Practical Evidence-based Physiotherapy

Front Cover
Elsevier Health Sciences, 2005 - Medical - 234 pages
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Authored by an international team of experts especially for physiotherapists, this new, one-of-a-kind resource examines evidence-based practice in physiotherapy - defining what constitutes evidence and how to implement findings in the day-to-day clinical setting. It discusses government and professional requirements for evidence-based medicine and clinical reasoning, and offers easy-to-follow guidelines for finding and applying evidence. It also offers useful strategies for determining whether benefits provided by physiotherapy interventions are significant enough to make the intervention worthwhile.

  • Written specifically for physiotherapists
  • Step-by-step guide to practice of evidence-based physiotherapy
  • Written at different levels depending on reader's expertise:
    • highlighted critical points and text box summaries for readers new to these concepts
    • detailed explanations in text for intermediate readers
    • footnotes for advanced readers
  • Detailed presentation of strategies for searching for evidence, including using the www, search engines and physiotherapy specific databases
  • Extensive consideration of clinical practice guidelines
 

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Contents

Evidencebased physiotherapy what why and how?
1
What is evidencebased physiotherapy?
2
What is evidencebased physiotherapy important?
6
History of evidencebased health care
7
How will this book help you to practise evidencebased physiotherapy?
8
What do I need to know?
11
Relevant clinical questions
12
Refining your question
14
Critical appraisal of evidence about diagnostic tests
116
What does this evidence mean for my practice?
123
What does this randomized trial mean for my practice?
124
What does this systematic review of effects of intervention mean for my practice?
151
What does this study of experiences mean for my practice?
161
What does this study of prognosis mean for my practice?
163
What does this study of the accuracy of a diagnostic test mean for my practice?
168
Clinical guidelines as a resource for evidencebased physiotherapy
179

What constitutes evidence?
19
What constitutes evidence about effects of inventions
20
What constitutes evidence about experiences?
35
What constitutes evidence about prognosis?
41
What constitutes evidence about the accuracy of diagnostic and screening tests?
44
Finding the evidence
51
Search strategies
52
Finding evidence of effects of intervention
56
Finding evidence of prognosis and diagnostic tests
66
Finding evidence of experiences
71
Getting full text
75
Finding evidence of a advances in clinical practice browsing
76
Can I trust this evidence?
79
A process for critical appraisal of evidence
80
Critical appraisal of evidence about the effects of intervention
84
Critical appraisal of evidence about experiences
106
Critical appraisal of evidence about prognosis
111
What are clinical guidelines?
180
History of clinical guidelines and why they are important
181
Where can I find clinical guidelines?
183
How do I know if I can trust the recommendations in a clinical guideline?
184
Legal implications of clinical guidelines
197
Reflections on the future of guideline development
199
Making it happen
203
What do we mean by making it happen?
204
Changing is hard
205
Evidencebased implementation
210
Evidencebased physiotherapy in the context of continuous quality improvement
216
Am I on the right track?
219
clinical measurement
220
audit
224
Concluding comment
228
Index
229
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