Scope of Research

in
Physiotherapy

Dr. M. Ajay Kumar Midde

MPT (Neuro) NIMS, MIAP, LPT (USA), tDCS (USA),PhD
Fellow in tDCS (Historical city college of NYC, USA)
Fellow in Vestibular Rehab (California, USA)
Trained in Head injury Rehab (Northville, Detroit, USA)
Trained in Gait Lab (UK)
HOD-Neurorehabilitation, KIMS Hospital, Hyderabad.
 COVER
 Journey
 Evidence / Scientific Research
 Radio-Diagnosis
 Electrophysiological-Diagnosis
 Recent trends / Our Experiences
PRESENT AND FUTURE
What to offer
What to promise
Biofeedback and Manometry
tDCS & fMRI
 How to Choose Rx
 Because we have red them in the books.
 Because we have used them before & They have worked based our clinical experience.
 Because has proven that these treatments worked.
 Patient tells you that, it worked best.
 What it is NOT
 Asking seniors / Teachers for clinical doubts (Completely)
 Reading outdated books.
 Using Google for finding the answers.
 Solely depending on Evidence for clinical practice
( without considering clinical experience or patient’s preference or expectations)
 Why do we need Research
 Improve Quality & Efficiency of health care management.
 Keep up to date – Life long learning.
 Usage
Campos et al,2013;Physiotherapy

 One research every 19 seconds.

 Maximum utilization – USA (13%)
 Australia – (12%),
 Brazil (8%), UK ( 6%), Spain (6%), Germany (5).
 INDIA – Ranks 99.
 Optimal evidence
 Best available
 Current / Latest
 Valid & Reliable
 Relevant
 Applicable
 Cost-effective
institutional barriers
 Included insufficient time (66%)
 inadequate facilities (57%)
 being isolated from colleagues (37%)
 Doctors not co-operating with change (36%).
 Conclusions
http://www.sciencedirect.com/science/article/pii/S0031940605654624

 Therapists value research findings, but the majority have problems accessing and understanding the literature,
which is perceived as flawed and incomplete.
 This suggests a need to improve training at both undergraduate and postgraduate level, improve the quality of
publications in professional journals, and commission therapy-relevant trials, systematic reviews and meta-
analyses.
 A substantial number of respondents reported institutional barriers, including poor resources and resistance to
change by medical staff