Massage Research Base Flashcards
evidence based practice
Conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.
4 steps of evidence based practice
- Formulate a clear clinical question, usually from a patient’s problem
- Search the literature for relevant research articles – prioritise highest levels of evidence
- Evaluate (critically appraise) the evidence for its validity and usefulness
- Does the research apply to your pt’s problem? - Integrate useful findings into clinical practice
levels of evidence
SYSTEMATIC REVIEW & META-ANALYSIS
RANDOMISED CONTROLLED TRIAL (RCT)
NONRANDOMISED TRIALS COHORT STUDIES
CASE-CONTROL STUDIES
CASE STUDIES AND OTHER DESCRIPTIVE STUDIES
REPORTS of expert committees and opinions of respected authorities, based on clinical experience
levels of evidence
SYSTEMATIC REVIEW & META-ANALYSIS
RANDOMISED CONTROLLED TRIAL (RCT)
NONRANDOMISED TRIALS COHORT STUDIES
CASE-CONTROL STUDIES
CASE STUDIES AND OTHER DESCRIPTIVE STUDIES
REPORTS of expert committees and opinions of respected authorities, based on clinical experience
examples of strong evidence
consistent findings in multiple high quality RCTs
example of moderate evidence
single, high quality RCT or consistent findings in multiple low quality trials
examples of limited evidence
single low quality randomised trial
examples of unclear evidence
- denoted inconsistent or contradictory results in multiple randomised trials
examples of mechanisitic research
(swedish remedial massage) exploring physiological effects - what does massage do?
example of clinical research
(Swedish remedial massage)patient groups
functional outcome measures
physiological outcome measures
is massage clinically effective for ___?
