality
>into sections that they can manipulate and control. This simplifies nature
>and sees the world only in terms of quantification. This oversimplifies a
>very ambiguous world and a human body that we are only beginning to
>understand. From my perspective we need to move away from the empirical,
>Newtonian-Cartesian concepts of reality that we have been programmed to
>adhere too, and utilize and value other research methodologies that may
>provide us an answer (not absolute truth). Marcel Proust once said - "Love
>those who seek the truth, beware of those who have found it".
>
>Rege
>
>
>
>
>At 07:55 AM 3/28/2002 -0000, you wrote:
>> "" and similar requires further research there is an abundance of
>>research showing U/S has little beneficial effect. Anecdotally I suspect it
>>(U/S) works when we use it for the right injury and the right stage of
>>chronicity and get the dosage, frequency, etc all 'correct'; nonetheless
>>the current evidence suggests that US has little/zero therapeutic benefit.
>>Therefore if we go the EBP route we shouldn't be using it?! dave riddell
>>> -----Original Message-----
>>>From: Martin Jones [mailto:[log in to unmask]]
>>>Sent: 28 March 2002 07:44
>>>To: [log in to unmask]
>>>Subject: Re: SV: Increaseing clinical efficiency
>>>
>>> Let's not get into the the traditionality game of our profession
>>>which, dare I say has been/is fad led, and look more to research
>>>which is done by not in-line school of thought researchers (such as
>>>Bobath/Maitland folks doing their own research), or by quoting one
>>>article as proof of clinical governance for our practice.
>>>Martin ----- Original Message ----- From:
>>>Jason Steffe To: [log in to unmask] Sent: Wednesday,
>>>March 27, 2002 11:25 PM Subject: Re: SV: Increaseing
>>> clinical efficiency
>>> FYI Maitland has been studied, in a trial
>>> performed by Lance Twomey if memory serves, and it did quite
>>>well.
>>>Jason Steffe, PT, MS, MTC
>>>Physiotherapy Associates
>>>1901 Phoenix Blvd, Suite 205
>>>College Park, GA. 30349
>>>Ph: 770-907-1023
>>>Fax:770-907-5608 ----- Original Message -----
>>> From: Douglas M. White To:
>>>[log in to unmask] Sent: Wednesday, March 27, 2002
>>> 6:56 AM Subject: Re: SV: Increaseing
>>>clinical efficiency
>>>While I am not up on the literature for Bobath and Maitland I
>>>would like to
>>>comment on US.
>>>
>>>In keeping with EBP we should look at whether there evidence
>>>to support an
>>>intervention as well as evidence that does not support its
>>>use. The more
>>>intervention has been studied the more confidence we can have
>>>about our
>>>clinical decision making as it pertains to that intervention.
>>>
>>>US is one intervention that, in my opinion, has been studied
>>>sufficiently.
>>>With the exception of calcific tendonitis there is no good
>>>evidence to
>>>support its continued use. Further, the biophysical and
>>> physiologic
>>>principles of US we all learned in school do not occur.
>>>
>>>I do not think it is reasonable to use US for any conditions
>>>other than
>>>calcific tendonitis.
>>>
>>>*******************************************************
>>>Douglas M. White, PT, OCS
>>>191 Blue Hills Parkway
>>>Milton, MA USA 02186
>>>P: 617.696.1974
>>>[log in to unmask]
>>>http://DouglasWhite.tripod.com
>>>
>>>----- Original Message -----
>>>""<[log in to unmask]>
>>><[log in to unmask]>
>>>Sent: Wednesday, March 27, 2002 3:05 AM
>>>Subject: Re: [PHYSIO] SV: Increaseing clinical efficiency
>>>
>>>
>>>>"-stop using therapies that are not supported by the
>>>literature ie
>>>>"
>>>>
>>>> mmmmmmmm how about stop using Bobath and Maitland too????
>>>|
>>>
>>
>>
>>
>>
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>>
>Rege Turocy, DHCE, PT
>Assistant Professor
>Department of Physical Therapy
>Rangos School of Health Sciences
>Duquesne University
>Pittsburgh, PA 15282
>412/396-5545
>
>
>
Rege Turocy, DHCE, PT
Assistant Professor
Department of Physical Therapy
Rangos School of Health Sciences
Duquesne University
Pittsburgh, PA 15282
412/396-5545
|