A critical evaluation of evidence-based practice of physiotherapy in musculoskeletal medicine

Objective: To evaluate evidence-based practice (EBP) in musculoskeletal physiotherapy and to identify barriers that exists to its implementation. Materials and Methods: A personal selection of 44 relevant papers were used to undertake this assessment. Results: The literature questions whether the sole driver for EBP must be randomised controlled trials, or whether anecdotal evidence or pragmatic trials should contribute. Barriers to the implementation of EBP have been identified including clinicians' appraisal skills and the necessary organisational changes required. Conclusions: Despite EBP having a significant influence on health policy in the UK, practitioners face various challenges when introducing and sustaining appropriate changes to practice.