Evidence-Based Practice:

Clinical applications for working clinician

Viera VA Physical Therapy In-Service: Tina Postrel, SPTSeptember 3rd, 2013

Evidence-Based Practice (EBP)

O Part 1: what is it? Why?

O Part 2: how?

O Part 3: let’s practice!

Part 1: What?O Bottom line: Practice based on proof!

O Integration of-O Clinical expertiseO Patient valuesO Best available research evidence

References (1, 2, 3)

Part 1: Why?

1990’s

health care costs skyrocket…. …third party payers needed justification for PT services

1995Guide to Physical Therapist Practice published… ….Concept of EBP created!

2000Vision 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)

Part 1: Why?

O Improve efficiency!

O Improved patient outcomes!

References (2, 3)

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)

Part 2: How?O Elements of research article:

O TitleO AbstractO IntroO MethodO ResultsO DiscussionO ConclusionO ReferencesO Appendix

O how to read a research articlereference (1)

Part 3: Practice!

Part 3: Practice!

ReferencesO 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.