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Letters and Responses |
To the Editor:
The letter to the editor titled "Levels of Reduction" by Eugene Michels (December 1994) talks of the difficulty faced by physical therapists in "finding the grail from which will come solutions for the persisting motor problems of persons with damaged or incompletely developed central nervous systems." 1(p1138) In this ambitious endeavor, Michels argues that physical therapists should not rely solely on theoretical arguments that reduce the clinical decision-making process to consideration of "black-box" concepts such as the motor program, but use "observable levels of reduction" to fashion clinical practice.
We clearly agree with Michels that clinical decision making should not be confined to the consideration of theory at the expense of observing, measuring, and recording motor behavior in persons with brain disorders. The purpose of our article2 was not to advocate that observation should be abandoned in favor of approaches driven solely by theory....
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Physical Therapy 1994 74: 1138-1139.
Physical Therapy 1994 74: 738-748.
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