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Questioning evidence-based practice in physiotherapy: a philosophical reflection. The example of physiotherapy with
Céleste Rousseau1, Barbara Stiegler2
1Centre Européen d'Enseignement en Rééducation et Réhabilitation Fonctionnelle, Saint-Denis, France.
Frontiers in Psychology
|September 4, 2024
Summary
Evidence-based practice (EBP) in physiotherapy for musicians faces challenges due to limited research. This study explores ethical considerations, common pitfalls, and alternative approaches like values-based practice to improve care for musicians.
Area of Science:
- Physiotherapy
- Evidence-Based Practice
- Musculoskeletal Health
Background:
- Evidence-based medicine (EBM) and evidence-based practice (EBP) are crucial for optimal patient care.
- Applying EBP in physiotherapy presents unique challenges, particularly in specialized fields like musicians' health, due to limited research and specific obstacles.
Purpose of the Study:
- To advocate for the integration of EBP in physiotherapy, emphasizing its role in ethical patient care.
- To identify and discuss common challenges faced by physiotherapists when implementing evidence-based interventions for musicians.
- To explore alternative and complementary approaches, such as values-based practice and qualitative research, to enhance EBP in physiotherapy for this population.
Main Methods:
- Literature review and conceptual analysis of EBP principles and their application in physiotherapy.
- Exploration of ethical considerations (beneficence, non-maleficence, autonomy, justice) in EBP for both clinicians and patients.
- Discussion of practical challenges and potential solutions, including the role of qualitative research and values-based practice.
Main Results:
- EBP integration in physiotherapy ensures high-quality, ethical care aligned with principles like beneficence and patient autonomy.
- Physiotherapists encounter significant 'grey zones' when applying evidence to musicians' health, necessitating adaptive strategies.
- Limited research and specific patient needs highlight the complexity of EBP implementation in this niche.
Conclusions:
- EBP is vital for ethical physiotherapy, but its application requires adaptation, especially for musicians.
- Addressing the complexities and 'grey zones' in musicians' health necessitates further research and consideration of values-based and qualitative approaches.
- Physiotherapists must develop nuanced strategies to navigate EBP challenges and optimize care for musicians.
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