Rousseau Céleste, Stiegler Barbara
Centre Européen d'Enseignement en Rééducation et Réhabilitation Fonctionnelle, Saint-Denis, France.
UMR(U) 4574 Sciences, Philosophies, Humanités, Université Bordeaux Montaigne, Pessac, France.
Front Psychol. 2024 Aug 20;15:1427648. doi: 10.3389/fpsyg.2024.1427648. eCollection 2024.
In the late 1990s, evidence-based medicine (EBM) emerged, emphasizing the conscientious use of current best evidence in medicine and ensuring the best care for each individual. Thus, applying evidence-based practice (EBP) in physiotherapy is complex due to sparse research, distinct challenges, and unsuitable tools. This is particularly relevant considering musicians' health since the literature is very limited.
The first part advocates for EBP and explain how it ensures both the best care and adherence to ethical principles (beneficence, non-maleficence, respect for autonomy, and justice), for both caregivers and patients.
The second part discusses the common pitfalls often encountered by healthcare professionals, and especially as physiotherapists for musicians, when applying evidence at the patient's bedside, again from both perspectives, healthcare professionals and patients.
Finally, this third part aims to open the discussion by considering various perspectives, such as values-based practice or the importance of qualitative research, to reshape EBP in physiotherapy.
This work highlights the prevalent existence of encountered by healthcare practitioners with musicians. While conducting more research to help understand them, physiotherapists must learn to navigate these waters.
20世纪90年代末，循证医学（EBM）应运而生，强调在医学中审慎运用当前最佳证据，并确保为每一位个体提供最佳护理。因此，由于研究稀少、存在独特挑战以及工具不合适，在物理治疗中应用循证实践（EBP）较为复杂。考虑到音乐家的健康状况，这一点尤为重要，因为相关文献非常有限。
第一部分倡导循证实践，并解释其如何确保为护理人员和患者提供最佳护理并遵循伦理原则（有益、无害、尊重自主权和公正）。
第二部分讨论了医疗保健专业人员，尤其是为音乐家提供物理治疗的治疗师在床边为患者应用证据时经常遇到的常见陷阱，同样从医疗保健专业人员和患者两个角度进行探讨。
最后，第三部分旨在通过考虑各种观点，如基于价值观的实践或定性研究的重要性，开启相关讨论，以重塑物理治疗中的循证实践。
这项工作突出了医疗保健从业者在为音乐家提供治疗时普遍遇到的问题。在开展更多研究以帮助理解这些问题的同时，物理治疗师必须学会在这些领域中应对自如。
