Joan, how about a little synopsis of the book?????? ----- Original Message ----- From: Joan Riches <[EMAIL PROTECTED]> Sent: Monday, August 13, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Neurofacilitation
JR> On the whole question of 'good enough evidence' I recommend to all of you JR> The Brain that Changes Itself by Norman Doidge M.D. It makes far more sense JR> to me based on my experience and observations than the neuroscientific JR> orthodoxy we were all brought up on, especially the belief that once a post JR> stroke patient 'plateaus' the rehab window is closed. Comments, anecdotes JR> anyone. Despite my commitment to a 'compensation' model I think JR> neuroplastcity will be the future of rehab and we ignore these developments JR> at our peril. Joan JR> -----Original Message----- JR> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf JR> Of Terrianne Jones JR> Sent: Monday, August 13, 2007 7:30 PM JR> To: [email protected] JR> Subject: Re: [OTlist] Neurofacilitation JR> Hello, evidence based practice is more than finding randomized control JR> trials in the literature to support an intervention--yes, critically JR> appraising the currently available literature is a large part of EBP, but so JR> is critical thinking and clinical experience. Together these should guide JR> our practice. In the case of NDT, it is true that much has not been JR> "proven", but perhaps a lit search for weight bearing and some of the JR> techniques NDT may yield some studies. I am not NDT certified myself -- JR> never will be-- and am about as far into the occupation camp as an OT can JR> get (as those who have seen my previous posts will attest), yet even I JR> believe that a working knowledge of motor learning and neuro theories serves JR> an OT well. I encourage you to find the literature that you can and appraise JR> it critically and present it to your supervisor. Mc Master University (see JR> below) has a great website to walk you through this--good luck. JR> Terrianne JR> www.srs-mcmaster.ca/nbspnbspResearchResourcesnbspnbsp/EvidenceBasedPractice/ JR> EvidenceBasedPracticeResearchGroup/tabid/630/Default.aspx JR> "Johnson, Arley" <[EMAIL PROTECTED]> wrote: Since I didn't get a JR> response, then I shall assume that no one else has any other strategies. JR> That's good because I was close to engaging in a drawn out debate with a PT JR> with an APTA neuro specialty cert that felt an OT did not need a practical JR> understanding of NDT principles to deliver comprehensive care in the acute JR> rehab environment. I believe that her point of view was NDT did not have JR> much, if any, supportive literature proving its' effectiveness. Therefore, JR> NDT had failed the evidence based practice test and I should not require an JR> OT working on a Stroke unit to complete a competency on NDT principles and JR> application. JR> Evidence based practice makes sense, but to exclude a treatment option JR> because limited research exists, does not mean that it does not work. As JR> always, the research itself needs to be reviewed to determine if it measured JR> relevant areas. I'll get off my soapbox now ... JR> Please, I welcome any comments, because my debate isn't officially over. JR> Arley Johnson MS, OTR/L JR> JR> The information contained in this e-mail message is intended only for the JR> personal and confidential use of the recipient(s) named above. If the reader JR> of this message is not the intended recipient or an agent responsible for JR> delivering it to the intended recipient, you are hereby notified that you JR> have received this document in error and that any review, dissemination, JR> distribution, or copying of this message is strictly prohibited. If you have JR> received this communication in error, please notify us immediately by JR> e-mail, and delete the original message. JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/[email protected] JR> **************************************************************************** JR> ********** JR> Enroll in Boston University's post-professional Master of Science for OTs JR> Online. Gain the skills and credentials to propel your career. JR> www.otdegree.com/otn JR> **************************************************************************** JR> ********** JR> JR> --------------------------------- JR> Park yourself in front of a world of choices in alternative vehicles. JR> Visit the Yahoo! Auto Green Center. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
