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The Parachute Study
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The Parachute Study - January 26, 2008 1:09:55 AM
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tucker
Posts: 181
Joined: May 24, 2003
From: Texas
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I was at a seminar recently and we were discussing the lack of evidence (RCTs) for physical therapy in ICU to enhance outcomes and decrease LOS. The parachute study was brought up and after reading it, I thought it would be a good study to share. It was published in BMJ in 2003...hilarious! There are no RCTs to support the use of parachutes.
Article: http://www.bmj.com/cgi/content/full/327/7429/1459
Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials
BMJ 2003;327:1459-1461
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RE: The Parachute Study - January 26, 2008 1:38:18 AM
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tucker
Posts: 181
Joined: May 24, 2003
From: Texas
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BTW...This study was referenced in a letter to the editor in PT Magazine. Robert Latz wrote,
"Finally, in 2003, the BMJ published an article titled “Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials.”3 The authors' finding was that there was no RCT to support the use of a parachute to prevent injury from jumping out of a plane. However, it just makes sense. In addition, it would be very difficult to perform an RCT to demonstrate that using a parachute was better than not using one when jumping out of a plane. This editorial was a subtle reminder of the idea stated above that EBP means using the “best available evidence” and applying this evidence to the person before us. It is a reminder that the “best available evidence” sometimes is not in published research articles. It is a reminder that in addition to swimming in the research that is available, we need to remain present with the person before us in the clinic. It is a reminder that we use what Frank Mallon in the June PT Magazine described as the “soul of practice….the clinical decision making of the practitioner.”
Article: Understand Evidence Based Practice, PT Magazine Sept 2007.
http://www.apta.org/AM/Template.cfm?Section=Home&TEMPLATE=/CM/HTMLDisplay.cfm&CONTENTID=42444
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RE: The Parachute Study - January 26, 2008 9:43:56 AM
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jma
Posts: 2301
Joined: August 24, 2000
From: NY
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I heard about this article as well. Definitely agree with that.
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RE: The Parachute Study - January 26, 2008 1:50:47 PM
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TexasOrtho
Posts: 338
Joined: December 22, 2007
Status: offline
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That is a great article. Definitely gives us reason to pause and think about how we utilize evidence in the clinic.
_____________________________
Rod Henderson, PT
Board Certified Orthopedic Specialist (or Super-Freak)
Certified Strength and Conditioning Specialist
www.texasorthopedics.blogspot.com
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