Posted on July 2, 2008 by adiemusfree
Hah! now I’ve never really understood fMRI except as a vague generalisation that it ’shows blood flow which correlates to neuronal activity’.
This post found on MindHacks (see my ‘blogroll’ for the link!) leads to several helpful readings about what fMRI actually measures, how it does so, and more importantly, says ‘our understanding of what [...]
Filed under: CME, News, research | Tagged: blogs, fMRI, neurology, science | 2 Comments »
Posted on June 27, 2008 by adiemusfree
This is the last post in this mini-series on why I use science when deciding what interventions to use as a therapist. As I did yesterday and the day before, I refer to William Palya’s book on research methods - it’s easy to read, available on the internet for free, and although it gives only [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: ethics, philosophy, reasoning, science, therapy, truth | No Comments »
Posted on June 26, 2008 by adiemusfree
Yesterday I blogged about why I am so keen to use science to help me work ethically with clients. I talked about the basic onuses that we accept when we decide to become therapists, and showed how these are no more than what I would hope to receive if I saw a therapist or plumber [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: evidence, healthcare, science, theory, therapy, truth | No Comments »
Posted on June 25, 2008 by adiemusfree
I caught myself wondering in the last few days about why I am so keen to pursue science and evidence-based approaches to health care. I’m definitely consistent about wanting to know why something works, and equally consistent about knowing that it works - at the same time I meet people every day who don’t believe [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: Clinical reasoning, ethics, science, therapy | No Comments »
Posted on June 19, 2008 by adiemusfree
If this post is anything to go by, and from the ones I’ve read, it is, then dipping in and out of Science-based medicine is a very good thing.
The authors are respected scientists and doctors who write eloquently and thoughtfully about issues to do with those gray areas between science and [...]
Filed under: Clinical reasoning, Education/CME, News, therapy | Tagged: blogs, disability, health, medicine, sceptics, science, therapy | No Comments »
Posted on June 17, 2008 by adiemusfree
Even in health care, the loudest voice with the largest opinion can be the most persuasive - even with limited (or selective) use of scientific evidence. Sadly, fads exist in pain management too.
To counter our human biases we need to be critical of all research, and ask some serious questions about accepted practice as [...]
Filed under: Clinical reasoning, Education/CME, research, therapy | Tagged: appraisal, evidence, health, outcomes, research, science, therapy | No Comments »
Posted on June 16, 2008 by adiemusfree
Now I’m not going to post a lot about Hippocrates himself, but I want to start todays post by quoting something that he is supposed to have said: ‘There are, in fact, two things, science and opinion; the former begets knowledge, the latter ignorance’.
Hippocrates proposed that if a new treatment was to be tried, we [...]
Filed under: Clinical reasoning, Education/CME, research, therapy | Tagged: constructivism, empiricism, nursing, occupational therapy, outcomes, physiotherapy, quackery, science, therapy | No Comments »
Posted on April 11, 2008 by adiemusfree
I’ll admit I’ve been warped a little by psychologists. No, I haven’t learned to blame my parents for how I’ve turned out (that’s why my mother wouldn’t let me study psychology when I left school!), but psychology as a field of science has definitely made me more thoughtful and critical of how I make [...]
Filed under: Chronic pain, Clinical reasoning, Cognitive behavioral therapy, Low back pain, research, therapy | Tagged: abductive reasoning, acceptance, CBT, Chronic pain, Clinical reasoning, mindfulness, occupational therapists, psychology, science, scientist-practitioner, therapists, therapy, truth | No Comments »
Posted on April 2, 2008 by adiemusfree
With only a small proportion of the people experiencing acute low back pain becoming chronically disabled by their pain, a holy grail of sorts has been to quickly and effectively identify those who need additional help and those who don’t.
The ‘Psychosocial Yellow Flags’ initially developed in New Zealand by Kendall, Linton & Main (1999) provides [...]
Filed under: Chronic pain, Clinical reasoning, Cognitive behavioral therapy, Education/CME, Low back pain, News, Return to Work, psychology, research, therapy | Tagged: assessment, Chronic pain, function, measurement, predictive validity, psychosocial, reliability, research, science, testing, validity, Yellow Flags | 5 Comments »
Posted on March 23, 2008 by adiemusfree
Now this is a really useful, although unsurprising, study of hospital line manager’s knowledge of the management of low back pain. Sad to say, Caitriona Cunningham, Catherine Doody, and Catherine Blake of UCD School of Physiotherapy and Performance Science, Dublin, Ireland, found that 54% (N=32) of the managers who responded to their survey believed [...]
Filed under: Chronic pain, Clinical reasoning, Cognitive behavioral therapy, Low back pain, News, Return to Work, research, therapy | Tagged: acute low back pain, ALBP, evidence based, hospital, managers, nursing, patient handling, research, science, therapy | 1 Comment »