Translating Research to Practice

Allan Jette’s May editorial (Phys Ther) is excellent and speaks to the issue most readers of this blog care passionately about: translating the evidence we have (verus that which always seems to be in motion) to evidence in practice.
Download EditorialJetteEBPPhysTher2005.pdf

Evidently this whole phenomenon of drag time from elucidating evidence to its eventual implementation has been noted…

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Ad libitum

Link: Ad libitum.
Resistance to Evidence-Based Medicine
Lately I have been encountering (or noticing more) a reluctance on the part of many physicians to accepting that evidence based medicine is a good thing. Theres quite a bit written about this. Physicians are resistant to accepting EBM for several reasons:
1. Many feel threatened that with EBM they will not…

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Advice as Good as Manual Therapy?

This post is a follow-on to one of Larry’s previous posts titled:
Advice could be as good as physical treatment for back pain
Larry linked to a press release referring to a LBP trial published by Hay and colleagues in the June 11 issue of The Lancet. The groups were essentially manual therapy versus information and advice, with…

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Screening for VBI: A Hopeless Cause?

Most practitioners recognize the difficulties inherent in the process of screening for VBI in patients with neck pain. However, in the event you have bought "hook-line and sinker" into the concept, here are a couple of papers that may stimulate your thinking in this area.
John
Download thiel_man_ther_2005.pdf
Download childs_jospt_2005.pdf…

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LBP Classification in Primary Care

Attached is an interesting study just published in Spine characterizing the fact that although primary care practitioners appreciate the potential for subgroups of patients with LBP, the classification methods remain largely based on pathoanatomic models, which have been shown to be incapable of guiding decision-making (and in some cases may be downright harmful). The results of this study is…

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PTs and MSK Knowledge

I have attached a study carried out by John et al from BMC Musculoskeletal Disorders. BMC Musculoskeletal Disorders releases articles online as soon as they are accepted so the article has not been formatted and is still in word (http://www.biomedcentral.com/bmcmusculoskeletdisord/). I expect the formatted version will be out soon.
This is the piece investigating the knowledge…

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CPR for Predicting Return to Work in LBP Patients

Dionne and colleagues (CMAJ, 2005) recently published a clinical prediction rule (CPR) which was designed to determine what baseline variables in individuals with low back pain will predict a “return to work in good health” at 2 years.  This type of information if robust enough to substantially change our post test probabilities would be very helpful to us.&nbsp…

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EBP, P4P and payor incentives

I am having an on-going debate with several therapists over the impact of EBP from a reimbursement standpoint as well as reality of pay for performance in physical therapy and I would invite the readership of this blog to chimb in!
I have had extensive talks about EBP with some of the top private insurers in the U.S…

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Best Practice for Low Back Pain

The most recent edition of Best Practice & Research Clinical Rheumatology is dedicated to current topics in managing LBP. Here is an example of some of the papers.
John
Download burton_best_practice_2005.pdfDownload lurie_best_practice_2005.pdfDownload moffett_best_practice_2005.pdfDownload van_der_roer_best_practice_2005.pdfDownload waddell_best_practice_2005.pdf…

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