The problem with Evidence in Physiotherapy

It would seem that the problem with evidence in physiotherapy is quite often that: a) there isn’t enough of it b) what there is is of bad quality c) you can’t really blind people to a lot of the treatments d) a number of the outcome measures are subjective as opposed to objective which gives an inherent risk of bias. e) the outcome is nearly always “we need to do more research”. And these are only the problems that I can pull off the top of my head on a Saturday evening. Traditionally we see clinical trials- randomised double blind … Continue reading

What they want vs what the evidence says: the MaccyD problem

You walk into McDonalds and order your big mac and fries and a milkshake the size of a walrus, all good and well. The guy takes your order, goes and gets it- but comes back with a Lean Chicken Salad with a veg juice. What the heck is this? You think…. I came in here with a certain expectation of what I want and what, at this point, I *need*, and yet *this* is what I get. What the hell? So you question the guy behind the counter… what happened to the Big mac, the fries and the milkshake? Ah, … Continue reading