EBP: Application to Physical Therapy Clinical Practice

Review of all articles relevant to a topic involves

a systematic review

For Systematic Review (SR), criteria for inclusion established

prospectively

Systematic Review (SR) quality rating of evidence must be relevant to

specific clinical question and looked at before starting

Systematic Review (SR) have ______ methods

eplicit

Systematic Review (SR) goal is to minimize

bias

Systematic Review (SR) may or may not include a

meta-analysis

________ is a quantitative analysis that is focused on contrasting and combining results from different studies in the hope of identifying patterns among study results, sources of disagreement among those results, or other interesting relationships that may come to light in the context of multiple studies

Meta-analysis

Meta-analysis may or may not be part of a

systematic review

Meta-analysis results can be __________ if not part of systematic review

misleading

Conceptually, a meta-analysis uses a _______ approach to combine the results from multiple studies

statistical

Meta analysis advantages an therefore be interpreted as follows:

– Results can be generalized to a larger population, – The precision and accuracy of estimates can be improved as more data is used. This, in turn, may increase the statistical power to detect an effect.

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Randomized clinical trial involves _____ assignment of pts

random

In a randomized clinical trial there is a(n) __________ manipulation and ______ measurement of variables

prospective; precise

Randomized clincial trials have

strong internal validity

Randomized Clinical Trial provided evidence of treatment

efficacy

Beneficial therapeutic effect under ideal conditions

Non-randomized assignment of subjects to groups (experimental or control)

Quasi-Experimental

______ can be very difficult, impractical, or even unethical for evaluation of some medical treatment

RCTs

A method of group decision-making and forecasting that involves successively collating the judgments of experts

– Practice recommendations – Search categories – PT education

Delphi/Modified Delphi Technique

Epidemiology is the study of

a soiety’s collective health

A group of people with a common experience over a defined period of time

Cohort (common in medical research)

A cohort study include all of the following except

Small number of subjects and short duration required