Moore Jennifer L, Shikako-Thomas Keiko, Backus Deborah
South Eastern Norway Regional Knowledge Translation Center, Sunnaas Rehabilitation Hospital, Oslo, Norway, and Rehabilitation Institute of Chicago, Illinois (Dr Moore); School of Physical and Occupational Therapy, McGill University, and Center for Interdisciplinary Research in Rehabilitation of the Greater Montreal, Montreal, Quebec, Canada (Dr Shikako-Thomas); and Shepherd Center (Dr Backus), Atlanta, Georgia.
Pediatr Phys Ther. 2017 Jul;29 Suppl 3:S64-S72. doi: 10.1097/PEP.0000000000000381.
Advances in rehabilitation provide the infrastructure for research and clinical data to improve care and patient outcomes. However, gaps between research and practice are prevalent. Knowledge translation (KT) aims to decrease the gap between research and its clinical use. This special communication summarizes KT-related proceedings from the 2016 IV STEP conference, describes current KT in rehabilitation science, and provides suggestions for its application in clinical care.
We propose a vision for rehabilitation clinical practice and research that includes the development, adaptation, and implementation of evidence-based practice recommendations, which will contribute to a learning health care system. A clinical research culture that supports this vision and methods to engage key stakeholders to innovate rehabilitation science and practice are described.
Through implementation of this vision, we can lead an evolution in rehabilitation practice to ultimately prevent disabilities, predict better outcomes, exploit plasticity, and promote participation.
康复领域的进展为研究和临床数据提供了基础设施，以改善医疗护理和患者预后。然而，研究与实践之间的差距普遍存在。知识转化（KT）旨在缩小研究与其临床应用之间的差距。本专题交流总结了2016年第四届STEP会议上与知识转化相关的议程，描述了康复科学领域当前的知识转化情况，并为其在临床护理中的应用提供建议。
我们提出了一个康复临床实践和研究的愿景，包括循证实践建议的制定、调整和实施，这将有助于建立一个学习型医疗保健系统。文中描述了一种支持这一愿景的临床研究文化以及吸引关键利益相关者创新康复科学和实践的方法。
通过实施这一愿景，我们可以引领康复实践的变革，最终预防残疾、预测更好的预后、利用可塑性并促进参与。
