科学的根拠に基づく理学療法(第38回日本理学療法学術大会特集号)

概要

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Professional practice has always been based on evidence of one sort or another. So what is new about "evidence-based" practice and how does evidence-based practice differ from what health professionals have always done? The novelty of evidence-based practice is that it emphasizes routine, systematic and critical use of high quality clinical research for solving clinical problems. Antagonists have raised a series of objections to evidence-based practice including that it is too timeconsuming, there is not enough evidence, and the evidence is not good enough. We consider these and other objections and conclude that, while there is some truth in each, none need preclude evidence-based practice. Difficulties in implementation of evidence-based practice need to be weighed against the benefits of basing clinical practice on the least biased forms of evidence. Randomized trials and systematic reviews now provide us with sufficient evidence to make informed judgments about the effects of a range of physical therapy interventions. The best evidence confirms the value of some current physical therapy practices and the ineffectiveness of others. We briefly summarize studies which demonstrate the effectiveness of physical therapy interventions for chronic musculoskeletal pain, stress urinary incontinence, stroke, respiratory disease and prevention of falls in the elderly.
社団法人日本理学療法士協会の論文
2003-12-20