This document summarizes an evidence-based practice in-service for physical therapists. It defines evidence-based practice as integrating clinical expertise, patient values, and the best available research evidence. The in-service discusses why evidence-based practice is important, such as improving efficiency and patient outcomes. It also covers how clinicians can implement evidence-based practice through using an EBP binder to choose relevant research articles and evaluate their validity. The in-service concludes with opportunities for clinicians to practice evidence-based techniques.

1. Evidence-Based Practice:
Clinical applications for working clinician
Viera VA Physical Therapy In-Service: Tina Postrel, SPT
September 3rd, 2013

2. Evidence-Based Practice (EBP)
O Part 1: what is it? Why?
O Part 2: how?
O Part 3: let’s practice!

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. 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. Part 1: Why?
O Improve efficiency!
O Improved patient
outcomes!
References (2, 3)

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. 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. Part 3:
Practice!

9. Part 3:
Practice!

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. [www.apta.org]
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.