Read "DeLisa's Physical Medicine and Rehabilitation Principles and Practice, Two Volume Set" by Walter R. Frontera available from Rakuten Kobo. Sign up. De Lisa's Physical Medicine And Rehabilitation Principles And Practice, Two Volume Set (Rehabilitation Medicine (Delisa)) Lippincott. download DeLisa's Physical Medicine and Rehabilitation: Read Books Reviews - suiniconlesssin.ml
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eBook features: Highlight, take notes, and search in the book; Length: pages; Similar books to DeLisa's Physical Medicine and Rehabilitation: Principles. DeLisa's Physical Medicine and Rehabilitation, Principles and Practice presents the Enrich Your eBook Reading Experience•Read directly on your preferred. Edition/Format: eBook: Document: English: 5th edView all editions and formats "DeLisa's Physical Medicine and Rehabilitation is the "gold standard" in the.
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Find a copy in the library Finding libraries that hold this item Electronic books Additional Physical Format: Document, Internet resource Document Type: A comprehensive book in the field of physical medicine and rehabilitation. It serves as both an introductory book for residents and a comprehensive reference book for practitioners.
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DeLisa's Physical Medicine and Rehabilitation: Principles and Practice
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Promocode will not apply for this product. Now in a 1-volume and four-color format, for more precise, accurate, and easier reading. Focuses on current evidence and therapies, and includes the most recent changes and updates in the field. Features new chapters on the epidemiology of disability globally, polytrauma, and physical medicine and rehabilitation in disaster relief.
Additional online-only chapter content figures and tables accessible through the eBook. Several international contributors have been added, giving this edition a global perspective. Enrich Your eBook Reading Experience Read directly on your preferred device s , such as computer, tablet, or smartphone.
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The principles diffused readily into many scientific arenas, and Fisher even applied the principles in his backyard studies into Mendelian genetics. The thoughts of R. Fisher, arguably the most influential statistician of the 20th century, on the promise and challenges of randomized clinical trials in medicine should motivate rehabilitation clinicians to do their own small-scale controlled trials, with Institutional Review Board approval, when faced with equally realistic and plausible treatment options for their patients.
Regardless of the forces motivating EBM, the idea that physicians should rely on best evidence in their treatment decisions is clearly reaching widespread public awareness. Although best evidence may be intuitively appealing, its vitality in EBM depends on fundamental scientific research principles.
EBM has promulgated a hierarchy of best research evidence with systematic reviews of homogenous, high-quality, randomized controlled trials at the top of the pyramid. Although the hierarchy is controversial in medicine 4 , it is comforting that EBM has gained a foothold in physical medicine and rehabilitation 5 — 8. However, only a few rehabilitation studies reach the top of the evidence pyramid because of apparent difficulties in using randomization to allocate subjects to treatments 9.
This is unfortunate because, without randomization, interventional trials and observational studies can produce strong evidence of association, but as is well known, correlation is not causation.
In the absence of randomization, every effort has to be made to exclude every other possible explanation before a cause—effect argument becomes convincing. Nevertheless, it should be clearly understood that randomized and nonrandomized studies are not at opposite poles of a quality continuum—they are essentially different research paradigms and both can suffer equally from lack of quality This new standard offers guidance on problematic issues that plague rehabilitation researchers 12 such as blinding, complexity of interventions, and nonequivalence in expertise of care providers and centers.
Comprehensive papers on clinical trial methodology have been published for rehabilitation research 13 , 14 ; however, their thoroughness may have discouraged or intimidated clinically oriented physicians from designing and conducting their own randomized clinical trials. It is our contention that with proper Institutional Review Board IRB oversight, clinical trials can be designed, conducted, analyzed, and results can properly be interpreted by practicing physiatrists and other rehabilitation professionals.
Specialties (Nursing, Pediatrics, Rehab)
Toward that end, we provide a few simple guidelines for designing small clinical trials based on the ideas of R.
Fisher, arguably the most influential statistician of the 20th century Fisher invented ANOVA, the exact test, and method of maximum likelihood among many other noteworthy contributions to mathematical statistics. Fisher 16 tested treatment effects by accommodating nuisance factors in his designs for agricultural research. Snow, who studied and in the end quelled the occurrence of cholera in London, used a very large number of different types of inquiry in order to gain sufficient confirmation of his important conclusion, namely, that it was fecal contamination in the water supply that was responsible for the cholera Fisher 16 identified 3 first principles that permit causal inferences from simple experiments: control, randomization, and replication.
DeLisa's Physical Medicine and Rehabilitation
Fisher applied these principles not only to large, complex agricultural field trials but also in his own small-scale studies on Mendelian genetics that he performed in his backyard Next, we next consider each principle in the context of clinical research.
There have to be at least 2 treatment groups in a clinical trial.
A patient in the control group gets the standard of care, which can be no treatment placebo , whereas a patient in the treatment group receives the promising, but unproven experimental intervention or treatment. For example, in a pharmacologic study, a control subject would get a pill that feels, looks, tastes, and smells exactly like the experimental pill but lacks the active ingredients.Features comprehensive coverage of the treatment of concussions and military amputees.
Features new chapters on the epidemiology of disability globally, polytrauma, and physical medicine and rehabilitation in disaster relief.
Be the first to ask a question about Physical Medicine and Rehabilitation. To keep items from the previous region in your cart, click cancel. Merritt's Neurology. The field of physical medicine and rehabilitation has many excellent research questions on the effects of treatment but seems to rely mostly on weak observational methods eg, chart review, case series, and single-group designs for answers.
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