What IS an "Evidenced-Based" Practice? (EBP)
This term, "Evidence-Based Practice" or the "Evidence-Based Medicine" term is used in many disciplines of health care; from physical medicine to social work to psychotherapy.
EBP is a spin-off from Evidence Based Medicine, whose philosophical origins stem from those practicing medicine in France in the early to mid-19th century.
It appears that most clinics provide therapy or medical intervention based on what they may have learned years ago in medical school. Or they have found some approaches that work to get the clinical outcome they're shooting for, like pain relief or improved movement, but...
there may actually be newer approaches that may work even more effectively, but because the practitioner is still 'stuck' in their old ways, they and their patients don't have the opportunity to reap the benefits of newer protocols and current scientific understanding.
I know it's not cool to quote Wikipedia but here is a simple summation to start:
"An evidence-based practice is any practice that relies on scientific evidence for guidance and decision-making. Practices that are not evidence-based may rely on tradition, intuition, or other unproven methods."
The goal of a practice that adopts an EBP approach is to provide the most effective care we believe is available, (at the present time) based on scientific findings.
Choosing to incorporate scientific evidence, is the opposite of how many clinics chose their Pillars of Service Offerings.
Most clinics create 'fancy' services based on what's popular or trendy at the time, or offer services that will bring in the most money for the clinic or practitioner.
Often, these non-science-based practices will provide treatments based on what the clients and patients are asking for, which may however, be bogus treatments.
For example, Reiki, Reflexology or Essential Oils are sometimes requested of us, at DPR&W, but those are not offered in our center because science does not support their efficacy.
At Diamond Pain Relief & Wellness, we provide manual and movement-based therapies, that integrate what is currently being supported by science, along with our understanding of how each client has unique needs and comes from a unique background of experiences, therefore each therapy session and therapy plan is hand-tailored to the individual.
In science the term 'proves' is not an accurate word to use.
It's better to say 'science supports...'
EBP's incorporate the most current, scientifically supported approaches to client care.
For example, here at Diamond Pain Relief & Wellness, we USED to think that PROPER, PERFECT POSTURE while sitting , standing, working, reading was needed to reduce or eliminate neck, back and hip pain.
Now we know science supports that when we have a more up-right alignment of our heads instead of being far forward, it may take the pressure off our muscles and joints which may reduce our pain, headaches and migraines.
The very common 'forward head posture' does cause mechanical stress and strain because our heads do weigh 10-ish pounds, so our muscles are doing 'extra' work.
What we now know (based on science) is that more important than "Perfect Posture" for pain relief, is moving and changing positions often, whether you're sitting, standing, working or even your sleeping position.
A therapy or medical practice can consider themselves "Evidenced-Based" IF & WHEN they follow a 3-step approach to how they treat their clients and patients, the protocols or plans of care they follow, or the methods and modalities they incorporate.
The concept of 3 pillars of EBP began around the 1990's.
(It is still being used in clinics and treatment centers around the world.)
David Sackett is recognized as the pioneer of Evidence Based Medicine. He said,
"It's about integrating individual clinical expertise AND the best external evidence."
David Sackett's 3 Pillars:
David suggested all three Pillars were equally important, and they often used a 3-legged stool analogy to explain how 1 or 2 Pillars could not be used without all 3, or it would not stand up.
The 3 Pillars are important, but each pillar probably does not have equal importance.
There is so much more that goes in to our care for you, here in San Francisco at Diamond Pain Relief & Wellness!
As a Precise Private Practice, at Diamond Pain Relief & Wellness Center we support your care through Peer Reviewed, Evidenced-backed intervention and support.