Physikalische Therapie

Kowarschik, Josef

doi:10.1007/978-3-7091-3506-8

“…Limiting assessment based on RCTs and meta analyses with level 1 or 2 per se must be seen just as critically as limiting the time frame of analyses for guidelines to the last few years. Especially in the domain of physical medicine and general rehabilitation many proven therapies such as massage, electrical therapy and ultrasound are documented in older studies published in books and are therefore not used in assessments [2, 3,5,8,[10][11][12][13][14][15][16]18,19,21,22,26]. The biological variability of the human being is the reason why, in the field of medicine, results even from high level studies can never describe the effect of an intervention as precisely as in mathematical or physical studies [28].…”

Section: Ebm -In Physical Rehabilitation Medicinementioning

confidence: 99%

Evidence based medicine in physical medicine and rehabilitation (English version)

Kern

¹

,

Löefler

²

,

Fialka‐Moser

³

et al. 2014

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Evidence Based Medicine in Physical Medicine and RehabilitationIn the last twenty years the term "Evidence Based Medicine (EBM)" has spread into all areas of medicine and is often used for decision-making in the medical and public health sector. It is also used to verify the significance and/or the effectiveness of different therapies. The definition of EBM is to use the physician's individual expertise, the patient's needs and the best external evidence for each individual patient. Today, however, the term EBM is often wrongly used as a synonym for best "external evidence". This leads not only to a misuse of evidence based medicine but suggests a fundamental misunderstanding of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions, public healthcare providers and politicians use external evidence alone as a main guideline for financing therapies in physical medicine and general rehabilitation without taking into account the physician's expertise and the patient's needs.The wrong interpretation of EBM can lead to the following problems: well established clinical therapies are either questioned or not granted and are therefore withheld from patients (for example physical pain management). Absence of evidence for individual therapy methods does not prove their ineffectiveness! In this short statement the significance of EBM in physical medicine and general rehabilitation will be analysed and discussed.

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“…Limiting assessment based on RCTs and meta analyses with level 1 or 2 per se must be seen just as critically as limiting the time frame of analyses for guidelines to the last few years. Especially in the domain of physical medicine and general rehabilitation many proven therapies such as massage, electrical therapy and ultrasound are documented in older studies published in books and are therefore not used in assessments [2,3,5,8,[10][11][12][13][14][15][16]18,19,21,22,26]. The biological variability of the human being is the reason why, in the field of medicine, results even from high level studies can never describe the effect of an intervention as precisely as in mathematical or physical studies [28].…”

Section: Ebmin Physical Rehabilitation Medicinementioning

confidence: 99%

Evidence based medicine in physical medicine and rehabilitation (English version)

Kern

¹

,

Löefler

²

,

Fialka‐Moser

³

et al. 2014

Eur J Transl Myol

0

View full text Add to dashboard Cite

Evidence Based Medicine in Physical Medicine and RehabilitationIn the last twenty years the term "Evidence Based Medicine (EBM)" has spread into all areas of medicine and is often used for decision-making in the medical and public health sector. It is also used to verify the significance and/or the effectiveness of different therapies. The definition of EBM is to use the physician's individual expertise, the patient's needs and the best external evidence for each individual patient. Today, however, the term EBM is often wrongly used as a synonym for best "external evidence". This leads not only to a misuse of evidence based medicine but suggests a fundamental misunderstanding of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions, public healthcare providers and politicians use external evidence alone as a main guideline for financing therapies in physical medicine and general rehabilitation without taking into account the physician's expertise and the patient's needs.The wrong interpretation of EBM can lead to the following problems: well established clinical therapies are either questioned or not granted and are therefore withheld from patients (for example physical pain management). Absence of evidence for individual therapy methods does not prove their ineffectiveness! In this short statement the significance of EBM in physical medicine and general rehabilitation will be analysed and discussed.

show abstract

“…Da gerade im Bereich der Physikalischen Medizin und allgemeinen Rehabilitation viele der bewährten Therapiemethoden wie z.B. Massage, Elektrotherapie und Ultraschall durch ältere Veröffentlichungen in Büchern oder als Buchbeiträge publiziert wurden und dadurch nicht zur Bewertung herangezogen werden [2,3,5,8,[10][11][12][13][14][15][16]18,19,21,22,26]…”

Section: Ebmin Der Physikalischen Medizin Und Allgemeinen Rehabilitationunclassified

Evidence based medicine in physical medicine and rehabilitation (German version)

Kern

¹

,

Löefler

²

,

Fialka‐Moser

³

et al. 2013

View full text Add to dashboard Cite

Evidence Based Medicine in Physical Medicine and RehabilitationIn the last twenty years the term "Evidence Based Medicine (EBM)" has been increasingly applied in all areas of medicine and is often used for decision-making in the medical and public health sector. It is also used to verify the significance and/or the effectiveness of different therapies. The original definition of EBM rests on the following three pillars: the physician's individual expertise, the patient's needs and the best external evidence. Today, however, the term EBM is often wrongly used as a synonym for best external evidence, without taking into consideration the other two pillars of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions and politicians use external evidence alone as the main guideline for financing therapies and therapy guidelines in physical medicine and general rehabilitation without taking into account the physician's expertise and the patient's needs.The wrong interpretation of EBM can lead to the following problems: well established clinical therapies are either questioned or not granted and are therefore withheld from patients (for example physical pain management). An absence of evidence for individual therapy methods does not prove their ineffectiveness! In this short statement the significance of EBM in Physical Medicine and general rehabilitation will be analysed and discussed.

show abstract

Physikalische Therapie

Cited by 19 publications

References 0 publications

Evidence based medicine in physical medicine and rehabilitation (English version)

Evidence based medicine in physical medicine and rehabilitation (English version)

Evidence based medicine in physical medicine and rehabilitation (English version)

Evidence based medicine in physical medicine and rehabilitation (German version)

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