And I was reminded of this one, an oldie (1999), but a goodie, from one of the British Medical Journal’s Christmas editions, in which they like to take the mick.
https://www.bmj.com/content/319/7225/1618
Associate Professor Mark Hancock, a physiotherapist researching lower back pain at Macquarie University…
“There is no evidence that any specific exercise is dangerous if done appropriately or by people who are ready for it,” he said.
ABC
—-
There’s your base evidence.
Ian said:
Associate Professor Mark Hancock, a physiotherapist researching lower back pain at Macquarie University…“There is no evidence that any specific exercise is dangerous if done appropriately or by people who are ready for it,” he said.
ABC
—-
There’s your base evidence.
…guy sounds like he should be in politics rather than a scientific discipline.
It makes it sound like these exercise and stretching obsessed nerds are now, suddenly, going to be able to treat and cured lower back pain.
Yet looking back to 2004 we find this…
Physiotherapy doesn’t work for back pain, study says
Physiotherapy for people who suffer from mild to moderate lower back pain is a waste of time and a poor use of NHS money, according to a major study published today…
“I think one can draw the conclusion that physiotherapy that is routinely offered in the NHS for lower back pain of mild to moderate severity doesn’t do any good,” said Sarah Stewart-Brown, professor of public health at Warwick University and one of the authors.
“If I had back pain I wouldn’t want to spend my time going for NHS physiotherapy. You are wasting your time. It isn’t going to help you.”
—-
Looks like the medicos, who are never going to admit that they have NFI when comes to a remedy for lower back pain, have slipped a neat hospital pass to the phsyios.
buffy said:
And I was reminded of this one, an oldie (1999), but a goodie, from one of the British Medical Journal’s Christmas editions, in which they like to take the mick.
https://www.bmj.com/content/319/7225/1618
> We, two humble clinicians ever ready for advice and guidance, asked our colleagues what they would do if faced with a clinical problem for which there are no randomised controlled trials and no good evidence
rofl already.
> “making the same mistakes with increasing confidence over an impressive number of years.”
OMG. They’re describing the building trade.
> The substitution of acoustic volume for evidence is an effective technique
Now they’re describing our politicians
> The year round suntan, carnation in the button hole, silk tie, Armani suit, and tongue should all be equally smooth Sartorial elegance and verbal eloquence are powerful substitutes for evidence.
Salesmen.
> giving God a hand with the decision making.
Executives, and their “decision making” toys.
> The diffident doctor may do nothing.
Puts me hand up.
> Fear of litigation is a powerful stimulus to overinvestigation and overtreatment
Yes. Doctors, under pressure to do something, will order more tests.
> Confidence based medicine
Um, what?
mollwollfumble said:
buffy said:And I was reminded of this one, an oldie (1999), but a goodie, from one of the British Medical Journal’s Christmas editions, in which they like to take the mick.
https://www.bmj.com/content/319/7225/1618
> We, two humble clinicians ever ready for advice and guidance, asked our colleagues what they would do if faced with a clinical problem for which there are no randomised controlled trials and no good evidence
rofl already.
> “making the same mistakes with increasing confidence over an impressive number of years.”
OMG. They’re describing the building trade.
> The substitution of acoustic volume for evidence is an effective technique
Now they’re describing our politicians
> The year round suntan, carnation in the button hole, silk tie, Armani suit, and tongue should all be equally smooth Sartorial elegance and verbal eloquence are powerful substitutes for evidence.
Salesmen.
> giving God a hand with the decision making.
Executives, and their “decision making” toys.
> The diffident doctor may do nothing.
Puts me hand up.
> Fear of litigation is a powerful stimulus to overinvestigation and overtreatment
Yes. Doctors, under pressure to do something, will order more tests.
> Confidence based medicine
Um, what?
The initial question can be taken as a serious one, though, and applied to all occupations.
What should we do if faced with a clinical problem for which there’s are no randomised controlled trials and no good evidence?
oh, I’m back in chat
I have just cranked up the old laptop and need to install all my new bookmarks since I haven’t used this one for about 5 years. It died from an overused fan, so $90 later, a new fan installed and here we are again… also have to reinstall the security stuff.. which is harder than it used to be…
still it seems t be working fine now..
Arts said:
oh, I’m back in chatI have just cranked up the old laptop and need to install all my new bookmarks since I haven’t used this one for about 5 years. It died from an overused fan, so $90 later, a new fan installed and here we are again… also have to reinstall the security stuff.. which is harder than it used to be…
still it seems t be working fine now..
except it’s not back in chat :( sorry
mollwollfumble said:
The initial question can be taken as a serious one, though, and applied to all occupations.
What should we do if faced with a clinical problem for which there’s are no randomised controlled trials and no good evidence?
Religious laws stating gods doesn’t like or allow this behaviour/person/food/etc, accepted by many with no evidence, or the religious body tells it members not to use something as a study/trial from years said it might be bad, don’t question this even if newer more details studies contradict the first