We like things simple don’t we? If this, then this… Something about simple logic makes us all feel nice and cozy!
Simplicity makes us feel better about our understanding on a subject, but it can also lead us into a false sense of security. This is why I am very weary of correlation research. As soon as you try to pair things down to a 1:1 ratio things start to get a little tricky, because it just ain’t that simple. .
I don’t care how good a researcher you are…It is IMPOSSIBLE to limit ALL the variables when it comes to a human being. Which makes almost all outcome driven research inherently flawed on some level…(This is a generalization, so please don’t jump off the ledge just yet.)
Even IF, and thats one BIG IF, you were able to account for all the complex & integrated body systems, you can never really account for the Human Condition. Our mental, cognitive, and emotional ties to our pain and injuries often is the crux of many solid treatment and rehab plans. The mind is simply too powerful to overcome, despite having a bevy of literature and research at our fingertips.
I guess I just never understood why we continue to propagate research articles that claim a 1:1, apples to apples relationship, when by its very premise it simply does not exist. .
Unfortunately, this isn’t Math, and never will be. So, before you send me that DM about how IASTM doesn’t work for Patella Tendonitis as stated in “X” correlation study…ask yourself just how many variables are in the equation for each and every study participant? Does the fit guy with a simple flare up from last weekends Tough Mudder, and the overweight, sedentary adult who eats McDonalds 5 x a week playing with the same deck of cards when it comes to injury?
Of course not!!! So why should we expect the outcome to be the same if the only commonality is the technique and where they experience their pain?
Evidence Based practice doesn’t just mean following only the published literature. By all means, stay current on the literature!!! It is a very good barometer for what is safe and generally effective in MOST cases. Just don’t forget that evidence based also means using common sense and experience