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In the Getting started with research, I discussed means of getting started in research, choosing a research area and development of a research question. This leads the research student on to the development of a research proposal, however, before the final research proposal can be developed and presented, it is imperative that the previous literature in the area is scoped and evaluated to identify the need for the proposed study and establish its context in the specific research area. In this article, I will discuss means of undertaking and presenting a literature review. While the focus of the article is presenting the literature review for dissertation purposes, I will also touch upon disseminating review in academic journals.

There is a body of literature about research designs which focus on the methods to be used, nuances, traditions, authority, experts, paradigms, or schools of thought related to each method. This all makes it sound so complex?  As a new researcher, the question in our minds is - what design should I choose for successful completion of my dissertation? The short and clear answer to this question is -the research design should follow from and be able to answer the research question. Through this article, I aim to present a brief decision making guide for students to make it easy for them to choose a research design which will help them answer their research question and to finish their dissertation on time.

In the previous articles of the research series, I delved into the issues of choosing a research topic, formulating research questions, undertaking literature reviews as well as choosing research design. As you will note, the focus was on ‘How’ to do research and ‘what’ to research. Much like general medical and surgical research, physiotherapy research in the 20th century was also driven by focus on objective designs such as RCTs and therefore rarely discussed the underlying philosophical assumptions related to research. This article is aimed at highlighting the need for researchers to understand the basic philosophical issues which impact on the research design and conduct and to discuss the four prevalent paradigms

Poor rehabilitation adherence may lead to sub-optimal treatment outcomes, reduced clinic efficiency and increased cost of care. But despite this knowledge, research indicates that attendance at physiotherapy departments is within 54%-94%and can be as low as 40%. Several studies confirm that adherence to a clinic-based exercise protocol is often around the 50% markand may be particularly poor for unsupervised home exercise programs.

The Mulligan Concept is one of the commonly used manual therapy techniques in management of musculoskeletal conditions. Pioneered by Brian Mulligan in the 1970's, it is based on Kaltenborn's concept of restoring the accessory component of physiological joint movement. Its been over 12 years since I underwent training in Mulligan Concept. In this article, I first review the basic principles of the concept and then later look at some of the literature around the effectiveness of Mulligan Concept. 

Rehabilitation adherence is an outcome of a complex interaction of physical, social, therapeutic and psychological elements. This second article, based on the findings of my doctoral research, highlights the role of social support and other social influences as a determinant of rehabilitation adherence.

Platz 2019 undertook a mini-review of evidence-based guidelines and practice pathways in stroke rehabilitation to document the existing stroke rehabilitation guidelines. Based on their review, they found 18 guidelines or practice recommendations.

A physiotherapy career usually starts with a entry level degree in physiotherapy which can be a Bachelor's program e.g. Bachelors of Physiotherapy in India, BSc Physiotherapy in UK or Doctorate in Physical Therapy (DPT) in USA. Most physiotherapists enter the profession with the aim of being a clinician. However with a field as vast as physiotherapy, as we develop and learn more, we become aware of the ever growing list of specialisations within physiotherapy (musculoskeletal, neurological, cardiorespiratory, sports, geriatric, paediatric etc.).

Tuesday, 18 February 2020 06:42

Physiotherapy documentation and record keeping

Introduction

In most Western countries, record keeping and accurate documentation by physiotherapists are not only professional, but also a legal obligation. However, in some countries where physiotherapy is not a regulated profession, there is not much emphasis on accurate record keeping.

Abdelrahman (2014) define medical records as “..as handwritten clinical notes, …… emails, scanned records, consent forms, text messages, verbal correspondence between health professionals, laboratory results, X ray films, photographs, video and audio recording, and any printouts from monitoring equipment”.

Monday, 17 February 2020 22:35

Metaphors as means to reframe chronic pain

Dealing with persistent pain is not easy!! There are no quick fixes. This much we all seem to agree on. There are so many different approaches, so many different tools and so many different explanations of pain and its causes, that in their journey of trying out the variety of interventions that patients do, they can become confused and maybe left with greater anxiety as to what is the cause for their pain.

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