During my musculoskeletal placement as previously mentioned I have had quite a few different supervisors who all have different options about how to treatment certain conditions and what exercises to prescribe to patients. At the beginning of the placement I found it exceptionally hard when changing supervisors as one tutor would give me an idea of how to treat a patient and then the next week, I would have the same patient with a different supervisor and they would ask me why I chose that particular treatmenta dn tell me a different treatment technique. Which in the beginning of a placement can be difficult when your not very good at rationalising certain treatment techniques.
So how does one deal with this situation ? This is what I have done in this prac to deal with the difference in opinions for physio treatments, which no doubt we will continually have deal with throughout out physiotherapy career.
1)We have been very much taught from an evidence based practice point of view, so at the moment going back and seeing what the lecture notes say is always helpful.
2) Looking up systematic reviews as to what treatments are available for certain conditions and how successful they were, is a good idea.
3) There is no harm in trialing both treatments on the patient (during different sessions to assess which one was more effective). Or if it is a difference in option about how to train particular muscle groups if one cue doesn't work, use another one!
OVERALL THERE WILL ALWAYS BE DIFFERENT SCHOOLS OF THOUGHT, DEPENDING ON WHERE PEOPLE WERE EDUCATED AND WHAT LITERATURE THEY USE. HOWEVER IF YOU CAN RATIONALISE YOUR TREATMENT WITH AN EVIDENCE BASED APPROACH AND THE PATIENT IS IMPROVING THEN WHAT YOUR DOING AS A PHYSIOTHERAPY TREATMENT IS WORKING.
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3 comments:
Having more then one tutor is sometimes annoying yes. But even as graduates, senior physiotherapist change all the time so its just something you have to deal with and take it as a good thing to be exposed to a different perspective to treatment.
Good point, I think that different techniques can be effective in different patients, and different cues for training muscle groups can also be more effective in some patients than others. I also feel that there are some techniques I'm comfortable using over others, and I agree, I think if it is evidence based and is effective, then go ahead.
I personally feel that when it comes to treating patients there is no recipe to follow. As long as we keep to the concepts that we have learnt at uni and is able to adapt and rationalise our treatment for the different conditions we get, we will definitely achieve some good treatment outcomes at the end.
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