Excellence in EBP

Question 1

What contributes to to the patient’s improvement

Answer 1

• natural history
• regression to the mean
• placebo effect
• intervention

Question 2

Difference between change & difference

Answer 2

• Change = one person or group compared at 2 time points (usually baseline & end of intervention)
• Difference = the between groups (received different interventions) amount of difference that ideally is measured at the end of the intervention

Question 3

Early Professional Strategies

Answer 3

• Learn the basics: the foundational theories & concepts of PT
• Develop “Good” search strategies
• Learn how to “Appraise” the literature
• Re-evaluate

Question 4

Steps to becoming a master adaptive lifelong learner

Answer 4

• Planning: recognize a gap exists
• Learning: find & appraise resources & strategies
• Assessing: does this meet the gap
• Adjusting: for practice with the patient in front of you; routine skill application vs novel implementation

Question 5

What is evidence based practice

Answer 5

• patient preferences
• research evidence
• physical therapists experience (knowledge base)

Question 6

5 steps to evidence based practice

Answer 6

1) develop an answerable question (Ask)
2) identifying the evidence for treatment (Find)
3) critically appraising the evidence (Appraise)
4) incorporating evidence into clinical practice (Apply)
5) evaluating the effectiveness & efficiency of the above 4 (Evaluate)

Question 7

Difference between a randomized controlled trial and a cohort study

Answer 7

• Randomized control: must have a “control” group that gets no treatment
• Cohort: better suited for incidence/prevalence type questions; prospective study selected on some population characteristic

Question 8

What’s the difference between systematic, scoping, and narrative/literature review

Answer 8

• Systematic: has inclusion & exclusion criteria; less szspectable to bias
• Scoping: not looking for an answer to a clinical question but more of a why concept; can’t make any hard recommendations
• Narrative/Literature: what the literature says on a topic, perspective article, most szspectable to bias

Question 9

Describe a background question

Answer 9

• seeks to answer basic knowledge about a particular condition; physiology, pathology, epidemiology, or general treatment approaches

Question 10

Describe a foreground question

Answer 10

• problem solving type questions related to specific patient care

Question 11

What does PICO stand for

Answer 11

P: patient
I: invention
C: comparison
O: outcome

Question 12

How are CPG’s organized

Answer 12

• Diagnosis
• Examination
• Interventions
• Timeline (acute, subacute, chronic)

Question 13

Exercise Prescription (Interventions) Framework

Answer 13

• tissue healing
• mobility (lacks)
• stability & motor control
• performance improvement
• advanced skill, agility, & coordination