Evidence Midterm '12

difficulties an individual may have in executing activities

The reasonable expectiation that the human body could behave in the manner predicted

Proficiency of clinical skills and abilities, informed by continually expanding knowledge, that individual clinicians develop through experience, learning, and relection about their practice

a process that integrates and evaluates data obtained during a patient's exam, often resulting in classification that guides prognosis, the POC, and subsequent interventions

the inability or restricted ability toi perform actions, tasks and activities related to required self-care, home management, work, community and leisure roles in the individual's socioculture context and physical environment.

a dynamic process in which the physical thearpist makes clinical judgments based on data gathered during the examination

Occur when impairments result in a restriction of the ability to perform a physical action, task or activity in an efficient, typically expected, or competent manner

problems in body functions or structure such as a significant deviation of loss

Alterations in the anatomical, physiological or physchological structures or functions that both 1. result from underlying changes in the normal state and 2. contribute to illness.

the purposeful use of various physical thearpy procedures and techniques, in collaboration with the patient and, when appropriate, other care providers, in order to effect a change in the patient's condition

the end result of patient's management, which include the impact of physical thearpy interventions, may be measured by the PT or determine by self-report from the patient

a disease, disorder, or condition that is primarily identified at the cellular level and is 1. characterized by a paraticular cluster of signs and symptoms and 2. recognized by either the patient or the practicioner as 'abnormal'

problems an individual may experience in involvement in life situations

health care that customizes treatment recommendations and decision making in response to the patients' preferences and beliefs... this partnership also is characterized by informed, shared decision making ,development or patient knowledge, skills needed for self-managemnet of illness, and preventitve behaviors

• activities that attempt to:
• 1. prevent a target condition in susceptible or potentially susceptible populations;
• 2. decrease the duration of illness, severity of disease and sequelae through elarly diagnosis and intervention
• 3. limit the degree of disability and promote rehab and restoration of function in patients with chronic and irreversible dieseases

• prediction of the natureal course of a condition or its development based on previously identified risk factors
• the predicted optimal level of improvement through intervention and the amount of time required to achieve that level

results or inferences that systematically deviate from the truth or the processes leading to such deviation

the reasonable expectation that the human body could behave in the manner predicted

a detailed description of the management of a patient that may serve as a basis for future research

systematically developed statements to assist practictioner and patient decisions about appropriate health care for specific circumstances

a study that collects data about a phenomenon during a single point in time or once within a defined time interval

the extent to which an intervention or service produces a desired outcome under usual clinical conditions

the extent to which an intervention or service produces a desired outcome under ideal conditions

any empirical observation about the apparent relation between events constitutes potential evidence

• a research design in which the behavior of randomly assigned groups of subjects is measured following the purposful manipulation of independent variable(s) in at least one of the groups
• used to examine cause-and-effect relationships between an independent variable and an outcome

a study that looks a a phenomenon occurring over time

description of prior research without a systematic search and selection strategy or critical appraisal of the study's merits

• a study in which controlled manipulation of the subjects is lacking
• if groups are present, assignement is predetermined based on naturally occurring subject characteristics or activities

• a process by which research is appraised by one or more content experts
• commonly utilized when articles are submitted to journals for publication and when grant proposals are submitted for funding

• a study that focuses on the cellular or physiologic systems levels of the subjects
• often performed in a laboratory

a research design that follows subjects forward over a specified period of time

• a research design in which there is only one subject goup or in which randomization to more than one subject group is lacking
• controlled manipulation of the subjects is preserved

• a clinical study that uses a randomization process to assign subjects to either an experiental group or a control group.
• subjects in the experiemental group receive the intervention or preventive measure of interest and then are compared to the subjects in the control group who did not receive the experiemental manipulation

research design that uses historical data from sources such as medical records, insurance claims, or outcomes databases.

a quasi-experiemental research design in which one subject reveices in an alternating fashion both the experiemntal and control condtion

a method by which a collection of research is gathered and critcally appraised in an effort to reach an unbiased conclusion about the cumulative weight of the evidence on a particular topic

• the words AND, OR, NOT, and NEAR
• used to combine search terms in electronic evidence databases and other search engines

the word or terms that is entered into an electronic database search function to locate evidence pertaining to a clinical question

• the extent to which repeated measurements agree with one another.
• also referred to as "stability", "consistancy", and "reproductibility"

the degree to which a measure captures what is intended to measure

• Medical subject heading
• term used to describe approved search vocabulary in the US National Library of Medicain electronic database
• the MeSH vacab may also be used by other elctronic evidence databases

original research reports such as articles in peer-reviewed journals or on web-sites, theses and dissertations, and proceedings from professional meetings

the ability of a measure to detect change in the phenomenon of interest

a combo of keywords, phrases, names, or other informations that is entered into an electronic database search function to locate evidence pertaining to a clinical question

textbooks, summaries on Web sites, and review papers that contain info based on primary sources of info

the reasonable expectation that the human body could behave in the manner predicted

a mental image of an observable phenomenon that is expressed in words

• a collection of interrelated concepts or constructs that reflect a common theme
• may be the basis of a more formal theory
• usually depicted in schematic form

• a nonobservable abstraction created for a specific research purpose
• defined by observable measures such as events or behaviors

• also referred to as the "statistical hypothesis"
• a prediction that the outcome of an investigation will demonstrate no difference or no relationship between groups in the study other than what chance alone might create

• also referred to as the alternative hypothesis
• a prediction that the outcome of an investigation will demonstrate a difference or relationship between groups in the study that is the result of more than chance alone
• may be written uing directional language such as more than, less than, positive, or negative

• an organized set of relationships among concepts or constructs
• proposed to describe and explain systematically a phenomenon of interest as well as to predict future behaviors or outcomes

results or inferences that systematically deviate from the truth or the processes leading to such deviation