Preventive Medicine and Community Health, Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas 77555-0411, USA.
Sports Med. 2010 Jun 1;40(6):449-57. doi: 10.2165/11531970-000000000-00000.
Evidence-based practice (EBP) is a concept that was popularized in the early 1990s by several physicians who recognized that medical practice should be based on the best and most current available evidence. Although this concept seems self-evident, much of medical practice was based on outdated textbooks and oral tradition passed down in medical school. Currently, exercise science is in a similar situation. Due to a lack of regulation within the exercise community, the discipline of exercise science is particularly prone to bias and misinformation, as evidenced by the plethora of available programmes with efficacy supported by anecdote alone. In this review, we provide a description of the five steps in EBP: (i) develop a question; (ii) find evidence; (iii) evaluate the evidence; (iv) incorporate evidence into practice; and (v) re-evaluate the evidence. Although objections have been raised to the EBP process, we believe that its incorporation into exercise science will improve the credibility of our discipline and will keep exercise practitioners and academics on the cutting edge of the most current research findings.
循证实践(EBP)是 20 世纪 90 年代初几位医生提出的一个概念,他们认识到医学实践应该基于最佳和最新的现有证据。尽管这个概念似乎不言而喻,但大部分医学实践都是基于过时的教科书和医学院流传下来的口头传统。目前,运动科学也处于类似的情况。由于运动界缺乏监管,运动科学这门学科特别容易受到偏见和错误信息的影响,这从大量仅凭传闻支持疗效的可用方案中就可以明显看出。在这篇综述中,我们描述了循证实践的五个步骤:(i)提出问题;(ii)寻找证据;(iii)评估证据;(iv)将证据纳入实践;以及(v)重新评估证据。尽管对循证实践过程提出了反对意见,但我们相信将其纳入运动科学将提高我们学科的可信度,并使运动从业者和学者始终处于最新研究发现的前沿。