Hi Henry
Thank you for your kind and instructive reply.
By the way is the orthopedist's practice satisfied with a criteria
of evidence based medicine(pharmacology)?For example,are orthopedic
surgery such as spinal fixation or general or local anesthetic injection
satisfid with it?
If surgery and injection is in the same situation as Mckenzie or other
orthopedic manual therapy,Japanese PT can advocate its effectiveness
towards orthopedists and the Government and the public.
Mailing list is a important source for my self-learning.
Thanks in advance.
Hiro Wood
Japan
----- Original Message -----
$BAw?.<T (B : "Henry Tsao" <[log in to unmask]>
$B08@h (B : <[log in to unmask]>
$BAw?.F|;~ (B : 2003 $BG/ (B2 $B7n (B2 $BF| (B 19:18
$B7oL> (B : Re: evidence based practice
> hiro,
>
> I am starting to see where the confusion is... the words evidence based
> practice (ie, the integration of best evidence with best clinical
> expertise and patient care) does not equal evidence (ie, literature,
> RCT's, systematic reviews, meta-analysis). Evidence such as RCT's and
> systematic reviews were devised, to my knowledge anyway, for drug and
> pharmcological studies, and not for Physiotherapy. This is why no matter
> how good a RCT is in Physiotherapy, it can never match the gold standard
> of triple blind RCT's in pharmocology, and why evidence alone can not be
> solely relied upon. Perhaps we should rename the words evidence-based
> practice to avoid the confusion.
>
> I am aware of the situation in Japan, because similar situation is
> happening in Taiwan. I think it has a lot to do with the practicing
> environment and the relative young age of Physiotherapy in Asian
> countries.
>
> Henry***
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