Evidence based medicine in physical medicine and rehabilitation (German version)

  • Helmut Kern | wil.pys.kern-forschung@wienkav.at Department of Physical Medicine and Rehabilitation, Wilhelminenspital, Vienna, Austria.
  • Stefan Loefler Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna, Austria.
  • Veronika Fialka-Moser University Clinic of Physical Medicine, Medical University of Vienna, Austria.
  • Tatjana Paternostro-Sluga University Clinic of Physical Medicine, Medical University of Vienna, Austria.
  • Richard Crevenna Austrian Society for Physical Medicine & Rehabilitation (ÖGPMR), Austria.
  • Samantha Burggraf Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna, Austria.
  • Hannah Fruhmann Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna, Austria.
  • Christian Hofer Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna, Austria.
  • Claudia Burmester Department of Physical Medicine and Rehabilitation, Wilhelminenspital, Vienna, Austria.
  • Eva-Maria Strasser Department of Physical Medicine and Rehabilitation, Kaiser Franz Joseph Hospital, Vienna, Austria.
  • Markus Praschak Karl Landsteiner Institut für Remobilisation und funktionale Gesundheit, Vienna, Austria.
  • Wolfgang Grestenberger Fachgruppe Physikal. Medizin, Wiener Ärztekammer, Austria.
  • Friedrich Hartl Bundesfachgruppe Physikal. Medizin, Österreichische Ärztekammer, Austria.
  • Gerold Ebenbichler Berufsverband der Österreichischen Fachärzte für Physikal. Medizin und Rehabilitation, Vienna, Austria.
  • Günther Wiesinger University Clinic of Physical Medicine, Medical University of Vienna, Austria.
  • Thomas Bochdansky Reha-Klinik Montafon, Schruns, Austria.
  • Christian Wiederer Kurhaus Bad Gleichenberg, Austria.
  • Michael Quittan Karl Landsteiner Institut für Remobilisation und funktionale Gesundheit, Vienna, Austria.

Abstract

In the last twenty years the term “Evidence Based Medicine (EBM)” has been increasingly applied in all areas of medicine and is often used for decision-making in the medical and public health sector. It is also used to verify the significance and/or the effectiveness of different therapies. The original definition of EBM rests on the following three pillars: the physician’s individual expertise, the patient’s needs and the best external evidence. Today, however, the term EBM is often wrongly used as a synonym for best external evidence, without taking into consideration the other two pillars of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions and politicians use external evidence alone as the main guideline for financing therapies and therapy guidelines in physical medicine and general rehabilitation without taking into account the physician’s expertise and the patient’s needs.The wrong interpretation of EBM can lead to the following problems: well established clinical therapies are either questioned or not granted and are therefore withheld from patients (for example physical pain management). An absence of evidence for individual therapy methods does not prove their ineffectiveness! In this short statement the significance of EBM in Physical Medicine and general rehabilitation will be analysed and discussed.

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Published
2013-12-31
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Original Articles
Keywords:
EBM, evidence based medicine, physical medicine, physiotherapy, rehabilitation
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How to Cite
Kern, H., Loefler, S., Fialka-Moser, V., Paternostro-Sluga, T., Crevenna, R., Burggraf, S., Fruhmann, H., Hofer, C., Burmester, C., Strasser, E.-M., Praschak, M., Grestenberger, W., Hartl, F., Ebenbichler, G., Wiesinger, G., Bochdansky, T., Wiederer, C., & Quittan, M. (2013). Evidence based medicine in physical medicine and rehabilitation (German version). European Journal of Translational Myology, 23(4). https://doi.org/10.4081/ejtm.2013.2155

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