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Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making-
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신경계물리치료에서의 근거중심실기(1) -임상의사결정과정에 EBP 적용하기-

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Type
Academic journal
Author
Lee, Moon-Kyu (씨티재활의학과 요양병원 재활센터) Lim, Jae-Heon (서남대학교 물리치료학과) Kim, Tae-Yoon (원광보건대학교 물리치료과)
Journal
대한고유수용성신경근촉진법학회 PNF and movement PNF and movement 제14권 제3호 KCI Accredited Journals
Published
2016.1
Pages
157 - 176 (20page)

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Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making-
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Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.
#Evidence-based practice #Clinical reasoning #Clinical decision making

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Ada L / 2006 / Relation between spasticity, weakness and contracture of the elbow flexors and upper limb activity after stroke: an observational study / Disability and Rehabilitation 28(13-14):891~897 google schola Ada L / 1998 / Does spasticity contribute to walking dysfunction after stroke? / Journal of Neurology, Neurosurgery and Psychiatry 64(5):628~635 google schola APTA / 1997 / Guide to physical therapist practice / Physical Therapy 77(11):1163~1650 google schola Atkinson HL / 2011 / A tool for clinical reasoning and reflection using the international classification of functioning, disability and health (ICF) framework and patient management model / Physical Therapy 91(3):416~430 google schola Barrows HS / 1987 / The clinical reasoning process / Medical Education 21(2):86~91 google schola

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