The mission of Smart Sport International (SSI) is to provide a seamless integration of sports science solutions for training, rehab and life.            Life Is A Sport. Play Smart™.

Subscribe!

    

Thought For The Day

Free and responsible government by popular consent just can't exist without an informed public.

Bill Moyers

RunSmart - The Book

Support independent publishing: buy this book on Lulu.

Upcoming RunSmart Level One Clinic in Austin, Texas on 11/7/2010

BlogTalkRadio Shows

Show information and live feed

Call-in number: (646) 929-1567

Allan Besselink, PT, Dip.MDT

View Allan Besselink's profile on LinkedIn

Brooks Inspire Daily Program

651108_Horiz_logo_k.jpg

In Their Words

Latest Comments

Running Injuries - Part 2
Delphine Manivet design, surface may not make wedding dresses, but always shows ...
Running Injuries - Part 3
Delphine Manivet design, surface may not make wedding dresses, but always shows ...
Running On The Moon
Delphine Manivet design, surface may not make wedding dresses, but always shows ...

SSI Community

130 registered

Visitors Since April 2007

Twitter Updates

Follow Allan on Twitter

Twitter Updates

    Follow Allan on Twitter

    The Home Of SSI

    SoCo_Logo1.jpg

    Syndicate

    Site Notice

    Please note that Smart Sport International is slowly migrating to a new location. You will find all of the same news, articles, FAQs, and discussion forums at http://www.smartlifeinstitute.com/ssi.

    If you have subscribed via email or RSS, your subscription will not be affected. You can also subscribe to the main Smart Life Institute feed here if you want to explore health, fitness, and all the latest news and updates.

    Breaking News

    Click on the slide!

    RunSmart Interview - "The Authors"

    Prior to my book signing at Leeds County Books in Brockville, Canada in August, I was interviewed by Doreen Barnes for BrockNewsTV. They have recently posted the interview online:     Many thanks to Dale…

    More...
    Click on the slide!

    BlogTalkRadio 11/10/09: The Injured Runner

    Join me on BlogTalkRadio on Tuesday November 10, 2009 at 8:00 pm central time for the latest episode of "Consumer's Guide To Health". If you're running a winter or spring marathon, you're probably well into…

    More...
    Click on the slide!

    MDT: A Powerful Tool With Athletes

    I have spent most of my career working with athletes, be they recreational or elite. They have run the gamut from endurance sports to power sports, and all points in between. Over 12 years…

    More...

    Upcoming Events

    Cellular Physiology: The Real Evidence-Based Practice PDF Print E-mail
    Written by Allan Besselink, PT, Dip.MDT   
    Tuesday, 01 July 2008

    Evidence-based practice. EBP. It's become one of the catch phrases of our era. In a land of randomized clinical trials, case reports, and clinical observation, clinicians are constantly seeking out the evidence to support their diagnostic and treatment interventions.

     

    It's a phrase that is in vogue in the health care world. The concept certainly makes sense. Good research ... good data ... good conclusions ... an overall improvement in our practice patterns ... and overall good for the patient. How can you beat the logic of that?

     

    If it was only that simple. Well, hold on a minute - maybe it is.

    The primary reality we are faced with in the land of EBP is that there are a lot of research studies to be read. This would then assume that you understand the statistical analysis involved, or can wade through the discussion and conclusions. If you have a critical eye, then you'll decipher what good can be had from any given study.

     

    But now the reality. Most studies are poorly designed, poorly written, or make incomprehensible and unreasonable judgements based on their own data. Of course, if you only read the abstract (like many clinicians - doctorate or otherwise), then you're never going to see these errors of omission or perception.

     

    Let's imagine a world in which the study is well-written, methodical, and solid. What the clinician does with this information remains to be seen. In the light of good evidence, many simply refuse to challenge their belief systems. Many will refuse to accept the ramifications of the data - and will continue to practice without acknowledging the "evidence-based" information that they just read.

     

    If we can assume (generally not a safe thing) that the clinician is open-minded and has a high upper end to their comfort zone (see my earlier article for more details on "The Comfort Zone"), then we're still faced with a lot of poorly designed and presented research data.

     

    Lo and behold, the best evidence-based practice support has been right underneath our noses. And it's been there for a long time.

     

    Cellular physiology. The gold standard in evidence-based practice.

     

    Hypotheses are derived for research studies and clinical interventions that simply have no solid basis in cellular physiology. This is a field that has been well-researched. We know how the cell functions. We know how it adapts to imposed demands. We know what causes it to thrive ... and we know what causes it to die.

     

    Clinical observations are critical in EBP. What we see in a clinical setting leads us to ask the right questions in our research. But if we cannot differentiate "causation" and "correlation", and if we can't reconcile our hypotheses with cellular physiology, then we also cannot maintain the contradiction in our thinking. It's time to revise the thinking instead of holding on to it dearly in our belief system.

     

    The answers to EBP lie in front of us. More than 50 years of research in cellular physiology should give us plenty with which to work. Now if we could only move forward on some of those belief systems that pervade our system ...

     

    Last Updated ( Wednesday, 02 July 2008 )
     
    < Prev   Next >

    Keywords

    Highlight and Search

    Highlight anything and click below

    Related Items