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PHYS THER
Vol. 76, No. 9, September 1996, pp. 1011-1015
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Letters and Responses

"What Constitutes Evidence?"


This excerpt was created in the absence of an abstract.

To the Editor:

In "How Should Treatments Be Critiqued for Scientific Merit" (February 1996), Dr Susan Harris stated that it is our "responsibility to deliver evidence-based treatment techniques." The question we must ask, however, is: What constitutes evidence, and by what methodology do we research techniques to obtain this evidence?

The most widely used and understood methodology for research is a reductionist model. In this model, small, sometimes minuscule aspects of a treatment are tried, measured, and analyzed based on present-day understanding of physiological, neurological, and musculoskeletal functions. Patient outcomes may or may not be taken into consideration. Rarely is the psyche of the patient or the relationship between patient and therapist considered.

Equally valid yet less widely understood or used are qualitative and phenomenological methodologies that allow for detailed description and analysis of a patient's and a practitioner's experiences of treatment. The whole person can be considered....


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Related Article

How Should Treatments Be Critiqued for Scientific Merit?
Susan R Harris
Physical Therapy 1996 76: 175-181. [Abstract] [PDF]





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Copyright © 1996 by the American Physical Therapy Association.