Manske Robert C, Lehecka B J
Int J Sports Phys Ther. 2012 Oct;7(5):461-73.
A push for the use of evidence-based medicine and evidence-based practice patterns has permeated most health care disciplines. The use of evidence-based practice in sports physical therapy may improve health care quality, reduce medical errors, help balance known benefits and risks, challenge views based on beliefs rather than evidence, and help to integrate patient preferences into decision-making. In this era of health care utilization sports physical therapists are expected to integrate clinical experience with conscientious, explicit, and judicious use of research evidence in order to make clearly informed decisions in order to help maximize and optimize patient well-being. One of the more common reasons for not using evidence in clinical practice is the perceived lack of skills and knowledge when searching for or appraising research. This clinical commentary was developed to educate the readership on what constitutes evidence-based practice, and strategies used to seek evidence in the daily clinical practice of sports physical therapy.
推动使用循证医学和循证实践模式已渗透到大多数医疗保健学科。在运动物理治疗中使用循证实践可能会提高医疗质量、减少医疗差错、有助于平衡已知的益处和风险、挑战基于信念而非证据的观点,并有助于将患者偏好纳入决策过程。在这个医疗保健利用的时代,运动物理治疗师应将临床经验与认真、明确和审慎地使用研究证据相结合,以便做出明智的决策,从而帮助最大限度地提高和优化患者的福祉。在临床实践中不使用证据的一个较常见原因是在搜索或评估研究时感觉缺乏技能和知识。撰写这篇临床评论文章的目的是让读者了解循证实践的构成要素,以及在运动物理治疗日常临床实践中寻求证据所使用的策略。