Prospective of the Journal of Evidence-Based Physiotherapy and Research

Volume 1 | Issue 1 | March-June 2017 | Page 1-3 | Apurv Shimpi


Authors : Apurv Shimpi [1]

[1] Associate Professor and Head, Dept of Community Physiotherapy, Sancheti College of Physiotherapy, Shivaji nagar, Pune, India.

Address of Correspondence
Dr. Apurv Shimpi (MPTh)
Editor-in-chief,
Journal of Evidence-Based Physiotherapy and Research (JEPR)
Email: apurvshimpi@sha.edu.in


Prospective of the Journal of Evidence-Based Physiotherapy and Research

Dear Readers and Scholars,
We are very pleased to introduce the 1st issue of the Journal of Evidence-Based Physiotherapy and Research (JEPR). Physiotherapy is a fast growing profession with a multitude of speciality branches ranging from musculoskeletal, neurological, cardiac, respiratory, community [1,2] and sports [3] to the newer specialities of paediatrics [4,5], women’s health [6], geriatrics [7], pain management, obesity management [8] including usage of effective traditional techniques [9], mental health [10], hand [11,12], veterinary [13], art and music [14-16] and many more to come. Physiotherapists are expanding their horizon to far newer dimensions like fitness management in HIV and immune-compromised patients [17,18] and the future may see lots of newer dimensions in genetic physiotherapy [19], space physiotherapy [20,21] and many other unknown fields as well. Their role has expanded from a reference based practitioner to an independent practitioner who is involved in assessment, diagnosis and also makes references of clients for appropriate management to different specialities [22]. This expansion has made Physiotherapists better administrators and managers with extended role and scopes towards workflow, performance targets, and patient target areas as well [23]. As our field in expanding, so is the need for gaining evidence based practice in diagnostic and therapeutic aspects [24]. Unfortunately, many of us still have the phobia of research and statistics. We are still afraid of those “mean” values and the statistical “calculations” to form evidence to our clinical vision and thus our professional growth and development demands that we start imbibing a research culture in our practice by making it more evidence based and by becoming more “mean” and “calculative”.
Evidence based practice requires a strong foundation of research [25]. But there are many hindrances in obtaining good quality evidence which can be applicable in current practice [26]. As a clinician, our prime requirement is to understand the patients’ problems, determine its source and provide an optimal treatment procedure in order to improve the patients function, gain an effective participation and maintain their best health. But many times, the texts that we rely on are outdated, non-affordable or not applicable in our patient environment.

As a clinician, we seldom tend to go through recent literature, either because of lack of awareness, lack of time, lack of interest or lack of resources [26]. Many of us, especially those involved in academic responsibilities, do tend to follow research from high impact journals, but many of the solutions enlisted in them are not at all applicable to our patient population. Although there are good standard Indian and Asian journals, but very few are specific to the field of Physiotherapy. Also, in many of the published studies, there are issues with data identification and collection, taking of appropriate consent, following of study protocols, registration of the studies with clinical trial registry, choosing proper samples, randomisation, choice of outcome measures and statistical tests [27]. This makes most of the studies unreliable and not worth following, even though the idea or concept was good.
Also most of these publications do not answer simple and practical clinical questions like ‘what should be done for conservative management of a patient having grade 4 Osteoarthritis knee’ or ‘how to calculate BMI for obesity management for a patient with bilateral trans-femoral amputation’ or ‘what treatment protocol is ideal for a housewife who has underwent dominant side radial head replacement surgery’ or ‘what intensity of Ultrasound should be chosen in management of a chronic extensor tendinopathy and should the therapist use continuous or pulsed US?’ These are few of the many examples of clinical problems which researchers do not identify [28,29]. In fact, there are multiple such case examples encountered in clinical practice, but hardly any journal encourages case studies publications [30,31]. Although there are many experts and experienced professional seniors, the novice learners do not get opportunities to learn from them or understand their perspectives towards problems solving in a clinical practice. Thus there is a strong need to have a journal in Physiotherapy which lets the experts provide their clinical perspectives as well as provides a platform to the novice Physiotherapy learners to raise their queries as well as develop a culture of practical approach towards patients’ management backed by evidence and literature.
Journal of Evidence-Based Physiotherapy and Research (JEPR) aims not only in publishing peer reviewed high quality studies, but also be a platform for clinical discussions wherein experts from the field of Physiotherapy from global standards shall offer their insight into their perspectives on management of specific conditions. It also encourages the novice and elite Physios to publish their singular and interesting case studies keeping current evidences and literatures in mind. Thus, although we should emphasise a lot on research and publications, it is worthwhile remembering that these researches should be of high standard, well focussed, well calculative by high statistical methods, and well applicable to the concerned population [32-34]. Also, our researchers should go beyond the usual procedural modes to specific dosage calculations and specific applications modes [35]. They should not only be applicable to a mean group of the population but also offer solutions to singular and rare case occurrences [36].
Thus, Physios should not just remain experience based practitioners relying on the art of practice, but they should become more scientific using their knowledge and caring attitudes as well as and become precise using the means and calculation based measures in patient care.


References 

1. Partridge C. Physiotherapy in the community. The Journal of the Royal College of General Practitioners. 1987;37(298):194–195.,
2. Rajan P. Community Based Physiotherapy in India: An Obscure Profession? Health Promotion Perspectives. 2013;3(1):135–136
3. Shimpi AP, Bhakti S, Roshni K, Rairikar SA, Shyam A, Sancheti PK. Scapular Resting Position and Gleno-Humeral Movement Dysfunction in Asymptomatic Racquet Players: A Case-Control Study. Asian J Sports Med. 2015 Dec;6(4):e24053.
4. Anttila H, Autti-Rämö I, Suoranta J, Mäkelä M, Malmivaara A. Effectiveness of physical therapy interventions for children with cerebral palsy: A systematic review. BMC Pediatrics. 2008;8: 14.
5. Schlessman AM, Martin K, Ritzline PD, Petrosino CL. The role of physical therapists in pediatric health promotion and obesity prevention: comparison of attitudes. Pediatr Phys Ther. 2011 Spring;23(1):79-86.
6. Britnell SJ, Cole JV, Isherwood L, Sran MM, Britnell N, Burgi S, Candido G, Watson L; Canadian Physiotherapy Association.; Society of Obstetricians and Gynaecologists of Canada.. Postural health in women: the role of physiotherapy. J Obstet Gynaecol Can. 2005 May;27(5):493-510. English, French. Erratum in: J Obstet Gynaecol Can. 2005 Aug;27(8):780.
7. Rantanen T. Promoting Mobility in Older People. Journal of Preventive Medicine and Public Health. 2013;46(Suppl 1):S50–S54.
8. You L., Sadler G., Majumdar S., Burnett D., & Evans C. Physiotherapists’ Perceptions of Their Role in the Rehabilitation Management of Individuals with Obesity. Physiotherapy Canada. 2012;64(2):168–175.
9. Jakhotia KA, Shimpi AP, Rairikar SA, Mhendale P, Hatekar R, Shyam A, Sancheti PK. Suryanamaskar: An equivalent approach towards management of physical fitness in obese females. Int J Yoga. 2015 Jan;8(1):27-36.
10. Stubbs B, Soundy A, Probst M, De Hert M, De Herdt A, Vancampfort D. Understanding the role of physiotherapists in schizophrenia: an international perspective from members of the International Organisation of Physical Therapists in Mental Health (IOPTMH). J Ment Health. 2014 Jun;23(3):125-9.
11. Michlovitz S. Physical therapy after hand injuries. Hand Clin. 1999 May;15(2):261-73,
12. Khedekar S, Shimpi AP, Shyam A, Sancheti P. Use of art as therapeutic intervention for enhancement of hand function in patients with rheumatoid arthritis: A pilot study. Indian J Rheumatol. 2017;0:0. (AoP).
13. Grognet J. Animal Physiotherapy — Assessment, Treatment and Rehabilitation of Animals. The Canadian Veterinary Journal. 2009;50(3):286.
14. Shah NA, Shimpi AP, Rairikar SA, Ashok S, Sancheti PK. Presence of scapular dysfunction in dominant shoulder of professional guitar players. Int J Occup Saf Ergon. 2016 Sep;22(3):422-5.
15. Janiszewski M, Cieślik A. [Effectiveness of manual therapy combined with physiotherapy in musicians’ occupational overloads]. Med Pr. 2004;55(2):169-73.
16. Chan C, Ackermann B. Evidence-informed physical therapy management of performance-related musculoskeletal disorders in musicians. Front Psychol. 2014 Jul 8;5:706.
17. Patil R, Shimpi A, Rairikar S, Shyam A, Sancheti P. Effects of fitness training on physical fitness parameters and quality of life in human immunodeficiency virus-positive Indian females. Indian J Sex Transm Dis 2017;0:0. (AoP)
18. Pullen SD, Chigbo NN, Nwigwe EC, Chukwuka CJ, Amah CC, Idu SC. Physiotherapy intervention as a complementary treatment for people living with HIV/AIDS. HIV/AIDS (Auckland, N.Z.). 2014;6:99–107.
19. Cornwall J, Osmotherly P. Genomic medicine and the future of physiotherapy. The Australasian Medical Journal. 2014;7(8): 361–362.
20. Lambrecht G, Petersen N, Weerts G, Pruett C, Evetts S, Stokes M, Hides J. The role of physiotherapy in the European Space Agency strategy for preparation and reconditioning of astronauts before and after long duration space flight. Musculoskelet Sci Pract. 2017 Jan;27 Suppl 1:S15-S22.,
21. Petersen N, Jaekel P, Rosenberger A, Weber T, Scott J, Castrucci F, Mester J. Exercise in space: the European Space Agency approach to in-flight exercise countermeasures for long-duration missions on ISS. Extreme Physiology & Medicine. 2016;5:9.
22. Oakley C, Shacklady C. The Clinical Effectiveness of the Extended-Scope Physiotherapist Role in Musculoskeletal Triage: A Systematic Review. Musculoskeletal Care. 2015 Dec;13(4):204-21.
23. Morris J, Vine K, Grimmer K. Evaluation of performance quality of an advanced scope physiotherapy role in a hospital emergency department. Patient Related Outcome Measures. 2015;6:191–203.
24. Masic I, Miokovic M, Muhamedagic B. Evidence Based Medicine – New Approaches and Challenges. Acta Informatica Medica. 2008;16(4):219–225.
25. Black AT, Balneaves LG, Garossino C, Puyat JH, Qian H. Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians. The Journal of Nursing Administration. 2015;45(1):14–20.
26. Dannapfel P, Poelsson A, Nilsen P. What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden. Implementation Science. 2013;8:31
27. Shimpi AP. Physiotherapy Thesis – Challenges, Common Fallacies and Means to Overcome Them. Journal Medical Thesis 2016 Jan-Apr ; 4(1): 3-6
28. Titler MG. The Evidence for Evidence-Based Practice Implementation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 7. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2659/,
29. Haynes B, Haines A. Barriers and bridges to evidence based clinical practice. BMJ : British Medical Journal. 1998;317(7153):273–276
30. Nissen T, Wynn R. The recent history of the clinical case report: a narrative review. JRSM Short Rep. 2012 Dec;3(12):87.
31. Akers KG. New journals for publishing medical case reports. Journal of the Medical Library Association : JMLA. 2016;104(2):146–149.
32. Institute of Medicine (US) Committee on Health Research and the Privacy of Health Information: The HIPAA Privacy Rule; Nass SJ, Levit LA, Gostin LO, editors. Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research. Washington (DC): National Academies Press (US); 2009. 3, The Value, Importance, and Oversight of Health Research. Available from: https://www.ncbi.nlm.nih.gov/books/NBK9571/
33. Gitanjali B. Opportunities and challenges in conducting medical research in India: Food for thought. Journal of Pharmacology & Pharmacotherapeutics. 2011;2(2):71–73.
34. Bargaje C. Good documentation practice in clinical research. Perspectives in Clinical Research. 2011;2(2):59–63.
35. Partridge C, Mackenzie M, Edwards S, Reid A, Jayawardena S, Guck N, Potter J. Is dosage of physiotherapy a critical factor in deciding patterns of recovery from stroke: a pragmatic randomized controlled trial. Physiother Res Int. 2000;5(4):230-40.
36. Poulis I. Bioethics and physiotherapy. Journal of Medical Ethics. 2007;33(8):435–436.


How to Cite this Article: Shimpi A. Prospective of the Journal of Evidence-Based Physiotherapy and Research . J Evidence-Based Physio Research March -June 2017; 1(1): 1-3.         


(Abstract)      (Full Text HTML)      (Download PDF)


0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *