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Evidence-Based Practice Presentation Sep2013


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Evidence-Based Practice Presentation Sep2013

  1. 1. Evidence-Based Practice: Clinical applications for working clinician Viera VA Physical Therapy In-Service: Tina Postrel, SPT September 3rd, 2013
  2. 2. Evidence-Based Practice (EBP) O Part 1: what is it? Why? O Part 2: how? O Part 3: let’s practice!
  3. 3. Part 1: What? O Bottom line: Practice based on proof! O Integration of- O Clinical expertise O Patient values O Best available research evidence References (1, 2, 3)
  4. 4. Part 1: Why? 1990’s health care costs skyrocket…. …third party payers needed justification for PT services 1995 Guide to Physical Therapist Practice published… ….Concept of EBP created! 2000 Vision 2020 created: “Guided by integrity, life-long learning, and a commitment to comprehensive and accessible health programs for all people, PTs and PTAs will render evidence-based services throughout the continuum of care and improve quality of life for society…” reference (4)
  5. 5. Part 1: Why? O Improve efficiency! O Improved patient outcomes! References (2, 3)
  6. 6. Part 2: How? O Introducing… your new EBP binder! O For more on choosing a research article using a database: flip to the “EBP” tab for “how-to” articles or go to APTA’s Evidence-based Practice Resources References (2, 3, 5)
  7. 7. Part 2: How? O Elements of research article: O Title O Abstract O Intro O Method O Results O Discussion O Conclusion O References O Appendix O how to read a research article reference (1)
  8. 8. Part 3: Practice!
  9. 9. Part 3: Practice!
  10. 10. References O 1. Carter R, Lubinsky J, Domholdt E. Rehabilitation Research: Principles and Applications. St. Louis, MO: Elsevier Saunders; 2011. O 2. Cleland J, Noteboom J, Whitman J, Allison S. A Primer on Selected Aspects of Evidence-Based Practice Relating to Questions of Treatment, Part 1: Asking Questions, Finding Evidence, and Determining Validity. Journal Of Orthopaedic & Sports Physical Therapy. August 2008;38(8):476-484. O 3. Noteboom J, Allison S, Cleland J, Whitman J. A primer on selected aspects of evidence-based practice relating to questions of treatment, Part 2: Interpreting results, application to clinical practice, and self- evaluation. Journal Of Orthopaedic & Sports Physical Therapy. n.d.;38(8):485-501. O 4. Pagliarulo M. Introduction to Phyiscal Therapy. St. Louis, MO: Elsevier Mosby; 2012. O 5. APTA Evidence-based Practice Resources. American Physical Therapy Association. [] O 6. BADE M, KOHRT W, STEVENS-LAPSLEY J. Outcomes Before and After Total Knee Arthroplasty Compared to Healthy Adults. Journal Of Orthopaedic & Sports Physical Therapy. September 2010;40(9):559-567. O 7. Murtaugh B, Ihm J. Eccentric Training for the Treatment of Tendinopathies. Current Sports Medicine Reports (Lippincott Williams & Wilkins). May 2013;12(3):175-182.