EBP Flashcards
When making a clinical decision, what is the most important factor?
function
when progressing an exercise, the more irritable the condition…
the slower the progression
when progressing an exercise, cardinal planes before…
functional planes
What is the rule for exercise progression?
never increase more than 10% at a time
what are the 3 legs of EBP? “3 legged stool”
- evidence from research
- expertise of clinician
- values, goals of pt
first step in EBP
identify pt problem
second step in EBP
search literature
third step in EBP
analyze evidence
fourth step in EBP
integrate evidence w/ expertise
fifth step in EBP
try it out! incorporate findings
sixth step in EBP
assess outcomes
steps to EBP in order
- identify problem
- research
- analyze evidence
- integrate evidence
- incorporate findings
- assess outcomes
what is the ideal study? (4)
- clinical trial
- blinded
- randomized design
- control group
investigation of a variety of data sources that are already available
historical research
determines and reports existing phenomena, describes conditions, characteristics. Case studies, developmental research, longitudinal studies, normative research
descriptive research
determines whether a relationship exists btwn two variables and to what degree. no cause and effect
correlational research
attempts to define a cause/effect through group comparisons. independent and dependent variable
experimental research
attempts to define cause/effect through group comparisons. independent variable should not be manipulated
causal-comparative research
study of disease frequency/distribution in a population
epidemiology
types of evidence best-worst (5)
- systematic review
- randomized control trial
- cohort study
- case control study
- case report
several studies are summarized and combined. Bunch of RCTs
systematic review
randomly assigned to experimental or control groups. Gold standard
randomized control trial RCT
2 groups are studied side by side, retrospective to prospective
cohort study
retrospective study where group with condition is compared to group without condition
case control study
one individual is studied in depth (retrospective)
case report
Grade for RTC, systematic review
grade A
Grade for cohort study
grade B
Grade for cross sectional study, case series, case report
grade D
Grade for expert consensus, clinical experience
grade E
