3/13/2023 0 Comments Brain gym edukacija![]() Anyone who is sufficiently motivated can achieve anything they set out to. When “evidence” becomes too much of a focus, the condition becomes the priority rather than the patient, and it is patients and their preferences that should always come first. Patient based practice? How can you apply it to neurological rehabilitation? Sackett’s definition of EBM, particularly the “judicious use of evidence” needs to be remembered though, as there is a tendency for clinical experience and patient values to be neglected.Ĥ. There are many options out there so examining all the available “evidence”, particularly the results of new research, thus finding irrefutable proof that a treatment option is effective, is the most efficient way to find “best care”. This dual obligation should drive a practitioner to find out which treatment really works and will provide the optimal outcome for the patient. That practitioner expects (often substantial) financial recompense from the patient so is obliged to provide “best care”. Why is EBM so important?Īny patient who consults a medical practitioner trusts that practitioner to provide him with the best care. While talking to you it seemed to me that EBM is a way of living in Australia. My husband and I had previously planned to go sailing from Biograd so I decided to contact him and ask if I could visit while we were in Croatia.ģ. Vlak’s article on teaching rehabilitation medicine in a journal and was most interested in what he had to say. How is it that you came to be in Split to give a lecture? In October, we had the great opportunity to listen to your lecture on “Latest Trends in Neurological Rehabilitation and Practice Based Evidence in Physiotherapy¨. I was born in Zimbabwe, trained as a physiotherapist at the University of Cape Town in South Africa and lived and worked in Africa until 2003.Ģ. I come from Perth in West Australia where I teach neuroscience at a small university in Fremantle Port. Could you please introduce yourself? Where do you come from and what do you do? These results suggest that the movement of the horse rather than passive stretching accounts for the measured improvements.Naslovna > Nastava > Katedre > Fizikalna i rehabilitacijska medicina > Predavanja > alison alisonĪ talk with Alison Kirkman, Senior Lecturer in Neurorehabilitation, who visited the Medical School in Split and Department of Health Studies during October 2013, as part of cooperation with the Department of Physical and Rehabilitation Medicine and the Department of Physiotherapy.ġ. No significant change was noted after sitting astride a barrel.Ĭonclusions: Eight minutes of hippotherapy, but not stationary sitting astride a barrel, resulted in improved symmetry in muscle activity in children with spastic cerebral palsy. Results: After hippotherapy, significant improvement in symmetry of muscle activity was noted in those muscle groups displaying the highest asymmetry prior to hippotherapy. Outcome measures: Remote surface electromyography (EMG) was used to measure muscle activity of the trunk and upper legs during sitting, standing, and walking tasks before and after each intervention. Interventions: Children meeting inclusion criteria were randomized to either 8 minutes of hippotherapy or 8 minutes astride a stationary barrel. Subjects: Fifteen (15) children ranging from 4 to 12 years of age diagnosed with spastic cerebral palsy. Setting/location: Therapeutic Riding of Tucson (TROT), Tucson, AZ. Objective: To evaluate the effect of hippotherapy (physical therapy utilizing the movement of a horse) on muscle activity in children with spastic cerebral palsy.
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