Physiotherapeutic practice in context of evidence-based medicine

Piotr Bednarski

P. Bednarski – Physiotherapeutic practice in context of evidence-based medicine. Fizjoterapia Polska 2020; 20(3); 122-130

Abstract
The growing awareness of evidence-based practice among physiotherapists is still not reflected by the routine clinical practice as a binding standard. This article discusses some of the barriers to recognisable evidence and presents possible solutions for data presented in the light of medicine and evidence-based practice.
This paper is for reference only. The objective of the study is to systematise existing knowledge about the principles of practice and evidence-based medicine in the context of physiotherapeutic practice.
This article discusses some of the barriers to recognisable evidence and presents possible solutions for data presented in the light of medicine and evidence-based practice. However, it is necessary to establish appropriate rules that should be followed when evaluating interventions undertaken by a physiotherapist.
Key words:
phystiotherapy practice, evidence based medicine, evidence based practice
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Evidence-based physiotherapy practice in Lithuania: attitudes, application, and barriers

Grazina Krutulyte, Egle Lendraitiene, Daiva Petruseviciene, Ieva Piezaite, Marek Kiljański

G. Krutulyte, E. Lendraitiene, D. Petruseviciene, I. Piezaite, M. Kiljański – Evidence-based physiotherapy practice in Lithuania: attitudes, application, and barriers. FP 2017; 17(4); 42-49

Abstract

Background. No research has been done in Lithuania regarding the knowledge and attitudes of physiotherapist relative to the use of evidence in practice. WCPT policy statement indicate that physiotherapist are responsible for the application of scientific evidence in practice and have to ensure that the treatment of patients is based on the best available evidence. Scientific evidence has to be combined with clinical experience, taking into consideration the patients’ beliefs, values, environment, and needs.
The aim of the study was to analyze the attitude of Lithuanian physiotherapist towards EBP practice and its application.
Methods. The study used 37 item “EBP Questionnaire”. Using this questionnaire, a randomized survey of physiotherapists practicing in Lithuania was performed.
Results. The final sample size was 229 subjects (response rate – 78%). The majority of the respondents demonstrated a positive attitude towards EBP and guidelines: 93.2% of the surveyed physiotherapist in Lithuania stated that the application of EBP is necessary, and 90.4% of the respondents stated that EBP guidelines are important in clinical practice. The majority of physiotherapists agreed that EBP helps to make decisions in the choice of treatment. Less than one-half of the respondents stated that they read 2 to 5 scientific articles related to their clinical practice per month. One-third of the respondents indicated that the treatment techniques they applied weren’t based on clinical evidence. The most common barrier to the implementation of EBP was a lack of time (29.9%).

Key words:
Evidence-based practice, physiotherapy

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