Document Detail

Evidence-based practice and the limits of rational rehabilitation.
MedLine Citation:
PMID:  15954042     Owner:  NLM     Status:  MEDLINE    
Both the American Congress of Rehabilitation Medicine and the field of physical medicine and rehabilitation have entered an age of evidence-based rehabilitation. Despite some concerns over the difficulties in applying the methods of evidence-based practice to rehabilitation research, there is little question that we will continue to move in this direction. This will also require the translation of scientific evidence into clinical practice. Rather than representing opposing approaches to practice, the integration of the best available scientific evidence with clinical experience and judgment represent 2 of the pillars of evidence-based practice. However, we also need to recognize the subjective nature of clinical decision making as a fundamental aspect of human judgments. Finally, we need to acknowledge the subjective meanings of illness and disability to the patients we serve. Any efforts to build our practice based on the best available systematic evidence are unlikely to succeed unless we include patients values and beliefs and incorporate this perspective into our rehabilitation research. This aspect of evidence-based rehabilitation raises important questions about our fundamental roles and how we will choose to practice and define our field in the future.
Keith D Cicerone
Publication Detail:
Type:  Addresses    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  86     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-14     Completed Date:  2005-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1073-4     Citation Subset:  AIM; IM    
Department of Neuropsychology, JFK-Johnson Rehabilitation Institute, 2048 Oak Tree Road, Edison, NJ 08820, USA.
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MeSH Terms
Attitude of Health Personnel
Decision Making*
Evidence-Based Medicine*
Physical Medicine*
Professional-Patient Relations

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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