Its looking good that so many are starting to take on board EBP. This is not
to say we throw the baby out with the bath water, it means we throw out
stuff that has been SHOWN to be ineffective - why waste time doing that?
clinical trials - RCTs will sort out the stuff we are doing now but we must
act - no one else can do it for us
I know many practitioners who have 2-3 or even 4 patients/clients at a time
find EPA a boon to keep them happy while they "float" from one to another
but that is not the purpose of EPA, as we all know!!
The Royal College of GPs has an excellent EBP rated review of treatment for
acute LBP - 5 major contributing organisations, including the CSP. Contact
on www.rcgp.org.uk or [log in to unmask]
..... also on the thee University of Sydney site - School of physiotherapy a
very good review of literature prepared for the Australian Physiotherapy
Assoc'n on the management of LBP, includes electrotherapy.
..... and the recent Aker publication review of literature Spine ... oops,
can't remember the year and my copy is at home if you can't find it let me
know. This contains one article which supports the use of magnetic therapy!
Good luck,
regards, Anna
-----Original Message-----
From: P. Barlas <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Cc: [log in to unmask] <[log in to unmask]>
Date: 25 September 1998 9:57
Subject: re: Evidence Based use of Electrotherapy?
>Alleluja!
>It is a really good feeling to see clinicians to raise such questions. I
>have been trying to teach evidence-based electrotherapy in our university
>for the past two years. It led only to animosity from fellow members of
>staff, frustration of the students and raised eyebrows from the clinical
>supervisors.
>My efforts to gather evidence has yielded clinically usefull and
>relevant information only in the case of acupuncture, TENS and Lasers.
>There are some stuff in ultrasound, but this is only in relation to wound
>healing and never on pain. In the case of PEME and interferential with
>the exception of the Moffet et al and the Johnson paper in physiotherapy
>respectively, there is very little else (all the literature in IFT is
>related to pelvic floor stimulation in urinary incontinence).
>This is not the most important message however. The edge of the razor
>here is that the clinical and academic environment are NOT addressing the
>matter of evidence based Practice in reallity, they treat it only as a
>paper exercise. The main argument frequently posed is that if we adhered
>only to EBP, we would be running 6 week courses in Physiotherapy.
>To add in the confusion, we are prepared to embark on anything someone
>has recently introduced and apply it in our practice on the basis that we
>did the course the previous weekend. No questions, no doubt, only the
>wise words of the tutor are our guide to clinical application.
>I would be most interested to follow this argument with all the
>participating colleagues. Congratulations to Nikky for raising the issue,
>it takes guts and she appears to have some!
>
>Respectfully,
>
>
>Panos Barlas, BSc(Hons)PDD, DPhil, MCSP, SRP, LicAc
>Lecturer
>Department of Physiotherapy
>School of Health and Social Sciences,
>Coventry University,
>Priory Street,Coventry, CV1 5FB
>Tel: +44- (0)1203- 838980
>Fax: +44- (0)1203- 838020
>E-mail: [log in to unmask]
>
>
>On Thu, 24 Sep 1998, Marion Trew wrote:
>
>> Hello Nikki
>> I would be interested in the replies you get and particularly in knowing
(if
>> people give you that information) whether an electrotherapy approach has
had
>> no proper research evidence to support it or whether it has damming
evindence
>> against it. I am curious about whether we are stopping using some
treatments
>> because the manufacturers are persuading us to buy different more
expensive
>> machines even though the older cheaper treatments have not yet been
proved to
>> be useless. Conversely it may be that we are stopping using some
equipment
>> because it has been shown to be ineffective.
>>
>> My worst fear is that there will be very little 'proper' evidence
supporting
>> anything and that we therefore decide to use the equipment or not to use
it
>> simply on whim.
>>
>> Could you post a summary of replies you get on the list
>>
>> Many thanks
>>
>> Marion Trew
>> Oxford Brookes University
>>
>> >
>> > Hi,
>> >
>> > Our department has lots of electrical equipment.
>> >
>> > We are looking into the evidence to support the use of treatments
>> > such as Pulsed Short Wave Diathermy and Interferential.
>> >
>> > We found some support for Ultrasound, but not much for anything
>> > else.
>> >
>> >If anyone knows of any research evidence that supports any
electrotherapy
>> >treatment please let me know.
>> >
>> > thankyou
>> >
>> > Nicky Mackenzie
>> > Snr Physiotherapist
>> > City Hospital NHS Trust
>> > Birmingham
>> >
>> >
>> >
>> >--
>> >Another gem from the ZapEmail default signatures file.
>> >Computer: a device designed to speed and automate errors.
>> >
>>
>>
>
>
>
>
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